The URL can be used to link to this page

Home My WebLink About1006 W 4th St - BuildingBuilding Permit 1006 W 4` St 12 -507 Application Number W.- 00000507 Application pin number 756089 Property Address 1006 W 4TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 0900 -0000- Application type description RES REMODEL Subdivision Name Property Use Property Zoning Application valuation 18000 Application desc CONVERT CARPORT TO GARAGE Owner JEREMY R AND PENNY S RUMMEL 1006 W 4TH ST PORT ANGELES Permit BUILDING PERMIT RESIDENTIAL Additional desc CONVERT CARPORT TO GARAGE Permit Fee Issue Date Expiration Date Qty Unit Charge Per Extension BASE FEE 95.75 16.00 14.0000 THOU BL- 2001 -25K (14 PER K) 224.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments May 17, 2012 11:15:21 AM sroberds. The project will result in a remodel of an existing nonconforming carport that is minimally nonconforming in the west side yard setback. Fiberglass panels will be removed and resided and reroofed. No additional lot coverage or site coverage will result. No land use issues anticipated. April 27, 2012 3:35:04 PM banders. Electric service conductor must maintain minimum 3 -1/2 feet over new roof /structure. Public Works Utility Engineering has no requirements for this plan review. Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 98363 Contractor OWNER 319.75 Plan Check Fee 5/21/12 Valuation 11/17/12 STATE SURCHARGE 4.50 Charged Paid Credited 319.75 319.75 .00 207.84 207.84 .00 4.50 4.50 .00 532.09 532.09 .00 Date 5/21/12 Due .00 .00 .00 .00 207.84 18000 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date 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: Accepted by Heat Pump 1 Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking 1 Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 4174831 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. T•FnrmciP, iilriinn llivicinn /Ri iilriinn Permit Applicant Property Property Contractor Contractor's License PROJECT ADDRESS \00(0 V\ y W„ Parcel Number ct,?)0000 xoPtcnoor, V" Arc-. toy ti Lot 1 2_ Zoning Project Type Brief Des Check all that apply o New Construction Addition Remodel o Repair Demolition o Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other T:Forms /Building Division /Building permit application BUILDING PERMIT APPLIC'1TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98352 (360) 417 -4815 fax (360) 417 -4711 rvl,Me Owner r-rN e- Owner's Address t o o 1-o MC nvq Address cription: p'Residential Multi family o Commercial Industrial c:oPJJ RC-6W A•---No AselA LT sc if R I L L i J AL.r ifl w Pk 51 1 C7--tv L y' N- 4) c4»,6 1 1 Pct/L- COO c.�.CSt"� t-h) c- 67- House garage o other o tear off re -roof lay over one layer Heat pump o wood- burning stove gas fireplace pellet stove other Existing (sq, ft.) Proposed (sq. ft.) y Max. height of proposed structures IV 1,1 ft. Will a lawn sprinkler system be Installed? r te Will a fire sprinkler system be installed? ND Expires Occupancy group Occupant load Construction type For City Use Only: Date Received +24".19 Permit ate Approve P ne 24o 232 2 0L-k. Phone Zka 2 L.] Phone E -mail c-/kvz-Pon•f ZD cA- C'■30 i t.rd■ilc■1 E p ;r C E V E tit ft.A 1(112 CITY OF RORT ANGELES BUILDING DIVISION TOTAL VALUATION of 24,4uo, Total footprint of structures 3 IA sq, ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other Impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage of bedrooms of full baths of half baths 1 have read and completed this 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. Date V G /Z Print Name 2 /h /1-7 Signature W A S H I N G T O N U.S.A. Date: May 16, 2012 From: Nathan West, Director Community Economic Development Subject: 1006 West Fourth Street Mr. and Mrs. Jerry Rummel Building Permit Application 12 -507 for Mr. and Mrs. Jerry Rummel may be approved as a minor repair of a nonconforming portion of a residential structure per Section 17.95.030(C) PAMC. A minor deviation of the required side yard setback in the RS -7 