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Home My WebLink About331.5 W. 2nd Street Address: 331 Y2W 2 d Street PREPARED 6/05/13, 8:3 8:3 8 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR; JAMES LIERLY DATE 6/05/13 ---------------------------------------------------------------------------- -------------------- ADDRESS . : 331 1/2 W 2ND ST SUBDIV: CONTRACTOR PHONE OWNER WILLIAM CLEVENGER/JACK GRAY PHONE PARCEL 06-30-00-0-0-3444-0000- APPI, NUMBER: 13-00000479 PLLJM13ING PERMIT ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED DESCRIPTION TYP/SQ COMPLETED RESULTS/COMMENTS ---------------------- -------------------------------------------------------------------- PL6 01 6/05/13 PLUMBING WATER SUPPLY June 4, 2013 3:50:19 PM pbarthol. John 460-6902 Early afternoon PL99 01 6/05/13 PLUMBING FINAL w June 4, 2013 3:50:34 PM pbarthol. I v I John 460-6902 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000479 Date 5/10/13 Application pin number . . . 287603 Property Address . . . . . . 331 1/2 W 2ND ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3444-0000- Application type description PUBLIC WORKS UTILITES REPORT SALES TAX subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL to the City of Port Angeles -----Application-valuation-------------------0-------- ----------------------- (Location Code 0502) ----------- ---- Application desc Install water meter ---------------------------------------------------------------------------- Owner Contractor ------- -------------- - WILLIAM CLEVENGER/JACK GRAY OWNER PO BOX 669 PORT ANGELES WA 983620120 --------------------------------- ------------------------------------------- Permit . . . PLUMBING PERMIT Additional desc . . REPLACE WATER SERVICE Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 5/10/13 Valuation . . . . 0 Expiration Date 11/06/13 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.00.00 EA PL-WATER LINE 7.00 ---------------------------------------------------------------------------- Special Notes and Comments 1. The City Archaeologist has reviewed the construction U0 plans and determined that the permitted ground disturbing project is located at a shallow depth and in a location at the toe of a man-made slope that is unlikely to contain intact archaeological resources. Since the project is unlikely to encounter archaeological resources given its separation from soils designated with medium or high archaeological probability; the work may proceed without an on-site archaeological monitor or additional archaeological investigation. The Lower Elwha Klallam Tribe Archaeologist has also been notified of the project by the City Archaeologist. 2. If any items suspected to be historical or archaeological in nature are observed; the ground disturbance must stop and the City Archaeologist must be contacted for further direction before ground disturbing work resumes. 3. The City Archaeologist may conduct a site visit to inspect the ground disturbing actions. The City Archaeologist must, therefore, be notified 48 hours prior to the ground disturbing action (the water line trenching) via Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This perm it 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., 2013 ;:JACKG'L�N Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) TForms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor I Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders I Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 13-00000479 Date 5/10/13 Application pin number . . . 287603 ---------------------------------------------------------------------------- Special Notes and Comments REPORT SALES TAX phone (360-417-4704) . on your state excise tax form to the City of Port Angeles Derek S. Beery Archaeologist (Location Code 0502) City of Port Angeles, WA (360) 417-4704 cell (360) 461-9131 Dbeery@cityofpa.us ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 Grand Total 57.00 57.00 .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 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. ,�Jl o S U Date Print Name Signature of Contractor or Authorized Agent C/Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bidgs.) PLUMBING: Under Floor I Stab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow I Water FINAL Date Accepted bv AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs ,Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 1 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE "LES, CITY OFr For City Use -h AL Permit# W A S H I N G T 0 N , U . S . Date Received: 321 East Slh Street Date Approved Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us Building Permit Application Project Address: V, - 0-�- <�;� S3 Vu Main Contact: Phone # E-Mail: Property Name Phone Owner Mailing Address Email city State Zip Contractor Name Phone Mailing Address Email City State Zip Contractor License # Expiration: Project Value: Zoning: Tax Parcel # Lot# $ 1 Typeof Residential El Commercial Industrial El Public Permit Demolition 11 Fire 11 Repair 0 Reroof(tear off/lay over) 13 For the following, fill out both pages of permit application: New Construction El Remodel 0 Addition 13 Tenant Improvement Mechanical Plumbing 11 Other Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms roposed Bathrooms Yes 11 No Project Description I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature Residential Structures For Office Use Area Description (SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions (SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenafit Improvement? Other work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage(all impervious+ %Site Coverage structures) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project Air Handler Size: # Haz/Non-Haz