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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUlLDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
Owner
KEYTE BRIAN E
215 W 7TH ST
PORT ANGELES
WA 98362
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
05-00001273 Date
038471
215 W 7TH ST
06-30-00-0-1-6490-0000-
BRIAN KEYTE
RES REMODEL
1/09/06
RESIDENTIAL HIGH DENSITY
13000
Contractor
M & C CONSTRUCTION INC
653 N. 7TH AVE
SEQUIM WA 98382
(360) 683-4571
BUILDING PERMIT -RESIDENTIAL
68510
249.75
1/09/06
7/08/06
Qty Unit Charge Per
Plan 'Check Fee
Valuation
99.90
13000
BASE FEE
11.00 14.0000 THOU BL-2001-25K (14 PER K)
Extension
95.75
154.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 249.75 249.75 .00 .00
Plan Check Total 99.90 99.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 354.15 354.15 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void jf work or construction authorized is not commenced within 180 days, if construction orwork 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 t give authori~ to violate or cancel the provisi ns of any state or local law regulating construction or the performance of
constructi . 11
I
\ ~
Date
Signature of Owner (if owner is builder)
T:\Policies\1102_15 building permit inspection record05.wpd [11412005]
Date
'"
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 UNLA WFUL TO COVER, INSULA TE 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS '.
CEILING I I
FRAMING I I
JOISTS / GIRDERS l/t1 ( 01" 1 (.,L
SHEAR W ALLlHOLD DOWNS 7 ,
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
/
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL.lNSPECTIONS 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:\Po1icies\1 102_15 building pennit inspection record05.wpd [1/412005]
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
C'OIvIPLE,TE t.o be accepLeu lUi' revieY\:. Ifyuu have any questions, ca11
PERMITS (360) 417-4815 FAX(360)417-4711
Phone: .,2t/G -J /.s -7? J 1
Address:
City:
Owner:
LEGAL DESCRIPTION: Lot:
zip:-'l~3 (0';)
Phone: ~I, 4. ~-/' J r 1 7i>1
~-_ ....-J. ?1(J~ l / _/ -; '} L"/ 7
StateLicense#:J'1e~t)AJ~ Exp: I~/'V~ Phone:~8~ --rJ-r/
C~t)C'.~Jf<S: ~ U-~o~:'T8 3.8 L
{~ V ~
Block: Subdivision:
Architect/Engineer:
Contractor ;11} Ow\'\" L
W, ~kll(+t~
-
Address: G~ ~,v ;) Ttr-
PROJECT A..DDRESS: Q \S- \N
.
CLALLAM COUNTY PARCEL NUMBER:
)(Re-roof
o Move
o Demolition
o Stove
o Garage
o Deck
o Other
SIZENALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL Viu,DATION
~
COMMERCL.\LIRESIDENTL4L: Occupancy Group:
Occupant Load: .
Construction Type:
= TOTAL Sq. Ft.
%
Existing Sq. Ft. & Proposed ~q. Ft.
LOt'" CCN~ I-!ol <::'~M~l ~b) .
No. of Stories: Lot Size:
Total lot coverage
1
ESAIW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee .is due it must be submitted at the time the building pernlit application and construction plans are
submitted. All other permit fees are due at the time of pernlit issuance.
EXPIRATION OF PLAN REVIEW: lino 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 RI 05 .3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
T:\Policies\BL-II02_13.wpd Applicant:
N
Area Map
This map is not intended /0 be used as a legal description.
This nwp/drawing is produced by the City of Port Angeles for ils own use and purposes.
Any other use of this map/drawing shall not be the responsibility of the City.
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-;--: Ihb Issuance fllilsjpermlIDaSeif1jjjo!i~_. spe~m:-1-I/t 'I ~ j~; , In] : ! I ;-I-f- -.---.-.-.
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City of Port Angeles
Applicant Project Review Sheet
Applicant: B /2-";- /fA/' jL..t3 Y I~
Owner: /3IJ:rAf'./ ~ ya=:-.
Property Address:
Proposed Use:
Zoning: _
,2/r VV'
? Tl.L
Is the proposed use listed as a "permitted use" or an "accessory use" in this zone?
Is this the only use (business, residence, etc.) on this site?
Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one been
submitted and is pending approval?
Does the proposed use require a new buisiness license?
Does the project extend into any required setbacks or cross any lot lines (interior or
exterior)?
Does the project exceed the permitted height allowance or cause the property to exceed
the allowed lot coverage in this zone?
Does the project require any additional parking or special design/landscape
improvements in this zone?
Does the project eliminate any existing parking spaces?
Is the project located within 200' of the shoreline?