Residential Single Family Residential zone can be approved from 7 feet to 6 feet, due to the meander of the structure from north to southwest on the site The west side yard setback meanders from approximately 6 feet at the northwest point of the structure to 5 feet at the southwest portion of the structure where the attached carport is located; therefore, since a minor deviation can only be approved for an adjustment of 10% of a development standard, a minor deviation will not fully allow the proposed repair /improvement as it will only result in a setback of 6 feet rather than the existing 5 feet. It is determined that removal of the fiberglass siding to enclose the carport with solid siding and to allow replacement of the fiberglass roofing with a more durable composition roof material can be permitted per Section 17.95.030(C) PAMC (Minor Repair) because the improvement will not (1) constitute enlargement of the structure; (2) does not result in an increase in the degree of nonconformity; (3) does not change the use of that portion of the structure; and (3) does not result in an expansion of the footprint or add additional site coverage. Adjacent property owners within 300 feet of the project location were notified by U.S. Mail and the site was posted on April 30, 2012. One comment was received in support of the proposed repair. cc: Building Department files COMMUNITY ECONOMIC DEVELOPMENT 04/27/2012 To Port Angeles Building Permit Department Re: 1006 W. 4 Street Port Angeles, WA 98363 Please accept this request for a minor variance to the setback of our carport so that we can close in an already existing structure. We are on the bluff with a gully next to our property so our options are limited. Thank you for your consideration. Jerry Rummel (210) 232 -2046 EPEIIV.t APR 3 0 2012 CITY OF PORT ANGELES Dept. of Community Development RECEIVED APR 3 0 2012 CITY OF PORT ANGELES BUILDING DIVISION April 27, 2021 City of Port Angeles 321 East 5` Port Angeles, WA 98362 Attention: Building Permits Inspections I am writing to inform you that I am aware that my neighbors Jerry and Penny Rummel would like to enclose their carport. This endeavor would be an enhancement to both our properties. In the time that the Rummels have lived next door they have constantly been improving their property which is a benefit to all the neighborhood. I hope you will grant their request so they can get on with the project, I'm excited to see the finished results. Sincerely, Bette Sterling 1014 West 4 Street Port Angeles, WA 98362 Phone: 417 -5496 RECEIVE CITY OF PORT ANGELES Dept. of Community Development RECEIVED APR 3 0 2012 CITY OF PORT ANGELES BUILDING DIVISION MINOR DEVIATION RUMMEL Adjacent property owners notified: l James Fox 1005 W. 5 Street Norma Wiggins (1011 W. 5 315 4 Ave SW #4 Puyallup, WA 98371 Stella Bettes (1014 W. 4th) Submitted letter ,Q") RE T /forms /affidavitpostingj im CITY OF PORT ANGELES NOTICE OF POSTING I PAT BARTHOLICK, state that on the day of A 9le 2012, I posted said notice, a true copy of which is hereto attached and made part hereof pursuant to Section 17.96.140 of the Port Angeles Municipal Code, on the property proposed for a land use action. Subscribed to me this n O day of AFFIANT 2012. NOTARY PUBLIC fo the State of Washington, residing in Port Angeles APPLICANT: JERRY RUMMEL LOCATION: 1006 W. 4th Street CITY OF PORT ANGELES PUBLIC NOTICE of POTENTIAL LAND USE ACTION NOTICE IS HEREBY GIVEN that on April 26, 2012, the City of Port Angeles is in receipt of a request to allow a MINOR DEVIATION from development standards to permit a REDUCTION OF REQUIRED SETBACKS in the RS -7 Residential Single Family Zone. The proposal is to allow the enclosure of a carport area such that it is a permanent part of the single family residential structure within 5 feet instead of 7 feet of a side property line. There would be no noticeable expansion of the residential footprint but the carport will be enclosed. Written comments regarding the proposed action must