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Home My WebLink About1025 Madrona St - BuildingApplication Number 06 00001142 Date 10/17/06 Application pin number 089020 Property Address 1025 MADRONA ST ASSESSOR PARCEL NUMBER 06 30 08 5 8 1240 0000 Tenant nbr name COFFMAN RES Application type description FIREPLACE /INSERTS /FREESTANDING Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3300 Owner Contractor COFFMAN JONI 1025 MADRONA ST PORT ANGELES WA 98363 Permit MECHANICAL PERMIT Additional desc Permit pin number 89151 Permit Fee 50 00 Plan Check Fee 00 Issue Date 10/17/06 Valuation 0 Expiration Date 4/15/07 Qty Unit Charge Per Extension 1 00 50 0000 ECH ME WOOD BURNING APPL 50 00 Fee summary Charged Paid Credited Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Grand Total 50 00 50 00 00 00 Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned fora 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 thaN- 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 Sign of Contracto Author`1 Agent Date Signature of Owner (if owner is builder) Date T\Policies \I 102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 EVERWARM 257151 HWY101 PORT ANGELES (360) 452 3366 WA 98362 Due CALL 417 -4815 FOR BUILIDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 BUILDING PERMIT INSPECTION RECORD YES 1 NO FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT FIRE 417 -4653 I I I PLANNING DEPT 417 -4750 I 2Yf� j 0I� 1 IZ 11 I PLANNING DEPT BUILDING 417 -4815 I 1 I I I BUILDING T- \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] DATE ACCEPTED BY. DATE ACCEPTED BY. I I I 1 I I I I I Applicant or Agent: ITY CR or4'e/L( Owner LJ U 12l (r) Address. O S AA a cfr Ct City Architect/Engineer PROJECT ADDRESS LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. E OF WORK. Residential New Constr Multi- family Addition Commercial Remodel COMMERCIAL/RESIDENTIAL. Occupancy Group. No of Stones: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION 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 PERMITS (360) 417 -4815 FAX(360)417 -4711 bV Contractor .a/ w /J- 7 ,t.. State License Oeck r, J Address: S 7 57 t1 0 City PC._ Zip 1 ZONING Block: Re -roof Stove Move Garage Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PR CT t e Z. S (P-! o P ,f J2 of r o02 n v ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other. T•1FORMS\B1dgPermitform.wpd Applicant: �ir� Phone: 1 7 7 .512 3 3 Phone 7 g, O P OL.- Zip Phone: yy. ExpE''/ 7 7 Phone:` Subdivision. SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION 3 a O, c 36 r V.l. -,n 1 (j n r J S `f r a Date: FOR OFFICIAL SE ONLY Date Rec. Permit f/ /c 2 Date Approved: Jo /ti /0-6 Date Issued: O /l7 MO /C/7raj Occupant Load. Construction Type Proposed Sq. Ft. TOTAL Sq. Ft. APPROVALS PLAN BLDG DPWU FIRE. OTHER 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 If no 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 R105.3.2 of the International Building/Residential Code, 2003). 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. l 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. 9-Y\ J o L PROPOSAL SUBMITTED TO o k t STREET 0 2s i L TT E�,j�/'/ o r COLOR v GLASS I LEG/PED KIT Cl PAYMENT TO BE MADE AS FOLLOWS ll 0t Lb/ l 3 /l/ 08 4 Everwarm HEARTH HOME www.everwarmhh.com b 1 bb 5 5 51 z'-ipo SPECIAL INSTRUCTIONS Page_._ _011 257151 Hwy. 101 Port Angeles, WA 98362 (360) 452 -3366 FAX. 452 -3367 1- 800 750 -7868 TIN I JOB NAME i JOB LOCATION I BLOWER gr; S 14 0 v6,1,. RcK 106V-Icau-P, cAktg- latbar e" rA� tS 4v1S(n��iT j+R 1 C.of-v l ate], PERMIT REQUIRED HOMEOWNER PHONE 17.4396 I FAX a. e-ex) ,D vt r 1 1 eo,t c7"t/t1(AJA 1, I IN ST ALLED WILL -CALL PRICE EVERWARM 112 SUBTOTAL TAX WOOD BURNING APPLIANCE FEE TOTAL DEPOSIT i DATE 3 3 5 ?T 34oloo 9 32,5 277i 30 BALANCE r. o 1 /3 01..