HomeMy WebLinkAbout409 E St - BuildingPREPARED 6/05/09 10 22 16
CITY OF PORT ANGELES
ADDRESS 409 E ST
TENANT NBR JAMES CREELMAN
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT DEMO 00 DEMOLITION
REQUESTED INSP
TYP /SQ COMPLETED RESULT
BL99 01 6/0W09 JLL
r
Ley
JAMES W CREELMAN
06 30 00 0 1 1230 0000
08 00000797 DEMOLITION
DESCRIPTION
RESULTS /COMMENTS
BLDG FINAL
June 5 2009 10 19 17 AM 1pangrle
JAMES CREELMAN
BLDG FINAL DEMO
INSPECTION TICKET
INSPECTOR JAMES LIERLY
-COMMENTS AND ,+uiaa
SUBDIV
PHONE
PHONE (443) 790 6147
PAGE 1
DATE 6/05/09
Edit Narrative
SINGARD'PUBUC SECTOR
HTE Nav11
a Cancel L Exit Spell check Time stamp
Application number, type: 08 00( 00797 DEMOLITION
Property address: 409 E
January 16, 2009 9 91 00 A04 1pangrle
PER SUE R. MR. CREELMAN CA1E INTO OUR
OFFICE AND REQUESTED A TWO -MONTH
EXTENSION ON THIS DEMOLITION PERMMIT HE
STATED THAT SOMEONE' PLANS TO BUY THIS
PROPERTY THEY ARE SCHEDULED TO CLOSE
THE DEAL ON 01 29 -09 THEY WANT, THE.
BLDG REMOVED SUE GRANTED H!IM A PERMIT
EXTENSION THROUGH 02 15 -09
1'
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
Application desc
DEMO AND REMOVE SINGLE FAMILY RESIDENCE
i
Qty Unit Charge rer
Other Fees
Charged
Permit Fee Total 50 00
Plan Check Total 00
Other Fee Total 4 50
Grand Total 54 50
Fee summary
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000797
567156
409 E ST
06 30 00 0 1 1230 0000
JAMES CREELMAN
DEMOLITION
RS7 RESDNTL SINGLE FAMILY
100
Contractor
JAMES W CREELMAN OWNER
PO BOX 2688
PORT ANGELES WA 98362
(443) 790 6147
Structure Information 000 000 DEMO SINGLE FAMILY RESIDENCE
Permit DEMOLITION
Additional desc DEMO SINGLE FAMILY RESIDENCE
Permit pin number 129502
Permit Fee 50 00
Issue Date 7/07/08 Valuation
Expiration Date 1/0
02. -0? Sue R
cx de4 1
m1 on
STATE SURCHARGE O(1510
BASE FEE
50 00
00
4 50
54 50
Plan Check Fee
Paid Credited Due
0 0
00
00
00
Date
7/07/08
Extension
50 00
4 50
00
00
00
00
00
0
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 reg g construction or the performance of
construction
b J 4 r n. 40 Cr t o (k/k L N
[bate( Print Name Signature of Contractor or Authorized Agent v Signature of Owner (if owner is builder)
T.Forms /Building Division/Building Permit (05 /13 /08).wpd
ELECTRICAL LIGHT DEPT 417 -4735
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INS PECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS 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
BUILDING PERMIT INSPECTION RECORD l Dc1 0
YES 1 NO
FINAL
0
FINAL
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I 4/1 I FIRE DEPT
PLANNING DEPT 417 -4750 I 1 �7 I I I PLANNING DEPT
BUILDING 417 -4815 1/44,1 1 �7 1 I BUILDING
T 17 </n) a,ii nl n /R. iUi Pe nut (05 /13 /081.wnd "7' 1 r 7
DATE ACCEPTED BY.
DATE ACCEPTED BY.