be received by the City no later than May 15, 2012. An administrative decision will be made on this matter after May 15, 2012. Interested parties are encouraged to comment on the proposal and may request a copy of the decision once it's been made. Information may be reviewed at the City Department of Community Economic Development, City Hall is accessible to persons with disabilities. Interested parties are invited to attend the meeting. For further information contact: Sue Roberds, (360) 417 -4750 PUB: N/A POST: 4/30/12 MAIL: N/A T: \NOTICES \Combopublichearing.doc f PREPARED 4/05/13, 15:08:23 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT 12 00000507 000 000 1006 W 4TH ST 06 -30 -0 BPR 00 BUILDING PERMIT RESIDENTIAL BL3 00 REQ COMM: REQ COMM: RES COMM: April 3, 2013 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 00 REQ COMM: REQ COMM: RES COMM: April 3, 2013 INSPECTION HISTORY REPORT 0/00/00 THRU 0/00/00 ASSESSOR PARCEL NUMBER INSPECTION ALTERNATE ID RESULT DATE /STATUS 0 -0 -1- 0900 -0000- 063000010900 01 BLDG FRAMING 4/03/13 APPROVED April 3, 2013 8:39:05 AM pbarthol. Rummel 210 232 -2046 4:34:29 PM jlierly. 01 BLDG FINAL 4/03/13 APPROVED April 3, 2013 8:39:52 AM pbarthol. Rummel 210- 232 -2046 4:34:47 PM jlierly. PAGE 1 INSPECTOR JLL JLL INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN f l its 6 f b" �p 7'►U _p P ,r_.)(::?,, FINAL COMMENTS csGr 1J,a, 1-<- /7P LECTRICAL PERMIT I O C> CITY OF PORT ANGELES 360 417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circuit kitchen lights Owner JEREMY R AND PENNY S RUMMEL 1006 W 4TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98363 Qty Unit Charge Per 1 00 73 5000 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL 175448 73 50 10/14/10 4/12/11 73 50 00 73 50 Signature of owner or Electrical Contractor X 10 00001183 682047 1006 W 4TH ST 06 30 00 0 1 0900 0000 ELECTRICAL ONLY 0 Contractor EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 114,7 $i 65- ALTER RESIDENTIAL Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER Paid Credited Due 73 50 00 73 50 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 00 00 00 Date 10/14/10 00 00 00 00 0 Extension 73 50 Date r REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) ti ca fci v 0 OCT -12 -2010 09 39 PM E JANSSEN City of Port Angeles Permit Application Huiteing Dlvielonielectricel Inspections 321 East Firth Street P.O. Sox 1190 Port Anginal Washington, 98362. Ph; (360) 417.4735 Fax. (36014174711 Data U i v 1 2 Single Family Dwelling Muni•Prnnily or Commercial' Commercial Addition' Alteration Rew,dc Repair* Ran Review May Be Required, Please Com!..oh /ilectrigaj.Plan Review information Shoot Job Address lluIlging Square Footage Description of above N Lind Charge 5 119 90 S 145.50 5 204 60 5 262.2(1 9 372 50 5 2.60 S /3.50 5 7 50 9 92,70 1 10.30 S 148 r 167.9(1 5 95.90 s 88.20 5 95.90 5 63.9(1 63.90 S 119.90 5 102 30 S 110.30 5. 3530 S 7350 5 110.30 5 56 00 91Y Signature of owner electrical contractor or clear cal aomlm$1rator I f-c;. t`:i. LI Credit Card P i t3 6 1 4 5.2 J L CST 13 trirtn ELECTRICAL INSPECTIONS l otal (Oty Mud gy Unit chyle) Servlcan.eeder200Amp. 5 Sovice/Feeder 201.400 Amp Service/Feeder 401.800 Amp. Service /Feeder 601 -1000 Amp ServicelFeeder over 1000 Amp. branch Circuit W/ Service Feeder 7 Bimini) Circuit W!O Service Feeder F nth Additional Branch Circuit f amp Serice/ Feeder 200 Amp Temp. Service /Feeder 201 -400 Amp. Temp Sonnet/Feeder 401.600 Amp 'Temp Service /Feeder 801 1000 Amp pnnal to Portal Hourly sign/Outline lighting Signal Circuit/ Limited Energy- Commeraei Additional Signal Circuit/ Limited Energy 1 2 Family Dwelling r. Signal Circuit/ Limited Energy Multi- Family Dwelang Manufactured Horne Connection Renewable Electrical Energy 5KVA System or Les. F(rs11300 Square Ft. Each Additional 500 Square FI. or Portion of Each Outbuilding or Detached Garage Eecn Swimming Pool or Hot Tub Thern•ostat (7, Total 2 922 P 01 r Owner nfornlalion CgntraCtor Information Name 73-dvr.A.., o.