HomeMy WebLinkAbout1623 W 14th St - Building of PaT�\`m
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 10 00001055 Date 9/22/10
Application pin number 959485
Property Address 1623 W 14TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER 06 30 00 0 4 0265 0000 Q/7 our state excise tax form
Application type description PUBLIC WORKS UTILITES Y
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
RCP #10 30 Push or Bore Telephone Line
Owner Contractor
SEAN M AND HOLLY M HAIRELL EXCEL UTILITIES CONSTRUCTION
1623 W 14TH ST 54 W MISTY LN
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 775 6936 (360) 452 1110
Permit RIGHT OF WAY
Additional desc RCP#10 30 PHONE LINE
Permit pin number 173815
Permit Fee 150 00 Plan Check Fee 00
Issue Date 9/22/10 valuation 0
Expiration Date 3/21/11
Qty Unit Charge Per Extension
1 00 150 0000 ECH RIGHT OF WAY PERMIT 150 00
Special Notes and Comments
Applicant responsible for all restoration work If alley
closure is required attached traffic control plan is to be
implemented
Fee summary Charged Paid Credited Due
Permit Fee Total 150 00 150 00 00 00
Plan Check Total 00 00 00 00
Grand Total 150 00 150 00 00 00
V
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
constru/tio°�
� 2 Z 3 l�
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T'\Policies\1102.15[10/08)
PERMIT INSPECTION RECORD
CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB&GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION RW /PW/ CONSTRUCTION R.W
ENGINEERING 417-4831 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T,Policies\1102 15[10/081
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 10 00000661 Date 8/10/10
Application pin number 361477 REPORT STATE SALES TAX
Property Address 1623 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 0265 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
Security system
Owner Contractor 4 \
SEAN M AND HOLLY M HAIRELL ADT SECURITY SERVICES INC
1623 W 14TH ST 11824 NORTH CREEK PKWY
PORT ANGELES WA 98363 BOTHELL WA 98011
(360) 775 6936 (425) 489 3668
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 168237
Permit Fee 63 90 Plan Check Fee 00
Issue Date 6/29/10 Valuation 0
Expiration Date 12/26/10
Qty Unit Charge Per Extension
1 00 63 9000 ECH EL SINGLE CIR LIMITED RES 63 90
Fee summary Charged Paid Credited Due
Permit Fee Total 63 90 63 90 00 00
Plan Check Total 00 00 00 00 ^
Grand Total 63 90 63 90 00 00
INSPECTION TYPE DATE. RESULTS INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL jWO
COMMENTS
.PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
CITY OF PORI'A(VGE LES PERMITA.PPLICATIW4
Building Division/Electrical Inspections 1
321 East Fifth Street—P.O Box 1150/Port Angeles Washington,98362JUN 2 u 2009
Ph (360)417-4735 Fax (360)417-4711 ,
Date;6/28/2010 ELECTRICAL "
INSPECTIONS �-
41 &2 Single Family Dwelling Multi-Family or Commercial' •,_,_Carnmerdal Addition/Alteration/Remodel I Repair'
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:1623 W 14th St
BiAding Squarer 200E —_ —`--- — —
Description of above INSTALUNG A LOW VOLTAGE BURGLAR ALARM SYSTEM
Owner Inforomfdon Contractor Information
Name,Sean HairellName:AC1T securit
V1ly Services
Mailing Address.1623 14th St _ — ~' Mailing Address:11824 NORTH CREEK PKWY Ny
City PORT ANGELES-State.WA _7.ip:96363 _ City.BOTHELL State WA Zi ;90011
Phone:360-775-6936 Fax:._,. , _ _ Phor1e,800752G164 _Fax:360-945-209,
License Il!Fxp.^--_ _ 1_irense N 1 Exp,+�dTSES 103205
Item UnftCharg QZy Total(9!y Multiplied by Unit Charnel
Service/Feeder 200 Amp $119.90 $
ServicelFeeder 201-400 Amp. $145.50• $—__
ServicelFeeder 401-600 Amp $2.04.60 $_ _
ServicelFeeder 601 1000 Amp. t 262.20
Service/Feeder over 1000 Amp. $372.50 $
Branch Circuit W1 Service Feeder $ 2.60 $
Branch Circuit W/O Service Feeder $ 7350 $ ..
Each Additional Branch Circuit $ 2.60 $
Temp Service/Feeder 200 Amp. $ 9270
Temp Service/Feeder 201-400 Amp. $110.30 $
Temp Service/Feeder 401-600 Amp. $148,70
Temp.Service/Feeder 6011000 Amp $167.90 _ $
Portal to Portal Hourly $ 9100
SigrtlOuttine Lighting $ 88.20 $
Signal Circuit/Limited Energy 1 First 1500 sI-Commercial $ 95.90
Note- $5.00 for each additional 1500 sf
Signal Circuill limited Energy 1&2 Family Dwelling $ 63.90 $63.90
Signal Circuit/Limited Energy Mufti-Family Dwelling $ 63.90 $ _
Mantdartured Home Connection $119.90 $. _
Renewable Electrical Energy 5KVA System or Less $102.30
Thermostat $ 56.00 $_
NEW CONSTRUCTION ONLY.