-OAS I C.- alt I a ktkigaN- b• L 0 AN material is guaranteed to be as specifie .All work to be completed in a workmanlike manner Authorized Signature I A according to standard practices. Any alteration or deviation from above specifications inJorving extra costs will be executed only upon kitten orders, and will become an extra charge over and above the Note: This proposal may be withdrawn by us if not accifd within estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tomado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. Signature Acceptance of Proposal. The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specifiec Payment will be made as outlined above. I agree to pay attomey's.fees, court costs and any other collections costs in the event collection becomes necessary Date of Acceptance Please return white copy, signed, when accepting•this bid. days. s- 8818 DELIVERED EXT. 00 0 1- S. ~ORT ~ $~O~~~ ~ "-~ ~ 'ti~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 .~ '"" . .. . ~ 04-00000661 Date .717540 1025 MADRONA ST 06-30-08-5-8-1240-0000- ELECTRICAL ONLY 7/26/04 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY o Owner Contractor COFFMAN JONI 1025 MADRONA ST PORT ANGELES OWNER WA 98363 Permit Additional desc Permit Fee Issue Date Expiration Date EL-RM-SERVICE & OR FEEDER 78.70 7/26/04 1/23/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 78.7000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 78.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00 .00 ~ \) ~ ~ ~ <: ~ ~ 'l Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~ Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] Hl . .&. , - BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ~-1 ~ be II< ROUGH-IN I Q- ~ 2.. -o<fJ I 14.-UJ PLUMBING , UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL . LIGHT DEPT. 417-4735 .~Io~ krJ ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ , CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] / I ~ '. .. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ~ ,ORT ~ tO~~~ ,. ....~ ~ 'l,\1C~ 03-00000870 Date 2/26/04 Application Number pin number . . " .4047 Property Address ASSESSOR PARCEL NUMBER: Tenant nbr. name Application description Subdivision Name Property Use property Zoning . . . Application valuation 1025 MADRONA ST 06-30-08-5-8-1240-0000- RENEWAL OF PERMIT#13292 RES ADDITION RS7 RESDNTL SINGLE FAMILY 500 Owner Contractor COFFMAN JONI 1025 MADRONA ST PORT ANGELES OWNER WA 98363 Structure Information Construction Type Occupancy Type Other struct info ADDNT PERMIT RENEWAL TYPE V NON-RATED SINGLE FAM & CONGREGATES 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 5.50 V-N 2.00 853.00 21000.00 311. 00 1164.00 1.00 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation 51. 90 2/26/04 8/24/04 .00 o Qty 1.00 1.00 Unit Charge Per 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS 5.2000 ECH EL-R OR RM ALT ADDNT CIRCUITS Extension 46.70 5.20 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 51.90 51. 90 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 56.40 56.40 .00 .00 ~ ~ ~ ~ ~ ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with ~hether specified herein or not. The granting of a permit does not presume to g,iye authority to violate or cancel the provisions of any state or locat law regulating construction or the performance of con_s!~l!.cJLdJi. = ~ _ _. 2- .-2-'1'<-0 r Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\ 1102.15 [11114/2003] Date '---1 ;. .~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # '" ~ ROUGH-IN C)...~~ Y.L It' PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALVHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 /-';tJ.O~ Ikn ELECTRICAL LIGHT DEPT CONSTRUCTION RW./ PW/ CONSTRUCTION - RoW. ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\ 1102.15 [11114n003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32l EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000870 Date 9/05/03 Property Address ...... 1025 MADRONA ST ASSESSOR PARCEL NUMBER: 06-30-08-8-8-1240-0000- Tenant nbr, name ...... RENEWAL OF PERMIT#13292 Application description . . . RES ADDITION Subdivision Name ...... Property Zoning ....... Application valuation .... 500 Owner Contractor COFFMAN JONI OWNER 1025 MADRONA ST PORT ANOELES WA 98363 ...... Structure Information ADDNT PERMIT P. ENEWAL ..... Construction Type ..... TYPE V NON-RATED OcCupancy Type ...... SINGLE FAM & CONGREGATES Other struct info ..... NUMBER OF UNITS 1.00 Per.it ...... BUILDING PERMIT -RESIDENTIAL Additional desc . . Permit Fee .... 47.00 Plan Check Fee , . ,00 Issue Date .... 9/05/03 valuation .... 500 Expiration Date . . 3/04/04 Qty Unit Charge Per Extension BASE FEE 47,00 ......... STATE SURCHARGE 4.5 0 Other Fees Fee summary Charged Paid Credited Due Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 ,00 Gr~d Total 51.5o 81.5o .oo .oo Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be tree and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date .~-----~nature of .~1~ (if owner is builder) ~7 Date T:\PLANNING\FOKMS\ 1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~'.)'~/~2'5/ Time cO//:/,~ /~)'J~]Receivedby ~-<--'- · ~ · ~_~/ arson) Location of Work to be inspected t/O ~/~L_~ J/}]~ d-I ~ ~ Name of person requesting inspection Address of person requesting inspection ? _~ ~ //J~ ~ ~, Phone No. Type of Inspection (circle appropriate one): Permit No. ~7-~- ~<~-) Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other /~2 INSPECTION NOTF_~S: /' .~' Inspected:Date ~/]/~[[~,J Time Remarks: ~l~ ~l RESTORATION REQUIRED ...... YES NO ~ SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I~Asphalt ~-IPCC [~Other [] Repaired by City Work Order # I--} Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DWISION ~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 3/20/2002 PERMIT NO: 13292 OWNER/APPLICANT PROPERTY LOCATION JONI COFFMAN 1025 MADRONA 1025 MADRONA STREET Lot: 14 Port Angeles, WA 98362 Block: 12 [] Long Legal 360/417-8960 Subdivision: PENN PARK ADD T: S: Parcel No: 063008581240000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $500.00 SFD Units: 0 Commercial: 0 Project Type: ADDITION SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES FRAME EXTERIOR WALLS ON ADDITATION RECEIPTg8849 FEES ASSESSMENT Building Permit: $23.50 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 pedod 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 aws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not )resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the pertormance of :onstruction. Signature of Contractor or Authorized Agent Date .--"S~gnat~'e of ~ner is builder) Date BUILDING PERMIT- APPLICATION ! I App~t~orAg~:~~,' ~'~-~,~-~ ~ne:~ ~'~ O~ ~.~.' ~., ~ (~,~ .... Pho~: " " ~M~n~: ~[ ~ Phone: Zip: ~E OF WO~: . ~UA~ON: n Mu~-~y ~ ~ ~ Mo~ n G~e ~. ~ ~ ~. - ~. CO~R~E~ ~ ~: . ~pnt ~ C~on ~: No. of S~n: / .. ~S~: ~. . %~-~e: ' P~G ~g O~Y: ~ROV~: P~ M~. Hei~, ~: . ,,,~ ~ ~ ~: , . DPW Site Pin ~ U~ A~d ~: . , , . Da2: ~ Bufl~g Div~i~ ~ ~vi~ you w~ mom dmil~d ~ on ~ ~p~ ~d p~ ~bmi~ ~m~ ~ ~ON ~.