�..e Name: ex Art* t /d1r(. 'Tr•-.r -r Vi e' c cT P C..Cr L 11,1 ailing Address —1.L y Mailing Address; `t 0 ILL �2 g 134C--f City A Slate: __kiv Zi; .251. r~..>._.__ City' P Pt— State. _.10) Zic ._`t Phone,, Phone: V57-S .2a., Fax: __Z k License4IExp Iicense#/Exp ___6 'et T7E� _._1..Q Gtic,/ I_' Cash Owner as defined by RCW 19.28.281; (1) Owner will occupy the structure for rwo years alter this oMcfrlcal pormil is finalizes. 'e• C. vine, rs required to hire an electrical contractor it above aald property is for sale, root or lasso. Permit expires alter six months of lost inspection, After reading ins above statement, 1 hereby certify that I am the owner of the above named properly ora Incensed electrical contractor i am making the electrical installation or alteration In compliance with the electrical laws, "1 E.C. RCW Chapter 19.28, WAC, Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specit;cetlons. OWNERIAPPLIC M T DOROTHY 4 RASMUSSEN 1006 W 4TH STREET Port Angeles, WA 98362 360/457 -8617 T: CONTRACTOR J J CONSTRUCTION 233 ALICE RD Port Angeles, WA 98363 360/457 -1809 PROJECT INFO Project Value: $21,000.00 SFD Units: 0 Commercial: 0 Project Type: ADDITION SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES BATH AND CLOSET ADDITION ON SOUTH END RECEIPT #9231 FEES ASSESSMENT Building Permit: $335.25 Plan Check: $134.10 State Surcharge: $4.50 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 Plumbing: $48.00 Mechanical: $30.25 Radon: $0.00 T: \PLANNING\FORMS \1102.15 [412002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 S: ISSUED: 6/20/2002 PROPERTY LOCATION 1006 4TH ST W Lot 1 2, VAC 4TH ST Block: 109 Long Legal Subdivision: TPA Parcel No: 063000010900000 ARCHITECT N/A Misc Fee 1: Misc Fee 2: Misc Fee 3: 98360 -0000 360/000 -0000 TOTAL FEE: AMOUNT PAID: BALANCE DUE: PERMIT NO: 13461 $0.00 $0.00 $0.00 $552.10 $552.10 $0. 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 Ow( r (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: 00+30- po u ""I 3- 4 1 4 FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN 7- 3, -0 L j La WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS 3 -fl -OZ- E ti CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS ROOF CEILING 7- 3i -G2. LE W DRYWALL T -BAR INSULATION SLAB WALL /FLOOR /CEILING LE F3 -13. oz. MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Divisio SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -9807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 Ft') 1 r-e 4 PLANNING DEPT. BUILDING 417 -4815 43 -3.--3 -FJ.0 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 T: \PLANNING \FORMS \1102.15 [4/2002] BUILDING PERMIT APPLICATION The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417 -4815 FOR OFFICIAL USE ONLY: Date Rec.:'�- e3 U Permit Date Approved: Date Issued: t Applicant or Agent: T k \VjJ BA K.,1-12_ j- k Phone:4 -5 1 Owner: t7<Oc{ F`( ZA`Sl-it a t�l Phone: Address:: C W -6Th c s- r City: e7F E Zip: C IS ,42 Architect/Engineer: Phone: c ��0, Contractor JT J a -v 12 r j G License Exp: Phone: '45' 7 (tX./ 1 Address: j ALI C,E. V-17 City: e b r� p� /T seirde Zip: q i ZM 7,, PROJECT ADDRESS'S I t�)t t ra Wes`-, yTl I y ZONING: LEGAL DESCRIPTION: Lot: 1' Z Yqc 4 k: I Subdivision: TPA CLALLAM COUNTY PARCEL NUMBER:61,3a-y c ne3cacs Credit Card Holder Name: Billing Address: City: Credit Card Exp. Date: VISA MC TYPE OF WORK: SIZENALUATION: Residential New Constr. Re -roof Wood -stove SF. /SF. 1:1 Multi-family Addition Move Garage SF. /SF. Commercial Remodel Demolition Deck SF. /SF. Repair Sign LL TOTAL VALUATION Z/ OOC) °Ca BRIEF DESCRIPTION OF THE PROJECT: I jATC k l -(z t st 40b T I ok) 0 `'t2f�U L C7 FkJt of [-40,A SE .Q i t C� m P '1 h CA i EE COMMERCIAL /RESIDENTIAL: Occupancy Group: r Oup atrLo ad Type: Construction Te: 1 crz2Q ><i +ms r, s /ycec^S€ t �5 No. of Stories: Lot Size: j p,Ot Dverage: 1` Existing Lot Coverage: /sq. ft. Proposed ot !toverage: /sq. ft. TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: ts53 APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA /Wetland(s): Yes No SEPA Checklist required? Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. 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- Your plan check fee is due 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, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. 1 hereby certibi that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. T:\FORM S \APPS\Buildingpermit Date: 5 7 3 IOII IMII IIr �51 111 mnimmumumn Lin fr nun winminnom 0111111•1111111111111111111111•1111111 IIMIIIMIIIIIMEMIIIIP:11111111111n, 9 Emiramm SITE PLAN DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT_ 7O C Hk Vie-SxikucsENJ PHONE4* 7 %7 1 PROJECP/DEva0PMENTADDRESS: '76ALe- Vz it to! oU DATED this 30th day of (Owner) STATE OF WASHINGTON COUNTY OF CLALLAM AIIDITOR'3 CERTIFICATE, I ss 1110 Ill I 11 2002 1086089 g: at ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property: (Insert legal description here) GIVEN FILMY BAND ANR OJ'F CIAL SEAL this VERNA E. JACOBS NOTARY PUBLIC STATE OF WASHINGTON COMMISSION EXPIRES NOVEMBER 29, 2005 Ma y 30th FILED FOR RECORD AT TN£ REQUEST 2002 MAY 31 AM I1 30 11 Lots 1 and 2, Block 109, Government Townsite of Port Angeles, together with a portion of vacated 4th Street; Situate in Clallam County, Washington. do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only he removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. 2 00 2 (Owner) (Owner) 4 (Owner) Dorothy M. Rasmussen 1 Notary Public in and for the State of Washington, do hereby certify that on this 3.Qt hiay of May 20 personally appeared before me Dorothy M Rasmussen and to me known to be the individual(s) desribed in and who executed the within instrument and acknowledged that she signed and sealed the same as her free and voluntary act and deed for the purposes herein mentioned. day of May 20 02 A d C) b5 NOTARY PUBLIC r and for the State of Washington residing at Port Angeles. J Filed for record at the request of this day of 20 CLALLAM COUNTY AUDITOR By: REQUEST: Date Remarks• CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Time Inspected: Date 1— 3 ®2- (Continue on reverse side if necessary) (12 RESTORATION REQUIRED SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Repaired by City Repaired by Permittee No Damage Found Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type ofInsppe (circle appropriate one): Permit No d i .4. l Sewer ouF ndation Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Time By YES NO Asphalt PCC Other Work Order COMPLETE INCOMPLETE STREET SUPERINTENDENT (DATE) REQUEST: Date "7 f oZ Location of Work to be inspected Name of person requesting inspection J t' J Address of person requesting inspection Phone No. 89G -698 T Type of Inspection (circle appropriate one): Permit No. v6 Sewer Foundation FramiIJ ChimneyCPlumbirtg) Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Time Remarks RESTORATION REQUIRED SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Repaired by City Repaired by Permittee No Damage Found (Continue on reverse side if necessary) Received by Time By YES NO (phone, person) Asphalt PCC Other Work Order COMPLETE INCOMPLETE STREET SUPERINTENDENT (DATE) REQUEST: Date Ea -12 --b� Location of Work to be inspected d®e) Name of person requesting inspection P4+ Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: Inspected: Date F CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Time SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Li Repaired by City Repaired by Permittee El No Damage Found (Continue on reverse side if necessary) RESTORATION REQUIRED Received by YES NO (phone, person) Phone No c 0 9e Permit No. 5 WA Final Sewer Excay. Other 7dnca in 4 t f A; Sera Time By Remarks• Asphalt PCC Other Work Order COMPLETE INCOMPLETE STREET SUPERINTENDENT (DATE) DATED this 30th day of (Owner) (Owner) STATE OF WASHINGTON COUNTY OF CLALLAM AI JDITOR'S CERTIFICATE 11 ss III 1 11 I 1111 2002 1086089 Dorothy FILED FOR RECORD AT THE REQUEST lfn� T.CORCEC 