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Home My WebLink About521 S Francis St - BuildingPREPARED 6/05/09 8 59 21 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/05/09 ADDRESS 521 S FRANCIS ST SUBDIV TENANT NBR BARB OLIVER CONTRACTOR KED /TER CONSTRUCTION INC PHONE (253) 874 4884 OWNER BARBARA D OLIVER PHONE (360) 452 8138 PARCEL 06 30 00 0 1 9460 0000 APPL NUMBER 07 00000957 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/07/07 JLL 9/07/07 AP BLDG FOUNDATION FOOTING TIME 09 00 09/06/2007 01 43 PM LPANGRLE FOUNDATION REQUESTED A MORNING INSPECTION 09/07/2007 04 15 PM JLIERLY BL3 01 10/05/07 JLL BLDG FRAMING TIME 01 00 10/05/07 AP October 5 2007 8 30 27 AM 1pangrle MARVIN 775 7061 FRAMING AFTERNOON BL9 01 10/05/07 JLL BLDG SHEARWALL TIME 01 00 10/05/07 AP October 5 2007 8 33 55 AM 1pangrle MARVIN 775 7061 SHEARWALL AFTERNOON PW99 01 5/06/09 RV PUBLIC WORKS FINAL 5/06/09 AP May 6 2009 1 47 59 PM rvess May 6 2009 1 48 19 PM rvess BL99 01 5/08/09 JLL BLDG FINAL TIME 01 00 5/08/09 DA May 4 2009 4 01 59 PM 1pangrle BARB 452 8138 BLDG FINAL ATTACHED GARAGE AFTERNOON May 8 2009 4 04 49 PM jlierly elec final reqd BL99 02 6/05/09 LL BLDG FINAL TIME 01 00 June 2 2009 10 47 20 AM 1pangrle BARB 452 8138 BLDG FINAL GARAGE AFTERNOON COMMENTS AND NOTES PREPARED 5/08/09 8 15 17 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/08/09 ADDRESS 521 S FRANCIS ST SUBDIV CONTRACTOR PHONE OWNER OLIVER JTROS WILLIAM H/B PHONE PARCEL 06 30 00 0 1 9460 0000 APPL NUMBER 05 00001188 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/01/05 JLL MECHANICAL FINAL 12/01/05 DA 11/30/2005 12 02 PM PBARTHOL BARB 417 4595 (SWIMMING POOL) WILL BE HOME BETWEEN 12 30 AND 1 00 12/01/2005 04 24 PM JLIERLY supply cut off to be accessable within 6 of unit /j11 ME99 02 5/08/09 J MECHANICAL FINAL TIME 01 00 AO May 4 2009 3 45 32 PM 1pangrle BARB 452 8138 MECHANICAL FINAL PROPANE INSERT AFTERNOON COMMENTS AND NOTES PREPARED 5/08/09 8 15 17 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/08/09 ADDRESS 521 S FRANCIS ST SUBDIV TENANT NBR BARB OLIVER CONTRACTOR KED /TER CONSTRUCTION INC PHONE (253) 874 4884 OWNER BARBARA D OLIVER PHONE (360) 452 8138 PARCEL 06 30 00 0 1 9460 0000 APPL NUMBER 07 00000957 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/07/07 JLL 9/07/07 AP BLDG FOUNDATION FOOTING TIME 09 00 09/06/2007 01 43 PM LPANGRLE FOUNDATION REQUESTED A MORNING INSPECTION 09/07/2007 04 15 PM JLIERLY BL3 01 10/05/07 JLL BLDG FRAMING TIME 01 00 10/05/07 AP October 5 2007 8 30 27 AM 1pangrle MARVIN 775 7061 FRAMING AFTERNOON BL9 01 10/05/07 JLL BLDG SHEARWALL TIME 01 00 10/05/07 AP October 5 2007 8 33 55 AM 1pangrle MARVIN 775 7061 SHEARWALL AFTERNOON PW99 01 5/06/09 RV PUBLIC WORKS FINAL 5/06/09 AP May 6 2009 1 47 59 PM rvess May 6 2009 1 48 19 PM rvess BL99 01 5/08/09 L ry7 L BLDG FINAL TIME O1 00 May 4 2009 4 01 59 PM 1pangrle BARB 452 8138 BLDG FINAL ATTACHED GARAGE AFTERNOON COMMENTS AND NOTES ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTOR DATE g /61Y9 .?57 D T C PP OWNER/CONTRACTOR ADDRESS 521 S rt,4NCI S APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED G r"-C, t 'Fa o v`' V cLc..5 �v f P3o7 &A ta 6.E 2j •ei A "Z- S c, J 3 ak cs r c s u Lri a■t G l lac a r 1;) !1r) !2 A- Fico.: 1 Mac_ LAO 74 EA TV..21a Q LINT RNl7 Spa tTC raw lNl A tS `7-r, P igozpiwia t LE f 21) 70 A7� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 05/04/2009 20 16 4579270 2004 /JAN /30 /FRI 12 7 PM UPY OF PA BLDG DEPT FA) No 360 4711 Owner !em m s eemne •---em ApplicatLea llllm ber 03- 00001004 Property A 06 t et a 522 S FRA11C.zs ST ARM-20R P.8Rfal1 WHAM 06.30• -00 -0 ^1-9460 -00 Application ltef•criptiolll WS2 ADD1TXOR eubdiviiaio10. Prose Property Doe Property Eosin a97 ameote17. Burro =NW Application sera. cati.eeln 3800 OLIVER JTROS !8 :Tzars F 921 2 PRAIICSmI 19' PORT ASS TA. 983626430 structure L d orent conetpuictien T lee` Occupancy Type Other etruet 8erntit Additional dee sub Contractor Peraat Pee Zesije 'Date Aspiration DIM Qty m it I:hor a Per 1 00 hr.3000 :eCE 7lLmAM -0 -200 1ST BEV 81t6= Other Pees Pee ewamaxy Permit Fee To :al Plan Check To ;.1 Other Pee rot IL Greed Total. .1111 011 Separate Permits are r null and void If mills ot for a p0tad.of 180 datyr inapaatek I here y c laWb and ordinances gl presume to give eullx OffletrUetlen. Signature of Conlracto ur Auth■lirl7ed Agent CITY OF POR. C ANGELES DTF' IRTMENT 321 OF 5� DEN ELOOP T BUILDING DMSIO1T sees ■41, Contractor BRUCE BRAVER P O BOX 3332 MOM (360) 681 -4839 ilOO. 992F ADDNT T!PB V NOR -RATED =ROLE FAN COEGRWATES TOTAir t LOT COvEsthOR CONBTRDCTro3t TYPE BARD SCREAM AREA llamas* OP STORIES 8*ZOTman LOT COVBR&GS LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVEE7O NUMBER Or mtrro llLE TRICAL 1QHW ASSIDSOTZAL mlIh1I0 SERV/CR /ALTER CTRCOZTB IITMPs0N EL$CT$xC h'6 30 Plan CheCk Pee 00 1/30/04 0t1uatiOn 0 7/211/04 STAIN SURCURCE anargad raid credited 76.30 76 30 00 00 BO 490 80 80 80 80 Wired fiar electrical work, SEPA, Shoreline. ESA 1 rtililles, private and public improvements. Th is permit become" 4 onstrudien authorized Is not commenced within I B0 days, if construction orwork Is suspended or abandoned after the work as commenced, or if required Inspections have not been requested within 180 days from the last p rtlfy 1fiel: I have read and examined this applicati In and know the same to be true and correct All provisions of reming :hfi'r type of work will be complied with whe ether specified herein or not. The granting cf a permit does not fly to *Rate or cancel the provisions of any suite or local law regulating construction or the performance of Date SIMPSON ELECTRIC 00 0 0 00 00 it 1/30/04 v WA 98382 18.40 3, 00 1192 00 7000.00 99 00 3.991 00 1.00 Due Extenaiaa 76.30 4 50 0 0 00 00 00 r.• PAGE 01 001 /001 signature of Owner (if owner is builder) Date Request for Inspection SUNGARD'FUBuC S,CrGr V OK N Exit Cancel Activity inquiry 1 View 2 Inspection re. Application I. User defaults Change head. Request for Inspection Application number Application type: Property address: Tenant number name: Contractor name: Structure 7 [Permit.] 