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Home My WebLink About1830 Woodhaven Ln - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC.DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000934 Date 7/24/12 Application pin number 130678 Property Address 1830 WOODHAVEN LN q ASSESSOR PARCEL NUMBER: 06- 30- 14 -1 -4- 9160 -0000- REPORT SALES TAX Application type description RE -ROOF on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 17989 Application desc TEAR OFF REROOF Owner Contractor BENSEN DEAN A WESSEL CONSTRUCTION 1830 E WOODHAVEN LN 699 DRAPER RD. PORT ANGELES WA 983629343 PORT ANGELES WA 98362 I .'3 l (360) 457 -8544 1 t a F Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF REROOF Permit Fee 319.75 Plan Check Fee .00 Issue Date 7/24/12 Valuation 17989 Expiration Date 1/20/13 Qty Unit Charge Per Extension BASE FEE 95.75 16.00 14.0000 THOU BL- 2001 -25K (14 PER K) 224.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 319.75 319.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 324.25 324.25 .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 0 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 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: N 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 -�J Building 417 -4815 ,-3- I a v `-L.J T•Pnrmc /Ri iilriinn rlivisinn /Riiildino Permit Vl H M W a s a 0 co r 0 O O N 0 0 O 6 a u W x H 41 41 F O z z W x W o x O x O a E HQ cnaa 0 z E n Z z M z oa a 0o E. u z N O F W W W H (n Z a s E oo W co 0 01 z ,0 H H W O O a l0 0 0 W v H M d' U a HE W s.1Z 0 0 (0 o z C0 q rna o 1 0 a a W 0 0 O 0 E z H o O F up a c wawa amu i am H �9 W (n Q o 0H 0 H a m OUq ao Gl (r) 0 H o �l W 3 z i O H 0 W a W (.1 o o .7 W W N N W o (J) V) M o W E E 0 0 MUIZ (J) W z 00 W W (0 N 001,_ M M a 0 '3 Cr 0001 O o d E 0WO c co o a 0 (0 0 o •o -o Z a 0 0.l XI Q F. W w (.0 a (X O (n 3 z F 0 0 w r a 0 a u a m N <U 000 0 E. .a T.H.TE RT CITY OF NGELE For City Use o° M Permit# la F 0 W A S H I N G T O N U.S. 0 b, m Date Received: 1' 1? °;:l 321 East 5`h Street om Port Angeles, WA 98362 Date Approved: 3-24.12_ N P: 360- 417 -4817 F: 360- 417 -4711 HILL.- i hcatuzo @cityofpa.us Building Permit Application Project Address: I 0e) cl- arve-A- L Main Contact: Da Vre� Weee/l Phon 4Do 8535 Property Name Phone Owner Mr 4C M rrs f.�a-�. ,v► .s 7 c 1 7 I In 5 Mailing Address Email I 30 W 0 013 k -w-t L,a City State Zip R 01 �c T Ai A3 e—( .s kA) x..11_ g _.14= Contractor Name Phone -J s sef c -ts4 Li s Mailing Address Email Q 0 gnx I 11-- City State Zip Po Lc, 4 c--- w a W A- e=7 a g c, 2 Contractor License Expiration: VJ �isl✓Llo 9 "o0"15 Project Value: Zoning: Tax Parcel Lot c el 0:1 0(o3014 I4 t Co' 0 Type of Residential Commercial Industrial Public Permit Demolition Fire Repair Reroof tear o /lay over) igi For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes No Project Description 1 ca af-r ztc:i <4;v< �o e v,. tat\ 0W-e� +--c�,, 6. 3c�i ul S I:11A WrhA .5• K 5�; vt 4 S ii5 h a-; tS I have read and completed the application 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 projects. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date Print Name Signature 7 24—+2- a- -.,r T tnie -5r2__\ C;3-- Irr,,,,,,—:1-1 '4471Inifti171. ,...r. 5 1-4... l' 4, ,0 a k �t t ?'-"t" i 7 G. s" 3 1 a 1 3 1 Li wR S:+r' ET* e'� F t *ad" k L-H jf X 3s,�fs,Y` 8 'A f y, S A ,y `ate 2„, G JL I: b t t a 'i r E C{ It 1 J lJ f y d tJ p 3 a .1t4 l Pi ij ",.:',4: i e A_. y s... L 3 k f }4i y "a lJv 1 r s x j e y r t te a .'.4.11=`'...i1-• v r •,..-',1:-....':L•7•'.'.„!•€- 1} t a.4.,..,.".