HomeMy WebLinkAbout1530 W 15th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
07-00000357
685221
1530 W 15TH ST
06-30-00-0-4-3508-0000-
SUMMER PROPERTIES
RES MANUFACTURED HOME
RS7 RESDNTL SINGLE FAMILY
82000
Owner
Contractor
SUMMER PROPERTIES LLC
5014 MOUNTAIN TERRACE WAY
PORT ANGELES WA 98362
(360) 460-5753
Structure Information 000
Other struct info . .
M & C CONSTRUCTION
653 N. 7TH AVE
SEQUIM
(360) 683-4571
000 1013 SF MANUF. HOME
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BL MANUFACTURED HOME
1013 SQ. FT. MANUF. HOME
99010
230.00 plan Check Fee
4/19/07 Valuation
12/19/07
Qty Unit Charge Per
BASE FEE
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
QUALITY/ MOBILE
104976
QUALITY ELECTRIC
75.00 plan Check Fee
6/22/07 Valuation
12/19/07
Qty Unit Charge Per
1.00 75.0000 ECH EL-MANF HOME SERVICE & FEEDER
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All dead-end streets in excess of 150' shall have an
approved turn around. Municipal Code 16.04.070
04/18/2007 03:12 PM SROBERDS -- The proposal will result
in the placement of a mfg home in the RS-7 zone for total
lot coverage of 22%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required. Customer electrical connection fee is $713.00
04/09/2007 10:29 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Date
7/13/07
INC
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WA 98382
14.40
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7000.00
1013 .00
1013.00
1. 00
.00
94540
Extension
230.00
.00
o
Extension
75.00
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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 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.
ON S1e .
Signature of Contractor or Authorized Agent
OI{13107
Date Signature of Owner (if owner is builder)
Date
T:\PoliciesllI02_15 building permit inspection record05.wpd [1/4/2005]
- -'
BUILDING PERMIT INSPECTION RECORD
r
CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY rVORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA T10N.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSI'ECTlON TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TJON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (fNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
ROUGH-IN
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CHlMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DErT. SEPARATE PERMIT #'s SEPA:
I' ARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PoIicies\I ]02 15 building pennit inspection record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 07-00000357
Application pin number 685221
Page
Date
2
7/13/07
Special Notes and Comments
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Water meter setter and box will need to be adjusted to
proper hieght when building water line is connected to
setter.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
713.00
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 305.00 305.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2947.50 2947.50 .00 .00
Grand Total 3252.50 3252.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days. if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:IPolicieslll02_15 building pennit inspection rccord05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
I'
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLI C WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' frORK BEFORE
J]\/SPECTED AND ACCEPTED. POST PERMIT I]\; A CONSPICUOUS LOCA T10N.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
Q
--J
,
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: Foot jS(o.b t.((l~lo7 Tt(,
FOOTINGS
SHEAR WALLS 1 WALLS -
(' FOUNDA TJON DRAINAGE7l20WN SPOUTS "\ 'b T c> 'll b 1 -:rLL..
PIERS I I
POST HOLES (POLE BLDGS)
PLUM!lING vJ~~ 5U l'f't..y ~/otlr5f::1U-
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG) IO-I&;D7DATE
GAS LINE FINAL T~L-- ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CElLlNG I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF I CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR 1 CEILING I
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
.
WOOD STOVE 1 PELLET 1 CIDMNEY
:.n~t>OWN& tol7.. 21 (Ff
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEP ARA TE PERMlT #'s SEPA:
PARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT .
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 F1RE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 I () -llf-fil Pr? BUILDING
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T:\Policies\1102 15 building pennit inspection record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
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
07-00000357 Date
685221
1530 W 15TH ST
06-30-00-0-4-3508-0000-
SUMMER 'PROPERTIES
RES MANUFACTURED HOME
7/13/07
14.40
.01
7000.00
1013.00
1013 .00
1. 00
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RS7 RESDNTL SINGLE FAMILY
82000
Owner
Contractor
SUMMER PROPERTIES LLC
5014 MOUNTAIN TERRACE WAY
PORT ANGELES WA 98362
(360) 460-5753
Structure Information 000
Other struct info . .
M & C CONSTRUCTION
653 N. 7TH AVE
SEQUIM
(360) 683-4571
000 1013 SF MANUF. HOME
TOTAL \ LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC
WA 98382
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
5/8" DROP IN METER
99358
200.00 Plan Check Fee
4/19/07 Valuation
12/19/07
.00
94540
BASE FEE
Extension
'200.00
Qty Unit Charge Per
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
99366
120.00
4/19/07
12/19/07
Plan Check Fee
Valuation
.00
94540
Qty Unit Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
Extension
120.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
A~dress numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All dead-end streets in excess of 150' shall have an
approved turn around, Municipal Code 16.04.070
04/18/2007 03:12 PM SROBERDS -- The proposal will result
in the placement of a mfg home in the RS-7 zone for total
lot coverage of 22\. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required. Customer electrical connection fee is $713.00
04/09/2007 10:29 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
Separate Permits are required for electrical work, SEP A, 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 180days 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.
OV\ h\tD__
Signature of Contractor or Authorized Agent
o~ 107 Signalure of Owner Iff owner is buiider)
Date
T:\Policies\1102.15R [l/05]
"
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. 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
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 OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
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:\Policies\1 I02.15R [1105]
f 'PORT ~
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 07-00000357
Application pin number 685221
Page 2
Date 7/13/07
Special Notes and Comments
notice is required.
Water meter setter and box will need to be adjusted to
proper hieght when building water line is connected to
setter.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
713.00
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 320.00 320.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2947.50 2947.50 .00 .00
Grand Total 3267.50 3267.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating co.nstruction or the performance of
construction.
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\Policies\1102.15R [1/05]
.
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. 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 I 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 OCCUPANCYIVSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\lI02.15R [1/05]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32 I EAST 5TH STREET, PORT ANGELES, W A 98362
Owner
Contractor
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000357 Date
685221
1530 W 15TH ST
06-30-00-0-4-3508-0000-
FALL PROPERTIES
RES MANUFACTURED HOME
4/19/07
RS7 RESDNTL SINGLE FAMILY
94540
SUMMER PROPERTIES LLC
514 MOUNTAIN TERRACE WAY
PORT ANGELES
PORT ANGELES WA 98362
M & C CONSTRUCTION INC
653 N. 7TH AVE
SEQUIM WA 98382
(360) 683-4571
Other struct info .
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BL MANUFACTURED HOME
1531 SQ. FT. MANUF. HOME
99010
230.00
4/19/07
10/16/07
.00
94540
Qty Unit Charge Per
BASE FEE
Extension
230.00
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
PLUMBING
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
50.00
7.00
15.00
ASE FEE
1.00 7.0000 PL- EA. INSTALL WATER PIPE
1.00 15.0000 PL- EA. BLDG SEWER
Special Notes and Comm ts
Address numbers shal be plainly visible from the street.
Address numbers sh 1 be a minimum of six inches high and be
of contrasting co r from the background.
All dead-end str ts in excess of 150' shall have an
approved turn a und, Municipal Code 16.04.070
04/18/2007 03' 2 PM SROBERDS -- The proposal will result
in the placem t of a mfg home in the RS-7 zone for total
lot coverage of 22%. No land use issues anticipated.
Electrical oad calculations and elctrical permits are
required. Customer electrical connection fee is $713.00
04/09/200 10:29 AM GMCLAIN ----------------------------
Separate Per . s are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void' work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspectio . 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
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. /' 4 ~__ '
- ~---.. ._~-:.. ",' 7
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/~..-' '-- ~.._. ~v~
Signature of Confractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\1102_15 building penni! inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
,.
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4]74807 FOR PUBLIC WORKS UTILITIES
PLEASE PRDVIDE A MINIMUM 24 HOUR NOTIC~. IT IS UNLAWFUL TO 'cOI'ER,INSULATE OR CONCEATK BEFORE
/lVSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION.
KEEP PERMlT CARD AND APPROVED PLANS AT .lOB SITE.
INSI'ECTlON TYPE DATE ACCEJ'TED CO::/t"NTS
YES NO
FOUNDATION: /
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TJON DRAINAGE 1 DOWN SPOUTS
PIERS /
POST HOLES (POLE BLDGS.)
PLUMIlING /
UNDER FLOOR 1 SLAB
ROUGH-IN /'
WATER LINE (METER TO BLDG) /
GAS LINE / FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER V
AIR SEAL /
WALLS /
CEILING /
FRAMING /
JOISTS 1 GIRDERS /
SHEAR W ALLIHOLD DO\VNS /
WALLS 1 ROOF 1 CEILING /
DRYW ALL (INTERlOR BRACED PANEL ONLY) /
T-BAR /
INSULATION 7
SLAB V
WALL 1 FLOOR 1 CEILING I
MECHANICAL /
ROUGH-IN /
HEATPUMY I FURNACE 1 DUCTS /
GAS LINE / FINAL DATE ACCEPTED BY;
WOOD STOVE 1 PELLET 1 CHlMNliy'
/
MANUFACTURED HOMES /
FOOTING 1 SLAB /
BLOCKING & HOLD DOv-yNS
SKIRTING /
PLANNING DEPT. ~PARA TE PERMIT #'s SEPA;
PARKING/LIGHTyQG ESA;
LANDSCAPING / SHORELINE;
/ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
/ RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL- LlGHTDEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W./PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T;IPo]jciesl] 102 15 building permit inspection record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Page
Date
2
4/19/07
Application Number . . . . . 07-00000357
Application pin number 685221
Special Notes and Comments
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Water meter setter and box will need to be adjusted to
proper hieght when building water line is connected to
setter.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Fee summary Charged Paid Due
----------------- ---------- ---------- ----------
Permit Fee Total 302.00 302.00 .00
plan Check Total .00 .00 .00
Other Fee Total 2234.50 2234.50 .00
Grand Total 2536.50 2536.50 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\II02_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
AI
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTJONS.
CALL 417-4R07 FOR PUBLlC WORKS UT1LrnESr
PLEASE PROVIDE A MINlMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' W RK BEFORE
J/VSPECTED AND ACCEPTED. POST PERMIT Il\' A CONSPICUOUS LOCATJON.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
INSPECTION TYPE DATE ACCEPTED COMME7
YES NO
FOUNDATION: ra7
FOOTINGS f;,o-t/S\o..b :rLL
SHEAR WALLS / WALLS
FOUNDA TJON DRAINAGE / DOWN SPOUTS
PIERS I /
POST HOLES (POLE BLDGS.)
PLUMIlING II
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE DATE ACCEPTED BY:
BACK FLOW / WATER /
AIR SEAL /
WALLS /
CEJLING V
FRAMING 7
JOISTS / GIRDERS /
SHEAR W ALLlHOLD DOWNS /
WALLS / ROOF / CEILING /
DRYWALL (rNTERIOR BRACED PANEL ONLY) )
T-BAR /
JNSULA TION /
SLAB /
WALL / FLOOR / CElLING / I
MECHANICAL /
ROUGH-IN /
HEAT PUMY lFURNACE/DUCTS V
GAS LINE / FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY /
/
MANUFACTURED HOMES /
FOOTING / SLAB /
BLOCYJNG & HOLD DOWNS /
SKJRTING /
PLANNING PEPT. SEPARA Ty'PERMJT #'s SEPA:
PARKING/LIGHTING / ESA:
LANDSCAPING / SHORELINE:
/ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RjENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - ;;tHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
.
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUlLDING 417-4815 BUILDING
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T:IPoliciesl! ]02 15 building pennit inspection record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
5/8" DROP IN METER
99358
200.00 Plan Check
4/19/07 Valuation
10/16/07
07-00000357 Date
685221
1530 W 15TH ST
06-30-00-0-4-3508-0000-
FALL PROPERTIES
RES MANUFACTURED HOME
4/19/07
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
.00
94540
~
~~
'{\t)
(' '& \~,
( "7~~ fi~
/\~ Q; '\
o Yr'i0 00(' ,
~~~~
RS7 RESDNTL SINGLE FAMILY
94540
Owner
Contractor
SUMMER PROPERTIES LLC
514 MOUNTAIN TERRACE WAY
PORT ANGELES
PORT ANGELES WA 98362
M &,C CONSTRUCTION INC
653 N. 7TH AVE
SEQUIM WA 98382
(360) 683-4571
Other struct info .
I
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Qty Unit Charge Per
BASE FEE
Extension
200.00
Permit SANITARY
Additional desc
Permit pin number 99366
Permit Fee 120.00 Fee .00
Issue Date 4/19/07 94540
Expiration Date 10/16/07
Qty Unit Charge Per
1.00 120.0000 EA
Extension
120.00
Special Notes and Comments
Address numbers shall be lainly visible from the street.
Address numbers shall b a minimum of six inches high and be
of contrasting color f om the background.
All dead-end streets n excess of 150' shall have an
approved turn aroun , Municipal Code 16.04.070
04/18/2007 03:12 M SROBERDS -- The proposal will result
in the placement f a mfg home in the RS-7 zone for total
lot coverage of 2%. NO land use issues anticipated.
Electrical loa calculations and elctrical permits are
required. Cu tomer electrical connection fee is $713.00
04/09/2007 0:29 AM GMCLAIN ----------------------------
Sanitary s er connection inspection is required by
Public Wo s prior to back fill of ditch. 24,hour advance
are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void' ork or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned
for a period 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." /, <::,,, , ~ u\
'-~~ 6?---- 4/;/7--c:J~
Signature 6f Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\ II 02.15R [1/05]
I
PERMIT INSPECTION RECORD
CALL 417-4807 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 IN A 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 I
SANITARY /
STORM /
SITE DRAINAGE I
/
SITE EROSION CONTROL /
PARKING /
SIDEWALK /
CURB & GUTTER /
/
DRlVEW A Y APPROACH 1/
BACK-FLOW DEVICE J
/
/
/
/
/
/
/
/
I I I
/
/
I
/
/
/
I
I
I
I
/
/ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL / DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
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:\Policies\l I02.15R [1105]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Special Notes and Comments
notice is required.
Water meter setter and box will need to be adjusted to
proper hieght when building water line is connected to
setter.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Page 2.
Date 4/19/07
Application Number . . . . . 07-00000357
Application pin number 685221
Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 320.00 320.00 .00
Plan Check Total .00 .00 .00
Other Fee Total 2234.50 2234.50 .00
Grand Total 2554.50 2554.50 .00
Separate Permits are r uired for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned
for a period of 180 d ys after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I her y certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordina es governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to giv 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\II02.15R [1/05]
PERMIT INSPECTION RECORD
.,.
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 ,
YES NO
PW UTILITIES (Engineering Division) /
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM /
SITE DRAINAGE
/
SITE EROSION CONTROL J
PARKING /
SIDEWALK /
CURB & GUTTER /
/
DRlVEW A Y APPROACH /
,
BACK-FLOW DEVICE I J
/
I
/
/
I
/
/
/
/ .
/
/
/
/
/
/
/
/
/
/
/
/ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAl DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI L CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1 I02.15R [1/05]
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . .
Time
AM
Received by
Location of Work to be inspected --1 tS 3 0 W,. \? ~ S-\-
Name of person requesting inspection J \ rY\
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Phone No. L111 - 3':>\:1-
Permit No. 01- "3 S7
Chimney Plumbing Final Sewer Excav. Other
\"f\O r.brt\~\~
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTpRA TION REQUIRED. . . . .. YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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Mount Vernon Staff,
360-.U9-9063
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.SAC IND. CONCRETE TIE DOWN ANCHO:RS
fi6003 86004
INSTALLATION INSTRUCTIONS
EXISTING CONCRETE - jl600~
1, CONCRETE MUST BE A fJlNIMUhI :5 1/2" THICK ~,ND IN GOOD CONDITION. .1J. TERN ATE
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2, MINIl.lUf.I SLAB AREA OF" EACH At<lCHOR IS 2B 1S'QUARE fEET. . '~...Ecr1~
3, DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM Of 12" fROM ANY SIDE.
4, EXPANSION BOLT IS 5/f5' K :5 1/2" WITH I.(INIMUI.l ,2 3/4" EMBEDMENT AND
6,180 POUND PULL OUT, 7,160 POUND SHEAR.
,NEW CONCRETE -~
. 1, PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROpERLY ClJRE,
2, ALTERNATE CONNECTION REQUIRES 115 REBAR PROP.ERLY EMBEDDED IN CONCRETE,
CHASSIS CONNECTION
" ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
2. if ANGLE OF' SIDE STRAP IS' GREATER THAN 60', STRAP CONNECTLON CAN BE
MADE FROM ANCHOR TO OPPO~ITE CHASSIS BEA!.1.
3. INSERT STRAP THRO\.JGHSPLlT, BOLT. CUT OFf EXCESS STRAP AND TICHTEN
BOLT UNTIL STRAP I~ SNUG. '
DRILL V16," HOLE AT MID HEIGHT
OF 8EAt.\ AND INSTALL . .,
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,END TIE-DQ1!.!'i
CO NT'RA CTORS CERTIFICATION
I CERTIFY THAT I HAVglNSTALLED THE SAC IND., IN'C., ANCHORING SYSTEM AS
PER THE: INSTALLATION INSTRUCTIONS. I HAVE MADE NO,: MOPIFICATIONS TO TnE
ANCHORING SYSTEM OR 1'04 THE BUILDING ,S~RUCTUR8, ' , '
COMPANY NAME: CONTRACTORS LIC,#
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\,f; e71 2-07 - J1;~'1i~r bfc;;(~
BUILDING PERMIT - APPLICATION
I
Fill out COMPLETELY and in Th'K. Your application and site plan MUST 1 ,
COMPLETE to be accepted for review. If you have an)' questions, call f
PERMITS (360) 417-4815 FAX(360)417-4711
Date Approved'
Date Issued:
Applicant or Agent: 1"1.e L- /I/" #(1 t2-]C~$"",A.../
5~"tE~ ,()
Ov,rner:___ ~/LL)/h?b-n e;-S LL.L
Address: 70Ft-- 5. IVjOov"/'fttU r~aY' City: p, 4-1
U./ .I'f--Y
ArchitectlEngineer: Phone:
Contractor /l1.fC C~,vSbc:.cl".:u.vJ~S"tate License #:!fCCCl,v.J - 9Jl'OGCExp: Io./a 7 Phone: 6"8 J - q,:>-) (
Address: GJ\ /"./ ) m City: S.t'<C vJvv1 0<.--/'1- Zip: 9c? 3g 2-
PROJECT ADDRESS: /63 0 Lv (?.L4-- 5-r ZONING:
8 4"^. ?,-- A ~ 11_.
LEGAL DESCRIPTION: Lot: Block: j 1 Subdivision: 'Vf'
O~'3o ooot.F 3508
Phone:
Ph011e:
C83 - <1:)") !
4~D ---575- 3
Zip: ?~ 3~ G
CLALLAM COUNTY PARCEL NUMBER:
~ l z.lo' 0' u>f ")i-~ '+h~~Q.r- T. s"\ z..e, see per tY\ IT 0 I - ~
nTEOFWORK: ~eo~.f\cX'r;i' 10\3 SIZENALUATION: <&2ODO 5'-1. In
t! Residential. D New Constr. D Re-roof D Stove ):Yrr SF. @$ (; L /SF. = $ ~91 :J--r (;) Sl~e~
D Multi-family D Addition D MoveD Garage SF. @ $ /SF. = $ l1,'ere.
D Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $ ':' "Xed
D Repair D Sign D Other TOTAL VALUATION $ ....L t') th C/f
BRIEF DESCRIPTION OF THE PROJECT: f' (.(.'" eSe
/l/gcA./ /f/!A;VU;:A-C 'c-~ /p~ .~/1--s
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: -.i.- Lot Size: 7~ Existing Sq. Ft.
Totall~t coverage ~ ' %
14.~
Occupant Load: Construction Type:
o & Proposed Sq. Ft~~ = TOTAL Sq. F~
""--/0/3 10\3
ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other:
AFPROV 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 permit application and const.."1lction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, 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
RI05.3.2 of the International Buililing/Residential Code, 2003). No application can be extended more than once. .
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it/s my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work. ~ /'" I. I ) .
T:\FORMS\BldgPermitform.wpd APPlicantk~ Date: ~a~ /
f 90RT ~
S'.J.O~~~
r.....
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
07-00000755 Date
151975
1530 W 15TH ST
06-30-00-0-4-3508-0000-
SUMMER PROPERTIES LLC
RES ADDITION
7/20/07
RS7 RESDNTL SINGLE FAMILY
4000
Owner
Contractor
SUMMER PROPERTIES LLC
514 MOUNTAIN TERRACE WAY
PORT ANGELES
PORT ANGELES WA 98362
M & C CONSTRUCTION INC
653 N. 7TH AVE
SEQUIM WA 98382
(360) 683-4571
Structure Information 000 000 200 SQ. FT. CARPORT
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc 200 SF CARPORT
Permit pin number 105601
Permit Fee 123.75 Plan Check Fee 49.50
Issue Date 7/20/07 Valuation 4000
Expiration Date 1/16/08
Qty Unit Charge Per Extension
BASE FEE 95.75
2.00 14 . 0000 THOU BL-2001-25K (14 PER K) 28.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
07/19/2007 05:04 PM SROBERDS --The site plan identifies
a 6'4" side yard setback on the west side of the carport.
This minor deviation is acceptable. The carport is
reasonably sized being only 10' wide. The mfg home is not
oversized for the neighborhood.
Electrical load calculations and elctrical permits are
required.
Construct driveway to City Standards. No concrete with
exposed aggregate allowed in the City road right of way. An
inspection by Public Works Engineering is required prior to
prouring concrete.
Other Fees
STATE SURCHARGE
4.50
~
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 123.75 123.75 .00 .00
Plan Check Total 49.50 49.50 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 177.75 177.75 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. ;J~4.4 7/Pft7
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
o
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\
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,
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANJ' WOFJ{ BEFORE
I.NSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
fNSPECTlOl\' TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS ~$/ Z-CJ/ 07 P0
SHEAR WALLS I WALLS I .
FOUNDA TJON DRAINAGE! DOWN SPOUTS I
PIERS
POST HOLES (POLE BlOGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH.TN
WATER LINE (METER TO BLDGl
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING ( f'I,-,IC::;-67 PR
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (fNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL! FLOOR I CEILING
MECHANICAL
ROUGH-TN
HEAT PUMP /FURNACE I DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE I PELLET I CHIMNEY
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SlURTTNG
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL. LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.w.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUlLDTNG 417-4815 O-13~Ol --rLL. BUILDING
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CARPORT FOR LEGA, INC. AT 15TH 4c I ST.
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LEGA, INC.
2270 PLACE RD.
PORT ANGELES, WA 98363
Z ENOVIC & 301 E. 6TH STREET. SUITE 1
PORT ANGELES, WA 98362
PHONE: (.360) 417-0501
ASSOCI A TES F'AX: (360) 417-0514
INCORPORA TED EMAIL: ZENOIIICOZENOIIIC.NET
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2270 PLACE RD.
PORT ANGELES, WA 9836.3
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ZENOVIC &
ASSOCI A TES
INCORPORATED
301 E. 6TH STREET, SUITE 1
PORT ANGElES. WA 98362
PHONE: (360) 417-0SOI
FAX: (360) 417-0514
EMAlL: ZENOVlCOZENOVlC.NET
I'SrrEINFO~TlON: I tJ'&; 5'(: I
. Street address: /5""30 W
Legal description: to7 8 I) t.-/<- 4-:5?
Zoning designation: /lb7 Property dimensions: ~O;< (4-0
Property area (total square feet): 7~
Physical characteristics and current improvements (i.e., flat, sloped, developed, vacant, etc.
5()f/7H 701' 5re-e--iJ v/J ~UJ,?6
VARIANCE INFORMATION:
What standard are you requesting a variance from? State the variance you are requesting:
_ Lot Coverage V Setback (state front, ~ rear) Height
_ Other (explain)
State the unusual property characteristics (i.e., slope, bluff, ravine, dense vegetation, other) that exist on your
property that prevent you from observing the standard development regulations (attach additional pages if
necessary): :5cO/J~ OIV ~ -r ~r:-C/e=;Jf/F$ /L~ 4~ ?O
/-Icl(/S~ ~1'7'~ . WtfF W(~# c:o ~~& ee/94,A1e>/t.r /fAA:) ~~
VI1#.(~~ ~IU t5l'tJer ::'Ie '7 ~~e"e. ct:? iI}. ~'p~7'G'!P' ~
d ~ A-tf,,?IV""~C-1? U//tJ/'AJ ;
SIGNATURE:
I certify that all of the above statements are true and complete to the best of my knowledge and acknowledge
that wilful misrepresentation of information will terminate this permit application. I have read this application in
its entirety and understand that my submittal will be reviewed for completeness and, if found to be complete, will
be scheduled for the next available Board of Adjustment meeting.
Signature {)~ ~\ ~ Date ~/~/8 7
Owner (if other than applicant): I am the owner of the subject property identified herein andapprove of this
application.
