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Home My WebLink About1216 W 5th St - Building PREPARED 9/10/10 8 16 32 INSPECTION TICKET PAGE 4 CITY-OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/10/10 ADDRESS 1216 W 5TH ST SUBDIV TENANT NBR CAROL D JANDA CONTRACTOR DAVE S HTG & COOLING SRVC INC PHONE (360) 452 0939 OWNER CAROL D JANDA PHONE (360) 452 6356 PARCEL 06 30 00 0 1 1415 0000 APPL NUMBER 10 00000951 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT --_ -- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 9/10/10L MECHANICAL FINAL TIME O1 00 September 9 2010 4 40 49 PM 1pangrle v DAVE (DAVE S HEATING 452 0939) MECHANICAL FINAL DUCTLESS HEAT PUMP PLEASE INSPECT BETWEEN 1 00 4 00 PM THAT IS THE ONLY TIME THE OWNER WILL BE HOME COMMENTS AND NOTES \n M P � O i V / ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 �\ Application Number 10 00000992 Date 9/10/10 \" Application pin number 548928 Property Address 1216 W 5TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 1 1415 0000 on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit ductless heat pump Owner Contractor CAROL D JANDA EXTRA MILE TECH & ELECT LLC 1216 W 5TH ST 418 N RACE ST PORT ANGELES WA 983632006 PORT ANGELES WA 98362 (360) 452 6356 (360) 457 0198 y Permit ELECTRICAL HEATPUMP Additional desc Permit pin number 173062 Permit Fee 73 50 Plan Check Fee 00 Issue Date 9/09/10 Valuation 0 Expiration Date 3/08/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 v 1 Grand Total 73 50 73 50 00 00 `n V l INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN C7 (0 Lo FINAL COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date. SEP-08-2010 10 58 PM E JANSSEN 360 452 2982 P 01 u� Ur�00 a SEP2003 ' City of Port Angeles Permit Appllcatior, pt 1k r. Building 0lvicion/Floclrlcal Inspections ELECTRICAL 321 East Fifth Street-P.O.Box IISO INSPECTIONS ' Port Angeles Washington,98362 Ph:(360)4174730 Fax:(360)417-4711 ^\ I _ Cate: � VL tale,,. ,I� V1&2 Single Family Dwelling ` Multi-Family of Commercial' -_COmmerrial,t.ddllioll/A,1ter7►ion i R1tin(,;r Wpl•:f- Plan Review Mav Be Required,Please Co+nr;•91P Eii-ririeal Plan Rev'OW Information Sheet Job Address Building Square Footage Description Of above.-n) i.0, 4- Owner Owner Informal n Name._ e;,rt u J �' a CQntreclor In��fOrmalion Name 4XfiY/F• A41(,c 7-c---r4 f! E/ Mailing Address. aJ i GG G✓ r'- -T l�t"�(_ Mailing Address. _� `�. city, r?r _. Stale.yv,�_,.:r t ; t C Il �Z { _Fax _. Y. Slate: --- prlone_` L ,r?aZ ax: License Exp. - _ I icense Il/Exp. 9�M r l'T TTFI /a G /.1•c*// Un 9 Nrge I�jY Total �7IYMulti lied Il Cher e $149.50 •---.90 Service9-seder 200 Amp. $204.60 -- ,. Service/Feeder 201.400 Amp. $202.20 Servlcs/Feeder 401.600 Amp $372,50 -- - Service reader 601.1000 Amp. $ 2.60 " -' ) -- SorviceiFeeder over 1000 Amp Branch Clfcult W/Service Feeder S 7J.50 _ ? ,c,,� Branch Circuit W/O Service Feeder S 2.60 3 Each Additional Brandt Circuit $ 92'70 ; .__ Trmp Scrvice/Feeder 200 Amp. '10 3 — emp Service/Pooder 201�400'Amp. 414648 7 70 5 Temp Service/Feeder 401.600 Amp 95,90 S 1 , romp.Service/Feeder601-1000Amp S 95,90 Pone[to Portal Hourly S 66.20 3 _Sign/Outline Ltghnng S 05.90 _ i S nal Circuit)Limited En Commercial.Admunnal ...._. _ +9 Energy- - S W 9D __Signal CircuiU Limited Energy 1&2 Family Dwelling S 63 90 i —_ Signal Circuit/Limited Energy Mulli-Femlly!')welling $11990 S _. Manufactured Home Connection S 102 30 _ J _ -_ Renewable Electrical Energy SKVA Sys!em nr c j„ S 110 3U b First 130O.Square Ft. S 35.20 S Each Additional 500 Square FL or Portion