HomeMy WebLinkAbout909 E 7th St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
2 circuits to garage
Owner
JOHNSON TTE DAVID N
PO BOX 2753
PORT ANGELES
Permit
Additional desc
Permit pin number 150953
Permit Fee 59 50
Issue Date 8/04/09
Expiration Date 1/31/10
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983620332
09 00000761
188389
909 E 7TH ST
06 30 00 0 2 0860 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
ELECTRICAL ALTER RESIDENTIAL
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Charged Paid Credited
59 50 59 50 00
00 00 00
59 50 59 50 00
Date 8/04/09
WA 98363
DATE RESULTS
00
0
Extension
57 50
2 00
Due
00
00
00
INSPECTOR.
Signature of owner or Electrical Contractor X Date
vi rvit AtigeleS Pe ffhtt'Appflcatlon
Building Division/Electrical Inspections
321 East Fifth Street P.0, Box 1150
Port Angeles Washington, 98362
Ph: (360) 417-0738 Far :4360) 417-4711
Date: -3 a 1
Unit Charge
93.75
$113.75
$160.00
$205.00
$29125
2.00
57.50
200
5.72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
5.50.00
93.75
80,00
89.25
27.50
57.50
86.25
43.75
A,e4
Signature of owner, electrical contractor or electrical administrator
Td W1:102 80 600E 20 •6nd
RECE VED
AUG 3 2009
ELECTRICAL
INSPECTIONS
1 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition Alteration Remodel/ Repair'
Plan Review May Be Required, Please CompletcElectrical Plan Review Information Sheet
Job Address: Cr 1 3 `LL -6 CZ 5t "1
Building Square Footage:
Description o f above I V A o U u r n a P i rcA& it
Owner Information Contractor in rrnatio
Name: _mac i doh o� Name; t'
Melling Add ss: e4 I `1, ga S ti Mailing Add
Gtr' State: Zs): IS3/ a w City
Phone: i--4 i I —01 01 Fax Phone:
License 1 Exp, License Exp.
El eciis 641
Sta e 1"
r
Total (Qtv Multiplied by Unit Charael
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601 -1000 Ainp.
Service/Feeder over 1000 Amp.
0 Branch Circuit W/ Service Feeder
$_51., 5 A Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service) Feeder 200 Amp:
Temp. Service /Feeder 201.400 Amp.
Temp. Service/Feeder 401 -600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign/OutlineLighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi-Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft
Each Additional 500 Square FL or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
c 9 co Total
Owner as defined by RCW19 28261_ (1) Owner will occupy the structure for two years after leis electrical permit is Omitted. (2) Owner Is required to hire an
electrical contractor if eb property is for sale, rent or Masa
After reading the above statement, I hereby certiTy that I Inn the owner of the above named property or a licensed electrical contractor. tam making the electrical
installation or alteration in compliance with the electrical laws, N,EC RCW. Chapter 19.28, WAC. Chapter 29889, The City of Port Angeles Municipal Code, and
Utility Specifications.
Cash
LI Check
Cred2 Cara &VI LA-Li
to
2 L9 ESt7 092 '0N Xdd 230131JeliNOD 11:0I211 212 'S d •d W021d
Application Number 08 00001462
Application pin number 863572
Property Address 909 E 7TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 2 0860 0000
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Install sidewalk
Owner
JOHNSON TTE DAVID N
PO BOX 2753
PORT ANGELES
Fee summary
T \Policies 1102 15 10/08]
WA 983620332
Signa re of ractor or Authorized Agent
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
OWNER
Special Notes and Comments
An inspection by Public Works Engineering is required prior
to pouring concrete Call Public Works inspection request
hot line at 417 4831 24hrs advance notice required
Charged Paid Credited
Date 12/10/08
Permit CONCRETE SIDEWALK
Additional desc INSTALL SIDEWALK
Permit pin number 138149
Permit Fee 00 Plan Check Fee 00
Issue Date 11/19/08 Valuation 0
Expiration Date 5/18/09
Due
Permit Fee Total 00 00 00 00
Plan Check Total 00 00 00 00
Grand Total 00 00 00 00
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
Date Signature of Owner (if owner is builder)
`dog
Date
CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
SITE EROSION CONTROL
PARKING
SIDEWALK
I CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
INSPECTION TYPE DATE
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4831
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T ,Policies \110' 15 [10/081
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
ACCEPTED
YES I NO
I I
I I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
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RECEIVED Y (7-0(()7
AUG 0 1 2007 3: '-IDp", L(77 - () '3 I 5" .