(c)
DATE ACCEPTED
YES 1 NO
0
I I
I°
I I_
13
Applicant or Agent J f C r- G
Property Owner
Property Owner's Address (j7 as, a r Po rd-
Contractor /Engineer �a^+s.0
Contractor /Engineer's Address
License i
PROJECT ADDRESS 4 Y rd (P A}-,
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Re -roof
emolition
'Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 1 417 -4815 fax (360) 417 -4711
Total footprint of structures
Existing (sq. ft.)
AI
/1
1.
1/
l i orm fBL.'rding Division /Bldg Permit App: 2006 Code Jk
For City Use Only
C. Date Received `7 -O
cox- Permit (5$ —19-1
Date Approved
Phone 4 83 9 47
Phone
Phone
Expires
Lot Zoning
Residential Commercial Multi- family Industrial
S�-
(S*vre I s 0.
Sir1� AVv1 IV
ixi
(te,, V Cow T
Heat pump wood burning stove gas fireplace pellet stove other
Proposed (sq. ft.)
sq ft. T Lot size
per sq ft.
TOTAL VALUATION
/Gp
sq ft. Lot coverage
Max. height of proposed structures f$. Occupancy group of bedrooms
Will a lawn sprinkler system be installed?' Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, anc o btain permits prior to working on
projects.
Date /Or Print Name 3 4 bn e.1' Crr i p.,.4. Signature
..,t_T~
(i
~,
CITY OF PORT ANGELES
, .... .......,
DEPARTMENT OF COMMUNITY DEVELOP~NT - BUILDING DIVISION
,321 EAST 5TH STREET, PORT ANGELES, WA98362
Application Number
pin number
Property ,Address '.
ASSESSOR PARCEL NUMBER:
Application descr;ption
subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000204 Date
.840232
409 SE ST
06-30-00~ti~1-1230-0000-
DEMOLITION
3/23/05
RS7 RESDNTL SINGLE FAMILY
100
.... A !
/~Q1
:)p.?~J:'
Owner
Contractor
~~--~-------------------
CREELMAN, ,JAMES, W OWNER
1101 E 2ND STREET
PORT ANGELES WA 98362
(443)790-6147
------ Structure Information DEMO 25' X 25' GARAGE
Constructiori<Type . . . . . TYPE V NON-RATED'
Occupancy Type . . . . . . GARAGES, CARPORTS, SHEDS
Permit . . . .
Additionaldesc
Permit Fee
Issue Date
Expiration Date
DEMOL,ITION
DEMO 25' X,25'
47.00
3/23/05
9/19/05
GARAGE ,RECYCLE
Plan Check Fee
Valuation
;00
o
-C:
o
.-S:)
Qty Unit Charge Per
BASE FEE
Extension
47.00
CJ\
Other Fees
STATE SURCHARGE
4.50
Permit Fee Total
Plan Check Total
Other Fee Total
. Grand' Total
Charged Paid Credi ted Due
---------- ---------- -.--_....~~--- ---_._-----
47.00 47.00 .00 .00
.00 .00 .00 .00
4.50 4.50 .00 .00
51.50 51. 50 .00 .00
n-I
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Fel;! summary
...- ~S1JparatePermlts are required for electrical work,SEPA, Shoreline, ESA, utilities, private and public improyern~~ts.J~is p.~rnllt~ecomes
null and void if work or construction authorized is not commenced within 180 days; if construction orwork Is suspended Qrabandoned
fora period of 180 days after the work, as commenfed, orihequired inspections have not been requestedwithin 1~0~!"ysfromthe 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 wqrk will be complied with whether specified herein or not. The granting of apeJ'mit 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
G--
'rv.~r )}
Date
T:\Policies\1102_15 building permit inspection record05.wpd [\1412005]
"BUlLD:ING PERMI'[;~:rNSPECTlON RECORD
,'I-~<' .,:.,- ~,'_;;; :,-, - , -
CALL 411':'4815 FOR BUmDING INSPEcTIONS:'C,A:I;;i/41:7-4735 fm~.;EL~CTRICALINSPECTIONS.