000 BPR 000 000 DWY 000 000 ELAR \24:-(1 ‘4% \0 k\' v i '6 l a c, Permit Selection CITY OF PORT ANGELES Permit Selection 07 00000957 RES ADDITION 521 S FRANCIS ST BARB OLIVER 00 BUILDING PERMIT RESIDENTIAL 00 DRIVEWAY INSTALLATION 00 ELECTRICAL ALTER RESIDENTIAL 2) S r Plumber Type Sequence Sequ ence 000 Permit Description Contractor/ subcontract Status KED /TER CONSTRUCTION INC KED /TER CONSTRUCTION INC SIMPSON ELECTRIC PP PP PP Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360- 417 -4755 Qty Unit Charge Per 1 00 46 0000 ECH, EL R OR RM 1 4 ALT CIRCUITS Special Notes and Comments The Fire Department has reviewed the project application and has no comments Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City s electrical facilities will be at the customer s expense Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete 08/30/2007 01 20 PM RVESS Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 07 00000957 993037 521 S FRANCIS ST 06 30 00 0 1 9460 0000 BARB OLIVER RES ADDITION RS7 RESDNTL SINGLE FAMILY 12495 Charged Paid Credited Due 46 00 46 00 00 00 00 00 4 50 4 50 00 50 50 50 50 00 Date 10/24/07 BARBARA D OLIVER KED /TER CONSTRUCTION INC 521 S FRANCIS ST 61 HANUSA LN PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 8138 (253) 874 4884 Structure Information 000 000 357 SQ FT ATTACHED GARAGE Other struct info HARD SURFACE AREA Permit ELECTRICAL ALTER RESIDENTIAL Additional desc SIMPSON EL GAR ADDITION Permit pin number 113597 Sub Contractor SIMPSON ELECTRIC Permit Fee 46 00 Plan Check Fee 00 Issue Date 10/24/07 Valuation 0 Expiration Date 4/21/08 Extension 46 00 STATE SURCHARGE 4 50 00 00 00 00 INSPECTION EL hCTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH -IN FINAL COMMENTS /0 dk 10/19/2007 00 39 4579270 Job wired by )t lectrical Contractor C] Owner Elec I contractor acme l.ieetre wjnlwr Date Expires .c..4 t cam? ill eSCL q"7 3 1C), D New Pure er's ling address b NWL4 o r Lap City Poo- f State Cs g 3 ‘3 PAX n Telephone number number L 5 7 2--7 O c 'Premlaestner'a sine 0-4 I 1 1.) Address of Inepeet1nn FraKIal S City phone Dumber t ebedni -ina�t e Owner as defined by RCW..1P.28,261 •(l) Owner will occupy the structure for two years after this electrical permit Is finalised. (2) Owner is required to hire an electrical contractor If above said property is for sale, rent or lease After reading the shove statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor: I am making the electrical instal- lation or alteration in compliance with the electrical lawn, N.E.C. RCW Chapter 19.28. WAC. Chapter 296 -460, The City of Port Angeles Municipal Code, and .:y .•A_ O NO LOAD CHANGES o Baseboard KW O Furnace KW O Heat Pump Ton LAFI O Fan-Wall KW ass fatimmaimmenniummei- Inspection Date ROUGH IN only ApprpvN By x U Overhead Service C] Temp Service D Underground Service Dole DITCH SIMPSON ELECTRIC Nrinstallation description SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360 -417 -4735 THERMOSTAT ELECTRICAL WORK PERMIT APPLICATION O Commercial Residential 'altered /Addition RG •KJ 0,4,4 f L 4, CD O Cash O Check 10Credit Card Card Utility Specifications. SIgnat of owner, eleetrlca etor or electrical administrator ExpirationDate e: 10 19 /i of card Aen°"e' By Area, Building or EqurpmentJntpected Due l Mastercard Appm 8Y J Coi lnapection fee Amnilialnkantalan Voltage Phase 0 10 3 Service Size: Feeder Size: SERVICE FEEDER ArimwelBy