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Home My WebLink About1020 D St - BuildingPREPARED 12/29/10 8 05 10 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/29/10 ADDRESS 1020 D ST TENANT NBR TIMOTHY C STONE CONTRACTOR ALL WEATHER HTG COOLING INC OWNER TIMOTHY C STONE PARCEL 06 30 00 0 3 1795 0000 APPL NUMBER 10 00001473 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/29/10 l'Ftc SUBDIV MECHANICAL FINAL TIME 01 00 December 23 2010 3 10 47 PM 1pangrle JENNY (ALL WEATHER HTG 452 9813) MECHANICAL FINAL DUCTLESS HEAT PUMP AFTERNOON COMMENTS AND NOTES PHONE (360) 452 9813 PHONE (360) 452 1554 Date Application Number 10 00001473 Application pin number 477428 Property Address 1020 D ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 1795 0000 Tenant nbr name TIMOTHY C STONE Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A DUCTLESS HEAT PUMP Owner TIMOTHY C STONE 1020 D ST PORT ANGELES (360) 452 1554 Permit MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP Permit pin number 179184 Permit Fee 64 80 Issue Date 12 /20/10 Expiration Date 6/18/11 Qty Unit Charge Per 1 00 14 8000 EA Charged Permit Fee Total :64 80 Plan Check Total 00 Grand Total 64 80 Fee summary T'Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA: 983637048 RS7 RESDNTL SINGLE FAMILY 4829 Contractor Date 12/20/10 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee 00 Valuation 0 BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited 64 80 00 64 80 00 00 00 Extension 50 00 14 80 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for ylectrical 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 has 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 14-4L414.(5-R___ I dol l D 1( v) L V eon Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T Forms /Building Division /Building Permit FINAL Date Accepted by Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 I I'z., 2 k 10 PROJECT ADDRESS Parcel Number 2ther Floor Areas Basement 1 Floor 2 Floor 3"' Floor Garage Carport Covered Porch Deck Shed Other Z0 /ZO 39Vd BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (3601 417 -4815 fax (360) 4174711 Applicant '14 kCOii Property Owner r M Property 'owner's Contractor A Contractor's Add ess License X 1I a ie rt SS IC: r Mar ject Type Brief Description: )Residential to Multi- family a Commercial o Indus rlal Check call that apply r A v 1 /)/Ili t C� l-a[ S o New Construction 1 lr L. 1 tXl/� o Addition ›Otemodel a Repair o Demolition 1 o Re -roof a House o garage o other o tear off re -roof a lay over one layer o Heat System Hea' um wood urning stove o gas fireplace o pellet stove a other Existing (sq. ft 1 Max. height of proposed structu res ft. Occupancy group Will a lawn sprinkler system be nstalled? Occupant Toad Will a.flre sprinkler system be installed? Construction type of bedrooms #of full baths of half baths I have read and completed this ap!lication and know it to be tare and correct. /am authorized to apply for this permit and understand that it is my responsibllity to determine what permits required, and to obtain permits prior t rking o roJecls. Date K) Print Name l' 5 1 ,n YN Signature Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of mpervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces (see PAMC 17.94.135 for exemptions) Site coverage T:Forms/Building Dlvlslon/Blag Permit.c oc MO) ,Sok-1)14, U ai'cix" Proposed (sq. ft) Expires S Phone Phone Phone Lot For City Use Only Date Received I Z- 20- 10 Permit 1O— Date Approved E -mail afillf Zoning per sq. ft. TOTAL VALUATIONS 4 TCc:99 9NI173H 83H1t13M 17V LLTSZSb0SEt ZE ST OtOZ /Lt /Zt Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type descri(,tion Subdivision Name Property Use Property Zoning Application valuation Application desc 4 circuits for garage Torkshop Owner TIMOTHY C