of S 7350 - Fscn Outbuilding or Detached Gare e 5++0.30 -- S .56 00 `- -' ` _ Each Swimming Pool or Hol Tub thermogtl)t S ?3 0• Total Ownor as defined by RCW.f9.ze.z6f•(1)Owner will occupy Otte structure Mr two years slier this electrical porrnit is finalized.1.71 Owner is required to hire sn olece'wl contractor if above Wd property Is forasM,rent or lease.Permit a tpiros after six months of last inspection, Atter reading the abnvo statement,l hereby corllly that I am the owner of the above named property or a licensed electrical Contractor I am making the electrical IristalWUon or alteration In compliance with the electrical laws N.I°.0 FICK Chapter 10.28.WAC.Chapter296.068,The City of Part Angeles Municipal Code,and Utility Specifications. Slgnatuttl of owner,,=leetrical Contractor or eleclnral administrate- i.j Cash 0 heck CredltCared __ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION E` r 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000951 Date 9/07/10 Application pin number 246700 Property Address 1216 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 1 1415 0000 Tenant nbr name CAROL D JANDA on your state excise tax form Application type description MECHANICAL APPL PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3995 Application desc INSTALL A DUCTLESS HEAT PUMP Owner Contractor CAROL D JANDA DAVE S HTG & COOLING SRVC INC 1216 W 5TH ST PO BOX 413 PORT ANGELES WA 983632006 PORT ANGELES WA 98362 (360) 452 6356 (360) 452 0939 Permit MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP Permit pin number 172585 Permit Fee 64 80 Plan Check Fee 00 Issue Date 9/07/10 Valuation 0 Expiration Date 3/06/11 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN/HP/FAU < OR = 5 TON 14 80 Fee summary Charged Paid Credited Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 C� 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 C> l, BUILDING PERMIT INSPECTION RECORD -Z CR - 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 INCONSPICUOUS 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 b 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. ( n Heat Pum /Furnace/FAU/Ducts v l Rough-in Gas Line Wood Stove/Pellet/Chimney 10, 10 "�J Commercial Hood/Ducts FINAL Date�� Accepted b J w MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 _ Construction R.W PW /Engineering 417-4831 __L_ Fire 417-4653 =�— Planning 417-4750 Building 417-4815 —O T Forms/Building Division/Building Permit Sep 01 1012-02p Dave s Heating&Cooling 3604520939 p 1 BUILDING PERMIT APPLICATION Print in ink J CITY OF PORT ANGELES l Attn. Building Permit Technician For City Use Only 321 E. Fifth St. Port Angeles, WA 98362 Date Received — 1' 0 (360)4174815 fax(360)417-4711 Permit# — t Date Approved Applicant Phone C{5a-o�39 Property Owner Gav^o 1 Phone �513=L C,35(.= Property Owner's Address /,;z / LAJes+- S� (- Contractor Dctte,ts z"� Phone '-f5'�2-0 93`7 Contractors Address c_ Ar-,)c l or License# -DA 6=E qC c- E xp fres E-mail PROJECT ADDRESS l l,Jesfi 5 S-tr�,� Parcel Number Lot Zoning PMiect Type&Brief Description: '4Residenfial o Multi-family o Commercial o Industrial Check all that apply o New Construction o Addition o Remodel o Repair o Demolition o Re-roof o House o garage o other o tear off& re-roof o lay over one layer '6Heat System Heat pump o wood-burning stove o gas fireplace o pellet stove o other c Other 55 Floor Areas Exisfina(sa.ft l PMOosed lsa.fRf Basement @$ per sq.ft =$ 1a Floor 2nd Floor 3rdFloor Garage Carport Covered Porch Deck Shed Other G TOTAL VALUATION $ 15 Total footprint of