J Atnttoved By J sue Armond ny ENTER APP TO PLAN REVIEW RETURN FROM PLAN REVIEW(APPROVED) RECEIPT TO CASHIER PAID PERMIT ISSUED FAXED TO CONTRACTOR INSPECTIONS FINAL PAGE 01 Discover !DATE io 25 .:,L P- -a. ctinw. Ts4.. Electrical a PREPARED 10/05/07 10 12 04 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/05/07 ADDRESS 521 S FRANCIS ST TENANT NBR BARB OLIVER CONTRACTOR KED /TER CONSTRUCTION INC OWNER BARBARA D OLIVER PARCEL 06 30 00 0 1 9460 0000 APPL NUMBER 07 00000957 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/07/07 JLL 9/07/07 AP BL3 01 10/05/07 BL9 01 10/05/07 J L SUBDIV PHONE (253) 874 4884 PHONE (360) 452 8138 BLDG FOUNDATION FOOTING TIME 09 00 09/06/2007 01 43 PM LPANGRLE FOUNDATION' REQUESTED A MORNING INSPECTION 09/07/2007 04 15 PM JLIERLY BLDG FRAMING TIME 01 00 October 5 2007 8 30 27 AM 1pangrle MARVIN 775 7061 FRAMING AFTERNOON BLDG SHEARWALL TIME 01 00 October 5 2007 8 33 55 AM 1pangrle MARVIN 775 7061 SHEARWALL AFTERNOON COMMENTS AND NOTES PREPARED 9/07/07 9 14 10 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/07 ADDRESS 521 S FRANCIS ST SUBDIV TENANT NBR BARB OLIVER CONTRACTOR KED /TER CONSTRUCTION INC PHONE (253) 874 4884 OWNER BARBARA D OLIVER PHONE (360) 452 8138 PARCEL 06 30 00 0 1 9460 0000 APPL NUMBER 07 00000957 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/07/07 BLDG FOUNDATION FOOTING TIME 09 00 09/06/2007 01 43 PM LPANGRLE FOUNDATION' REQUESTED A MORNING INSPECTION COMMENTS AND NOTES Application Number 07 00000957 Date 9/04/07 Application pin number 993037 Property Address 521 S FRANCIS ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9460 0000 Tenant nbr name BARB OLIVER Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 12495 Owner Contractor CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 BARBARA D OLIVER KED /TER CONSTRUCTION INC 521 S FRANCIS ST 61 HANUSA LN PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 8138 (253) 874 4884 Structure Information 000 000 357 SQ FT ATTACHED GARAGE Other struct info HARD SURFACE AREA Permit DRIVEWAY INSTALLATION Additional desc Permit pin number 109926 Permit Fee 170 00 Plan Check Fee 00 Issue Date 9/04/07 Valuation 0 Expiration Date 3/02/08 Qty Unit Charge Per BASE FEE Special Notes and Comments The Fire Department has reviewed the project application and has no comments Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City s electrical facilities will be at the customer s expense Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete 08/30/2007 01 20 PM RVESS Other Fees Fee summary Permit Fee Total 170 00 170 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 174 50 174 50 00 00 T\Policies \1102.15R [1/05] Charged Paid Credited Due Extension 170 00 STATE SURCHARGE 4 50 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work 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 ro Authorized A�ent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \1102.15R 1/05] RESIDENTIAL PERMIT INSPECTION RECORD YES I NO I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION RW PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING Application Number 07 00000957 Application pin number 993037 Property