CITY OF PORT ANGELES A (
BUILDING DIVISION \. . \). S'-" .:;;-\ I J 2.00 7
?>I, Joi
Jim oK'~ e.>de-ndl'hj -1hls
Frt'Y\\-t- ~r \roo ct~ 5,
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BUll,DING PERMIT INSPECTION RECORD
o
Ul
\
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CALL 417-4815 FOR BUILDING INSPECTJONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A Iv1INIMUlv124 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY rVOFJ. BEFORE
IIVSPECTED A.ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
-
.-J
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDA nON:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDA TJON DRArblAGE I DOWN SPOUTS
PIERS I I
POST HOLES (POLE BLDGS.)
PLUMIllNG
UNDER FLOOR I SLAB
ROUGH-fN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (fNTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
ROUGH-IN
HEAT PUMP I FURNACE I DUCTS
GAS LINE FrNAL DATE ACCEPTED BY:
WOOD STOVE I PELLET I CHIMNEY
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. I PWI CONSTRUCTION - R. W. "
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT. ~
BUlLDnoJG 4J7-48J5 \0 -08':1), -:\ l ,( BUILDING
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T'Wnl;r.;e,\ llO2 J j buildmu ocnn;! insoectlon record05.wpd r 1/4/20051
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
10/06/05
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000917 Date
073942
909 E 7TH ST
06-30-00-0-2-0860-0000-
STORAGE SHED
RES ACCESSORY BUILDING
~
~
RS7 RESDNTL SINGLE FAMILY
1000
Owner
Contractor
JOHNSON TTE DAVID N
PO BOX 2753
PORT ANGELES WA 983620332
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
15.70
1. 00
1296.00
8250.00
164.00
1464.00
1.00
fl'I16./ eJ
10-0
g-07
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit pin number 61515
permi t Fee 62.25 plan Check Fee
Issue Date 10/06/05 Valuation
Expiration Date 4/04/06
Qty UnJ.t Charge Per
BASE FEE
5.00 3.0500 HND BL-501-2K (3.05 PER C)
24.90
1000
Extension
47.00
15.25
Special Notes and Comments
09/29/2005 11:28 AM SROBERDS -- The proposal will result
in a new storage shed in the RS-7 for total lot coverage of
18%. No land use issues are noted.
$0 Connect Fee.
09/28/2005 01:10 PM JHEBNER ----------------------------
Consider Relocating the Service Panel to the Garage.
09/28/2005 01:11 PM JHEBNER ----------------------------
Public works electrical engineering has no requirements for
this plan review.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
09/2S/2005 OJ.:J.J. PM JHEBNER ----------------------------
MaintaJ.n vision clearances at street intersections, street
alley intersections, street/alley driveway's. See Public
Works Vision Tri-angle standard.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62.25 62.25 .00 .00
Plan Check Total 24.90 24.90 .00 .00
~
~
....-
5~
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o
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. ThIS permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local Jaw regulating construction or the performa e of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\Pohc.cs\1102_15 buildmg penml mspectlon record05 wpd [1/412oo5J
Date
~_r~.
~...~
~
~ --
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . .
Application pin number
Other Fee Total 4.50
Grand Total 91.65
05-00000917
073942
4.50
91. 65
page 2
Date 10/06/05
.00 .00
.00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utIlities, private and public improvements. This permit becomes
null and void if work or construction authorized IS not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances govemlng this type of work will be complied with whether specified herein or not. The granting of a permIt does not
presume to gIVe authOrity to Violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner {If owner is builder)
Date
T \POhCICS\1102_15 bUlldmgpenml mspectlOn record05 wpd [1/412005]
BUILDING PERMIT - APPLICATION
Fill out COJ\1PLETELY and in INK Your apphcatJOr. and site plan MUST
C01\1PLETE1:O be accepted for re"Jew. If you have an)' qnestions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant OJ Agent
Owner.l::>c..v",J N, JOht'\~
Address C?D'1 t;'ct..S f- 7i.~ St,
Phone'
Phone'
CIty.~,.t A"'~e.t~s
3'=0- t{J 7-0 ( 0,
Zip 9&3 6"2-
Arclntect/Engmeer
Contractor
Phone'
State LIcense #:
Exp
Phone:
Address' CIty
PROJECT ADDRESS: C}D9 E 7 it.., ~J'e,f
ZIp:
ZONJNG:
LEGAL DESCRIPTION: Lot: Block
CLALLAM COUNTY P AReEL NUMBER:
SubdlVISIon:
Credit Card Bolder Name:
Billing Address: City:
Credit Card Type VISA Me # Exp. Date:
T1TE OF WORK: SIZE/VALUATION:
o Resldential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
o Mulu-family 0 Addltlon 0 Move 0 Garage SF. @$ /SF. = $
o CommeIClal 0 Remodel 0 DemolItion 0 pecl:. SF @ $ /SF. = $
o Repair 0 Slgn VOther Shdcl TOT-^+- VALU,ATION, $-# k~
BRIEF DESc:RIl'TION OF THE PROJECT: ~-f-Y'4. 7 - os- t.uz.d, s..f~ a../'D( c;;:;; _' I
COMMERClALlRESIDE1\T'fJ.AL: Occupancy Group:
No. of Stones: -L Lot"Size' ]{)OO EXlStJ.ng Sq. Ft. I Zqb
Total lot coverage~
Occupant Load: Constructlon Type:
& Proposed Sq. Ft f b'-/ = TOTAL Sq. Ft. (~4.{ 10 'I
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTRER:_
PLANNING USE ONLY:
~- - -.----.-
ESAfWetland(s): 0 Yes 0 No SEPA Checkhstrequired? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the appllcant. This figure will be revIewed
and may be revised by the Buildmg DIvisIon to comply with current fee selledules. Contact the PeIIDlt Coordinator at 417-4815 for assistance.
PLAN CRECR FEE' IF a plan check fee is due It musfb"e subIDltted at the tlme the buildmg permlt appllcation and constructon plans are
suhIDltted All other pernnt fees are due at the tJ.me of pemnt lssuance
EXPIRATION OF PLAN REVIEW: Ifno perrmt is issued vnthm 180 days of the date of application, the application will expire. The
Buildmg OffiCIal can eAiend the tune for acnon by the applIcant up to 180 days upon written request by the applIcant (see SeetloD Rl 05.3.2
of the InternatlOnal Buildmg/Resldennal Code, 2003). No appheatlon can be extended more than once.
I hereby certify that I have read and exammed this appl1catlon and know the same to be true and correct. I am authorized to apply for thiS permIt and
understand that illS my responSibility to determme e Its are required ,not the Clty'S, and that I must obtain such permits pnor to work.