-~ V~p~ ~',~ (~ ~=) ~ b~d~ p~ ~ m ~ mbmi~ m ~ B~ D~io~ · P~ c~ ~: Y~ pA ~ ~ ~ ~ ~ t~ ~e t~ ~il~ mit ppli~fi~ ~d ~on p~ o~ ~it fe~ ~ d~ ~ ~e ~e of~t ~u~ce. 1~. ~e BuiMhg ~c~ ~ ~ ~ ~e f~ ~n ~ ~e ~tup M 180 da~, on ~ ~u~ Section 1~.4 of~e Uni~ BuJldhg ~ ~t ~). No ~ii~on ~ ~ ~ m~ ~ ~ce. I ~by ~ t~t I ~ ~ ~ ~ tAb ~pl~tiofl ~ ~ t~ ~ to ~ ~ ~ c~ ~ 1 ~ ~h~d to ~y for thb ~it. I ~ It ~ not t~ C~ i~ ~ll~ to ~t~i~ ~ ~iu ~ ~i~; it ~im r~po~ibili~ to ~t~mi~ w~t ~rmi~ ~ ~ ~ to obMin s~k · PW-I I ~13l~] Appli~~ ~:~ DEPARTMENT OF PUBI2C WOR~8, B~LDING DIVI~ON 4for ~ on ~ t~ ~ ~ For ~ ! I , 24X33 36X24 8 W/HO/SG : 50X33 2X6 24 OC W/PW/SG A2 528 SF 23X33 84~ Total SF ~0 72X48 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. und.ation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date Time By Remarks: /?~4_~O~ -~=--~--~,~-L~ ,-~7~,) //~. ~'~ ~ ~_',,~.~_~ ..:~_~:~_- _~._ c,~-~- :___ , RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel r-]Asphalt I--JPCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) Clallam County Department of Community Development DIRECTOR, Bob Martin 223 I~ast 4~h Street, Suite 5 Building Division/Fire Marshal Port Angeles, WA 98362-3015 Environmental Health Division 360.417.2321 Fax: 360.417.2443 Planning Division E-mail: development@co.clallam.wa.us Natural Resources Division April 24, 2003 Joni Coffman 1025 W. Madrona Street ~J Port Angeles WA 98362 "/\ Re: 1025 W. Madrona Street Tax Parcel number: 063008-581240 Dear Ms. Coffman: On April 18, 2003 Clallam County Environmental Health investigated a report of surfacing sewage at your property located at 1025 W. Madrona Street. The surfacing sewage was located at the cleanout for the sewer line at the front of the home. Please be aware that the risks associated with the presence of surfacing sewage make it detrimental to public health. Sewage effluent contains high concentrations of infectious material that can cause serious illness. Clallam County Health Regulation (CCHR) 4.030 states "Sewage from any on-site system (or sewer line) shall not be discharged to surface water or upon the surface of the ground". Thank you for contacting me by phone on Friday, April 18. During our conversation you stated that you had the sewer line looked at recently because you had been having problems and that you are intending to replace the entire sewer line on your property. I requested that until the line is repaired you place a barricade around the surfacing sewage to keep humans and animals from coming into contact with it. Your sewer line must be repaired as soon as possible. On April 24, 2003 you called me and said you will hire someone to fix the line. Thank you for your cooperation. Until the repair is completed you must take the steps necessary to minimize the risks to you and your neighbors by lessening the amount of wastewater coming from the home. You may accomplish this by getting a sanican placed on your property to handle the blackwater from the home and by avoiding using the shower, bath, the washing machine or the dishwasher. Please contact me by May 2, 2003 so we may discuss whether the steps you are taking are working and the timeline you need for repairing your sewer line. You may reach me at (360) 417-2593. ";'''~'(' ~ ~ORT ~ A~O~,,:~ ~Riii ~ 'L ~ ~ 'l.,i",W5id'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000661 Date .717540 1025 MADRONA ST 06-30-08-5-8-1240-0000- ELECTRICAL ONLY 10/14/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor COFFMAN JONI 1025 MADRONA ST PORT ANGELES OWNER WA 98363 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL GARAGE FEEDER 66.90 Plan Check Fee 10/14/04 valuation 4/13/05 .00 o '~ ~ l\ Qty Unit Charge Per 1.00 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 ~ )~ ~ " ~~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 t~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102..15 [11/1412003] .... .. BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT.. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R..W../ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT.. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\11 02..15 [I 1114/2003] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 17656 /d ~.2? F/ Port Angeles, Washlngton..___u_u.uu___.____.________.____...___.m.._m,___., 19___00___ I, In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission is hereby granted to.}16 electrical work as listed below. - j,/~ r Address ..,./.~___?u:?___m~il1C"d2:("'t?.7.::t""'~",.,u________uuu"u Occupancy._____c.?::~~,..nnu,,__.__..u___.u ~::~~::~~:~~~'::;:::~;.;:::::::E~;J?::~.:.~~:~~~;:::',:::::::::...,.:...~::::::::::=::::::::::::::::::::::::::::::::::::::: ~ight Outlets........___...................._.._m_ Service, volts fr2..Q..L-P::.7:.~.. Type of Wiring: Jeceptacle Outlets............................... No. wires __~?.....~........___....~...... Armored Cable ....h..h_...h............_ D'ye,. KW ______...00___00.........___'00...00______ Size WireS1.?fj...?!..."!..;;......... Non.Metalllc ................................. 2: .GO / 'f\ Knob & Tube........................n....... Range, KW..._.....___...__.......__... Main fuse ....~..~h~.....__m...____hh... S Enclosure ..............................._....... Water Heater: KW.__u..uuuu___UU___u.___..u Type of wiring: Entrance Cable __h__......h.._m......... Heat: KW..........................................__ Motors: size, volts and phase: RigId Conduit ....h..........._........_.... Metallic Tubing ..._....................... Current transtormers: No. & Size...__....h...__...h__.____........h. Ser. NO.......___...__...h..._h..h_______......... Ser. No. ......______.._...h..........._.....__...... Ser. No.........._................................... RIgid Conduit ............___................ Metallic Tubing .....___0000___............ Raceway ......................._......__..._ Circuits, Light.....................__................ Utility....uu___.....uu___...______............. Heat ......................................._...... Range .......................______........h..__.. Water Heater ......................__....... Motor ....h_........h__.__.......h.............. Dryer.................................................. Furnace .....h..................____......h_....... Total I..oad__n.__.......n............. Ser. NO.______....h....._.............__.......hn Total .....__....____......__.........h..... Remarks: __....d__"~,,,l..~f!,,:~_____'u___u~~~.,;.::_::::?:-::::.u.___uu___..___..uu___,__.___.___.___u__mU___'U_______' - ;' n.....nuu_..nu.__..uh._._.h_.nh.._.nn.nnnnnnn.n.nn.n.nnnnn.uun.nu.nuun..u..........U..nn_nnn.n.nnn.n.nunuun.ununnn ;~.=.~~__~::~.u~,..,'_...~..~~~'.~m--'--u::~~.~:...~~.~:~.~~~~~~~~~:------.---m---u~:--:~}E~5.t~;t~:z~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION / / ELECTRICAL PERMIT / N~ 1 7656 Address........................................................................................_........__.....................................Date..._......_.._.._.._.........._......_......_......... OW'11er.............................._...._.....__.._......_......__._............................._......................_......Tenant................................._..............._.................. Wiring Contractor _.................................._.._._....._.......__.._............................._........_...................... By...._......................................................... /, NOTICE-Current must not be turned on until Certtncate of Inspection has been issued. It work is to be con. c.eaJed due notice must be given the Inspector so that work may betmspected betore concealment. .' '\1 '-. , . 1M Olympic Printers, Inc. ELECTRICAL PERMIT APPLICATION CD".."F".....'........us_.c.."l ~ 'I lJale)Kn.. ,_.,___._~. h::""'L~ _.