STONE 1020 D ST PORT ANGELES (360) 452 1554 Permit Additional desc Permit pin number 16;900 Permit Fee 81 30 Issue Date 6/04/10 Expiration Date L2 /01 /10 Fee summary Chary jed Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983637048 10 00000555 736000 1020 D ST 06 30 00 0 3 1795 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER ELCTRICAL ALTER RESIDENTIAL ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Plan Check Fee Valuation Qty Unit Charge ?er 1 00 73 5000 E'.H EL BRANCH CIRCUIT WO /FEEDER 3 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 81 30 00 81 30 Paid Credited 81 30 00 00 00 81 30 00 Date 6/04/10 DATE RESULTS 0 0 0 Extension 73 50 7 80 Due 00 00 00 INSPECTOR. 1113( (0 5 CrIttsP Signature of owner or Electri ;al Contractor X Date 0 2009 ELECTRICAL INSPECTIONS CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417-4735 Fax: (360) 417 -4711 Date. G /3/0 1 2 Single Family Dwelling Multi- Family or Commercial* L( Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Gam"— 03 Job Address: /G 20 Soart+ D Sr 4✓ Building Square Footage: 3 8+ I Description of above 4-A- RR rfsI 6' X 2.4 Owner Information Contractor Information Name: T,r' •ror s ra,.+t Name: Mailing Address: r o s o t ovrrr D I S r Mailing Address: City /''•A /F...siawt State: WO' Zip: 9 8343 City State: Zip: Phone: 4f 2 /S 3 Fax: I Phone: Fax: License 1 Exp. I License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. $119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 I 71, S- Each Additional Branch Circuit 2.60 5 7 Ul Temp Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. $148.70 Temp. Service /Feeder 601 1000 Amp $167 90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 Commercial 95.90 Note. $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection $119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. $110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30 BI SP Total Owner as defined by RCW 19.28.261 11) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above rlaid property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hey eby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in 3ompliance with the electrical laws, N E.0 RCW Chapter 19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Utility Spt;cifications and PAMC 14 05 050 regarding Electrical Permit Applications Signature of owner electrical contractor or electrical administrator Cash Check x Dated: Credit Card 01/01/2010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000286 Application pin number 090918 Property Address 1020 D ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 1795 0000 Tenant nbr name TIMOTHY C STONE Application type descrip'.;ion RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5000 Application desc TEAR OFF RE ROOF THE HOUSE Owner Contractor TIMOTHY C STONE OWNER 1020 D ST PORT ANGELES WA 983637048 (360) 452 1554 Structure Information 000 000 TEAR OFF RE ROOF THE HOUSE Date 3/24/10 Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF THE HOUSE Permit pin number 162768 Permit Fee 137 75 Plan Check Fee 00 Issue Date 3/24/10 Valuation 5000 Expiration Date 9/20/10 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charced Paid Credited Due c Permit Fee Total 1?7 75 137 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 142 25 142 25 00 00 Separate Permits are required for el ..ctrical 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 has commenced, or if r I squired inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application a ld 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 I erein 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 construc or the performance of construction. Date 7 Print Name Signature of Contractor or Authorized Agent T:Forms/Building Division/Building Permit Signature of Owner (if owner is