Date: 9/1 9/0S-
t {
Applicant:
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CITY OF PORT ANGELES - Construction Plans
The Issuance of thiS permit based upon these plans, speClfi.
cations and other data shall not prevent the buildmg olflclal
from thereafter requinng the correction of errors In said
plans, speCIfications and other data, or from preventing
bUilding operations bemg earned on thereunder when 10
violation of all codes and ordmances of thiS JUris clion. ~ r
o\SECTIQtl3B3(e) UAI'')'!'' ~llIldlAlI ClIde.) ~1" "'I~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000917 Date 10/06/05
073942
909 E 7TH ST
06-30-00-0-2-0860-0000-
STORAGE SHED
RES ACCESSORY BUILDING
EXPIRED
4/4/0&,
RS7 RESDNTL SINGLE FAMILY
1000
Owner
Contractor
JOHNSON TTE DAVID N
PO BOX 2753
PORT ANGELES WA 983620332
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
15.70
1. 00
1296.00
8250.00
164.00
1464.00
1. 00
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Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
61515
62.25
10/06/05
4/04/06
Plan Check Fee
Valuation
24.90
1000
Qty Un1t Charge Per
Extension
47.00
15.25
BASE FEE
5.00 3.0500 HND BL-501-2K (3.05 PER C)
Special Notes and Comments
09/29/2005 11:28 AM SROBERDS -- The proposal will result
in a new storage shed in the RS-7 for total lot coverage of
18%. No land use issues are noted.
$0 Connect Fee.
09/28/2005 01:10 PM JHEBNER ----------------------------
Consider Relocating the Service Panel to the Garage.
09/28/2005 01:11 PM JHEBNER ----------------------------
Public works electrical engineering has no requirements for
this plan review.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
09/28/2005 01:11 PM JHEBNER --------------------________
Mainta1n vision clearances at street intersections, street
alley intersections, street/alley driveway's. See Public
Works Vision Tri-angle standard.
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 62.25 62.25 .00 .00
Plan Check Total 24.90 24.90 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. ThiS permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performa e of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\Pohcles\ 11 02_15 buildmg penmt inspectIon record05 wpd [1/4/2005]
Date
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Other Fee Total 4.50
Grand Total 91.65
05-00000917
073942
4.50
91. 65
Page 2
Date 10/06/05
.00 .00
.00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized IS not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner {If owner is builder)
Date
T \Pohcles\1102_15 bUlldmgpenntl mspectlOn record05 wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your apphcatlOr. and site plan MUST
C01\1PLETE to be accepted for reVlew. If you have an)' questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant or Agent
Owner.1:>c:a.",',d N. JO ht\~
Address qD1 T;;a.s f- 7LJ., St.
Phone'
Phone'
CIty.ysrt AV\~e.t~s
3f:o-t.fJ 7-0 (0,
Zip 9&3 b'L
J\rcllltect!.Engrneer
Contractor
Phone'
State LIcense #:
Exp
Phone:
Address' CIty
PROJECT ADDHESS: qt>9 E 7 it., Sf...I'e-e-f
ZIp:
ZONlNG:
_: -. -- ,.- ---:.- ,- - ~-
LEGAL DESCRFTION: Lot:
CLALLAM COUt\lTY PARCEL NUMBER:
Block
SubdrVlSlOn:
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
T1TE OF WORK: SIZE/V ALUATION:
o ResIdential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
o Muln-family 0 Add1tlOn 0 Move 0 Garage SF. @ $ /SF. = $
o CommercIal 0 Remodel 0 DemolItion 0 pecl:: SF @ $ /SF. = $
o Repair 0 SIgn VOther Sh~d TOTAj:., VALU,ATION, $
BRIEF DESCRIPTION OF T.HE PROJECT: 5'"-t-Y'4. _ .,~ S~~ ca../'D( C!
COM:MERClAL/RESIDENTIAL: Occupancy Group:
No. of Stones: ~ Lo(Size' ]t!eo EXlSi:J.ng Sq. Ft. I1.Qb
Total lot coverage~
Occupant Load: COnstruCtlOll Type:
& Proposed Sq. Ft f b'l = TOTAL Sq. Ft. () ~ 10 L!
APPRO V ALS:
PLAN:
BLDG:
Dl''WU:
FIRE:
OTRER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA ChecklIst required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applIcant. Tlris figure will be revIewed
and may be revised by the Buildm.,g DIViSIon to comply with current fee schedules. Contact the Pernnt Coordinator at 417-4815 for assistance.