___.____.___ ]).le A))I,.,)~"d ~_____~__ [)"I~is,ucJ________~_ The Electrical Permit Application must be filled out completely. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 -glee ContraetorAgent ~v,' _ &ff/77/?N Properly Owner .--:::::ro N , , C C) F-\=.-?""7 <'9-~ , _ ~~ S/ Address: ./O;J _ ') . .A.fJ "'1- - City: ~ c_J:( Ce-(/ Yh/-JoJ:3 Fax Phone: Phone: EJeclrica! Contractor: ~ '~#7t'/e5 License # Zip P-g-3 C_~ Exp: Phone: Address: , City Zip: INSTAllATION WIRED BY: ~WNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: () ~ \ Credit Card Number: Exp, Date: VISA: Me: PROJECT ADDRESS: ((() ). ') - /7l ~ll.df1/ .q 51 6" lS' TYPE OF WORK: Check .<ill that appty: DNew D Alteration/Addition -- D Residential D Multi-family D Commercial D Mobile Home Sq. Ft o Remote Meter ~etached garage 0 Hot Tub 0 Swim Pool D.Septic Pump D Low Voltage D Telecom. D Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: tfZ e. P' 4c z , '/ j(/lJd6 0/- ru6e /I / 4?4'Vt! V' ( , }Ns-'c1... c>~ Of /hJLty ~ {/ ::Iectrical Heat Load Additions and or Subtractions Service Information J Baseboard ] Furnace ] Heat Pump J Fan-Wall _KW KW TON LRA KW o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 D 3 Service Size: Feeder Size: hereby cenily that I have read and examined this application and know that same to be true and correct, and / am wthorized to apply lor this permit. I understand it is not the City's lega/ responsibility to determine what permits lre required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: ~;"c:~ ' ERMIT FEE: :/ELE CTR I CAlPE RMIT APPLI CATION Date: ______Date: 10 -/y'-V 1. ,. c;tD $ (Q(() , ( ? Ie ;f-J <- ... ,'- IEILIEC1~~CAI ~NSfP>IEC1~O~ W~fR~~G IRlEI?O~'if' 417-4735 INSPECTOR /fee> OiUtV 4.IC-. ADDRESS t>.1. ~ r?1~~NA APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER.... ..... .. ... 0 o .................. SERVICE .................. 0 o ............. (f) . . . FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: I 't~/'I-P 15U:SJI/Nb ~O.e n,L Ztf &s JVI//~ . fE ..$;::: =~O:f~~:~CDoWN .-OL P/t1<;1.t.l- r!/) OL. - ~)C t$) & '''C{ @ /'1t-. " W/~. /. I t.lfr k-f.~...pr IN IN ~~ ~L. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PR1NTERS,INC. (360) 452.1381 ~, , ELECTRICAL PERMIT APPLICATION FOR OFFtClAL USE ONLY DaleJRec Permit # DJlleApproved Dale Issued " The Electrical Permit Application must be filted out completelv. ,- ~VJ Q \-: 0. ~1t' t\ Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 tJ3-870 Owner or Elec. Contractor Agent: Property Owner: .-=r-:e) /V ' T;-v I & ft=--->?4<-J CD ff~/;z-,,--, S,r< City: ~<~7 /,f/O~-e<4J I Phone: 1(; 1-,7CJ'1 j Fax: Phone: Lj 0/ '; 09<, t--v/7 Zip ~3c r License #; Exp: Phone: Address: City: Zip: / INSTAllATION WIRED BY: )NJWNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA:_ MC: PROJECT ADDRESS: 54/"'i c- /17 Z~ /1?/1O;tC&N-4 6G TYPE OF WORK: Check all that apply: 0 New ~teration/Addition ~ Residential 0 Multi-family o Remote Meter 0 Detached garage Number of Circuits added or altered: 5 o Commercial 0 Mobile Home Sq, Ft 7b<f~ o Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. DSign A)u.u-- , ~..( (>A:/"~ / U Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o Heat Pump '54:E..an-Wall KW KW TON LRA ~W- o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size:JOO '!!:::f Feeder Size: I hereby certify that I have read and examined this application and know that 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 applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: CJt:. ~J Owner Or Elec. Cont. Signature: Date: Ol/l6/tJ..? Jt '~:5 , 41v~ t. f}/t7 ~:IElECTRICAlPERMITAPPLlCATlON J I ~/J 1~'Zt,d 7 7986 ~ PERMIT FEE: ~ rh j ~/, 10 r .J- . t r:;C/ r "'7-/J q> 51.90