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HomeMy WebLinkAbout533 E 11th St - Building CITY OF PORT ANGELES i DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000692 Date 7/19/11 Application pin number 303952 Property Address 533 E 11TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 3290 -0000- Tenant nbr, name TRAVIS RUTH KUCH on your state excise tax form Application type description RES DETACHED GARAGE Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 17280 Application desc 576 SF DETACHED GARAGE Owner Contractor TRAVIS W RUTH E KUCH OWNER 533 E 11TH ST PORT ANGELES WA 983627935 (360) 504 -2289 Structure Information 000 000 576 SF DETACHED GARAGE Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 576 SF DETACHED GARAGE Permit pin number 188730 Permit Fee 319.75 Plan Check Fee 207.84 Issue Date 7/19/11 Valuation 17280 Expiration Date 1/15/12 Qty Unit Charge Per Extension BASE FEE 95.75 16.00 14.0000 THOU BL- 2001 -25K (14 PER K) 224.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments July 12, 2011 3:42:15 PM sroberds. The proposal will result in a detached garage in the RS -7 for total lot coverage of 20% and site coverage of 23 No land use issues are expected. July 12, 2011 2:09:58 PM Brian 417 -4708. Proposed garage footprint will be in compliance with electrical clearances. The existing building sewer may be located at the same location of the proposed construction. Any, modification or damage to the existing building sewer.will require other permits and inspections. Driveway access to alley as proposed. Other Fees STATE 4.50 'F final t 1 I Permit Fee Total 319.75 319.75 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and'void"if or construction authorized' isnot commenced within 180 days, ifconstruction or work is suspended or abandoned fora period .of 180 days after the work has commenced, or if required inspections have. not been requested within 180 days from.the last inspection. I hereby certify that I have read and examined this application and know the same to..be true and correct. All provisions of laws and. ordinances governing this type of work will be complied with whether specified herein or. not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab 1 Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO* OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000692 Date 7/19/11 Application pin number 303952 REPORT SALES TAX Plan Check Total 207.84 207.84 .00 .00 Other Fee Total 4.50 4.50 .00 .00 on your state excise tax form Grand Total 532.09 532.09 .00 .00 to the City of Port Angeles (Location Code 0502) Separate Permits are required for electricaiwork, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null null and voidif work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days. from. the last inspection. I hereby certify that I have read and examined this application and know the .same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The.granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD i t 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: Mono S (a.k SL (8-- I Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab t A Rough -In V" Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor CShear Wall Hold Downs I, O— 7 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 5 Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: do' Parking Lighting ESA: ■1 Landscaping _SHORELINE: ,i FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE ec tion Type InS Date Accepted By p B Electrical 417 -4735 Construction R.W. 