First 1300 Square Ft. $110.30 S _
Each Additional 500 Square Ft.or Portion of $ 35.20
Each Outbuilding or Detached Garage $ 73.50 $_
Each Swimming Pool or Hot Tub $110,30
$ l Fct�rt_ Total
Owner as defined by RCW 19.28.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required
to hire an electrical contractor if above said property is for sale rent or lease.Permit expires after six months of last inspection.
After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical installation or alteration in compliance with the electrical laws,N.E,C. RCW Chapter 19.28,WAC Chapter 296-468,The City of Port
Angeles Municipal Code and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Signature of owner electrical contractor or electrical administrator, ❑ Cash ❑ check
r ti`
In Credit card
X Dated: 6128/2010 ------- 011012010
a
PREPARED 6/17/10 8 45 23 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/17/10
ADDRESS 1623 W 14TH ST SUBDIV
TENANT NBR HOLLY & SEAN HAIRELL
CONTRACTOR R & N BUILDERS PHONE (360) 460 0979
OWNER SEAN M AND HOLLY M HAIRELL PHONE (360) 775 6936
PARCEL 06 30 00 0 4 0265 0000
APPL NUMBER 10 00000166 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 3/05/10 JLL BLDG FRAMING TIME 01 00
3/05/10 CA March 4 2010 1 27 57 PM 1pangrleF 1
SEAN 808 1485
FRAMING
AFTERNOON ,. J
PLEASE CALL SEAN 30-MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
March 5 2010 4 06 05 PM jlierly
This inspection was complete on 3/4/10 two separate callers
called in the same insp for two differnt days/jll
BL99 01 6/17/10 JLL��11 BLDG FINAL TIME O1 00
June 16 2010 10 20 06 AM 1pangrle
/�f// '" HOLLY 775 6936
BUILDING FINAL
AFTERNOON
PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN
- - MEET YOU THERE --- -- j��
PERMIT ME E MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 6/1/y7�—///.�1-`0�/�/� MECHANICAL FINAL TIME O1 00
June 16 2010 10 21 12 AM 1pangrle
HOLLY 775 6936
MECHANICAL FINAL
AFTERNOON
PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN
MEET YOU THERE
-- ---- - --- -- - ------ - --
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 3/02/10 JLL PLUMBING ROUGH IN TIME 02 00
3/02/10 AP March 2 2010 9 20 52 AM 1pangrle
JOHN 460 6902
ROUGH IN PLUMBING
PREFERS 2 00 OR 3 00 PM INSPECTION
March 2 2010 4 59 08 PM jlierly
PLSP O1 3/16/10 JLL PLUMBING SHOWER PAN
3/18/10 AP March 16 2010 9 09 53 AM 1pangrle
SEAN 808 1485
SHOWER PAN
March 18 2010 8 49 42 AM jlierly
CONTINUED ONTO NEXT PAGE
PREPARED 6/17/10 8 45 23 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/17/10
ADDRESS 1623 W 14TH ST SUBDIV
TENANT NBR HOLLY & SEAN HAIRELL
CONTRACTOR R & N BUILDERS PHONE (360) 460 0979
OWNER SEAN M AND HOLLY M HAIRELL PHONE (360) 775 6936
PARCEL 06 30 00 0 4 0265 0000
APPL NUMBER 10 00000166 RES REMODEL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL99 01 6/17/10 JLL PLUMBING FINAL TIME O1 00
June 16 2010 10 21 37 AM 1pangrle
/ HOLLY 775 6936
PLUMBING FINAL
AFTERNOON
PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE SO SHE CAN
MEET YOU THERE
COMMENTS AND NOTES
PREPARED 3/16/10 9 11 01 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/16/10
ADDRESS 1623 W 14TH ST SUBDIV
TENANT NBR HOLLY & SEAN HAIRELL
CONTRACTOR R & N BUILDERS PHONE (360) 460 0979
OWNER SEAN M AND HOLLY M HAIRELL PHONE (360) 775 6936
PARCEL 06 30 00 0 4 0265 0000
APPL NUMBER 10 00000166 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 3/02/10 JLL PLUMBING ROUGH IN TIME 02 00
3/02/10 AP March 2 2010 9 20 52 AM 1pangrle
JOHN 460 6902
ROUGH IN PLUMBING
PREFERS 2 00 OR 3 00 PM INSPECTION
March 2 2010 4 59 08 PM jlierly
PLSP O1 3/16/10 PLUMBING SHOWER PAN
it March 16 2010 9 09 53 AM 1pangrle
SEAN 808 1485
SHOWER PAN
COMMENTS AND NOTES
ELECTRICAL PERMIT
r
CITY OF PORT ANGELES C�
360-417-4735
Application Number 10 00000211 Date 3/03/10
Application pin number 570250
Property Address 1623 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 0265 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 circuit for bathroom remodel
Owner Contractor
SEAN M AND HOLLY M HAIRELL OWNER
1623 W 14TH ST ('�\
PORT ANGELES WA 98363 �J
(360) 775 6936
Permit ELECTRICAL ALTER RESIDENTIAL lv
Additional desc 1
Permit pin number 161802
Permit Fee 73 50 Plan Check Fee 00
Issue Date 3/03/10 Valuation 0
Expiration Date 8/30/10 /
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
Grand Total 73 50 73 50 00 00 �
V
INSPECTION TYPE DATE RESULTS INSPECTOR,
DITCH
SERVICE
ROUGH IN 3JH
FINAL g
COMMENTS
Signature of owner or Electrical Contractor X Date
P
�ly�k UR'r.i,Eti6
,G{!Fr
MAR - 2009
CITY OF PORT ANGELES PERMIT APPLICATION /111� C>
Building Division/Electrical Inspections Ir AsiiELECTRICAL P
321 East Fifth Street—P O Box 1150/Port Angeles Washington,98362 INSPECTIONS
Ph (360) 417-4735 Fax. (360)417-4711
Date 3 -3-Ib
X 1 &2 Single Family Dwelling _Multi-Family or Commercial" —Commercial Addition/Alteration/Remodel/Repair*
*Plan Review Max Be Required, Please mplet Electrical Plan Review Information Sheet
Job Address: ((0 D W 1� � "� es, IAJ A R 83(o 3
Building Square Footage: 2,j LI-9(o F " -
Description of above
Owner Ir�fpgrytation�re�� Contrac or Information
Name: Name: aAA_ Tuk&,n-
MailinpXess:j l0 Mailing Address: J
City. gles State: WA zip: 993103 city. LoXtAles State: zip: cl 83
Phone:"7)S- a3 Fax: Phone: U- 1 Fax:
License#/Exp. License#I Exp.