builder) BUILDING. PERMIT :INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 4174815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By 'e 4 I I I b 04 0 Applicant Property Property Contractor Contractor's License Owner Owner's Address /Q2 7/ -P Addfess Expires E -mail PROJECT ADDRESS Parcel Number 1 Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair D olition e -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink I CITY OF PORT ANGELES Attnh Building Permit Technician 321(E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 y 'Hbuse garage other Heat pump wood burning stove 1 Existing (sq. ft.) Max. height of proposed structur s ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be ins ailed? Construction type Phone L/3 CPI fi, Phone p Gam// i o Z o 0:r sf r esidential Proposed (sq. ft.) Multi- family gas fireplace Phone 34 49 s C( Lot Zoning Commercial Industrial 4ear off re -roof lay over one layer pellet stove other per sq ft. A mcc i a�S 5 c,06 r- TOTAL VALUATION For City Use Only Date Received 3 -7-4-10 Permit# Date Approved Ooo Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of ir- 1pervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this appli-ation and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on project Date J/ 2.� O Print Name /�,nh Signature .13- f� T For s/Buildi g Division /Building permit application Clallam County Assessor Treasurer Property Details 59158 TIMOTHY C STONE f Page 1 of 5 Clallam County Asse ;sor Treasurer Property Search Results 59158 TIMOTHY C STONE for Year 2009 2010 Property Account Property ID 59158 Legal Description. LOT 20 BL 317 Geographic ID 0630000317950000 Agent Code. Type: Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property N Remodel Property' N Multi- Family RedevelopmeW: N Location Address. 1020 S D ST PORT ANGELES Neighborhood' Cycle 5 Res Neighborhood CD 10955130 Owner Name: TIMOTHY C STONE Mailing Address. 1020 S D ST PORT ANGELES WA 98363 -7048 Taxes and Assessments Due Property Tax Information as of 03/24/2010 Amount Due if Paid on. Y`. Mapsco Map ID Owner ID Ownership Exemptions: 54555 100 0000000000% First Second Half Half Statement Base Base Base An. i Year ID Taxing J urisdiction Due Due Penalty Interest Paid I Du 2010 42059 ST SCH STATE SCHOOL $231 84 $231 84 $0 00 $0 00 $0 00 $i 2010 42059 CC -GEN COUNTY $123 38 $123 37 $0 00 $0 00 $0 00 2010 42059 PORT PORT $17 34 $17 34 $0 00 $0 00 $0 00 2010 42059 PORT AI JG PORT ANGELES $285 66 $285.66 $0 00 $0 00 $0 00 2010 42059 SD #121 SCHOOL DISTRICT #121 $300.29 $300 30 $0 00 $0 00 $0 00 $E 2010 42059 NTH OLY LIB NORTH OLYMPIC LIBRARY $35 85 $35 85 $0 00 $0 00 $0 00 2010 42059 HOSP #2 HOSPITAL #2 $50 62 $50 61 $0 00 $0 00_ $0 00 2010 42059 WSMET�K DIST WILLIAM SHORE MET PARK DISC $16 10 $16 11 $0 00 $0 00 $0 00 2010 42059 CITY _S ORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $0 00 2010 42059 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 00 2010 42059 TOTAL. $1097.90 $1097.89 $0.00 $0.00 $0.00 $21 2009 591582008 ST SCH STATE SCHOOL $266 67 $266 66 $0 00 $0 00 $533.33 2009 591582008 CC -GEN COUNTY $134 95 $134 96 $0 00 $0 00 $269 91 2009 591582008 PORT FORT $19 12 $19 11 $0 00 $0 00 $38.23 2009 591582008 PORT AI'IG PORT ANGELES $296 02 $296 01 $0 00 $0 00 $592.03 2009 591582008 SD #121 SCHOOL DISTRICT #121 $329 77 $329 79 $0 00 $0 00 $659 56 2009 591582008 NTH OL\( LIB NORTH OLYMPIC LIBRARY $39.21 $39.22 $0 00 $0 00 $_78 43 2009 591582008 HOSP #2 HOSPITAL #2 $55 35 $55 34 $0 00 $0 00 $110 69 2009 591582008 CITY_ST3RMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 http. /vpn.clallam.net:808'r/ propertyaccess /Property.aspx ?cid =0 &year= 2009 &prop_id =59 3/24/2010 '~ ~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98J()2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER' Application