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OJ bd ttO w S H o H Z7 [n nc x i 0 t0 H o x 0 00 ',bG t' 7:10 0 0 oon to z 0 0 0 to 0 XI non -0 0 t. 0 C 0 to tit i ntkrr 0 HHH C7 H> 0 to00 0 CO 0 a 0 WH I Z 0 HH z 0 o 0z 0 Oro (1) 0 orm 0 H H to O H '-'0 m 0 O H O P H o NJ C-1 H Z o 0 H O w 00 to 3 n [1) 0 0 o N H oi to H r O H Z 0 O H X O 'Cl w Z K O m Xi 0 'i H N In 0 0 N N Co 0 0 -3 b H 0 11 0 m H H m 0 CD H I H H c. ..6 .''7 S i o BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only y Att n: Building PermitTeghniclan De�mR�ceived b-1( 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 i late Approved Ph• e Applicant ______1 �Ut --1�'` Pho e 3c�:c� Ski- Z7,��r Property Owner .kr,L f i Property Owner's Address (,s 3 (It' SI Contractor 5J Phone '�11 -cOSO c z.(( Contractor's Address License Expires E =mai PROJECT ADDRESS 5 33 E It* 5f Parcel Number ;fib 00 C7- 325 0 Lot Zoning R 5 -7 Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply )(New Construction r&C \kAlNi Cd■ i94 'K' 6+9Rik-� Addition Remodel Cr'u shp„ 9rzwei AIr-i v-e..1 1(c o< (1 Repair Demolition Re roof House )(garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other 1'Q UMbi hq o r- c- hiGa-� i J v Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement O per sq. ft. 1 Floor 540 2nd Floor 3rd Floor Garage .S'71y 30, oo 1 2-80 Carport Covered Porch Deck Shed 2in� Ito Other shut to 1I be mc1et+p anOfher pa 1 g TOTAL VALUATION Total footprint of structures I)416O sq. ft. Lot size 1 g sq. ft. Lot coverage 60 ,.2.._ Site Coverage the amount of impervious surface on a parcel, includin structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 2S, 2. Max. height of proposed structures I V 2 ft. 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, and to obtain permits prior orking in p •jects. 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Hi :ii-..:-...;;;i::: 4.- .:.‘;:;:f,kgi:V„,',5,::::::::.; iji?i1; 01 rAll'ek.e .:1,' :::::',I.V.,":: .i „IA m.ibiA m FT J Electrical Information Form o e> 1 o rr=_.'_.st Public Works Utilities Department (360) 417 -4700 N City Electrical Inspector (360) 417 -4735 Please complete and return to Public Works Utilities Department Applicant kifoiration Permanent service: Name: 1kS kUI..C.- Name and address of party Street: 53�, E rt responsible for permanent City State ZIP: ?c, Av F Q L A c c77i service billing? Daytime Phone: M77 90 to Home Phone:aO o`( Z2-0q (if other than above Cn�ctllnfinrmatinn`; above) Site contact: Name: Title: Daytime Phone: Contractor: Name: Company: Daytime Phone: Electrician: Name:. 1..D Company: Daytime Phone: Excavator: Name: i' D Company: Daytime Phone: ,rojeCtType Existing Q New Single- family residence .ex1pgh) ❑Multi- family residence; of units Commercial Subdivision; of lots Overhead service from Po e- toi General service Underground .service -h- h©uS2 Other: '_.2 S ;rDdeCrtInfiDT1Y1�iDi1, Description of work: P L i Street address lot number: 5 F. 1 Itk Nearest cross street: h Desired connection date: i `(tom Electrical transformer serving properts: Xon a pole on the ground £lect i Load f Total square footage: sq. ft. Main'disconnect size: amps ❑120/240 1hph 0120/208 3ph 0277/480 3ph Voltage: ❑120/240 3ph 0480 3W 3ph Other X .Standard residential.loads (Lighting, refrigerator, dishwasher, washer) Check all that apply: A/C ton) Range /Oven Hot Tub Clothes Dryer Heating Pumps Hp) No Load Change Water:Heater .❑LElevator Hp) Other SupportmgDDcun entation I I Please provide a copy of the following: *Detailed plot plan (..dwg or :dxf'format-rnandatory 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*c1A Date: if I MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360 417 -4711 WS WF Information form.xls N:'',P' ;RS'.I-I'GHT \EN ,{-'l41Ori9inaIS\Iniorma1ion form RnviSe-d 1-15-09 C� i 9 :-"t, ci.,:„G„.:...! r Gib ;s 4 CZ" /1 i t a,. r "i R k a n T �m�' Cj k4 ^II s rte? 4 a k Af $n m 1 p N 9955 i it Ott? Algal CP/ i- '''"--rif"F N'-,<‘‘,,,,,,,,HAii.04.,._ '1''''.6..•,"P,Ailt!5ilik10,!Zilk., b P+ r d�'' ry Clallam County Assessor Treasurer Property Details 59371 TRAVIS W AND RUT... Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 59371 TRAVIS W AND RUTH E KUCH for Year 2011 2012 i Property Account Property ID: 59371 Legal Description: LOT 18 BL 332 Geographic ID: 0630000332900000 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 i Address: 533 E ELEVENTH ST Mapsco: PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 2 9' Neighborhood CD: 10955130 Owner Name: TRAVIS W AND RUTH E KUCH Owner ID: 35584 *D Mailing Address: 533 E 11TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 -7935 Exemptions: Taxes and Assessment Details j Property Tax Information as of 07/06/2011 Amount Due if Paid on: "a' NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. I First Second j Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid I Amount Due 2011 153982 ST SCH STATE SCHOOL $139.28 $139.28 $0.00 $0.00 $139.28 $139.28 2011 153982 CC -GEN COUNTY CLALLAM $76.89 $76.87 $0.00 $0.00 $76.89 $76.87 2011 153982 SD #121 SCHOOL DISTRICT #121 $182.06 $182.06 $0.00 $0.00 $182.06 $182.06 i 2011 153982 CITY PORT ANG CITY OF PORT ANGELES $177.51 $177.50 $0.00 $0.00 $177.51 $177.50 2011 153982 PORT PORT OF PORT ANGELES $10.82 $10.82 $0.00 $0.00 $10.82 $10.82 f 2011 153982 NTH OLY LIB NORTH OLYMPIC LIBRARY $32.25 $32.24 $0.00 $0.00 $32.25 $32.24 2011 153982 HOSP #2 HOSPITAL #2 $31.57 $31.56 $0.00 $0.00 $31.57 $31.56 2011 153982 WSMET PK DIST WILLIAM SHORE MET PARK DIST $9.60 $9.59 $0.00 $0.00 $9.60 $9.59 2011 153982 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $36.00 $36.00 2011 153982 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 2011 153982 TOTAL: $696.80 $696.73 $0.00 $0.00 $696.80 $696.73 2010 42267 ST SCH STATE SCHOOL $137.88 $137.89 $0.00 $0.00 $275.77 $0.001. 2010 42267 CC -GEN COUNTY CLALLAM $73.37 $73.38 $0.00 $0.00 $146.75 $0.00; 2010 42267 SD #121 SCHOOL DISTRICT #121 $178.60 $178.60 $0.00 $0.00 $357.20 $0.00 I 2010 42267 CITY PORT ANG CITY OF PORT ANGELES $169.89 $169.90 $0.00 $0.00 $339.79 $0.001 2010 42267 PORT PORT OF PORT ANGELES $10.32 $10.31 $0.00 $0.00 $20,63 $0.00 1 2010 42267 NTH OLY LIB NORTH OLYMPIC LIBRARY $21.32 $21.32 $0.00 $0.00 $42.64 $0.00 2010 42267 HOSP #2 HOSPITAL #2 $30.10 $30.10 $0.00 $0.00 $60.20 $0.001 2010 42267 WSMET PK DIST WILLIAM SHORE MET PARK DIST $9.58 $9.58 $0.00 $0.00 $19.16 $0.00 2010 42267 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2010 42267 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2010 42267 TOTAL: $667.88 $667.89 $0.00 $0.00 $1335.77 $0.00; http: /websrv8. clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =593 71 7/6/2011 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 f� Application Number 11- 00001241 Date 11/01/11 Application pin number 534820 REPORT SALES TAX Property Address 533 E 11TH ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 3290 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor TRAVIS W RUTH E KUCH SEQUIM VALLEY ELECTRIC 533 E 11TH ST 11 LONE EAGLE LANE PORT ANGELES WA 983627935 SEQUIM WA 98382 (360) 504 -2289 (360) 681 -3330 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc GARAGE Permit Fee 119.90 Plan Check Fee .00 W Issue Date 11 /01 /11 Valuation 0 Expiration Date 4/29/12 Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due ilr Permit Fee Total 119.90 119.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 119.90 119.90 .00 .00 11 CA a I lii: INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 1 1 /c i i l :.r;,' SE Fig Ogg. /e' 42 1 ROUGI] -IN )1hifi 2 FINAL LI v �I 4 IV COMMENTS: f l�` PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 'CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: £o 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete E ctric I Plan Review Information Sheet Job Address: S 3 E /1 /..4 .f/ i '1- Building'Square Footage: Description of above (v© .R Fe—CPC/Z. F D e PE TA' C17( 6/4/?'9 c 3 C /7C' O' Owner Information Information H 2�1/V S N ame: _CEO l V191_46 6 Z/C- Mailing Address: 5 E• f i 57 Mailing Address: L0� E' h C6 G City: ANLaE State: WA Zip: 3 G Z City: S CQ t// -7 State: tt1,4_ Zip: Cd'3d'� Phone: 'i 7 7 ci c Fax: Phone: (ad' 3330 Fax: 44 28 License Exp. License Exp. S Q t yr go/ L 3 herri' .Unit,Charge Qt Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 7 r0 Service /Feeder 201 -400 Amp. .145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 5.262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2:60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder.201 -400 Amp. $110:30 Temp. Service /Feeder 401 -6 Amp. 148.70 Temp. Service/Feeder Amp 167.90 .Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note; $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/. Limited Energy ;Multi Family: Dwelling =.63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEWCONSTRUCTION ONLY: 'First "Square Ft. 110.30 'Each Additional Square Ft. or Portion of 35.20 Each Outbuilding•o•Detached Garage 73.50 0 l q Each Swimming Pool or Not Tub 110.30 9 Total Owner as defined by RCW.19.28.261: (1) Owner will o the structure for two years after this electrical .permit is.fi (2) Owner is required to °hire an electrical contractor if above said property is for sale, rent or lease: Permit expires after six months of fast inspection. After reading the above statement, I hereby:certify that -1 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 19.28, 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 l credit Card /J �C�/7 X Dated: 0110712010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000651 Date 7/10/06 Application pin number 400228 Property Address 533 E 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 3290 0000 Tenant nbr name TRAVIS KUCH Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 12240 Owner Contractor KUCH TRAVIS W 533 E 11TH ST PORT ANGELES Other struct info WA 983627935 OWNER TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29 30 1 00 1240 00 7000 00 816 00 2056 00 2 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 80515 Permit Fee 249 75 Plan Check Fee 99 90 Issue Date 7/10/06 Valuation 12240 Expiration Date 1/06/07 Qty Unit Charge Per BASE FEE 11 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 06/29/2006 09 30 AM SROBERDS The proposal is the addition of a detached garage carport in the RS 7 zone for total lot coverage of 29$ No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required 06/28/2006 08 12 AM RLARSON Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Signature of Contractor or Authorized Agent T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] STATE SURCHARGE Charged Paid Credited Due 249 75 249 75 00 00 99 90 99 90 00 00 4 50 4 50 00 00 354 15 354 15 00 00 Extension 95 75 154 00 4 50 �Xpi� scif-10-6-Lo 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 -4 ....ty ...).-.4■441_,/ /-lo-ao Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS 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 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 I NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T• \Policies \1102_I5 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES NO FINAL FINAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. Applicant or Agent: 1,Co4 uc (n Owner I LARS 1 Z■Ac Address. G l 1 Architect/Engineer Se�� Contractor S t' State License I City PROJECT ADDRESS ..533 E. I S} 1 A I le s LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. Oa' go O dv3 Address: TYPE OF WORK. Residential I6 New Constr Re -roof Stove Multi- family Addition Move PE Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT Bin tAtvt COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. No of Stones: I. Lot Size: 700c) Existing Sq Ft. 92.90 Total lot coverage 11 X4 ?t PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Cit Po oT I Ps ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other T•\FORMS\BldgPermitfonn.wpd Applicant: Phone:13(4n\ 9/ 7-755 Phone.