--!..;L: t. a t 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc H/P INSTALLATION Owner BENSEN DEAN A 1830 E WOODHAVEN LN PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total T Forms /Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983629343 MECHANICAL PERMIT HEAT PUMP 137232 64 80 Plan Check Fee 00 10/31/08 Valuation 0 4/29/09 Per 14 8000 ECH Charged 64 80 00 64 80 08 00001383 938400 1830 WOODHAVEN LN 06 30 14 1 4 9160 0000 DEAN BENSON MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 8280 BASE FEE ME INSTALL Contractor OWNER 100- FAU Paid Credited 64 80 00 64 80 00 00 00 Date 10/31/08 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 Cl Die Print Name Signature of Contractor or Authori etrt,Agent Signature of Owner (if owner is builder) Extension 50 00 14 80 Due 00 00 00 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 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 T.Forms /Building Division /Building Permit 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 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. I FINAL Date: Accepted by FINAL Date: Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE RESIDENTIAL DATE Accepted By Commercial Date Accepted By Electrical 417 -4735 I I (Electrical I Construction R.W Construction R.W PW Engineering 417 -4807 PW Engineering Fire 417 -4653 I I I Fire I I Planning 417 -4750 I A I !Planning I I Building 417 -4815 I �XOi IrP, 1 I I—Z� —')6 Building I I cx� ILF 09 L 09 pv Q 3 Applicant or Agent 1 tx) r2 cotivtari Phone Owner Jo ef) J J Phone Owner's Address P 7 -F, t kJ rW1a win i/l Contractor /Engineer A-11 1 JU 9 rx) Phone Contractor /Engineer's Address License At LLi.0 eu) i-I(,1 ILt PROJECT ADDRESS p o whoa L.a v,,r Parcel Number 0(p ,o1 j L4O t (11O)(y -ei Lot Protect Type Brief Description. Check a» Thal apply New Constraatiorl.: a Addition a Remodel a Repair a Re -roof n Demolition o Sign '1> -leat System Other Floor Areas Basement 1 Floor 2' Floor 3` Floor Garage Carport Covered Porch Deck Shed Other otal footprint of structures sq ft. Lot size lax. height of proposed structures Viii a lawn sprinkler system be installed? Jill a fire sprinkler system be installed? BUILDING PERMI T CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 r Residential a Commercial o Multi- family H P on a wall mounted a projecting a freestanding a awning other Total sign area sq. ft. Maximum allowed sign area sq ft. 'Heat pump a wood burning stove a gas fireplace o pellet stove other Existing (stkft.) proposed (sq. ft.) ft. Occupancy group Occupant load Construction type APPLICATION Print in ink Expires S 277 J For City Use Only' Date Rec ved IO._3 I -D g Permit J R trz Date Approvedyn 21_7) (3 1.-3 I- -fl°I Zoning per sq. ft. of bedrooms of full baths of half baths o Industrial TOTAL VALUATION c aQ L/ l sq. ft. Lot coverage have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and iderstand that it is my responsibility to determine what permits are required, and to obtain permits prior to .yorkrng on Print Name /i g2IT/_ uilding Division /Bldg PerrnitAppl -2006 Code doc E69.90 90 OC PO Application Number 08 00001381 Date 11/03/08 Application pin number 491649 Property Address 1830 WOODHAVEN LN ASSESSOR PARCEL NUMBER 06 30 14 1 4 9160 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T stat new furnace no load change Owner Contractor BENSEN DEAN A 1830 E WOODHAVEN LN PORT ANGELES WA 983629343 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 137208 Permit Fee 35 00 Plan Check Fee 00 Issue Date 11/03/08 Valuation 0 Expiration Date 5/02/09 Qty Unit Charge Per 1 00 35 0000 EC EL LOW VOLTAGE Fee summary Permit Fee Total Plan Check Total Grand Total Charged Paid Credited ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 35 00 35 00 00 00 00 00 35 00 35 00 00 Due Extension 35 00 00 00 00 r r IN SPECTIOI\ TYPE DITCH SERVICE ROUGH III FINAL COMMENTS: ELECTRICAL DATE RESULTS INSPECTOR Job wired by Electrical contractor name License number Date Expires Alt urc te a matting address 4 -tt1Qt Wit Ew kiwi MU O Purchaser a mailing address J 3oaL tt-e,rri p St. City State ZIP Qc Telephone. num FAX number 'Premises owner's name Address of inspection Ll am d t'taA2L 'i cit t'-f Phone number to sell inspection. '300- 1 45g-0=1305 Owner as defined /n RCW /9 28.261 (I) Owner will occupy the structure for two veers after this elech:cal permit ac lioaiiiecf. (2) Owner is required to lure an electrical contractor if above said property is far sale, rent or lease. 