structures sq.fL " Lot size sq_ti. = Lot coverage % Site Coverage=the amount of impervious surface on a parcel, including structures,paved driveways,sidewalks,patios, and other impervious surfaces. (see PAMC 17.94135 for exemptions) Site coverage % Max.height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths I have read and completed this application and know it to be tare and correct. I am authorized to apply for this permit and understand that it isZ411/0 . responsibility to determine what permits are required,and to obtain permits prior to worldng on projects. Date Print Name Signature T.Fommn uilding MvWorglft Pemdt.doc Clallam County Assessor& Treasurer - Property Details - 56664 CAROL D JANDA for Page 1 of 4 Clallam County Assessor & Treasurer Property Search Results > 56664 CAROL D JANDA for Year 2009 2010 Property Account Property ID, 56664 Legal Description. LOT 4 BL 114 Geographic ID- 0630000114150000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property- N Remodel Property- N Multi-Family Redevelopment: N Township Section. Range. _Location Address: � _ 1216 W FIFTH ST _ Mapsco— PORT ANGELES WA 98363 ,/ ar.0� �- Neighborhood: Cycle 5 Res Map ID- f' Neighborhood CD- 10955130 Owner Name CAROL D JANDA Owner ID- 32644 Mailing Address: 1216 W 5TH ST %Ownership- 100 0000000000% PORT ANGELES WA 98363-2006 Exemptions. FT-ii-es and Assessment DueY�� Property Tax Information as of 09/01/2010 Amount Due if Paid on. . First Half !Second Half I I I Year , i Statement ID Taxing Jurisdiction !Base Due Base Due `Penalty j Interest i Base i 2010 39700 ST SCH STATE SCHOOL $153.1,6__$15317 $0 00 $0 00 $1: 2010 39700 CC-GEN_ _COUNTY $81 50 $81 52 $000 $000 $E 2010 39700 PORT PORT $11 46 $11 45 $000 $000 $1 2010 39700 PORT ANG PORT ANGELES $18872 $18873 $000 $000 $1 E 12010 39700 SD#121 SCHOOL_DISTRICT#121 $198_39 $19840 $000 $000 $1 E 2010 39700 _ NTH OLY LIB NORTH OLYMPIC LIBRARY $2368 $2369 $000 $000 $2 i 2010 39700 HOSP#2 HOSPITAL#2 $3344 $33 44 _$0_00 $000 $: 12010 39700 WSMET PK DIST WILLIAM SHORE MET PARK DIST $1064 $1064 $000 __$000 $1 2010_397_00 CITY STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $: �2010 39700 WEED CONTROL WEED CONTROL_ $012 $011 $000 $000 _ 9 —2010 39700 TOTAL. $737.81 — $737.85 $0.00 $0.00 $7; 2009 566642008 ST SCH STATE SCHOOL $17485 $17485 $000 $000 $34 20_09 566642008_ CC-GEN COUNTY $88.49 $88.49_ $000 $000 $17 12009566642008 PORT PORT $12.53 $12.54 $000 _ $000 — $2 i 2009 566642008 PORT ANG PORT ANGELES _ $19410 $19409 $000 $000 $3E 2009 566642008 SD#121 SCHOOL DISTRICT#121 _ $216.24 $2_16.24 $000 $000 $4,. 2009 566642008 NTH OLY LIB NORTH OLYMPIC LIBRARY $2571 $2571 $000 $000 $: 2009 566642008 HOSP#2 HOSPITAL#2 __ $36.29 $36.29 $0_00 $000 $7 2009 566642008 !CITY STORMWATER CITY STORMWATER _ $3600 $3600 $000 $000 $7 http.//vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2009&prop_ld=56664 9/1/2010 PREPARED 12/01/09 8 04 05 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/01/09 ADDRESS 1216 W STH ST SUBDIV TENANT NBR CAROL D JANDA CONTRACTOR HELPING HAND HOME REPAIR PHONE (360) 775 0720 OWNER CAROL D JANDA PHONE (360) 452 6356 PARCEL 06 30 00 0 1 1415 0000 APPL NUMBER 09 00001130 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 011.