HomeMy WebLinkAbout2802 S Laurel St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
r
Application Number 11- 00000332 Date 5/02/11
Application pin number 447324
Property Address 2802 S LAUREL ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-16-5-0- 0600 -0000-
Tenant nbr, name RAY PENNY GRUVER on your state excise tax form
Application type description RES ADDITION
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 33150
Application desc
400 SQ FT ADDITION UPSTAIRS BATHROOM REMODEL
Owner Contractor
RAY AND PENNY GRUVER RETROVILLE RENOVATION DESIGN
2802 S LAUREL ST 910 E. 5TH ST.
PORT ANGELES WA 983626909 PORT ANGELES WA 98362
(360) 460 -8642 (360) 775 -1046
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc 400 SQ FT ADDITION
Permit pin number 183830
Permit Fee 508.65 Plan Check Fee 330.62
Issue Date 5/02/11 Valuation 33150
Expiration Date 10/29/11
Qty Unit Charge Per Extension
BASE FEE 417.75
9.00 10.1000 THOU BL- 25,001 -50K (10.10 PER K) 90.90
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 184101
Permit Fee 57.25 Plan Check Fee .00
Issue Date 5/02/11 Valuation 0
Expiration Date 10/29/11
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 7.25
Permit PLUMBING PERMIT
Additional desc..
Permit pin number 184119
Permit Fee 93.00 Plan Check Fee .00
Issue Date 5/02/11 Valuation 0 I
Expiration Date 10/29/11 ft I 'n l 1 (19‘ l
Qty Unit Charge Per Extension 1111
BASE FEE 50.00
3.00 7.0000 EA PL- PLUMBING TRAP 21.00
Separate Permits are required for electrical work, SEPA, Sho ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is •m enced w hin 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has com enced, if requir inspections hay- n• been requested within 180 days from the
last inspection. I hereby certify that I have read and exa ed this a.plication and know the s. e b- true and correct. All provisions
of laws and ordinances gov- -'ng this type of work will b- ..m• wtith whether specified her: or o The granting of a permit does
not sume to give auth. violate or cance the pr• i s`.ns of y state or local law reg :ting c struction or the performance of
_i
const uc on. f NI
i AVIAk, D t o Print Na e Signature of Cont actor or Authorized Agent Signa of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS
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 FINAL Date Accepted by
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 Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
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
T:Forms /Building Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
CL.... 4 3.... a'
321 EAST 5TH STREET, PORT ANGELES, WA 98362
i. Page 2
Application Number 11- 00000332 Date 5/02/11
Application pin number 447324 REPORT SALES TAX
Qty Unit Charge Per Extension on your state excise tax form
1.00 7.0000 EA PL-WATER LINE 7.00
1.00 15.0000 EA PL -SEWER LINE 15.00 to the City of Port Angeles
(Location Code 0502)
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
April 22, 2011 2:59:14 PM Brian 417 -4708. Electrical
permits will be required for home addition.
The existing building sewer may be located at the same
location of the proposed construction. Any modification or
damage to the existing building sewer will require other
permits and inspections.
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 658.90 658.90 .00 .00
Plan Check Total 330.62 330.62 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 994.02 994.02 .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 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD .3J
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 1 d
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: 7- eta-(( PB Reb -fnunda orTu 1-zs 4
Footings 1-25 JO--
Stemwall
f oundation Drainag9Downspouts 6 1_7.11 -,-j
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab N
Rough -In 6- 24-11 TLli
I
Water Line (Meter to Bldg)
Gas Line 1
Back Flow Water FINAL Date Accepted by 1
AIR SEAL:
Walls ,r aJ
w 'I
Ceiling
FRAMING: 1 t IS -u 1 '3"g e.
tX-}ex -t'atr Shee -'H q 9- Z.$ -t( 3�-�-
Joists Girders Under Floor P
Shear Wall Hold Downs c
Walls Roof /Ceiling 977 -`f7// ��,v
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION: 6 2J _t1 51.4.
Slab 4),
Wall Floor Ceiling l/ /10 k: PA
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In (p.- l 5--{1 'TO,
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs IC
Skirting
PLANNING DEPT. Separate Permit #s SEPA: N NP
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE 1
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 4750
Building 417 -4815 1 9 1 V JLV 5
70
g
T:Forms /Building Division /Building Permit e
M N
H
to
H
M
W W
0 H
4 g
a n
O 0
0 0
0 l0
H W w
a)
NO a) 1)
0 0 '>a H
H N H 0
01 H i
a) C a) 0 0
0 0 •H CO •.i N H N
•0 10 Hi 0 H 0 H 0
M M 10 H c0 L TO LI
a rd U a)
Z O U U
H W o a S.+ .0
a H W W 0 0
H 0 2 2 N 0 0 N X M X (1)
W 0) W 0 O N W
X W O X S H
U X w a s N 0 If1 N H LC/ CO 0
H 4 01 X 0 01 M f M Z
H h H 0
c H CO 0 01 10 0
Z N I N
0 0 H H H
H 0 w 0 H H w 000
H H H o 2 0 o m w
U 0 Z l0 N 0 N \0 N N X N H
W W W 40 H H U H Z
0 a E 0 H -p 0..i 0 w
w Z 2 X H 0 iQ 0 H O N SH N X
Z 0 0 0 I H1- H I z Ha '0 E
HH H HO VI 2 M MO2 0 -G 0
CJ) H\ 0 0 S+ w?i0HO N2io IJ40 U
co a w 0 0 a) 2 a.) 0 H O a) H H X H
O H H a 4 2 A H A z'0 0
Z a s 0 W a E 41010 A '0 .0
,b 10 U 0 H U) CO a) U a) H o co a) 0 0 -.H U
Z O F W W H W 0 Q 0 4 2 t 0 0 rt m m
00 o0 0a OKC0 04 W zOHaz W£0£
W 0 0
o 1)1 O Z U a 1 NAP x Hw a
N 04 Z W W w r` H '1 a h 1e1�
KC2aa M
m a io o
U) 131 0-to
W w >z O 00
-a 0000 W W H H N
N W N 0: M O H H H H H
H 0 oo ro O H >a CO W
.r� 0 0 W a o o
t o
l0 N z 0.i ry O H 0 a 0 H H
H 0
f W 0 H H M
M rx 0: 0: 1= U H H
0 w a w
a z 0 w
0
415. w U N 0
CO wH< a2 0 0 0
w 4, a a H w U a m
wH ozzzrza a H o,
r0H 0 W 02,ya a a
a <H 00041 H o7 01
O 0
H
0
N
0
00
0 H
1 a
a Q
t0 N
.0. .0.