type description Subdiv~s~on Name Property Use Property Zoning Application valuation 06-00000612 Date 335812 1020 D ST 06-30-00-0-3-1795-0000- ELECTRICAL ONLY 6/15/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor STONE TIMOTHY C 1020 S D ST PORT ANGELES WA 983637048 STRAITS ELECTRIC PO BOX 2914 PORT ANGELES (360) 452-9104 WA 98362 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Exp~ration Date ELECTRICAL NEW RESIDENTIAL STRAITS/ 200SVC+FEEDER TO HOUS 79913 STRAITS ELECTRIC 102 10 Plan Check Fee 6/12/06 Valuation 12/09/06 00 o ~ ~ ~ Qty Unit Charge Per 1 00 78 7000 ECH EL-RM-0-200 1ST SRV FEEDER 1.00 23 4000 ECH EL-RM-0-200 ADD SRV FEEDER Extension 78.70 23 40 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 102 10 102.10 00 00 \) Plan Check Total .00 .00 00 00 Grand Total 102 10 102 10 .00 .00 ~ COMMENTSI ACTION NEEDED ',.... ELECfRICAL PERMIT INSPECfION RECORD . CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES NO UIA'CH IH11ICTH_IN7 (IIV..K "'''' '......A' ShR V lCh FINAL fA J IS' ;jjb I ~1/ I - GENERAL COMMENTS: pw.II02.1'I41961 ,..... -(I ~~ CITY OF PORT ANGELE~ DEPARTMENT OF COMMUNlTYDEVELqPMENT-BUll.DING DMSION 321 EAST 51H STREET, PORT ANGELES, WA98362 Application Number .... pin number . . . . Property A\1dress . . . ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000321 Date .486078 1020S DST , 06-30-00-0..3..1795-0000- RES DETACHED GARAGE 4/26/04 RS7 RESDNTL SINGLE FAMILY 12173 Owner Contractor STONE TIMOTHY C 1020 S D ST PORT ANGELES OWNER WA 983637048 Structure Information Construction Type Occupancy Type Other struct info NEW 384SF DETACHED GARAGE TYPE V NON-RATED GARAGES, CARPORTS,. SHEDS TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT 'CoVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 27.90 V-N 1.00 1572.00 7000.00 384.00 1956.00 1.00 83.00 4/26/04 10/23/04 Plan Check Fee Valuation .00 o -- C) ~6 ~\ ~ til' Permit . . .. Additional desc . Permit Fee Issue Date Expiration Date PLUMBING PERMIT Qty Unit Charge Per BASE FEE 1.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1.00 15.0000 ECH PL- EA. BLDG S:EWER 1.00 7.0000 ECH PL- EA.WATER HEATER Extension 47.00 7.00 7.'00 15.00 7.00 :::. Permit . . . . Additional desc Permit Fee Issue I?ate Expiration Date BUILDING PERMIT -RESIDENTIAL ~ :::. 246.75 4/26/04 10/23/04 Plan Check Fee Valuation 98.70 12173 dI\ 4.... Qty unit Charge Per Extension 92.75 154.00 BASE FEE 11.00 14.0000 THOU BL-~001-25K (14 PER K) ---------~---~._---~--~---------------~-~------~~-~------------------------- Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locatiOnS. ....The proposal is to demolish an existing shed and construct a ."new garage/shop 16' x 24' in size (384 squa,re feet) on a property that contains an existing 1572 square foot residence for a total 1956 square feet or 28% lot coverage. 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 18.0 days, if construction or work Is susp~~ded 9r'al3andoned for a period of 18.0 days after the work as commenced, or if required imspectlons have not been requested within 180 days from the last inspection. I hereby certify that I have read ;;;.nd examined this application and know the same to be true and correct. AU provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of .