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HomeMy WebLinkAbout1015 E 8th St - BuildingApplication Number 11- 00001063 ,Application pin number 797215 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2265 -0000- Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation Application desc 6' sidewalk to curb RCP #11 -36 Owner RICHARD AND CHRISTINE MCDANIEL P 0 BOX 1516 PORT ANGELES WA 98362 (360) 461 -3375 Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Public Works Permit CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Contractor BONANNO PROPERTIES LLC PO BOX 2378 PORT ANGELES (360) 808 -2838 Permit RIGHT OF WAY Additional desc 6' SIDEWALK TO CURB RCP #11 -36 Permit Fee 150.00 Plan Check Fee Issue Date 9/27/11 Valuation Expiration Date 3/25/12 Qty Unit Charge Per Extension 1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER 150.00 Special Notes and Comments Contact City inspector prior to start of work. 417 -4831. Call for locates prior to excavation at 811. Charged Paid Credited 150.00 150.00 .00 .00 .00 .00 150.00 150.00 .00 Date 12/08/11 WA 98362 Due .00 .00 .00 .00 0 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 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. V KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE PW UTILITIES K (Engineering Division) WATERLINE./ METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING "SIDEWALK.,: CURB &`GUTTER DRIVEWAY. APPROACH ';'''BACK-FLOW DEVICE.. DATE ACCEPTED YES I NO COMMENTS FINAL' INSPECTIONS,REQUIRED•PRIOR TO OCCUPANCY /USE'. CONSTRUCTION R ENGINEERING; 417 4807 FIRE 417 -4653 PLANNING DEPT. 417 -4750 COMMERCIAL CONSTRUCTION: -.R W::' PW ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING DATE ACCEPTED. YES... T Forms /Building Division /Public WorksTermit Application Number 11- 00001063 Application pin number 797215 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2265 -0000- Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 6' sidewalk to curb RCP #11 -36 Owner Contractor RICHARD AND CHRISTINE MCDANIEL P 0 BOX 1516 PORT ANGELES WA 98362 '(360) 461 -3375 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge 1.00 150.0000 Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Public Works Permit RIGHT OF WAY 6' SIDEWALK TO CURB RCP #11 -36 150.00 Plan Check 9/27/11 Valuation 3/25/12 Per ECH PW RW CONST Special Notes and Comments Contact City inspector prior to start of work Call for locates prior to excavation at 811. CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES. WA 98362 BONANNO PROPERTIES LLC PO BOX 2378 PORT ANGELES (360) 808 -2838 Fee EXCAVTION OTHER Charged Paid Credited 417 -4831. 150.00 150.00 .00 .00 .00 .00 150.00 150.00 .00 Date 12/08/11 WA 98362 Due .00 .00 .00 .00 0 Extension 150.00 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T Fo /Build {ng Division /Public Works PeiTrii 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 PW UTILITIES '(Engineering Division) WATERLINE SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK_; CURB &'GUTTER DRIVEWAY'APPROACH BACK FLOW DEVICE f DATE ACCEPTED YES I NO COMMENTS FINAL INSPECTIONS.REQUIREDPRIOR'TO OCCUPANCY /USE SIDENTIAL': CONSTRUCTION ENGINEERING` 417- 4807 FIRE 417 -4653 PLANNING DEPT. 417.4750 ;COMMERCIAL CONSTRUCTION .R. PW ENGINEERING FIRE DEPT. PLANNING DEPT. ACCEPTED ..YES NO Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001063 Application pin number 797215 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2265 -0000- Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 6' sidewalk to curb RCP #11 -36 Owner RICHARD AND CHRISTINE MCDANIEL P 0 BOX 1516 PORT ANGELES WA 98362 (360) 461 -3375 Permit Additional Permit pin Permit Fee Issue Date Expiration Date Fee summary desc number Permit Fee Total Plan Check Total Grand Total Print Name T:Forms /Building Division /Building Permit RIGHT OF WAY 6' SIDEWALK TO 193334 150.00 9/27/11 3/25/12 Contractor BONANNO PROPERTIES LLC PO BOX 2378 PORT ANGELES (360) 808 -2838 CURB RCP #11 -36 Plan Check Fee .00 Valuation 0 Qty Unit Charge Per 1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER Special Notes and Comments Contact City inspector prior to start of work. 417 -4831. Call for locates prior to excavation at 811. Charged Paid Credited 150.00 150.00 .00 .00 .00 .00 150.00 150.00 .00 Date 9/27/11 WA 98362 Due Extension 150.00 .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. 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 C '.ntractor or Authorized Agent Signature of Owner (if owner is builder) fi Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by 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: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: 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. T:Forms /Building Division /Building Permit C> �o I �T -�o�s RIGHT OF WAY CONSTRUCTION PER MI7) IECEM NAME OF APPLICANT CONTRACTOR v' A L0 e3 DATEu W ofk s an i es Dr�of Engineering Services Division CONTRACTOR ID. NO. (if work is over $3500) B() 46.4 NPG 90 MAILING ADDRESS PHONE NUMBER 60 /5 Z a 3 7 3 6 Z 3 is.a "ea STREET ADDRESS OF PROPOSED WORK /67/i DESCRIPTION OF WORK (include drawings required for clarity): [If street closure is requested, please state the name of the street and limits of closure, together with the duration of closure.] 7 t?OC/l✓' G? 6 G�O /4 rc, /f- t-t/�� /E CI GY'175.5 /5 G WHAT IS THE ESTIMATED COST OF THE PROJECT? V" Cf/f• o� WHAT IS THE ESTIMATED DURATION OF THE PROJECT fr//-e.