00
,100 a)
H 0
N O S1 >.O,1
0 01 H.10 SH 0 (1l
h a G SH fr S) 0
0 a 0 0 0 0 (I H a 01 .HI 0 0 -HI 01
0 0 H H H 0 H HH 0 .i 0 a 0 G
100 sa HI Si H 0 A >H 0 o1 SA .0 H n r0
n M 0) Ii 0) 3i 0) 11 01 Si O bl 4-1 n w a
a G a) G 0) G SH G N G N E H
a as -H1 O re; .HI a} la 0 HI b N E H Z E
w
a 0 o a 0 a A a H a A a H a
H ri H n H a ,-I n E H a 00
..1 H w w n H H H N r) N O
H 0 2 2 0 a H O N 0 0 V]
wcn 0 00 E E E Ea£� E E 0) w •O w
>4 w 0 x x a•• a a a FC W a a o dI 0 h •I H 0 H
U Z N a s w 3 0 HH Q H o 0
H ri HI N E 0 0, t"1 N 01 01Z 0) t0 Z 0 Z of Z
H 01 010 H v HI N E H 01 ON N H HI d' r H c W d t'1
0
01 1M 00 0 0 01 w H 0 N H h 0 0 00 0 H a 0 HI E 0
0 a H N 0.7. 10 10 000 N U N 0 0(400000 0H
H O N O w E x 0 Z 0 0 Z 0 H 0
H H H o7 2 M H 0 2 co 10 2 01 0 a N 0 00H0010 H N H N
U U Z 10 0 I 0 t0 0 10 V) 00 0 H 0 Q o to H
w w 0 w H C 0 -1 -4 N HH 0 HI 0 -4 100 10 HI Z HI Cr Z HI p: w ..H -0 0 01 10 Z
O 0.4 a E (..9 H 0 .-I H H r- H H H O H H 0 0 H H 0 0 0 000004-10100 000 0 w
V) 0 Z 1-12X 2 0 0 00N C 4 0 1 0(40, 0 0,0 0 0.0 0 4 0 0 N 2 E
22 0 00 0 N I C•1,-IN Z 0100 I (00001 I (4)014) a 00 N 0 H Z H.1. I E
1-1 0 H H U H 0 0 N 0 .0Z Z 00 Z I--, .1 N a N w SH -1 Z a 5 1 1 0 1 N E 0 0 Z 0
N H h 0 t0 2 I I I E 0.1 a a, N 0 0 u
H a) a S
w 0 01 V) Nh 00zor1H OH O00 H 0000 a0wmh 000.00.00Ar H0A s,00
O H H H 0 Z H H N R Z N 0 0 <H00 0 a 0 0 ZNw EH Ea E hR[ Z E a a) 22
z V]aa 0H 0aa 00 03 0FCI -I a, r4 a) a) Q0 a) A Q00
W I 0 0w U0 0 000 000 00 >.H >.H E >.0 >.000 Z >.0 �1 W 1 w 00 00 2 0HE w
00 %Nv) .21G>< G0 G> VI H G 0H> M HH 0' QHH wHH QH> w aH 0 aH a0 a> a a aQ 1) PC H
0 0 o I Q a 00 0 0 0 0 0 I 0 0 Q b0.00. 0
(0 0 0 0.0... E 021 U) w V] 01 n 0 0 0 V 01 0 0 0 1
0 0 0
a H I H
H a 0 H
f`) a2 0 IA aa
o 00 0>. I 44 000
w a00 2v) a a a a a a a
0, a'>• z 0H0 as as as as 010 as as
In aZ000 Z a b b 4 ha h t a,g h .4 n
0 Z 0 0 I H
00 0 00 a k..0 5
(n 0H00
w fl) 2 H 0 Q
a LA 0 FC 0 2 W w H H 00 00 00 H H 00 00 0
H w N 0 01 a] E H 0 H 0 0 H H H0 0 H 0 H 00 H
H U' o >1 H >H 1 1 V] w
ro W 00 ri O W 1 Lill N H H .7..3.
N N N W N N 00 00 dI
_0 N a O H O a H N N H H N N N N N N N N N
N 0 E
H w 0 t0 4.0 l0 00 h h h h h h 0101 01 01 0
H0 0 a a H
a 2 0 0 P7
0 H
w a (0 U H H HI H H H 0 N
00 OH rt a0 E 0 o O o O o o O o
a>. aza'P4-0U0 H 0 H (n 0
wH 0ZZZOO a r, H w N 0 >C a r)
aH 000 a a a a a a w <a a
a 0 10 FI u 0 44 1 a H (0 0 01 [0 (0 131 0 P7
0f) H
H
0
0
00
a a
an
l0 N
O 0
O �0
H CO
0f1 0 0
0 0 H
r e' U
0
00 rd
0 l0 a
N r7M H
a
O 0
p 0
H
a H 0 0 0 0 0
0 V1 0 0 0 0 0
x 0 0 0 0 H
H m as Xa z
F h H
F m z
0 a H �d
H O 0 H
0 0 Z 0 0 0 0 0
0 0 0 d' H d' Z
a s 0 0 H -o 0
mcn Z 20 H tO H+ 0
22 0 00 aH 2 0
H 0 H H O 0 2 0 0 0 2 0
v1 H� r 0 0 H 0 0
w a 0 r a 0 2 W r F 0
O 0 as H
041aEQaa
0. 0 O 0 00000)0.
0 H mu) >a H0 U1
0 a 0 0 0,x 0 a 0 Z 0 H r(
H 0 0 0
aH
H a O
v) 000�n H
QD a 2 O 0 0
O 0
0)1 w 0 0
a
W a 2 0 2 N a
0
0 a r 2' N H w
to 0 0 W w 0, a
m a wa 0
v1 0 00 H0
I.0 0)) 2, 1 0 0 0
1 .a0 oo ww 0
H W 0 a 0 0 H E-4
0 0 0 F N y r.1
m w H w a
o N g a g o H 0 a
0 00
H w O 0
H a a a a 0 0
H 0 0 a 0
a 2 0 0
Wa U1 0 0 N
a0 0 F a2 0 0
GI W F 0 2 Z 2 a a Pi a H
a 0.0 4F U004 F 0
0 H
H 1
o
H 1
H
H
W w
a a
a 0
10 N
C C
0 10
H 00 a
.1 a
all O S-1 0 0 a)
h 1.0 bl 0 o 11 0 a) 0
r w C S1 [n SJ H Sa
0 rd a) a a a) S1 H CD
al a) a) rl a o a) a H1 o N .1 IT t1 0
0 o H 0 0 H.1 0 0 H a H 0 a) (a
40 1.0 S1 0 41 0 1.a .0 .0 1 44 0 1 H� 01 N .0 H 1, N -H a
>1 M M bl S1 bl 1 (n U bl 3a o dl U 10 a 0 0
a I C a) C a) •q S1 C v C O S1 E Ha 0
ai rd 001 0 rd 0HI ra ra 01 0 10 b E H X
w a Hi a 0 a .0 a H w a .0 a H a w
H I N •Hi H H 04 0 •Hi E 0 Q co 2 0 [7
a H w w 0 r-1 01 M N 0 a 0 a
H 0 22 0 a H o r.. 0
N4 a
W (n 0 xx a O O 0 0 E EE E a E E 01 w o H 0
H
w, 0 •a a a' a s a a O d r -V MO
H 4 i U) a s H N 0 N 01 M 10 01 10 2 01 10 Z 0 H z H o m N 4, W
H F I M M H H 40 H N E H M O N to H H 40 H N 40 M N 10 Z
2 01 a0 m 40 l0 01 C In H 1- 0 40 W H H100 HXN a H� 0
O N H N 0 40 O V) 0 N 0 N H H W H U' 0 0 0 (4) 0 H H 0 H
H0 10 ••o ••w H •.x020 0 Z 000 0 0 2
o 0 2 rn H w 2 07 2 01 0 a(0 a H M N H N 2 N H N 0 H 0 0
U 0 Z 10 0 I 0 40 0 40 (1) 10 0 H 0 FC 0 40 0 (0
Cal w a 10 0. H H H Lfl 0004. H H H O H 2 O O 0(4 .51 •H .0 fx N 40 N 0
a s I I I Q (0 41400 HHH. 00010 0E-400 010000 00ww0Fm00 m0 0 4 W
V) (n 1 z z 2 z 0 H 0 4 0 1 0 a 00 0 a OH 0 0,0 0 H N x N a NO N Z H w 0 0
2 2 1 U' 0 0 H N I N a N Z N 0 N 2 N 0 N I N Vs] a N (N U) 0 H 2 H 40 10 V) H Z
H 1--1 H H U 1n 0 O O 2 Z 10 O Z 10 1(1 W S-I 11 Z S-t 1 0 1`• SI N N 2 N H
C/) 0 E -N -CO ...NH -N 41 a) -N a) a a) 0 a) N H 0 I 0 IN S1 H
w qav) 0N0Ln200H00040NH00lnra1n140N 000 .0040ANH04 51,00 310 a) Z
0 H H H w0 Z 01 10 1 00100 401,0 1 (4 0) q (4 2 N w E 0 EC, Er- a z E a a) z z a) 0 A O
Z 0(Xa 0 0a 00 0'3 H a)04 a) (1) O H a) .0000;.4 E U
1! 1 0 (00 U 0 H a) 10 a) 0 0 0 a) 0 H 0 E 417 H (p z (0 0 w 1 1 7 1 J w 2 y) 0 p H E 0 0 0 a)
OH 0V) q C> 410 C cn[ C 0 0 Hi
0 0 0 0 0 0 0 0 01 H 0 a E-N a0 04 0000 aq JJ >.r� H J'O
Z Off 41 a a as aaza a s 0440 as 040 as 04 04x0 as a) X a)a a)ao0 al Uarxa U 0
0 0 0 H I (21 (4 co r J 0 04 1 7 0 1 q H a h a) h 0 w 0 X 00V) 1 0 0 0 q .E 0 a c n w Ena)[n 0 a X 004) 0 0 a a 0072
H Cal W, 4oa H
,r, m a2 U o u) i a, H .7
0 4047 04 0 0400
w m azo 0 a a a a a a a
0 0>1 Z N 0 0 W a as a as ma a s as a
01 024747001 z a ha 'ha HJa ha as ha ha ha
W 4] W 1 a a ..o 0 Q
V) I a0 0HO a
a 1 N 0
1J 0 a o o Q
Q 0 0 0 0 H H 0 0 0 H 0 0 H 0 0 H 0
H (31 N IN M 0 0. H H 0 0 0 0 H 0 H 0 H H 0 0 H H H 0
H 410 0 H 11) w
Z 1 N< W 10 0 0 w a 10 Lc) H 0 4' •a1' LP 1 co co W CO CO CO C 10 0 t
04 1 000000 00 04 00 N N H H N 0 N N N N N 0 N N 0
H 000
HI a N ca IN 0 0 10 t0 10 10 1` r r r r 01 01 01 01 0 0 -1
0 0 1 0 0 w a
a 1 20 w to
41 a 1 N 0 0 H H 0 0 H H N H
0 0 14 44 IN a 2 F a o 0 0 0 0 0 0 0
a a W U N 0 H 1z] 0 0
wH 0ZZZO Pi a M H a N a x a M H
aH gwo w >1 a a a a a w a a a
a 0 a H 0 0 a 4 (a.■ H a) W 01 01 a) al a) al a)
HH
H
CO
N
4141
OP
as
a Q
W N
0 0
O l0
H m a
H O1
(n O 1A O H
NCO 01 O 11
r c C 01
o 0 m
v a i m o a1 0 a o H 11 0
00 H H H H 0 4 •H 0 H a
lO l0 11 H
Si .0 11 H Ol 1.1 A H
ri 0 11 0 11 0 a1 (T 11 o 0 4 W
a C 01 G a) C 11 C cD C N
a 0 -H o 0 ..-1 r0 r0 0 .ri R$ b H
w a H o a H a A a H w a A F
H H H H a H r1 H a 0
a H WW H H H 01
F Q ZZ o gg a F 0 cn
0 0 0 00 a �a. a .1 aR a a 4 a o c
H m a H NEW CO 01 u1 m cn ZM 1a Z 0 2 Z
PO r1 M H H C H N£ H 01 O N N H H 4 CO
M O COW (0 m NF0 1n Hr 0 w W, aH
0
z FC
o a H N O 0 N U N H H W H (7 Q H 0
F 0 Z
FF
HO N 01 N o W a c1 H ON H
0 1 0 0 2
F r 0r�, -a w0m d. 0m ,ram 0 HO +vIN H F cn
uu 2 (0 H H (0 H H m 0 q .1 F
0141 W H O H Vl H H H O H O H H C z HZ W H (0 Q 01
a s Z O H H o H H r H H H H 0 0 )1 o 1-11-1H100 H O N W F N O W
mm Z 2£ HN rtor o CH o
0 0 o.-+O ZN N cn0
ZZ H
H H O H 0 H N 1 N a N 1 o 0 2 N Q N O 0 N Q N 1 0.010. 1 W N a U1 Q H 0 0
HH H Hu in O O -NH -N FC N W U 0 H U
O Q Ham•
M F\
O N Z o H O m 0 N F 0 r a -W -1--• N F a) 00 1 NN F
Pa ,M WWW u.r 00H N zr FOHO W N
N a N r Z 0XA00Ar (7
O N H F H z H 11 a Z N W H H 0 H W N 0 Q N g H v z N W E H W 0 r 0 z
z (n0a H N 04a 00 HS WIZ v QH
W 0 0 W0O 0 (1> 00 C HO W 00 ›.H >W ?1 W 1> W H0 W (7 L W
OH 0
Z O Q'1 (n U1 Q t4 0 1 4 7 1 NF 0 0 10 ba 7 0HQH> 0. 4 HQ a0Q a� 0
F W W a 7 ba H a ba 7 110 ba 700 ba W a x1 00
0W N 0
O a o ff l q a W h Q Cu h W Q H rf 17 W h Q W h W h Q (n W 7 Q= h W (n W Q W
0. 14- 00
a 4 o 4 M
F a a o a
o a a a(
W
o r a "z ON C W a s •-00 1-104 a s 0104 0A111.1 a
H w W W0 z a r]a ]r1 r' g bg c44 7
z a a 1 m H
o W a w o
H Vl a H z Q H O 0 m O FCo o a 1:::1(2,
HH HH HH HH HH H H
H W N a MO SQ F F HH HH HH HH HH H H
H U 0 p. p1 MW
2 m W a H O W a MM HH 0'0 111 N m co m m
Mg NZZIZOH O n a ,-.1,4 N N HH NN NN N N
N OE
F WO a io 101.0 r r r r r r m m
a`• a a aau
O W a CO a
a Z W as
Q F
W a (n u H H H H H H H
040 (n F g ,-4Z F a 0 0 0 0 0 0 0
a a� X O H M Q
WE Qzzza IX a rn H w N a x w
aH Q1403F1 W a a a a a W a
au aH UO a F:4 a F W W W W W W W
C....
OH
H
00
cn
0 a]
0 H
0
a 0
lO N
d' 0
0 l0
H co
a)
O 0 H
0
0 to 0 SA
r •r b)
o a, C
N a) a) H a) o v 0 1 0 t
00 Hi HI 0 H 0 a
t0 4 11 H 0 N N .-1 11 ,A ••H
r1 0 b1 en a1 01 S-, 0 O to a) 0
0 0)
a C a) C v 0 14 0 -1 0 11 E
IX N H O to N b 0 0 0 R1 rt1 H
t o a 0 a A a H a .7 H KC
rl 01
H H a 1 ,-1 a r1 r, H1 a
H a H Z Z 0
fl 0 a H 0 0
W us W 00 a ••a 0 0 aKC4 a a((00 F
H y a s N X• N 04 0 In a1 1n 2 an l0 y 4. Z
H F7 0 0 H H d' H NZ M O N 404 4 N
Z a, a 0 0 01 to l 0o E 0 sHr o o O 0 0
O a H N 0 0 d' d' 0(00 N U N H 0010 V] FC
H O (n p 0 H O 2
H H H co d' 2 0 0 d' Z 0 J 0 10 0 1 .1'0400 y 0 2 N H cn
U U Z 4 0 1 0 to 0 to co to 0 0 1 H
W W W H d' H H H to H H r1 d' H H H d' H 2 r1 0 Z H H 0a l0 Z
No E (7 H O H HHr HHH 0 00H10 0H00 H Hm 100 W
cn cn Z 2E Z0H oat or 0 yo10 0<0« o o10 o <NO 10
2 10 [[-•a1 0 0 H O 1 N n] N 2 004-4 Z01001 (40 1 W 00 H 2 0
1 4 1 1 H Z H U cn ID 0 O 2 10 0 0 Z o y In 2 SI 1 0a• 0
r 0 H
cn 044H0, l o O r H r a -0 •r 1 -0 a) inH 0
W gam cnr(7cn20OH0H0d'0E+d'00ra000r (700A0H (7
0 E 4 H H 4,01 2 H 1 1 1 0 1 y ,2 0 a H <010N y 0 x N x 2 N a Er y Z,
Z Nana 0 0 0a0 00 00 0410z >.0 W OH 2
H
IA 1 0 00 U' N H a) 0 a) H',7 W a10 >.H >.0 >.HE >.0 >rH O zZ 10 W z2
2 0 H 0 0 a 7 y O 7 a 7 y 2 a 7 0 7 y 0 7 4 7 y H 7 0 7 y x 0 7 a a., .4 0 0 0
Ox 1 004 a1 70a0w70H 4170000 70070b0 E7010000
1040100
0 y 0 0 41 HH
us H O ZC9 0 0N w H I
0
GPPPg477 1
a 0 a 2 o x a 0 0 a a a a a
H 00 z I 0 0 H 4 as as as as 0a
cn 0 10 0 0 0 0 Z x 7y 7y 7y 7 ay •111
y z a a 1 0 H
c0 41 a ..0 0
w a
cn> 0
H00
a 41 O 0 O D W 0 H H H H H H H H H H 0
H 10 N x M O O H H H H H 0 H H H1 H H H H
H (7 0 H 0 1 1 [n W
Z c o P1 o H C 40 1 4 10 In 0101 W d' 10 10 MOO oJ/
OD y N x 0 r-1 0 0 a 0101 N N 001 N N NN N
N 0 0
0 t
m a ..a a' a 040 o o 4 s 00 00 r- r-- a+
O 2 00 Pa a w
O H
W a 0 U H H H H H H
0 (0 E- 4 41 w2. H a o 0 0 0 0 0
0> 04 HWUa X 0.- 0 H 0
wH a 0ZZza a r, H w N x a
a H 0003 w a a a a a a
a U .HU0ay a H 0 01 in CO 0 0
:1
..PH
H
CO
W W
OE
44
20
w N
00
ri CO
al O
r ,0
r a
o
N W N H v .0 N
00 H+ H HI O HI
i0 ,0 N H+ N HI N .0 S+ H m N
MM of N to N bi 1-, al N o 10
a C N C N C N C N
z ra -HO ro -r1 to rt ro ro
H a, 002 n p., a 04 0204 H HI
a H W W n H H
20 4 00
W r�y U] 0 MX 2 2 W W 4 W H
H W 22 3 H N Z to a1 m N al m z m 4
H 17 m m H H W H N X H I m O N
H W H z q
M w moo Qo m MHO MHr 0 z,
Z FC
H N O d .7 d =MO N U N H
HO 0 O W a W
PH H H m w�zm zm am
U U z o 0 .4.4m '4 LO o I.0 m 0121 H
WW W H 5 005 N N N g N i N 0: N S W O H H H H H H 0 H H H 0 H H H H 0 z
22 O O OH O
H 0 H 0 N H H 0 0 0 4 0 0 0 H o W
ZZ 0 Z zO H N z N 040N r 000. 0400 o OHO 5
H H
'7. ,7. 0 HU 0 a N 0, 0 0 0
0 0 ,0 •r-H H ,0 a 2 0
0 W H HO
0 2 N omH �r ra W 2r 0
O HHE i r ZHH N zm• Z H+O H r H O r HW 0 a N20
O 5
4 024 W H 00 H 0 H W N W H 44 H N q 5 N P: N (.41-,
z
OH pun WW a74 7 a74zw7Qa40aaa4 Faaa4a 0 O
0200 142 o Wh W h0HRChWb0 W hWb00b0hq=
CF0 H
H W O 5 H
000090 R H
2 400>-..M 200
W M z 0 40 a a a a a
n 2>+ 410 022 42 42 42 42
d q W W tom 2 2 h4 04 0a 04
0
00 W W 1-. W 9 0 O
M 2H000 a
W m 7 O H 0 0
a 905 422 00 ,-10 012 2
02 N W' ma W H H H H 00 00 0H
00 0 >+H l� 1 to W
r� l0 0 W 0 a 2Il 2 00 .r.4. 22
N
m4 W 0222.0 W 0 0 2 00 00 H H C N N N
N 02
H W O 9 9 9 l0 t r r C
ra x x P410
22 Z O 0 0
0
a0 0 H U a 0 F a 0 0 0 0 0 0 H
W H 0 Z z z P: PI OX 4, m 0 0 0 a
aH 0 W 035C'2 M >1 .7 .7 a a
W U 5E+U095 2 H 0 0 CA N 0
N H
H
01
1
WW
0 H
4 4
aca
1D N
10 10
0 l0
Hi m
1 0
1 10
r a
I/ w w Hi w
o o H Hi o Hi
2 10 41 Hi S1 1 44. .0 4i
>1 M M 01 41 01 11 01 11 01
a C w G O C t C
(0 a 00 a 10 0 .I w
H r1 0 r, Hi P. r1
a H (0 (0
H 0 22 o a cn
(0V1 0 00 2 2 K. 5 y Ea£ (1
(0(0 2 x'2 4 10 10 a, 1044 H
H 4 f/1 10 10 r-I N (0 Fn 01 11 11 01 Z
H 7 11 o F-1 H d' H N H
Q1 m 2 10 0• m H O
0 (0 H N 0 10 '0 d' O CO 0
H O (n p En
u U 2 m 10 O M H O m 10 O 10 H
W W (0 N' H H H 11 H H H a' H H H•4 Z
10 10 0 0 0 H H 0 r H H H 0 H f F H 0 W
1 n Z 2 (0 2 Q H i 0 0 10 04oH 0
2 2 0 [[r 00 1410 i N.-1N I 2 N (Q N Z01004 1 ,(0
HI-1 H ,T. H 1n 0 002 Z 110 2 10 0
2 CW4 H\ DHO 10H 0 0
(0 010 co u1, O 2 2 0 r1 H O Hi o w r H w O in ra
0 HHH wH 2H 42Nw0 4 0(11 4
10 '0 207 C71Q Z
o ff a (11(11 0 G 7 0 0 0 0 0 (0 0 0 H 10 0 0 4 10 1000 H 10
2 0 P 01 (0 10 0 4 (0 O40 O a G 4 0 0 10 0 4 0"
0 2 0 H 1 0 2 07 n Q a 7 o 7 0 H 4 7 W 7 0 (0700 7 0( 0
H (4 0 0
H 10 12 0 10 H
(0 100 I H
N 40 w p a tM 2 m0
(0
01 2, N U' H W 1010 a 10 a 2
0 r 221.1512 1) Z a 7 4 7 4 7 4 h
m a 0 0 p
<n 10 H 00 Hi o
•0 1004 oo 'F7 w w 00 .4 HI 00
Hi W N X 1'1 0 01 H H Hi H H H H 0
H (10 0 >1 F '>1 1 1 (n W \r
'Z m W 10 H O(0 .7 111 0 0 W d, 11
1f1 N 0. O H O I 10 H H 10 N 0 H-1 .-1 N'
N 02 J
H (0 0 10 10 10 10 h 10 1
0 01 10 10 2
10 2 0 m 01
100 2 En E- a Z E 0 0 0 0 o
a>1 a 10Hw04 1 0
wH 022222 a 1, H 2 N
2. 0(00 >1 a a a a
20 40.00104 2 H 01 CO CO 2
H
H
H
WW
C9 E.
as
a q
0 0
0 d
O
HOD
ill 0
NW
C`..7
O a) O
O O H H H
WW H HI
0 ri rn N C O C
a R1 •r1 0 RI -H it
H a H O C), a
a H CAW n 0
w a 00 aoa a 4 N
u£ m a s W 0
H< 0I N£u) m 0 2
E r] 0 r1 H H d H
F [0
[0l0 W 0; �a
01% H 0 0 d cl [0
HO 0
EE E m w 2 o- 2 m (0
U U Z a 0 1 0 w E
CAW W H.7 0 0 H 0 H H H ci z
C‘40 000 H H H I N H H H O W
ul U1 z z£ zoH 0140r oFCo,
2 2 0 O O H N [NN z 000 z
H H H FO n 0 .0X X ul0 0
N E -r (0 -'OHO r H u
W MNW ut rc7
ca Z maa 0H HN 0a0 Nw 00
k 10 WU0 U' NH N U OHn W 00 >,H2
O H (0(0(1) [0 [0 [0 [0 [0
O00H 1 0M W b0) b[000H/jb[00(
H WW O Q
(t)2O U aN H
0 x X aRWW H W a a a
M a (W W u, r� P.1 a b< h< 0
z a a Q
W
m a 0 o 0 `7
W N H[ H o
W a N ,o Opcoo W W H H 00 H
HW 0 a 0o p]EH HH HH H
HO 0> U1 W
m W<[� OH 041,1 Mm HH w
[0 0(0(0(000 [0(50. H H N N H
H a£
�a a 2 Fd WOO [0(0 aoa r
a 20 a al
W w W U (5 H H H
20 WH 0Z F 0 0 0 o
wH QZZ22a X a r, H w
1 gqw0a W a a a
aU <CHU00. a H w M [0
N H
H 1
0
N
W
JJ
0
0
W W
Op 0
4
N0
X
W
a
H
7101
0
4 0 0 0\
d' d r1 N
0,0 011
000 U N
m
M O 'al
(-US/ a/0
rd C N
W W W r-1 N W
00 rl H H
10 io N H 1a t1 4 0 U S-,
N mm m N m 01 44.40001
a C W C C a) 1d 0 o C
N rd •.i o ro N 0 ..1 rt
1--1 1 a n o a a
O -000 11
a H W W 0 a
H 0 zz 0 411 m
x 0 1 0 O 0 x a a a L .4 0 11 E H 0. i m a s H N X 1f1 N d' 0 r 40 0 4 0 44 1 0 Z
.EM m m H H H NW() o
E.,
0
Z- o; COW H d' 7-, r1 NW
O a H 01 N 0 ,N z N 0 az O 'Z
I-10 m O m H- H a 0 O H
E H H m ,r z m H H ,o cn an0 d 4 m H 0 m
0 0 4 Z 4o 0 Z x 1 0 01 0 x x H
W w W -1.4. H HH L 0 0 0
W 000 N0' H4 Z
NN O HO ',Hot 000 W
m Z ,E
m Z 0 o11 0.,, OoHO0 t`
Sa,C O00
00 2 01
ZZ 0 Z 00 HN N z 00 00 0 aN C'N O.0a N i a
H H H H U X m 0 0 0 z H u m 0 0
m H r m -w HO H O H\ 0 -r •01.40 -1.000 U
W m r
Ga mOmZo H am Zmr` Z .n> O Zom0 0 0
0
0 H H H w, Z H H N ,y z H H 4 4 0 H.-4 H
Z maa 0H q.7a' as m qm u m Z
,a 0 10 U 0 U W H W W H W 00 W H 0 W W W 0 H 0
W
O H a m m q 0 00000E M M 11 4> p C W't7 11 4> 11 H
Z Off ww a Ca0 Ca 0024, ww 1140
oa0 ff 1 qa mhgChmhgHeC qa arjgah C Eahgar.0
,10q
W o a H H
a m 001 0w 0aa 100111
m a 0 W„, a a m 0 a m 0 ANEW
o 0 4 ZZ. 4 N H 1 ,-.1 01 0, w 11 �i
m 11 2 ro m m H a h 'C G H a 0 0
co a W a W. o G
m aH0 i•7
-a m W o 0 0 H ,�1. W W .-4 H H 400 .-4 .-1 H
Hw N a mo MPH HH H NHH H0 H
0 0 0 0) H i 4, Ma Ma
r cn 10 H 014,1 0 W ti O W a LOW H f
Hy 0 1100 Opa HH N 0pa H0 N
OX OE,'
H W O mw io W O 1040 io
40N •0. a l a W 0 4 N U
N zo m w a
O H
O O I N H O a z H 0 0 0 H 0 N i
w› a KC H w u a H a m
WE 0 Z Z Z N N 01 m H 01 N N
W U i 4 E O U 0 W. P1 H 01 01 a H W Pa,
C)--) d
/...4
...4
.3
Qy
CV H i .4
H
I -.A..
