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Home My WebLink About1616 W 7th St - Building ~ VORT ~ $4.0~~~ ,. ....~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 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 04-00000286 Date .961924 1616 W 7TH ST 06-30-00-0-2-4712-0000- RES REMODEL 4/15/04 RS7 RESDNTL SINGLE FAMILY 6000 , Owner Contractor CARLSON LELAND W 1616 W 7TH ST PORT ANGELES WA 983635202 CAN-DO CONSTRUCTION INC 74 HURRICANE VIEW LANE PORT ANGELES WA 98362 (360) 452-3155 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 4 RECEPTICLES 46.70 Plan Check Fee 4/15/04 Valuation 10/12/04 .00 o -- " Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 ...- Other Fees DOUBLE PERMIT FEE STATE SURCHARGE 148.75 4.50 Q Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 153.25 153.25 .00 .00 Grand Total 199.95 199.95 .00 .00 ~ . ...,J ,~ ~ . 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 [11114/2003] 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS , ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN 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 ALL/HOLD 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 f.'C plc..€O II/"/e STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: Ac.o PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ~ T:\PLANNING\FORMS\1102.15 [11/14/2003] CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 II 131AI~ DI~I~II/IIT !n_.gUE_?.. 2,'23,'£222 ...... : ..... OWNER/APPLICANT PROPERTY LOCATION 1616 7TH ST W LELAND CARLSON 1616W. 7TH ST Lot: 4 Port Angeles, WA 9B362 Block: 247 [] Lon9 Legal 360/452-7958 Subdivision: TPA T: S: Parcel No: 063000024712000 CONTRACTOR ARCHITECT ARMOR ROOFING N/A 2524 RYAN DR Port Angeles, WA 98362 , 98360-0000 360/452-3667 360/000-0000 PROJECT INFO Project Value: $2,600.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES TEAR OFF / SHEET / REFELT / 3TAB RECEIPT #9158 FEES ASSESSMENT Building Permit: $83.25 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: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 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 period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ ] 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DKAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS [ CEILING BUILDING 41%4815 ]~ ~ BUILDING rtf'ORT~ $~O~~~ ~ 'L ~ ---- 'l-li;~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 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 04-00000380 Date .218000 1616 W 7TH ST 06-30-00-0-2-4712-0000- ELECTRICAL ONLY 5/17 /04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor CARLSON LELAND W 1616 W 7TH ST PORT ANGELES WA 983635202 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 --------------------------------------------------- permi t . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL ALTER 200 A SERVICE ELECTRIC SERVICE 64.90 Plan Check Fee 5/17/04 Valuation 11/13/04 .00 o ~ t~ ;t Qty Unit Charge Per 1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.90 64.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.90 64.90 .00 .00 ~'\l ~ \:.\ LA "'\ , 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\I 102.15 [11114/2003] 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, 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 ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR; SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW; WATER AIR SEAL WALLS I CEILING I I I FRAMING JOISTS; GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF; CEILING DRYWALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL; FLOOR; CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE; PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: 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 1b-tJ /P4 ".{cO ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W.; PW; / , CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLAJ\'NING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-48]5 BUILDING T:\PLANNING\FORMS\I 102.15 [1 1 II 4/2003 J d'OIt'~_ $fi~"" D! "I.tl..;'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l21 EAST 5TH STREET. PORT ANGELES. WA 98:l62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000568 Date 567544 1616 W 7TH ST 06-30-00-0-2-4712-0000- ELECTRICAL ONLY 7/08/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor CARLSON LELAND W 1616 W 7TH ST PORT ANGELES WA 983635202 ~SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL SIMPSONI HOT TUB 53918 SIMPSON ELECTRIC 48.10 Plan Check Fee 7/08/05 Valuation . . 1/04/06 .00 o ~ ~ Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 ~ c. 'J I~ lI\ ~( COMMENTS/ACTION NEEDED \ \ ELECTRICAL PERMIT INSPEQ'JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO III '(:H I 12 1I 'GH-IN I COV bK I ShK V lCb ~ I 7 - '~-I'l~ ~) I GENERAL COMMENTS: PW.II02.lS (4'96) ~"T"" ->.'T~% 8"-~~ ~ "- -=:..;w ----- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Applicatlon description Subdivislon Name Property Use Property Zoning . . . Application valuation 4/09/04 04-00000286 Date .961924 1616 W 7TH ST 06-30-00-0-2-4712-0000- RES REMODEL RS7 RESDNTL SINGLE FAMILY 6000 Owner Contractor CARLSON LELAND W 1616 W 7TH ST PORT ANGELES CAN-DO CONSTRUCTION INC 74 HURRICANE VIEW LANE PORT ANGELES WA 98362 (360) 452-3155 WA 983635202 Permit BUILDING PERMIT -RESIDENTIAL Additlonal desc Permit Fee 148.75 Plan Check Fee Issue Date 4/09/04 Valuation Explratlon Date 10/06/04 Qty Unit Charge Per BASE FEE 4.00 14.0000 THOU BL-2001-25K (14 PER K) 59.50 6000 Extenslon 92.75 56.00 Other Fees DOUBLE PERMIT FEE STATE SURCHARGE 148.75 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 148.75 148.75 .00 .00 Plan Check Total 59.50 59.50 .00 .00 Other Fee Total 153.25 153.25 .00 .00 Grand Total 361.50 361. 50 .00 .00 EXPiRED tYb/04 --- ~ '- @ t '-:::J ~ ~ 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 penod 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. Lj- 9 ~() ent Date Signature of Owner (if owner is builder) T.IPLANNING\FORMSIII02.15 [11/14/2003] 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 LoeA TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS J.I-jJ1b-~ ..jfL, WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS J-l-~I -~'" J. L, WALLS / ROOF / CEILING ;.j -/5- CtJi-f _LL. DRYWALL (INTERIOR 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 (Engmeenng DIVISIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA PARKINGILIGHTING 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 / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [11/14/2003] PREPARED 5/04/04, 12:22 55 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 5/04/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1616 W 7TH ST CAN-DO CONSTRUCTION INC CARLSON LELAND W 06-30-00-0-2-4712-0000- 04-00000286 RES REMODEL SUBDIV. PHONE (360) 452-3155 PHONE . PERMIT: DF3 00 BUILD PERMIT - RES DBL FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/13/04 JLL 4/14/04 AP BAIR 01 4/15/04 JLL 4/15/04 AP BL3 01 4/15/04 JLL 4/15/04 AP BL9 01 4/21/04 JLL 4/21/04 AP BUILDING FOUNDATION FOOTING Chrls needs a Footlng lnspectlon for P.M Phone # 460-3610 BUILDING AIR SEAL BUILDING FRAMING ::::_::_---~~~~~--~~----------- BUILDING SHEARWALL Chrls Johanson at 452-3155 ln the P M BUILDING FINAL requests a Shearwall Inspectlon TIME' 17 00 COMMENTS AND NOTES -------------------------------------- ~t ~\O}e UU\\~~ C& PREPARED 4/21/04, 12 29 03 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 4/21/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1616 W 7TH ST CAN-DO CONSTRUCTION INC CARLSON LELAND W 06-30-00-0-2-4712-0000- 04-00000286 RES REMODEL SUBDIV PHONE PHONE (360) 452-3155 PERMIT: DF3 00 BUILD PERMIT - RES DBL FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/13/04 JLL BUILDING FOUNDATION FOOTING 4/14/04 AP Chrls needs a Footlng lnspectlon for P M. Phone # 460-3610 BAIR 01 4/15/04 JLL BUILDING AIR SEAL 4/15/04 AP BL3 01 4/15/04 JLL BUILDING FRAMING 4/15/04 AP BL9 01 ~ ~ BUILDING SHEARWALL Chrls Johanson at 452-3155 requests a Shearwall Inspectlon In the P M -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/13/04, 12 40 02 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. INSPECTION TICKET INSPECTOR JAMES L LIERLY 1616 W 7TH ST CAN-DO CONSTRUCTION INC CARLSON LELAND W 06-30-00-0-2-4712-0000- 04-00000286 RES REMODEL SUEDIV: PHONE PHONE : (360) 452-3155 PERMIT: DF3 00 BUILD PERMIT - RES DBL FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 Y13?cY/ AJ? 1, 1~ ----r- BUILDING FOUNDATION FOOTING Chr1s needs a Foot1ng 1nspect1on for P M Phone # 460-3610 PAGE DATE 9 4/13/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/15/04, 13 00,25 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 1616 W 7TH ST CAN-DO CONSTRUCTION INC CARLSON LELAND W 06-30-00-0-2-4712-0000- 04-00000286 RES REMODEL SUBDIV PHONE PHONE (360) 452 - 3155 PERMIT, DF3 00 BUILD PERMIT - RES DBL FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 4/13/04 4/14/04 BUILDING FOUNDATION FOOTING Chrls needs a Footlng lnspectlon for P M Phone II 460-3610 BUILDING AIR SEAL 01 JLL AP BAIR 01 ~/ 5/ 4 *.~ BL3 01 4 4 ~ ------------ ------ --~------------ BUILDING FRAMING PAGE DATE 6 4/15/04 COMMENTS AND NOTES -----------------------------------___ ApplIcant or Agent-Ml P-" It ~ Owner: LfJ"e/ e ,A'~ \.~f)k ~ Address: ~ t ~"'l 'I-A ~cA:.~ J ~~ - . FOR ~FFICIAL USE ONLY . ~ /, Date Rec 3' -0 , PermIt # <0 ,. 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 (360) 417-4815 /12- ltS:l cl ~~S .} City: ()/W' ~J Phone: A. -'<i,)i"~~ J t!) . .J . Phone: Exp: ,,, )...(jl, ~~l,I~J Zip: f1~' ~ l'1 l':7 l:. ArchItect/EngIneer: Contractor e; ~i ~f ci {1 X fA r- Address: 1t1 W MtP ft R t\W PROJECT AD~REss:~1 ~ LEGAL DESCRIPTION: Lot CLALLAM COUNTY PARCEL NUMBER: l~lj ~, State LIcense #: p~.~ t \l1 City: l~~ .j 1 :-)',. r,) f\,c'(' Phone: ',}, ~ I~_~ Zip: ~z:~ (~) 21 ZONING: Block: SubdIvisIOn: Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: o ResIdentIal 0 New Constr. 0 Re-roof 0 Stove o MultI-famIly ~ ~ddItIon 0 Move 0 Garage o Commercial r'Remodel 0 DemohtIOn 0 Deck . o Reparr 0 SIgn 0 ,other BRIEF DESCRIPTION OF THE 'PROJECT: /i ~ ~~>f ~..,;,:~'::'e~~ \l~ ~~~~, f'\~fi~ .~; .tJ .. COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stones: ~ Lot Size: Irxlstmg Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage City: MC # Exp. Date: SIZEN ALUATION: SF. @ $ /SF. = $ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL YALYATION $ C:, (ill.6J ~,~ (C yo ~ "., i.",,~ f):)v;Z !., .Jj , Construction Type: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA ChecklIst requrred? 0 Yes 0 No. Other: BUILDING PERMIT APPLICATION SUBMITTAL: The BUIldmg DlVlsIOn can proVIde you WIth mformatIon on the applIcatIon and plan submIttal reqUIrements If you have questIOns. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. This figure will be revIewed and may be revIsed by the BuIlding DIVISIon to comply WIth current fee schedules. Contact the Perrmt Coordinator at 417 -4815 for aSSIstance. PLAN CHECK FEE: IF a plan ~heck fee IS due it must be submItted at ilie tIme ilie bUIldmg perrmt applicatIon and constructIon plans are submItted All oilier perrmt fees are due at the tIme of penrut Issuance. EXPIRATION OF PLAN REVIEW: Ifno penrut IS Issued WIthm 180 days of the date ofapphcatIOn, the application will expire. The Buildmg OffiCIal can extend ilie time for actIon by the apphcant up to 180 days upon wrItten request by ilie applIcant (see SectIon 107.4 of the Uniform BUIldmg Code, current edItIon). No applIcatIOn can be extended more than once. / r- ( I hereby certify that I have read and exammed thiS application and know the same to be true and correct. I am authonzed to apply for thiS permit ,and understand that it is my responsibility to determine what permits are required ,n the ty's, and that I must obtain such permits prior to work. T\FORMS\APPS\BUlld1l1gpermltwpd ApplIcant: tJ Date: 3- '))- Dl:f 11I""/ -- I ~ ,~x~t , , ~'" ~. uff~~'~~ ~. cJo~ e;, 1(~t9 V' f ~r, ,,~ ",,';"" .,._ _ . . r~......"Al..l; ,-~,. ..~"""'" ~",".;\';~ f ~.c~...."'l; '"f-' ...,......" , ,- u -.""- I ~~ :i -~". . '''-;~l---''''''' .. t,< ~+-.. r ,.1 ,~. -'; ~A ,,3\ ").' -' -.. , b . "~I t -.L\ '" . "?: 'MIo! r . - ;\ , - ~ .. -:.:::. -:-- ~ - ,--- ~ rr q "~--l. ~.~~"' 1 "~; .. - ~. ----:::". ~ - . ~-~ . ~ . { ... ::.----- --- I ~ ~ 'i"/-:-:S'!':"\ "'::),7.~-~ ~- .--- - l~'"i':l.J I JI 1-~! 9\ 0 (teA' ~ rJii!..,~ 1 'l d'1"1 _ _ __ _<)_ ",..,..,r-- "..... / .- &,'1' ..:~:--:' '::.'. - - - -.,..-- --":' - ---:~. ....... ~~ I,JV~~ ((oA6~_ ---..---"--- ..---- '-_0_- -----.-- __/~f (" & ,(I-( P'~ . WI..) . WltJ ;J-:L -, ,j-' 6 'f.. 1( ~ ./ -- ~~V +;;;;:1 ~QfL- , i& Ir~ fJQl1-~ ' ~ If Ht~fI , r'-U0 ~~. f VI' -~ . .)a ~ ).,),/ / 1 - 1 ^ t.{ I/'(~V~ ~/ t(,J~ ( f,-rI . ~ ~ t;; 1<. ~ N'\ ------lL [.x.f ~~II}S D.o ~rz . - y:) // Loc,~o +-t~fi':/L- +0 r l~fL /)1 X ,:21-/ 0( it.. ~'lE CITY Or- PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans. specifi- catIOns and other data shall not prevent the bUlldmg offiCial from thereafter reqUiTIng the correctIOn of errors 10 said plans, specificatIOns and other data, or from preventmg bUlldmg operations bemg carned on thereunder when m VIOlatIOn of all codes and ordmances of thiS JurisdictIOn. (SECTION 303(c) - Un orm B Idm Cod~ Approval Date By - J-Lb~ . ""' rt..~ (~-r f A- ~ ..L ~ " (f'f'> . c7-/f 'f \ c;;:f.ll~' 5lU~ >. -, ,t-,( r.,.. ~ ' \C'?{~I , ...), \ ~ cVL ~-z.(lJ f~fL{ Il-~~ tfiZ- ;.-/..~ ~ J- ~ '1 ~}p ~'/..(" B(~ "- " " ~ / / j~i . I .t 'I- I-( Ou~~ V i?u-J.., I oIJ' J-1..:nU. p>--~ yL Go 0 ~ l;;>t #JA I LUD ((, f ,g ~ \3 ~iLC\ "V0 eft vjc ~ I ~ \ l--/OtQf\..-- . 6'\J~ ~ 0t:>:::,Q I ~ o C;::> \ j:, '\ "\ e::> ~ _ ~~ \i:T~ ~e IO-fVl I .!; i,4vVl ~f' d7 ~ 1;2- ( /p I ,;z.., r I I j .,"~~ - . tiS I I . I 'l.K I <; T)A.J,-" ~ Yr SVu[;pr:/&.xtt'" ! i Y i -I ( ~1Jf-.-1. /..ft.! i 1<8 &0 0/'6 II , ' I ~ . .1 D'Pl~ 6"""""' x'1 1?i.t91~ ~ \ ~'~~~ t c/O \ ~"1[; Q <2 \'--' (Y ~ ;- ,&K,>-r;~ ;~ ..,...>~. .;2.' 1- ~~J~ '"D<Z8..t'fJ-Ot..-D ~'/~.4-ftK-'~D ?C.'1 J/'-'1./I--:r- 'To S'~b'; l'if... 1...t..!'4<, ff'tv( tJ1J{ , 4P/)t D l;$,,{TC.-- JPI..A5r~. ) 75Ltl~/~Q 1 ~/ ~ ~ Ce fU.J ~12. 7 ~ c R P IlL -vvr B tfi'L.tAJ J ~ II t. ,4 pt.' 'fAD, . 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Please type or print in in~ If you bave any questions, please call 417-4815 Applicant and/or Agent: p~ f rnCkllll\o,^ &'ie'A~t:tK LlM) Owner: L ~ e.- Co. r I-So", Address: I k I h fA) 7 tA. City: ~ II, Architect/Engineer: ContractorJl1 e ~ (' Q{ G c.) ~icense #:I%/"f{1~ Address: L.21l.._ -"~f\I ~ CIty: 'B/J~ PROJECf ADDRESS: / ~ II:" ld 7tA- . 1>, 11 ~ LEGAL DESCRIPTION: Lot: ,,~ '~Iock: 2- cr-t CLALLAM COUNTY PARCEL NUMBER: ~'W!ifP Phdne:~" ..z.j /7<).:576 Phone:3;o-~'S'"~- 79 .~8 Zip: ~ff36;) Subdivision: --,:;J 11- Phone: tJ. -& :3bO Exp: ~ ~ } Phone: ~/7-d.f"7b Zip: 99:3J(;;} ZONING.R;5 - 7 TYPE OF WO~ 1( Residential ~ew Constr. 0 Reroof 0 Woodstove o Multi-family 0 Addition 0 Move )( Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 BRIEF DESCRIPTION OF THE PROJECf: ;>rl )( ~ 07 SIZE/V~ATION: r/7\ '1,,0. F.@$ 11. KV /SF. =$ SF.@$ ISF. =$ SF.@$ ISF.=$ TOTAL VALUATION $ (j i2 r t:1aJ 10 1120-- COMMERCIA~mENTiW Occu~ancy Group: ; Oc~upant Load: Construction Type: LV 00 d No. ofStories:'~ Lot Size: 70Qo % Lot Coverage:_'"c. /'7 % Existing Lo,t c.ov,e~ge~ ~ Isq. ft. + Proposed Lot Coverage: ~ (JO Isq. ft. = TOTAL LOT COVEl\AGE: : ".sq.1i 01 '1 ~ '(,,1'1 .~~ PLANNING USE ONLY: APPROVALS: PLAN a Permits Required: Notes: BLDG Max. Height: Setbacks: Zoning: DPW Site Plan and Use Approved by: Date: FIRE ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING APPLICATION SUBMlTT AL: Your application and site plan must be jllled<<Jut completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. V ALVA nON 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 BuUding Div. to comply with current_ fee schedules. Contact the Permit 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: lfno permit is issued within'1S0 days of the date of application. this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days. on written request by the applicant (see Section 107.4 of the Uniform Building Code. current edition). No application can be extended 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 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 applicanl'3 responsibility to determine what permits are required and to obtain such. PW-II02_13[rcv.2/99) APPlicantf Date: ~ '" SITE PLAN ~. L....