�/ 1/09 ,dyL BLDG FINAL L November 30 2009 2 58 02 PM 1pangrle TOM 775 0720 BLDG FINAL 'GARAGE EXTENSION COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00001130 Date 11/16/09 Application pin number 729030 Property Address 1216 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 1415 0000 Tenant nbr name CAROL D JANDA Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1200 Application desc 40 SQ FT GARAGE ADDITION Owner Contractor CAROL D JANDA HELPING HAND HOME REPAIR 1216 W 5TH ST PO BOX 1052 PORT ANGELES WA 983632006 PORT ANGELES WA 98362 (360) 452 6356 (360) 775 0720 Structure Information 000 000 40 SF GARAGE ADDITION Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 40 SF GARAGE ADDITION Permit pin number 155887 Permit Fee 71 35 Plan Check Fee 46 38 Issue Date 11/16/09 valuation 1200 Expiration Date 5/15/10 Qty Unit Charge Per Extension BASE FEE 50 00 7 00 3 0500 HND BL-501 2K (3 05 PER C) 21 35 Special Notes and Comments The Fire Department has reviewed the project application and has no comments Flo, n November 12 2009 5 17 48 PM sroberds the proposal will result in a 40 sq ft addition to the north wall of an existing garage in the RS 7 zone for total lot coverage of 23W and site coverage of 32W No land use issues anticipated Z_O November 4 2009 3 47 25 PM Brian 417 4708 Any electrical wiring or alteration will require an electrical permit Your existing sewer lateral may be located under foundation of proposed construction If sewer lateral is damaged during construction repair will need to be inspected by public works engineering prior to cover Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 71 35 71 35 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T.FormsBuilding 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 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T.Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA.98362 Page 2 Application Number 09 00001130 Date 11/16/09 Application pin number 729030 Plan Check Total 46 38 46 38 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 122 23 122 23 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 Q BUILDING PERMIT INSPECTION RECORD -� 1 — 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 b --� AIR SEAL. G— Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/CeilingV I Drywall(Interior Braced Panel Only) T-Bar INSULATION. Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking 8 Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 _ Planning 417-4750 '^ Building 417-4815 v T:Forms/Building Division/Building Permit or ppergN BUILDING PERMIT APPLIgA ION Print in ink '�q•�- CITY OF PORT ANGELES i�" For City Use Only Attn Building Permit Technician kne7 Received 10-21—Act 321 E. Fifth St. Port Angeles, WA 98362 it# - .(360)417-4815 fax (360) 417-4711 Approved Applicant �or. ,No�� Ph75-072 Property Owner caro� Phone ys,,_ x,106' , — Property Owner's Address _la%(o VJ 5+ Por A , k--dA Contractor _Ne1 to A.,.I Aoo e Phone 775-ca72o _ Contractor's Addrese Pr-+ License # NELP.rNHt yGB Expires IE-mail, PROJECT ADDRESS 1�,1lo W 5t,` 5A, Por Parcel Number Lot Zoning Project Type & Brief Description. KResidential. ❑.Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction jcAddition ❑ Remodel L( X(O en c'h►r¢ ;; 1,•►a ❑ Repair a--- ❑ Demolition p cK s_ 3p tyQ� •h 5;� I ❑ Re-roof ❑ House prgarage ❑ other o tear off& re-roof ❑ lay over one layer o Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existinq(sq. ft.) Proposed(sq. ft.) Basement _ @$ per sq ft. _ $ 1st FloorAI 5- 2nd Floor 3rd Floor Garage 31 q KO = 30 —i2-O6 Carport Covered Porch Deck Shed _ Other _ TOTAL VALUATION $ 2-00 Total footprint of structures � _sq ft. - Lot size sq ft.. = Lot coverage. 3 . % Site Coverage=the amount of impervious surface on a parcel including structures paved eways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions.) arpno Ir Site coverage 31. 