(( /l7- Rte/ Zip Q83(e Z Phone: Exp Phone: Zip iR 9R3142ZONING SIZE/VALUATION SF /SF 531(0 SF j S W /SF )Q g tin a) SF /SF TOTAL VALUATION a >1.)`.1' 67-f4woL. �,0�`��n a. it.)`1(.24' Construction Type: Proposed Sq. Ft. FS I (D TOTAL Sq Ft. 2( (p VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other perimt fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued with❑ 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that l have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not,the City's, and that I must obtain such permits prior to work. Date J 2- 0G, e FOR OFFICIAL, i 5E� BLS' to Rec.. 6 /l�/w6 c‘ ennit #:6r0 r'G" ate Approved: Date Issued: 7 APPROVALS PLAN BLDG DPWU FIRE. OTHER. 9Cg r�= 1D ?topes-'y rr\ odl e4, Fetncr, ?ova' ?r (9QOS ?OT ha f.LJI� S\ t E Ca1(;)C x. 4 °‘r CetiZRy2T! 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, ...34— v Approval Date —(P By <J- 0 —cl \Kuc V\ 5330 3 a" V5 I D 1 Udvt. -I-z- L Pt a_LD hipActAkr to 5 a 13 I1 I) 1) 1) S e-t n' 4 _Nu xti lb' L) Yr�,p�( L r, tit I (v i) 0 0 0 C 4 a 14 .1 -2-nnwn XAAAWES. Areria.52. .-4•* ,..4-.44 ......k..... ....n,...1... in.'",....... i ....A.A. An..., •4- .4!' 4 L 1 ra, ,Daillf.... =All,. 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LU ati,a4.4.7 "faaatt' •114. ii.7.11, I '....t..1"-••••• 4••••••-••••••••• tt. 1 •1/4""•• "nu* 4144., .4444.4....N.41404.1■4 4•14.444.114.- -,4•44.4 4 W.... 1,4.03 t' -•••••••4r. i__ I 1 4 4 ti 44.t. _NaSaij ,J .....4,4 111 L .L. tAttar,.., tr4.44.4. 4 1 1, 44 ...rfor.-Nr441:4■144 1.1.101F1..." 1 44.0,4, ...a ,44.4,74114 4 ..314.34 3.... 1 1 tt w , '.\ CITY OF PORT ANGELES DEPARTMENT OF COMMUNI'fY DEVELOPMENT - BUILDING DMSION 321 EAST STHSTRaET, PORT ANGELES, W A 98362 Application Number . . . .... '. . Property Address . . . . ASSESSOR PARCEL NUMBER: Application description ':i>rOPe"'"itY'zoIiiI1g. . . . Application valuation Property owner owner address . . . . 03-00000085 533 E . 11TH ST' 06300003329.0.0.000 MECHANICAL REPAIR Date 1/31/03 Contractor . 700 KUCH TRAVIS W 533 E 11THST PORT ANGELES ( ) OWNER .WA 983627935 57.65 Plan Check Fee 1/31/03 Vliluation .: .' 7/30/03 .00 o permit .... .' .' Additional desc Permit Fee . . Issue Date Expiration Date MECHANICAL PERMIT Qty Unit Charge Per Extension , ,47.00 10.65 BASE FEE 1.00 10.6500 ECH ME-NON-HAZ PIPE 1 TO 4 Fee summary Charged Paid Credited" Due -----------~----- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 ;00 .00 Plan Check Total .00 .00 .00. .00 Grand Total 57.65 57.65 .00 .00 Signature.of Contractor or Authorized Agent ..-j.,.~. tvc17 / Signature of Owner (if owner is builder) Sepal':ateP~rrnltsare required for electrical work,SEPA,Sh()reJlh~,E~~tyiJlilities, private and public improvem~~tS. i11l.~~~jt~]~mes null a.nd }'oldff work or construction authorized is not com,menped within 180 days, it construction or work Iss.ilspend8ct9rablll1,don,,~ for a,pefiod,'o(180d8ys after the work ascommencep, orit requlr~~ In!p~ctlons haven()~been requested with ill 1 ~g,~~~m>m;(~~ .I~!t. Inspection. I h9reby'certify.that I have read and examined thisa~pncaticin and'know tI1e'sameto be trueand~rrect~II'PRlv~j(')nscof laws and ordinances governing this type of work will be complied with whether specified herein or not. The grantingof1:l'permifdoes not presulT\e to give authority to violate or cancel the provisions of any state or local laVfregulating construction orthe.performancebf construction. l~.i;lt'J, ' , .Lr:3V~g T:\PLANNING\FORMS\1102.1S' (412002) . '. .' '. . ";if\;;;'~f*;"';~"'~1c~""'\';;:1~t~,)..t~*"f,.,.,t;"'?';'~:'rJ~j~ BUIkDING PE~ IN~fJl:_c;TI?N R!<:()BJ);:{)3~; ~s' . of"~ ";,"l'. ft'" /'-1"".-"1"\;"'" "Kl'Ji".,l> ;.;: ,','~ '~ ,"'~:'-) ~''':'~ '~<-~_:, ;f(':, - ,k .>'.' -'~';l -"'> .;>, :f ~-:t:~t,,)f'd-" --::_" J.f):;', ;>:'-' ,: CALL 417-4815 FOR BUILDING INSPEarIONS. pnEASB,lPROVIIm RMINIMUM 24,HOUR NOTICE: ITJS UN~WFJ!l:TOiCoY!lR, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POSTPERMIT,INA€ONSP(Gbou~Lt>cATION. " :;:-~"~;'~'''';',':':;:':', :~:"~~~,,y;: ''''''.