W W I
4 4
aq;
I.0 N
O I..0
H 00
n O
r o
<r
a) v a
d
0 0 H H
i0 i0 S+ S+ S+
rn r+t Cr C trl
a w w Cf
F i q z z cn
w J
cn cn oo w
W
i 0 S S F
U En a a O
H 4 H 0 N z
H h M H H
z• z 0
H
O a HI N H Z N z F4
H O (n cn 5• S N H H
FF H i m F Oro O H m cn
U U z 0 z 0 c0 0 z Z 0 X F
W W W I H d' W O H d'O W OH d'O z
a s I O H 0 a H O a 0 H O 0 w
VI U z z£ I z0H z£ 0H z£ 0
Z O 00 I HN 00 «7N .7 00 Z I a
H H I H P7 H U u1 H U 4 N 4 H U Lal O
cn H\ i F\ U •c- U F\ O N O U
W a a N R 0 1 LIl r-- C7 a V] H ul r H a cn H Ln I� H Z
0 H H F a H Z. H F H 7 H F H H H
Z yaa OH U0 q4 a.] W 1
-a 0 W U 0 i O a1 H 10 10 x a) H U a1 H
OH a I q V7 Vl U 4'>U Vl 0 C
z 0 H 10 W (0 W .7 7 4 0 w W W 01 W
7 4 W w 7 7 4 .7
O a 0 H i 0 a 1 P a h 0 a E 0 01 100010 0 a a h 0 a
1 (0 Q 0 H
W 4 0 4 H H
01 01
H m 0 Z O o w 1 a a a a F a s
0 1 O w a a V) 0 cn ':0 'a to D
k. o 14 1:14 0H0) Hw a 0 a
N O Z W W 1n r7 Z a h H a II Z a
z a a 0 H
m w 0 q
a 10 0. .oa 000101 H [q H a ww H
H W∎ N a M 0 Cq H H H H H H a H H H
HO O>+H> i cn w to W 01W
Z o0PICw4VOH o wa 1n 0W a 01 owa .n
N N a o ff 0 0 0 H 0 O a H 0 0 0 H
H a£ az a
w 10 01 10 01
o 0 0 0
10 a a a x00 a0 au
o a zo w aw a
4oI H 0 H 0 H 0 H
a H Q 41 o a a a a aa N a r H (0 r a
au 4 U o a 4 a F co a F a H a
0, r„,,tr a, BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use Only:
Attn: Building Permit Technician Date Received 4-IS-
321 E. Fifth St., Port Angeles, WA 98362
NNW 360 417 -4815 fax (360) 417-4711 Z
11 ermit -3 i /Bate Approved
Applicant 'A' Rl-1 V Phone 1 (4,6 61, -2
Property Owner 'KAn C_f.UVM P •no if 4.0 Sh"12
Property Owner's Address 25e 4). LA .tZ 7'.
Contractor 'K6A1Ov -r 12ES1.41∎1 Phon- /75 /D 'I
Contractor's Address' 'T (d 6 ST'S£ ,T 4 A '18362
License V-ET Rog b`repb3Expires E -mail
PROJECT ADDRESS X502 j. Lure. I S
Parcel Number Lot Zoning ,Z5-_
Project Type Brief Description: ,z'Residential Multi family Commercial o Industrial
,Check all that apply 4O I* 1"TL
New Construction /9414-256 S O A DD (7 ►an/ TZ E /ST(N 9 /i16'�
g'Addition •eArfl/ Lr l'&s(bFvc-E,
,rkemodel
Repair B`1kroom re1mo,k up3 ears
Demolition
Re -roof House garage other tear off re -roof lay over one layer
-Hest-Syste-Frr. -Q Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement 7 6 per sq. ft.
1 Floor 1 445 °i 1n
2nd Floor 1 /.5'r 12 24a
3rd Floor affic.
Garage 5 7(0 1-n
Carport B0,tc.o
Covered Porch
Deck
Shed
Other
TOTAL VALUATION t
Total footprint of structures 2 lit sq. ft. Lot size I g 292 sq. ft. Lot coverage 1
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 2
ft X121 -s•
Max. height of proposed structures 'L1 2 ft. Occupancy group IZ 3 of bedrooms
Will a lawn sprinkler system be installed? b Occupant load of -ths g P
Will a fire sprinkler system be installed? p(j .Construction type •f half b -ths
I have real ans completed this application and kno to be true and correct. I am authorized t. fly for his p and understand
that it is rest onsibility to determi at permit- a required, and to obtain permits prior to orkint on p oject..
D Print Name w• Signature A �4
T:Fo s/B ilding Division /Building permit applicatio 4
NOTES
Permit k 3 7
p !rS 60, 0V0 rem4 c,CGl
UU rG
41
�J
V3 J2 I tI 5f 1X12.1 60S+
l\NAJO foo r‘Azukio 1)\tei,u Ft 0-0%-0 is+s crowuisrace
12-')( Zc'(,'= ;t- s f
rrecH
T:Forms /Buiiding Division/Notes
Keynotes
O PROPOSED ADDRION
EXISTING CONCRETE DRIVEWAY
0 NEW CONCRETE SIDEWALK
��y NEW CONCRETE PORCH
S. Laurel Street
O ADJACENT LOT
2t' -4' 47 -C' 24' -O 4..o -0'
17.00' 106.83'
b 411E0 C0 4E0
N y
.5 FrillIrli
1 1 a;f±b.449E';'" EXISTING
h i I GARAGE
I
I
I J
I m to
N
y c 1 W
r
is of
N ut1
r 1
1
r
a
N
1
1
1
t 1
L J
20'-0' B.S.
78.4
J
t
co N
123.83' f 1
g e 1t3 k
Lot Covera .k
u .w 18.29 S S F
LOT AREIi i
Site` Plan
BUILDING AREA (UNDER. ROOF)
Seale 1 ∎40'. -0 LOT COVERAGE n 12 65x
PRESCRIPTIVE. APPROACH SIMPLE FORM
fri
w For the Washington State Energy Code (WSEC) 2009 Edition
Climate Zone 1
4 p,
CITY GovERNPAEN'T Site Information: Building Department Use Only:
Lot: Permit 1''33 2-
Address: C. C A4_0261_ 91 Notes:
City: t E1�
State: VI Zip: 1 8 ;6 Z
Contact: ,pt' 1K(.,Q (j
Phone: 1'�,4— 86'Z
Phone 2:
FAX:
WSEC Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR SINGLE FAMILY RESIDENTIAL OR DUPLEX
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazing Glazing U Factor Door Wall
Wa11 Wall
Vaulted Interior Exterior Slab =on
Option -Area y of U Ceiling Ceiling Gbatle Below Below Floor Concrete
Floor Vertical Overhead Factor
R -49
III Unlimited 0.30 0.50 0.20 or R -38 R -21 R -21 R -10 R-30 R-10
R -38 int TB U =0.029 2'
adv
This Project complies with the following:
The project is a single family residence or duplex.
The project is a wood frame OR all of the insulation is interior or exterior of the framing.
V All building components meet the requirements listed above.
The project will meet all other provisions of the WSEC and VIAQ.
The Project will take advantage of the following exceptions to the prescriptive option.
602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be
installed per unit for ornamental, security, or architectural purposes.
Location of the door taking this exception:
602.6, Exception 2. If a door is mostly glass,, it should meet the requirement of the vertical
glazing U- factor listed above.
Location of the door(s) taking exception:
Type of Heat Source:
T:Forms /Building Division /Prescriptive Approach Simple Form
m
cn
%v Electrical Information Form
Public Works Utilities Department (360) 417 -4700 a
C ity Electrical Inspector (360) 417 -4735
Please complete and return to Public Works Utilities Department
4pplicant flnformatiun
Permanent service: Name: 'K Y C— IJ J
Name and address of party Street: 2.862 S. LA -(.t, U 5 7*e— t"
responsible for permanent City State ZIP: fe3 {Z. .-8 1)JA- '8 336.
service billing? Daytime Phone: ILO Home Phone:
Coritattliformation i (if other than above)
Site contact: Name: Title:
Daytime Phone:
Contractor: Name: Company:
Daytime Phone:
Electrician: Name: Company:
Daytime Phone:
Excavator: Name: Company:
Daytime.Phorie:
PI'D eCtITYS D Existing El New
Single- family residence Multi- family residence; of units
Commercial ❑subdivision; of lots
Overhead service General service
Underground.service 00ther:
P1'D,ioCt Information Description of work: 2 SL 5.- 1s-vi, ITI bN 7 n eK ISTI iy 0)146
Street address lot number:
Nearest cross street:
Desired connection date:
Electrical transformer serving property is: on a pole on the ground
lectfcal Luau
Total square footage: sq.#t: Main disconnect -size: amps
Voltage: 0120/240 1 ph X120/208 3ph 0277/480 3ph
0120/240 3ph 0480 3W 3ph `I Other
Standard residential loads (Lighting, refrigerator, dishwasher, washer)
Check all that apply: A/C ton) Range/Oven Hot Tub
Clothes Dryer ❑'Heating Pumps Hp)
El No Load Change 0. Wate.rsHeater. .D'Elevator Hp) Other
u ppDrtingDD)CUnlentatiDn Piease.provide a copy of the following:
*Detailed plot plan >(.dwg or :d ∎rmet rnandatory for subdivisions).
*Electrical one -line drawif silo n,e the service entrance panel and location.
*Connected load data.
*Size and locked rot.4_ps of a rR)tors over 50hp.
f K; 11
Applicant's Signatur— Date: 1 L
MAIL OR DELIVER e• ETED FORM TO: 321 E 5TH STREET; PORT NGE ES, WA 98362
FAX TO: 360 417 -4711
WS
WF
Information form.xls
N:'P`rMh;S`:LIGHT\ENGR`.gOripirlalsiIfforrnation form Revised 1 -15 -O9
Clallam County Assessor Treasurer Property Details 68486 RAY AND PENNY GR... Page 1 of 2
Clailam County Assessor Treasurer
Property Search Results 68486 RAY AND PENNY GRUVER for Year 2011 2012
Property
Account
Property ID: 68486 Legal Description: ALDERWOOD ACRE
TRACTS TX #8810
EASE EXC M/R -LT 3-
Geographic ID: 0630165006000000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi- Family Redevelopment: N
Township: Section:
Range: \n
Location �G
Address: 2802 S LAUREL ST Mapsco:
PORT ANGELES, WA 98362 .)4
Neighborhood: Cycle 5 Res Map ID: 3 \v
Neighborhood CD 10955130 n 1 Owner ``�C/
Name: RAY AND PENNY GRUVER Owner ID: 28068
Mailing Address: 2802 S LAUREL ST Ownership: 100.0000000000%
PORT ANGELES, WA 98362 -6909
Exemptions:
Taxes and Assessment Details
Property Tax Information as of 04/19/2011
Amount Due if Paid on: M.. NOTE: If you plan to submit payment on a future date, make sure you enter the date and
click RECALCULATE to obtain the correct total amount due.
I First Second
1 I Half Half I
i Base I Base
Year Statement ID E Taxing Jurisdiction I Amt. Amt. Penalty Interest Base Paid Amount Due I
2011 161870 ST SCH STATE SCHOOL $278.81 $278.80 $0.00 $0.00 $278.81 $278.80
`2011 161870 CC -GEN COUNTY CLALLAM $153.92 $153.89 $0.00 $0.00 $153.92 $153.89'
12011 161870 SD #121 SCHOOL DISTRICT #121 $364.45 $364.44 $0.00 $0.00 $364.45 $364.44 j
2011 161870 CITY PORT ANG CITY OF PORT ANGELES $355.31 $355.31 $0.00 $0.00 $355.31 $355.31
12011 161870 PORT PORT OF PORT ANGELES $21.66 $21.66 $0.00 $0.00 $21.66 $21.66
2011 161870 NTH OLY LIB NORTH OLYMPIC LIBRARY $64.55 $64.55 $0.00 $0.00 $64.55 $64.55
2011 161870 HOSP #2 HOSPITAL #2 $63.18 $63.18 $0.00 $0.00 $63.18 $63.181
2011 161870 WSMET PK DIST WILLIAM SHORE MET PARK DIST $19,21 $19.20 $0.00 $0,00 $19.21 $19.201
2011 161870 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.00
2011 161870 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 i
i 2011 161870 TOTAL: $1357.91 $1357.84 $0.00 $0.00 $1357.91 $1357.84
i 2010 50153 ST SCH STATE SCHOOL $276.01 $276.01 $0.00 $0 00 $55 $0.00
2010 50153 CC -GEN COUNTY CLALLAM $146.88 $146.88 $0.00 $0.00 $293.76 $0.00
2010 50153 SD #121 SCHOOL DISTRICT #121 $357.52 $357.50 $0.00 $0.00 $715.02 $0.00
2010 50153 CITY PORT ANG CITY OF PORT ANGELES $340.08 $340.09 $0.00 $0.00 $680.17 $0.00
2010 50153 PORT PORT OF PORT ANGELES $20:64 $20.65 $0.00 $0.00 $41.29 $0.00
i 2010 50153 NTH OLY LIB NORTH OLYMPIC LIBRARY $42.68 $42.68 $0.00 0 0 0 $85 36 $0 00 1
i 2010 50153 HOSP #2 HOSPITAL #2 $60.26 $60.25 $0.00 $0.00 $120.51 $0.00
2010 50153 WSMET PK DIST WILLIAM SHORE MET PARK DIST $19.18 $19.17 $0.00 $0.00 $38.35 $0.00
2010 50153 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00
2010 50153 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00
i 2010 50153 TOTAL: $1300.07 $1300.04 $0.00 $0.00 $2600.11 $0.00'
http: /websrv8:clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =68486 4/19/2011
ELECTRICAL PERMIT
CITY OF PORT ANGELES d
360 -417 -4735
Application Number 11- 00000547 Date 6/02/11
Application pin number 336370 REPORT SALES TAX
Property Address 2802 S LAUREL .ST on your excise tax form
ASSESSOR PARCEL NUMBER: 06-30-16-5-0-0600-0000- to the City Of Port Angeles
Application type description ELECTRICAL ONLY Y 9
Subdivision Name (Location Code 0502)
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
6 circuit remodel room addition.
Owner Contractor
RAY AND PENNY GRUVER OWNER 314\).
2802 S LAUREL ST PORT ANGELES WA 983626909 p
(360) 4 460-5642 _J�
Permit ELECTRICAL ALTER RESIDENTIAL 0
Additional desc y
Permit pin number 186908 J
Permit Fee 86.50 Plan Check Fee .00
Issue Date 6/02/11 Valuation 0
Expiration Date 11/29/11
Qty Unit Charge Per Extension
1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 U
5.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 13.00
Fee summary Charged Paid Credited Due
Permit Fee Total 86.50 86.50 .00 .00
Plan Check Total .00 .00 .00 .00
c...,
Grand Total 86.50 86.50 .00 .00
1 4
r
'c'.1:\
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE �,�J
ROUGH IN lbilif 0 r
FINAL 311q) 12 4Q va
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
r 4.