~. perrnitdcie~ not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~. ~ Af~ "1-26-09 sl:nature of eonUactor or ~orized Agent Dale Signal re :1 Owner 71':-' Is builder) Date t:\PLANNlNG\FORMS\II02.1S [11f14nO(3) -"":' j/,,-,~-,/ . "rc"'-' <-'-, , BUILDING PERMIT INSPEcTION RECORD .. . CALL 417-4815 FOR BUILDING INSPECTIONR CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTE~AND A~CEPTED. POST PERMIT IN A CONSPIC;UOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS r YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAlNAGE/DOWN SPOtrrS ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS i..INE BACK FLOW I WATER -. AIR SEAL . WALLS J CEILING I. I T FRAMING JOISTS I GIRDERS . SHEAR WALLIHOLD DOWNS W ALl.S I ROOF' CEILING : DRYWALL (INTERIOR BRACED PANELONL Y) T-BAR .. INSULATION SLAB WALL' FLOOR' CEILING I I . MECHANICAL HEAT PUMP GAS LINE WOOD STOVE' PELLET I CHIMNEY HooDI DUCTS . PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLlNE'METER SEWER CONNECTION SANITARY STORM . PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKlNGILIGHTlNG .. ESA: ",~--- - , LANDSCAPING " '. SHORELINE: ~ -. - . - > - ,,~ '. FINAL INSPECTIONS REQUIRED PRIOR TO occupANCYIUSE .... ,. ..... ~An: I' COMMERCIAL ,-r-' RESIDENTIAL YES . NO DATE . ACCEPTED . . YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W..I PWI CONSTRUCTION - R. W. - ENGINE~G - .' 417-4807 ' PW 'ENGINEElUNG ....... FIRE 417-4653 . FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4i7-4815 BUILDING '. T:\PLANNlNG\FORMS\II02.15 [11114/2003] r ... '(I ~:; . . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITYDEVELOPMENf - BUILDING DMSION 321 EAST51H STREET, PORT ANGELES, WA 98362 \ Page 2 Application Number . . . .. 04-00000321 Date 4/26/04 ----_:~~-~~=~-~-~-~-~-~-~-~~~~~~~-----------------------------------~---- Special Notes and Comments Setbacks must be 10' and 3' minimum in rear 1/3 of lot for detached garage. No land use issues are noted. Electri~C!.J,. .loac:i . ca:tc.11~a.ti()I1!l... ~c:l_ ~!.c:;.~r.i~a.~._permi ts.. are required. I I Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due -------------~--- ---------- ---------- ---------- ---------- Permit Fee Total 329.75 329.75 .00 .00 Plan Check Total 98.70 98.70 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 432.95 432.95 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pUblic improvemel"!~. ThispelJTllt becomes null and voldifwork or construction authorized is not cOmmenced lNithin 180 days, if construction or \Vork Is sll~l)8nded()r abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested withil1.t80 days:fromthe last inspection. I hereby certify that I have read and examined this application and. know the same to be true and correct. AII.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:\PLANNING\FORMS\II02.15 [11/14120031 BUILDING PERMIT INSPECTION RECORD ., CALL 417-4815 FOR BUILDING INSPECTIONS~ CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOURNOTICE. IT IS UNLAWFUL TO COVEllo INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND A.CCEPTED. . POST PERMIT IN A CONSPICUOUS LOCATION.' KEEP PERMIT CARD AND APPROVED PLANS ATJOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS . YES NO FOUNDATION: FOOTINGS IJ./-J). 'J-()/..} J.L.L. WALLS FOUNDATION DRAlNAGEIDOWN SPOUTS '" ELECTRICAL (L1GlIT DEPT) SEPARATE PERMIT: # . ROUGH-IN I I I . PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER . AIR SEAL WALLS CEILING I I I FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS WALLS I ROOF I CEILING , I~ .b h .A,.d j/L ., "".o'V DRYWALL (INTERIOR BRACED PANEL ONLY) r'l_ ' ~ T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CIDMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATEPERMlT#'s SEPA: PARKINGlLIGHTING ESA: LANDSCAPING SHORELJ}ffi:, ' . , '" , FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANcylU~ ,. ,;?~,'" ;" RESIDENTIAL ' , NO COMMERCIAL DATE, ACCEPTED DATE YES ,.,." "NO' '\'ES" '. " , . .' ' ELECTRICAL- LIGlIT 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. 417-4750 PLANNING DEPT. BUILDING 417-4815 IJ~ 1-- n JI .J .1. BUILDING k .', T:\PLANNlNG\FORMS\1102.15 [1111412003] , PREPARED 7/01/04, 13:16:06 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1020 S D ST INSPECTION TICKET INSPECTOR JAMES L LIERLY STONE TIMOTHY C 06-30-00-0-3-1795-0000- 04-00000321 RES DETACHED GARAGE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 BL3 01 BL99 01 JLL BUILDING FOUNDATION AP Linda 452-1554 JLL BUILDING FRAMING AP Linda 452-1554 ffP BUILDING FINAL LINDA 452-1554 -------- ----------- COMMENTS AND SUBDIV: PHONE PHONE : FOOTING TIME: 17: 00 PAGE DATE 3 7/01/04 NOTES -------------------------------------- PREPARED 6/29/04. 