2002 MAY 31 AM 1 I 30 ZONING LOT COVENANT 1/WE the undersigned owner(s) of the following described property: (Insert legal description here) May 2002 M. Lots 1 and 2, Block 109, Government Townsite of Port Angeles, together with a portion of vacated 4th Street; Situate in Clallam County, Washington. do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removal through compliance with Chapter 58.17 RCW (subdivision regulations) and /or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. (Owner) Rasmussen (Owner) I, Notary Public in and for the State of Washington, do hereby certify that on this al of May 20 personally appeared before me Dorothy M Ra SUM nssPn and to me known to be the individual(s) desribed in and who executed the within instrument and acknowledged that she signed and sealed the same as her free and voluntary act and deed for the purposes herein mentioned. GIVEN UIH RT3 MY HAND ANI2 OFF CIAL SEAL this 30th day of Ma 20 02 VERNA E. JACOBS NOTARY PUBLIC r STAY E OF WASHINGTON t S COMMISSION EXPIRES x (...b b NOVEMBER 29, 2005 NOTARY PUBLIC i and for the State of Washington residing at Port Angeles. 9 J Filed for record at the request of this day of 20 CLALLAM COUNTY AUDITOR By: Application Number 03- 00000391 Property Address 1006 W 4TH ST ASSESSOR PARCEL NUMBER: 0630000109000000 Application description ELECTRICAL ONLY Property Zoning Application valuation 0 Owner RASMUSSEN DOROTHY M 939 W 5TH ST PORT ANGELES WA 983632112 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5T1-1 STREET, PORT ANGELES, WA 98362 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 -9270 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Sub Contractor SIMPSON ELECTRIC Permit Fee 46.70 Plan Check Fee Issue Date 5/02/03 Valuation Expiration Date 10/29/03 Qty Unit Charge Per 1.00 46.7000 ECH EL -R OR RM 1 -4 ALT CIRCUITS Date 5/02/03 Fee summary Charged Paid Credited Due WA 98363 Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .00 .00 T: \PLANNING \FORMS \1102.15 [4/2002] .00 0 Extension 46.70 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 Of owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 T: \PLANNING \FORMS \1102.15 [4/2002] INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM ��Y SEPA: 1/21-pr- �e e/C PLANNING DEPT. SEPARATE PERMIT 8's 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 J W ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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 T: \PLANNING \FORMS \1102.15 [4/2002] Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Owner RASMUSSEN DOROTHY M 939 W 5TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Qty Unit Charge WA 983632112 BUILDING PERMIT REPLACE RAFTERS 52688 344.75 6/27/05 12/24/05 Per BASE FEE 18.00 14.0000 THOU BL- 2001 -25K Charged Paid 344.75 .00 4.50 349.25 05- 00000491 717748 1006 W 4TH ST 06-30-00-0-1- 0900 -0000- RE -ROOF 20000 Contractor J J CONST OF PORT ANGELES 233 ALICE RD. PORT ANGELES PORT ANGELES (360) 457 -1809 NO PR FEE (14 PER K) STATE SURCHARGE 344.75 .00 4.50 349.25 T: \Policies \1102 15 building pen inspection record05.wpd [1/4 /2005] Plan Check Fee .00 Valuation 20000 Credited .00 .00 .00 .00 Date 6/27/05 WA 98363 Extension 92.75 252.00 4.50 Due .00 .00 .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 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. /1 Signature of Contractor or Authorized Agent Date Signature of Q ner (if owner is builder) Date c) I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS 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 �q Nrc L 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 1 DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT E's PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 -CI S J J-L- BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING 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. T:APoliciesV 1 102 15 building permit inspection record05.wpd [1/4/2005) P r r 0 0 r r 4 o cD0c00(0 Y K H 0 H r N H N r 11 d lD H lU CJ N N oG 0 06] O O 0 11 