Piping #of Outlets: Appliance Vent # Heater(Suspended,Floor,Recessed wall) # # Heating/Cooling appliance # Boiler/Compressor -P� repair'/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit I Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets- Water Heater # Medical gas piping #of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # Other(describe): interceptor T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX R -ORT N`E LES P A W A S H I N GTON, U. S. A. FILE Public Works & Utilities Department May 10, 2013 ack �These are the requirements for your part of the work for the water service line installation.These conditions are attached to the permit#13-479 his permit also includes a Building Department plumbing permit for the service line. once the line is connected and prior to cover, you will need to call for an inspection 24 hrs in advance at 417-4815 1. The City Archaeologist has reviewed the construction plans and determined that the permitted ground disturbing project is located at a shallow depth and in a location at the toe of a man-made slope that is unlikely to contain intact archaeological resources. Since the project is unlikely to encounter archaeological resources given its separation from soils designated with medium or high archaeological probability; the work may proceed without an on-site archaeological . ..... monitor or additional archaeological investigation. The Lower Elwha Klallam Tribe Archaeologist has also been notified of the project by the City Archaeologist. 2. If any items suspected to be historical or archaeological in nature are observed; the ground disturbance must stop and the City Archaeologist must be contacted for further direction before ground disturbing work resumes. 3. The City Archaeologist may conduct a site visit to inspect the ground disturbing actions. The City Archaeologist must, therefore, be notified 48 hours prior to the ground disturbing action (the water Line trenching) via phone (360-417-4704) . Beery 17 I.Y A rcha -i, -eles �G' wc)h)o st City of Port Anc if you have any questions, please call me at 417-4812 Thank you, Roger Vess Assistant Civil Engineer I Phone. 360-417-4800 Fax: 360-417-45,12 Website: www.cityofpa.us/Email: publicworks@cityofpa.us 321 East Fifth Street - P.O. Box 1150 Port Angeles, WA 98362-0217 RIF pipe W 2 'OR IT NGEIES COMrACTOR WASH I NGTON, U. S. A.. Public Works & Utilities Department ay 10, 2013 Ick, These are the requirements for your part of the work for the water service line installation.These conditions are attached to the permit#13-479 T)his permit also includes a Building Department plumbing permit for the wpter service line. once the line is connected and prior to cover, you will for an inspection 24 hrs in advance at 417-4815 1. The City Archaeologist has reviewed the construction plans and determined that the permitted ground disturbing project is located at a shallow depth and in a location at the toe of a man-made slope that is unlikely to contain intact archaeological resources. Since the project is unlikely to encounter archaeological resources given its separation from soils cleisignated with medium or high archaeological probability; the work may proceed without an on-site archaeological monitor or c�dditional archaeological investigation. The Lower Elwha Klallam Tribe Archaeologist has also been notified of the project by the City Archaeologist. 2. If any items suspected to be historical or archaeological in nature are observed; the ground disturbance must stop and the City Archaeologist must be contacted for further direction before ground disturbing work resumes. The- City Archaeologist may conduct a site visit to inspect the ground disturbing actions. The City Archaeologist must, therefore, be notified 48 hours prior to the ground disturbing action (the water Line trenching) via' phone (360-417-4704). Derek Beery Qlty Arch.aeologist I Cih'Of POTt Angeles If you have any questions, please call me at 417-4812 Thank you, Roger Vess I Assistant Civil Engineer I Phone: 360-417-4800 Fax: 360-417-4542 Website: www.cityofpa.us/Email: publicworks@cityofpa.us 321 East Fifth Street - P.O. Box 1150/Port Angeles, WA 98362-0217 T HE! CITY OF TG L For City Use Permit# W A S H I N G T 0 N . U . S . 321 East Sth Street Date Received: Port Angeles, IVA 98362 Date Approved P: 360-417-4817F: 360-417-4711 permits@cityofpa.us Building Permit Application Project Address: -2- - - il J.�- s� Main Contact: ------ Phone # 6IL'o"o-I E-Mail: Property Name Phone Owner MailingAddress Email city state Zip Contractor Name Phone Mailing Address Email City State Zip Contractor License # Expiration- Project Value: Zoning: ax Parcel # Lot# $ V-2-0-2) Typeof Residential 0 Commercial Industrial El Public Per.mit Demolition 11 Fire 11 Repair 11 Reroof(tear off/lay over) 0 For the following, fill out both pages of permit application: New Construction 11 Remodel 11 Addition 13 Tenant Improvement Mechanical Plumbing 1:1 Other El Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 11 No El Project Description I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature L F'r M T I-II-A C T 0., RW pkpe CITY OF ORT NG"LES A; COP? WASH I NGTON, U. S. A. FAX TRANSMITTAL Public Works and Utilities Engineering 321 East Fifth Street, Port Angeles, Washington 98362 Phone: (360) 417-4812 FAX: (360) 417-4709 TO: Jack Gray FROM: Roger Vess Company: Angeles Furniture City of Port Angeles Fax: 360 452-4283 Fax: 360 417-4709 Number of pages: 3 The water meter will be installed by City crews next week. After the water meter and service line to your building is installed and inspected,you will need to have the service activated. To activate the service go to the customer service center at City Hall. Thank you, Roger