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Home My WebLink About1804 W 4th St - Building CITY OF PORT ANGELES U I PUBLIC WORKS UTILITIES IL V 32] EAST 5TH STREET, PORT ANGELES WA 98362 Application Number 11- 00000999 Date 9/13/11 Application pin number 227648 Property Address 1804 W 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 4400 -0000- on your state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Weep hole through curb RCP# 11 -34 Owner Contractor DONNA MARIE MORRIS OWNER 1804 W 4TH ST PORT ANGELES WA 983631706 (360) 417 -1927 Permit RIGHT OF WAY Additional desc WEEP HOLE THROUGH CURB Permit pin number 192518 Permit Fee 150.00 Plan Check Fee .00 Issue Date 9/13/11 Valuation 0 Expiration Date 3/11/12 Qty Unit Charge Per Extension 1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER 150.00 Special Notes and Comments Contact City inspector prior to start of work 417 -4831 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 mot_. 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 loca law regulating construction or the performance of construction. 4 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:Forms /Building Division /Public Works Permit 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 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 a SIDEWALK r t ki 1, i.. 1... CURB &GUTTER DRIVEWAY: APPROACH, "BACK FLOW DEVICE?.' %S +�d a 'FINAL INSPECTIONS .REQUIRED PRIOR. OCCUPANCI /USE RESIDENTIAL'[: DATE YES COMMERCIAL "1 DATE A CCEPTED CONSTRUCTION R W '•CON 'R` W ENGINEERING: 417-48(i7;; PW ENGINEERING FIRE 417 -4653 FIRE DEPT.. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 y BUTLDING 4815 r C .,i. i r .F t T Forms /Buildtng'Dtvtsion /Public Works Pernnt rirgSVi CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000870' Date 8/29/11 Application pin number 895480 Property Address 1804 W 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 4400 -0000- Tenant nbr, name DONNA MARIE MORRIS On your state excise fax form Application type description RES ADDITION to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 34920 Application desc ADD CARPORT /BEDROOM /BATH /DECKS/ ETC. Owner Contractor DONNA MARIE MORRIS OWNER 1804 W 4TH ST PORT ANGELES WA 983631706 (360) 417 -1927 Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL q,. Vrt Additional desc ADD CARPORT /BEDROOM /BATH /DECKS Permit pin number 190983 �Q1t Permit Fee 518.75 Plan Check Fee 337.19 Issue Date 8/29/11 Valuation 34920 Expiration Date 2/25/12 Qty Unit Charge Per Extension BASE FEE 417.75 10.00 10.1000 THOU BL- 25,001 -50K (10.10 PER K) 101.00 Permit MECHANICAL PERMIT Additional desc Permit pin number 190991 Permit Fee 117.75 Plan Check Fee .00 Issue Date 8/29/11 Valuation 0 Expiration Date 2/25/12 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 14.50 4.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 42.60 1.00 10.6500 EA ME -FUEL GAS PIPING,1 -5 OUTLETS 10.65 Permit PLUMBING PERMIT Additional desc Permit pin number 191007 Permit'Fee 114.00 Plan Check Fee .00 Issue Date 8/29/11 Valuation 0 Expiration Date 2/25/12 Qty Unit Charge Per Extension 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 a a e or al law regulate ructio or the performance of construction. =ll Ot ;.s L-l�gfe .n. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit a r' 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 Back 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 by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED F'RIOR 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 Tnrrn /Riiilriinn nivisinn /Puildina Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION .."-11151// 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000870 Date 8/29/11 Application pin number 895480 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form BASE FEE 50.00 to the City f Port An 5.00 7.0000 EA PL- PLUMBING TRAP 35.00 Y Angeles 1.00 7.0000 EA PL -WATER LINE 7.00 (Location Code 0502) 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments August 24, 2011 9:45:05 AM sroberds. No land issues anticipated. Lot coverage is 19 site coverage is 43 August 17, 2011 8:04:36 AM banders. OK The existing building sewer may be located at the same location of the proposed construction. Any modification or damage to the existing building sewer will require other permits and inspections. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 750.50 750.50 .00 .00 Plan Check Total 337.19 337.19 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1092.19 1092.19 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD 0 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: Mg A�i Footings A L/ 17i Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by OO C 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: c n Heat Pump Furnace FAU Ducts Rough -In Gas Line j "2/2.." Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting I ESA. Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By v\ Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 �a "vi' Planning 417-4750 i1 Building 417 -4815 T-Frorrn fR1 nivisinn /Ruildina Permit CITY OF p 0RTANGELES W A S H I N G T O N, U. S. A w COMMUNITY ECONOMIC DEVELOPMENT May 25, 2012 Donna Morris 1804 W. 4th Street Port Angeles, WA 98363 RE: Expired Building Permit #11 -870 Dear Ms. Morris: I am writing this letter to inform you of the status of the above permit. The permit expired on May 22, 2012. If the work has been finished, please call to have the work inspected. If we haven't performed the inspection by June 8, 2012, we will close the permit entirely. At that point, you can either buy a permit for the remainder of the project, and pay all associated fees, or request an inspection and pay a one -time inspection fee. If you have any questions, do not hesitate to contact us. Sincerely, R i -of -A Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo @cityofpa.us 360- 417 -4817 PROJECT STATUS UPDATE I+ 11V Permit t D g s- Date: j 11 1 I phoned the: Applicant at Property Owner Don oa Horn S a t +1' 6' 27" Contractor at I eft a ho essa or discussed): The permit (has expired, or will expire soon). What is the status of this project? 'lease call and schedule a final inspection. Submit a "permit extension request" letter. Or Let me know if the project is abandoned. EXp ores 5.22 I2 No A n5WOR• r)o ma.an t ne.. I 0,a -1 T:Forms /Building Division/Project Status Update IJ ‹fr.........___...-,.. A N H H N Q 0 O W W v l 0 F a q r a, i� H H o v T a' o ti m p tr 0 o Q b N M Q a W a H H H F '...j 4 H C+7 W W to 0 0 0 0 w H< m as HO 0 01 H h 0 0 O H z p H O W HO 0 H 00 z 000 H a 0 w H N 0 Z 0 H H En En PzE F4 Z H 0 Zoo 0 cn q W En Sa 00 O Z 0 .Q 7 H HH OH 0Encn 0 O H 10 0 M OO 0 0 O 0 0 [n 1 0 E H o0 4 H c4 04. a a•0 F o F 0 0 1 0 C4 0 N 0 0 1 O 0H0 1a F 00 a O 0 Z a m 0 oo 9 0 W d' 2 Z oN O O 0H 0 HO OZ Z1 00 0 0 000 00,1 r I"- .4 oO 000 00 a, 0 O 00 o0 0 0 0 00 o H 0 0 0 w 0 O z 0 0 0 O F a0 0H az F 0 o 0 41 H En wF 0ZZZO0 0 H 00 ,4 FO 0 C 0 N H H N N H H w u N a w ca H r OB N' N H CO H h h H 0 H 0 0 o ro 0 A a H a 0 F' Q 0 m 00 000 a w u w 0) aa 0 H F w a 0 0 �a H O F cn a H d' F H F oo u) U U E z Cn N to a s W X N Z (n CO W 2 E cv r E H H O O a N E O a F U U L W U) H N .0 a s a U D x N 0 1 cn Cn U> o r[ W W w 0 o U E. 0 0 E z O H H fn G�� O aox o r a aa (0 0. H E 2 m a a CL w 0 H w a H o N H a r] Fcn tx H m •,2 :KG o o W 3 o o p] 0 0 W d. a Z W H H HI oxz cn 0 x 0 0 0 o a N N.0 w H F 0 o H N Q E E W O H. a a W U H H O ar W a 0 w a0 ma az E 0 o a .0000.0 a H X a ,(3[_ BUI LDING PERMIT APPLICATION Print in ink Ef�l CITY OF PORT ANGELES For City Use Only: Ef Attn: Building Permit Technician Date Received i"� L'__.. 321 E. Fifth St., Port Angeles, WA 98362 Permit �t� 8 (360) 417-4815 fax (360) 417-4711 Date Approved y A licant I il,,,k_ Oc�r,A,s pb,_,tic Ph,►ne 360 30 pp O Property Owner A Irk ,e E `i i Phone f0 5if 7 /22 (7 L' 43 Property Owner's Address $f 4646 L 9e36 Contractor /10m 9 06 Phone Contractor's Address License _Expires._ -E- mail- PROJECT ADDRESS 1 8 0 L k L rfh aj Parcel Number Lot Zoning RS- l7( h Project Type Brief Description: Residential ac, Multi- family Commercial Industrial Check all that apply f A I '5 pkp \h��' 1 31 f r LI t X t SI =Z4C New Construction 1 X /,I X uylcoVO'eA See.Orta 54.0 y ddition ow.. c1Ai2 DO' 'r 4.40 Pea,t< of-f tin _J Remodel 1v� Repair rei Second 4loor c1ecK__ -15 0 )51 Nom► 14 k+t- Demolition i3u rev..; °eX �i -ft, *4s. A acre G ❑'Re roof P ako House garage other tear off re roof lay over one layer Heat System Heat pump wood- burning stove /as fireplac- pellet stove other o Other fj A z13 5f pm p0.f.e-Anhk c21-- DigAiss n s GKS (n( S f areMairt fey- 5 C4 toif"ev Floor Areas Existing (sq. ft.) Proposed (sq. ft.) 5 Z� per sq ft Basement, ,ao �a6 1 Floor s+x 2, t- 7 rt(r' 2 Sr pF,c�C 2nd Floor 04 ko`� 6 f3 Z.j S q fY 8 'x.(0 2-6 (`)(0 3 Floor 10 k '7. LS 7 T Garage .i Carport '�S I ii7XZI1'3,7e4 /1 _t2 OD 9 5% Cover?) P orch 0 kin o Deck$� F1oci) h 9 b f 7 6+f' S 2 .00 1 J 3 T Shed /e0 �rt clo og Arew 8 Other S hed 1 Zg +o�t�emoltSkw '►►/�ja'H,rvatn See- Dtexno rerrrn1�- 4*II-60 TOTAL VALUATION 34 92-0 Total footprint of structurE. i 1 9 G5 sq. ft. T Lot size 91 �D sq. ft. Lot coverage $.1 Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other im e ious surfaces. (see PANIC 17.94.135 for exemptions) Site coverage 1} 2.t; .2 SF asp hat e-f�, 1, 9(9 Max. height of proposed structures ft. Occupancy group of bedrooms 2 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. 1 am authorized to ,ly for this permit al u •erst.nd that it is my responsibility to determine hat permits are re..uired, -nd to obtain permits prior to orkin.; on projects. Date 8 —1(-1 Print Name eh r Y Signature T: Forms /Building Division /Building permit application l� I NOTES Permit 1 S1 _...tee A X62 o 4 T:Fonns /Building Division/Notes oc y f) RT tr}� te 7 PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (WSEC) 2009 Edition Climate Zone 1 Fk. CITY GOVERNMENT Site Information: Building Department Use Only: Lot: Permit 1l�$7n Address: &Q1 t) c J t r Notes: City: C ET 4,6e/es State: (2A Zip: -9 y363 Contact: rL Phone: 2. Phone 2:/ 3(,D°- F?OF 3c FAX: WSEC Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE FAMILY RESIDENTIAL OR DUPLEX CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing U Factor F D oor Wall Wall Wall Vaulted Interior Exterior' Slab.'on Option Ar Floor Overhead' Factor Ceiling Ceiling Grade Below Below Floor Concrete;: ra G d e Gra de R -49 or R -21 R -21 R -30 R -10 III Unlimited 0.30 0.50 0.20 R -38 R-38 int TB R -10 U =0.029 2' adv This Project complies with the following: The project is a single family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above. The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U- factor listed above. Location of the door(s) taking exception: Type of Heat Source: 3 ota5 b s (2_ 9- 'Ginci "te\ct ,e_ ►��er� T:Forms /Building Division /Prescriptive Approach Simple Form t h X w y �r a s h+ y T /,r y i, d I j n J a 1s „„,t, APO,N, 1 `0 6 4 11 t 5.. t ...0.,. i A ..n ,4 so 4, f I E" �AW Uk y f, A N'' c S^' fi Pi 3°"'.�, a .»w araq x 16 6 r tt z it s a° t Y W „4: aty a� f l$ y rN G7+B 4� Sl ,�rGae aw �m n W rs /,4,,, a Clallam County Assessor Treasurer Property Details 56989 DONNA MARIE MOR... Page 2 of 3 RELIEF COUNTY CAPT IMP CAPITAL N/A N/A N/A N/A IMPROVEMENT PORT DISTRICT LIB LIBRARY COUNTY N/A N/A N/A N/A i LIB BD PORT ANGELES N/A N/A N/A N/A CITY LIBRARY BOND f PRT ANG PORT ANGELES N/A N/A N/A N/A I CITY GENERAL j REFUND BD PORT ANGELES N/A N/A N/A N/A 1 CITY REFUNDING BOND I SD 121 BD SD 121 BOND N/A N/A N/A N/A ?SD121GEN SD121 M8O N/A N/A N/A N/A HOSP 2 GEN HOSPITAL DIST #2 N/A N/A N/A N/A GENERAL WSMETPARK WILLIAM SHORE N/A N/A N/A N/A MEMORIAL POOL MET PK DIST Total Tax Rate: N/A Taxes w /Current Exemptions. N/A Taxes w/o Exemptions: N/A Improvement Building i Improvement #1: HOUSE State Code: 11 1272 D syft Value: N/A j Exterior Wall: 2 Siding Fireplace 2 Story Double: 3 Average 3 Foundation: 3 Concrete Perimeter Freestanding Woodstove: 3- A Ave verage Heating /Cooling: 8 Baseboard Hot Water Kitchen Quality: 2 e Roof Covering: 5-Built Up, Hotmop Type Description Class CD Sub Class CD Year Built Area CONCRETE CONCRETE 01 03+ 1966 600.0 MA Main 01 03+ 1966 1272.0 BSMT -UNFIN BASEMENT UNFINISHED 01 03+ 1966 1104.0 Sketch No sketches available for this property. Property Image PM!ifa "r.`1 tTTRI° nk+k i f r 4 +a a 1 'L9rod' ttt; r 91 r k tr Al r f r 1, y 3: 0.,,tt:,-- L '1:iiiiit'llittik4(44' spa l' `ice }1' Ta j rrt ffi r Y 9 J. s', b ..k Y w r� ss i` "3-* �1, '�E. x r #r. t o 1 M^ �i ti t k s� yd>S„ "v a a x v, rod'„ x- A$� oo +9. L r�" i lt t r s` ..e 't wY a� r v v, -s TM' t r amass s r a's'k i 3t° l fi' z` j� a `....a.''' r �1 4.. w ^a.Urs- ,.iro,ar. .1.> .,z.� ..v saa k w, w..> Land Type Description Acres ;Sgft Eff Front Eff Depth Market Value Prod. Value 1 1113 1113 0.0000 0.00 0.00 0.00 N/A N/A Roll Value History Year Improvements Land Market Current Use Total Appraised Taxable Value j 2011 N/A N/A N/A N/A NIA 2010 5144,908 $90,693 $0 v..._. $235,601 $235,6011 1 2009 $144,908 $90,693 $0 $235,601 $235,601 http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =56989 8/12/2011 ci r CITY OF PORT ANGELES c...- r. .s DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000869 Date 8/12/11 Application pin number 420319 Property Address 1804 W 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 4400 -0000- Tenant nbr, name DONNA MARIE MORRIS On your state excise tax form Application type description DEMOLITION to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 piRED Application desc 4, DEMOLISH THE 128 SF SHED Owner Contractor DONNA MARIE MORRIS OWNER 1804 W 4TH ST PORT ANGELES WA 983631706 (360) 417 -1927 Structure Information 000 000 DEMOLISH THE 128 SF SHED Permit DEMOLITION Additional desc DEMOLISH THE 128 SF SHED Permit pin number 190975 Permit Fee 50.00 Plan Check Fee .00 Issue Date 8/12/11 Valuation 0 Expiration Date 2/08/12 Qty Unit Charge Per Extension BASE FEE 50.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 54.50 54.50 .00 .00 0C1 1egG 2. j j Ir' 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 state or local law gulating construction or the performance of construction. 11 11rn1 SL. /770c k ".444.„, ,d-I.. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD CA 6` PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backfiow 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 by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab ,.Z Wall !Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney V Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: t Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By V Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 2 Planning 417 -4750 n,� n '1 Building 417-4815 V W 2 I 1 '''ID T•Cnrmc /Rnilriinn nivisinn /Ruildina Permit CITY OF pORT W A S H I N G T O N U. S. A COMMUNITY ECONOMIC DEVELOPMENT April 24, 2012 Donna Morris 1804 W 4th Street Port Angeles, WA 98363 RE: Building Permit #11 -869 Dear Ms. Morris: This letter is to notify you of the status of the above permit. The permit expired on February 8, 2012. If you wish to perform this work in the future, you are welcome to reapply understanding that the full permit fees will be charged. If you have any questions, please let us know. Sincerely, 1 igtAl .eke ei Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzoncityofpa.us 360- 417 -4817 PROJECT STATUS UPDATE Permit# 1 -S(o 1 aq Date: 1-1"- FJ id, 1 phoned the: Applicant at Property Owner boo lilU. Morn S at I P 1'12-7 Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or 1 1M Let me know if the project is abandoned. T:Forms /Building Division/Project Status Update BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received g 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Permit Date Approved Applicant Pan i L 0 r;J e Vii' ,e Phone 366 FrOfi, 3,0 X Property Owner tv,v-14 "t S Phone z Property Owner's Address /KO i� L' ,4. .e e s 4( 4t, 7,9,343 Contractor b,�-,e> Phone Contractor's Address License Expires E -mail PROJECT ADDRESS go`-f ICJ S-f— Parcel Number Lot Zoning R9 7 Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply New Construction ��.+m0[t S v\ +k e_ 17 s k Addition 1 e1e� }rit o r 1.J 'fie S h Remodel Peb S wtu bo rlarieck i dUfMrSA -eX' -14 had Repair A e_ S li ca n+ Demolition N asbeshos cUr- lead ittni- •(ic:Q* Re -roof House garage other tear o re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other "we- 4P of pit' uteri' ow ORCAR mi1 4r)(d covd-ArA-- OREA -A Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION Total footprint of structures sq. ft. T Lot size sq. ft. Lot covers• e Site Coverage the amount of impervious s■ a•- on a parcel, including structu pave.: iveways, side ∎.Iks, pati.:, and other impervious surfaces. (see PAMC •.94.135 for exemptions). Site coverage Max. height of proposed structures ft. Occupancy group of bedroom Will a lawn sprinkler system be inst. ed? Occupant load of full b- s Will a fire sprinkler system be ins led? Construction -.e hal .aths I have read and completed this application and know it to be true and c.rrect. I am authorized to apply for thispermit a•d understand that it is my responsibility to determine what permits are required, and to obtain permits prior to g on projec Date f Print Name d i .S L e Signat re T:Forms /Building Division /Building permit application ,1 i 'AIY.,A,:i:..00..' „i '''11,Z;g:. ''''s 'N 41/4' ..z, •C% 2 1, i 400 „i:•.:,•14 A,4 4 ,e4eligelitZ 0 $7 0111 1.t 1111Ti. Alitiolf.Atiolovaglopt J 'k'',4',,,,110,,,z4.7-21i2V45.16004"%t„:„ „..,,11:414:" 14,A;i4;:i.if 1'14400 **A" 47' 00. i ipmretiwpoitotm /I. i „?..1130:1,,f,„4,''„ Imo, •c• ISARA0,4'...4101i.N'' t, 41,04,1c-Z.4,40y Ny --0 Z ..Z 0 lii%„'"•' Hi.,-- .1 7 7 t „0 '0 Al.''.",:-'' i N.,.'"•,, :1104 '''':7 ,-it:; .,,,,,„2446,1EVM:tdie 1 :A IPIA •4:t3A,ASI'' f.q:;.., f i ...0,' ,1 '•'44 ;4 7 elljtekar N 1 P N. ::::,N 'T-i;O:', ...',404 -•"'5,....,,, -74'?•Zi ji ,,I-K!':- .,.i .2 i r" t 1 Y E !;S '•t' ••4t iaRtit''''' i AlitqaZiVit74,kF• 4 .,'.2, i., •404',040,00i4A-4.„,.. 4.44 i N 4 0 N ;V 4 I 5.2. 01404 1 ''..4_,. -,4W:48', :•'i i „Vg tt. „,--r.r.- ,waomri7,414- ,,,w44-.3 /1- ft P i -'•:"--N-0,4*".?-13',••;`•,if,i;"::7.:y•P,-',,,,. 11 4:;* '7.' 0 e-X ZI i 1'4 Clallam County Assessor Treasurer Property Details 56989 DONNA MARIE MOR... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 56989 DONNA MARIE MORRIS for Year 2011 2012 1 Property t Account Property ID: 56989 Legal Description: LOT 1 E2 LOT 2 BL 144 Geographic ID: 0630000144000000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 1804 W FOURTH ST Mapsco: PORT ANGELES, WA Neighborhood: x ref Cycle 5 Res Map ID: 3 It Neighborhood CD: 10955130 Owner Name: DONNA MARIE MORRIS Owner ID: 42020 Mailing Address: 1804 W 4TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363-1706 Exemptions: Taxes and Assessment Details Property Tax Information as of 08/12/2011 Amount Due if Paid on: M. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half I Second Half Year I Statement ID Base Amt I Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 151713 $1242.34 $1242.26 $0.00 $0.00 $1242.34 $1242.26 Statement Details 2010 40004 $1189.52 $1189.56 $0.00 $0.00 $2379.08 $0.00 Values Taxing Jurisdiction Improvement/ Building Sketch Property Image LLand Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N/A". Website version: 9.0.32.2200 Database last updated on: 8/12/2011 3:53 AM 0 2011 True Automation, Inc. All Rights Reserved. Privacy Notice hap ://websrv8.clallam.net/propertyaccess/Property .aspx?cid=0&year=2011&prop_id=56989 8/12/2011 C 'U CITY OF PORT ANGELES t DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001126 Date 10 /10 /11 Application pin number 971604 Property Address 1804 W 4TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1- 4400 -0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision pert Use s Name Property t the City of Port Angeles s ,,I Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 3400 Application desc FREE STANDING GAS STOVE Owner Contractor DONNA MARIE MORRIS THURMAN SUPPLY 1804 W 4TH ST 1807 E. FRONT ST. PORT ANGELES WA 983631706 PORT ANGELES WA 98362 (360) 417 -1927 (360) 457 -8591 Permit MECHANICAL PERMIT Additional desc FREE STANDING GAS STOVE Permit pin number 194233 Permit Fee 121.30 Plan Check Fee .00 Issue Date 10 /10 /11 Valuation 0 Expiration Date 4/07/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 1.00 10.6500 EA ME -FUEL GAS PIPING,1 -5 OUTLETS 10.65 1.00 50.0000 HR ME- INSPECTION,. MIN 1 HR 50.00 Fee summary Charged Paid Credited Due Permit Fee Total 121.30 121.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 121.30 121.30 .00 .00 r'1 1(101A 4.12.12 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 nit. The granting of a permit does not presume to give authority to viol.._ or cancel the provisions of any state or local law regulatin• instruction or t.: performance of construction. it Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 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 by AIR SEAL: Walls Ceiling Joists Girders Under Floor 11 jl�l Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line t l l 9. 1 1 Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date 1,1 I Accepted byklw MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 4750 Building 417 -4815 T:Forms /Building Division /Building Permit N N 1 H 1 1 N H 1 1 w w I C7 E 1 aa' a Q H t` N 1 fl O1 W H N N H H f1 H 0 0 V' d' a- i 1a to 0 O O rd 0 N o U.0 .0 A 7 >1 i in a a tJ a I 0 a I U H I 4 a I E Qzz m 1r1 E to W N, moo ,r a (0 x w a x F H� CO a s In va a a Z Eh GI m CO in 0 O Z Z H H t1 RC HO E to ,-7H d'H am E E∎ H H o 0 o 4 En U U, E Z U] N io N 'Z N E r G I rk w d 0 HHN Z as W try CI. ON W N In 1 a Z E N N CO N O\ E 00 H H H N N H O a E� U )-1 ?+U N r U a atn H d) v z H z,, H H 4 H asa E12 H U 5 x d) O d x 1 oa (n U] U >r4 >U S-,Q o u H CO CO z z a Z C.1 a h o H H H O z, pg L o x W (k U a E o E I c X t 5 (n ,-1 Z U) Il k, V a )o i l0 0 H w PI a Cr 1 x Z H o N H a' (04: e r E (n (k H N Z00 0H w I a 4 a o pA 0 0 GN Nw I t' az o i� HI HI H Ho 1 0 Z (n w 1 m (O lO H O w a 0 0 N N I H E Q o H O a N N H 4, H 1 0 E w O H H d' d' (X 1 (k (x U H H a o m A7 O E a0 1 a H a o 0 lz 41 H VI R. az zaaa (0 a ,o m a0 Al N z E PROJECT STATUS UPDATE ec wied Permit WIMP 110+ W 1 4 4 G j 41) 11- Date: Gt 1 phoned the: Applicant at Property Owner a n fl at 1''' p Y a I Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. T:Forms /Building Division/Project Status Update BUILDING PLUMBING MECHANICAL' PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received 0 /O Permit /f /Zb City of Port Angeles Please print in ink. Date Approved //7 Attn: Building Permit Technician Approved by 321 E. 5 St., Port Angeles: WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) _Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: /c Phone:/' 7 Q Property own (JG� l �l T OG k C7701/14 0 L MOWS Phone: ce/ Property o) matirin a dress: 1, O 5`- (iv f C Contractor's business name: Phone: (or property owner's name if he /she is loin erseei� -work) —85 Contractor's mailing addre§s: Contractor's Gr L &I license number: Expiration date: 77 ,t 1,S 3 2 P roject Add ress: ieoz 6t)-<7 7 Project Type: VResidential Commercial D Industrial D Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re roof: house garage other tear off re -roof lay over one layer Licensed contractor: Submit a copy of your re roof bid. Project Valuation (labor materials, not including sales tax) Re side: house garage other Project Valuation (labor materials, not including sales tax) Repair:. (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 Swimming Pool or Spa (2 24" deep)j For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) S 4 l 1 b, i� 5 7 Ac vt Gt-e4 U! SA' !/l�! -e -e t:m C;0 14 (A..c &t-) 114 --e4A.7=b Project Valuation L 3 c c� I have read and completed this application and kno to be true nd correct. I am authorized to apply for this permit and understand that it is my responsibility to d- -mine wha ermits are required, and to obtain permits prior to working on projects. I DatQ!- v /U-/> Signature_ 01 c%(,/) Print Name /C2tiviVt, w Page 2 of 2 PREPARED 6/22/05 13 23 46 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/05 ADDRESS 1804 W 4TH ST SUBDIV CONTRACTOR PHONE OWNER MORRIS DONNA MARIE PHONE PARCEL 06 30 00 0 1 4400 0000 APPL NUMBER 05 00000290 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/13/05 JLL BUILDING FOUNDATION FOOTING 5/13/05 AP 05/12/2005 02 40 PM JLIERLY ART 417 1927 05/13/2005 04 11 PM JLIERLY BURW O1 6/_ 22/0 JILL BUILDING 5ETAINING WALL 141 41 s l J 06/22/2005 01 19 PM DYASUMUR ART 417 1927 FINAL ON A RETAINING WALL AND DRAINAGE LINES COMMENTS AND NOTES PREPARED 5/13/05 13 16 03 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/13/05 ADDRESS 1804 W 4TH ST SUBDIV CONTRACTOR PHONE OWNER MORRIS DONNA MARIE PHONE PARCEL 06 30 00 0 1 4400 0000 APPL NUMBER 05 00000290 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 JLL BUILDING FOUNDATION FOOTING 05/12/2005 02 40 PM JLIERLY ART 417 1927 COMMENTS AND NOTES T.\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 1000 Contractor MORRIS DONNA MARIE OWNER 1804 W 4TH ST PORT ANGELES WA 983631706 05 00000290 463080 1804 W 4TH ST 06 30 00 0 1 4400 0000 RES REMODEL Date 4/27/05 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 47977 Permit Fee 62 25 Plan Check Fee 24 90 Issue Date 4/27/05 Valuation 1000 Expiration Date 10/24/05 Qty Unit Charge Per Extension BASE FEE 47 00 5 00 3 0500 HND BL -501 2K (3 05 PER C) 15 25 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 62 25 62 25 00 00 Plan Check Total 24 90 24 90 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 91 65 91 65 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 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 o Authorized Agent Date Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS lam/ r- a -sI.1j I L w 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 r I BUILDING 417 -4815 I 16 -d'1I x. r r \Policies \1102 15 building permit inspection record05 wpd [1/4/20051 YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO SEPA. ESA. SHORELINE. CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING I I I I I I I I 1 Applicant or Agent: Owner Pr ykei v• e Address 1 5 Lf Lj.) Architect /Engineer Contractor Address Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr Re -roof Multi- family Addition Move Commercial Remodel Demolition Repair Sign BRIEF DESCRIPTION OF THE PROJECT PLANNING USE ONLY T\RVESS\BLDG- forms brochures \2004- Buildingpermit.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 City State License City- PROJECT ADDRESS Rout ELY, We, s+ F. Q LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. Stove Garage Deck Other City. Occupant Load. ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone Phone Exp Subdivision. Zip ?8. 6 Phone Phone Zip ZONING FOR OFFICIAL USE ONLY Date Ree. /permit #'S Date Appro Date Issued. 310_0 417 9.-Z7 Exp. Date: SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION $7_4 -612 x k sc rcxs ribwact ,Rolkoesa toc, 5 1%3 IA .o s*. COMMERCIAL/RESIDENTIAL. Occupancy Group. No. of Stories. Lot Size: Existing Sq Ft. Proposed Sq. Ft. TOTAL Sq Ft. Total lot coverage Construction Type: tDate g9�7 APPROVALS. PLAN BLDG DPWU FIRE. 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 Coordmator 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. 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 R105.3.2 of the International Building /Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. 422 30 Feet 1 Vertical Datum NAVD 88 Horizontal Datum NAD 83/91 Area Map 1805 7 405 This map is not intended to be used as a legal desct Trion Th map /drawing is produced by the City of Port Angeles fo its use nd pt rposes "4F) Anv other use of this map /dr mg shall of b the responsibility of the City. Don h cam. --hr -C t_go tc) 'rid ,s7vc.. (AO- /,?g*7 L-•12-r to to -V-.- -4 v sfa`t tis `"4- 1 1 I CITY OF ANGELES Cons :ruction Plans The Issuance of this.permit based upon thy-.2 plans, specifi- cations and other data shall_nat-Srevent-thi building official ifrom thereafter requiring the correction e; errors in said plans, specifications and other data,' or rom preventing building operations being carried on ther under when in violation of all codes\ and ordinances of is jurisdiction. (SECTION �'form B iIding Code.) t DS BY N_Approvai_Date- i —1 2 I 1 7 4 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . , 16- 00000D50 Date 1/14./16 Application pin number . . . 667800 s.. Property Address . . , . 1804 W 4TH ST ASSESSOR PARCEL NUMBER; 06-30-OD-0-1- 4400 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , , . . Property Use . . , . . Property Zoning , , , , . . . RS7 RESDNTL SINGLE FAMTLY Application valuation , . . . 0 Application desc Heater install Owner Contractor JUDY FINFROCK KIRSCH ELECTRIC INC. 1604 W 4TH ST P. 0, BOX 3396 PORT ANCELES WA 963631706 SEQUIM WA 98382 (360) 603 -6819 Permit. , . . . . . ELECTRICAL ALTER RESTDENTTAL Additional. desc 1 -4 CIRCUITS Permit Fee 75,00 Plan Check Fee .00 Issue Date 1/.14/16 Valuation , , . , 0 Expiration Pate 7/12/16 Qty Unit Charge Per Extension 'BASE FEE 75.00 _---_---------------------------------- -------------- -- --------- - -- - -- - -- Fee sammary Charged Paid Credited Due Permit Fee Total 75,00 75,00 ,00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 75.00 75,00 .00 .00 REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1 , FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date:- Q RXCRANGBBUILDING Al-T A) 07 -- —Jc"N�- CITY OF POW ANGELES PLIRMIT APPLICATION RECEIVED Building J vision /EleeturiCal Inspections 321 East Fifth Street —P.O. Box 1150 /Port Angeles Wasbkgton, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 �A � Date: �- I%-((o —I & 2 Single Family Dwelling ttr!. SP�'t"'6�t1�Nt. �9O(lNS "Plan Review May Be Raq fired, Please ompl0+e Electrical Plan Review Information Sheet Job Address: Building Square Footage; Description of above '-Z 5 �-- Owner Information Name; Zil G� Mailin Addles: 'Z City: States �.er Zip: Phone° r- Fain -- License ff I Exp, I•i�m, 'Service/Feeder 200 Amp, ServicelFeeder 201 -400 Amp, SaivicelFeader 401- 600'Amp Service/Feeder W-1000 Amp, SeNcelFeeder over 1000 Amp, Branch Circuit W/ Service Feeder Branch Circuit W/O Servloa Feeder Each Additional Branch Circuit Branch Circuits 1.4 Temp. Servicel Feeder 200 Amp, Temp. 5ervicelFeeder 201A00 Amp, Temp. SeMce/Feeder 401.600 Amp. Temp. ServicelFeeder 601.1000 Amp . portal to Ponal Hourly Signal Circuit! Limited Energy -1 & 2 Family Owelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Unit Char e $120.00 $146.00 $ 205.00 $ 262.00 $ 373.00 $ 5.00 4 63.00 $ 6.00 $ 75.00 $ 93.00 $ iio_00 $149,00 $168.00 $ 96.00 $ 54.00 $120.00 $102.00 $ 56.00 Note: $5.00 for each additional T -Slat NEW CONSTRUCTION QNLYr, . First 1300 Square Ft $ 120.00 Each Additional 500 Square Ft, or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 ContraCl�Qr Information Name: Y'kl'ra�zSc =ckO— . Mailing Address: City: selsVnA State: AU- : 3 Phone: lQl FCC GIP)8 - -09S q License#!Exp, R CF_- 2 W f t Total Multiplied by Unit Cha e $ $ j $ Boa $ $ $� `Total Owner as defined by RCW,19.28,261: (1) Ownerwill 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 1 am the owner of the above named property or a licensed eleetricat eonVactor, I am making the electrical lnstalletion or alteration in compliance With the electrical laws, REC., RCW. Chapter 19.28, WAC, Chapter 296468, The City of.Port Angeles Municipal Code, and Ufility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator; 0 Cash t0 check Credit Card �A t7+i� FIRI l X Mad: ° US (�6 0141 012