PLAN CRECR FEE' IF a plan che-ck fee is due It musfhe sublTIltted at the tlme the buildmg pernnt applIcation and construchon plans are
subIDltted All other peIIDlt fees are due at the tlme of perrmt Issuance
EXPIRATION OF PLAN REVIEW: Ifno pernnt is issued WItlnn 180 days of the date of application, the application will expire. The
Buildmg OffiCIal can extend the tune for achon by the applIcant up to 180 days upon written request by the applIcant (see Sechon RI05.3.2
of the Internat:J.Onal BuildmglResIdentIal Code, 2003). No apphcatIOn can be extended more than once.
I hereby certify that I have read and exammed this app!JcatJOn and know the same to be true and correc/. I am authorized to apply for thiS permit and
understand that it IS my responsibility to determine e Its are required ,not the City's, and that 1 must obtain such permits pnor to work.
Date: 9/1 9/0S-
t {
Applicant:
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ThIS map lS not Intended to be used as a legal descnptlon
This map/drawing IS produced by the City of Port Angeles for lis own use and purposes
Am' other use of this map/drawmg shall not be the responslbllw' of the On'
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CITY OF PORT ANGELES - Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the bUlldmg official
from thereafter requirmg the correction of errors m said
plans, specificatIOns and other data, or from preventmg
bUlldmg operations bemg camed on thereunder when m
violalion of all codes and ordmances of this Juris ction. ~ r
~mlQtJ 3B3(8') Ymf{l'p' UUlI~IR8 Cede.) aeo~ .....~
Approv~1 Qate ~y
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BUILDING PERMIT
OWNER/APPLICANT
DAVID JOHNSON
909 E. 7TH STREET
Port Angeles, W A 98362
360/417-0107
T:
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em ORPORt.ANGELES,i;
PUBLIC .WORKS. - BUILDING DMSION
321 EAST STHSTREE'F,RQRT ANGELES, WA98362
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ISSqED:<i'(9/2~/2001 PERMIT NO: 13003
F'10f1ERJY LOCATION
9Q9 7TH $T E
Lot: 12
BI()Ck: 208 D LOl'l9 Legal,
Subdivision:,. TPA
" Parcel No: 063000020860000'..
Commercial: '
Industrial:
Garage:
CQNTRAc:TPR.
AFFORDABLE SERVICES
258663 HWY 101 W
SEaUIM,WA 00009-8382
360/452-5264
PROJECT INFO "
Project Value: $1,500.00
Project type:' RE-ROOF
OccupancyType: RESIDENTIAL
. t. ,..
Occupancy Group:
Construction Type:
Zoning Use:
S:
~~HIl!.lt;CT
. . .
..WA
98360-0000
360/000-0000
SFDtJnits: 0
SFD sa FT: 0
MFD Units: 0
MFD soFt: 0
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PROJECT NOTES
. TEAR OFF I FELT /3TAB
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FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$54.00
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
"";:~'''MlscFee1:,.4)
Misc,Fee ,2:
Mise Fee 3:
$0.00'
$0.00
$0.00
.~
Sepai'atitPerrnlts are required for electrical work, SEPAt Shorellne~ESA.JJtllltles, private and public improvements>ThI8~I~beCorI1es
nUlla~~~~Old If.work or cons!"Uct!on tiuth.~rized is nq!~~~~h~,,~'ti},!R~,~~,,1f ~~~~ct!o~ or we"!ti!!...",i.e~~ . >;",'/"; . ~!,~~~ed
for a penOd of 180 days after the work as commenced. or if re~~liiClln8~lon8have not ~n requested WifIl!IJ1.0, . .... " t;h~[last
Inspectlol1.1 tlereby certify that I have'readand e~mined thlsappllca~onand know the same to be true andcolrecl:'fpro'vfslons of
~=u~~'~~~7::c:~~~:~~n~:~~ety~::e~:JI.::~l~fV:;~:'~rS=~wh:~ac:r~o~~~:~~.~=,.~~~~":
construction. "- '..
