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HomeMy WebLinkAbout1723 S O St - Building FROM FAX NO. Dec. 28 2004 06: 12PM P2 IIIJJJ '�'y �ICALWORKPERMITAPPLICAnON , v eguestItispection ❑Electrical Contractor O Owner �' '`� ❑ Annual Permit El Alarm ❑ C rval ❑ Commercial 0 Residential 0 Residential Maint. ❑ Signs O Thermostat 0 Telecom. Installation description Job wired by 9.1 lectrical Contractor 0 Owner Electrical contractor astir_ License number (1 J L�O�.L- �ld�rJ uLl5l lj2[1r Q �5 ' —c Purchasers mailin addreey State ZIP Telephone number FAX number 49.2_-6Y7-4 c S�a Premises n s Dame Address of inspection Z LA City . ❑ Cash eck# I hereby certify that I am the owner of the above named property or a licensed electrical contractor(or the firm's authorized agent)and am making the electrical dit Card Visa Mastercard Discover installation or alteration in compliance with the electrical law.Chapter 19.23 RCW. Card# ' Sicaatnre o owne, electrical contractor or electrical administrator Expiration Date X of card Inspection fcc WALLS CEILING THERMOSTATf VICE Insulation Only Ins lation Only O �//� I 0.,e A,.W ayApp�ed By YI< Ap•JJ3�_ /� APF Cover Cover DITCH .frF'.R D.m MPmnd By D. App"By Appro,ad BYApp,wed 8y Electrical Load Additions and or sNbtractions Service Inforrnatlon 0 NO LOAD CHANGES 0 Baseboard _KW Voltage _ Q D Furnace _KW ❑ Overhead Service Phase f t 0 O Heal Pump _Ton_LAR 0 Temp Service service size: _V� Fan-Wall KW XUriderground Service Feeder Size: InspectionElectrical Date Area,Building or Equipmrntlnspected Action Taken InspectQrr ,�tt 4"Y46.-Id lam® ELECT MI&AL INSPECTION WMHO REPORT ® 417-4735 C®4 �T 11GN GATE PERMIT M INSPECTOR y - as o�-iDa O NERI NTRACTOR ADDRESS sr, APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . ❑ ❑ . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . ❑ ❑ . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . ❑ ❑ . . . . . . . . . (1311' ' : . FINAL . . . . . . . . . . . . . . . . . . . .�C CORRECTIONS NEEDED: /�/n ° 9 ellLvl, lee� v 7 /y�T CQn-1 c NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(380(452-1381 '".�rM'm �� na�, �"I�Fwi:na,kd,mnnr,„Idll�iiauu.ai,u�ti w�i i tini '"i .�dl���i�r aanr u�ltndu w,aw�uiw,h�ui>�iRw�l4�+�$�odtinu�urttu �n u��uP r�mW mmfw�iG rua�r"HK��N3:KotiNi ilbdwrewe�� aluG�r ali�.�'.0 ylu�uJe w,wiwN.H�i, wtird,uWu�41W�i��4iitiu�u3.,"a0, ... u�u ,. �°iP•r gun . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000100 Date 4/09/04 Pin number . . . . . . .323400 Property Address . . . . . . 1723 S O ST ASSESSOR PARCEL NUMBER: 06-30-01-5-5-0010-0000- Application description . . . RES NEW SFR Subdivision Name . . . . . . Property Use . . . . . . . . RESIDENTAL SF 9000 Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 74944 Owner Contractor ------------------------ ------------------------ HENNINGS, KAREN OWNER 2202 W 16TH ST PORT ANGELES WA 98363 (360) 452-5909 ------ Structure Information NEW 1372 SF SFR W/ATT 528 SF GARAGE ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL % LOT COVERAGE 21.00 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 9007.00 PROPOSED LOT COVERAGE 1900.00 TOTAL LOT COVERAGE 1900.00 .�C NUMBER OF UNITS 1.00 - ------ ----------------------------------- ---------- T Permit . . . . . MECHANICAL PERMIT Additional desc . . ! p� Permit Fee . . . . 68.75 Plan Check Fee .00 V_ Issue Date . . . . 4/09/04 Valuation . . . . 0 Expiration Date . . 10/06/04 Qty Unit Charge Per Extension z BASE FEE 47.00 3.00- - 7.2500 ECH ME-VENT FAN --- --------21.75- ------------ ---- Permit . . . . . . PLUMBING PERMIT Additional desc Q Permit Fee . . . . 132.00 Plan Check Fee .00 Issue Date . . . . 4/09/04 Valuation . . . . 0 Expiration Date . . 10/06/04 Qty Unit Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1.00 7.0000 ECH PL- EA.WATER HEATER 7.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . Permit Fee . . . . 842.25 Plan Check Fee 336.90 Issue Date . . . . 4/09/04 Valuation . . . . 74944 Expiration Date . . 10/06/04 Qty Unit Charge Per Extension BASE FEE 667.25 - Separate 67.25Separate Permits are requiredfor 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 constru tion. � s Si6nature of Contractor or u orized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN 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 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 STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15[11/14/20031 "�;7R'"'- ,. e do.it a,amw....a,w,, d.nr..eu,wd<wi.�lanukn.dElm.nxreay.WnntlYJaE..�ltiauJ.d adsd;wi.u...u.adw.a:.ar�ytlliA'tle'..�4Ywx.i�'��wnhi ,nrr.wwus4 atil°'r�w..3':Y+awd.,��l;vea.�IdW fi.duia' .n,,m��GW.«�rda.Viif�NN.1 " ,ep�,eauw:�du7��S we e«W w,ur;�wdddPpssr�t,t3n, „na•� .,c. .F. ., .��F POPTwµCF CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 04-00000100 Date 4/09/04 Pin number . . . . . . .323400 Qty Unit Charge Per Extension 25.00 7.0000 THOU BL-50,001-100K (7.00 PER K) 175.00 ---------------------------------------------------------------------------- Special Notes and Comments The site is located in the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure for the subdivision is installed and approved. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 745.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1025.00 Fee summary Charged Paid Credited Due Permit Fee Total 1043.00 1043.00 .00 .00 Plan Check Total 336.90 336.90 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3154.40 3154.40 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements.This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS _ WALLS , FOUNDATION DRAINAGE/DOWN SPOUTS — 'QJ o ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING �� -L j �["� j L L. A P PL li:"'113 I-"./ �}l. UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) -t' GAS LINE BACK FLOW/WATER AIR SEAL WALLS eQ) CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING u DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING I j MECHANICAL ��FC, i C 11 '-Z j Cry S J L.i :A HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ -, CONSTRUCTION-R.W. ENGINEERING 417-4807 I. 5 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 1 J BUILDING T:\PLANNING\FORMS\1102.15[11/14/2003] PREPARED 4/25/05, 13:22:51 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 4/25/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1723 S O ST SUBDIV: CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------' BL1 01 6/07/04 JLL BUILDING FOUNDATION FOOTING 6/07/04 AP MALINDA - 460-5533 PLEASE CALL SO SHE CAN OPEN SHED TO OBTAIN PERMIT BI2 01 6/18/04 JLL BUILDING FOUNDATION WALL 6/18/04 AP BRUCE - 477-1243 BLFD O1 6/21/04 JLL BUILDING FOUNDATION DRAINAGE 6/21/04 AP BRUCE - 477-1243 BAIR O1 1/07/05 JLL BUILDING AIR SEAL 1/07/05 AP BRUCE - 477-1243 BL3 01 1/07/05 JLL BUILDING FRAMING 1/07/05 AP BRUCE - 477-1243 BLWS O1 1/13/05 JLL BUILDING INSULATION WALL/FLOOR 1/13/05 AP BRUCE - 477-1243 BL99 01 25/ 5 JL" � BUILDING FINAL TIME: 17:00 04/25/2005 12:55 PM JLIERLY -- ------------- ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- •PREPARED 4/25/05, 13:22:51 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 4/25/05 ------------------------------------------------------------------------------------------------ ADDRESS . : 1723 S 0 ST SUBDIV: CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL, PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME99 01 /25 OS JLL MECHANICAL FINAL TIME: 17:00 04/25/2005 12:55 PM JLIERLY ---------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 4/25/05, 13:22:51 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 4/25/05 ------------------------------------------------------------------------------------------ ADDRESS . : 1723 S 0 ST SUBDIV: CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -—-----------------------------------------------------------— PL2 01 11/29/04 JLL PLUMBING ROUGH-IN TIME: 17:00 11/29/04 AP John - 460-6902 PL6 01 1/03/05 JLL PLUMBING WATER SUPPLY TIME: 17:00 1/03/05 AP bruce PL99 01J/25/`05. JLL PLUMBING FINAL TIME: 17:00 –�P{1^�-- 04/25/2005 12:55 PM JLIERLY --------------------- ------------------ COMMENTS AND NOTES -------------------------------------- PREPARED 1/13/05, 12:37:59 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/13/05 ---- ------------------------------------ ------------------------- ADDRESS . : 1723 S 0 ST : CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: SPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 6/07/04 JLL BUILDING FOUNDATION FOOTING 6/07/04 AP MALINDA - 460-5533 PLEASE CALL SO SHE CAN OPEN SHED TO OBTAIN PERMIT BI2 01 6/18/04 JLL BUILDING FOUNDATION WALL 6/18/04 AP BRUCE - 477-1243 BLFD O1 6/21/04 JLL BUILDING FOUNDATION DRAINAGE 6/21/04 AP BRUCE - 477-1243 BAIR O1 1/07/05 JLL BUILDING AIR SEAL 1/07/05 AP BRUCE - 477-1243 BL3 01 1/07/05 JLL BUILDING FRAMING 1/07/05 AP BRUCE - 477-1243 BLWS O1 /13/ 5 LL BUILDING INSULATION WALL/FLOOR BRUCE 477-1243 ------------- ----------- COMMENTS AND NOTES ----------------------------------- PREPARED 1/03/05, 13:14:43 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/03/05 ADDRESS . : 1723 S 0 ST SUBDIV: CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR ---------------------------------------— - -------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 11/29/04 JLL PLUMBING ROUGH-IN TIME: 17:00 11/29/04 AP John - 460-6902 PL6 01 I/Q3/05 L PLUMBING WATER SUPPLY TIME: 17:00 Inc' b bruce ------------ -- - COMMENTS AND NOTES -------------------------------------- PREPARED 11/29/04, 13:23:03 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/29/04 ------------------------------------------------------------------------' ADDRESS . : 1723 S 0 ST SUBDIV: CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 11 29/04 LL PLUMBING ROUGH-IN TIME: 17:00 John - 460-6902 ----------------- --- - - COMMENTS AND NOTES -------------------------------- PREPARED 1/07/05, 12:39:18 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/07/05 -------------------------------------------------------------------' ADDRESS . : 1723 S 0 ST SUBDIV: CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR --------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------- ' - ------------------------------ BL1 01 6/07/04 JLL BUILDING FOUNDATION FOOTING 6/07/04 AP MALINDA - 460-5533 PLEASE CALL SO SHE CAN OPEN SHED TO OBTAIN PERMIT BI2 01 6/18/04 JLL BUILDING FOUNDATION WALL 6/18/04 AP BRUCE - 477-1243 BLFD O1 6/21/04 JLL BUILDING FOUNDATION DRAINAGE 6/21/04 AP BRUCE - 477-1243 BAIR O1 l 07/05 AIP BUILDING AIR SEAL -J- BRUCE - 477-1243 BL3 01 1/07 05 SILL BUILDING FRAMING BRUCE - 477-1243 ------------------------------------ COMMENTS AND NOTES -------------------------------------- PREPARED 6/18/04, 13:03:45 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/18/04 --------------------------------------- ADDRESS . : 1723 S 0 ST SUBDIV: CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR --------------------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 6/07/04 JLL BUILDING FOUNDATION FOOTING 6/07/04 AP MALINDA - 460-5533 PLEASE CALL SO SHE CAN OPEN SHED TO OBTAIN PERMIT BI2 01 6 18 0 LL BUILDING FOUNDATION WALL BRUCE - 477-1243 ------------- ---------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/21/04, 12:51:27 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/21/04 ------------------------------------------------------------------------------------------------ ADDRESS . : 1723 S 0 ST SUBDIV: CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 6/07/04 JLL BUILDING FOUNDATION FOOTING 6/07/04 AP MALINDA - 460-5533 PLEASE CALL SO SHE CAN OPEN SHED TO OBTAIN PERMIT BI2 01 6/18/04 JLL BUILDING FOUNDATION WALL 6/18/04 AP BRUCE - 477-1243 BLFD O16 21/04 JL BUILDING FOUNDATION DRAINAGE BRUCE - 477-1243 ------------ ----- COMMENTS AND NOTES -------------------------------- FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION DateRec.:'Z Permit#: Fill out COMPLETELY and in INK.Your application and site plan MUST „ n Date COMPLETE to be accepted for review. If you have any questions,call �. l (360)417-4815 °ed' Applicant or Agent:M USW 6- , VrHO R 14 CO-'1VrX OAC!­9,LUM Phone: 41S'1' '7 Owner: /(AI FA/ Ni 1ViV'1/V Phone: S�- S-90 9 Address: �;? �% it,% f f7� _0 City: �'�('� ,9rI�=X11 5 �t,. Zip: �S':3 e D Architect/Engineer: 1-1,4 C?e Z:?T iV0 V/C : ` 145S&C _ Phone: Contractor /-A C-e— State License#: Exp: Phone:Y3 2-73% Address: �2 6°.5 S_< 6Mr✓C/5 57'" City: G •`r Avr zLf�:s3 Zip: 9r-13 e :Z PROJECT ADDRESS: 17,23 0LnEy i f , P 4 ZONING: LEGAL DESCRIPTION:Lot: / Block- ,5;c' 0 fe 5i Subdivision: /'t'!/MO&I !I W cs©V> $ C LALLAM COUNTY PARCEL NUMBER S 3 C.--c-> /j�j - C'C' / c Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC-# Exp.Date: TYPE OF WORK: SI7E/VALUATION• �Ar Residential JNrNew Constr. ❑ Re-roof ❑ Stove /3'q JL SF @$ ' �3 _/SF.=$ _ ❑ Multi-family ❑ Addition ❑ Move ,I'Garage ff:;4.T SF.@$__,3 C',2. /SF.=$ . ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF.@$ /SF.=$_ ❑ Repair n Sign ❑ Other TOTAL VALUATION $ 7 y. �y BRIEF DESCRIPTION OF THE PROJECT: N£ S 1 iJ��.� COMMERCUI.IRESIDENTIAL: Occupancy Group: Occupant Load? Construction Type: No.of Stories:I Lot Size: G 0 Existing Sq.Ft Q &Proposed Sq.Ft l f^O 6- =TOTAL SgXt. % 0C:� Existing lot coverage O %&Proposed lot coverage_aL216=Total lot coverage-_21--No APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU• ESA/Wetland(s): ❑Yes❑No SEPA Checklist required? ❑ Yes❑ No Other: 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 r viewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 4174815 for assistance. PLAN CHECK FEE:IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: 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 W 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. l hereby cetfy that 1 have read and examined this application and know the same 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 4 the City's and that I must obtain such permits prior to work. T T1S%wldtt► perrmt IAcAt; ✓ 3 Q #SPP rh y ds �' ' PREPARED 6/07/04, 12:41:28 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/07/04 ----- ----------------------------------------- -------- ADDRESS . : 1723 S 0 ST SUBDIV: CONTRACTOR : PHONE : OWNER HENNINGS, KAREN PHONE : (360) 452-5909 PARCEL 06-30-01-5-5-0010-0000- APPL NUMBER: 04-00000100 RES NEW SFR ------- -------- ---------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 6' 07 04 BUILDING FOUNDATION FOOTING MALINDA 460-5533 PLEASE CALL SO SHE CAN OPEN SHED TO OBTAIN PERMIT ----------------------- - -------- COMMENTS AND NOTES I. IwA / w s w r r s s s��V r sMwipow•w rrswr.w sem' ..�r � . 9 s,wwrisi r r rr� r P o N P O ` V \ S I s i w l y V) 1 8 * 1 R E 1 -------------- ---------------- ------------- I •• i o I 1 1 � 1 I I 1 � I • s1 1 � I I I / I I SCALE: 1" = 20' 0 301 TITLE:MADRONA WOODS SUBDIVISION SCALE: 1" = 20' Lot 1 JOB NO: 02030 CUENT� FILE: HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOTI.DWG 2603 S. FRANCIS STREET DATE: PORT ANGELES, WA 98362 11-25-03 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000100 Date 12/29/04 Pin number . . . . . . .323400 Property Address . . . . . . 1723 S O ST ASSESSOR PARCEL NUMBER: 06-30-01-5-5-0010-0000- Application description . . . RES NEW SFR Subdivision Name . . . . . . Property Use . . . . . . . . RESIDENTAL SF 9000 Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 74944 Owner Contractor HENNINGS, KAREN OWNER 2202 W 16TH ST PORT ANGELES WA 98363 (360) 452-5909 ------ Structure Information NEW 1372 SF SFR W/ATT 528 SF GARAGE ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL %- LOT COVERAGE 21.00 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 9007.00 PROPOSED LOT COVERAGE 1900.00 TOTAL LOT COVERAGE 1900.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . FIRE SPRINKLER RESID Additional desc . . RES FIRE SPRINKLER Permit Fee . . . . .00 Plan Check Fee .00 Issue Date . . . . 12/29/04 Valuation . . . . fie•Z�<j�j v�� Expiration Date 6/28/05 Special Notes and Comments L� The site is located in the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure for the subdivision is installed and approved. Building address sign shall not be less than 6" & not more than 121, in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Cj ---------------------------------------------------------------------------- - Other Fees . . . . . . . . SEWER SYSTEM DELV CHARGE 745.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1025.00 Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1774.50 1774.50 .00 .00 Separate Permits are required forelectrical 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 pre ume to give authority t violate or cancel the provisions of any state or local law regulating construction or the performance of con tion. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:TLANNING\F0RMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE -7DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN 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/HgW WNS 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 STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 4174807 PW/ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4174815 BUILDING T:\PLANNING\FORMS\1102.15[11/14/2003] FOR OFFICIAL USE ONLY: �J BUILDING PERMIT - APPLICATION Date Rec.: -(L 01 Permit#:iii "M Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved: 'war COMPLETE to be accepted for review. If you have any questions,call PERMITS(360)417-4815 FAX(360)417-4711 Date Issued: ' — —0 Applicant or/,Agent: yV1'n1'4 7V( �ro Ac&4,011 Phone: �"17-G�G� Owner: P11-lit� Phone: Address:_ 3 �D. (� S7 City: �G'T °1 c��t Zip:_ Architect/Engineer: k1w,k4 ' e rG�c}tr- Phone: Contractor_ State License#: Exp: Phone: Address: ST City: Zip: PROJECT ADDRESS: 172.3 el C 7— ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC-# Exp.Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF. =$ ❑ Multi-family O Addition ❑ Move ❑ Garage SF. @$ /SF.=$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Dk SF. @$ /SF. _$ ❑ Repair ❑ Sign Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: b,-e- 6Z,4Alk 4-.-t COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories:_ Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESA/Wetland(s): ❑ Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: — 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 maybe 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 permit 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 R105.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be tr e and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,not the City's, d tat 1 must obtain such permits prior to work. T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wpd ApphCant: Date: j `- d rw� s''wc CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000100 Date 12/30/04 Pin number . . . . . . .323400 Property Address . . . . . . 1723 S 0 ST ASSESSOR PARCEL NUMBER: 06-30-01-5-5-0010-0000- Application description . . . RES NEW SFR Subdivision Name . . . . . . Property Use . . . . . . . . RESIDENTAL SF 9000 Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 74944 Owner Contractor HENNINGS, KAREN OWNER 2202 W 16TH ST PORT ANGELES WA 98363 (360) 452-5909 ------ Structure Information NEW 1372 SF SFR W/ATT 528 SF GARAGE ----- Construction Type . . . . . TYPE V RON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL % LOT COVERAGE 21.00 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 9007.00 PROPOSED LOT COVERAGE 1900.00 TOTAL LOT COVERAGE 1900.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc 1830 SQ FT SFR. Sub Contractor ELECTRIC SERVICE Permit Fee . . . . 119.80 Plan Check Fee .00 Issue Date . . . . 12/30/04 Valuation . . . . 0 Expiration Date 6/29/05 (� Qty Unit Charge Per Extension 1.00 73.0000 ECH EL-R-SQFT FIRST 1300 73.00 2.00 23.4000 5C EL-R-SQFT ADDITIONAL 500 46.80 P-- --- ------------------------------------------------- �/1 Special Notes and Comments The site is located in the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure for the subdivision is installed and approved. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall {( color they are mounted on. (Ord. 14.36.050-E) V° When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. -------------------------------- Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 745.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1025.00 Fee summary Charged Paid Credited Due Permit Fee Total 119.80 119.80 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 COMMENTS/ACTION NEEDED i ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS Y&S NO SERVICE TINAL GENERAL COMMENTS: PW-1102.15[4(%] 44CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST STH STREET, PORT ANGELES.WA 98362 Page 2 Application Number . . . . . 04-00000100 Date 12/30/04 Pin number . . . . . . .323400 Grand Total 1894.30 1894.30 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A NUNR"24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMEN I S YES NO DITCH !' vt SERVICE FENAL GENERAL COMMENTS: vw-i Boz.1s lel