15:10:08 CITY OF PORT ANGELES 1020 S D ST INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: STONE TIMOTHY C 06-30-00-0-3-1795-0000- 04-00000321 RES DETACHED GARAGE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 JLL BUILDING FOUNDATION AP Linda 452-1554 ~ BUILDING FRAMING Linda 452-1554 ----- ------------ COMMENTS AND BL3 01 NOTES -------------------------------------- "- SUBDIV: PHONE PHONE : FOOTING TIME: 17:00 PAGE DATE 5 6/29/04 / PREPARED 4/27/04. 12:35:23 CITY OF PORT ANGELES 1020 S D ST INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: STONE TIMOTHY C 06-30-00-0-3-1795-0000- 04-00000321 RES DETACHED GARAGE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS :::__::___~~~~~~~_____~~~:::N::::::::~::: SUBDIV: PHONE PHONE : FOOTING TIME: 17:00 PAGE DATE 9 4/27/04 NOTES -------------------------------------- L r---- '>l BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST &1 COMPLETE to be accepted for review. If you have any questions, call ~ PERMITS (360) 417-4815 FAX(360)417-4711 FOR OFFICIAL USE ONLY: Date Rec.: Ot./- J <rt... c Y Pemlit #: b J.j...... 32/ Date APproved:~ "2. '2- ~ Date Issued: Applicant or Agent: Owner: -r-:W/oTI+Y + L-/~"'A IC STI>J.Jif. Address: / D 20 S (;> t./T It :J> S,lt ~~r City: Pt>RT Architect/Engineer: Phone: Phone: :5 G D/4--<J2. -I >)~-+ . 1l".;)c..~l,..t1 ;Jft Zip: ~ 83&3 Phone: Contractor State License #: Exp: Phone: Address: City: Zip: ZONING: PROJECT ADDRESS: /020 Sc>~rH )> .s""I?E~r LEGAL DESCRIPTION: Lot: .;;z 0 Block: 3 I 7 CLALLAM COUNTY PARCEL NUMBER: 0 G 30 Subdivision: f""p A . C> 0 0 31 79 S' 0000 Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: ............. '0 ~ Exp. Date: a r IV It ."v c;..,A-1. it- o Stove )(. Garage o Deck o Other ~lt-fY'Il7l-lr ,p~ I , SIZEN ALUATION: 58'-1 SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL VALUATION $:' /2 /7 S 06 /, - Or- E.. x/:JTI,..J(. /6 "i-Z-O .:r,+tL'b /SI/of. PE1# c."'.->Sr;:"'~rlv,J JA \ SL..AS F".lt{tll! c..,,~srtt";G-r'''tJ. / \J COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: 1000 Existing Sq. Ft. 157 Z Total lot coverage '2 -, I 9 Occupant Load: Construction Type: & Proposed Sq. Ft. .seLf = TOTAL Sq. Ft. I q ~rO '\P ~'1 % ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other pemnt fees are due at the time of permit issuance. EXPIRATION OF PlJAN REVIEW: If no pemut is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T,IFORMSIAPPSIB,;Id;"gponncwpd APPli'''''t~~ c..~ate' "/1 ? /Pt I T I I . c--- -..-1--1, r - ~ - I I I - I - - - - - I 1 I--l ~.- ~ l- if) " r.: - - - - - - - - - I I I I ~- I o .... - I I I -! .c::-. '- ," _I - I I - I I - I I =+ I :^~~s ~OR" 99~221 t-! I I I'N U I A I ! I I I I I I I I T I I I I I I I, , I I J I I I ~~ )- I ;", _ .i I ~ ) f ! ~ II> +== !-- L ::;31 .~ i f--9 l- ," ~- I I I I\'" 1 . ,D1 ~ r; ,I - I I I . I I t" I r )ood t 'ii ; . ~ IN - I ~ ~ ~ 1l~c...\ j ,< ~ ~ r( \- "li~T~t' ,J i I 5' I IIITl e:- l' ---'1!..- ~ - I ..l - -- r ~ i- "b. -~ ": 3 ~ ~..? ~~1':::' I +~ .~ I .:;. 1 I I IJr~~yl -' -- ,- I I I I I ii " I , 'I.. I '!NGaek- I J !lIe IsFn~ of th~ ~ a...L L ..."!-onPJanll r~. "'i"'+u.,..~.b&- :~ herea(tec re:quiring :rc:~~_thF~il:'illf1llflcla p'J~ s. spec llcabOps an!1 1rl:\-"UUI1 ilf en ~rs in sa"d ,b,uildi, oDlir:.lionk held ~~ aa.!, ortfrOm prevr~ I lorab n of \I cod hi ca ,ed thereund r h i 1.._ "^ Iii' al d ordinances of ';'-'- :~: n In 1'1- "i"~o/dini/iod ~ -'\""'- ,I!\nroal Dat ' ~J.T;': e.) T1 1-'-' -i ~ -J l ~ TI E = =~I .~ -tl I I , .... ,., I , I I ! i ; \ , II !. ,i , !: 'I ' j: f ii i .' i: ; n Ii 1! , r I I I 1 1 I I . I ! I I !i I " I !i ! Ii f II I i i ~ !I j: ! i' ; J ji q r I I I I I I I I I I I I 1. ~ J~ .1 (\ ~ " . 0 v _ I I I I I I -. I I I I I I r I I , ~ .:-;:; ~ VJ I 1,- 'I.. ~ d ~I ~I - --! I - - - T"'1 - - I I I -- - \. ~ ~ - - I - l 1 l l l 1 I I I r T f\ I I I I I I' I ~ T ."1 'S 'n NI 30VIN .. . ;::;%;66 V>H:IO.:l SdO.L I I ! . ! I ~. ~ 1-1_ ~ ~ I ~E ~ V i' -?' D> 1- ~ .,.& 1/ ! ,. ~. ! f" ;:r ff I _t c ~ ~~ '.:.:;t T'::1 01 I -I ~ /' 1\ V rr -tr::p i-'!l.. ~ -~ :-J -0 . I ~ > -.II> - f' , I. ~~ ~I D . b^ '*J -~ I~ i-. - - t! \J -0 ':? .-I~ - - 1/", ~ r -r.x J - 1 'i::: lI\ - ... "" ::; ~ , , 11fj ,.. I~ I 1" It I'" r .. ,.. ~ b. ~ ~~ r ~ ~ ~- "- ~ V\ ~ ""'- -. - ta- ~ .~ .:::.. .... Iii - ~ ..... j 'P :t..:f. 7: ~ ti<- ...>< U- ~ >~ - t ,.. '" !~ ...~.,. .... . Ci'> ~~r -~ ~ [.1;) t~I {\ ,.! I ~Jp .. ~~ ... ~ Irw ~)( t~ ..... . '" ~~- :f'&_ ~~ (:- ,.I ~ - - ~ ~ """ I:': - ~ i - t L 00 ~~ ~ ~ ~.. - .., I..... =0 ~~ ~ - I I I , t1'O oj l"' 1-- ,4: ~l ." ... ~ , , t r -p ..: !:;:- \)~ ~ ,I' t' ~ (" bt ir-- :~ 1.' 'i\ - .-;- ~ \) tJ . V ~ j x- ~ I"" 4 "-~ - !,...~ - I !I/ ~- ~!1~ .f _ ! -r , .co" c' '. '. ~ -: ~ .,".. " " ,'.. CITY OF PORT ANGELES DEPARTMENT OF. COMMUNTfY,I>E.VELOPIv.ffiNT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ii' Ii.,ii, ,of~"pO<<t,',' ~,',.", ,."r.< .'~~."" 47.00 2/10/04 8/08/04 Plan Check Fee ValUation .00 o '0\'" , 't-!J,:. V\ ~, Application Number Pin number, ... . Property Address ASSESSOR PARCEL NUMBER t Application description Subdivision Name PJ;.operty Use . . . . property Zoning . .. Applicatlonvaluation . 04-00000115 'Date " .S14805 1020 SD ST 06-30-00-0-3~179~-OOOO- DEMOLITION 2/10/04 ~7 RBSDNTLSINGLE FAMILY 200 Contractor ---.-------------------- STONETIfotOTHY' C 1020 S D ST PORTANGELBS o~ WA 983637048 h.';',__ Structure Information DEMO 16X30 APROX. SHED , Construction Type . . -,". . TYPE V NON-RATED Occupancy Type . . . ... . GAAAGBS, CARPORTS,SHEDB ----------------~----------------------------------------------------------- pei:mi.t . . " . ". Additional. desc Permit Fee Issue Date EXpiration Date DEMOLITION BASE FEE Extension 47.00 Qty Unit Charge Per , - -. " -: - --- - - ~--- - - - - ~-- ~-- ~ -...... - --.- -... - - -... - - - -~..;.- - - - --'--- -- -, -- - --- -...- - - - - ....;..... - - -- - -... Otlier Fees 10 ,. . . "I . " '. S'l'A'l'S SURCHARGE '4.50 F~~,S,~ Charged Paid Credited Due ~~~~~~~~--------- ;,p,~~!f Fee T()tal ;\~J.~~~eckTotal c,O'thez;, Fee Total -:-G.~an~: Total' 47.,00 .00 4.50 51.50 47.00 .00 4.50 51.50 .00 .00 .00 .00 .00 .00 .00 .00 Sepa..atiiPetffilts are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. ThispermltbQCo,ine~ nulr~n((v~Icflfwork or C()nstruction authorized is not commenced within 180 days. if construction orwork is susf)en~!d ()ra~ariCi9~~d fora penciQo(:f80 days after the work as commenced, orif required Inspections have not been requested within 180daYs. from ~~;Iast Inspe~'19nv:),h~reby certify that I have read and ~1<amjnedthi:;application.an~knowthe same to be true andcorregt.Anprovj~iC1~~;of la....,s 8ridordihimces governing this type of work will be complied with whetl1erspecified herein or not The granting ofapelTl'lltdo,es,not presumecti:> give authority to violate or cancel the provisions of any state or loCal law regUlating construction or the perf6nnai1c~ of construction. ' . . . . .. .... bl- /O~() . Date Signature of OWner (if owner is builder) T:\PLANN'lNG\FORMS\l1OZ.15 (1111412003) '.'-,"-:_-~~'~- :f" " ".. ". .' ',. ,'. , " ....' ". '''''1'0,' '~~J('" .',., . . " "f .'. ," . ,""~T ':' " .'