Are there any environmentally sensitive areas on or within 200' of the property, including:
. wetlands or areas of standing water (year round or seasonal);
. streams (year round or seasonal);
. areas with a slope of 40% or greater; or
. areas that have evidence of past ground movement or erosion?
Have all the required submittals been provided by the applicant?
o Site Plan ~ Construction Drawings
o Parking/Drainage Plan 0 Civil Drawings
o Energy Calc 0 Supporting Engr. Calc
o Landscape/Lighting Plan 0 Other
~yes: ok
rx yes: ok
Dyes: requires PD
D yes: requires CC
review
D yes: requires PD
review
D yes: requires PD
review
D yes: requires PD
review
D yes: requires PD
review
D yes: requires PD
review
D yes: requires PD
review
Dno: requires PD
review
Dno: requires PD
I)cJno: ok
~ no: ok
A1' no: ok
~ no: ok
% no: ok
~ no: ok
W no: ok
W no: ok
If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department permit(s) is
needed, the Pla/1/lin).! Department permit(s) must be approved prior to the issuance of any other permit.
The information provided above is true to the best of my knowledge, I understand that in the event that any of this information is determined by
the City to be incorrect, this project will be stopped until such time the City determines the correct information is provided and any
subsequently required review and approvals are completed and granted.
..,J..
Applicant
Date
Permit Category #
Route to: 0 BD
Staff Initials
(see reverse side)
o CC 0 FD 0 LD
Building Permit #
o PD 0 PW 0 File
Date
Master Tracking #
o Other
Completion of this form is required for all category 1 b, 2 & 3 permits. Completion is not required for
16923
') -.;fJ .)0
Port Angeles, Washlngtonmm__::.'__m____.___...mmm.._m__...___m._____, 19m..!__
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure In the City of Port Angeles, per-
mission is hereby granted to do electric;a1 work as listed below.
Address ----:?./-f:..-0f---..2-!';:/.-------------.-m--~------ Occupancy_____m~__r:___"_~,-,_=,,__.____m_______
Owner -;__~*:.;:!-...,'.m-m,.-:!~:~!::I,,~~&:0:.~: l1t...i.m_______mm_.__.mm_m____m_m___m__.m_____m..._.
./
Wiring 'Contractor _..O"k'_~>_.!2,_.,..~.._"m______m_______._____.._m By______.mm__.__m____._m____mm__m_m_mm____mm__._
Light OUt1etBh......-~7.. ..,"T).....---..---.':': ," Service, volts -- ..........---.....................-- Type of Wiring:
~ I ~
Receptacle Outlets....___...................___.. No. wires .__......_..........._____............. Armored Cable .............................
Dryer, KW _.n....___.......h..........__.__.__.___
Size wiresn.....___..........__............._..
Range, KW _...n__nn...U______h.
Main fuse ....____............__.......____......
Water Heater:
Enclosure __....'un.'.......___.__...........__
KW.....____..__....__:.~_______...~______
Type of wiring:
Entrance Cable _...___m..umnm.....-.
Heat: KW.................~.,---.........-----.........
Motors: size, volts and phase:
Rigid Conduit .m....m_m....
MetalUc Tubing ..................
Current transformers:
No. & Size......______.........____.....
~::::~::::~::::::~:~::::::::}~:~:::::::::::::::::::::~~~
Ser. No....---.....-.----......-..--------..---.--..-.
..'
Ser. No.__..__._......___.........__._......._.......
_m.............m_..?"............................._
,/
Ser. NO._._....._................_..._.........._n__
Non-Metalltc .........----....-----..........-
Knob & Tube.._............_........__._...._
Rigid Conduit ........................-......
Metallic Tubing ....m.................__.
Raceway ..______..............._._....__..._
Circuits. Light......_..._....._____....__._...._....
Utility ............m_"....:....................
Heat ........----....---....................-..-
Range .........__..........__........._........._..
Water Heater ......_n__....__..............
Motor ..._............_......___..................
Dryer u........____......._........_........._.._.__
Furnace ...-.....................'_.._._..........._..
Total r.oad.........________:...:...__.. Ser. No...-;;-...______._..........__.........__n Total ........-.----.......---......----....,
tJ. d T' 1;. /.. .