Item Unit Charge Qt Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $119.90 $
Service/Feeder 201-400 Amp. $145.50 $
Service/Feeder 401-600 Amp $204.60 $
Service/Feeder 601 1000 Amp. $262.20 $
Service/Feeder over 1000 Amp. $372.50 $
Branch Circuit W/Service Feeder $ 2.60 $
Branch Circuit W/O Service Feeder $ 73.50 $
Each Additional Branch Circuit $ 2.60 $
Temp.Service/Feeder 200 Amp. $ 92.70 $
Temp.Service/Feeder 201-400 Amp. $110.30 $
Temp.Service/Feeder 401-600 Amp. $14870 $
Temp.Service/Feeder 601 1000 Amp $167.90 $
Portal to Portal Hourly $ 95.90 $
Sign/Outline Lighting $ 88.20 $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 95.90 $
Note: $5.00 for each additional 1500 sf
Signal Circuit/Limited Energy 1 &2 Family Dwelling $ 63.90 $
Signal Circuit/Limited Energy Multi-Family Dwelling $ 63.90 $
Manufactured Home Connection $119.90 $
Renewable Electrical Energy 5KVA System or Less $102.30 $ /
Thermostat $ 56.00 $
NEW CONSTRUCTION ONLY.
First 1300 Square Ft. $110.30 $
Each Additional 500 Square Ft.or Portion of $ 35.20 $
Each Outbuilding or Detached Garage $ 73.50 $
Each Swimming Pool or Hot Tub $110.30 $
Total
Owner as defined by RCW 19.28 261 (1)Owner will occupy the structure for two years after this electrical permit is fni arized.(2)Owner is required
to hire an electrical contractor if above said property is for sale,rent or lease Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making
the electrical installation or alteration in compliance with the electrical laws,N E.0 RCW Chapter 19.28,WAC Chapter 296-46B The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit plications.
Signature of owner electrical contractor or electrical administrator, El Cash C'heeck"1 CA�
10 Credit Card# �Z( 2.L"M ?j I� Jig
X Dated: 3 3—10 0110112010 /t
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 10 00000166 Date 3/03/10
Application pin number 964750
Property Address 1623 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 0265 0000
Tenant nbr name HOLLY & SEAN HAIRELL
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4000
Application desc
REMODEL MASTER BATHROOM ADD EXTERIOR WINDOW
Owner Contractor
SEAN M AND HOLLY M HAIRELL R & N BUILDERS
1623 W 14TH ST 171 CEDAR GLEN
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 775 6936 (360) 460 0979
Structure Information 000 000 MMM V-4
Permit MECHANICAL PERMIT ,^(i
Additional descOVE A WALL HEATER
Permit pin number 16 94 O
Permit Fee 64 80 Plan Check Fee 00 G `
Issue Date 3/03/10 Valuation 0
c l�• 7
Expiration Date 8/30/10
Qty Unit Charge Per Extension \
BASE FEE 50 00 2,16
1 00 14 8000 EA ME HEATER(SUSP/WALL/FLOOR MTD) 14 80
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 69 30 69 30 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 fora 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.
3-3-to dl
Date PrinIAName Signaturq4f Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:FormsBuilding Division/Building Permit
1
BUILDING PERMIT INSPECTION RECORD
6�
-- 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. 1�'"
Walls V"
Ceiling
FRAMING
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar S
INSULATION
Slab
Wall/Floor/Ceiling
MECHANICAL. VI)
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 I Engineering 417-4831
Fire 417-4653 Q
Planning 417-4750
Building 417-4815
T Forms/Building Division/Building Permit
PREPARED 3/05/10 8 57 32 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/05/10
ADDRESS 1623 W 14TH ST SUBDIV
TENANT NBR HOLLY & SEAN HAIRELL
CONTRACTOR R & N BUILDERS PHONE (360) 460 0979
OWNER SEAN M AND HOLLY M HAIRELL PHONE (360) 775 6936
PARCEL 06 30 00 0 4 0265 0000
APPL NUMBER 10 00000166 RES REMODEL
- ---- - -- -- --- ---
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 3/05/10 MILL Ak BLDG FRAMING TIME 01 00
March 4 2010 1 27 57 PM 1pangrle
SEAN 808 1485
FRAMING
AFTERNOON
PLEASE CALL SEAN 30-MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
COMMENTS AND NOTES
P
L
PREPARED 3/04/10 8 27 12 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/04/10
ADDRESS 1623 W 14TH ST SUBDIV
TENANT NBR STEPHEN T ALLISON
CONTRACTOR AFFORDABLE SERVICES PHONE (360) 683 9619
OWNER STEPHEN T ALLISON PHONE (360) 220 6402
PARCEL 06 30 00 0 4 0265 0000
APPL NUMBER 09 00000660 RE ROOF
PHRMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 3/04/10 JwwwLL///��1 BLDG FINAL
Vk March 3 2010 :E-62 PM 1pangrle
HOLLY 775 6936
BLDG FINAL RE ROOFED THE HOUSE
COMMENTS AND NOTES
PREPARED 3/02/10 9 24 31 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/02/10
ADDRESS 1623 W 14TH ST SUBDIV
TENANT NBR HOLLY & SEAN HAIRELL
CONTRACTOR R & N BUILDERS PHONE (360) 460 0979
OWNER SEAN M AND HOLLY M HAIRELL PHONE (360) 775 6936
PARCEL 06 30 00 0 4 0265 0000
APPL NUMBER 10 00000166 RES REMODEL
--- - -- - ---- -- --- --- -- - -
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 3/02/10 J PLUMBING ROUGH IN TIME 02 00
March 2 2010 9 20 52 AM 1pangrle
JOHN 460 6902
ROUGH IN PLUMBING
PREFERS 2 00 OR 3 00 PM INSPECTION
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
� 321 EAST 5TH STREET PORT ANGELES WA 95362
Application Number 10 00000166 Date 2/23/10
Application pin number 964750
Property Address 1623 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 0265 0000
Tenant nbr name HOLLY & SEAN HAIRELL
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 4000
Application desc
REMODEL MASTER BATHROOM ADD EXTERIOR WINDOW
Owner Contractor
SEAN M AND HOLLY M HAIRELL R & N BUILDERS
1623 W 14TH ST 171 CEDAR GLEN W \
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 775 6936 (360) 460 0979
Structure Information 000 000 MMM (�
Permit BUILDING PERMIT RESIDENTIAL KJ
Additional desc REMODEL BATHROOM
Permit pin number 161125
Permit Fee 123 75 Plan Check Fee 80 44
Issue Date 2/23/10 Valuation 4000
Expiration Date 8/22/10
Qty Unit Charge Per Extension
BASE FEE 95 75
2 00 14 0000 THOU BL-2001 25K (14 PER K) 28 00
Permit PLUMBING PERMIT
Additional desc
Permit pin number 161158
Permit Fee 86 00 Plan Check Fee 00
Issue Date 2/23/10 Valuation 0
Expiration Date 8/22/10
Qty Unit Charge Per Extension
BASE FEE 50 00
2 00 7 0000 EA PL-PLUMBING TRAP 14 00
1 00 7 0000 EA PL-WATER LINE 7 00
1 00 15 0000 EA PL SEWER LINE 15 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 209 75 209 75 00 00
Plan Check Total 80 44 80 44 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 294 69 294 69 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 f ontractor or Authorized Agent Signature of Owner(if owner is builder)
T:FormsBuilding Division/Building Permit
C>
i
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
OUNDATION•Footin s
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING
Under Floor/Slab 3-16-10 5het~ att ALL
Rough-In L
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date — l-16 Accepted b I
AIR SEAL.
Walls
Ceiling N
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 v `
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date —1 1�7 I�Accepted b 1 J
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 --p-�
Electrical 417-4735
Construction R.W PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750 p
Building 417-4815
T:Forms/Building Division/Building Permit
2010-1248747
Page 1 of 1 Warranty Dead
yy
ClallamoCountySWashingtonCompa02/22/2010 03 41 00 PM
�' a►•
1111 Irl FMIAW14LIMM
OLYMPIC PENINSULA
Title Co m p a n y
CERTIFIED
Off'
File Number 01'0941229ds LPB 10-05
JUL A
STAT
THEGRANTOR(S) STEPHEN T ALLISON AND LORI JO ALLISON, HUSBAND
AND WIFE
for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE
CONSIDERATION
In hand paid, conveys, and warrants to SEAN M HAIRELL AND HOLLY M HAIRELL,
HUSBAND AND WIFE
the following described real estate, situated in the County of CLALLAM State of Washington
LOT 15 AND THE EAST HALF OF LOT 14 IN BLOCK 402 OF THE TOWNSITE
OF PORT ANGELES, AS PER PLAT THEREOF RECORDED IN VOLUME 1 OF
PLATS, PAGE 271 RECORDS OF CLALLAM COUNTY, STATE OF WASHINGTON
SITUATE IN CLALLAM COUNTY, STATE OF WASHINGTON
SUBJECT TO EASEMENT. RECORDED UNDER CLALLAM COUNTY RECORDING NO
498857 Gy
NO 097007
CLALLAM COUNTY
Abbreviated Legal (Required if full legal not inserted above.) TRANSACTION EXCISE TAX
LOT 15 & E2 LOT 14 BK 402 DATE %/88' 00
PAID FEB 2 2 2010
Tax Parcel Number(s)- 063000 040265 AMOUNT ,;?3�i '00
COUN REAS
Dated: Ja u ry 6, 20,10 By
STE PH T ALLST
)f h�OA
Ohl JO ISDN
State of WASHINGTON
SS
ty of
Wh*' bU +
I certify that I know or have satisfactory evidence that
STEPHEN T. ALLISON AND LORI TO AT TSON
(is/are) the person(s) who appeared before me, and said
person(s) acknowledged that they signed this instrument and
acknowledged it to be their free and voluntary act for the
uses and purposes mentioned in this instrument
Dated FEBRUARY&W 2010
Liu
��rrorrrrq�
—
I, m
q�W ExA' �F otary nae printed or typed
4t�}c�c+r+�-z�RwwncZ
p'�AAy- 9 otary Public in and for the State of
a s' N�,,.�..•- �= It
iding at. 100 hr4vl�S� Lt&Z� ��r°Lgi�
Appointment Expires-
ST
x ires_ST 2s
•arI manrrrp�
.ORF.IA, BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use Only
e. Attn Building Permit Technician Date Received 0
321 E Fifth St. Port Angeles WA 98362 Permit# ► o
(360)417-4815 fax (360)417=4711 Date Approved
Applicant d �.P,a t,�_ r �� Ph (3(co) 775- 013(0
Property Owner HM N4 4- 5, yr�,l Ph e
Property Owner's Addr6ss a 3 V/ iy ejPs :WA. q g 3(03
Contractor gQAA_ T� �, RAN But(��G Phone Glob)%0- 093 9
Contractor's Ad&ess 1-1 ( C car LoAtk � dosjWAq g 3b a
License # km 9UTNB9 µ.3P,9 Expires (a-a - 10 E-mail
PROJECT ADDRESS W I 4+ St
Parcel Number Lot Zoning
Project Type & Brief Description. Residential ❑ Multi-family ❑.Commercial ❑Industrial
Check all that apply
❑ New Construction Q
❑ Addition e, a e, +DI lef 11AA p, Sc
Remodel a � 5
❑ Repair
❑ Demolition
13ro—HouseP� H��fy—`lite wF 4 rel wal ks
❑ Re-roof ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer 3j to
❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other L
❑ Other
Floor Areas Existing s Proposed(sq. ft.)
Basement @ $ per sq ft. _ $
1 St Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
V ( OTAL VALUATION $ y-, boo DO
Total footprint of structures sq ft. T of size sq ft. = Lot coverage %
Site Coverage = the,amount of impervious su ce o parcel including structures paved d 'v ays sidewalks patios
and other impervious surfaces (see PAMC 1 135 for exemptions) Site coverage %
Max height of proposed structures. ft. Occupancy group #o bedrooms
Will a lawn sprinkler system be installed? Occupant load #of II baths
Will a fire sprinkler system be installed? onstruction type #of h f baths
I have read and completed this application and know it to be true and correct. /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 workmZ=4,�e&
Date-)- 1$-10 Print Name `_0 �0,c,re ll Signature
T Forms/Buiid ne Div!sicn/Building permit applicati n
NOTES
Permit#
!h2m -aA-.g-. =6A A-/Y--n
Lawv2
�"
T orms/Baildulg Di,, n,'Notes
� �• '�`.< u^'' �.k.' 1335 ' .. � :.r {.t
aw
All
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1743 .- 163f? f
AIA
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ip
1319 a •� '?.;".b:.. "C; A 181$
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gr. .
f 1629 `s r - 13Cf2
lisk
1316 - ,
}l4 r d 1 1617 .,
_ w 1638
1509
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?�".., ;•Yf J. 1320-
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1323
1622
=1633 �ld
1629
Clallam County Assessor& Treasurer - Property Details - 60217 STEPHEN T ALLISON Page 1 of 6
A Clallam County Assessor & Treasurer
Property Search Results > 60217 STEPHEN T ALLISON for Year 2010 2011
Property
Account_
Property ID- -- 60217 _ Legal Description_ LT 15&E2 LT 14 BL 402
Geographic ID- 0630000402650000 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
Location _
Address: 1623 W FOURTEENTH ST Mapsco
PORT ANGELES WA 98363
Neighborhood: Cycle 5 Res Map ID-
Neighborhood CD- 10955130
Owner _
Name STEPHEN T ALLISON Owner ID- 10768
Mailing Address. 2789 STEIN HILL LANE %Ownership 100 0000000000%
CUSTER,WA 98240
Exemptions:
Taxes and Assessments Due
Property Tax Information as of 02/19/2010
Amount Due if Paid on. �.
_._._.....-._._._ µ_TFirst Second
Half Half
Statement i Base Base i Base An
Year ID Taxing Jurisdiction _ LDue I Due Penalty Interest;Paid i Du
}2010 43091 ST SCH STATE SCHOOL $29510 $29509 $000 $000 $000 $E
,2010 430_91 CC-GEN COUNTY _ $15704 $15704 $000 $000 $000 $1
20_10 430_91 PORT _PORT _ _ $22.0_7 $2_2.07_ $000 $000 $000
2010 43091 -~ PORT ANG PORT ANGELES _ $36360 $36360 $000 $000 T $000
2010 43091 43091 SD#121 SCHOOL DISTRICT#121 _ $382.23 $382.23_ $0 00 $000 $000 $1
(2010 430_91 NTH OLY_LIB NORTH OLYMPIC LIBRARY — $4563 $4563 _$000 $000 _ $000
2010 430911 HOSP#2 HOSPITAL#2 _ ~$6442 $6442 $000-1_$0_00 $000
2010 43091 _WSMET PK DIST WILLIAM SHORE MET PARK DIST $2050 $2050 $000 $000 $000
!2010 43091 CITY STORMWATER CITY STORMWATER $36_00 $3600 $000 $0_00 $000
12010 43091 WEED CONTROL WEED CONTROL _ $082 $081 $000 $000 $000
2010 43091 TOTAL. $1387.41 $1387.39 $0.00 $0.00 $_0.00 $21
2009 6021_72008 ST SCH STATE SCHOOL $33912 $33911 $000 $000 $678.23_ µ
!_2009 602172008 CC-GEN COUNTY $171 63 $171 61 $000 $000 $343.24
12009_6021_72008 PORT PORT $_24_31 $2431 $000 $000 $4862
2009 602172008 PORT ANG PORT ANGELES _ $37645 $37643 $000 $000 $752.88 _
`2009 602172008 SD#121 SCHOOL DISTRICT#121 $41935 $41941 $000 $000 $83876
12009 602172008 NTH OLY LIB NORTH OLYMPIC LIBRARY $4987 $4986 $000 $000 $9973
2009 602172008 HOSP#2 HOSPITAL#2 $7039 $703,8 $0 00-_$0 00 $140 77
2009 602172008 CITY STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $72.00
1
http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=60 2/19/2010
c3
14)
o
FILE
OF:PoFtT ANGELES—Constructeon PIS"
he Issuance of this permit based upon these plans,specifi-
ccations and other data shall not prevent the building official
_ from thereafter requiring the cormetioof errors
In tiid
g
(� niE specifications and other data, or
ilding operations being carried on thereunder when in
ur sd ction.
oiation of all codes and ordinan this 1��
pproval Date ByV
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T Dorms/Building Divi, :r•'Notes
t
. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000660 Date 7/02/09
Application pin number 275680
Property Address 1623 W 14TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 0265 0000
Tenant nbr name STEPHEN T ALLISON
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 6786
Application desc
TEAR OFF & RE ROOF THE HOUSE
Owner Contractor
STEPHEN T ALLISON AFFORDABLE SERVICES
2789 STEIN HILL LANE 258663 HWY 101 WEST
CUSTER WA 98240 SEQUIM WA 98382
(360) 220 6402 (360) 683 9619
Structure Information 000 000 TEAR OFF & RE ROOF HOUSE
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF & RE ROOF HOUSE
Permit pin number 149583
Permit Fee 165 75 Plan Check Fee 00
Issue Date 7/02/09 Valuation 6786
Expiration Date 12/29/09
Qty Unit Charge Per Extension
BASE FEE 95 75
5 00 14 0000 THOU BL-2001 25K (14 PER K) 70 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 165 75 165 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 170 25 170 25 00 00
I /Q /'W
3
Q
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)rdinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presu te-gi au rity to violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
Date Print Name Signature of Contract or uthorized Agent Signature of Owner(if owner is builder)
T:FormsBuilding Division/Building Permit
C>
BUILDING PERMIT INSPECTION RECORD --R)
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— 67.....
Building Inspections 417-4815 Electrical Inspections 417-4735 0---
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 C
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.
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line V
Wood Stove/Pellet/ChimneyV.
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
lr
T:Forms/Building Division/Building Permit
°"rA,%, BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn. Building Permit Technician For City Use Onl
- -09
321 E. Fifth St. Port Angeles, WA 98362 Date ReceivedPermit# Oct-66r
(360)417-4815 fax(360)417-4711
Date Approved
Applicant 5e r via Phone
Property OwnerPhone p
Property Owner's Address `
Contractor Phone TZ2&0 Coe,�;gCola
Contractor's Address 7, (m 111(�TZ3 22Z
License# MED Kc,7
# x ire E-mail
PROJECT ADDRESS Z �
Parcel Number fJ Lot Zonin
Project Tvpe&Brief Description: CResidential ❑ Multi-family ❑ Commercial ❑Industrial
Check all that apply
❑ New Construction
❑Addition
❑ Remodel
❑ Repair
❑ Demolition
v(Re-roof XHouse ❑garage ❑other Ktear off&re-roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑wood-burning stove ❑gas fireplace ❑ pellet stove ❑other
❑Other
Floor Areas Existing(sq.ft.) Proposed Isq. ft.)
Basement @$ per sq. ft. _$
1St Floor
2nd Floor
3rdFloor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures sq.ft. T 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 %
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. 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 Print NameS� .���.ec((�(\ Signature��./
T:Forms/Building Division/Bldg Permit.doc
AFFORDABLE ROOFINGP OPOS.L:
25 8,663 Hwy 101 W est
Sequin WA
(360) 683-9619 (360) 385-2724 (360) 452-0840
N ame Phone #1 .3ej ( QCT��j
Add Phone #2
C,. Stated J8: Zip Code --
Tarp house-pe meter to protect landscaping
�Re ri6ve old roofing and haul to landfill
Install Plywood OSB
Instail11 Roofing Fe —61Kllnstall Dnp Edge Metal
nZ Install Pepe Flashmg Install Metal W-Valleys
Install, Exhaust Vents Install Roof to Wall Vlaslung .
Irstal:f Ridge Vents Install Roof to Wall Step Flashing
lnstal'1 Attic Vents Cut In Chimney Counter Flashing
Install Sun Tube Install Chimney Step Flashing
lnstall�Skyhghts Install Skylight FlaWng
Instal l
—Install -
lnstall .
Install
Secuile!Locate Septic / Drain Field Location
Prig:Includes Bwldtng Permit --
Customer to.Secure Buildrng Perrrul
Descnpaoaj_ In aT��;gar T aminated gh'Wind Shingles, at 6 nails ner shingle.
With Scotch Guard Algae Bl�ck SvStem
Payment Ln full .upon completion of project,
unless other arrangements accepted- SUBTOTAL
We propose hereby to furnish matenal and labor, SALES T".
complete in accomlanee with the above specifications. TOTAL. cc�� Or
htoW ibis proposal may be%wdWrmn by us if rag
All t wwAl is girerwwd.to be as specified.Any aheraion or deviation them the above within 30 days.
specifiatim aivolying extra costs wW be excutod only upon written orders and will
beconx an extra,chW,ovar.and above the eatirnate.All agreements contingent upon
strikes,eccedwts,or delays beyond our 000troL Gwna to carry fire,tornado and other
necmury.msumom.
Acceptance of Proposal the above priers, specifications and conditions Brand Year ?)
are sansfactory and aro hereby accepted. You am authorized to do the Color Workrnaiiship
work as specified Payment will be made as outlined above, 10 Year Warranty
Lifetime Warranty
DEPOSIT
Affordable Roofing's Representativ Dateb_
-uslomer s Signature of Acceptance: Date
See attached Warranty Statt:nXnt.
� w N CITY OF PORT ANGELES
\f DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
BUILDING PERMIT ISSUED: 8/28/2002 PERMIT NO: 13655
OWNER/APPLICANT PROPERTY LOCATION
STEVE ALLISON 1623 14TH ST W
1623 W. 14TH STREET Lot: E 1/2 14 & 15
Port Angeles, WA 98363 Block: 402 ❑ Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No: 063000402650000
CONTRACTOR ARCHITECT
ALL WEATHER HEATING &COOLING N/A
302 KEMP STREET
PORT ANGELES, WA 00009-8362 98360-0000
360/452-9813 360/000-0000
PROJECTINFO
Project Value: $3,297.00 SFD Units: 0 Commercial: 0
Project Type: LP GAS INSERT SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0 N
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
INSTALL PROPANE INSERT, GAS LINE, TANK
FEES ASSESSMENT S
Building Permit: $0.00 Misc Feel: PROPANE $35.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $35.00
Plumbing: $0.00 AMOUNT PAID: $0.00
Mechanical: $0.00 BALANCE DUE: $35.00
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 orwork is suspended or abandoned
fora 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.
gig8 8oY
S' ature of Contractor or horized Agent Da/ Signature of Owner(if owner is builder) Date
T:\PLANNING\FORMS\1102.15[4/20021
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 INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE /d 6�
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
ROUGH-IN
PLUMBING
UNDERFLOOR/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
HEATPUMP
WOOD STOVE/PELLET/CHIMNEY
HOOD/ DUCTS
PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT N'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 I O I BUILDING
T:\PLANNING\FORMS\1102.15[4/20021
FROM : ALL WEATHER HEATING & COOLING FAX NO. 360 452 5177 Aug. 27 2002 03:12PN P1
rVA urrn.w..
POai 'I ' pare Rae.:
BUILDING PERMIT - APPLICATION pamite:
Date Appoved.
t>.te trued•
Ae Brildhtg Permit -Pre-applieanon saust beJ!lled outCO Mp/dely.
rlene type or print in inllL If you have any questions/please call 417-415
Applicant or Agmt: J '6 f' iCf,�n IGtG/ �6 /rL
{?C/ Phone:
o., � i li 4l (`CI��Jyt \ Phone:
Atldlera: AM city: zip;
Phone;
Cmatrocgos ''n $ i, License#: Exp: Phone: �/f%10452_
City.�w� /�� zip: 99-4 Z
t�23 Kl/y S� ZOMNG:
AL N: Lo
Block- ` 2 _Subdivision; I Pff
CLAXJ AM COUNTY PARCIZ NUM UR:063 90Wq0aS0 redit Card Holder Name:
> Addnw; City:
Creat Card M: Esp.Date: VISA__MC
TYM:OVVOJM, SIZE/VALUATION:
o Residential o New Comstr. O Re-roof o Woodstove SF.@ S /SF.-$
o Muhl-family o Addition 0 Move 0 Garatc SA Q S /SF.-$
e Cosmoaccial o Remodel o Demolition o Deck SF.@ S_____jSF•=$ l
o Repair o Sign a TOTAL VALUATION S
B RIRF DSOCIZ"ON OFT=PRO,ISCT: I VI
COBUdERCIAI/lMSIDENTIAL: Occupancy Group: Occupant Load: Conshuction Type:
NO..,of :. Lot Site:.,,,,__ %Lot Coverage: %
Existing Lot CwMate: isq.R+Proposed Lot Coverage: /sq.ft.-TOTAL LOT COVERAGE: /sq.ft
PLANNING IRM ONLY: APPROVALS: PLAN
HLIIG.
DPW
FIRE
ESA/Wetland(e): O Yes o No SEPA Checklist required?o Yes o No Other: OTHER_
-
llUII.DIN6.ltERbaP AlPLICATION SUBMITTAL: Your sppliem/en and alaePfaa aerrp beJffled art eaapla0a{p as be aYcsperljer
review. The Building Division can peovide 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 SH eases,a valoaddo amouat must be entered by the applicant. Tbn 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 aummnce.
PLAN CHECK MZ: Your plan check fee is due at die time the building permit application and construction plans ate submitted All other
permit fees an due at the time of permit issuance.
EXPIRATION OF PLAN REVMW: If no permit is issued within 190 days of the date of application,,this applitat/ogwill eaphe. 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.
I hereby car*that//rave read and asatdned this application and know the same to be true and correct,and i am and sorised b apply for
this permit. I understand it is not the City's legal respo
nsibility to determine whatrequired; it remains the applicants
responsibili(y to determine what permits are required and tain such.App Date:
TAFORMSVJTSBuddi upm=t
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: `
Date I Time Received by -"'` (phone, person)
Location of Work to be inspected—)
Name of person requesting inspection
Address of person requesting inspection Phone
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing' Final, Sewer Excay. OtherF'r-a
INSPECTION NQ ES:
Inspected: Date Time__ By C "
Remarks:
'j
RESTORATION REQUIRED . . . . . . YES NO
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other
❑ Repaired by City Work Order #
❑ Repaired by Permittee ❑ COMPLETE
❑I No Damage Found ❑ INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES N° 1 7 5 9 8
LIGHT DEPARTMENT ELECTRICAL PERMIT ..
Port Angeles, Washington------------
------------------ ls_ !
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 electrical work as listed below.
Address -- S L. 'J ,'c /? - - Occupancy n `' - -
----- --------------•- ----------------------
Owner ----C_f-%Lir--CG.:c„21='=--'`=--tit----- fL Tenant-------------------------------------------------------------------------
Wirmg Contractor.--.�------------------=- • - .............. By---------•----..•-------•---------------------------•------------
•�- --/------------
Light Outlets.......... ........... Service, volts ........... -: � J.:::7.J Type of Wiring:
.� Armored Cable ..............................
Receptacle Outlets....:_........................ No. wires ..?.��.....7...�...._ ...__..
Dryer,KW........._ .......................... Size wires_'rC4t'. Non-Metallic .................................
Z -off. Knob & Tube.........--------------....-
Range,KW /....:_--------------- - Main fuse .._c-----------------
....... Rigid Conduit ...............................
Water Heater: � Enclosure ........_......_........._..........
c Metallic Tubing ...........................
KW_------------------------ ----------------.y_ Type of wiring: Raceway .............
Heat ..KW1-e..!..f.5K11-r .al Entrance Cable --_--------------------_--- �._............_......._
Circuits, Light........................................
Motors: size,/,Volts and phase: Rigid Conduit ------------------------------- Utility
/ 4�=(Aim Metallic Tubing Heat /�
`.........c..�.�.�9---'--------------------`-------_ g ---------- ......................._.......
” Current transformers: Range .....�.........
i'
Y No. & Size....................................... Water Heater ........................_.._
Ser.No................ Motor .. ....__...............................
........................................................... Ser. No....._.........................._..........._. Dryer......:...........................................
........................................................
Furnace................. ------------------
Set. No.............................................. �t
TotalLoad............................. Ser. No.............................................. Total .......................................
Remarks: --------- '1 E!rC._✓" C o h-
------------------•-------------------------------------------------------------------------------------- ----------------------------------------------------------------
-----------------------------------------------------------------------------------------------------•------...........--------------------------------------=
PermitjjFele/ Tress. Receipt
J �/SSC
NOTICE—Current must not be turned on until Certificate of Inspection has been issued. IP 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
N° 17598
ELECTRICAL PERMIT
Address ..----------------......-................._....----................-......................-------......._....................... Date---------------------__... ......-................
Owner ----------------'........................._................_.._........................................................... Tenant.........------------------------------------------------....
R'iring Contractor........................................................... ......................_\:_._....................... By-------------------------------------------------------.------
NOTICE=-Current must not be turned on until Certificate of Inspection has been issued. if work Is to be con-
cealed due notice must be given the Inapector`so-that work may be inspected before concealment.
1M Olympic Printers, Inc.