Signature Date
T:\FORMS\APPS\Variance.wpd Page 2 of2
\tv ('i!!1 S"(7/l.-l?G" 7:
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: tl ~AAVtS L '(7lS
Owner: ::Jc/ If,( tUcd- ;/ M?~~
?-LL
Phone:
Ph011e: ~ - S-7~ 3
Zip:
Address:
City:
Phone:
State License #: Jt(~ ""~t%e
Exp: 10167
Phone: ;,g.3~1
City: 5~~(tb1
W (~~
Block: ~3"" Subdivision:
06:;0 OC!/o1- '3 s--og
Zip: 1fJJ6Z
ZONING:
PROJECT ADDRESS:
LEGAL DESCRlPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
,r Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 MoveD Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
A- A IJ CA-IlJJC;AA"
SIZENALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL VALUATION $
~~
~o
Je-/L/Ut"1'.ti t> 7 - '377
~ IV' /~C-t:r-SS
COMMERCIALIRESIDENTIAL: Occupancy Group:
No. of Stories: L Lot Size: AaPO Existing Sq. Ft. /c)( '3
Total lot coverage /1. '::7 %
Occupant Load: Construction Type:
& Proposed Sq. Ft. 2~o = TOTAL Sq. Ft.lZf3
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:--,
PLANNING USE ONLY:
ESAJW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
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 permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
Rl05.3.2 of the lnternational BuildinglResidential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it /s my responsibility to determine what permits are required I not the City's, and that I
must obtain such permits prior to work. 11 \'. /
T:\FORMS\BldgPermitform.wpd Applicant: ~ ,J ~ Date: ~~7
~
JUN-8-2007 02:18P FROM:KIRSCH ELECTRIC
3505830859
TO:4174711
P.2
;
,
ftyr{l
~
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ELECTRICAL WORK PERMIT APPLICATION
License number
Date Expires
Jnslalhuion deacripboD
Q Commercial AfResldtDtlal
o New 0 Alteredl~ddlll.b
,
I
Job wired by
~Electrical Cbotractor DOwoer
s"ueq~3~t--
FAX".. bO bS 3 081,
Preml... .wner'tJ\m~ c., ~~
Add.... r~DiO'.n ~. ~'ii\ f'A
elly Por~ ~~ WA q~3(.2
Phone au her to';'~heduleqn!lict ~l \
Owner as defined by RCW.19.28.16/:(J) Owner will OCCIIPY the strUCture for two
years ofter this electrical permiJ is finaJ;zcd. (1) Owller is rcql4tl"ed to hlN! on electrical
controclnr ,f above said property is for sole. rent or le(JJe.
After TeadinB the above slatcmenL, I hereby certify thllt I am the owner of the above
named property or 8 licensed electric.1 contractor. I am making the electrical instal.
lalian or alteration in compliance with Ihe electrical laws, N.E.C.. RCW. Chapter
19.28. WAC. Chapter 29().<46B. The City of Port Angeles MuniciplIl Code, and
Utility Specifications.
Signature of owner. electrkal CODtnctor or electrical administrator
\
00 be le.
f-to ~
[J Cash [J Check #
[J Credit Card Visa
Mastercard
Discover
x
Date:
Card #
---------" 7-{- CTV-
Expimtion Date .
Inspection rce
of card
J;leetrlcal Load Additions and or subtractions
o NO LOAD CHANGES
CJ Baseboard _ KW
a Furnaee KW
o Heel Pump Ton LAR
CJ Fan-Wall KW
Service Information
o Overhead Service
Cl Temp Service
1:) Underground Service
Voltago
PhaseD1D3
Service SIze: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH~ " THERMOSl'AT SERvr~
~7
1)'1. App_edOy Olll" Approved Dy Olle App_dHy
?4~/D71AL @ DrrCH FEEDER
DOlfi Apllmve4 Dy O.lc Appl"DVed By
Inspection Area, Building or Equipment Inspected Action TDken ElectriCDI
DDle Inspector
.
b-2o - 01 t1!/}" I 1\\ 'f't"..- II en, ) J::c;.r:::;... .fJ 11 ~ ,tit- fJll..A /J
,. "
'~I\I 1-,.,. .
.. .. ............rr w /-....
JUN 1 4 200 .
..
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UGHT DEPT.