-k" WHAT ARE THE HOURS OF WORK? Y 5 LIST THE CONTRACTOR (S) THAT WILL BE DOING THE WORK /3/4"- k /l,� 5/1 XG //G 7 Ent- C9 1 4 a 17 /7/9 f NCr e 4.7 c.e2 z-/ GS rime, 7 HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Construction Permit to the undersigned allowing the construction of the above described work, the undersigned permittee shall hold the City harmless from, and defend the City against, any claims for personal injury or property damage arising out of, or in any way connected with, the performance by the permittee of any work within the rights -of -way of the City pursuant to the issued permit. D D this .7 day o i' ,20 i t`1�0►t-tiiirirrrr C� il i111Sf� PO Mpyz `'r te 1 0 EXP 05/21/2014 NOTARY PUBLIC for Washington, z N p LB L\c.' 0 residing at z 1P-=. C- -c:-C. '7 ti y O My commission expires: c.,- z 2� c Lj `?i,/`"wASN`,\o• (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) r r1 [OFFICE USE ONLY] Date application received 9 j Z Zv 1 Fee paid Receipt Date Certificate of Insurance C 11.08.110 received PA er M e-ca 7-4311 P Q Temporary Traffic Control Plan Approved on N/A Performance •1. ceived on N/A Applicat with the f enied by th- City En ons: Approved copies to: Applicant "Fire 0 Police 0 Street 0 Other ■:/PWKS/ENGINEER/ROW Construction/October 2010 ROW Construction Permit Application APPLICATION I I SEP 2 6 2011 Date F 0 Address file, RCP# 1 —31,7 e•� OP K._ 7 16' Alley Lawn Concrete Gravel Flowerbed Site /Plot Plan For: Rick and Chris McDaniel, 1015 E. 8th St. Port Angeles, WA 98362 Contractor: Mark Bonanno, Bonanno Properties LLC Curb Edge on 8th St Scale 1' =20' Date: 9/2/2011 15' City Easement Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000963 Application pin number 034749 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2265 -0000- Tenant nbr, name RICHARD C MCDANIEL Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 50628 Application desc ADD 40 SF ENTRY ROOF REMODEL Owner Contractor RICHARD AND CHRISTINE MCDANIEL BONANNO PROPERTIES LLC P 0 BOX 1516 PO BOX 2378 PORT ANGELES WA 98362 PORT ANGELES (360) 461 -3375 (360) 808 -2838 Structure Information 000 000 40 SF ENTRY ROOF REMODEL Other struct into HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 40 SF ENTRY ROOF REMODEL Permit pin number 192104 Permit Fee 677.25 Issue Date 9/22/11 Expiration Date 3/20/12 Qty Unit Charge Per 1.00 7.0000 THOU BL- 50,001 -100K 192112 116.45 9/22/11 3/20/12 Qty Unit Charge Per 1.00 7.2500 EA 4.00 14.8000 EA Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per T:Forms /Building Division /Building Permit BASE FEE MECHANICAL PERMIT BASE FEE ME -VENT FAN (SINGLE DUCT) ME- HEATER(SUSP WALL /FLOOR -MTD) PLUMBING PERMIT 192120 100.00 9/22/11 3/20/12 Date 9/22/11 WA 98362 Plan Check Fee 440.21 Valuation 50628 (7.00 PER K) Extension 670.25 7.00 Plan Check Fee .00 Valuation 0 Extension 50.00 7.25 59.20 Plan Check Fee .00 Valuation 0 Extension REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Yh/7V. GI I 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. eiatonaoni) Date Print Name Signature of'ontractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417-4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by 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: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417-4653 Planning 417 -4750 Buildincl 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parkin. Li. sting 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. T:Forms /Building Division /Building Permit Application Number Application pin number Qty Unit Charge Per BASE FEE 4.00 7.0000 EA PL- PLUMBING TRAP 1.00 7.0000 EA PL -WATER LINE 1.00 15.0000 EA PL -SEWER LINE Special Notes and Comments The Fire Department has reviewed the project application and has no comments September 21, 2011 4:57:36 PM sroberds. Proposal will result in a 40 sq.ft. entry roof and remodel in the RS -7 zone. No land use issues anticipated. September 8, 2011 10:03:16 AM TAMIOT. Electrical service from alley good clearance 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 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 11- 00000963 Date 034749 STATE SURCHARGE 4.50 Charged Paid Credited 893.70 893.70 .00 440.21 440.21 .00 4.50 4.50 .00 1338.41 1338.41 .00 Due 2 9/22/11 Extension 50.00 28.00 7.00 15.00 .00 .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. 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) Inspection Type Date Accepted By Comments FOUNDATION: Date Accepted By Electrical Footings 417 -4735 Stemwall Construction R.W. PW Engineering 417 -4831 417 -4653 Foundation Drainage Downspouts Fire Piers 417 -4750 Post Holes (Pole Bldgs.) 417 -4815 4. PLUMBING: 51..(.. l 2 1 I /I 2 /0.• FINAL Date Accepted by Under Floor Stab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL: Walls it ie k-rLL- Ceiling FRAMING: Q7/2-' t Joists Girders Under Floor Shear Wall Hold Downs 30 ZIMEIMA. Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: _72__L- ;Vi L FINAL Date Accepted by Slab d 61 L f Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In LW fl2 M71/117M11111%` Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 417 -4653 Fire Planning 417 -4750 Building 417 -4815 4. 11 51..(.. PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parkins Li.hting Landscaping 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. 