, "" ,', " '..,,', ;CALL'417-4807FOR~UBLICWORKSUTlUtIES ","
PLEASE PROVIDE A: MINIMOM 24;HOukim)~GE:~IF1S uNLAWiiUL'TO COVER.,:JNSu1A:T~,ORCONCEALtl.NYWORK /lBFtJRE
, ' INSPECT$Jj:Al'f,AA,Ci~EI:.TEI!~POS.TP'JtY1J;pN A CQ~sg~CUPUS:L,OC4'f10N. " " ' ' , I
. ,KEEP;PERMItCARD,ANP:oAR~ROVED PLANSATvJORSITE: ",';, ,'" 1
INSPE,C1;IO~n'P~ ,.', 'DATE'" ",' i\~c8~tnm " ",i" COl\{~ENTS <
, ' . L ' , '., I' YES,..':',l NO ;", ". ,: " '>", , "
FOU,NDATlON: "\'. ,-~, _. ~,.'"" " , ',' ' . ' ' , '
" FOOTINGS, ~"", ,- "-- ....'., " " ':, ' '
, 'I"
WALLS,"::,
, FOUNDATION DRAINAGE/DOWNSPouTs ' , ,'" ,'" ',' :
PIERS , ,,' ',' '." " , I
POSTHOLES CPOLE BLDGS.) ", ",;' ';1." " , I
, PLUMBING ' , , ' ' , ' ' ", , ':, i ; , ,
UNDER FLOOR I SLAB ", ", ", 1
ROUGH-IN,' I,
WATERLINE(METERTOBLDG) , , ',",
QAStlNE ' " , ",
BACK FLOW I WATER .., -::::~;:-',', '
AIRSEAL ' : '" '
WALLS ' "."
CEILING " , " '::'" ,,', I '
FRAMING ,', ", ,: '" ,,:, '
JOISTS/GIRDERS,,','
SHEAR WALLlHOLD DOWNS ' ,,','" ",'"
WALLS/ROOF/CEILING,::'
DRYWALL (INTERIOR BRACED PANEL()NI.Y) , ' ,,: ' "
T.BAR ,,' I; , , " '
INSULATION' , ,n, ";' ,,' ,
SLAB ' ' -
WALL/FLOOR/CIlILINO ' " :', '"
MECHANICAL "" , '" " ' , . ',' ,
HEATPUMP/FURNACE/DUC'rS " " ", '
GAS LINE ," ", , " ,
WOOD STOVE I PELLET I CJlIlIrfNBY " ",'
COMMERCIALHooDI DUCTS' " ' ,"'",";
MANUFACTURED HOMES ' , "A:""':" .
FOOTING I SLAa . ,;.
BLOCKING & HOLD DOWNS .. . , . " . . ". .
SKIRTING ..... . .' '
',' ,,' \ '
" ,,""
pLANNINGDEPT~ SEPARATIlPERMITWs. 'I' - "'. ,.' . ' SEPA:
nPARKINGlLlGll'FlNG- . ., . m,' ,; , .'" n"~ .. H' ..
,LANDSWING'." " ", -- . ~" ,: .' ;~~,; SHORELINB:'< ,
. '~ '. .'. \F1NA!!~~P~9l'I~~;~WJU:1))')y~~,:r(H?~,c:;YrAN~IJ1SE~;,:,"" ,.'
RESIDENTiAL c.'t."'i5ATE',.llyES.i' . COMMERCIAL" DATE. . ACcEPTEDi
, .' I.,~:~ .' ..,' , ' ," .
,', , ,,:'" : 'i,,":' , '1'-,.:" " '" \ ,'. <." "'.' YES" NO,
ELECTRICAL. LIGHT DEPT. "417-4735 · .,..'." .' " ELECTRICAL" ".' '; I. .,......
