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Home My WebLink About512 W. 9th Street Address: 91h Street PREPARED 12/11/15, 10:18:04 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/11/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 512 W 9TH ST SUBDIV: CONTRACTOR UNDER CONSTRUCTION PHONE (360) 681-7998 OWNER BRANDSTROM JERROLEE W PHONE PARCEL 06-30-00-0-2-9610-0000- APPL NUMBER: 15-00001483 RES ADDITION ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- ------------------------------------------------------------------ 1 12/11/15 BLDG FRAMING BL3 0 December 11, 2015 10:14:51 AM jlierly. No phone or name/jll ---------------------------- ----------- COMMENTS D NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 15-00001483 Date 11/24/15 Application pin number . . . 742784 Property Address . . . . . . 512 W 9TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9610-0000- REPORT SALES TAX Application type description RES ADDITION on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY, (Location Code 0502) Application valuation . . . . 5754 ---------------------------------------------------------------------------- Application desc CONNECT TWO STRUCTURES W BREEZE WAY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BRANDSTROM JERROLEE W UNDER CONSTRUCTION 140 NE 164TH ST 1542 FOX HOLLOW RD. SHORELINE WA 981555736 SEQUIM WA 98382 (360) 681-7998 Other struct info . . . . . HARD SURFACE AREA ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . ADD BREEZEWAY Permit Fee . . . . 151.-15 Plan Check Fee 98.64 Issue Date . . . . 11/24/15 Valuation 5754 Expiration Date 5/22/16 Qty Unit Charge Per Extension BASE FEE 95.75 4.00 14.0000 THOU BL-2001-25K (14 PER K) 56.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 151.75 151.75 .00 .00 Plan Check Total 98.64 98.64 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 254.89 254.89 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. Thispermitbe comes null and void if work or construction authorized is not commenced within 180 days,if construction orwork.is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 160 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. CQ U Date Print Name Signature of 0 ractor 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. POSTPERMITIN CONSPICUOUS 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 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/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(interior Braced Panel Only) T-Bar INSULATION: Slab Wall f Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-in Gas Line Wood Stove I Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by HOMES: Footing/Slab Blocking&Hold Downs Pkirting 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 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit T H E For City Use CITY OF LES X lvk2 V;i A S H I N!' G-T 0 N, U . S. Per D-te R ived: / a e�c 321 E 51h Street 7JAInproved Port Angeles,WA 9836 7 P:360-417-4817 F:360-417-4711 Email:permitsOcityofpa.us BUILDING PERMIT LICATION Project Address: 15 1 -D- L-1 W Phone: Primary Contact: Email: Name Phone ProPerty Mailin Address ftee�t LEmail Owner 717/,?,5 ktrpf? a4ld- 4a2!2 le City / - - U)Q State zip Name Phone C,,o r)5-re L7 3 79 �e Contractor Address Email -Information FOA 1+6 )10v) '9rVC'f_ 0 ICity S I/"\ State zip Contractor License# L) Exp.Date: rJDf_Lc-_r 00-5-P L-) 3 -2-0 Legal Desc�p.tion� Zoning: Tax Parcel # Project Value: (materials and labor) ;;� K_ "�4, Z'5 00,0 0 2-9�' c Lo-f -61 Q 1,96 1�2t'oo-1 rgl-ILI 292- 4 &,k _� 9,57 Residential El Commercial Industrial 1:1 Public 11 > Permit Demolition 0 Fire El Repair 11 Reroof(tear off/lay over� 11 Classification For the following,fill out both pages of permit application: I/ (check New Construction -11 Exterior Remodel El Addition 11 Tenant Improvement appropriate) Mechanical 11 Plumbing 11 Other 1:1 Fire Sprinkler System Proposed Irrigation System Proposed or 7-Proposed Bathrooms Proposed Bedrooms i or Existing? Yes El No IM TExisting? Yes E3 No'0 )jo In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to www.stormwater@Aq,0=Wa.us Project Description 17e_1'r'k1 1-L'Jo '5 1-r L/C"fv r_e4 VJ U Wq 0 Is project in a Flood Zone: Yes 13 NoO Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorize to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name Si� ature Residential Structures Existing Proposed Construction For Office Use Area Descriptf'q'ns,(SQ FT) Floor area Floor area Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2 Id floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site doverage Calculations