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Home My WebLink About2715 S Oak St - Buildingo A •20 4 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 11 00000199 Application pin number 561178 Property Address 2715 S OAK ST ASSESSOR PARCEL NUMBER 06 30 16 5 0 2200 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Driveway const RCP# 11 09 Owner MARIETTA ELLEN HOOVER ANICKER 2715 S OAK ST PORT ANGELES WA 98362 (360) 417 2844 Qty Unit Charge Per Fee summary Permit Fee Total Plan Check Total Grand Total Signature of Contractor or Authorized Agent T Forms /Building Division /Public Works Permit BASE FEE Contractor Date 3/10/11 NW GREEN CONSTRUCTION INC 10824 LUNDEEN RD ROCHESTER (360) 410 9524 Permit DRIVEWAY INSTALLATION Additional desc Permit pin number 182154 Permit Fee 180 00 Plan Check Fee Issue Date 3/10/11 Valuation Expiration Date 9/06/11 Special Notes and Comments Contact City Inspector 360 417 4831 prior to start of construction Traffic control per attached plan Driveway per attached detail Contractor responsible for erosion control and all surface restoration Charged Paid Credited 180 00 180 00 00 00 00 00 180 00 180 00 00 WA 98579 Due 00 00 00 00 0 Extension 180 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 1 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 Ze 7/7/i Dafe Signature of Owner (if owner is builder) Date SITE EROSION CONTROL PARKING y s. SIDEWALK CURB &CUTTER CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OB CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE DRI VE W AY'APPROACH BACK -FLOW DEVICE CONSTRUCTIQN:R`.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING 4815 INSPECTION TYPE DATE T.Fo "rms /Building Division /Public Works'Peimit KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 417 -4807 417 -4653 417 -4750 PERMIT INSPECTION RECORD ACCEPTED YES NO .FINAL INSPECTIONS REQUIRED ,PRIOR TO' OCCUPANCY /USE. RESIDENTIAL DATE' YES NO COMMERCIAL `•CONSTRUCTION. PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED YES .I NO PREPARED 3/24/11 8 46 16 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/11 ADDRESS 2715 S OAK ST SUBDIV TENANT NBR MARIETTA ANICKER CONTRACTOR NW GREEN CONSTRUCTION INC PHONE (360) 410 9524 OWNER MARIETTA ELLEN HOOVER ANICKER PHONE (360) 417 2844 PARCEL 06 30 16 5 0 2200 0000 APPL NUMBER 10 00001401 DEMOLITION PERMIT DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 3/24/11 JLL BLDG FINAL TIME 01 00 March 23 2011 4 16 35 PM 1pangrle STEVE 417 2844 BUILDING FINAL DEMOLISHED THE HOUSE GARAGE AFTERNOON COMMENTS AND NOTES PREPARED 3/24/11 8 46 16 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/11 ADDRESS 2715 S OAK ST SUBDIV TENANT NBR MARIETTA ANICKER CONTRACTOR NW GREEN CONSTRUCTION INC PHONE (360) 410 9524 OWNER MARIETTA ELLEN HOOVER ANICKER PHONE (360) 417 2844 PARCEL 06 30 16 5 0 2200 0000 APPL NUMBER 10 00001418 RES MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 02 3/24/11 March 21 2011 7 29 52 AM rvess BLDG FINAL TIME 01 00 March 23 2011 4 17 50 PM 1pangrle STEVE 417 2844 BUILDING FINAL MANUFACTURED HOME AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Manufactured home Owner MARIETTA ELLEN HOOVER ANICKER 2715 S OAK ST PORT ANGELES WA 98362 (360) 417 2844 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 119 9000 ECH EL MANF Fee summary Permit Fee Total Plan Check Total Grand Total 182881 119 90 3/23/11 9/19/11 Signature of owner or Electrical Contractor X G EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 11 00000253 752613 2715 S OAK ST 06 30 16 5 0 2200 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL NEW RESIDENTIAL BOB S ELECTRIC INC 2293 DEER PARK RD PORT ANGELES (360) 457 6887 Plan Check Fee Valuation HOME SERVICE FEEDER Charged Paid Credited 119 90 119 90 00 00 00 00 119 90 119 90 00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION DATE. 3/73 In 3/z4 lit /31214 111 Date 3/23/11 WA 98362 45Z _L/3 Due RESULTS Extension 119 90 00 00 00 00 0 INSPECTOR. REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: MAR -22 -2011 10 11 FROM BOBS ELECTRIC 3604529943 TO 4174711 Contra Name; Merlin' Address, W,1 Phone: License r CITY OF PORT ANGELES PERMIT APPLICATION MAR 2 2 2�ii Building Division/Electrical Inspections 321 East Fifth Street —P.O. Box 1150 Port Angeles Washington, 95362 ELECTRICAL Ph. (360) 417 -4735 Paz: (360) 417 -4711 INSPECTIONS Date:., 'e 1 2 Single Family DwellingcM1 t4\ Multi- Family or Commercial' Commercial Addition Alteration Remodel Re Plan Review May Re uired lea C plete Electrical Plan Review Information Sheet Job Address: 7 I5 Building Square Footage: Description of above Owner of rmati Name: Mating ddr ess: City Phone: License it Exp. State: Fax: Zip: Item Unit Citalgg Service/Feoder 200 Amp. 119.90 Service/Feeder 201 -400 Amp. 145.50 Service/Feeder 401-600 Ariib 5 204.60 Service/Feeder 601.1000 Amp. 262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 5 2.60 Branch Circuit W/O Service Feeder 73.5D Each Additional Branch Clrcuil 5 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp. 110.30 Temp. ServicelFeeder 401800 Amp. 8.146.70 Temp. Service/Feeder 601 -1000 Amp S 167.90 Portal to Portal Hourly 5 95.90 Sign/Outline Lighting 5 88.20 Signal Circuit/ Limited Energy l First 1500 sf Commercial 95.90 Note: 55.00 for each additional 1500 st Signal Circuit Limltod Energy 182 Family Dwelling 63,90 Signal Circuit/ Umlted Multi Family Dwelling 5 63.90 Manufactured Home Connection 119.90 Renewable .Electrical Energy 5KVA System or Less 5 102.30 rm Theostat 56.00 NEW CQNSTRUCTION Off, F'ust 1300 Square FL 110.30 Each Additional 500 Squaro FL or Portion of 5 3520 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool os Hot Tub 110.30 oerep: rI � olrovaa10 Total Multiplied by Unit Charge 5 S' 5 5 Total Owner as defined by RCW 19.28.261 (1) Ownor will occupy the structure for two years after this electrical permit is finalized. (2) Owner Is required to hire an electrical contractor if above said property Is for sole, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby codify that I am the owner of the above named property or' a licensed electrical contractor I am making the electrical installation or alteration In compliance with the electrical laws. N.E.C. RCW Chapter 1928. WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator Cash Check ridlt Cerd PREPARED 3/15/11 8 15 42 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/15/11 ADDRESS 2715 S OAK ST SUBDIV TENANT NBR MARIETTA ANICKER CONTRACTOR NW GREEN CONSTRUCTION INC PHONE (360) 410 9524 OWNER MARIETTA ELLEN HOOVER ANICKER PHONE (360) 417 2844 PARCEL 06 30 16 5 0 2200 0000 APPL NUMBER 10 00001418 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 1/28/11 JLL BLDG FOUNDATION 2/03/11 AP January 27 2011 4 51 08 PM 1pangrle DAN 360 508 1318 FOUNDATION February 3 2011 4 15 26 PM jlierly BLBT 01 2/11/11 JLL BLDG MFG HOME BLOCK /TIEDOWNS 2/11/11 AP February 11 2011 8 54 03 AM pbarthol Doug 360 790 9418 February 11 2011 3 51 00 PM jlierly need to install foundation drains on at least three of the up hill sides of the foundation this will be required due to the water table during the rainy season j11 BLFD 01 2/16/11 PB BLDG FOUNDATION DRAINAGE TIME 01 00 2/16/11 AP February 16 2011 8 11 12 AM 1pangrle KEVIN 360 807 2611 FOUNDATION DRAINAGE AFTERNOON February 16 2011 2 02 54 PM pbarthol BLFD 02 3/11/11 JLL BLDG FOUNDATION DRAINAGE TIME 01 00 3/11/11 AP March 11 2011 8 26 31 AM 1pangrle TOM 360 807 3611 FOUNDATION DRAINAGE AFTERNOON March 11 2011 4 30 48 PM pbarthol DRW 01 3/11/11 PB BLDG DRYWELL TIME 01 00 3/11/11 AP March 11 2011 8 27 56 AM 1pangrle TOM 360 807 3611 DRYWELL AFTERNOON March 11 2011 4 31 09 PM pbarthol DSD 01 3/11/11 PB BLDG DOWN SPOUT DRAINS TIME 01 00 3/11/11 AP March 11 2011 8 27 26 AM 1pangrle TOM 360 807 3611 DOWNSPOUTS AFTERNOON March 11 2011 4 31 09 PM pbarthol BL99 01 3/15/11 JL L BLDG FINAL March 14 2011 9 18 26 AM 1pangrle r CO/ DAN 360 508 1318 w BUILDING FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CONTINUED ONTO NEXT PAGE PREPARED 3/15/11 8 15 42 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/15/11 ADDRESS 2715 S OAK ST SUBDIV TENANT NBR MARIETTA ANICKER CONTRACTOR NW GREEN CONSTRUCTION INC PHONE (360) 410 9524 OWNER MARIETTA ELLEN HOOVER ANICKER PHONE (360) 417 2844 PARCEL 06 30 16 5 0 2200 0000 APPL NUMBER 10 00001418 RES MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 2/16/11 PB 2/16/11 AP PL99 01 3/15411 1 PLUMBING WATER SUPPLY February 16 2011 2 02 12 PM pbarthol February 16 2011 2 02 54 PM pbarthol PLUMBING FINAL March 14 2011 9 22 43 AM 1pangrle DAN 360 508 1318 PLUMBING FINAL COMMENTS AND NOTES PREPARED 3/11/11 8 28 54 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/11/11 ADDRESS 2715 S OAK ST TENANT NBR MARIETTA ANICKER CONTRACTOR NW GREEN CONSTRUCTION INC OWNER MARIETTA ELLEN HOOVER ANICKER PARCEL 06 30 16 5 0 2200 0000 APPL NUMBER 10 00001418 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 1/28/11 JLL BLDG FOUNDATION 2/03/11 AP January 27 2011 4 51 08 PM 1pangrle DAN 360 508 1318 FOUNDATION February 3 2011 4 15 26 PM jlierly BLBT 01 2/11/11 JLL BLDG MFG HOME BLOCK /TIEDOWNS 2/11/11 AP February 11 2011 8 54 03 AM pbarthol Doug 360 790 9418 February 11 2011 3 51 00 PM jlierly need to install foundation drains on at least three of the up hill sides of the foundation this will be required due to the water table during the rainy season jll BLED 01 2/16/11 PB BLDG FOUNDATION DRAINAGE TIME 01 00 2/16/11 AP February 16 2011 8 11 12 AM 1pangrle KEVIN 360 807 2611 FOUNDATION DRAINAGE AFTERNOON February 16 2011 2 02 54 PM pbarthol BLFD'02 3/11/11 JLL BLDG FOUNDATION DRAINAGE TIME 01 00 /i March 11 2011 8 26 31 AM 1pangrle 5 TOM 360 807 3611 FOUNDATION DRAINAGE AFTERNOON SUBDIV PHONE (360) 410 9524 PHONE (360) 417 2844 DRW 01 3/11/11 JLL BLDG DRYWELL TIME 01 00 i4 March 11 2011 8 27 56 AM 1pangrle TOM 360 807 3611 DRYWELL AFTERNOON DSD 01 3/11/11 JILL BLDG DOWN SPOUT DRAINS TIME 01 00 March 11 2011 8 27 26 AM 1pangrle TOM 360 807 3611 DOWNSPOUTS AF SIN OMMENTS AND NOTES PREPARED 2/16/11 8 13 26 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/16/11 ADDRESS 2715 S OAK ST SUBDIV TENANT NBR MARIETTA ANICKER CONTRACTOR NW "GREEN CONSTRUCTION INC PHONE (360) 410 9524 OWNER MARIETTA ELLEN HOOVER ANICKER PHONE (360) 417 2844 PARCEL 06 30 16 5 0 2200 0000 APPL NUMBER 10 00001418 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 1/28/11 JLL BLDG FOUNDATION 2/03/11 AP January 27 2011 4 51 08 PM 1pangrle DAN 360 508 1318 FOUNDATION February 3 2011 4 15 26 PM jlierly BLBT 01 2/11/11 JLL BLDG MFG HOME BLOCK /TIEDOWNS 2/11/11 AP February 11 2011 8 54 03 AM pbarthol Doug 360 790 9418 February 11 2011 3 51 00 PM jlierly need to install foundation drains on at least three of the up hill sides of the foundation this will be required due to the water table during the rainy season jil BLED 01 2/16/11 JLL BLDG FOUNDATION DRAINAGE TIME 01 00 February 16 2011 8 11 12 AM 1pangrle FOUIN 360 807 2611 FOUNDATTION DRAINAGE E AFTERNOON COMMENTS AND NOTES w�� eii� po�- y PREPARED 2/11/11 9 15 50 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 2715 S OAK ST TENANT NBR MARIETTA ANICKER CONTRACTOR NW GREEN CONSTRUCTION INC OWNER MARIETTA ELLEN HOOVER ANICKER PARCEL 06 30 16 5 0 2200 0000 APPL NUMBER 10 00001418 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTOR JAMES LIERLY SUBDIV PHONE (360) 410 9524 PHONE (360) 417 2844 BLFO 01 1/28/11 JLL BLDG FOUNDATION 2/03/11 AP January 27 2011 4 51 08 PM 1pangrle DAN 360 508 1318 FOUNDATION February 3 2011 4 15 26 PM jlierly BLBT 01 2/11/11 r,7Lr'�, BLDG MFG HOME BLOCK /TIEDOWNS February 11 2011 8 54 03 AM pbarthol 1 1 T A I R K S Doug 360 790 9418 COMMENTS AND NOTES PAGE 4 DATE 2/11/11 -C ,1 -...k-s C all r x N7 ax.E lit s PREPARED 1/28/11 8 04 54 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 2715 S OAK ST TENANT NBR MARIETTA ANICKER CONTRACTOR NW GREEN CONSTRUCTION INC OWNER MARIETTA ELLEN HOOVER ANICKER PARCEL 06 30 16 5 0 2200 0000 APPL NUMBER 10 00001418 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 1/28/11 'L f SUBDIV COMMENTS AND NOTES PHONE (360) 410 9524 PHONE (360) 417 2844 BLDG FOUNDATION January 27 2011 4 51 08 PM 1pangrle DAN 360 508 1318 FOUNDATION PAGE 12 DATE 1/28/11 SW-34( 61k6 ---c‘3 0 4, Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 749 SF MANUFACTURED HOME Owner T' \Policies \I 102 15 [(0/08] Qty Unit Charge Per 1 00 135 0000 EA SAN SEW RECON Signature of Contractor or Authorized Agent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00001418 900862 2715 S OAK ST 06 30 16 5 0 2200 0000 MARIETTA ANICKER RES MANUFACTURED HOME RS7 RESDNTL SINGLE FAMILY 92108 Contractor Date 1/03/11 MARIETTA ELLEN HOOVER ANICKER NW GREEN CONSTRUCTION INC 2715 S OAK ST 10824 LUNDEEN RD PORT ANGELES WA 98362 ROCHESTER (360) 417 2844 (360) 410 9524 Structure Information 000 000 1 749 SF MANUFACTURED HOME Other struct info TOTAL LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 178830 Permit Fee 135 00 Plan Check Fee Issue Date 1/03/11 Valuation Expiration Date 7/02/11 Special Notes and Comments December 8 2010 7 55 27 AM rbecker Will a lawn sprinker system be installed? If so you will need to install a double check valve assembly Will you install a fire sprinkler system? If you are you will need to install a double check valve assembly if it is a closed system If it is an open system you will not need to install a backflow assembly 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 December 14 2010 10 40 47 AM sroberds The proposal will result in installation of a 1 749 sq ft mfg home in the RS 7 zone with 13$ lot coverage No land use issues are anticipated December 10 2010 11 47 45 AM Brian 417 4708 Manufactured home electrical service will need to be WA 98579 13 00 13353 00 1749 00 1749 00 1 00 00 92108 Extension 135 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. Date Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies\l 102 15 [10/08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 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 YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS f CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page Application Number 10 00001418 Date Application pin number 900862 Special Notes and Comments underground Contact Trent Peppard or myself for details regarding new electrical service Electrical load calculations and electrical permits are required All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public Works Engineering prior to the start of work A pedestrian or traffic control plan is to be submitted for approval with the application as necessary Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete Fee summary Permit Fee Total Plan Check Total Grand Total T' \Policies \1102 15 [10/08] Charged Paid Credited 135 00 135 00 00 00 00 00 135 00 135 00 00 Due 1/03/11 00 00 00 2 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T \Policies \1102 15 [10/08] RESIDENTIAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO Application Number 10 00001418 Application pin number 900862 Property Address 2715 S OAK ST ASSESSOR PARCEL NUMBER 06 30 16 5 0 2200 0000 Tenant nbr name MARIETTA ANICKER Application type description RES MANUFACTURED HOME Subdivision Name Property Use Property Zoning Application valuation Application desc 1 749 SF MANUFACTURED HOME Owner MARIETTA ELLEN HOOVER ANICKER 2715 S OAK ST PORT ANGELES WA 98362 (360) 417 2844 Structure Information 000 000 1 749 Other struct info TOTAL LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Qty Unit Charge Per BASE FEE 1 00 7 0000 EA PL -WATER LINE T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RS7 RESDNTL SINGLE FAMILY 92108 BASE FEE Contractor Date 1/03/11 NW GREEN CONSTRUCTION INC 10824 LUNDEEN RD ROCHESTER (360) 410 9524 SF MANUFACTURED HOME LOT COVERAGE BL MANUFACTURED HOME 1 749 SF MANUF HOME 178459 230 00 Plan Check Fee 1/03/11 Valuation 7/02/11 Permit PLUMBING PERMIT Additional desc Permit pin number 178467 Permit Fee 57 00 Plan Check Fee Issue Date 1/03/11 Valuation Expiration Date 7/02/11 Special Notes and Comments December 8 2010 7 55 27 AM rbecker Will a lawn sprinker system be installed? If so you will need to install a double check valve assembly Will you install a fire sprinkler system? If you are you will need to install a double check valve assembly if it is WA 98579 13 00 13353 00 1749 00 1749 00 1 00 00 92108 Extension 230 00 00 0 Extension 50 00 7 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) r-, A na 3 :2 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 1 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 5 (2- -a Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar 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 1S 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 INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 IFINAL Date Accented by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Page Application Number 10 00001418 Date Application pin number 900862 Special Notes and Comments a closed system If it is an open system you will not need to install a backflow assembly 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 December 14 2010 10 40 47 AM sroberds The proposal will result in installation of a 1 749 sq ft mfg home in the RS 7 zone with 13% lot coverage No land use issues are anticipated December 10 2010 11 47 45 AM Brian 417 4708 Manufactured home electrical service will need to be underground Contact Trent Peppard or myself for details regarding new electrical service Electrical load calculations and electrical permits are required All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public Works Engineering prior to the start of work A pedestrian or traffic control plan is to be submitted for approval with the application as necessary Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Charged Paid Credited Permit Fee Total 287 00 287 00 00 Plan Check Total 00 00 00 Grand Total 287 00 287 00 00 Due 2 1/03/11 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. l 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 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 FOUNDATION: Footings temwall F ation Drainage Downspouts 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 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 MANUFACTURED HOMES. Footing Slab )31ockinq Hold Downs Skirting Date Accepted By Comments a? b rr 3_, U 1 Q well 3 -11 -11 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. 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 FINAL Date Accepted by Inspection Type FINAL Date 3 Acc pted by 3.w FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By t-21 -R --11 00 Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00001401 Application pin number 494816 Property Address 2715 S OAK ST ASSESSOR PARCEL NUMBER 06 30 16 5 0 2200 0000 Tenant nbr name MARIETTA ANICKER Application type description DEMOLITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc DEMOLISH THE HOUSE GARAGE Contractor Date 12/14/10 MARIETTA ELLEN HOOVER ANICKER NW GREEN CONSTRUCTION INC 2715 S OAK ST 10824 LUNDEEN RD PORT ANGELES WA 98362 ROCHESTER (360) 417 2844 (360) 410 9524 Structure Information 000 000 DEMOLISH THE HOUSE GARAGE Permit DEMOLITION Additional desc DEMOLISH THE HOUSE GARAGE Permit pin number 178277 Permit Fee 50 00 Plan Check Fee Issue Date 12/14/10 Valuation Expiration Date 6/12/11 Qty Unit Charge Per T Forms /Building Division /Building Permit BASE FEE Special Notes and Comments December 8 2010 9 26 18 AM JLIERLY PROVIDE EROSION CONTROL NO SOIL MUD OR DEBRIS SHALL BE ALLOWED TO LEAVE THE PROPERTY BY MEANS OF TRACKING /TURBIDITY /WIND ETC It is the responsibility of the building owner and /or demolition contractor to contact ORCAA (Olympic Region Clean Air Agency)for demolition permit needs regarding asbestos abatement Olympic Region Clean Air Agency 116 W 8th St Suite 113 Port Angeles WA 98362 (360) 417 1466 or 1 800 422 5623 www ORCAA org 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 December 14 2010 10 32 22 AM sroberds The project will result in demolition of exist res /garage No land use issues anticipated December 10 2010 11 45 10 AM Brian 417 4708 Electrical service must be disconnected by Light Operations before WA 98579 0 0 0 Extension 50 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 01/4` 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 /-3 -/l STFUgh/ Lt/ Anic/cr— Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T /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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type FINAL Date Accepted by FINAL Date Accepted by Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Application Number Application pin number Special Notes and Comments demolition Contact Kathy Trainor at 417 4724 for scheduling service disconnect and removal Sewer lateral shall be exposed to the property line an inspection by Public Works Engineering is required The sewer lateral will be capped A 2 X4 X36 pressure treated post painted green and marked S S Stub indicate depth to service to the nearest foot Attach a 12 gauge galv wire to cap and stake An approved Public Works Waste Disposal Application is required prior to taking material to transfer station Other Fees Fee summary Permit Fee Total 50 00 50 00 00 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 54 50 54 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 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00001401 494816 Page 2 Date 12/14/10 STATE SURCHARGE 4 50 Charged Paid Credited Due 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T:Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by 'FINAL Date SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Accepted by 1 O 5- .a NW GREEN CONSTRUCTION, INC Date: -8- lo 391 NW State Ave, Suite 1 Chehalis WA 98532 360 -345 -1144 office- 360- 345 -1096 fax 360 -410 -9524 cell To T it I From. G AI 1 .0 Ok I 1 Re fvckE(L 1,/„Aidk-f-ied "Wy L DYA StcI CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. I 200 q J-12- C- Approval Date r -4 lko By Pgs: L/ FOUNDA T10N PLAN SCALE 7/8' =1' CODES ALL METHODS, MATERIALS AND WORKMANSHIP SHALL CONFORM TO THE .L INTERNATIONAL BUILDING CODE (IBC) AS AMENDED AND ADOPTED BY 771E LOCAL BUILDING AUTHORITY. ALL REFERENCE TO OTHER CODES AND STANDARDS, (ACI, ASTM, ETC), SHALL BE FOR 771E LATEST OR MOST CURRENT EDITOR AVAILABLE. MISCELLANEOUS VERIFY ALL DIMENSIONS AND CONDITIONS IN THE FIELD. CONSTRUCTION DETAILS NOT SPECIFICALLY SHOWN ON THE DRAWINGS SHALL FOLLOW SIMILAR DETAILS OF SECTIONS OF THIS PROJECT AS APPROVED BY THE ENGINEER. SITE WORK EXCAVATION EXCAVATE TO DEPTH SHOWN AND TO FIRM UNDISTURBED MATERIAL OVER- EXCAVAT7ONS SHALL BE BACICFULE0 WITH LEAN CONCRETE (fc =2,000 95!) AT THE CONTRACTORS EXPENSE EXERCISE EXTREME CARE DURING EXCAVATION TO AVOID DAMAGE TO BURIED LINES, TANK$ AND OTHER CONCEALED ITEMS. UPON DISC04ERY, DO NOT PROCEED KITH WORK UNDL R£C0TV1NG WRITTEN INSTRUCTIONS FROM ENGINEER. DRAINAGE AS NECESSARY TO AVOID WATER SOFTENED SUBGRAO£. FILL, BACKFILL AND COMPACTION BACKFILL AGAINST WALLS SHALL N07 8E PLACED UNTIL AFTER THE REMOVAL OF ALL MATERIAL SUBJECT TO ROT OR CORROSION. ALL FILL PLACED AGAINST RETAINING WALLS CR BASEMENT WALLS SHALL BE FREE DRAINING GRANULAR MATERIAL STRUCTURAL FILL OTHER THAN PEA GRAVEL SHALL BE GRANULAR, PLACED IN 6 INCH UFTS AND COMPACTED TO X OF ITS MAXIMUM DRY DENSITY AS DETERMINED AT LEAST 95 BY ASTM D -7557 (MOD PROCTOR) AND ASTM 0 -698 (STANDARD PROCTOR). PEA GRAVEL FILL SHALL HAVE A MAXIMUM PARTICLE SIZE OF 3/8" DIAMETER. STRUC TURAL CONCRETE GENERAL ALL CONCRETE SHALL BE HARD ROCK CONCRETE MEETING REQUIREMENTS OF ACI -301, 'SPECIFICATIONS FOR STRUCTURAL CONCRETE FOR BUILDINGS. PROPORTIONING Of INGREDIENTS FOR EACH CONCRETE MIX SHALL BE BY METHOD 2 OR THE ALTERNATE PROCEDURE GIVEN IN ACT -301. PLACE CONCRETE PER AC1 -304 AND CONFORM 70 AC1 -604 (306) FOR WNN7L72 CONCRETING AND AC1 -605 (305) FOR HOT WEATHER CONCRETING. USE INTERIOR MECHANICAL VIBRATORS INTT1 7,000 RPM MINIMUM FREQUENCY. 00 NOT OVER-VIBRATE CONCRETE SHALL BE PLACED MONOLITHICALLY BETWEEN CONSTRUCTION OR CONTROL JOINTS PROTECT ALL CONCRETE FROM PREMATURE ORfINO, EXCESSIVE NOT OR COLD TEMPERATURE FOR SEVEN DAYS AFTER PLACING. f:\ 1Jc J<e J L STRENGTH TWENTY —EIGHT DAY COMPRESSIVE STRENGTHS SHALL BE. PSI SLUMP SLABS 2, 500 .3" FOO77NGS 2,500 4 1 THESE SLUMPS MAY BE INCREASED WITH PROPER ADDITION OF ADMIXTURES FOR WORKABILITY WITHOUT CHANGING THE WATER CONTENT OF THE ORIGINAL APPROVED MIX DESIGN. ADMIXTURES CONTAINING CHLORIDES ARE NOT PERMITTED UNLESS APPROVED BY 77-IE ENGINEER. MATERIALS CEMENT: AVM 750, TYPE 1 OR TYPE 1 -11. ENGINEER'S APPROVAL 15 NEEDED f0R USE OF TYPE 111 CEMENT. COARSE' AND FIN£ AGGREGATE. ASTM 033. WATER SHALL BE CLEAN AND POTABLE REINFORCING STEEL DETAIL, FABRICATE AND PLACE PER ACI -375 AND ACI -318. SUPPORT REINFORCEMENT WN1N APPROVED CHAIRS, SPACERS OR TIES. DEFORMED BAR REINFORCEMENT: 45744 A- 675 -GR 60 WELDED WIRE FABRIC: ASTM A -785 8t ASTM .4-82 FY =65 KS/ DEFORMED 8A9 ANCHORS: ASTM A 496 ALL REINFORCING SHALL BE LAP SPLICED A MINIMUM LAP OF 40 BAR DIAMETERS EXCEPT AS NOTED SPECIFICALLY ON THE X OF HORIZONTAL STRUCTURAL DRAWINGS. NO MORE THAN 50 OR VERTICAL BARS SHALL BE SPLICED AT ONE LOCATION. PROVIDE ELBOW BARS (40 DIAMETER) TO LAP HORIZONTAL STEEL A CORNERS AND INTERSECTIONS IN FOOTINGS AND WALLS. LAP WELDED FABRIC 12" OR ONE SPACING PLUS 2" WHICHEVER IS MORE CONCRETE COVER ON REINFORCING (UNLESS SHOWN OTHERWISE) 8011044 OF F0077NGS 3" FORMED EARTH FACE AND SLAB ON GRADE 2" BOTTOM OF INTERIOR SLAB 3/4" CONOUIT IN SLAB ELECTRICAL CORM)" IN SLABS. SHALL BE PLACED AT THE MID -DEPTH OF TH£ SLAB A 7 A MINIMUM SPACING OF THREE 'TIMES THE CONDUIT DIAMETER. CONDUIT OUTSIDE DIAMETER SHALL NOT EXCEED ONE -THIRD OF THE SLAB THICKNESS CARPENTRY FRAMING LUMBER SHALL BE OF NO. 2 OR AS SHOWN ON THE 0RAVANG5. ALL 2' LUMBER SHALL BE KILN OR/ED (K0). EACH PIECE OF LUMBER SHALL BEAR STAMP OF WEST COAST LUMBER INSPECTION BUREAU (WYCU8) AND /OR WESTERN MOD PRODUCTS ASSOCIATION (WWYPA) SHOWING GRADE MARK. PROVIDE CUT WASHERS OR 14.1.w. Vi1ERE BOLT HEADS, NUTS AND LAG SCREW BEAR ON WOOD. 17EA r ALL WOOD IN CONTACT 17117 CONCRETE, MORTAR, GROUT, MASONRY, AND WHIN 12" OF EARTH;; ALL 14000 OVER WATER; AND ALL WOOD !N CONTACT WITH EARTH; WITH PENTACHLOROPHENOL 171 UGNT MINERAL OIL OR WATER BORNE PRE5ERVA17V£S IN ACCORDANCE WN7H AWPA SPECIFICATIONS FOR THE PRESSURE TREATMENT OF WESTERN MODS, LATEST EDITION. RETENTION TO BE AS FOLLOWS: ABOVE GROUND IN CONTACT WITH CONCRETE MORTAR, ETC. -.30. OVER WATER 40,• IN CONTACT WITH EARTH -.60. WHERE POSSIBLE; PRE -CUT MATERIAL BEFORE 7T. 4TL1ENT. ALL FIELD CUTS AND DRILLED HOLES SHALL BE FIELD TREATED 1N ACCORDANCE WITH AWPA M -4. CARPENTRY HARDWARE BOLTS SHALL BE ASTM A -307 WASHERS SHALL B£ MALLEABLE IRON WASHERS (WO OR HEAVY PLATE CUT WASHERS. NAILS SHALL BE COMMON, AMERICAN OR CANADIAN MANUFACTURER ONLY. LAG SCREWS, SHEAR PLATES -SEE NATIONAL DESIGN SPFCIFICA'AON. ANCHORS AND CONNECTIONS SHALL BE SIMPSON 1600, LUMBERLOK OR /080 APPROVE'D.ALL FASTENERS SHALL BE INSTALLED PER MANUFACTURERS RECOMMENDATIONS UNLESS OTHERWISE SHOWN. HARDWARE EXPOSED 10. W£A 1T1ER OR IN UNHEATED PORTIONS OF BUILDING SHALL 8£ GALVANIZED PER SECTION 5.2.10. BASIC DESIGN CRI TER1A WINO EXPOSURE. B, 65 MPH DESIGN SPEED SEISMIC SITE CLASS: 07 SOILS 1,500 PSF BEARING (ASSUMED) ROOF SNOW LOAD: 25 PSF o�) ADD SIMPSON MSTC28 OR LST122 STRAPS 0 48" O.C. MAX AT ENDWALLS AND 64 O.C. MAX A S10EWALLS FILL ALL HOLES W /100x1 HDG NAILS. THIS REPAIR SHALL BE USED IF THE MANUFACTURED UNIT IS REPORTEDLY "TOO HIGH' TO BEAR ON FOUNDA 710N WALL PT f REPAIR /SHIM DETAIL SCALE: 7 /2` 17-1I5 FOUNOA170N DESIGN MEETS 111E INTENT OF HOUSING AND URBAN DEVELOPMENT QFRMANENT FOJ /DA77ONS CU/DF FOR MANUFACTURED HOUSING, DATED SEPT 1996 AND APPLICABLE SECT7ONS OF HUD 4145.1 REV -2 AND 4150.1 REV -1 TOENAIL TO MUDSILL AS SHOWN W/ 1,710 MIN.xS" MIN. GALV NAILS. NAIL 5" O.C. AT ENDWALLS AND 012' 0.C. AT SIDEWALLS SIMPSON LPT4 CONNECTION OPTION: USE 14 LPT4 AT ENDWALLS AND (1) LPT4 64 ac. AT SIDEWALLS SCREENED VENTS. LOCATE BETWEEN MUDSILL ANCHORS. MAINTAIN 4" MIN. OF CONC. HORIZ. BETWEEN VENT AND MA6 ANCHOR. (pi t i) 1 -2" MIN. DOWNSPOUT LINES SHALL NOT BE CONNECTED TO FOO7WG DRAINS OR PERFORATED PIPE WITHIN 10' OF FOOTINGS MANUFACTURED UNIT WALLS AND FLOOR 2x6 TRIO 1 TYPICAL STEMWALL /FOOT/NG DETAIL SCALE F/2 ANUFACTURED UNIT WALLS AND FLOOR 2x6 TRIO e W /SIMPSON MA6 ANCHORS 0 2' -6" O.C. ENDWALLS ANO S' -0" O.C. SIDEWALLS .-f4 VERT 0 48" O.C. CENTERED IN STEM WALL. HOOKS ARE 2' REQUIRED. ALT HOOKS --(2) //4 CONT. L 3" CLR (2) #4 CONT. 1 —I (pntroA)R I) PERFORATED FOUNOATION DRAINS SHOULD BE LOCATED AT THE FOOTING LEVEL WI77-1 HOLES FACING DOWN 0 “tme, i cf5-1- P p .-)A47, Wed( •VO U J PANNUfreirketir tlt p\iNt c ivoe. foOl N 0.11111 P a(9' otp Ns ...ep■■■■■ +1150.a.... 0-014, aLlil1" (vokNi ki-JA coo-Novi) t-'4A1 f-t vita_ C.d iN14- e I Ot C). 1)4V 6‘1')4 01"1 ON1 LA "4- FOUNDATION PLAN SCALE 1 /8 =T' CODES ALL METHODS, MATERIALS AND WORKMANSHIP SHALL CONFORM ro THE 2006 INTERNATIONAL BUILDING CODE (IBC) AS AMENDED AND ADOPTED BY THE LOCAL BUILDING AUTHORITY, ALL REFERENCE ro OTHER CODES AND STANDARDS (AG, ASTM, ETC,), SHALL BE FOR THE LATEST OR MOST CURRENT £0 /TON AVAILABLE. MISCELLANEOUS VERIFY ALL DIMENSIONS AND CONDITIONS IN THE FIELD. CONSTRUCTION DETAILS NOT SPECIFICALLY SHOWN ON THE DRAWINGS SHALL FOLLOW SIMILAR DETAILS OF SECTIONS OF THIS PROJECT AS APPROVED BY THE ENGINEER. SIM WORK EXCAVATION EXCAVATE TO DEPTH SHOWN AND TO FIRM L/NDISTURCED MATERIAL OVER-EXCAVATIONS SHALL BE BACKF7LLED WITH LEAN CONCRETE ((c =2000 P51) AT THE CONTRACTOR'S EXPENSE. EXERCISE EXTREME CARE DURING EXCA VA RON TO AVOID DAMAGE TO BURIED LINES, TANKS, AND OTHER CONCEALED ITEMS. UPON DISCOVERY, DO NOT PROCEED W77H WORK UNTIL RECEIVING WRITTEN INSTRUCTIONS FROM ENGINEER. DRAINAGE AS NECESSARY TO AVOID WATER- SOFTENED SUBGRAOE. FILL, BACKFILL AND COMPACTION BACKFILL AGAINST WALLS SHALL N07 80 PLACED UNTIL AFTER THE REMOVAL OF ALL MATERIAL SUBJECT TO ROT OR CORROSION. ALL TILL PLACED AGAINST RETAINING WALLS OR BASEMENT WALLS SHALL BE FREE DRAINING GRANULAR MATERIAL STRUCTURAL FILL OTHER THAN PEA GRAVEL SHALL BE GRANULAR, PLACED IN 6 INCH LIFTS AND COMPACTED TO X OF ITS MAXIMUM DRY DENSITY .45 DETERMINED AT LEAST 95 BY ASTM 0 -1557 (MOD PROCTOR) AND ASTM 0 -698 (STANDARD PROCTOR). PEA GRAVEL FILL SHALL HAVE A MAXIMUM PARTICLE SIZE OF J /8" DIAMETER. STRUCTURAL CONCRETE GENERAL ALL CONCRETE SHALL BE HARD ROCK CONCRETE MEETING REQUIREMENTS OF ACI -30T, SP£CIRCATIONS. STRUCTURAL CONCRETE FOR BUILDINGS. PROPORTION:NC OF INGREDIENTS FOR EACH CONCRETE MIX SHALL BE BY METHOD 2 OR THE ALTERNATE PROCEDURE GIVEN IN ACI -301. PLACE CONCRETE PER ACI -304 AND CONFORM TO ACI -604 (306) FOR WINTER CONCRETING AND AC1 -605 (305) FOR HOT WEATHER CONCRETING. USE INTERIOR MECHANICAL VIBRATORS WIN 7,000 RPM MINIMUM FREQUENCY DO NOT OVER VIBRATE CONCRETE SHALL BE PLACED MONOIJTHICALLY BETWEEN CONSTRUCTION OR CONTROL JOINTS PROTECT ALL CONCRETE FROM 81?EMATURE CRYING, EXCESSIVE HOT CR COLD TEMPERATURE FOR SEVEN DAYS AFTER PLACING. joiw c K��. STRENGTH TWENTY- -EIGHT DAY COMPRESSIVE STRENGTHS SHALL BE PSI SLUMP SLABS Z500 .3" 7 FOOTINGS 2,500 4 1 THESE SLUMPS MAY BE INCREASED WITH PROPER ADDITION OF ADMIXTURES FOR WORKABILITY WITHOUT CHANGING THE WA TER CONTENT OF THE ORIGINAL APPROVED MIX DESIGN. ADMIXTURES CONTAINING CHLORIDES ARE NOT PERMITTED UNLESS APPROVED BY THE ENGINEER. MATERIALS CEMENT ASTM 150, TYPE I OR TYPE 1 -11. ENGINEER'S APPROVAL l5 NEEDED FOR USE OF TYPE 111 CEMENT. COARSE .4N0 FINE ACGREGA7E. ASTM C33. WATER SHALL BE CLEAN AND POTABLE. REINFORCING STEEL DETAIL, FABRICA AND PLACE PER AC1 -375 AND ACT -3t8. SUPPORT REINFORCEMENT WITH APPROVED CHAIRS, SPACERS, OR RES. DEFORMED BAR REINFORCEMENT: ASTM A- 615 -CR 60 WELDED 11,1120 FABRIC. ASTM A -185 A AS721 A -82 FY=65 KSI DEFORMED BAR ANCHORS: ASTM A -496 ALL REINFORCING SHALL BE LAP- SPUCEO A MINIMUM LAP OF 40 BAR DIAMETERS EXCEPT .45 NOTED SPECIFICALLY ON 7710 X OF HORIZONTAL STRUCTURAL DRAWINGS NO MORE THAN 50 OR VERTICAL BARS SHALL BE SPLICED AT ONE LOCATION. PROVIDE ELBOW BARS (40 DIAMETER) TO LAP HORIZONTAL STEEL AT CORNERS ANO INTERS£CRONS IN FOOTINGS AND WALLS. LAP WELDED FABRIC 72" 01? ONE SPACING PLUS 2' WHICHEVER IS MORE. CONCRETE COVER ON REINFORCING (UNLESS SHOWN OTHERWISE) BOTTOM OF FOOTINGS FORMED EARTH FACE AND SLAB ON GRADE 2" BOTTOM OF INTERIOR SLAB 3/4' CONDUIT IN SLAB ELECTRICAL CONDUIT IN SLABS SHALL BE PLACED AT THE MID -DEPTH OF THE SLAB A7 A MINIMUM SPACING OF THREE TIMES THE CONDUIT DIAMETER. CONDUIT OUTSIDE DIAMETER SHALL NOT EXCEED ONE -THIRD OF THE SLAB THICKNESS CARPENTRY FRAMING LUMBER SHALL BE DF N0. 2 OR AS SHOWN ON THE DRAWINGS. ALL 2' LUMBER SHALL BE KILN DRIED (KD). EACH PIECE OF LUMBER SHALL BEAR STAMP OF WEST COAST LUMBER INSPECTOR BUREAU (WCLIB) AND /01? WESTERN WOOD PROQUCTS ASSOCIATION (WWPA) SHOWING GRADE MARK. PROVIDE' CUT WASHERS OR ALL W! WHERE BOLT HEADS, NUTS AND LAC SCREW BEAR ON WOOD. TREAT ALL WOOD IN CONTACT WITH CONCRETE, MORTAR, GROUT; MASONRY, AND WITHIN 12' OF EARTH; ALL WOOD OVER WATER; AND ALL WOOD IN CONTACT WITH EARTH; WITH PENTACHLOROPHENOL IN LIGHT MINERAL OIL OR WATER BORNE PRESERVATIVES. IN ACCORDANCE WITH AIWA SPECIf7CA7TONS FOR THE PRESSURE TREATMENT OF WESTERN 140005, LA TEST 00 /170N. RETENTION TO BE AS FOLLOWS: .4804£ GROUND IN CONTACT 11171 CONCRETE MORTAR, ETC -.30 OVER WATER 40: IN CONTACT WITH EARTH -.60. WHERE POSSIBLE PRE -CUT MA TERIAL BEFORE IAA TMENT. ALL HELD CUTS AND DRILLED HOLES SHALL BE F1£LD TREATED IN ACCORDANCE W7T71 AWPA M -4. CARPENTRY HARDWARE BOLTS SHALL BE ASTM A -30Z. WASHERS' SHALL BE MALLEABLE IRON WASHERS (MIW) OR HEAVY PLATE CUT WASHERS NA /15 SHALL BE COMMON, AMERICAN OR CANADIAN MANUFACTURER ONLY. LAC SCREWS, SHEAR PLATES -SEE NATIONAL DESIGN SPECIFICATION. ANCHORS AND CONNECTIONS SHALL BE SIMP50N, r5CO, LUMBERLOK OR /CBO APPROVEO.ALL FASTENERS SHALL BE INSTALLED PER MANUFACTURERS RECOMMENDATIONS UNLESS 017HERV450 SHOWN. HARDWARE EXPOSED TO WEATHER OR /N UNHEATED PORTIONS OF BUILDING SHALL BE GALVANIZED PER SECI7ON 5.2.10. BASIC DESIGN CR ITERIA WIND EXPOSURE: B. 65 MPH DESIGN SPEED SEISMIC SITE CLASS: 01 SOILS. 1,500 PSF BEARING (ASSUMED) ROOF SNOW LOAD: 25 PSF AZe& f• LIBERTY HOMES, INC Sheridan, Oregon MAY 13, 1997 IMPORTANT ADDENDUM TO ALL DEALERS, SERVICE CREWS, SET -UP CREWS AND CUSTOMERS EFFECTIVE IMMEDIATELY LIBERTY HOMES ENC. REOUIRES PERIMETER BLOCKING ON ALL OF OUR HOMES. REFER TO TABLE 4.3 ON PAGE 10 OF THIS SETUP MANUAL FOR PIER LOADS, SPACING AND SIBS WARNING EXTERIOR DOORS MUST BE BLOCKED UNDER BOTH SIDES TO ENSURE PROPER OPERATION Tilt SPACE OCCUPIED BY YOUR LIBERTY HOME MUST BE PROPERLY GRADED TO PROVIDE RUN- OFF OF ANY WATER, RAIN AND SNOW AS RECOMMENDED IN OUR SET -UP INSTRUCTIONS, A NON PERMEABLE GROUND COVER SUCH AS VISOUEEN MUST BE PLACED UNDER HOME.THE GROUND COVER IS MANDATORY PROPER VENTILATION IS TO BE MAINTAINED IN THE SKIRTING OR ANY OTHER TYPE OF ENCLOSURE WITH VENTS OR OTHER POSITIVE VENTILATION 888 SE Sheridan Road Box 188 Sheridan OR 97378 (503) 843 -2255 Fax (503) 843 -3117 Applicant STEUEry 1 c ,-'.e y Art i c k Property Owner Q r e j- ,in 1 c Property Owner's Address 7J5 S. lr Contractor ,,W '-e <7p, nZ' 'cT'o Contractor's Address ..29/ ''V(t/ j ,,qua License "7iege xz pr Expires ,y E -mail PROJECT ADDRESS Parcel Number Project Type Brief Description. ClJeck all that apply New Construction Addition Remodel Le. kt'Vt'.w 8 wOW Repair .X a�fAlNS$l L&r (SCr, €1s Lamas Demolition (;c,1 v r, Dah i sueerutlso;r 6E 7 Re -roof House garage other Heat SystemiAb\tt, Heat pump wood burning stove gas fireplace pellet stove other Other +Eon^ Phone ez.11 wi (eye daaler of FVivre.116t,rte5 oT Hehh1/24 Floor Areas Basement 1St Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other T Forms /Building Division /Building permit application BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 X715 5 OckK Phone (360) yl7 2-8 y Pho 4360 j 4 //7--_7 Ah ;4e; £i Phone) 5 9J ,Ivi es r CJ 49d... r vrt2 e- esidential Multi family Commercial Industrial Ne-ry Manu ,L4)V ko Existing (sq. ft.) Proposed (sq. ft.) Phone 360 479 -4663 Fax: 360- 479 -4630 APPLICATION Print in ink 3450 Highway 16 W Bremerton, WA 98312 sq ft. Lot size 3 3 5 Total footprint of structures 1 Site Coverage the amount of impervious surface on a parcel including structures and other impervious surfaces (see PAMC 17 94 135 for exemptions) Grroaue.i d rivewati Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type For City Use Only Date Received tZ u Permit l.Date Approved Lot Zoning RS-7 tear off re -roof lay over one layer Future Homes sq ft. Lot coverage 13 0 paved driveways sidewalks patios Site coverage J3. Q_ of Bremerton Dwane Henning Email: futurebremerton @aol.com www.futurehomesofbremerton. com TOTAL VALUATION R Z of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to w rking on projects ti Date la \p Print Name 7 e v eo 4 4. 7 /9/7/ Signatur Permit io' ilf\ g T Fonns /Building Division/Notes NOTES 17 ,,.,,0 r Oe. 0).e. 0_1 G C tz, I t 222 r 219 cip 213 :2720 1 207. 2714 Aiderwood Cir 210 -205 2724 141: 0 Z5 4c 281D U Park Ave 142 e 130 136 129 124 1 9V 1■ Q r Mbk 2720 120 2716 I 2616 7,7 "Y irk &0 S S !Lit (7.j. /r/ o'Eiv er,m2 /f v -r\ /Y -tvoiC 99 ate` S ord s� C N1` Please complete and return to Public Works Utilities Department Applicant InforMation Permanent service. Name and address of party responsible for permanent service billing? Name .5/$4 A) lr 9 /e rriiq Electrical Information Form Public Works Utilities Department (360) 417 -4700 City Electrical Inspector (360) 417 -4735 Ah.//o/f .e✓' Street: Si;). O/9 'City I State I ZIP /00,47"- �i1 n/e L 'Da Phone ,7 /o 34$ Home Phone. (if other than above) Name Title Daytime Phone Name I "10( ,KT:20 C .0 —+1// c/ 2 '9 z Daytime Phone_" 6C) `f 0 91 '2 5 Name Company' Daytime Phone Name Company Daytime Phone Existing ❑New Single family residence Multi- family residence of units Commercial ❑Subdivision of lots Overhead service General service Underground service Other Description of work: 7/QG 'e i /e) °'1-Q 1 a 7/X .f O'QI Contact Information Site contact: Contractor Electrician Excavator Project Information Street address lot number Nearest cross street: Desired connection date Electrical:Loacl Voltage Check all that apply No Load Change Information form.xfs Electrical transformer serving property is A ron a pole on the ground Total square footage /7 sq ft. Main disconnect size amps 0120/240 1ph ❑120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph Other 1 2 X Standard residential loads (Lighting refrigerator dishwasher washer) Range /Oven Hot Tub Heating Pumps Hp) Elevator Hp) Other Please provide a copy of the following "Detailed plot plan (dwg or dxf format mandatory for subdivisions) `Electrical one -line drawing showing the service entrance panel and location *Connected load data. Size and locked rotor amps of•all motors over 50hp Applicant's Signature i— ��c�"� ��.f��¢1, Date r A /C (ton) Clothes Dryer Water Heater Supporting D n .i: MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360 -417 -4711 WS WF N P\ NKS, IJUI- IT\ENCP\ #Originals\Inforrnation form Revised 1 15 -09 Contractors or Tradespeople Detail Page 1 of 1 10 Washington State Department of Labor Industries Contractors or Tradespeople Detail Return to List Start a New Search 1 Printer friendly About Manufactured Home Installers An individual who is licensed to set up manufactured homes. Business and Licensing Information LAMAS, CELSO Name Phone No. Address Suite /Apt. City Chehalis State WA Zip 98532 County Lewis Washington 0 Education Information Ai No continuing education credits have been reported for the next /current renewal UBI No. Status Active License No. LAMASC *028CK License Type 1 Manufactured Home Installer Effective Date 2/12/1998 Expiration Date Suspend Date Specialty 1 Specialty 2 2/28/2013 Unused Unused Washington State Dept. of Labor and Industries Use of this site is subject to the laws of the state of https. fortress .wa.gov /lni/bbip/Result.aspx 12/6/2010 12/02/2010 THU 12 43 FAX 360 345 1096 NWGreen 2002/002 Contractors or Tradespeople Printer Friendly Page General /Specialty, Contractor A business registered as a construction contractor with L &I to perform construction work within the scope of its specialty A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County IDAHL, MARY BETH NW GREEN CONSTRUCTION INC 3688589420 10 1 .391 IJ tit) S Fh r?�C 1- Rorliastef WA al v.Eln.41)5 9653- Thurston Business Type Corporation Parent Company Business Owner Information l Name 1 Role !President UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 1 Effective Date 111/25/2008 602877546 Active NWGREGC922Q5 Construction Contractor 11/25/2008 11/25/2012 General Unused Bond Information IBondlBond Company NamelBond Account NumberlEffective DatelExpiration DatelCancel Datellmpaired DatelBond AmountlReceived Date COLONIAL AM CAS Et i SURETY OF LPM4077423 11/25/2008 Until Cancelled $12,000.0011/25 /2008 MARYLAND Assignment of Savings Information No records found for the previous 6 year period 1 Expiration Date 1 Insurance Information llnsurancelCompany NamelPolicy NumberlEffective DatelExpiration DatelCancel Datellmpaired Datel AMERICAN 3 FOREST CAS CO AFC093183 08/14/2010 08/14/2011 RRG AMERICAN 2 FOREST CAS CO afc083127 11/19/2009 08/14/2010 RRG AMERICAN 1 FOREST CAS CO AFC083127 11/19/2008 11/19/2009 RRG Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https.//fortress.wa.gov/lni/bbip/Printaspx AXA)5,1 t,AA4ft'Sc1 (7-WG< CIQc l�lM _A� Page 1 of 1 Amount !Received Datel $1 000,000.00 08/13/2010 $1 000,000.0011/13 /2009 51,000,000.00 11/25/2008 12/2/2010 12/02/2010 THU 12 43 FAX 360 345 1096 NWGreen Z001/002 Date- To ill From, Re. NW GREEN CONSTRUCTION, INC 391 NW State Ave, Suite 1 Chehalis WA 98532 360 -345 1144 office— 360-345-1096 fax 360- 410 -9524 cell h M M.1 j LtiFo I Ao e (ivy, `lfrz y79 -ylv�o Spar/( ANr c)G`d' GtiJ, 6fr ',AA-t/ ,r ti�Gr Pgs: Off- "1.0 Wq Vm me address Fe* a vu d*r r have cal\ tZ -Z- 10 r BUILDING PERMIT APPLICATION Print in ink Applicant ST7i/gvl/ .i- ,/Ylcxi -,.eS/ 4 n/c%e,,- Phon C3 9/ 7. 2 etici Property Owner _War/ p Ail 4-,c/ Phone (36'0) 7 2895 Property Own is Address 27/5 S° i c/ g L/ o= �l, 19e� /e.i Contractor 6/ ''2alet C o Phone °3G p cE 10.—q5 Contractors Address License Cq Expires ///25 /(Z E -mail PROJECT ADDRESS ,2 5 S, OaK S� Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair 'Demolition Re -roof Heat System Other Floor Areas Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structur-s Site Coverage the amo and other impervious surf CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Lot Zoning 15 7 Residential Multi family Commercial Industrial N()Use- AG av-aAe (P; 1I 6o+fA Ioe- (tem)11s et Waste_ m ct Fa r �t ....f .o 7s- 5d otA tt /e S lei A 1 Cg c oY r 4 ra 1 i:ot 1P,J p yEin o-- if 12,,. cription. House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Existing. ft.) Proposed (sq. ft.) r l sq ft. T Lot size pervious surface on a parcel includin (see PAMC 17 94 135 for exemptions) Max. height of proposed s ct es ft. Occupancy group Will a lawn sprinkler sys -m be in talled? Occupant load Will a fire sprinkler sy -m be insta led? Construction typ TOTAL VALUATION For City Use Only.�.,, k Date Received 1,Permit #_10 Date Approved per sq ft. of bedrooms of full baths of half baths Date %Z1, /0 Print Name5Th^//41 4' An r k T Forms /Building Division /Building permit application ,t` 1 WAN sq ft. Lot coverage structur-s paved driveways sidewalks patios Site coverage I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects ermit fCt N OTES formsiBuilding grosion otes 112-4-c-It-tj.44 41Al24 crtn 1. s keo Clallam County Assessor Treasurer Property Details 68502 MARIETTA ELLEN H. Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 68502 MARIETTA ELLEN HOOVER ANICKER for Year 2011 2012 Property Account Property ID Amount Due if Paid on. M. 68502 Legal Description. 10X100'IN LT 18 W 100'LT 19 ALDERWOOD ACRE TRACTS Geographic ID 0630165022000000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Township Section Range Location Address. 2715 S OAK ST Mapsco PORT ANGELES WA 98362 Neighborhood: Cycle 5 Res Map ID 3 Neighborhood CD 10955130 Owner Name MARIETTA ELLEN HOOVER ANICKER Owner ID' 208522 Mailing Address. 2715 SOUTH OAK ST Ownership 100 0000000000% PORT ANGELES WA 98362 Taxes and Assessment Details Property Tax Information as of 12/02/2010 Exemptions: NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid A 2010 50167 ST SCH STATE SCHOOL $136 44 $136 43 $0 00 $0 00 $272.87 2010 50167 CC -GEN COUNTY CLALLAM $72.62 $72 59 $0 00 $0 00 $145.21 2010 50167 PORT PORT OF PORT ANGELES $10.20 $10.21 $0 00 $0 00 $20 41 2010 50167 PORT ANG CITY OF PORT ANGELES $168 10 $168 11 $0 00 $0 00 $336.21 2010 50167 SD #121 SCHOOL DISTRICT #121 $176 72 $176 71 $0 00 $0 00 $353 43 2010 50167 NTH OLY LIB NORTH OLYMPIC LIBRARY $21 10 $21 09 $0 00 $0 00 $42.19 2010 50167 HOSP #2 HOSPITAL #2 $29 78 $29 79 $0 00 $0 00 $59 57 2010 50167 WSMET PK DIST WILLIAM SHORE MET PARK DIST $9 48 $9 47 $0 00 $0 00 $18 95 2010 50167 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 2010 50167 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 2010 50167 TOTAL. $661.26 $661.21 $0.00 $0.00 $1322.47 2009 685022008 ST SCH STATE SCHOOL $153.21 $153.20 $0 00 $0 00 $306 41 2009 685022008 CC -GEN COUNTY CLALLAM $77 55 $77 52 $0 00 $0 00 $155 07 2009 685022008 PORT PORT OF PORT ANGELES $10 99 $10 98 $0 00 $0 00 $21 97 2009 685022008 PORT ANG CITY OF PORT ANGELES $170 07 $170 06 $0 00 $0 00 $340 13 http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =68 12/2/2010