6 % 600+ 1j= z2ty —ro�gb = 3f 6 Max. height of proposed structures ft. Occupancy group _ _ #of bedrooms _ Will a lawn sprinkler system be installed? Occupant load _ #of full baths _ Will a fire sprinkler system be installed? Construction type #of half baths I have read and completed this application and know it to be true and correct /am authorized to apply for this pen-nit and understain that it is my responsibility to determine what permits are required, and to obta n.pennits prior to working on prgjects ons �AS�1 Date j��.� 69 Print Name _Signature_ _ T Forms/Building.DivisioniBidg Perrnit doc A >E t±, ,�,t1Y^��4?"F,�':CJS_tt•`�d'o-5�.4_." 46� 1-1 4, �,L 4�, N'. =3 ,15 f / �, •� rry,iir ,. ,, 1216 0 �;" St PAGE n� 3 Cvi�(C W a, a EX 15T IM, ?�9ou5E ILV y5� C.�NC l IMS lo' 15' s . P oPosED 7E N`slglJ� Exi571kG 20,' GARAGE 6' 1o' az . A- �XN Y1,2 FT f r i �D A Ate � z2a / .tzoY 4t�W . I 41 / / A.. / �z~ 4. 121 � , Co -�C -PATO _FILE 1Y y CITY OF PORT ANGELES—Constniction Plans The Issuance of this permit based upon these plans,specifi- cations and other data shall not prevent the building official f from thereafter requiring the correction of errors in said / plane specifications and other data, or from preventing ' building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. p Approval D to � , C _ .4- x, ED eS-r L�9G► IrlYwfr y- _ _-•{`- � - ?rv. - �. - - . 'i ✓� _i- -' _. �.. _ -f-s�?''�' - �` "f�„..::_y-�..!:�,�—fin•_ •- -�-- � 4t ITo }� f 1 �6Y 1.511 N& GARS 664 , �. r. .� ,.._.:.-�.tF ,..,..k_ .� ,,spm., � � �. �T,;•--,�, ,�,-.,� I ; 4 k k t CA Y3.2T f T t. �.. 99 T J-. 4 IJ I 4- L t W PA Cs L- ov- OC/ CA x k)tA 570 UARIA16 PLAIV5 AMI , Do N, lie. 44 A.EA K .jA Erj r TA oi C.. ..t 17 J-4- .14 Li r. BLA I _AOT( ST-ORA -C t 0-7 -�l f 0 ScALrl- I. ;:% .�1 `11 • '--. +i , i . I I 1 N -4-4--f All 'TK 4 4-11 ov&& Yr to p L"( f LL -406-7 P FAT L6V&AG b 44-_ 4.r T(OAAL, -AVP ar 4A PC iA'V VAJAlilLi !1, it DIE V :t�w PbT17- 5T(A 5 , ev JA C : i _T ; 4 4L. 14- T ILT Do'TTot^ POTS wa CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 05 00000191 Date 3/18/05 Pin number 089267 Property Address 1216 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 1415 0000 Application description SIDING Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 6000 Owner Contractor JANDA CAROL D K DESIGNERS 1216 W 5TH ST PO BOX 276977 PORT ANGELES WA 983632006 SACRAMENTO CA 958160762 (961) 631 9300 Permit BUILDING PERMIT NO PR FEE Additional desc VINYL SIDING Permit Fee 148 75 Plan Check Fee 00 Issue Date 3/18/05 Valuation 6000 Expiration Date 9/14/05 Qty Unit Charge Per Extension BASE FEE 92 75 4 00 14 0000 THOU BL-2001 25K (14 PER K) 56 00 Other Fees STATE SURCHARGE 4 50 Fee summary - Charged _ Paid Credited Due Permit Fee Total 148 75 148 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 153 25 153 25 00 00 0726-09 09 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•\Policies\1102_15 building permit inspection record05.wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD T-w- 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. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION- FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING — — --------- —ESA LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 ' L7-20 BUILDING T•\Policies\1102_15 building permit inspection record05.wpd[1/4/2005] Mar 10 2005 10 30AM 3604576958 Na 8891 P 9 �\ SALES AGREEMENT ��----- s _. IID.ES"E RS 8647 South 212th Street,Kent,WA 98031 WA Lie.4KDESI**0330S \\\\ (800)528-9543 (253)872-3440 DATE- BUYER(S)NAME �'Q/ Vhf n A, HOME PHONE g&-JTZ -43,JZ BUSINESS PHONE CELL. EMAIL ADDRESS. t ADDRESS CITY STATE ZIP t�5 INSTALLATION ADDRESS CITY �= STATE ZIP (if ddfe rt) Buyer(s)o er to contract with K-Desi ners(Seller),to furnish and install all materials necessary,according to the following specifications: 1 Cr oy We JI r , i �.c�s /tc of vin / s/da,r (�irr ;1 /yJ i k au e WIAI dx f l tee 1 ih Qrr.P sY v Ouok A15 0-,.