Lot Size( q ft) Lot Coverage(sq ft)foot print of %Lot Coverage(Total lot cov lot size) Max Bldg Height I all structures 'sqft 1500 Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov lot size) Mechanical Fixtures Indicate how many of each type of ture to be installed or relocated as part of this project. Air Handler I Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # BoYer/Compressor Size: # Heating/Cooling appliance # I repair/a teration 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 # I Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit I I I Plumbing Fixtures Indicate how many of each type of fixtu e to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment interceptor(Grease Trap) Size Other(describe): T:\Forms\201S CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx U, P, PW L- fJ.D 15- CITY OF PORT ANGELES-Construction Plans T11C ISSLUMICC Of tljiS permit based upon thew plans specifications and other data shall not prevent the building' official from thereafter requiring the correction of crrors in said plans,specifications and other data.or from preventing building operation being carried on thereunder when in violation 044 codes and ordinancc;P of this juriid,Won. ALL WOk StjBjtL-r To F 7ROPROVA& Daft Zj� i cod A FILE I Jh� W `-30 When recorded return to: 7-0g'(41� 1117 0/ ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property: -1- 3 1&- -2-q& (PNUMandADDRESS) 4 A� 40.- 4, YWxe-ezz- 6'�el Ox 9 do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.130"Z"of the Port Angeles Municipal.Code. This covenant creates one inseparable building lot which may only,be removed through compliance with Chapter 5 8.17 R I CW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on.the owner(s),heir(s), assign(s), and successor(s)in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s),heir(s), assign(s), and successor(s)in interes.t and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DATED this day of 201,G Print Name:3-e�Ub �,O bL-,->-frint Name: fowner Signature) (Owner Signature) Phone:-QO(P Phone: STATE OF WASHINGTON COUNTY OF CLALLAM I'Ab"unc- Wk%d\0'y1d :Notary.Public in and for the State of Washington,,do hereby certify that on this_2jl;A day of N&4QAN%beY 2015::personally Appeared before me3,91CfQ1'ee fCkAJ;!�Tdyd"l known to me to be the individual(s)described in and.who executed the within instrument and acknowledged that signed and sealed the same as free and voluntary act and deed for the purposes herein mentioned. GIVEN UNDER MY HAND AND OFFICIAL SEAL this&,�day of_NNeZW 20 MARILYN PEARCE CARTOGRAPHER TECHNICIAN NOTARY PUBLIC in and for the State of Phone(360)417-2586 Fax(360)417-2299 Washingto.n residing at Port Angeles. Email:mpearce@co.daIlam.wa.us My Commission expires: HaVch 2)a 2-01 CLALLAM COUNTY ASSESSOR'S OFFICE 223 E 4 th St.Suite 2 Port Angeles,WA 98362 www.ciallam.net 2015-1328094 Protot Covenant 'Page I of 2 andmark Inc Properties By Las 1/1312015 10:36:57 AM Claijam County W hington I MIA 11111 Bill PAVOO, Return Adc ress* Please print or type information WASHINGTON STATE RECO"ER'S Cover Sh,eet (RCW05.04) Document Title(.9).(or transactions contained therein):(all areas applicable to your document must be filled in) 3. 4. Reference Number(s).of Documents assigned or released: Additional reference Ws on.page_of document Grantor(s) Exactly 8 name(s)appear on document 2. Additional names on page_of document. Grant,ee(s) Exactly as name(s)appear on document 2. Additional names on page_of document. Legal description(abbreviated: i.e.lot,block,plat or section,township,range) E L rt 131 ock Additional legal is on page of document. Assessor's Proper El Assessor Tax not yet g,�Tax Parl/Account Number assigned 000 �P_C/(,/ Olp__30 00 0 1 IF(P 15 - order 11 rely-on the informatiom pr.ovided on this form. the stalff will not read the document eteness of the indexing information provided herein. "I am signing below:and paying an additional$50 recording fee(as.provided in RCW 36.18.010 and referred to as an.emergency nonstandard document),because this document does.not meet.margin and formatting:requirements.Furthermore I hereby understand that thexecording process may cover up or otherwise obscure some part of the text 0 1 ft I he original document as a re.s I ult of this request.11 Signature of Requesting Party INote to submitter:bo::not sign above nor pai additional W fee if the:document meets margin/formatting requirements IF 521 <2 14 ...... ..... 502 15 519 16 18 814 511 9 8 I-J 7 20 524 6 505 Al At 516 514 4�k 512 3 904 910 ..,.4 903 18 924 At �IN 19.11 \r 509 909 An 20 501 12