~emarks: _______{[....t:.._(.c~_:.!::_:...:(__~::1_.~~m:,;.:.:___;.~M_!'_'::_~!:::':_':_.L_~n___mnnmnnnn..___u__m..___nn__..___mU.___nmn
.________..____n____.n..._..__nn...._.__._._......_._n._.n._.n__...n.._n_..nn...n_._.....___._.__.n_...._______....._n_n_......_._n.nn.....__.._....____..M.._
_:.~_=.~~._~~:-_-_~~~.-_.:-:_-~-:~~._:.---m-m::~_~_~:_-.~.~.~:~~::::::::.-----.m---mm:~--:~ZE~~:2~-:::_
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be
cealed-due notice must be given the Inspector so that work may be inspected before concealment.
I
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
,
>.1
\
\
ELECTRICAL PERMIT
con-
N~
16923
Address....__......___..._......_...______...........__..................._.._............_...................._...__..........................Date..._......_.._.._.._..........-......-......-.........
Owner...........____......._....._._...._...._.__................._.._._.._................................._____..........._.___Tenant.___________....__...______........-------..........------...-....--
WiringContractor......__.__..................___...____............_......_....__.__............__......__.........._..__...............By.._..__........_______..........---............-............
NOTICE-Current must not be turned on until CertiUcate of Inspection has been issued. If work Is to be con-
cealed due notice Jl!.1!~_tbe given the Inspector so that work may be inspected before concealment. '.
/ \
1M ..- "'Olymplc Printers, Inc.
.... -\-
,
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15696
3-/6 1--6
Pbrt Angeles. Washington.____..m..............___....__...__......._.......__.__..., 19L."7
In aooordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do el~. trical work as listed below.
r:J I S- b.r)[F
~::::sn::::::::~~}~:g~:::;9,'::t2:::::::::;~::::::;;j:~:~:::__.~::~~~.~~~:::::::~::::~:::::::::::::::::::::::::::::::::
Wiring Contractor m__!.l.L'.'!./12C"'.7____.r.._:_'1'2.:::...____.ir:m. By________m________m__nm.___________mm___________._._m__.__
\1
Light Outleto____.mm__.______.___________________.
Receptacle Outletsn..mm..m..__m.........
/.~/./;)Y,.'
Service, volts ...l"....~............................
No. wires ...._n..:..h.......h....._.n.:;'...
/ - /' .
" //'., '/
Size wires__mmm:'m:_:_.__:L-:-~m..._..
Muln fuse ......,~._rQ::?,A~_
.s
Enclosure h........_.._..._..___nn___.n__....
Dryer, KW....__________.nn.n__n_.n_nnn_____
Range, KW ______.n_..___n_n_n____n
Water Heater:
HeaIK:~-_::At~<g-::::;::;~~~. ?
Motors: size, voj(:~d .....Phase:
Type of wiring:
Entrance Cable ..m_nnm.mnm
Rigid Conduit n___.mm
Metalllc Tubing m_m
Current transformers:
No. & Size_m_m....mm______.___
Ser. NO._............_..._..._......___...n........_.
Scr. No............._.............._..................
Ser. No. .........................___.................
Type of Wiring:
Armored Cable .............__.___.._.._..__.
Non-Metallic ................___.____.___h.._
Knob & Tube......._.....___h..__..h......_
Rigid Conduit ____.m______________.________
Metallic Tubing ___________m__m________
Raceway __...____......................_....._
Circuits, Light...____..___n..._______...............
Utillty.________m____.________.___________________
Heat __.___...____.............................._...
Range ._......__..........._...___..._______.__n._
Water Heater ....._.n_..n.................
Motor ____.......h...........__..........___......
Dryer..........._..____.___.__._____.______..__........
Furnace ._...h..................._......_h.........
Total Load_....nu....n__n__nnn.. Ser. NO.._......_...._.._.........nn.._...._....... Total ........nn.._.nn._.._.n.n.nnh_
'. Remarks: .---.---~~-=?-n-i/q""!f~<'!?-nn---n.,07r;{"..{-"..:.-.-,,---"....----.---.---nm.------.-----__mm__m_____________m
Permit Fee
Treas. Receipt
NO.___...mm..___m_m.m
By n.m___________.hn___h.______________m.___n__m___._.m_____
$.___m__m.m___mmnnnnn___
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15696
Address_.__________________._.__...__..........................__......._.................._______.....___.__...._____________.__......_......Date________________.______.__________...._._________._....
Owner ........_n.h.._nn_n.._........___.......__..............__._u.........................___.nuuhnhn..._.nnu... Tenant....h..h__n..nnnnnu.n.nn..._n_..._.....................
WiringContractor.__..___..______________....__.._........._.._.....___...__........................_......___.._______....._._.._.._...__.By......_...____.._._____........_.._h.....___.__...._....___..
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con-
ceal~ due notice must be given the Inspector so that work may be inspected before concealment.
"
"
H~ -. r\1.._~,_ n.,_.___ T__