~::'''':.;;:::>>-:': . ""~;, "'~___~ ~;;~~~.i'-:.:~;;,:,"::'.~~~., ~ ". .. '.:. . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE' INSPECTION TYPE . DATE ACCEPTED,.. ' .,'C " ,cq~~....'.';"" i li:';' ',_, '. _"'_'''','' ~tJ,t~ , " I YES '4'NO ;, :;,~::.-ti-~:~;' _~ :-i'.-:c, : '?,> ??:. t, ,;{.(t FOUNDATION:., -c. > """.. . 'P>!':'i '; I. . .;;:;..:,. .' FOOTINGS i{c" ; I,,', I,. ~, WALLS '. ..' > FOuNoATlON..DRAINAGE ". SEPARA TE~ERMlT: ti.,;;~. ". , ." ELECTRICAL (LIGHT DEPT) .' .. .' .. ROUQ1J-1N .. . .., I . I I . (,.' L'" fC', ~..' ..;",,: .., . . '. "'.> PLUMBING , .' , '-<'. .. ',,', UNDER FLOOR / SLAB , " .' ,. ROUGH-IN WATER LINE ".' ,',L:, I.,,,,.;.... '.' GAS LINE I J;..;JJII-tr'J in} i , BACK FLOWIW ATER .., .' ;, ..' ",' c." ,i,I AIR SEAL !'. , '< WALLS " ., I I "'i" ,."."" CEILING :0.. .... .. ,.;' '., " '-"', '. (.( FRAMING ..... . JOISTS / GIRDERS . SHEAR WALL WALLS/ROOF/CEILING DRYWALL ", C'. . T-BAR INSULA nON :. SLAB ,.' I WALL / FLOOR/ CEILING I.... I I MECHANicAL ....... :; ,. . HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / QUcrs PW UTILITIES / SITE WORK (Engineering Di~sion) SEPARATE PERMlT#'s: i WATERLINE / METER .. , SEWER CONNECTION SANITARY , STORM , PLANNING DEPT. SEPARATE PERMIT #'s .' SEPA: PARKlNGlLIGHTING ESA: LANDSCAPING . 'k ;, c' ." SHO~: , c', . ; ;8 . ; 'l:'~~ H.t,F,ll'iN- ~~lECT10NS ~UlRED,PRlpR T9~A.N9'W~F:'i, .,'" . " , '.., ':;";', " ,RESIDENTIAL >/;; ;or- DATE. :' ".'YES ",':NA<' ; '';? COMMERCIAL' ;" DAT~;.( ii~(;C~rrnD ", ~"".p;;::": :, ''"*1''': A {", :> ~<1~ ~t 3:.)f:'-,. ::~-:1i"-'-"-:>'_I.'i 'inl:r~h Ii} ''''(1' "YES'" "NO , ""\ ! . ,~ '-' ..f'-'. '.. ;.. . ..' ;'),')\ ., ,", :",. .""',, ' ,; , .~j;' l".. ."".,j' '~;H" , ELECTR)CAL - LlG"TDEPT:'",c 417-4735 , ELECTIUGAL .,' .. )J .. LlgH,TbEl>1"," /' ,. -:1'1" >" , :.".;j:.., , CONSTRUCTION R. W./ PW/ I CONSTRUCTION - R. W~ '.; ENGINEERING 417-4807 . PW / ENGINEERING '. . FIRE 4174653 . FIRE DEfT. ..j '., ',' .,' ," .; ~ ~.,.,..... PLANNING DEPT. 417-4750 it)' .,' '..,' PLANNRjG DEPT.. " . , \.!. .' BUILDING . 417-4815 BUILDING . iT:\PLANNING\FORMS\1102,15 {412002] --M!!J'ltll ~ CITY OF PORT ANGELES /'- J/() L1 DEPARTMENT OF PUBLIC WORKS 'f'.. Co efT . . . . . . . . . . . INSPECTION REPORT. . . . .~. . . . REQUEST: Date 1 ~ 2t:{- 03 Time !h........ Received by QV (phone, person) Location of Work to be inspected 53..:::r ~ / ~ 17. Name of person requesting inspection Address of person requesting inspection Phone No. ~/7- e9s'-l Type of Inspection (circle appropriate one): Permit No. .as- INSPECTION NOTES: ,. T~ ~I~ ~ .,~ Inspected: Date 1- Z '1- ()3 Time /T'f5. By. Remarks: ~. G.;C RESTORATION REQUIRED . . . . .. YES NO t;;,lui ~~~- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Repaired by City o Repaired by Permittee o No Damage Found o Other Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: $""3 Installed By: Owner/Business: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW o HEAT PUMP KW o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) Details/Description: PERMIT NO '7 Z6 l:. S>/I//yJ , , DATE o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. ~. OVERHEAD SERVICE o UNDERG~~~ICE VOLTAGE: V,c:- ~ SINGLE PHASE o THREE PHASE SERVICE SIZE ZOD AMPS INti (IF- /11 e-k-1 ~ cI-eJ! G9-z1S*t-tc&flvt . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ~~ O.K. to connect service o Final O.K. Notify Port Angeles ity Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buildin9.Efllmit. PHONE 457-0411, EXT. 224. .//. (.9.0 ~AilA NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT r ~ 0 ,- , ~ $ Electrical Inspector Permit Fee . ~ WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. New Meters - GREEN - Top: Meter Dept., Bottom: City Hall