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HomeMy WebLinkAbout1716 W 5th St - BuildingPREPARED 9/08/09 8 39 25 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/08/09 ADDRESS 1716 W 5TH ST SUBDIV TENANT NBR RODNEY D STINE CONTRACTOR HUMBLE HOMES PHONE (360) 670 6175 OWNER RODNEY D STINE PHONE PARCEL 06 30 00 0 1 4215 0000 APPL NUMBER 09 00000687 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 8/17/09 PB BLDG FINAL TIME 01 00 8/18/09 DA August 17 2009 9 19 36 AM 1pangrle BILL 670 6175 BLDG FINAL FRONT DECK AFTERNOON August 18 2009 8 42 10 AM pbarthol i no handrail no frame inspection BL99 02 9/08/09 BLDG FINAL September 8 2009 8 33 48 AM 1pangrle BILL 670 6175 BLDG FINAL DECK (HANDRAIL) COMMENTS AND NOTES PREPARED 8/17/09 9 24 48 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT BPR 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BL99 01 8/17/09 1716 W 5TH ST RODNEY D STINE HUMBLE HOMES RODNEY D STINE 06 30 00 0 1 4215 0000 09 00000687 RES ADDITION JLL RESIDENTIAL DESCRIPTION RESULTS /COMMENTS BLDG FINAL TIME 01 00 August 17 2009 9 19 36 AM 1pangrle BILL 670 6175 BLDG FINAL FRONT DECK AFTERNOON INSPECTOR JAMES LIERLY SUBDIV COMMENTS AND NOTES PHONE (360) 670 6175 PHONE PAGE 5 DATE 8/17/09 1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 09 00000687 339297 1716 W 5TH ST 06 30 00 0 1 4215 0000 RODNEY D STINE RES ADDITION RS7 RESDNTL SINGLE FAMILY 1300 Application desc REBUILD 36 SF FRONT STOOP OVER EXISTING STOOP Owner Contractor RODNEY D STINE HUMBLE HOMES 1716 W 5TH ST 212 W 9TH ST PORT ANGELES WA 983631710 PORT ANGELES (360) 670 6175 Structure Information 000 000 REBUILD 36 SF FRONT STOOP Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc REBUILD 36 SF FRONT STOOP Permit pin number 149989 Permit Fee 74 40 Plan Check Fee 48 36 Issue Date 7/30/09 Valuation 1300 Expiration Date 1/26/10 Qty Unit Charge Per Extension BASE FEE 50 00 8 00 3 0500 HND BL -501 2K (3 05 PER C) 24 40 Special Notes and Comments The Fire Department has reviewed the project application and has no comments July 24 2009 10 23 30 AM sroberds The proposal will result in the re build of a front porch for an additional 36 sq ft in the RS 7 zone Lot coverage is 30% with site coverage being 36W No land use issues July 15 2009 8 16 17 AM Brian 417 4708 OK Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Charged Paid Credited STATE SURCHARGE 4 50 Permit Fee Total 74 40 74 40 00 00 Plan Check Total 48 36 48 36 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 127 26 127 26 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 oYContractor or Authorized 4ent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit Date 7/30/09 WA 98362 Due F7' 9- 8-_07 Parking Lighting Landscaping 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 Fumace 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 T.Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By -g psi Yu- 0 CYO A 5 1' RoAtneij s}-� n e, BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant I t` (t l G S f v vi Property Owner `R p c+- Property Owner's Address i I 1 IA/ Contractor 13 t (c I 14 •nt 4 J' ?--1 y 4 14 Contractor's Address it Z G q s� License vivi3 Ll! -aF q 1 r S' Expires '81/'3// PROJECT ADDRESS 17/& W Z, k St Parcel Number N 3o- O O -I- Li Z S 0000 Project Type Brief Description. Check all that apply New Construction XAddition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basemen 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other .401ad.io S t 3Residential Multi family F124,v-t S oP P X-f For City Use Only 7 Date Received 7– 09 Permit C)q ;Date Approved Phon i &7 7,S Phone Phone Lot Commercial Industrial House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft) Proposed (sq. ft.) 1 5 1 1 per sq ft. f 0 38'' SF tf� S-F (0 2. 3/n eh Q hcov Fro vt SIP f 3( wad K;ng s�rfACe 36 i )3Ss+ 624+368 X'b �g Total footprint of structures 206, sq ft. —Lot size Site Coverage the amount of impervious surface on a parcel including structures and other impervious surfaces. (see PAMC.17 94 135 for exemptions) Max. height of proposed structures 3 ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type E -mail CAl o Kv,6 Il ,ei4I�Do la TOTAL VALUATION 1 300 sq ft. paved Lot coverage Z Sao driveways sidewalks patios Site coverage 3g__ of bedrooms of full baths of half baths I have read and completed this application and'know it tote true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on proj ts. Date 7 t2_/0/ Print Name c r,1 tAtpgnature T For ns /Budding Division /Bldg Permit.doc Zoning s 17-1© r l`� r► 1702 1632. a Z7 x 0\v S i LCP g yp 4 e 0 1 2�1 J C° 18 1 I (0° o c' f3 3 rre PLHti /e"- I Z 7' J P Rb post-o ,c r P q y6/ 7 1832 i fizoPoSeP 51T LA/ Y 2 7 1 7' jo x ;2 -i No 1 60 °\5\4‘ x� s S' J (to- FILE CITY OF PART 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 plan specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this 'urisdicL tion. Approval Date By 4?,\\ ,.e.1- K8����� ��~m~~ y\\TAhe 0 xcli 5 CO 1 1 MI seP „P, Olkit-EP 74.3t- F Abmc 2)t1 pT5 N T12. 6:7 1149175 y :r a txts Ait -ut:r 11 1 ilitiliti1111111111111intilit era mow maCialassie,_ /A peoc,9-- ',Or NTS Co AJC c1 'PORT "'-'\<(i' ~4. ~<(~ Uha~ "-~ ---- "4i,,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000589 Date 7/20/04 1716 W 5TH ST 06-30-00-0-1-4215-0000- RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 13341 Owner Contractor STINE RODNEY D 1716 W 5TH ST PORT ANGELES WA 983631710 KEVIN GROFF CONSTRUCTION PO BOX 957 PORT ANGELES (360) 460-1514 624 SF DETACHED GARAGE TYPE V NON-RATED GARAGES, CARPORTS, SHEDS TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 23.70 V-N 1. 00 1038.00 7000.00 624.00 1662.00 1. 00 ---------------------------------------------------------------------------- Permit . . . . Additional desc Permit Fee Issue Date BUILDING PERMIT -RESIDENTIAL 260.75 7/19/04 Plan Check Fee Valuation 104.30 13341 '-..) ~ ~ ,\ ~ .2.: er, ..:p ~ \" ~ '7t' BASE FEE Extension 260.75 Qty unit Charge Per ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 260.75 260.75 .00 .00 Plan Check Total 104.30 104.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 369.55 369.55 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performanc of constructi~~/'7 pt! );'1 Signature of Contractor or Authorized Agent I / Oate Signature of Owner (if owner is builder) Date T:\PLANNJNG\FORMS\1 102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: m()lW 51 db 'T~f).{}.~1{ /)~ .). J.... FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING ~-1.1I.l..-('1f.) , \-/~I DR YW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5: W A TERLlNE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. 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If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: ?-. C'"D 5r I A.J C- Owner: 5A-tvl-e- /7 10 W "5-f4->.. Architect/Engineer: <:61-.- Contractor OC:...as:,e, ~/'d~ State License #: Phone: 5'(p5..../3~i Address: City: Phone: 7o~ A-~;L.~~WA--Zip: q8S~3 I Phone: Exp: Phone: $166 ~ S~o/ Address;!J 3 L:,.,.oe"2- PROJECT ADDRESS: I 7 / Co W LEGAL DESCRIPTION: Lot: q:L i CLALLAM COUNTY PARCEL NUMBER: City: 5~ 7>A- Block: /Lf2- Subdivision: Zip: ZONING: 'r'?+- /26-7 (J '" 2>00-0 rJ/,/2..IS' . Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: o Stove \If- Garage o Deck o Other ~'f I Y Exp. Date: SIZEN ALUATION: ~U/ SF. @$2J..3tJ /SF. = $ /3 ~4', I"L SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 2G:.' "Z>~'7*r.HE-D GA--L-A-~~ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No, of Stories: Lot Size: 7000 ExistingSq.Ft. 1098 &ProposedSq.Ft. b2~ =TOTALSq.Ft. 1,6?'G Total lot coverage 2 ~ , 7 % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAJWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 Pennit Coordinator at 417-4815 for assistance, PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tin1e 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 pemrit is issued within 180 days ofthe 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 107.4 of the Uniform Building Code, cun-ent edition). No application can be extended more than once. I hereby cerlify 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 reqUire~;~ Pfy's, ~ d !h~t I must obtain such permits prior to work. TIFORMSIAPPS""ildi'gp"mi'.wp' Applic'"to I 0 D"" 7 J .s-},1 f I ~ "" JlO 30 V t IVl(t- '7=t.lWIf\.f:.-D 2> 0 <vS (y\.Enh_ L>OO {L "Pl2.~TY1AAJlA F+CT T~'^-~5t<''S @. ~ IA~!::O 2. C>. C. .. .s ,~ J( ~ 2"-- ro ,\.. - J ~ ?- ~ ~ \- o Q ~ ol ..... ("() ~ It .j",. <. A () c1:. . <t:' ~ (I Ll. \iJ f\+ 71 )( tt.::,' 0 V~tC -f{( A D ~e i<... wi "JII >t 12:' ...,.. D,17 -t:I Z e>~ o~/'T"({L +/~rt;P~L it ~LtK';f2.- ,pLA- ~ / J I' 14 ~ II j." 30 UIIJ'rL- r-~(Vl.D '-If ~'lE CITY OF PORT ANGELES - ConstrUCtion Plans The Issuance of this permit based upon these plans. specifi- cations and other data shall not prevent the bl!i:Jing official !rom thereafter requiring the correction of errors in said plans, specificaticns and other data. or from preventing bUilding operatIOns being carried on thereunder when in V\Gi~t\or. of al\ codes and ordinances of this jurisdiction. (SLC110N 303lc)- U itorm ulldl g Code.) ~ Approval Date f llL By V Lfit ft~'pHAl--r c.c)r"'P 3. TPJJj 16" ~ ~~ 1 , 12, 3~ ./(-, ,- - ,," / " '--'- " ...... . ft wUl.hA-;/C= .~ ?R.E - (V\ "'11'.\ V\ ~ f)c:...7'lq::eD T-lE:5 e?. Utd-\ TR-lA~~E-'::.. ~ Z' a. c. €AJD OF €+C-~ . ,.e..u-S5 JMf\(LT ?A-~ T- (II S \VI"~~ C!:) fL 7/1t,; I( ~ o~~ :t- f\A~ ~ I pft1V l:. (.. e (L. +-f4t...Dt o~ -:oF ~TUl.>~ vL/ @ lle7" O,e, ~. if ;l~ -+ '(}-+~ Y' ~ *" 4.;1\'\0' IB" ! LI;/ tc),\)C 0L~:B .J, o.c' ./.-, Z'4( :t:t L( 3AlC 3 ?/EC.E=-5 CD JJT. " ~ 2., 'I' ~ .~c)iA'fl1' -f-l€U. 1/1../' ': I' '--, No !<rf-'l .~ L -e-u . tj '-/' ==-1 / ..~-- .... ~.".. -,-, -'-_._--'~._------------ ~-~- I .2-~ ---- -.- VJ i::.. '5 ~ ~ L (- U 0i I ( ~ ~__._____ ---.-j 1 [ ~. ~~.~~~-~~--- --~~~----~ -~n~ -.__ ~~~_~-- -. . . -- ----=J ---....-----.--..-'--" .~- ...............p..- --~"'-_.~..-'..._-, .-', ..~ ---,.._......-~_. .' -. . - eA-S'\ f-L?l) 'Ii{ If ::- {~ -\ n'. \) I' ~ ~ ~ ~ " -, ..... ~ ..J ..... ~'8 ........ ~ 0~1.-. ~~f fl(l,. l;7' ,\e /0;; "- " (1'-' r.:;- .... J (?~_ ~' -+- I'd' / A ~ " --V \. ~,...i( G -S~ Co ~~ ;}.. ~ -L ~ /or' ~\~C\' '9z: --oQ /~ ~ .e- 6(D1- II < ~ LlJ, 0....... . ..J ~ 1l.-11'~ lJY'- .... ,h-Z )~ ~ CAT I L- I' r Y ~ 30~ J\ .... ~ - ~( ^ n T- \JG " ~. ~ 4r 1" &~ ~~ jC18 f1 1/ I ,. Q) ~. 1 ~ ~ ..... 4- I L- ---I> IP~ \'J t," , l:,2J-{ f ~ G\ ~ 1> ? ~ ~ l 0 rt'. .1 j I I" I <i1 I I I ! t ......... () ~ -......, / CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 KEVIN GROFF CONSTRUCTION PO BOX 957 PORT ANGELES (360) 460-1514 624 SF DETACHED GARAGE TYPE V NON-RATED GARAGES, CARPORTS, SHEDS TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000589 1716 W 5TH ST 06-30-00-0-1-4215-0000- RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 13341 Owner Contractor STINE RODNEY D 1716 W 5TH ST PORT ANGELES WA 983631710 Structure Information Construction Type Occupancy Type Other struct info Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL KIRSCH ELECT/ GARAGE KIRSCH ELECTRIC INC. 48.10 Plan Check Fee 8/13/04 Valuation 2/10/05 Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R-OUTBD/DTCH GAR SEP Other Fees STATE SURCHARGE Date 8/13/04 5,rE c.p,,\ IZVtoj 87rsJo'l WA 98362 23.70 "'-. S! ~ ~, ~ ~~ ~~ ~ \~ ~~ 't V-N 1. 00 1038.00 7000.00 624.00 1662.00 1. 00 .00 o Extension 48.10 4.50 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local Jaw regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:IPLANNINGIFORMSIII02. 15 [11114/2003] Signature of Owner (if owner is builder) Date .I BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ~ YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 6> j, / ~ ELECTRICAL 'tItf LIGHT DEPT CONSTRUCTION R.W. 1 PWI , '7 CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMSllI02.15 [11/14/20031 FROM KIRSCH ELECTRIC FRX NO, : 3606830869 Rug, 11 2004 12:49PM Pi 2UiH/MWOS/FR I 0 I : 39 PM CiTY OF PA BLJX;DEPT FAX No, 360 411 411 I 9,003/00: J . :t Vi Ii ELECTRICAL PERMIT APPLICATION fOl101flcr.u.lJsaoN\,-r D..J~ 1w.1l" D~h.NIPft"Cl1: f)o.IAu...ot 'The E1"~ca1 f"ennltAppnc;Uon mlJ!lt he f'lIlBd out D'gI1IDlftt'N. PlUM 1)tpt or "print In Ink: ,,' yOu baY. an)' q:l.I..uObl, pluse el.lI (lID) 41'7-4n!5 F.. nUMb." (3&0) 41'''71 I , OLI<lB7 0..... or Elcc, COOlnoctor AIl""~ .. G.U 0..\\ \j PrOPoriY OIllllSl; Addrea.!: D \ (,.., ~ ") _ !:: -\h.. S.cbIcol ContrUor. ~ l,j ~~ -'\:::.1. .' ' Addrus: :.:J.5:7-Ca:' ' , 'Re)." '. 'OIl)'; ,,,S1AU.AiIONWIRBlSY: COWNEll cEl.ECTRICAl.90Ni~JR' " , : " , Ctddlt CBrd HolrJerNam.: ,.>.:~\:," ~ fh '-J . , K I 1'. <;, c h-.' E. kc+' - ?hO~" "q FIlX' Phone: Cit,': '~~I"IJ'-i ' Y-\ VIS' \ e ..s U~Il#:' . '" 6xp: 'S,ei0'\ w;, '\.^J,~' ZiP: PI>ons: Zip' I'IUlJECT ADD_, ~ ' Exp. Date: +~ !; .---- " Zip: V/SA:j( Me: BJl/fng AddT&$S:. . C1wfJt Card Number: ."TVPf; OF W~K,: Check W[lhel Bpply: DNew ~~ ~ f -\- fI;1J~1 e-!, IJ AItllraUonlAddlfton::' , o ResldenlleJ D Mulu.tamfty 0, Commeralal 0 Mobile Home.. " Sq. Fl, D R..mo1e Malar ?( D~lBch.d gll1llie ' ~ HOt Tu~" bS~Jm PtJo; , ' 'tl SaptlC PumP. ,: D l.ow Voiil!oa. D TaJaoom, IJ S Number 01 c;m,lludded or .I\sr$d: '. , " ' Dl".SCR1pnONOfTKEE~CTRICA1.PRCJ~;.:_J\JJ ,\~'n-t ~ '"'\- 01J+I~+~ J;'" 5= ra~R... E;(oclrlcal Heat Load Addlll"nc and Of 8ubttaCllona 4~ . 'Servlce Jnformiltlon C Dvemead Service cTemp~. " 'C'Un~.lllround S01VIcI;l VoltSl1e; Pluae: C, 0 J , " Servf.. slie: Fee'Oer s~: . o Baseboonj' o FIim_ o HutFVnp of_Woll _KW _KW "TON LRA =KW- I~ ' , ' ' -.>/ hereby ~rtify thet I he-.- read and 8X8mlned this appliGBtJon snd know thot same to be true 8nd correct.. and I e slJfhor/z9d to apply forthls permit I UnderatBlld It Is not the CIty'! legal responsibility to determine whet permits lIl'e mqu/red; It remains the eppllQMtl responsibility to d termlne whet pennffs aTe r8qlJ~d' ElTld to, obtain such. et'8dlt Card ~oICler''' Slgnatuno: OmS-/)- 0 ~ , . I , ~t".~ a (L- Own.r Ilr EJ,c. Cont. Slgnutur Date: PERMIT FEE: $ fB. /0 ~;r-:-- - I1aJ .11;/~1 ~ VOR. 'I", lO~~~ ~ . -- "".WP CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 32t EAST 5TH STREET, PORT ANGELES, W A 98362 oS-5B5 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: . Application type description Subdivision Name Property Use Prope]~ty zoning . . . Application valuation 05-00000585 Date 127815 1716 W 5TH ST 06-30-00-0-1-4215-0000- PUBLIC WORKS UTILITES 7/11/05 RS7 RESDNTL SINGLE FAMILY o /71 & w'5-t!l 'S + I n -e.... . , Owner Contractor STINE RODNEY D 1716 1'1 5TH ST PORT ANGELES WA 983631710 KEVIN GROFF CONSTRUCTION PO BOX 957 PORT ANGELES WA 98362 (360) 460-1514 6eofF Permit . _ . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date RIGHT OF WAY DRIVE WAY 54171 50.00 7/11/05 1/07/06 Plan Check Fee Valuation .00 o . -- -~ -~ ~- =,~~~_ _ _~~~: ~~~~~~~_ ~~;~ __ ~=~~:_ ~~_ ~~:_ :~~=: m _ m _ _ ___ _ _c:~~: 0 Fee summary Charged Paid Credited Due dwt- Permit Fee Total Plan. Check Total Grar..d Total 50.00 .00 50.00 50.00 .00 50.00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\I'olicics\] l02.1SR [1/05J 60 Feet Verl;",I[)"h 1",rbmlll/lJ 1111-1\'..11'/)88 ar,,", ",,vAf) IIJ191 I .. Area Map CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . .. . INSPECTION REPORT . . . . . . . REQUEST: Date ,- IS - oC:;- Time Received by R-V (phone, person) Location of Work to be inspected /7 / b W::;; 'f Lr Name of person requesting inspection c: <'". ..s e.. y Address of person requesting inspection Type of Inspection (circle appropriate one): INSPECTION NOTES: Inspected: Date 7 ~ /9 - DS' Remarks: Time Phone No.t;6()-Pl~91 Permit No. (,5-.58~'S>- Sewer Excav. Other 5.:delU4/ k.. P.-e. --POLI..V-- (/..1,..6 QP,...7 By R l/ Sewer Foundation Framing Chimney Plumbing Final OK RESTORATION REQUiRED...... YES NO :x- SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . REQUEST: Date ...., - (<1 - 6, c::;- Time' , Received by RV (phone, person) Location of Work to be inspected I " I b uJ 5~ \. Name of person requesting inspection (' '" "-,0 Y Address of person requesting inspection Phone No. '160 ~~S9 ( Type of Inspection (circle appropriate one): Permit No. OS - s e6 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other s/de...Wo.t k (,/ w~<::l<i!... o.t- c.u-...b INSPECTION NOTES: Inspected: Date ,- 1ft .- 6~ Remarks: Time By RV Of< ()ri v L 1_<J4'j IS App"'\( -;r.' LV '" ~ +- 0 ~ EM+- P/OP-U-~I \:^ -.:....1- 1;;1' vJ; J c: po<..<r '^5p,,-ckcl. 0"-.) ,-dlD-O';, p~___ RESTORATION REQUiRED...... YES NO x.. jv SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other t' o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE ~ ... I (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~