OM F,(/e.
Signature of Contractor or Authorizecj Agent
<,,':'.!;' ..,' '." "" .
TOT ~ FE!;:
.AMOUNT.PAID:
BACANCE DUE:
Date
~ignatu~ of Owner (If owner is builder)
Date
I .
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BUIDDIN&Plm,'MITINSPErnONRECORD
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CALL 417-4815 FOR BUlLDING;INSPEG1l0NS.: PLEASE;PRbvtO~~MJNlMO~f24 HOUR NOT1c:E. /TIS UNLAWFUL~
INSULATE OR CONCEAL'ANY WORKBEFOREINSPECTED ANDACCEPTED.OOST PERMIT'IN A CONSPJCUOUS L .
KEEPPE~~~*RD AN.I>.APJ>ROVED.PLANS AT JOB SITE
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INSPECTION TYPE yi .', , :~.; DlU'& )' L 'ACCEPTED , COr,ll\tENJ'$.,je,." ".
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r--:::} .~ '1f YES 1 ,'~ NO' " ..' ".
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FOUNDATION: :H?-:.-': ...... ;,,1':
FOOTINGS 'Ci I"':': jJ '.7:1 jkOiP
WALLS " A~ , 11,:. ""',, /
FOUNDATION DRAINAGE" ....t.t~\~U:",H'\..'-\ ,,;.A.,, ....-;'- '. . {:
ELECTRICAL (LlGHfoEPT)t,~~~.rnkERwr: ~_ .-._..~
ROUGH"IN ' ,. , >1. 'r ;~~h T 1 Ii.. ," :'~~;'.' '.i; 'iAf} '1'
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PLUMBING ! ,. "
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UNDijR FLOOR I SLAB .. , ,.;'j. , '
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ROUGH~IN .:v.ii',',t; "
WATER LftolE, , .,(';.....
..... '. ,
GAS LINE .,
BACK FLOW I WATER .. ", '. . . ,
.... ..,. i,"'" ,,' . " ':,.." .'.' .,". ,,'\W'. "',,'" ,
AIR SEAL '. '.
WALLS ;: I .' .. .
CEILING ,. . . . 1 .' . j;")' I" " .if,
FRA!\fING . ". :k'" j . " ..;, ie..
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JOISTS I. GIRDERS .' " ." '"
SHEAR WALL .'.
'WALLS I ROOF} CEILING .... .., ,..
DRYWALL
I' ~
T,BAR
INSULATION
SLAB
WALL I FLOOR I CEILING . .' I .
MECHANICAL '..
HEAT PUMP . ,
WCl9DSTOVE! PELLET/qJlMNEY/lNSERT ,;!"'.
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HooDIDUCTS . ~. ',' , .' , . , ,
.
,PW UTILITIES/SITE WORK tEn~ncerirtg [)i~sion) S~AMTE PERMIT,#'s:' ;;,";" .C ',' .,' .. ~..",., "
WATERLINE I METER ...
SEWER CONNECTION :t q- ;;;- .
SANITARY ".", l'I"l"t . . C .'" ',';' . :) .
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STORM ...:C. .' '.'
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PLANNING DEPT. SEPARAl'E pERMrt.#'s ::~,)t to.. 'F ..' SEPA:C
PAluaNGlLIGHnNG ..' ESA:
LANDSCAPING '~ .' ,SI;JORELINE: ", c, .'
, . '.'cFlN@~E~ONS.REQUlREDPRIO.!TO 9(:q!PAN~IpSE.. .<. ':;,~: l; ii. 1
" ,.,,,,, ,:;, ,," ~~~~9~,J..t'ti, ." '" . .:'
;RESI"NTIAI,., fi' ,;.:\",D~1l'Bn[" 'YES .,:.,~~~,~~! tJ~~P
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FIRE 417-4653 FIRE DEPT. ,'i' .- .; ',:.. . ",
Jo , <, '""
PLANNING DEPT. 417-4750 19'~ .11 I "... A Pl.ANNJNGOE!:f:',\ \ , } ".i';l.,; .1 '. . .....
BUILDING ';," '. 417-4815 ,~.I .'~ ..I;;tr:l~' ~V d' BU1LDINGJ/~..t\t,SW)t;ltL;: .,: ". J",,',). " .I:", ':" :t'ft ..:
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ID=3604525264
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. ., IUILDfNO/FIRE PERMf,. APPLfCA TfON' ," '
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Platel)'pO ,r~1It ~'lnk. ~(yw.lal"ea~, qDt~.m. pl~le.cidJ (""'~'417-48.15
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P~I\.OFFICIAL VilE ONLY:
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DafD' ....pl'll...lid:
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App'Ucatrt' aadior Age~t:, .
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OdItC""'HO"N"';';;~~. ~~ Yr)._ . .., .
JJiBhrgAIltlieSS'~ . ~ CI(y~~1h zq,:~
CfrtIU Card NU"'M~~ E.rp. D,",; . .- I"1&(k:::: Me-.-
P.OIKCUDDRIlSs,~G :';~'~d-~& .. ZONINa
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LEGAL I;lESCIUPTJON: Lot: , BJo~k:_ SubdivisioD:
CLALLAM COUNTY :PARCEL NuMBER:
. . :, .
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TVPI'O)1' WORK: .'... '.
o Reaid,eruial" 0 Muhl.famUy . D COlnDl.Qlal' II" RCroor c, LP-gu, .
.lJItmp~O\I m~OJicT;. .. .1;(jJ..r',Oi"P/Plof-} OJW)j) .
, V~LUA.h()N (C~.t ofpl'OJeet n"a~.:~~eu.~ s~
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. BUILDftIl'C PmRMlT APPUCA~Q~ 'UBMnTAL! Your compJClted application. eitoplan (fur additions) and building conmuctiOD
plus are to be t\.ltnniued. to tbe BliUding D,ivi8ion. ,
. , . '.
VALVA110NOF CONsTaUalON: In'aUCUfl, a~~Bttoo.lmo1mtmllStbeSltered bY1he~p1icant. This figur~will be'reviewm
llDd mey' be revised by the Building Div. 10 comply wirh ~C21l.fbc'scbmuh:::', Contqd. ~c Permit CoordWalor .Bl 4 I 7~8 J,5 tbr DSsist~cc.. . ,
. . . .' ,'.. ,.. . . .' .
" ....
EUIRA nON 0' PLAN REVIEW; irno permit is issUed within 180 day, oftbedateofupplication, this appllcatJoD wiD e1pire
by IimitltiOl1& The Buildina O1BciaJ can extend the time fur ~ion by tb~ lIPP1ie~t up to 180 day., on written request by the applicant
(jet Section 101.4 oftlle UDifi:1rm Buildinl Code. CWTent edition). No iippJicalion,C?8D ~e exleod~ more than o~ee.
. .' . . .. . . I:. . ';:'. . .' ~ '. . . . .'. .
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'hi,.!)' cmf/Y thai 1.il4V1 Nfrd IIMd .xamin,d IllIs Qpp~it;all~" lIi1dlmow ,/.. lams'lo he I~ alld co,.~C/. and 1 am a<},or.lz~d to apply
jo,.,hJs ~""'i/, I undl1'3/tmd it is not lhe C(fJ'~ le~il,1 r&spolfJ/fJiIlty II) detsrmf/Je ,.mal/}emlifs are rf?q'i.l'~d; if rtMa;ns the applicant"
I"t'.spOntiblliry,to der~rmllJe what permfls tire requ,tred and fo oblai" such. . " .
pw.jlO':2l1..3I.OOl . ... .CrOdilCarrJH.w...'SiP.fI.urI:~ ~ > .. Dele: q':-27~Dl
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