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 0 0 -0 00 0 0 F cl• a 0 a Q w w O 0 t PC H Pa o N M r CO CO N M CO H 0 0 CO 0 0 0 0 0 M CO H w q ZZ O 0 0 0 U) 0 W a W Z O U O H IA W 0 F a 0 z 0 0 W H O 0 H U) F Q 000/1)4 H H 0 0 00 N Cn U F W U 0 0. 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H E a \0 U 0 L N 0 o x 000 F a 1 0 m m 0 0 0 0 0 0 w 1 N x< 0 0 o 0 U 00(00 z 10 H 0 H (0 0 N a l 0 a 0 a 0 0 0 0 a 1 a 0 H 0 01 a w a 1 Z 0 W 0 w m -u ao 1 (n Fa 0Z 0 a w F 1 0 z z z a a a0 <000a< CD •1 0 H 0 a F r 0 m o m Z (0 z 0 0 w zm H H H H x H H a H 0 0 0 0 0 (f1 0 N o N 0 00 Z a m .0 01 0 0 0 O a N N 0 0 N 0 a a o o U sa m 0 U la 0 U zz ,,pp o ,q 0 zH ,p 0 E m E E 0 0 0 s0 0 0 0 2 w 0 N 0 w 0 H zzEZEQ a 0 a X a H H H H H H 00 O O N m m o H H N H H H H1 O O H 10 Contact person: Alai/V< af2A -7 /,l Phone: 6 Property owner: /?/C--- r //''is' b av l Project Type: P(Residential o Commercial Phone: `7(6/ Property owner's mailing add ess: ioi e „1- --f Contractor's business name: l3oi.-7cfmic. p (or property owner's name if he /she is doing /overseeing the work) Phone: Pe /,L:7 Contractor's mailing address: /O o X Z 9',7316._ Contractor's L &I license number: Lot Expiration date: Project Address: /O /j d Project Type: P(Residential o Commercial o Industrial D Multi- family Project Business Name: (for commercial, industrial, or multi-family projects) Zoning: S I"� Parcel Lot A BUILDING PLUMBING MECHANICAL PERMIT APPLICATION LONG FORM dt- City of Port Angeles Attn: Building Permit Technician 321 E. 5 St., Port Angeles, WA 98362 360- 417 -4815 fax: 360-417-4711 Hours: Mon through Fri 8 5 pm Complete only the portions of this permit that are relevant to your project. Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Pr ects submit: Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Prescriptive Approach Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: Three sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Paperwork confirming conformance to the Energy Code For large projects, a pre- construction meeting with various City department personnel is highly recommended. To schedule a pre construction meeting, contact the Planning Manager at (360) 417 -4750. Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing proposed), curbs, sidewalks, storm water plan, etc. For Additions New Structures also submit: Page 1 of 4 (To be used for projects that require plan review.) Please print in ink. Site plan (8 1/2" x 11 showing all structures (existing proposed), setbacks, new driveways T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Long Form (Revised 2011) Date Received Permit Date Appro Approved b If an architect or engineer drew the plans or calculations, include at least one "wet- stamped" set of plans and /or calculations. 1 FIRM wo Credit card payments are accepted Mon -Fri 8 -5 pm (no A r an Express) Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri .30 12:30 pm Repair Solar Panels Miscellaneous: (explain the project) Remodel: (explain the project, including how the building space is currently being used and what the new, remodeled use will be) zjA, v ,ice �Gi. .n 2, it 14r7 f-/y?- ,Wi .0,�G? �'o�W7 r Or is a4 z ciy-/c 1 /pg.-1.i.7 S 1 7");-7/ '6/4 :rYt 4 ,7 _rif:::)c ,i e.-:7-f ja.s to Project Valuation If the space will change from commercial to residential, subrnit: "Checklist- Converting Commercial Space into Residential Space" l Addition: (explain the project and complete submit page 3) Maxi Mum height of the new addition feet Project Valuation New Structure: (explain the project and complete submit page 3) Project Valuation Maximum height of the new structure feet Project Valuation PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check orie: No Yes V If yes, complete submit page 4 "Plumbing Changes" MECHANICAL PERMIT: Check one: i 7 No Yes Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation 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. Date t/ Signature s Print Name ,//1 1,2/UlC' Page 2 of 4i Will there be ANY mechanical changes (items moved, added, replaced, or altered) If yes, complete submit page 4 "Mechanical Changes" X10 0© Occupancy group Occupant load Construction type of bedrooms of full baths of half baths Floor Areas Page 3of4 Basement y� 1 Floor,nctud 1312- 2 Floor 5Q Existing square New square Price per new footage footage square foot 3rd Floor Garage Carport Covered Porch yD Deck 30" high)* fir Deck 30" high)* Shed Other Other LOT COVERAGE SITE COVERAGE a) Total footprint of structures b) Total concrete, asphalt, other impervious surfaces c) Add lines "a" "b" above to get the total impervious Total impervious 2-'12 sq.. ft. .lot size 3 X Does the project include a new driveway? dyes no If yes, what will the driveway be made of? cement asphalt X.,gravel other Does this project include a new parking pad? yes no If yes, what will the parking pad be made of? cement asphalt gravel other Remodel project valuation ,�z3 /y,�- i TOTAL VALUATION 6.2 Walking surface of the deck above ground For residential building projects the minimum square foot valuation we accept is: Dwelling $85.00 per sq. ft. garage /utility /misc.structure $30.00 per sq. ft. porch /deck /carport $12.00 per sq. ft. Lot coverage is the amount or percent of ground area on which buildings are located. It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer than 30- inches, uncovered decks or porches having walking surfaces higher than 30- inches off the ground, etc. Total footprint of structures /5.1p sq. ft. lot size 3 "1 sq.ft. Lot coverage 17,6; Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94.135 for exemptions) (NOTE: 18 feet is the recommended minimum driveway length for residential projects) /5 0. sq. ft. (existing new) sq. ft. (existing& new) sq. ft. (existing new) 4 2 sq. ft. Site coverage 2 PLUMBING CHANGES Check "No' or "Yes" (and enter quantities) for each line item. Type Sink (hand, mop, floor etc.) Toilet Bathtub l Shower Washing Machine Hot Water Heater Water Line (meter to structure) Re -plumb the structure Sewer Line Backflow Prevention Device Types: Beverage Machine Landscape Watering System Fire Sprinkler System s 2 inch line Fire Sprinkler System 2 inch line No No No No Yes Yes Yes Yes Please list all other planned plumbing changes or additions that aren't listed above. 1,k -k-u'b i 5 v146 v i v1 tk 0 c hp i oc i+ion 1 Check "No" or "Yes" (and enter quantities) for each line item. Type Furnace, heat pump, or forced air unit 5 tons Furnace, heat pump, or forced air unit 5 tons No Ductless heat pump No Wall (recessed) heater No Baseboard heater No Steffes room heater No Wood- burning stove No Pellet stove 1 No Radiant floor heat �No Gas fireplace or freestanding stove No Gas cooking stove No Propane tank set No Gas line No Boiler No Clothes Dryer No Ventilation fan (single duct) No Hood duct mechanical exhaust No Ventilation system (not part of a heating or air conditioning system) No Air handler No Evaporative cooler (non- portable) No Please list al Page 4 of 4 Plumbing Changes (Moved, Added; Replaced, or Altered) No x Yes Z Quantity No X Yes Quantity No x Yes Quantity No Yes Quantity No Yes Quantity No Yes Quantity No Yes Quantity No Yes Quantity No Yes Quantity MECHANICAL CHANGES Mechanical Changes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes X Yes Yes Yes Yes Yes Quantity Quantity Quantity Quantity (Moved, Added, Replaced, or Altered) Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity Quantity other planned mechanical changes or additions that aren't listed above. Quantity Quantity Quantity 16' Alley 62 6" Lawn Concrete Site /Plot Plan For: Rick and Chris McDaniel, 1015 E. 8th St. Port Angeles, WA 98362 Contractor: Mark Bonanno, Bonanno Properties LLC Date: 9/2/2011 ash w; be- /f t4 .4 e f e 29 6,' /levy Hot Tub Gravel Flowerbed Curb Edge on E. 8th St. 25' P 50 6" 6' Fence around Courtyard 15' 15' City Easement INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN t.?Pe,' 6 t*- r \d2 1 30 1.0':4,7--------4,C) FINAL 4" `Z 0, COMMENTS: Application Number 11- 00001151 Application pin number 555200 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2265 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 14 circuit remodel Owner RICHARD AND CHRISTINE MCDANIEL P 0 BOX 1516 PORT ANGELES WA 98362 (360) 461 -3375 Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER RESIDENTIAL 107.30 11/29/11 5/27/12 Qty Unit Charge Per 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 13.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 107.30 .00 107.30 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Paid 107.30 .00 107.30 Contractor J.P.E. JERRY PETERSON 73 EAST LOMA VISTA RD SEQUIM WA 98382 (360) 731 -8994 Plan Check Fee Valuation Credited .00 .00 .00 Date 11/29/11 Due .00 0 Extension 73.50 33.80 .00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: DATE: )1 /30 1) PERMIT RMIT l INSPECTOR °6 OWN R CONTRACTOR Y -2- ADDRESS z o 5 lag- ELECTRIC INSPECTION W1 EPORT 417 -4735 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: 1 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETE S•; WITHIN 15 DAYS DO NOT REMOVE 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 10 X 1 2 Single Family Dwelling Owner Information Name: K 3(7, Mailing Address: //7 /"..4 City: "ill State: /a/q Zip: 937; Phone: Fax: License Exp Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf— Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY: First'1300 Square Ft. Each.Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 148:70 167.90 95.90 88.20 95.90 63.90 63.90 119.90 102.30 56.00 110.30 35.20 73.50 110.30 /3 RE 11 E OCT 1 3 2011 ELECTRICA I NSPECTIONS Multi-Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /0 /S E Building Square Footage: (7e0 7 Description of above 7`e =Lfe 7/si s vC�S� �o�� 47L 7 I Contractor Information Name: T7'.6 Mailing Address: City: State: Phone: Fax: License Exp. Zip Total (Qty Multiplied by Unit Charge) /O7, D Total Owner as defined by RCW.19.28.261: (1) Owner 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 sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify 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 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. Signatu ner, electrical contractor or electrical administrator: Cash Check Credit Card X 1( '\C Q Dated: /0 /3 01/01/2010 PREPARED 8 /01 /11 9 12 06 CITY OF PORT ANGELES ADDRESS 1015 E 8TH ST TENANT NBR RICK CHRIS MCDANIEL CONTRACTOR OWNER RICHARD CHRISTINE MCDANIEL PARCEL 06 30 00 0 2 2265 0000 APPL NUMBER 09 00000395 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 5/20/09 JLL BLDG FRAMING TIME 01 00 5/21/09 AP May 20 2009 8 34 27 AM 1pangrle CHRIS 350 0238 FRAMING AFTERNOON May 21 2009 8 36 12 AM jlierly BLDG FINAL July 29 2011 4 18 38 PM 1pangrle BL99 01 Vein RICK 360 4I1 3375 BUILDING FINAL HE REQUESTED THE EARLIEST POSSIBLE INSPECTION ME99 01 8/01/11 JL PL99 01 PL2 01 5/12/09 JLL 5/15/09 AP PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PERMIT PL 00 PLUMBING P REQUESTED INSP TYP /SQ COMPLETED RESULT f JL INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE (360) 250 0238 MECHANICAL FINAL July 29 2011 4 19 38 PM 1pangrle RICK 360 -461 3375 MECHANICAL FINAL HE REQUESTED THE EARLIEST POSSIBLE INSPECTION IT DESCRIPTION RESULTS /COMMENTS PLUMBING ROUGH IN TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 05/12/09 TIME 08 18 07 May 12 2009 8 17 17 AM 1pangrle JOHN 775 1868 ROUGH IN PLUMBING AFTERNOON May 15 2009 3 38 40 PM jlierly PLUMBING FINAL July 29 2011 4 19 59 PM 1pangrle RICK 360 -461 3375 PLUMBING FINAL HE REQUESTED THE EARLIEST POSSIBLE INSPECTION COMMENTS AND NOTES PAGE 1 DATE 8/01/11 10■5 E 8-r\ 5± 55 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL i I 2 1 li y- Jf COMMENTS Application Number 11 00000734 Application pin number 025344 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 2265 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Renew expired permit Owner RICHARD AND CHRISTINE MCDANIEL 1015 E 8TH ST P 0 BOX 1516 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 983626422 189274 73 50 7/19/11 1/15/12 Charged 73 50 00 73 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Paid Contractor OWNER ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 00 73 50 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Credited 00 00 00 Date 7/19/11 Due 00 0 Extension 73 50 00 00 00 Signature of owner or Electrical Contractor X Date G \EXCHANGE \BUILDING REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 983BL 1 8 2011 Date 7 i 4 Llt '1•�� ECEVFl Vv Ph (360) 417 -4735 Fax. (360) 417 -4711 ELECTRICAL INSPECTIONS 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be ��q` i ,.Please Complete Electrical Plan Review Information Sheet Job Address: °g Building Square Footage. Description of above 1 N rz 107 '''Y rv Owner In mation n Contractor Information Name: �S« ct k d tS 7 4nitJ/ Name: Mailin• ddre 1 b I.S C. Mailing Address: City -f n. State: 6✓I2 Zip: 5Y3 C City State: Zip: Phone3 g Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 $QE) Branch Circuit W/O Service Feeder 73.50 _i_____ 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 -600 Amp. 148.70 Temp. Service /Feeder 601 1000 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 NEW CONSTRUCTION ONLY. First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 ca Total Owner as defined by RCW 19.28.261 (1) Owner 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 sale, rent or lease Permit expires after six months of last inspection. After reading the above statement, I hereby certify 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.0 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 Credit Card Dated: 0110112010 Owner Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name PropertY Use Property Zoning Application valuation Application desc 100 amp sub panel McDaniel Rick 1015 E 8TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 93 7500 ECH Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 9836264 145201 93 75 5/01/09 10/28/09 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-473 Date 5/01/09 09 6060039 404104 1015 E 8TH ST 06 30 00 0 2 2265 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 ELECTRICAL ALTER RESIDENTIAL EL-0 200 SRV FEEDER Charged Paid 93 75 93 75 00 00 93 75 93 75 tt Contractor OWNER DATE Plan Check Fee Valuation Credited 00 00 00 Due 00 00 00 00 Extension 93 75 RESULTS 0 -P 4 PREPARED 5/20/09 8 36 27 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/20/09 ADDRESS 1015 E 8TH ST SUBDIV TENANT NBR RICK CHRIS MCDANIEL CONTRACTOR PHONE OWNER RICHARD CHRISTINE MCDANIEL PHONE (360) 250 0238 PARCEL 06 30 00 0 2 2265 0000 APPL NUMBER 09 00000395 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 5/20/09 BLDG FRAMING TIME 01 00 May 20 2009 8 34 27 AM 1pangrle CHRIS 350 0238 FRAMING AFTERNOON COMMENTS AND NOTES PREPARED 5/12/09 8 18 52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/12/09 ADDRESS 1015 E 8TH ST SUBDIV TENANT NBR RICK CHRIS MCDANIEL CONTRACTOR PHONE OWNER RICHARD CHRISTINE MCDANIEL PHONE (360) 250 0238 PARCEL 06 30 00 0 2 2265 0000 APPL NUMBER 09 00000395 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 5/12/09 ,.LL PLUMBING ROUGH IN TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 05/12/09 TIME 08 18 07 May 12 2009 8 17 17 AM 1pangrle JOHN 775 1868 ROUGH IN PLUMBING AFTERNOON COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000395 Date 5/12/09 Application pin number 214530 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 2265 0000 Tenant nbr name RICK CHRIS MCDANIEL Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5000 Application desc ENLARGE BATHROOM ADD WASHER /DRYER UPSTAIRS Owner Contractor RICHARD CHRISTINE MCDANIEL 1015 E 8TH ST PORT ANGELES WA 983626422 (360) 250 0238 OWNER Permit BUILDING PERMIT RESIDENTIAL Additional desc REMODEL MASTER BATH Permit pin number 145268 Permit Fee 137 75 Plan Check Fee 89 54 Issue Date 5/07/09 Valuation 5000 Expiration Date 11/03/09 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 145250 Permit Fee 75 15 Plan Check Fee 00 Issue Date 5/07/09 Valuation 0 Expiration Date 11/03/09 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 14 50 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65 Permit PLUMBING PERMIT Additional desc Permit pin number 145243 Permit Fee 71 00 Plan Check Fee 00 Issue Date 5/07/09 Valuation 0 Expiration Date 11/03/09 Qty Unit Charge Per BASE FEE 2 00 7 0000 EA PL- PLUMBING TRAP 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 her read and examined this application and know the same to be true and correct. All provisions of laws and ordinances gove complied with whether specified herein or not. The granting of a permit does not presum- ivea ority state 9T local law regulating D ruction or the performance of construction. Date Print Name that I have work will ons of any e g this type o cancel the provi Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit Extension 50 00 14 00 \y-eA 6)(?' Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Accepted By Footings Stemwall Foundation Drainage Downspouts R.W PW Engineering Piers Fire Post Holes (Pole Bldgs 417 -4653 PLUMBING FINAL Date Accepted by Under Floor Slab 417 -4750 Rough -In Building Water Line (Meter to Bldg) 417 -4815 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. FINAL Date Accepted by 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. 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. T Forms /Building Division /Building Permit Application Number Application pin number Other Fees T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 09 00000395 214530 Qty Unit Charge Per 1 00 7 0000 EA PL -WATER LINE Fee summary Charged Paid Credited Due Page 2 Date 5/12/09 Permit Fee Total 283 90 283 90 00 00 Plan Check Total 89 54 89 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 377 94 377 94 00 00 Extension 7 00 STATE SURCHARGE 4 50 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) Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Accepted By Footings Stemwall Foundation Drainage Downspouts R.W PW Engineering Piers Fire Post Holes (Pole Bldgs.) 417 -4653 PLUMBING FINAL Date Accepted by Under Floor Slab 417 -4750 Rough -In 5 -12^ o Gl 1-1_ Water Line (Meter to Bldg) 417 -4815 n XDj 1 0 1 Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. 5- io —0.9 7 Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. FINAL Date Accepted by 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 n XDj 1 0 1 /6 PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. 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. T /Building Division /Building Permit 7 For City Us Date Received Permit D' Date Approved 0c Applicant AT 2J- Property Owner Property Owner' Address Contractor Pem tin L Contractor's Address License PROJECT ADDRESS ®is Parcel Number Floor Areas Basement 1 Floor 2 Floor 3rd 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) 417 -4815 fax (360) 417 -4711 A Expires 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 o a hone E -mail Lot Grp Existing (sq. ft.) Proposed (sq. ft.) .per sq ft it 0 04' 1yb Zoning Pr`olect Type Brief Des Check all that apply New Construction cri Residential Pato Mul family o Commercial :o. Industrial t,) 4-11 d V Addition Remodel epair 4 Mil f n t wa dv�� C s a d &bk) s1∎ rs n4-0 o.. 6 aL rvo, r.- G%o Suit ((vne vdee& 51'7 j Da House garage other tear off re -roof lay over one layer Demolition Re -roof Heat System Heat pump wood burning stove gas fireplace pellet stove other Other TOTAL VALUATION 5_01.9v Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage =the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage 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 authorize-: pply for-thi .erm and understand that it is i responsibility to determine what permits are required, and to obtain permitsOior orking on proje Date 6 Print /Lc/ /dG .�1'Y6 ignatur T Forms /Building Division /Bldg Permit.doc When recorded return to: Richard McDaniel and Christine McDaniel PO Box 1516 Port Angeles, Wa. 98362 Escrow No. 2650 Title Order No. 106673 —S THE GRANTOR(S) Steven W Evans, Personal Representative for the Estate of Sidney K. Evans, deceased for and in consideration of ten dollars and other good and valuable consideration, in hand paid, bargains, sells, and conveys to Richard McDaniel and Christine McDaniel, husband and wife the following described real estate, situated in the County of Clallam, State of Washington: Parcel B of Boundary Line Adjustment Survey recorded October 21 2008 in Volume 67 of Surveys, page 27 under Clallam County Recording No 2008 1228158, being a revision of a portion of Lot 11 and all of Lots 12 and 13 Block 222, Townsite of Port Angeles, Clallam County Washington. Subject to: Matters set forth in Volume 67 of Surveys, page 27 Tax Parcel Number(s): 063000 022265 The Grantor(s) for himself /herself /themselves and for his /her /their successors in interest do(es) by these presents expressly limit the convenants of the deed to those herein expressed, and exclude all covenants arising or to apse by statutory or other implication, and do(es) hereby covenant that against all persons whomsoever lawfully claiming or to claim by through or under said Grantor(s) and not otherwise, he /she /they will forever warrant and defend the said described real estate. Dated: 1 41 ll(,r'( The Estate of Sidney K. Evans By 1 (.0 teven W Evans, Personal Rep. STATE OF WASHINGTON COUNTY OF CLALLAM Dated: "(I( 2009 1236050 Page 1 of 1 Deed Malls. Title Company Clalla Co my Washingto 04/28/2009 11 29 40 PM 1111 Pi 5411Kr 1 11111 )ss rota Iy in an d49 h sfa'teo ashington Residing at t My appointment appointment expir 1/..X)(1a, BARGAIN AND SALE DEED DATE PAID AMOU CO KIMBERLY K QUALLS Notary Public Stole 01 Washington My Commission Expires January 20 2012 Ncyg(L4 le CLAI.LAM COUNTY 3a TashmAnTiON EXCISE TAX PR 2 B 2009 UR I certify that I know or have satisfactory evidence that STEVEN W EVANS is the person(s) who appeared before me, and said person(s) acknowledged that he signed this instrument and on oath stated that he is authorized to execute the instrument and acknowledged it as the PERSONAL REPRESENTATIVE of THE ESTATE OF SIDNEY K. EVANS to be the free and voluntary act of such party for the uses and purposes mentioned in this instrument LPB 15-05 (ir I) a996 (F5Z) DO 1111 1ll }ll 1 ,11 00 {10 00 00 969T (008) 00 PP .0 4 rj 00 flr LOL 0011 I U0 [1 1313 ou l H 2 00 PP Approval Date 00 ',ell .100 001 DO 1 11: J ll ll LSI 00 J00 00 00 00 By if Do PP HI \42 0 r9cot' -0' NJ OTY OF PORT ANGELES.— Constniction Plans Tiije Issuance Of this permit based upon these 'Atli, specifi- .cations am:Lather data.shall .not Preventthe building ()Bidet- from thereafter requiring the correction of orrors in said pl4i specifitatiens Jand—other -data; or building operations being carried on thereunder when in viniatirirr of ail codes 'and ordinances of this jurisdiction. 0 0 r'J swish 5370:iagy pairciar, ,6? ssvjfitagy yvouic 9MS' Sli:LinlVdS sTnia,LSAS /Ts:211,1\11 C1' Di 0 0 ElO [113 00 00 00 00 FJ iss 100 [0, 00 00 00 00 00 [T13 [10 00 1 DO 00 )--5" INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN c`zl l a� L AS '01P FINAL COMMENTS /141 1 O 6-12 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 100 amp sub panel 09 00000392 404104 1015 E 8TH ST 06 30 00 0 2 2265 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Owner Contractor McDaniel Rick 1015 E 8TH ST PORT ANGELES Fee summary WA 983626422 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 OWNER ca 1 45 2- 2 31 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total ELECTRICAL ALTER RESIDENTIAL 146480 6 00 5/20/09 11/16/09 Qty Unit Charge Per 3 00 2 0000 ECH EL BRANCH CIRCUIT W /FEEDER Charged Paid 6 00 00 6 00 Signature of owner or Electrical Contractor X 6 00 00 6 00 Plan Check Fee Valuation Credited Due 00 00 00 Date 5/20/09 00 00 00 0 0 0 Extension 6 00 Date 0 cx) INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 100 amp sub panel Owner McDaniel Rick 1015 E 8TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983626422 146092 4 00 5/15/09 11/11/09 4 00 00 4 00 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000392 404104 1015 E 8TH ST 06 30 00 0 2 2265 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 2 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited Due 4 00 00 4 00 Plan Check Fee Valuation 00 00 00 Date 5/15/09 00 00 00 00 0 Extension 4 00 Date INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 100 amp sub panel Owner McDaniel Rick 1015 E 8TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983626422 145201 93 75 5/01/09 10/28/09 93 75 00 93 75 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000392 404104 1015 E 8TH ST 06 30 00 0 2 2265 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 93 7500 ECH EL 0 200 SRV FEEDER Paid Credited Due 93 75 00 93 75 00 00 00 Date 5/01/09 00 00 00 00 0 Extension 93 75 Date c) o (N) 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. 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition 1 Alteration Remodel Repair* *Plan Review May Be Required ,PeasComplete Electrical Plan Review Information Sheet Job Address: o 15 Building Square Footage. 27 6 0 Description of above 1417 Jon/kw-I> Owner Inferrnitio Name: -Kid-14 ir1cJe.-w-t� MailirygAddre 1015 f: gam` City State. tAJ Zip 9,3i Phone: 40-- 2.5 Fax: License Exp Unit Charge Qty 93.75 $113.75 $160 00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69 00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43,75 Owner as defined by RCW 19.28.261 (1) Owner 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 sale, rent or lease. After reading the above statement, I hereby certify 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 19.28, WAC. Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signat P (If owner electrical contractor or electrical administrator Date. SA (b RECEIVED MAY 12009 LIGHT DEPT Su R 37.44.1 �t Contractor Information Name Mailing Address: City State. Zip Phone: Fax: License Exp Total (Qty Multiplied by Unit Charge) 4 1375 Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal tol Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat 95 Total Cash Check Credit Card CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04- 00000469 Date 6/08/04 Pin number 149867 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2265 -0000- Application description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2851 Owner Contractor EVANS SIDNEY K 1015 E 8TH ST PORT ANGELES Other Fees T: \PLANNING\FORMS \1102.15 [11/14/2003] WA 983626422 ANGELES CONSTRUCTION 2542 JAKES RD. PORT ANGELES (360) 460 -6508 Permit BUILDING PERMIT RESIDENTIAL Additional desc ADD WALL AND GWB TO BASMT Permit Fee 106.75 Plan Check Fee Issue Date 6/08/04 Valuation Expiration Date 12/05/04 STATE SURCHARGE 4.50 Fee summary Charged Paid Credited WA 98636 Due Permit Fee Total 106.75 106.75 .00 .00 Plan Check Total 42.70 42.70 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 153.95 153.95 .00 .00 42.70 2851 Qty Unit Charge Per Extension BASE FEE 92.75 1.00 14.0000 THOU BL- 2001 -25K (14 PER K) 14.00 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 constructs Signature of C L,-t- 8 2,e actor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN 1 1 PLUMBING UNDERFLOOR /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 6 J w DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY SEPA: ESA: SHORELINE: STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 F '7 C7 5 4 J+ BUILDING 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. T: \PLANNING \FORMS \1102.15 [11/14/2003] [n mmam 000 0 H t 0 O H 0 m m O iP H x N H 0ZHOz Ozm0 d Mm MHO a C P.1 0 m m C r k.0 w 0 0 r r H ro ro C/) H b] nYm o b h00 H H C7 Mz CO PO H .rod I mm IL m m CioJ W 1) n H yy 3 z t z 00 0 0[1›..r m y C z o wz [�TJw o m C m m o U1 co O H CO Z n H ozOx K N In N T. KH7 H H O o z 0 H 10 H O 10 z N 1 o M o Mtn CO, 01 0 d ro H O H M m m J N 01 a m List L N. 0 h S Ak M V 0 BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Billing Address: Credit CardType VISA MC TY .E OF WORK: esidential New Constr. Re -roof Multi family Addition Move Commercial Remodel Demolition Pe Repair Sign BRIEF DESCRIPTION OF THE PROJECT: COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage FOR OFFICIAL USE ONLY: Date Rec.: 67' Permit A Date Approved: Date Issued: Applicant or Agent: 5/P/- Owner: 5 L Address: f Architect /Engineer: Contractor v License Address: I._ I PROJECT ADDRESS: /D /S c LEGAL DESCRIPTION: Lot:' J l CLALLAM COUNTY PARCEL NUMBER: City: f' City: /-i: V-4 Phone: Zip: p: Phone: .4 ./ir^ Phone: Phone: Zip: C! R ZONING: Block: Subdivision: Credit Card Holder Name: City: Exp. Date: SIZE/VALUATION: Stove SF. /SF. .leg r Garage SF. /SF. Deck SF. /SF. Other TOTAL VALUATION ,�e5' St) 1<d C Occupant Load: Proposed Sq. Ft. Construction Type: TOTAL Sq. Ft. PLANNING USE ONLY: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: 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 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 pen issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. TAFORMS\APPS\Buildingpermit.wpd Applicant Date: d (}y H ro H b H ro n Pr) z O M 3A ro C o C M o H cn H b7 MM Ci Z cn c cnro r ro M M M n N H H H mro tl H b7 0 H z G H M o o M T H a m Z T z H o O 4 M n o o CO o 1 M 0 0 M O O H m 0 0 o z 0 H Z O x z N K _3 (A H H M N x 0 m n O 0 o Z Hz K 1M 0 ro 0 H 00 G1 0 M m EVANS SIDNEY K 1015 E 8TH ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date T: \PLANNING \FORMS \1 102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04- 00000784 Date 9/07/04 Pin number 940688 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2265 -0000- Application description RE -ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3500 Owner Contractor WA 983626422 ANGELES CONSTRUCTION 2542 JAKES RD. PORT ANGELES (360) 460 -6508 WA 98636 BUILDING PERMIT NO PR FEE ONE LAYER OVER ONE OF THE SAME 120.75 Plan Check Fee .00 9/07/04 Valuation 3500 3/07/05 Qty Unit Charge Per Extension BASE FEE 92.75 2.00 14.0000 THOU BL- 2001 -25K (14 PER K) 28.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited 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 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^cloes not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 1-GO B Signature of Contractor or Authorized Agent Date Signature o ner (if owner is builder) /Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN I 1 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 GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY SEPA: ESA: SHORELINE: STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 l C S L BUILDING 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. T: \PLANNING \FORMS \1102.15 [11/14/20031 0 0 0 0 H 0 3 z LI H H o z z 0 o z Jv n 0 r x0 m H co 0 in cn 0 ro 0 b H 171 n ro 0 0 0 O 0 0 NJ cl o C tri o 0 CO 01 0 0 17 C7H Z Co 0 0 r ro 00 C 0 0 0 x C n O rz H 0 v�roz H o o t 0 q 3 0 co z ro0 ro v z z l7 C n H z r��m n 0 O 0 0 0 y C z o w0 O 0 0 0 10 C O d] O 0 co O O H CO m m z K[n[n H 01 N 7C 0 N C 0 in H 0 n 0 0 O z H ro ro H 01 ro O 10 0 10 0 ro 0 r H 0 n in M H CO a H Application Number 05- 00000267 Date 4/19/05 Application pin number 136970 Property Address 1015 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2265 -0000- Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 500 Owner Contractor EVANS SIDNEY K 1015 E 8TH ST PORT ANGELES Qty Unit Charge Per Other Fees CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 983626422 BASE FEE T:1Policies \1102_15 building permit inspection record05.wpd [1/4/2005] ANGELES CONSTRUCTION 2542 JAKES RD. PORT ANGELES (360) 460 -6508 Fee summary Charged Paid Credited Due WA 98636 Permit BUILDING PERMIT RESIDENTIAL Additional desc REPLACE DECK GUARD RAIL Permit pin number 47381 Permit Fee 47.00 Plan Check Fee .00 Issue Date 4/19/05 Valuation 500 Expiration Date 10/16/05 STATE SURCHARGE 4.50 Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51.50 51.50 .00 .00 Extension 47.00 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. Sig natur Contractor or Authorized Agent Dafe Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLIX'iS.) 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 SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 1 -7- 0 S" J J')-- BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. T:\Policies \1102_15 building permit inspection record05.wp