� 6v,'H4 i Xe /cif /� c,�o •,� ALL ORK TO BE COMPLETED TO BUYER'S 100%SATISFACTION $ Total Approximate Starting Date: p $ Duycr(s) nde a nJ th thi ily stimatcd date $ State Tax Total Contract Price Cash Transactions:(Payment or ComNleGon ..METHOD OF PAYMENT Cash:Fmids available from t# �O G/i yrQY Phonel# Deposit$ Balance due on completion$ n ydy' 40 Buyer(s)do jointly and severally PROMISE TO PAY ON COMPLETION of improvements,to Seller.(Make check payable to K-Designers and give to job foreman.)The undersignedare hereby authorizing Seller to verify and review my/our credit record with an independent credit reporting agency,and release them from all liability incurred from inadvertent omission or errors. Credit Card: Visa Mastercard_ Discover_AMEX_ (�(}C} .� .Account# J/ D 3oZ 6/3 !� _ Exp.Date / Balance due on completion Signature SSN' Date Signature SSN Date .Finance Transaction:(The credit terms and conditions are provided on a separate document.) 0 Method of financing: Secured Unsecured_ Other Deposit$ Balance due on completion$ THE TERMS AND CONDITIONS OF THIS AGREEMENT ARE CONTAINED ON BOTH SIDES OF THIS FORM. iofAI)ate)f otice to Customer You are required by R.C.W 19 186.020(7)to disclose whether you intend to obtain a loan in order to pay for all or part the amount due under the contract. el 49404(Buyer Signature) ( Submitted by Represcmati c) (D e) (Buyc Signatu e) (Date) (Submitted by Managar) (Date) YOU,THE BUYER(S�MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THE TRANSACTION, CUSTOMERS RIGHT TO CANCEL.IF YOU HAVE INDICATED IN THIS CONTRACT THAT YOU INTEND TO OBTAIN A LOAN TO PAY FOR ALL OR PART OF THE WORK SPECIFIED IN THE CONTRACT YOU HAVE THE RIGHT TO CHANGE YOUR MIND AND CANCEL THIS CONTRACT WITHIN THREE DAYS OF THE DATE WHEN THE LENDER PROVIDES YOU WITH YOUR TRUTH-IN-LENDING DISCLOSURE STATEMENT OR THE DATE WHEN YOU RECEIVE WRITTEN NOTIFICATION THAT YOUR LOAN WAS DENIED.BE SURETHAT ALL PROMISES MADE BY YOUR CONTRACTOR ARE PUT IN WRITING BEFORE YOU SIGN THIS CONTRACT. +DF Boar apoF CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 -3qs, o Ta (206) 457-0411 PERMIT NO. p cj DATE ELECTRICAL PERMIT Site Address: // j�—C� ❑ READY FOR INSPECTION El WILL CALL OR INSPECTION Installed By: -/y��— `/,, License Number: Phone: Owner/Business: // Phone: Owner/Business Address: Sq. Ft. E RESIDENTIAL ❑ TEMPORARY SERVICE ❑ OVERHEAD SERVICE ❑ COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDERGROUND SERVICE ❑ BASEBOARD KW ❑ NEW CONSTRUCTION VOLTAGE: ❑ FURNACE KW ❑ REMODEL ❑ SINGLE PHASE ❑ FAN/WALL KW ADD/ALTER CIRCUITS ❑ THREE PHASE ❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT (LIST BELOW) Details/Description: W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. Rough-in/cover O.K. / ❑ O.K. to connect service 4 N�Final O.K. ��" Site Address: Permit/Receipt No. Installer: New Meters--- Date: Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered ® before 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. /I NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ C20 5 Electrical Inspector Permit Fee WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC