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Home My WebLink About532 E. 6th Street Address: th Street L PREPARED 4/07/14, 13:43:26 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/07/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 532 E 6TH ST SUBDIV: CONTRACTOR DIAMOND CONST & EXCAVATING INC PHONE (360) 683-2257 OWNER MICHAEL L SUTTON PHONE PARCEL 06-30-00-0-2-0400-0000- APPL NUMBER: 14-00000294 DEMOLITION ------------------------------------------------------------------------------------------------ PERMIT: DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 4/07/14 1 —!LAO BLDG FINAL April 7, 2014 9:26:09 AM pbarthol. Jim 477-1581 --------------------------I----------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 14-00000294 Date 3/19/14 Application pin number . . . 762526 Property Address . . . . . . 532 E 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0400-0000- REPORT SALES TAX Application type description DEMOLITION Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 11000 (Location Code 0502) ---------------------------------------------------------------------------- Application desc DEMO STRUCTURE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MICHAEL L SUTTON DIAMOND CONST & EXCAVATING INC 532 E 6TH ST PO BOX 700 PORT ANGELES WA 983626208 SEQUIM WA 98382 (360) 683-2257 ----------------------------------7----------------------------------------- Permit . . . . . . DEMOLITION Additional desc DEMO HOUSE Permit Fee . . . . 50.00 Plan Check Fee .00 Issue Date . . . . 3/19/14. Valuation . . . . 0 Expiration Date 9/15/14 Qty Unit Charge Per Extension BASE FEE 50.00 ---------------------------------------------------------------------------- Other Fees . . . . . I . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 �00 .00 .00 Other Fee Total 4.50 4.SO .00 .00 Grand Total 54.50 54.50 .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 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 .L��J— Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) TForms/Building Division/Bui I ding 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/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/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 Planning 417-4750 L Building 417-4815 T:Forms/Building Division/Building Permit THF_ I! For City Use COTY OF ANGELIES pi Permit# IV- 2, W A S H NGTON. U . S. J� 321 E 51h Street Date Received: 4 z,-:: Date Approved Port Angeles,WA 9 83 6 P:360-417-4817 F:360-417-4711 Email: permits(@city:ifpa.us BUILDING PERMIT APPLICATION Project Address: hone: ��Ceo- 4/ ? )- PrimaEy Contact:7_%ff" ail: 0;4rvj�A,:5&/,0 Name R%VN-e_ 3utgoix Phone Property Mailing Address6 , V _45� ( Owner 0 t.6 Email City A State tdA zipq8-_,,/ .,00? Name Phone — r)OL VK6A A 6046;1 _�60-&83-2J,�5? Contractor AddressIN, .1.1 0tv hv� Email Information ity State(4A Zip 123 9:1- FCC ontractors'License# MAMCS61 E .Date: Legal Description: Zoning: Tax Parcel# Proje4t Va I ue: (materials and labor) � s Residential Commercial 0 Industrial 0 Public 11 Permit Demolition Fire 11 Repair 0 Reroof(tear-off/lay over) El Classification For the following.fill out both pages of permit application; (check New Construction 11 Exterior Remodel 11 Addition 0 Tenant Im rovement 11 I MecG� W-D—fflu—niWing Other 11 Yes 0 No 0 Yes 0 No 0 T�posed Bathrooms Proposed Bedrooms Fire Sprinkler System? I Irrigation System? Project Description bzrytv eyibl;ni hoene wl'lk #AALked eawZ>'4- and Is project in a Flood Zone: Yes [3 Nod Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ 1 have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior 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 i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. 1 Date Print Name-Yk%K, 40656( Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed ss value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 2"floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed ss Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Co erage Calculations Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage+lot size) Site Cov'er4gg-(S_q Ft of all iMpigryious)_ %of Site Coverage(total site coverage+lot size) 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 Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-buming/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 I 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 # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor(Grease Trap) Size Other(describe): T-.\B U I LDIN G\APPLI CATION FORMS\Current 13PApplication\Building Permit 4-17-13.ddcx DIT EIE" �t (01,i RIO,, T! NIU W A S H I NGTON, U. S. A. W Public Works & Utilities Department JoInuary 6, 2014 Michael L Sutton th 532 East 6 Street Port Angeles WA.98362 RE: Port Angeles Landfill Transfer Waste Disposal Application,WDA#13-24 We have received your application for disposal of building demolition debris from the referenced site and reviewed the testing results� Based on the test results Clallarn County Environmental Health 'h Services(CCEHS)concurs with the disposal of 12 tons of demolition materials from 532 East 6 Street to the Port Angeles Regional Transfer Station. A copy of your approved application is attached. This approved application must be shown to the transfer station scale attendant at the time of disposal. Please be advised that the disposal application is only for the materials and quantities listed on the application. Materials not listed or in excess of the quantities noted may be require a separate application and approval. Please call Tom McCabe Solid Waste Superintendent at 360-417-4872 or e-mail tmccabeCcpcityofpa.us if you have any questions. Sincerely, 4 Tom McCabe Solid Waste Superintendent Cc: Brian Tate,Operations Manager,Port Angeles Transfer Station Sonja Coventon,Scale Attendant, City of PA. Eric: WDA -417-4800 Fax: 360-417-4542 Phone: 360 _)rihmfn�:i tic www r_itx/nfnq im / Firrinil- r-mhIir%,vnrkc(o Wph-itto ' --.";o - " - � 'p. , - - 4( ----f%� . Ep�0 C70A"", PA 14 OPA-4� co co �.dbPA. A Ion W 608 cb 532 609 -WON mom 1A El 71" "A 611 Address: th Street ,5- 7 -�- — '� 7- PREPARED 6/11/14, 13:31:40 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/11/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 532 E 6TH ST SUBDIV: CONTRACTOR : PHONE OWNER MICHAEL L SUTTON PHONE PARCEL 06-30-00-0-2-0400-0000- APPL NUMBER: 14-00000364 RES MANUFACTURED HOME ------------------------------------------------------------------------------------------------ PERMIT: BLM 00 BL MANUFAC-IURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLM 01 4/07/14 JLL BLDG MFG HOME MONO SLAB 4/07/14 AP April 7, 2014 9:25:28 AM pbarthol. Jim 477-1581 AM April 7, 2014 4:04:06 PM jlierly. BLBT 01 4/25/14 PB BLDG MFG HOME BLOCK/TIEDOWNS 4/29/14 AP April 25, 2014 11:43:01 AM pbarthol. Jim 477-1581 April 29, 2014 11:57:20 AM pbarthol. PW99 01 6/05/14 RV PUBLIC WORKS FINAL 6/05/14 AP June 6, 2014 7:38:17 AM rvess. June 6, 2014 7:38:39 AM rvess. BL99 01 6/11/14 13LDG FINAL June 11, 2014 11:01:27 AM pbarthol. jim 477-1581 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 14-000003G4 Date 4/04/14 Application pin number . . . 28233G Property Address . . . . . . 532 E GTH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0400-0000- REPORT SALES TAX Application type description RES MANUFACTURED HOME Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 90000 (Location Code 0502) ---------------------------------------------------------------------------- Application desc NEW 1067 SQ FT MANUFACTURED HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MICHAEL L SUTTON OWNER 532 E 6TH ST PORT ANGELES WA 983626208 ----------------------------------------------------------------------------- Permit . . . . . . BL MANUFACTURED HOME Additional desc . . 10G7SQ FT MANUFACTURED HOME Permit Fee . . . . 230.00 Plan Check Fee .00 Issue Date . . . . 4/04/14 Valuation . . . . 90000 Expiration Date 10/01/14 Qty Unit Charge Per Extension BASE FEE 230.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc WATER LINE METER TO HOUSE Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 4/04/14 Valuation . . . . 0 Expiration Date . . 10/01/14 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL-WATER LINE 7.00 -------------------------------------------------------------------- Special Notes and Comments April 2, 2014 9:24:23 AM tamiot. electrical permit will be required. payment will need to be made for service pedestal. Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. March 28, 201A 12:46:55 PM sroberds. The proposal will result in demo of exist sfr and replacement. New sfr will have 15% lot cov. No land use issues anticipated. Consider applying for the City Green Infrastructure Rebate of up to $750.00 towards the materials to install rain garden to control roof and driveway runoff. Also rebates available for downspout disconnections.Contact Jonathan 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 cayl the provisions of any state or local law regulating construction or the performance of const uction. t Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Bui I ding Permit qR 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/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: Walls T 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 /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 . . . . . 14-00000364 Date 4/04/14 Application pin number . . . 282336 ---------------------------------------------------------------------------- REPORT SALES TAX Special Notes and Comments Boehme at 360 417-4811 on your state excise tax form Trench safety per applicable laws. Temp erosion control and to the City of Port Angeles surface restoration responsibility of applicant. Contact City inspector prior to start of work @ 360 417-4.831. No (Location Code 0502) attachment to sanitary sewer of stormwater roof leaders, foundation drains, yard drains, or any other CSO contribution is allowed. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417-4831 A separate Right of Way Construction permit is required for all construction work in City right of way. Permit application should include driveway and underground power. utilize existing driveway opening. Construct driveway to City Standards. Concrete wit.h exposed aggregate or other non-standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. Public Works inspection request line 417-4831 ---------------------------------------------------------------------------- other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 287.00 287.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 291.50 291.50 .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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 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/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/Ceiiing 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 L Building 417-4815 T:Forms/Building Division/Building Permit p0R1,, 0, CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 14-00000364 Date 4/04/14 Application pin number . . . 282336 Property Address . . . . . . 532 E 6TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-0400-0000- REPORT SALES TAX Application type description RES MANUFACTURED HOME Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 90000 (Location Code 0502) ---------------------------------------------------------------------------- Application desc NEW 1067 SQ FT MANUFACTURED HOME ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MICHAEL L SUTTON OWNER 532 E 6TH ST PORT ANGELES WA 983626208 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY INSTALLATION Additional desc . . USE EXISTING CURB OPENING Permit Fee . . . . 180.00 Plan Check Fee .00 Issue Date . . . . 4/04/14 Valuation . . . . 0 Expiration Date . . 10/01/14 Qty Unit Charge Per Extension BASE FEE 180.00 ---------------------------------------------------------------------------- Permit . . . . . . SANITARY SEWER HOOK UP Additional desc RECONNECT TO EXISTING Permit Fee . . . . 150.00 Plan Check Fee .00 Issue Date . . . . 4/04/14 Valuation . . . . 90000 Expiration Date 10/01/14 Qty Unit Charge Per Extension 1.00 150,0000 EA SAN SEWER HOOKUP 150.00 ---------------------------------------------------------------------------- Special Notes and Comments April 2, 2014 9:24:23 AM tamiot. electrical permit will be required. payment will need to be made for service pedestal. Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. March 28, 2014 12:46:55 PM sroberds. The proposal will result in demo of exist sfr and replacement. New sfr will have 15% lot cov. No land use issues anticipated. Consider applying for the City Green Infrastructure Rebate of up to $750.00 towards the materials to install rain garden to control roof and driveway runoff. Also rebates available for downspout disconnections.Contact Jonathan Boehme at 360 417-4811 Separate Permits are required forelectricaf 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. Date Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit 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 INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY[USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 447- BUILDING 4815 T:Forms/Building Division/Plublic Works Perrnit CITY OF PORT ANGELES PUBLIC WORKS &UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 14-00000364 Date 4/04/14 Application pin number . . . 282336 ---------------------------------------------------------------------------- REPORT SALES TAX Special Notes and Comments Trench safety per applicable laws. Temp erosion control and on your state excise tax form surface restoration responsibility of applicant. Contact to the City of Port Angeles City inspector prior to start of work @ 360 417-4831. No attachment to sanitary sewer of stormwater roof leaders, (Location Code 0502) foundation drains, yard drains, or any other CSO contribution is allowed. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417-4831 A separate Right of way Construction permit is required for all construction work in City right of way. Permit application should include driveway and underground power. Utilize existing driveway opening. Construct driveway to City Standards. Concrete with exposed aggregate or other non-standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. Public works inspection request line 417-4831 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------- ----------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 330.00 330.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 334.50 334.50 .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 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:Forms/Building Division/Public Works Permit 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 INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-I'LOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY[USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 4174807 PW/ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 4174750 PLANNING DEPT. BUILDING 417- BUILDING 4815 T:Forrris/Building Division/Public Works Permit THE For City Use COTY OF VO P1 A! G. �EL�I�S P Permit# e rm itl W A S H I N G T 0 N. U . S. Date Received: -5-2-4- 1 1 321 E 5th Street Date Approved SI-a SJ I Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email: permits0city f— — BUILDING PERMIT APPLICATION Project Address: 5-3a F. 6-"- %� Phone: Primary Contact: � I�V% oeSel Email: 6V1&M6fvd ,0e (gp Vpe4 �60,#71 Name . V Phone M I' I e- -'Sa 6 Property Mailing Address Email Owner City State 10 PO t-I Aii!K(e-S t4 zip qy3&2 Name T);&kn V^d" eOMA Phone Ce63 -RPS? Addressq(&(I 0(j ()ky Contractor M e , 114Vy Email D- Information 16NM0JX-My city State LIP '?'V3yZ- Contractors License'i E .Date: 11110'r A _f Q8 — . 1egal Description: Zoning: Tax Parcel# Proj7e—c�t�alue: (materials and labor) 0(r306)5V20VC0 $ 000,&-`:' Residential W Commercial 0 Industrial Public Permit Demolition 0 Fire 11 Repair 1:1 Reroof(tear off/lay over) 13 Classification For the follomdng, fill diia both pages of permit application: (check New Construction IN Exterior Remodel 11 Addition 0 Tenant Im rovement Wechi��c�l U Plumwl�g— Other 11 Fire Sprinkler System? Irrigation System? Proposed Bathrooms roposed Bedrooms Yes 0 No P1 Yes 13 No Et 1 3 lVdivia.c/s. Project Description (9zowe— ex, ApfnA� aand reooh�-c e- w�k 0 1 /1041-7 so IFI , NKC&co.-J;�C-d home- Is project in a Flood Zone: Yes 13 N6M 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 authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior towork. I understand that plan review fees are not refundable after review has occurred. I uAderstand that I will forfeit review fees if I withdraw the application before the permit is issued. I understaind that if the permit is not picked up/issued within iLgo days of submittal,the application will be considered abandoned and the fees will be forfeited. Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed ss value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or 21d floor) Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed ss Vaiue Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Siz.�(sq ft) Lot Coverage(sift) %Lot Coverage(Tota-1 lot coverage lot size) 740 0(e Site Cov-eragSA( q Ft _qf all impervious)_____ %of Site 'overage(total site coverage+lot size) 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 Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # I repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-buming/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 I I 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 # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor(Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Bullding Permit 4-17-13.docx FILE CITY OF PORT ANGELES—Construction Plans The Issuance of this peW t,,)on tf ase plans,specifi- cations and other dat, not Pr—-,�f t ie building official from thereafter the correc"-,i of errors in said p!ans, specificafior�- and other data, 9 from preventing building operations t-"ng carried on "�reunder when in violation of all co�e� o this jurisdiction. �Sy ( Approval Date A LVc- �V"VV- VN 4- Or 40 *40 I,.Ali; 91 00 4n, Ji, Z";k -L IRA'; If, 'vL CORNERSTONE COLLECTfoAr C"i uj "AWISTREAM" 2840A 26 -8" x 40'-0" APPROX. 1,OG7 SQ. FT. CD cli m I? co 00 C) (D 22, 4b X 1 40 wu uj .—+ =A ui ING _j PEN w L ,a RA. BA.I- E0 umtx L T L E I �% I 0- 4. Ll VIN NUUM (D CD BDRY. 3 LD a) E 0 Ln 3: 1 Sh -JD 5? B W 41, K !V M (D OPF roan C\l (D 2i Mar 20 14 07:25p PGIVI Recycling Inc 3607368796 P.1 ENGINEERS A"ROVAL PGM Inc D NE TIE DOWNS . 011 ENGMERED TIE DOWN SYSTEM "7 V_�,41 e,,e-) �o GENERAL NOTES OEM DESIGN LOADS: 14, DESIGN LOADS: WIND 15'PSF(70 MPH EXPOSURE"C')CAC T-25 and COMPLIES WITH 2009 ISC 85 MPH EXP.C AL 'SOIL BEARING 1000 pSlIr WAS4, 'TIE DOWN STRAP 3150#WORKING LOAD 'SEISMIC ZONE—4 CACT-25AND 2006IBC S,—JA. Fa--j.4 So�1.41 Site Class D TIE DOWN STRAPS TO BE MIN.1114*WIDE x 0.035 THICKNESS ZINC PLATED AND MEET ASTIVII D�3953-07 1 /7 141 76 'EARTH AUGERS 2962# (TESTED TO 475D#MIN.) All 'CROSS DRIVES #(rESTED TO 47509 MIN.) 'CONCRETE SLAB ANCHORS—1390#(CALCULATED) AL. 1D[ER:ES_�7111/ 1. THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND ENDS OF THE MANUFACTURED HOME. — COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED. 3. FOR ALL TIE DOWN JINSTALLATIONS,7HE MANUFACTURED HOME CHASSIS MEMBERS ARE SHOWN AS"I"BEAMS,(FOR ILLUSTRATION PURPOSE ONLY)CHASSIS BEAMS SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS.END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OFTHE MANUFACTURED HOME. 5. END TIE DOWNS CAN BE LOCATED WITHIN 18"OF EITHER SIDE OF CHASPBEAM UT. CPASSM 8F" AT CO�W SO OFT M" 6. THE,SIZES,TYPES,LENGTHS,ECT,OF MATERIALS SHOWN HERE�b&`AF;it-MINIMUM, LARGER,LONGER,HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC,MAY BE USED AT THE SAME SPACING AND LOCATION SHOWN. 7. ALL PARTS ARE COATED WITH RUST RES19TANT INDUSTRIAL SHOPPRIMF�P. PGM Inc 21822 OldHwy 99'�` AZi -ATE APPR L Centralia, WA-98532 s88-265-8981 CA'.. NV PACIFIC CONSULTING ENGINEERS 2150 BELL AVE.SLATE 145 SACRAMENTO,Ck 95938 ft:(916).56"028 Mar 20 14 07:25p PGM Recycling Inc 3607368796 p.2 #6005 #6006 #7000 7001 #7002 W02 ChIASSIS f4002 PJER EID17—ON 70P 4 'R 4Y()02 #7002 7' STEEL f7000 7' STEEL STRAP -.,/ STPAP wl Bcx�etr HOLE 1600-9 SPtrT BOLT & t4bT NOTE ... ....... -y5006 #6001 #6000 NOTE 3 5TABILZER LATE sm., ......... ..... ..... ...... NOTE 4 6000 SEPJES EARTH AOGER T(PICAL) INSTALLATION INSTRUCTIONS I- CONTRACTORS WARNING:,CHECK FIRST FOR UNDERGROUND UTILITIES. 2. INSTALL GROUND ANCHORS INTO GROUND LEAVING IZ'-14!'OF SHAFT EXPOSED. 3. PLACE STABILIZER PLATE NEXT TO SHAFT BETWEEN THEANCHOR AND CHASSIS BEAM,AND DRIVE INTO GROUND. 4. FINISH TURNINGANCHOR INTO GROUND APPLYING CONSTANT DOWNWARD PRESSURE TO MINIMIZE SOIL DISTURBANCE UNTIL ANCHOR HEAD IS FLUSH WITH STABILIZER PLATE. 5. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 6. IF ANGLE OF SIDE STRAP IS GREATER THAN 60*,STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 7. INSERT STRAP THROUGH SPLIT BOLT.CUT OFF EXCESS STRAP AND TIGHTENBOLT UNTIL STRAP IS SNLJG�. END TIE DOWNS END IE DOWNS ENO TIE DOWNS SEE CHART SEE CHART SEF CHhRT LE z z LA -j SINGLE VVIDE DOUBLE WIDE TRIPLE WIDE Mar 20 14 07:25p PGM Recycling Inc 3607368796 p.3 SAC IND. STABIFL-X DRIVE TIE DOWN ANCHORS soos #6013 #7000 001 7002 #44002 - #70100 or 7002 CHASSIS h'4002 PIER 7' 57EEL STpAp ROLT-ON Top j�6005 SPLIT J7002 BOLT & NUT 7' STEEL 17000 7' STEEL STRAP wl STRAP wl BUCKLE HOLE 46CO5 SPLIT #5013 57,43fL ',V- Its BOLT ee MUT DRIvE ANCHOP G,'?CJND VINVE ............ ........ _w: . ........ ...... ....... ... . ... ...... ....... .......... DETAIL 9'Afr VERTICAL OR ANGULAR INSTAUATION 13 OFMOmL STABIL-X DRIVE TIE DO"T SEE DETAIL 11 11 INSTALLATION INSTRUCTIONS I. CONTRACTORS WARNING-CHECK FIRST FOR UNDERGROUND UTILITIES. 2. IVE STABILIZER PLATE INTO GROUND. 3. DRIVE CROSS RODS THROUGH HEAD TUBES INTO SOIL AS SHOWN. 4. ATTACH STRAPS To CHASSIS BEAM IN MANNER SHOWN. 5- IF ANGLE OF SfDE STRAP IS GREATER THEN 600 STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BL�m. 6. INSERT STRAP THROUGH SPLIT BOLT. CUTOFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP IS SNUG. 7. #6002 ANCHOR CAN BE USE[)WHERE HARD OR ROCKY SOIL OCCURS.IF THE GROUND SURFACE IS 07-HER THAN ROCKY SOIL OR MINIMUM 2'ASPHALT, USE STABIL-X ANCHOR OR ENCASE ANCHOR WITH 112'�d2'�dZ'CUBE OF CONCRETE. #6002 8. WHEN#6002 ANCHOR IS USED FOR ANY REQUIRED ANCHOR-(2)ANCHORS SEE NOTE#7 MUST BE USED AT THAT LOCATION. AND NOTE#8 EARTH AUGERS- CROSS DRIVE AN'HORS CONCRETE SLAB ANCHORS MAX UFM 0 COF 36' 54' 72'1 MFGIO 1 721 1 LENG7H OF ODE --- MAX No.OF WE MFG'D HOME 68, TIE 4 0 NO.OF SVE NOTE: V TIEDOVWS 4 5 677 8 SIDE TIE-DOWNS: MUST BE WITHIN 24' OF THE END OF THE CHASSIS BEAM. END TIE-DOWNS: CAN BE LOCATED WITHIN 24' OF EITHER SIDE OF CHASSIS BEAM ONE TIE-DOWN IS MANDATORY AT EACH END OF I'SEAM (SEE PACE #1 GENERAL NOTE #5). IF SIDE WALL TIE-DOWN GROUND ANCHOR LOCATION IS SUCH THAT THE ANGLE BETWEEN THE GROUND AND STRAP EXCEEDS 60. CONNECT THE TIE STRAP _TC THE INSIDE CHASSIS BEAM ON DOUBLE AND TRIPLE WIDES AND THE OPPOSffE CHASSIS 13EAM ON SINGLE WIDES. Mar 20 14 07:26p PGNI Recycling Inc 3607368796 p.4 SAC IND. CONCRETE TfE DOWN ANCHORS CHASSIS 4002 PIER OLT-ON TOP ,?7002 7' STEEL S7RAP WITM HOLE ___�--�7000 7' STEEL 7000 #7001 #7DO2 �6005 TRAP W1 SUCKLE #6005 Sp'LJT 0D &OLT rquT OR #4 j6003 '002 #6003 #6004 CONCRETE TEE-DOWN INSTALLATION INSTRUCTIONS ALTERNATE NEW CONCRETE-#SMM CONNECTION 1- PLACE CONCRETE ANCHOR INTO WET CONCRETE,AND ALLOW TO PROPERLY CURE. 2. ALTERNATE CONNECTION REQUIRES#5 REBAR PROPERLY EMBEDDED IN CONCRETE EXSISTING CONCRETE-#6003 I. CONCRETE iZ�rT:9:E-�MINIMUM 3Y2"THICK AND IN GOOD CONDITION. 2. MINIMUM SLAB AREA OF:EACH ANCHOR IS 28 SQUARE FEET. 3. DRILL PROPER SIZE HOLE IN SLAB,A MINIMUM OF 12"FROM ANY SIDE 4. EXPANSION SOLT IS %"x 4Yj'WITH MtNIMUM 2%"EMBEDMENT AND 6,180 POUNDS PULL OUT,7,160 POUNDS SHEAR. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. IF ANGLE OF SIDE STRAP IS GREATER THAN 600,STRAP CONNEC71ON CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 3. INSERT STRAP THROUGH SPLIT BOLT,CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP 15 SNUG. NOTE:SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE MANUFACTURED HOME. NOTE:A COMBINATION OF DIFFERENT TYPES OF TIE,DOWNS CAN BE USED. DRILL ?4r.- HOLE'AT glo HE;CHT OF BEAM AND INSTALL Y2-"A 07 SOL7 fl %% SIDEVIEW ENDVIem SIDEVIEW OSIDEMEW END TIE DOWN "C"BEATsf CHASSIS "RFC"BEAM CHASSIS NOTE: ENDUE0OVVNCANM SEE GENERAL NOTE 93 SEE GENERAL NOTE#3 15EATED V&�]N 18-OF EITHER SIOE OF CRASSI SEVA Ma CONTRACTORS CERTUICATION I CERTIFY.THAT I HAVE INSTALLED THE SAC IND.,INC.ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS. I HAVE MADE NO MODIFICATIONS TO THE ANCHORING SYSTEM OR THE BUILDING STRUCTURE COMPANY NAME: CONTRACTORS LIC.# kon-e- IV Rebar Ae 017