~ "'-- "6Jq AN~ DEP~TMENT OF PUBLIC WORKS, BUll.DING DMSION . APPUCANf: patJYl 'Le.~"'Q it {jM ~,^tNJ. II\.. ~t\, G C~ PHONE: '117 -dS76 PROJECfIDEVELOPMENT ADDRESS: I [, I' uJ 7 tA- P ~ A, See Page 4 for instructions on completing the site plan. Formare information, caU 457-0411. extension 125. A J. . I ~. r....-. ~ T -1"\ ~.. 11"" I V I' I ( Ij~ I 'i.f"r ," ..... . \~ , , ~ ~: ~~ - -, 1 " " ICII\.. - I~ 1 , , - t I ) t ~, '"' n. r \ fi' , . ,It I I V . ~v I) rlt .-.., -D /' - ., _ f \0\ / "0 ' '- I "- \d' 1/ rl p ~ I h~ 0 I Ld V \. , / d, 1,,- .. ~ \Y' 71 , ~. " ;.11 ,"il , ,. t HI 1v .A W -, , I , ." e ,; ~ \. fo ~ \ ~~ i/1 ~. ~ U A ,/ '" .... I I LlI ~~'- w' i!' ..IC.. -IIb-") ~ a, v ~ II l"_LI , ~ n '--' PAGE 5 ~ 3"o~ '" " - - 07/05/2005 21:32 4579270 SIMPSON ELECTRIC PAGE 01 S l:::'t:.~ ~ntractor 0 Owner i~../ b Annual Pt:rmit 0 Alarm Cl Carnival CJ Commercial ELECTRICAL WORK PERMIT APPLICATION o Request Inspection ResJdeRUa' Q RC5idc:ntial Maint. 0 Si~s 0 Thermostat 0 "fclflcnm. Job wired by ~Jectri.aJ Contra.tor 0 Owner eetrical contTlu:tor name License number imlJ.~ [;'Ie.ctr/r ",,<),'ft:\o.<;d tt'13 ~fJ ~tJ ;;3~ "ddres~~ 10 , t-J ' CilH>~+ Il-n~ Ie." ~ ;;;~11 f3 ~ '? Telephone number FAX numbcrr 5'7 l:f:J-7cJ Premises OWDtr'!il name lJ. LIIAVl (!.__I t;l'9-n Address or infllpectlon ..d IIPI'" W. ?~ Sf. City POt" II Ie: !AlA. . InstallatiOFl description Jk=K.Y; tJ6-r 'T vL6-." .,5?- "'D'I o Cash Q Check # I hereby cemfy that r am the owner of the ahove named pro.perty (\t ('I licensed ~ ~ Credit Card ,sa... Mastercard Discover electrical contractor (or the tirm's authorized agent) and am T1lO1king the electrical installation or fllteration in compliance with the: c:lectricalIQw, Chapter 19.28 RCW. Card # _ _ _ _ __ _ _ _ __ _ _ _ __ _ __ r or cle.:trlCQI Admini!ltntnr Expiration Dale of card x WALLS lr'lsulQtion Only C'EJUNG Insu.lation Only TIJERMOSTAT SERVICE OllIe ^""l'IW(l;1 f.\y "'" "l'fll'(I...~[ly OAlc: COVOt Apflrvvl:ll By Olte ~",vod8;f DITCH FEEDER C{'Iver Dille "/l".,vaI9r D~lll Apl'fOVl:d By 1)11I1<, A.l"DrtlvCll9y D~le hppTtlvC'd By s;:etrieal Lped Additlo'ls end Dr subtr:sctlDns NO LOAD CHANGES lJ Baseboard KW lJ Furnace KW o Heat Pump Ton LAR o ~an-W8n KW Slmdce InfDrmalloQ o Overhead Service o Temp Service [J Underground Service Voltage 1'""",,0103 ServIce Size: _ Feeder SIze: Inr;pCClion Area, 'Building or Eq\Jipmcnt Inspected Action TlIlCen Electrical Date Inspector 7h3/cS 17 M4-C.- /1P ,4cO . . ~, '}),(,/ CIS- ~ ... ELECTRICAL PERMIT APPLICATION FOR OFllCIAL USE O!'lL Y D<I(dK~( _.___~__.___~ P",,,'lil e _________,__ D~I<^..I'IO.c,1 ':f_ Dale Is~""J The Electrical Permit Application must be filled out completely. Phone: Lf~-OIOY Fax ( \) '0J ~ Please type or reprint in ink. If you have any questions, please call (360) 4174735 Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: Property Owner: ~ lto /l" Le.e.. lee. V0 ') it..