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
oFQOATaN�F ELF CT CALF IIHSP CT O
N WINING 'REPORT
417 -473 x
k "oRrcs e``
DATE: 6 i, PERMIT INSPECTOR
9
OWN EE R 16
2-1S.- N ilA.) V I e zSZ 1
CONTRACTOR
ADDRESS
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
.)?1 chzpir RD v EJ> t/411
R P K DROP: DK
X44 C 4'r -1 ado
N.,t C tz.D LJ ti ;n j D ,20( Q
NOTIFY INSPECTOR WHEN CORRECTIONS N4f 2
ARE COMPLETED WITHIN 15 DAYS
OF pORT q ELECTRICAL INSPECTION
WIRING REPORT
U N
�oR ��yr 417 -4735
DATE
Z PERMIT INSPECTOR
IG Z�
OWN �"R/CON ACTOR
ADDRESS
ZOO Z 5 2 L)
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED: S1-AN agAv n P
Tz 74 L 1. 0rw_14(
,C FU Vrzz):TeT Go thq 17 f '1
J 64 s`rp I I_ A LL Gv
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
oFPORTg ELECTRICAL INSPECTION
U ihai ,v,
WIRING REPORT
■11111/ 417 -4735
O z7.4 PERMIT -65147 INSP
OWNER/CONTRACTOR
2JV rL
ADDRESS
Zo Z S 1v rzt.
APPROVED NOT APPROVED
DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
,64 SA
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
:fp) ECE1' EL 0
CITY OF PORT ANGELES PERMIT APPLICATION �t u\
Building Division/Electrical Inspections 1 JUN 2011 ,S
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 9836
Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL
INSPECTIONS
Date: C, 1`I
1 Si gle Family Dwelling Multi- Family.or Commercial* Commercial Addition /.Alteration Remodel Repair*
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: Z ZL1vAn
Building Square Footage:
Description of above ..al_
Owner Inform. ..n Contractor Information
Name: Name:
Mail ddre La PM :fp.. Mailing Address:
City: -Do State: Zip: c7 City: State: Zip:
Phone: 4►._4i ax: Phone: Fax:
License #1 Exp. 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 /Feede•601 -1000 Amp. 262.20.
Service /Feeder over 1000 Amp. 372.50
Branch Circuit VW Service Feeder 2.60
Branch Circuit W/O Service Feeder 73.50 1 -?-S .-,-9
Each.AdditionalBranch Circuit 2.60 -J $_1.3
Temp. Service /'Feeder 200 Amp. 92.70
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder401 -600 Amp. 148.70
Temp. Service /Feede•601 -1000 Amp 167.90
Portal to'Portal Hourly 95.90
Sign /Outline Lighting 88.20.
Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90
Note: $5.00 for each additional 1500 sf
Signal Circuit/;Limited Energy,-'1•& 2Family Dwelling 63.90
Signal Circuit% Limited- Energy 'Multi Family Dwelling 63.90
Manufactured Home Cbnnection 119.90
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat .56.00
NEWCONSTRUCTIONONLY:
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 tA- )Total
Owner as defined by RCW.19.28.261: (1) 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 said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby 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 compliance with the electrical laws, N.E.C., RCW. Chapter 19.28 WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Co., Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature'Gf i -r, el- trcal contractor or electrical administrator: Cash Check
\Credit Card
X Dated: -2( I 01(01!2010
L
~.O"'
^'~
""..
L~
~
.....;;;>'
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
BUILDING PERMIT
PERMIT NO:
13772
ISSUED: 10/11/2002
PROPERTY LOCATION
2802 LAUREL S
Lot: 3
Block:
Subdivision:
Parcel No:
OWNER/APPLICANT
RAY GRUVER
2802 SO. LAUREL
Port Angeles, WA 98362
360/452-7953
T:
D Long Legal
ALDERWOOD ACRE TRACTS
063016500600000
S:
CONTRACTOR
KEN'S CUSTOM CONTRACTING
P.O. BOX 2261
Port Angeles, WA 98362
360/452-4856
PROJECT INFO
Project Value: $4,000.00
Project Type: FLOOR REPAIR
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
NIA
, 98360-0000
3601000-0000
SFD Units: 0
SFD SO FT: 0
MFD Units: 0
MFD SO FT: 0
Commercial:
Industrial:
Garage:
o
o
o
N
'8
rJ
\j\
I:
PROJECT NOTES
REPLACE ROTTED FLOOR JOIST & RIM
r-
~
~
"'1
l'"
RECEIPT#9809
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$97.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Misc Fee 1:
Misc Fee 2:
Misc Fee 3:
$0.00
$0.00
$0.00
-
$101.75
$101.75
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
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, orif 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. '
,
............-- r
ignature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEP ARA IE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW /WATER
AIR SEAL
WALLS I I I
CEILING T T I
FRAMING
JOISTS I GIRDERS ,€. l')",,;r JU-Z 1- DG. LEH
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
I-BAR
INSULATION
SLAB I I
WALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SErA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4]7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW. / PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNlNG DEPT.
BUILDlNG 417-4815 la-ct,oz I J,Ezt BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
of pORT ~
~
~"'~
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Gate Ree.: /t>~/I-C7:
Permit #: I::$' 7 7 z..
Date Approved:
Date Issued:
The Building Permit Application must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Applicant or Agent: f< (! _ CO" tt,.,-"e +/ v1 ~
Owner: K.n i J-- t:. "i"" / r'7V' (^ -.j c- J/
) , l
::s Lc"" '"~
Phone: CI "7:< ~ 1.( P'S-{:-y
Phone:
Address: ~ R (f) :-.2.
City:
~ vir A ';)_-'c: .~
Zip: 9<Fi 3C<,
Architect/Engineer: V
Contractor i< (~ \..'., '" ~,~ ~ tf" :)
Address: 'f-~ 0'. p,~)~, ~::t r;-,~ .
PROJECT ADDRESS: . 0 '0 - {
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Billing Address:
Credit Card It:
Phone: 11<):2 - 7 CY <'-0
License #:\l...Q..c(>.~~ Exp:l:(/ttl ~"."".?, Phone: ~S-:J -'IX!"}:
. . I)qoo I'Z....) . ().83 "
CIty: p..'/,i' ~X" r:" ZIp: -, 0 k,{
r>c , I 'c- I ,..:::- - . WNING:
Block: Subdivision:
Credit Card Holder Name:
City:
Exp. Date:
VISA
MC
TyPE OF WORK:
)K1. Residential 0 New Constr.
o Multi-family 0 Addition
o Commercial 0 Remodel
J( Repair
SIZEN ALUATION:
SF. @$ ISF. ~$
SF. @ $ ISF. ~ $
SF.@$ ISF.=$'
TOTAL VALUATION $ HOlY>
J:: N.,/\--) I.', ""1 +- Jo; c; I-~')
ORe-roof
o Move
o Demolition
o Sign
o Wood-stoye
o Garage
o Deck
o
BRIEF DESCRIPTION OF THE PROJECT:
Y\c f \~0 .->-
COMMERCIALIRESIDENTIAL: Occupancy Group:
Occupant Load:
. Construction Type:
%
Isq. ft. = TOTAL LOT COVERAGE:
APPROVALS: PLAN
BLDG.
DPW
FIRE
ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must befilled out completely to be acceptedfar
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
No. of Stories: ------... Lot Size:
Existing Lot Coverage:
PLANNING USE ONLY,
Notes:
% Lot Coverage:
Isq. ft. + Proposed Lot Coyerage:
Isq. ft.
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be reyised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building pennit application and construction plans are submitted. All other
pennit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, this 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, and I am authorized to apply for
this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain such. -/
Applicant~ :a ~ Date: /(1)-/ C) ..,-C)2.
T \FORMS\APPS\Bul1dingpenmt '"
KEN'S CUSTOM CONTRACTING
"We Listen To Your Needs"
P.O. Box 2261
PORT ANGELES, WA 98362
(360) 452.4856
1 f. \ .'
_/ ..i- "
JOB
,t'../ q /'
-, .{/ I", "
.. i
SHEET NO
OF
CALCULATED BY
DATE
"''''-.