4Rer 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 instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.2S, VAC Chapter 296 -46B The City of Port Angelo., Municipal Code, and Utility Specilicatiors. (Si tire of owner, elect 'cal i cal.Load A.dditio p LOgp CHANGES Ba seboard KW Furnace KW 3 Heat Pump Ton LAR 0 Fan -Wall KW 7 Inspection Dale 0 Electrical Contractor tom►- 9$3(o. SA DAY.- ASRECTJON_, CAL BEEORE`7 -_4.'l 5 l °UUGH -IN FLNAL b 'trprovedBe 'tpprdNed tt i RECEIVED OCT 3 1 200 LECTRICAL WORK PERM IT APPLICATION HT DEVInstallation description Owt LJ r] Commercial Residential Date 7 DITCH Area, Building or Equipment Inspected 0 New ectricai admini train Expiration Date tractor or Date: O/lLfcard or_suktraotion Overhead Service Temp Service Underground Service THERMOSTAT A�xa ed ny Dine %ppr ed trt Date Date Altered/Addition L1/ i` l Cash 0 Check Credit Card Visa Mastercard Discover Card DIA Voltage Phase 3 1 3 Service Size: Feeder Size: SERVICE FEEDER Action Taken Inspection Ice 1 co Service Information Apr, ed A. ".prrur'ed n. Electrical Inspector e69.90 80 0£ PO CITY OF PORT ANGELES PUBLIC WORKS BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT Issued: 5/24/99 Permit No: 10953 Conditions: OWNER/APPLICANT ........................ PROPERTY LOCATION ........................ DEAN A BENSON 1830 WOODHAVEN LN 1830 WOODHAVEN Lot: 2 Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: WOODHAVEN SHP T: S: Parc No: 063014149160 CONTRACTOR ............................. DESIGNER ................................. OWNER VARIOUS Port Angeles, WA 99360 , 206/000-0000 000/000-0000 PROJECT INFO .................................................................... Prj Value: $35,000.00 SFD UNITS: 0 MFD UNITS: 0 Prj Type: SFR ADD/REMODEL SFD SQ FT: 0 MFD SQ FT: 0 Occ Type: RESIDENTIAL Occ Group: Occ Load: COMMERCIAL: 0 Cnstr Type: INDUSTRIAL: 0 GARAGE: 0 Land Use: RS9 PROJECT NOTES ................................................................... PROGECT ~EES ~SSESSMENT ......................................................... BUILDING PERMIT $439.75 .............. $0.00 .............. $0.00 PLAN CHECK $175.90 .............. $0.00 ......... RADON $0.00 STATE SURCHARGE $4.50 .............. $0.00 $0.00 HOUSE MOVING $0.00 .............. $0.00 $0.00 1 MANUFAC HOME $0.00 .............. $0.00 $0.00 SIGN $0.00 .............. $0.00 PLUMBING $41.00 .............. $0.00 TOTAL FEE: $661.15~ MECHANICAL $0.00 .............. $0.00 AMT PAID: $661.15 ............... $o.oo .............. $o.oo ............... $0.00 .............. $0.00 BAL DUE: $0.00 THIS PERMIT DOES NOT REQUIRE A SEPA, SHORELINE OR ESA PERMIT Applicant Staff D~e RW SANITARY WATER DWY STORM DRA OTHER Separate Permi~ are required ~r ele~fical work, uffizi, pfiv~e and public impmvemenm. This permR becom~ null and void ~ work or constm~on autho~ is not commenced within 180 daN, E construction or work is suspended or abandoned for a pedod of 180 dan ~er · e wo~ ~ ~mmenc~, or ~ r~uir~ inspections h~e not been r~uest~ within 180 dan from the last inspe~on. I hereby ce~ that I have read and examin~ ~ ap~ic~on and ~ow ~e ~me to ~ ~e and ~ffect ~AJLpr~visions of laws an d ordina nc~ governing this ~pe of work will be complied with whether specified herein or not. The granting of a permR ~ not prer~ive authority to ~olate or cance the provisions of any state or local law regaling constru~on or the pe~orm~c~ ~ ~tru~o~ j..~ , j Signature of Contractor or Authored A~ent D~e Signature of Owner (ff owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A ~ 24 HOUR NOTICE. IT IS UNLA WFUL TO CO V~R, INSULATE OR CONCEAL ANY ~FORK BEFORE INSPECTED AND ACCEPTED. PO~r PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT ,lOB SITE INSPECTION TYPE I DATE [ YES ACC ~.PTED [ NO COMMEI~$ WALLS/:ZOOF / c~miNa t/~ / ~ .. ~z~ BUILDING 417~815 ~ BUILDING GENERAL COMMENTS: FOR OFFICIAL USE ONLY: BUILDING PERMIT PREAPPLICATION The BuiMing Pe~it - P~application ~ be~ o~ cool. ely. ~ ~: ~ P~ ~ or p~t ~ ~K Ryou have ~y qn~ns, p~ ~ 417~815 ~er: ~~ ~.