. . '~ ~ BUILD,IN"G PERMIT INSPEG110N RECORD " " CALL 417-4815 FORBUlLQING INSPECTIONS. CALL417-47:H\FOR ELECTRICAL INSPECTIONS. ~~.... . ... . ;',/,.?.", /. . :..,.... -," ..: . '<' rotlNDATION: .., - -. -.,,- ......A MINIMUM 24: HOUR NOTICE. IT IS UNLAWFUL TOCOJ!JJR, INSULATE OR CONCEAL ANY WOUlfEPORE INSPECTED'ANDACCBP'tED. POSTPERMITiNA~ONSPICtiOUSLOCATioN.'" '''';::;"",~'<''',''',',' ,.' 'KEEP.PER.MI't:,cARoANDAPPROVBQ;~tANSA'[,JOB;sjm.:,;'i .'", ','e "",,'" .. -cc ,". DATE ACCEPTED':: I " ':COMPdENTS'" ,"" ,M / 1 YES NO" '", ,. ,,"" ,,"" .'" ," >ri,i '.' i~;:.: .' "i,I '.,-,,;L . ,;;t:/ ".' . ::; . ,...,,,. . ,c '. .ROUGH-IN . . PJ:>UMBING , " ~BR FLooRISLAB ;, .R()UGfI-IN '. '. WA~UNE (METER TO BLOG) . G,6.S LINE ;', ; ,BAck FLow I'WATER " AlRsEAL : , , . ." , , t~ " ;~} ': ~, ::" . ': , , ;, '. ;. ;' " " ~. .. -,>.. .. , : ,- -' . i' INSPECTION TYPE :~:~~ .i~:t . '. . , FOOTINGS WALLS ., :. roUNDATION DRAINAGFJOOWN SPOUTS ELECTRICAL ,,' (UGHTDEPnSEPARATEPERMrr:# , , " . . .' .' . .', . I -I , . , '. . :, '.:' I . . ',' " I 1 1 , -cc " . . . '., '" ." ; , ~,', wAIfS, . CEILING . -;-- ,', FRAMING JOlSTSf'GIRDERS SHEAR W ALIJHOLD DOWNS wAiLS/ RooFl CEILING " ' DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR '" , , INSULATION . SI..AB I I , . WALL I FLOORI CEII.ING '. .. 1 . MECHANICAL HEATPUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY ..' ,', HOOD I DUCTS ," . PW UTILITIES I SITE WORK WATERLINE I METER , (Engineering DiViSion) SEPARATE PERMIT #,'s:', ., SEWER CONNECTION .SANITARY , STORM PLANNING'DEPT. SEPARATE PERMIT #'s pARKING/LIGHTING '~~M>I~c; '.. , ";." """i,'",.. .. RESII)ENTIAL , ("SH;O~ ., FJN&lNS,Itp;nONS REQ':'!!UID !R,J<>,R 1:0 qc:cup~9ilJS~r ".' "'/ '0." ,;" ''';J; ,;, DATE YES NO <:CO......~..'Eitcw...;DAri: !;;l~AmEPTED' . :,~., ."- .';' ~"!""/'i. ';p ,....,;i!'" ., .i'< .... "r;m'~1:''' :.NO ," '~CAll', '.' ...' UGllTJ)J3P;I.', . , . " ! CONSTRUCTION. R. W. PW I.ENGINEERlNG " . SEPA: ESA: . " . " '; . ,', ELECTRICAL - UGHT DEPT. 41{-4735 .' I ..... .' , , , .... f ;, . .' . .....!,..... ,i; .' .. CONSTRUCTION R. W.I PWI ENGINEERING FIRE PLANNING DEPT. 417-4807 . : FiliEfim. , .' 417-4653' 4174750 .- PLANNING DEPT. BUILDING - BUILDING . . 41 7-4815 !l~'j;1 -/H.I' ...t'- J... · 'f:\PLANNING\FORMS\\J02.15 [11/1412003) '..', -.l(.' '.." -;;,:* BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: 2.- 16- 64 Permit #: b'i .... / I > Fill out COMPLETELY and in INK. Your application and, site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Approved: Date Issued: Applicant or Agent: "r- , Owner: J)W; 0Yll Llf1cU, J( .s'/-rJYJv Address: !rJ:{6 .$, D, s-6, City: f IJ Phone: ~S- ;2-155 f Phone: Zip: 9'R 36.:3 Architect/Engineer: . Contractor ~6er...J... dr-/J Address: / /2<< It /0. /f!!!If, vA PROJECT ADDRESS: J 0;2 LJ S}), LEGAL DESCRIPTION: Lot: 20 Phone: State License #: Exp: Phone: City: .5+. Block: 5 t .., Subdivision: TP A Db . ~() <.')0 a .3 ( ..., q S &.>o<:J Zip: ZONING: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel lsJ Demolition 0 Deck o Repair 0 Sign 0 Other BRId: DESCRIPTION OF THE PROJECT: ;' ., .f2.-yrJ tJ ( (j f $h.R cI.-- i(::. :X 20 COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage City: MC # Exp. Date: SIZEN ALUATION: SF.@$ /SF.=$ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $ ~ ~ Construction Type: = TOTAL Sq.Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BillLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\FORMS\APPS\Buildingpermit.wpd Applicant: "X ~ 4 ~ Date: 01- /0- 0 l' PREPARED 2/23/04, 12:15:49 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 2/23/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1020 S D ST SUBDIV: PHONE PHONE : STONE TIMOTHY C 06-30-00-0-3-1795-0000- 04-00000115 DEMOLITION PERMIT: DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~~;;-~~--~--~---~~~~~~;~-;~;~~-------------------------------------------------- ---------"--I-'jC-f--~--------- CO"",,", AND NO'" -------------------------------------- I \