CHECKED BY
DATE
SCALE
l,...O:>Q.~"'T " r:J /) ,I 2. G~-:::\'::, C L., I> 1,1
I_} F;A
~
.I
,
. .(1 I , / ~ (< r- "'l ^" r
.2 7 / . _...--'
~ _-=-~;Z: z:::r ~r--:Y-:--=;:C.::-:Z-:7Z'z:.Z__
J ; ~
,;' 0,..f,t~ E' I I
l{ ~I ':~
jL-} ~ f
--=r -
Of.'/.1-8.FiJ
tJ/
81 If
-0
/\, f
i ,,~.,
0.' "
-, -CO>
f
'\
Ii
FI'lO
. OLD I-{C)LO E'
II)
y
P L;t\/IJ~
, II
vCJ\LF I/~= I '-0
n..A~ ~
~;:~~;~C)
1-:- t "~..'
~ ~~ "-.' \',c(\<
>...... '." '1,
'\_::'~_ II "
( -"'---'"
v! r- ~ L ~. r ".J''''r';
I
4!i
,I
I
--t
..-
t~:::.i0TG
9- f>;-../.xQ,
~ A.. '_. b,L~_ \
..----.-...Jy AIL. 'h (!,luj
,,; l I ~
f-- .... _....
'J.;#
'.
DET,A/L i3
I I\' k
I p::,
Ar--L..
V
N r:9 Q ~,'/;..!.-E'
D~TAll_ A
N~ :5O-l'("r,::
R~Pt.A<C..C "I::UL-A.,.-.CJ>//
k-EPl.l'"",C", y- '1'./ Pij-1'T/ J:5i
A~ !'iE:CCE:I"0
PROOUCI104-' (Si~~11 SheelS: 205-1 (Paryd'o)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date / tJ ~ 2 1- 6 '?
Time
Received by
kV
(phone, person)
Location of Work to be inspected '2 8 6 2
Name of person requesting inspection
Address of person requesting inspection.
Type of Inspe' circle appropriate one):
S::, 4a liB /
<;60 <?:559
Phone No. 152 - -reS<S
Permit No. /:s- F 7 <..
}:i:;;U Sewer Excav. Other
Sewer
Chimney Plumbing
Time
By
/)
..,/-..,...,.
,/,
, .
Inspected: Date ) . .
Remarks:
.,
/-.
.......
/ .
.' /
t/
[
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
[] Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
f)
L~
-=-
~;;;>'
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSBSSOR PARCEL NUMBER:
Tenant nbr. name
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
03-00001192 Date 12/16/03
2802 S LAUREL ST
06-30-16-5-0-0600-0000-
TEAR OFFFELTCOMP
RE-ROOF
RS7 RESDNTL SINGLE FAMILY
1600
Owner
Contractor
GRUVER RAYMOND ALLEN
2802 S LAUREL ST
PORT ANGELES WA 983626909
ARMOR ROOFING
2524 RYAN DR
PORT ANGELES
(360) 452-3667
WA 98362
Permit BUILDING PERMIT NO PR FEE
Additional desc
Permit Fee 80.55 Plan Check Fee .00
Issue Date 12/16/03 Valuation 1600
Expiration Date 6/14/0'
Qty Unit Charge Per Extension
BASE FEE 47.00
11. 00 3.0500 HND BL-SOl-2K (3.05 PER C) 33.55
\\l
(5)
D
tJ.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
-~~-------------- ---------- ---------- ---------- ----------
Permit Fee Total 80.55 80.55 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 85.05 85.05 .00 .00
VI
\::
r
r
<,
(\I
,.-
Separate l'ermits 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, jf 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 1his 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.
Ra,. pJl! ~
Signature of Contractor or Authorized Agent
IZ/{(,,/d
Date
Signalure of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [11114/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
~POFlT~
W
L -=--
~
~
DU'LUIIVU ,.,~t'CNlII
ISSUED:
9/18/2002
PERMIT NO:
13724
OWNER/APPLICANT
RAY GRUVER
2802 SO. LAUREL
Port Angeles, WA 98362
360/452-7953
T:
PROPERTY LOCATION
2802 LAUREL S
Lot: 3
Block:
S:
Subdivision:
Parcel No:
D Long Legal
ALDERWOOD ACRE TRACTS
063016500600000
CONTRACTOR
ARMOR ROOFING
2524 RYAN DR
Port Angeles, WA 98362
360/452-3667
PROJECT INFO
Project Value: $6,000.00
Project Type: RE-ROOF
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
NIA
, 98360-0000
3601000-0000
SFD Units: 0 Commercial: 0
SFD SO FT: 0 Industriai: 0
Garage: 0
MFD Units: 0
MFD SO FT: 0
N
'ij)
o
~
~
PROJECT NOTES
TEAR OFF, SHEET, FELT, COMP
RECEIPT#9697
FEES ASSESSMENT
Buiiding Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$125.25
$0.00
$4.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
r
?
~
(1l
-
Misc Fee 1:
Misc Fee 2:
Misc Fee 3:
$0.00
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
$129.75
$129.75
$0.00
BALANCE DUE:
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 of180 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 10 violate or cancel the provisions of any state or local law regulating conslruction or the performance of
construction.
R~ fJ{00fA
Signature of Contractor or Authorized Agent
<t/I'if/D2-
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [4/2002]
c r -;"1
FEE R.:CEIPT NUMBER
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
000442
PERMIT NUMBER
.
/t.~. ~ ~ ~ lfoN/~
TOTAL FEE
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
SiteAddess ~,~ 0,,;1. S, LAvdl.__e.JL
\ \'7 /\ _ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
?D,,"I'iJ1~! I<'l\~l L"\1Z\W~ Installation By
Owner's>\ddress ) ,~~ ~ ~hp", {L\. Installers Address
Day Pho,e }j,rYJ -~\h.(\ Installers Phone
Applicat.on is hereby made for Permit to install Electrical Equipment as follows:
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 100A FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOL T8
OR LESS
CONVI NIENCE MOTOR
CONVI NIENCE MOTOR
APPLIt NeE MOTOR
DtSH\A. ASHER FIRE ALARMS
DISPO ;AL BURGLAR ALARM
RANGI MISC. It,PO
OVEN
WATEI HEATER
LAUN[ RY
DRYEF REINSTALLATION LIGHT FIXTURE #
Fi::i'R'NjCE SUB TOTAL FEE
GAS- )IL
FURNJ CE ENERGY FEE
ElEC,. 1"IC BASIC FEE
ELECT 1"IC HEAT Ib.V'''"'
TOTAL FEE
ELECT :HC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.UJIT -&UP PHASE
FEEDE 1" SIZE OF ~RVICE EN~NCE CONDUCTORS
-'
SERViI :E \ A.W.G.
I SUB-TOTAL SIZE OF GROUND ~DFE TRANCE SWITCH
I certify that the work to be performed under ~hiS permit will be done by the i~ller ~~f ~ with thp N.E.C. Electrical Code.
Date Application made J 0 I i~ ,1g[f By 7/Yih ~^ A
I CONt \ACT~R OR OW~R ( AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereo t2~cording to t roved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port A s.
.
~~CITYLIGHT
Date Pe'mit Issued d' r--- pBLY'" .
[) J AN A PROVED
/ C ... f 7 ,,.- Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
jWAi~NING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD . Inspector's Report
OLYMPIC PRINTERS, INC.
-'. ,. . ~ -
r j. f
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
10-( $-1 r- /J!,f'J (II( My () fll/'1 / ",v 1'/1 c cdr!?,,.; 6- 1",7/(,5 l/evJ<e
/S )fJ~,- U/1 T-< I}NIf' /J1/ReO AcCoRj?uJl6-- /6
f~"tI,4IL IA/~' (!oIJp A, 1fllt/e or> //,ut f oS'
II? eu.Jt j( (> <f- 1#/7/1) L e . /ff.5'7d/,.,//'""
J/(f (/f'(t!OM reI{ r-+PI.t:. /1h rJ.. TAu As 1</ R.. .
Ir.: I? ()frll ~ ;!/ouJ 5AY<, H~ r5 /VaT o(,l//'I'f71\ h'q-;-
t-Io I? II Ov' C- /D I?q'" r /leNT ,r"f'L Mv,eG;C
Of( (',r)" 51 ~u L {) I?" j/'II~/c> ,ro~ /lA/v /At.tI.Tr
Ir.(,q7 M ( If ^ r Ife r:'o/V'c feL-ell A / /pTA""
WITL L .s 0'" rl"ot4-r oil L'rel.l/V?J
O.K. FOR COVERING
O.K. TO CONNECT SERVICE
lo.((-n- It Ed FINAL O.K.
.
z
Cl
a:
<I:
::E
!!1
:J:
I-
Z
W
l-
.
l-
e
z
e
c
.