. .. ' ; ""', .'. 'I,.'. . LIGHTDEPT' ,', ," ,', '
CONSTRUCTION R. W.I pWl ' . ' 'CONSTRUCTION.- R. W. .
ENGINEERING 417"-4801,. ,.,>" ~ PW I ENGINEERING '
FIRE . ,'4n~~~d""" '\/11 FIRE DEPT. ,
PLANNING DEPT. . 417-4750 _' J ' j /J PLANNlNGDEPT.'
BUILDING ... " . 417-4815 n~ J.'A BUILDING . "
T:\policies\1l02:1,S ~~I~n8 penllit inspection recordOS.~ [ .. . ;.. ..' l~ ~. . .'. . . . . '. '
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BUILDING PERMIT ii_ iAPPLlCATION
FOR OFFICIAL USE ONLY:
Date Rec.: 5' 2: S -6$
Permit#: CiS '2.6>'-(
Date Approved:
Date Issued:
LIl
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
J
Address:
City: Pc. ft 0
Phone: Lfl{?- 19 ~ - 614?
Phone: 4l{r-79tf - 614'7
Zip: 901(2
ff /-fIrJ -7..~.6llf7
Exp: rhone:~
Zip: :7-?]( ~
ZONING: j.. r:;.. r:
Owner:
Contractor
Address:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZEN ALUATION:
o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $
o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @$ /SF. = $
o Repair 0 Sign 0 Other TOTAL VALUATION $ 2nD ~
BRIEF DESCRIPTION OF THE PROJECT: QZ< M.llr.lc::. {),I [Af'J~ltrA d-- C~I' G""r.:.;: 'f'~ .
rt--cJ ~c K~- Pcrrh(h( 5c..fe.. (cV)llc.('~h.V' QtJ..-F-) R~c.yc:..l-e- -to ~ertM.<l)t'i"b>~
No I-e::.-I'l d 'f.-' \'1 I
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft.
Total lot coverage %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAIW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by tlle Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno 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 Rl 05.3.2
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
undersiand that it is my responsibility to detennine what ""nnfts are require , ot the Cfty's, and that I must obtain such permfts prior to wo::
T:\RVESS\BLDG-forms-brochures\2004-Buildingpermit.wpd Applicant: Date: Mer ~1 !!Z-5
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CITY O~ PORTANq~LES
,DEPARTMENTOFCOMMtJNITXDEVELOPMENT .- BUILDING DMSION
321 EAST S'IlI STREET, PORTANGELES, WA 98362 '.
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
,SubdivisionNarne
property Use
Property Zoning . . .
Application valuation
05-00000260 Date
.959520
409 S E ST
06~30-00-0-1-1230-0000-
1m-ROOF
4/13/05
RS7 RESDNTLSINGLE FAMILY
3500' .
(J~~
4)~7ft~
.
Owner
Contractor
CREELMAN I JAMBS W
1101 E 2ND STREET
PORT ANGELES
( 44) 790-6147
OWNER
WA98362
-------~----------------------~---------------------~---------~-------------
Permit ....
Additionaldesc
Permit .Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR OFF I SHEET I FELT I . .METAL
120.75 Plan Check Fee
4/13/05 Valuation
10/10/05
.00
3500
Qty, Unit Charge Per
Extension
92.75
28.00
BASE FEE
2.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE. SURCHARGE
4.50'
..:t. .
\:)
.~
------------~---------------------------------------_.-~-----~--------------
Fee summary Charged Paid C:cedited Due
----------------- ---------- ---------- ---------- ----------"
Permit Fee Total 120.75 120.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 125.25 125.25 .00 .00
11'
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Separate Permits an~ requir~forelectrical work, SEPAiSh.9r~.lil)~..E:~A, utilities, private and publiclmprovem~n~.Thi~ JJel'l1llt.~bmes
nulf and void if work or con~truction authorized is not commEl~c:ed,,!ithin 180 days; if construction or wOrkISsuspen~~#o~~~~....~ori4ld
for a periodof.180 days after the work as commenced, orif requl~i.I.ri1spections:havenQt beenrequestedWithirf1~R~aysfron,1tie-last
inspectlc)O. thereby certify that I have read andexaminedthi~iapplicatlon and know the same to betrue~nf.fc6rrecJ'A1lprovi~18ns of -
laws andordinancesgoveming.this type of work will be complied with whetherspecifjedherein or not. The g~ntlng of apel'lTl~does not
presume to give authority to violate or cancel the provisions of any state 011 callawregulating construction orth~performance of
construction. . .
>-
Signature of Contractor or Authorized Agent Date
T:\Policies\1102_IS building pel:lJ1it inspection recordOS.wpd {l/41200S]
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BUILDING PERMIT INSPECTION RECORD
. I
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELBCTRICAL INSPECTIONS.
. CALL 417-4807 FORPUBLICWORKS UTILITIES ....,; ,
PLEASE PROVIDE A MINIM. UM 24. HOU. R NOTICE.'. IT IS UNLAWF.UL TO COVER,'INSULATEORCONCEAL.'AN.y....WORKBEFORE
INSPECTEDAlVD ACCE~TED. POST PERMIT IN A CONSPICUOUS LOCATIoN. .. .,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
. t:
INS~ONWt '\ '. DATE ACCEPTED .. tOp.tMENTS
;i.J).. . ,..IrA. \ \
" .,;' '-.,J ,'j YES,' I NO '. / '., ..
"~ \"\ ' \ ~
FOUNDATION: \-S'~-~ ,
FOOTINGS . \
\ . .
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS .. 1
. .
PffiRS
POST HOLES (POLE BLOGS.)
PLUMBING. ,
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE (METER TOBLDG)
GAS LINE
.
BACK FLOW I WATER
.
AIR SEAL .
WALLS
CEILING .'. I !
FRAMING
JOISTS I GIRDERS
I $HEAR.\VAWHOLD DOWNS
W AI,U; /ROOFJ cmi..ING
DRYWALL (lNTERIORBRACED PANELONL Y), .
T-BAR .. . ,
INSULATION
SLAB J
wALL I FLOOR I CEILING I
-
MECHANICAL
HEAT PUMP I FURNACB I DUCTS
GAS LINE '..
WOOD STOVE I PELLET I CHIMNEY
COMMBR.CIAL HOOD I DUCTS .
"
MANUFACTURED HOMES ,
FOOTING I SLAB
BLOCKING & HOLD DOWNS
,
SKIRTING
PLANNING D.EPT. SBPARATE PERMIT#'s SEPA:
_c-PARKINGlLIGHTlNG 1- .........--,.-- ,. ,- ,.. L_.... _ -ESA:. ..__ -- -- .
LANDSCAPINq. " k b... " .sao~. " I.., ,
, : ..'
,,"'. .... " FINAL INSPECI'lONSREQUIREI):PRlOR TO OCCUPANCY /USE i.';;' , ",:. I : ". id
RESIDENTIAL ,', DATE,:r 'YEs NO 'i' COMMEltcIA:t ," ,':.' DATE ACCEPTED ,;;~ 0::
:
----- , .'1' ....'tis' N( 'I .,
, . ," " . .... I
ELECTRICAL - LIGHT DEPT. 417-4735 I' '. ELECTRICAL .'
'. . LIGHT DEPT '.
tO~NR.W.I.PWI , '. CONSTRUCTION -R. W.
~.,., G 'c";' 1-t1:480~, ", 1--. PW I ENGINEERiNG
417453' 1>- '<.i . . FIRE DEPT.
FIRE "'. - ....
P~GDEPT. , 417-4750. PLANNING DEPT. :
IJ./- A___ .-' \L' BUILDING I ..----)! 7, '" ---- :
BUILDING 417-4815 .
....
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T:\PohClcs\1102_15 budding permlllnspecUon RCOrdOS.wpd{1l4l200S)
ADDRESS ~09 S E ST
CONTRACTOR: REELMAN, JAMES W
OWNER . . . ~6-30-00-0-1-1230-0000- ________
~~~~E~uMBER; 05-0000026jl RE-ROOF__________________________
----~----------;~~~-- NO PR FEE
BNOP 00 BUILDING DESCRIPTION
PERMIT: REQUESTED INSP RESULTS/COMMENTS
COMPLETED RESULT ____________
-~~~LD~~~-~~~~L 04/27/2005 09:42
COMMENTS AND NOTES
4/27/05 13:10:40
PREPARED ,
CITY OF PORT ANGELES
TYP/SQ
BL99 01
--~Y~;'(i:..- JLp
~~
----------
p~'~j
INSPECTION TICKET LIERLY
INSPECTOR~_~~~~_~
SUBDIV:
PHONE
PHONE :
44) 790-6147
AM
JLIERLY
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PAGE
DATE
9
4/27/05
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CITY OF PORTANGELES
PUBLICWORJ(S.<~l.JTILI1'IESDIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
5/26/05
05-00000396 Date
899772
409 S E ST
06-30-00;.9-1-,1230-0000-
CLEARING & GRADING
RS7 RESDNTL SINGLE FAMILY
o
Owner Contractor
CREELMAN, JAMES W OWNER
1101 E2ND STREET
PORT ANGELES. WA 98362
(44) 790-6147
Structure Information 000 000 C/G TREE.REMOVAL/RETAINGWALL
- - - - - - - - - - - - - - - - -- - -- - - --- - - - - - - - - - - - -- - --- ----- -r - - - -'- - - - - - --- - - - -- - - - - - - --
Permit .. . .. CLEAR & GRADE
Additional desc . C/G TREE REMOVAL/RETAININGWAL
Permit pin number 49874
PeJ:'mit Fee
Issue Date
Expiration Date .
~
.00
5/26/05
11/22/05
Plan Check Fee
Valuation
.00
o
-------------,---------------------------------------------------------------
Fee sUmmary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
.00
.00
.00
.00
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.00
.00
.00
.00
;00
.00
.00
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Separate Permits are requiredfor electrical work, SERA, Shbreline, ESA,utilities,privflteand public improvements. This permit becomes
null and void if workorconstruction authorized is n~t comrnenced within.180~l:Iy~,ifconstruction or work issuspende~fc:>r abandoned
for a periodof180 days after the work as commenced,prifrequired in~~7c:tions have not beenrequestedwithil11.8.0 days fromthe ,last
inspection. Lherebycertify that I have read andexal11ined this applicatiol1(andkl1ow the same to beJrue andcorrecLAllprovisionsof
laws and ordinances governing this type of workwill,b~ c()mplied with whether specified herein or not. '. The, granting ofa permit does not
presume to give authority to violate or cancel the provisions of any state orlocal,law regulating construction ,or the, performance of
construction. ' ,
Signature of Contractor or Authorized Agent
Signaturl:lof ()wner (if owner is buildElr')
Date
T:\Policies\II02.15R [1105]
Date
PERMIT INSPECTION RECORD
'",
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN Ai CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS .
YES NO
PW UTILITIES (Engineering Division) :
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL .'
PARKING
SIDEWALK
CURB & GUTTER :
DRIVEWAY APPROACH
BACK-FLOW DEVICE
:
I
, ,
,
:
,
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE --
,
RESIDENTIAL DATE YES NO COMMERCIAL r DATE ACCEPTED
i YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. :-
ENGINEERING 417-4807 PW I ENGINEERING :
FIRE 417-4653 FIRE DEPT. !
PLANNING DEPT. 4\7-4750 PLANNING DEPT. : .
BUILDING 4\7-48\5 BUILDING
T:\Poticies\\ t02.\5R [l/05J
C & G APPLICATION No. 6/3--0::1"
CLEARING AND GI}A[)ING PERMIT APPLICATION
CITY OF PORT ANGELES
APPLICANT: Vc. ""'"l'" r C r-c.t/,/ ~ .::... ~
APPLICANT MAILING ADDRESS: / I (/ I E ~ "'- J...
APPLICANT PHONE NUMBER: 'f 'I J - 7 9 t/ - (( I Y 7
PLAN PREP ARER (Architect /Engineer): 'Z e ~ (J V /(
PREPARER ADDRESS & PHONE#:
Page 1
, ,~ "3Qb
t\ of? ~
*'
6f f/ 9 5' II ~ 11 "!' r.
LOCATION OF PROPOSAL(Street address or lot & block I):
---'
OWNER OF PROPERTY(1f not applicant, include letter of auttiorization from~ owner): C
'DESCRIPTION OF PROPO
~'Ov
.~ ~ ,
A- ,.~(J"'fP A~/.....J"~",, k"""op-..k- " r IJ.... (11 c. ~<:z. vh.. of r~~"lr~,. 1'\0
'Estimated amount of material, in cubic yards, ~o be excavated, imported, or exported: .1 r/-r v c It I \) '~,(
De O"'f'r-e~o ......1
, "
If the answer to any of the following questions is yes, an ESA application with a SEPA check list is required to be submitted with
this application and will be processed according to.the City's consolidated permit'procedures. '
1. ' , Is the excavation or. fill associated with the development of a parking lot for more than 20 vehicles? 11 o.
2. Does the total amount of excavation or flll exceed 100 c.y? tv (J
3. Will, any portion of the grading, excavation or filling occur within 200 feet of any of the following; " Q, Shoreline, ^ '1:1 Stream,
40% or grater slope? If the answer to yes, please check the appropriate' condition.
. '. . 'r' ... 11 . J"- .. ~ I
The, applicant hereby affirms and commits that the h1formation submitted for this permit application is acdurate and that the app;i'carit will' '
comply with the terms and conditions of the permit and the City of Port Angeles Clearing and Grading Ordinance.
'-f
(Date)
The following pages are fo'r City use only:
PERMIT EXEMPTION DUE TO:
o NOT EXEMPT: C & G PERMIT' REQUIRED
c A. ' Land clearing, grading, filling, sandbagging, diking, ditching, or similar work during or after periods of extreme weather or other emergency'
conditions that present immediate danger to life or property. as authorized by the City Engineer. .
c B. Land clearing order by the City Council for abatement of a public nuisance. '
C. Removal of dead, diseased, or damaged trees which might constitute a hazard to life or property. ,
c D. Clearing by a public agency of a franchised utility within a public right-of-Way or upon an easement, for the purpose of installing and maintaining
.water, stonn, sewer, power, cable, or communications lines. .
c E. Cemetery graves.
NOTE: EXEMPTIONS "F" THRU "I" SHALL NOT APPLY IN SITUATIONS WHERE PROPERTIES INCLUDE ENVIRONMENTALLY SENSITIVE
AREAS '
c F. Land is one acre or less, except where an adjacent area under the same ownership or chain of ownership has been similarly exempted so that
the combined area is a greater than one acre and erosion control has not been re-established.
c G. If a building permit is issued, no additional clearing, grading, or filing pennit or associated fee will be required; provided that the standards
established in this manual shall be applied to the issuance of said building permit.
c H. Developments larger than one acre in improved areas selVed by paved streets, curbs, gutters, storm drains, and other drainage facilities, as
authorized by the . engineer.
c I. Work, whenapp, ed by the City Engineer, in an isolated, self-contained area, if there is no danger to private or public property...
The proposed actio ha een determined to be exempt from a Clearing and Grading Permit based upon the ,information
provid by the lie nt. The basis for this exemption is as checked above.
I