to 0 U1 H hj H H O Y off H 3 W r .0 0 0 H J 11 N N N O N .P N a H 3 0 3 3 00 CO 1 V D �O o O o I1 N ro r H ro K py ro, (0 H 0 y n 3 b ro ro c 0 r 10 O 01 0 01 C.1 0 0 0 C7 Z ro rro H H 10 mm N 0 0 tc" o H H 0 0 ro 3 Z z H U) rogEo rozzz 00 H zr n m 0 ro 01 m 0 Cr) 0 0 o 0 O m 4 00 0 0 II 0 .0, 1 100 cn e H Ho m %v P OH 10 o0 'j \0 01 0 x ro 0 0 K 0 O 10 '1 oXH o y 0 M xx� 10 11 10 0 1 tsi 01 co H 0 O nro '0 0;v 0 0 zz 0 10 0 n n nn H H 0 x 0 Q z H 01 71 CO H 0100 010 1 O\H M moo H m 0 coo 0 H M M Z 0 0 o m 4 0101 0001 44m H H 01 O H z z H N iP L) m 4 -So OtIM _,to 00010 to m N 010j m OOH 6 y4 z x 0 CO01� C ro I H $O O O 4 H m m b O m R O O o N 0 0 4 0 om0 0om0. 0 z z H 01 O mm H H t7 y -0 m 01 01 0 3 too0 N 01 o x m 0 O K 0 0 01 N o 3 y 0 i m to 0 to m 0101 mm 0101 mm nn HH y y OH x1 0 •z 4H MM �Sn WM H t� 0 0 K PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: ESA/Wetland(s): Yes No SEPA Checllist required? Yes No Other: OTBER- Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: 1S1. Residential New Constr. Multi- family Addition Commercial NM Remodel X Repair BRIEF DESCRIPTION OF THE 2 I C OMMERCIAL/RESIDENTIAL: No. of Stories: I Lot Size: Total lot coverage T:\Policies\BL- 1102_13.wpd Applicant: 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 F_ X(360)417 -4711 Applicant or Agent: s C LC e..S Owner: lb Address: ICCCP (k) I Architect/Engineer: KVA Contractor k J (9;14„Isr Address: 2? CLU c2 t PROJECT ADDRESS: I Cr( r 4 413 LEGAL DESCRIPTION: Lot: k 2 Block: CLALLAM COUNTY PARCEL NUMBER: City: PA IQlt Phone: 21 >CG Phone: `icJ7 EXf Phone: State License JJ COKIP (Y1� Exp: I op /o PA- City: 9A Subdivision: Pfd (.Xc 3d 0 I o9E Zip: '9 el 3&c2 Phone: 45J7 I a Zip: (p ZONING: -E7) City: MC Exp. Date: ST7,R,/V ALUATI ON: SF. /SF. SF. /SF. SF. /SF. TOTAL VALUATION S Re -roof Move Demolition Sign PROJECT: Stove Garage Deck Other ccupancy Group: 2- 3 Occupant Load: Construction Type: Va Existing Sq. Ft. ,.2 2�7 Proposed Sq. Ft. TOTAL Sq. Ft. 22.5 ca, of ,sfiera .o-( -h p,� eenheur�. 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 t 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 perrnit issuance. ENTIRATION 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? 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. Date: 4/4'/d� FOR OFFICLAL USE ONLY: Date Rec.: Permit 4:0 441 Date Approved Date Issued: 2O aJo 04/07/2003 19:10 Owner or Elec. Contractor Agent' Address: XResidental Multi- family Electrical Heat Load Additions PW -9019 4579270 PROJECT ADDRESS: i 0 C w VIA TYPE OF WORK: Check all that apply: 1J New SIMPSON ELECTRIC ELECTRICAL PERMIT APPLICATION 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 y 0 9 60 Phone: YS 1 17e(5 Fax 'spin lc act I Property Owner: 4 's *'I 5 M IA. SS C N, Credit Card Holder's Signature Owner or Elec. Cont. Signatu City: a Electrical Contractor: Iy .2,:k., 7 0,-,,,,z1/44 License M p Exp: Address: 2 C IS S 14' /h/ City: PA 9 9 0 INSTALLATION WIRED BY: DOWNER ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip Credit Card Number Exp. Date: VISA' MC- Y _7 PA Alteration /Addition Commercial Mobile Home Sq. Ft. Phone: I1 ,v 0 Remote Meter 0 Detached garage Hot Tub Swim Pool n Septic Pump Low Voltage Telecom. 0 Sign Number of Circuits added or altered' 1 g .L DESCRIPTION OF THE ELECTRICAL PROJECT- a �r1 r d P h. M e 44-/ z �L c 2i 1 Service Information D Baseboard —KW Voltage' Furnace —KW Overhead Service Phase: 1 0 3 Heat Pump KW Temp Service Service Size: Fan -Wall KW Underground Service Feeder Size: PAMC 14.05.060(5): For industrial, commercial. residential projects larger than a duplex, a one line drawing of the Electrical Service Feeders, building size (sq. ft.), load calculations, and the type of conductors and /or raceway is required and shall accompany the Electrical Permit application. 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. PAGE 01 r FOR OFFICIAL USE ONLY Du,drt.r Pane P: 0 Appn, <J' Daft NNeJ' -tt 39/ Zip: 9r) C. Phone: 7 -727 D zip: 9P.'( Date' V—F-0? Date. Y-4'—CO