~ Phone: ~2 ~OFO ~ Contra~or C~c;a~ ~C.'4;~ o'r OOt,c[~,: ~]~ E~:. Phone:a Address: ' Ci~: Zip:. ~G~ DESC~ON: ~t: BI~: Su~si~:. ~ResiE O1r WORK: SIZ£/VALUATION: denfial t~ New Constr. c~ Raroof u Woedstove 7c'/Z. SF. (~ $ /SF. = $ 12 Multi-f~nily ~Addition r~ Move a Garage SF. ~ $ /SF. = $ 12 Commercial 0 Remodel o Demolition D Deck SF. ~ $ /SF. = $ ~ Rep,s' r~ Siva ~.~ . TOTAL VALUATION $,'~.->-~o~c9 BRIEF DESCRIPTION OF THE PRO,I~CT: A~i't',;,~ o'~ ~aJ.~'oor~, rec rOor~, ~ COMM_~RCIAIdRESlDENTIAL: Oecupancy Group: Oc~upantLoad: Construction Type: No. of Stories: __ Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. fi. + Proposed LOt Coverage: /scI. fl. -- TOTAL LOT COVERAOE: /sqJt PLANNING USE ONLY: APPROVALS: PLAN Notes: BLI)G ESA/Wetland(s): n Yes c2 No SEPA Checklist required? D Yes g2 No Other: OTHER. PREAPPLICATION SUBI~n'ri~,L: Four ap/~,.,,,~m anti,rep/an nm.~befiSedo~t con~m~ to be aeeeptedfor review. The Building Division can provide you with more d~tailed information on the applicalion and plan submittal requirements. BUILDING PERMIT APPLICATION SU~M. II'I'tL: Your completed application, sim plan (for additions) and building cons'u'ucfion plans are to be submitted lo the Building Division. VALUATION OF CONSTRUCTION: In all eases, a valuation mount must be entered by the applicant. This figure will be ~viewecl and may be revised by the Building Div. to comply with currant fee schedules. Contact the Permit Coordinator at 417-4815 for assisUmc~. PLAN CH~CK I~E: Your plan check fee is due et the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: ff no pemut is issued wilNn 180 days of the date of application, this application will expire by limitstions. The Building Official can extmd the time for amion by the applicator up to 180 days. on written request by the applicant (see Section 304(d) of the Uniform Building Code, curront edition). No applie.~tion can be extonded more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorited to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are require& it remains the applicant's responsibility to determine what permit$ are required and to obtain such~"' '% PW-1102f13[rev,2/96] AGENDA BUILDING APPLICATION REVIEW MEETING DATE: JANUARY 27, 1999 LOCATION: PUBLIC WORKS CONFERENCE ROOM ITEMS TO BE REVIEWED: /~ 1. REVIEW A 202 SQ/FT UNHEATED SUNROOM FOR MARY BRUCE AT 3310 MiC DOUGAL RD. · 2. REVIEW A 742 SQ/FT ADDITION FOR DEAN BEI~SEN AT 1830 E. WOODHAVEN. MEETING IllqLL BEGIN PROMPTLY AT 10:30 ~ TRENIA GAlL LINDA GARY KEN DAN DAVE DENNIS~IB~I-" ~EVIN~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST~ Date~'" Time Received by ,.~ (phone, person) Location of Work to be inspected /~"~-P~ ')~' / Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. ~/~'~\ Type of I~(circle appropriate one): Sewer ~n Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date '-7" ~/~-~' Time ~.4~ By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt I--IPCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [-~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date i - :!~ ' ~ 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. /~ ~,~r~ Sewer Foundation ~raming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date 1- /(~ '~-~ Time. ~--~ By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel ~_~Asphalt F-~PCC []Other [] Repaired by City Work Order # ~-tRepaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST./'' / Time. Received Date ~'/~//~:~ ~:::~ ~ by ~ - ~ person) / Location of Work to be inspected Name of person requesting inspection ~/~7~f' ' Address of person requesting inspection I~hone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimne~umbing~inal Sewer Excav. Other/~, INSPECTION NOTES: Inspected: Date ~-~-~'--(3c3 Time I ~---- By Remarks: ~,~'~'"~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt I-~PCC [~]Other []Repaired by City Work Order # r-] Repaired by Permittee [] COMPLETE [--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT .........>~ REQUE~: ! Date -~( ~:~ ~--'~ Time IC) ~ Received by (phone~ Location of Work to be inspected if ~ ~0 ~"'~ ,~'~ ~L~ Name of person requesting inspection Address of person requesting inspection Phone No. ~ Permit No. Type of Inspection (circle appropriate one)~.~-~,,~ Sewer Foundation Framing Chimne~/~_,pl~u.m.~bing I~nal Sewer Excav. Other INSPECTION NOTES: Inspected: Date /~-~(~ Time /2 4~J~-- By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I-~Asphalt ~]PCC [~Other []Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES OF COMMUNITY DEVELOPMENT - BUILDING DIVISION DEPARTMENT 321 EASTSTH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 12/02/2002 PERMIT NO: 13880 OWNER/APPLICANT PROPERTY LOCATION DEAN A BENSON 1830 WOODHAVEN LN 1830 WOODHAVEN Lot: 2 Port Angeles, WA 98362 Btock: [] Long Legal 360/452-0705 Subdivision: WOODHAVEN SLIP#2 T: S: Parcel No: 063014149160 CONTRACTOR ARCHITECT FERRELLGAS N/A 704 MARINE DR Port Angeles, WA 98362 , 98360-0000 360/457-1151 360/000-0000 PROJECT INFO Project Value: $1,329.00 SFD Units: 0 Commercial: 0 Project Type: PROPANE TANK SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use; RS9 PROJECT NOTES INSTALL 250 GALLON UNDER GROUND PROPANE TANK ~'~0 ~[~',~AL RECEIPT #9967 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: PROPANE TANK $35.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $35.00 Plumbing: $0.00 AMOUNT PAID: $35.00 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 become-~ 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 have read and examined this application and knowthe 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 nol presume to give authority to violate or cancel the provisions of any stat or ocal law re~j. Ll~fin construction or the performance ~ construction. ~ ,-- ~ ,~uthorized Agent Date ~(~_ .'~---7~. ~ ~ ~ .~ gna[ute or Owner (if owner is builder) Date T;\PLANNING\FORMS\ i ]02.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT ........... REQUEST: ... I'~ ~ ! '3 ~'~ ~ ' ~ (phone, person) ua=e ~ ~'- ~' ~-~ .... Time Received by 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. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~ ~' ..... Inspected: Date ~ " ~t ~ +~ ~ ' ~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved (--1Gravel I-~Asphalt {~PCC [--IOther _ [] Repaired by City Work Order # [] Repaired by Permittee ~-~ COMPLETE I--} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) . . ~ CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. S'l.:J.~ .:z... /2.(;/'7"~ , . DATE ELECTRICAL PERMIT " Sit Address: :1 o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. ELECTRIC HEAT o ~ASEBOARD KW _ o FURNACE KW o HEAT PUMP KW o rAN/W~LL KW _ ~ RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION ,~ REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 01\6 03\6 SERVICE SIZE FEEDER SIZE AMPS AMPS o TEMPORARY SERVICE K-(~ ~~~-I ~ils/DescriPtion: j --1 I W.S. No. I CAPACITY: I ~ 0 O.K. 0 NOT O.K. A ION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE I I SERVICE SIZE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER , o pitch Inspection O.K. t~ Rough-in/cover O.K. o b.K. to co~~ce , ~rtJ. ~inal O.K. ~ SI e Address: /,.;w /J-P s New Meters Cv1 lnrtaller: ~ Nobly Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered be~re inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. <if ~I - / A~A _ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 11 ';;:0 , ~ $ Electrical Inspector Permit Fee r~E - File by address PINK - Top: Eng, Bollom. Customer GREEN - Top: MeIer Dept., Bottom: City Hall ,Y Ie PRINTERS INC. U