- s,,-I( C'-'Vl SD~ Cc:Y l-SOh ~ Phone: Y))rO{ by Zip ~8'3io2 Address: City: PD<1- ~" yJ (::) Electrical Contractor: License #: Exp: Phone: Address: i City: lip: INSTAllATION WIRED BY: DOWNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA: MC: PROJECT ADDRESS: (loll,.. w )'tl- TYPE OF WORK: Check ;e!! that apply: DNew o Alteration/Addition ~ Residential 0 Multi-family o Remote Meter 0 Detached garage o Commercial o Mobile Home Sq. Ft o Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. DSign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT:~I ",t'li)\'" he....) V-<:-VWCl ~<L I wi nev0 InVC'd k.tv of y rece.ph.../e.s \ Il Electrical Heat Load Additions and or Subtractions Service Information J Baseboard J Furnace ] Heat Pump ] Fan-Wall _KW KW TON_LRA KW o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: hereby certify that I have read and examined this application and know that same to be true and correct, and / am IUthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits Ire required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's..Signature: Owner or Elec. Cont. Signature: ~ Date: ~ Date: '1-1 Li - 0'1 :/E lE CTR ICAlPERMIT APPLi CATION Iffl PERMIT FEE: $ '.1/6 ,70 FROM : . \ '- - - FAX NO. Apr. 26 2004 07:43AM Pi , . . fi"'OO:"." ~ ~1CSA.1tJ " ELECTRICAL PERMIT APPLICATION FOll OFFICIAl, USJ:1 ONLY /);uUlt~e l'mnitn;__...__ 1).I~AIlP""v(:" tm~t""ll~ The Electrical Permit Application must be filled o...t completely, Please type or reprint in ink. If you have any questiDns, please c:all {360} 417-4735 Fax number: 1360) 417-4711 OLf -: -=- 380 . ..--CX2-=TL--- Owner or Else. Contraclor Aglllnt ~ro~erty Owner: ~.U- Phone: 45 J-(d-"r2~ax: G'r I ~lfI Address: \ V L~ w ,..... Cily:_Pm..t A l'l.qa.(<"< -:1. \. ' ('. _.' r,:: t...ec;r- Electrical Contr-dclorF~n'- ~ V I Q r ~< - License #. ~ 0[: I~ :l.ovf"P Address; 8':L Dr-u.p..t~ V Ct It.y ~Cily._PIlr-1 Jt-n:f \...e..<- Phone: ~i-<:t:1 Zip: 9k 3"':l q) II..{ I 05 Phone; I-( '5 '2 -lD-f'2-LI WPt- Zip; q K"3 "'2..- INSTALLATION WIRED BY: o OWNER o ELECTRICAL CONTRACTOR BIlling Address: 61L\. ft~ Credit Carel Holder Name: Zip: Credit Carel Number: Exp. Date: V1SA:_ Me: PROJECT ADDRESS: ll.t>lCt> WI )-.... TYPE OF WOR~: Check i!!! that apply: 0 New o Alteration/Addition 9<-Residential 0 Multi-family o Remote Meter 0 Detached garage o Commercial 0 Mobile Home Sq. Ft o Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. o Sign Number of Circuits added Or altered: (') DESCRIPTION OF THE ELECTRICAL PROJECT: Q.GO CL"""f> ~rv;c...\..- r1-^,^oo ./ Electrical Heat Load Additions and or Subtractions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _KW t<:W TON__ LRA KW \,(nverhead Service ToTemp Service [J Underground Service Voltage: I ~b I ~'i 6 Phase: '?'f 0 3 Service Size: ~~"'1J Feeder Size: '\" .{o/ I. hereby certify that I have read and examined this application and know that same to be true and correct, and / am authorized to apply for this permit. I understand ft 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: ~ t] .Jj?'.<rrI Date: Owner or Else. Cont. Signature: Date: dl-\ C1. f1eM1E ?o-&f- PERMIT FEE: $ Sue /.J.J [f?O .5T~\~6 I'IPQ... q.... W'i>c.x:-,q.-/ot pfZG G>{l::TT7N@ ~ :::IELECTRICALPERMIT APPLlCA'T10N oth.61- /..)J{,:/e... -I'b"t-nc 5 h'l.9o 0.;<-- 'd~