Address 521 S FRANCIS ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 9460 0000 Tenant nbr name BARB OLIVER Application type description RES ADDITION Subdivision Name Property Use Property Zoning Application valuation Owner Contractor BARBARA D OLIVER 521 S FRANCIS ST PORT ANGELES (360) 452 8138 Structure Information Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98362 Qty Unit Charge Per CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RS7 RESDNTL SINGLE FAMILY 12495 KED /TER CONSTRUCTION INC 61 HANUSA LN PORT ANGELES (253) 874 4884 000 000 357 SQ FT ATTACHED GARAGE HARD SURFACE AREA BUILDING PERMIT RESIDENTIAL 357 SQ FT ATT GARAGE 109165 249 75 Plan Check Fee 99 90 9/04/07 Valuation 12495 3/02/08 BASE FEE 11 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City s electrical facilities will be at the customer s expense Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete 08/30/2007 01 20 PM RVESS Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total STATE SURCHARGE 4 50 Charged Paid Credited 249 75 249 75 00 99 90 99 90 00 4 50 4 50 00 354 15 354 15 00 C /e `l Ado Signature of Contractor or Authorized Agent Date T' \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Date 9/04/07 WA 98362 Due Extension 95 75 154 00 00 00 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 Owner (if owner is builder) Date ELECTRICAL LIGHT DEPT CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING R. HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 11's BUILDING PERMIT INSPECTION RECORD 1 d -o5-07 r"Ll- FIRE 417 -4653 PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 I 5 D I JLL..._ I T \Policies \I 102 15 building permit inspection record05 wpd 11/4/2005] ACCEPTED YES I NO n9-67-0 7 -off Iyn -05 -co 3 FINAL FINAL SEPA. PARKING /LIGHTING I ESA. LANDSCAPING I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW /ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE I ACCEPTED I YES I NO 0 CA I I I I I I 13. TO 7- tY r 1 j KitnAJI /V n )\.)tfEit..) MLCC-802-2 PRINTED IN U.S.A. 1 ),i V IV LINDBE A R C H I CTS 319 south peabody suite b port angeles, wa 98362 360 452.6116 fax 360.452.7064 email contact@lindarch.com www.lindarch.com t4f az-I• i De.> tv't-3 j",..3 .tx 174 Atf_ff memo-letter +A I: L L- DATE 3 OCir SUBJECT IP`P"'G 0 L., V4Y-- f\Jr6, 7 :7 2 T T> I RECIEWED OCT 0 3 2007 CITY OF PORT ANGELES el 6 A BUILDING DIVISION c yr 611eAry 'iv the Barb Oliver prvje 07-- 52 S 'ErcouiS 351 SE p G 319 S. Peabody Suite B. Port Angeles, WA 98362 360.452.6116 fax 360 452.7064 contactnn.lindarch.com www.lindarch.com Project: Q L' 111 Subject: /.418M4---. Date 'tea') f/ O7 2 f) SHEAR WALL SUMMARY 4 3 )4/4.,-) t I V V/L S SW I VH WL /2 1 i it I►1;� I4) Project No By Sheet of r Mem I I 1,.1� I I I 4..,14 vvA -L 4 I I 344.- 4 /10 IL- 1=TI Cl i I I I y y Y 4 S I c POST r I HOLD DOWN Wr '!gv .3 (2") 22( '1,,I)c.4 1 I I w 7 ib 1 C11V W I '1' I NISIN 4=2442 14.0 14 rtz4v °ti I m 5r, is 9 fl 2 p.P 1.),k,540(312- OC T i Y F1 G� L Eck %O u..l No, 1 -c 2t-t7 rxxot4 p -r I/ALLOFIT/FIRMINFO/FORMS /SHEARWAL ITN 6' THICK 8101 WALL NOA BARB AT 4'-0' O air. AND 24' Oa NORM N. (2) HHCCp IZ BARB 12' WDE 6 F0OT MG WITH (2) A BARB 4. LAD PIBE12 OVER co: VEL BABE Y-O• PLYWOOD OR O.S$. SHEAR WALLS 1 5. tWCP1M SHEAR 360 PLP. USE OD. POR FRAMING, use 3X DP 40 P A.E BOTTOM FLAMES A AT M 3' ARE FOUNDATION SHEAR UJALL PLAN PROVIDE NEW 4' THICK CONCRETE PAD 5'-0' X 3'-0' PROVIDE NEW 4' THICK CONCRETE DRIVE TO CITY APPROVED CURB CUT SCALE' V4' I'•0' WAIL D' NO SHEAR WALL Roof Beamf 2000 International Building Code (97 NDS)1 Ver 6 00 7 By Charles Smith Lindberg Smith on: 10 -03 -2007 0943.20 AM Project: BARB OLIVER Location. WINDOW HEADER Summary 3.5 IN x 5 5 IN x 5 0 FT #2 Douglas Fir -Larch Dry Use Section Adequate By 5 9% Controlling Factor Section Modulus Depth Required 5.34 In Deflections: Dead Load: DLD= Live Load: LLD= Total Load. TLD= Reactions (Each End) Live Load: LL -Rxn= Dead Load DL -Rxn= Total Load: TL -Rxn= Bearing Length Required (Beam only support capacity not checked) BL= Beam Data. Span. L= Maximum Unbraced Span. Lu= Pitch Of Roof RP= Live Load Deflect. Criteria. U Total Load Deflect. Criteria. U Roof Loading: Roof Live Load -Side One: LL1= Roof Dead Load -Side One: DL1= Tributary Width -Side One TW1= Roof Live Load -Side Two LL2= Roof Dead Load -Side Two DL2= Tributary Width -Side Two TW2= Roof Duration Factor Cd= Beam Self Weight: BSW= Slope /Pitch Adjusted Lengths and Loads. Adjusted Beam Length Ladj= Beam Uniform Live Load: wL= Beam Uniform Dead Load wD_adj= Total Uniform Load: wT= Properties For #2 Douglas Fir -Larch Bending Stress: Fb= Shear Stress. Fv= Modulus of Elasticity E= Stress Perpendicular to Grain: Fc_perp= Adjusted Properties Fb' (Tension) Fb'= Adjustment Factors. Cd =1 15 CI =1 00 Cf =1 30 Fv' Fv'= Adjustment Factors Cd =1 15 Design Requirements: Controlling Moment: M= 2.5 ft from left support Critical moment created by combining all dead and live loads. Controlling Shear V= At a distance d from support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections. Section Modulus (Moment) Sreq= S= Area (Shear) Areq= A= Moment of Inertia (Deflection) Ireq= I= 0 04 IN 007 IN =U914 0 11 IN U555 906 LB 585 LB 1491 LB 0 68 IN 5.0 FT 2.0 FT 4 12 240 180 25 0 PSF 15 0 PSF 2.0 FT 25 0 PSF 15 0 PSF 12.5 FT 1 15 5 PLF 5.0 FT 363 PLF 234 PLF 596 PLF 900 PSI 95 PSI 1600000 PSI 625 PSI 1343 PSI 109 PSI 1864 FT -LB 1223 LB 16.66 N3 17.65 N3 16 79 N2 19.25 N2 15 72 N4 48.53 N4 RECEIVE AUG 2 9 2007 tmrn CI B DIG DIVISION ES 'KMbeit k 9 ,4P6i--) 1 y r PE'S otryv f,.o&)Q 1=t ao tz. A ccss5o1zy crpA cttaxs 1.61* Var72. 177 Sf P- 3'11 �o 253 i —r 1' 5 *P' SITE PLAN Met SMACK G Ai moo sateack MOMS CONCIOETO Exisirm RESIpENCE TING Sb1EP TPCMVO NOS MOO CIO AO POSt CM' OF POW 14'-0' I 13_3 PROPOSI_D fa GARAGE b i I is a. r Ids' AORTA BUILDING PERMIT A Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8'/2" x 11" site plan MUST BE COMPLETE to be cA2 li 0�� accepted for review (360) 417 -4815 FAX (360) 417 -4711 1 t5. j(�,W� k`1 c, M 1��'1 R es id ent i al projects: submit two sets of plans V p, 23{'0 aN eve, 0pt C rrv om r t mercial projects: submit three sets of plans Applicant or Agent I j l P11 _1 Owner f1 -�L 0 1 F (2 Owner's Address iti rJ 1 5 tnr/Engineet ir\ le3 Q 4- S State License Contractor/Engineer's Address IS -1s1 S LiNch A PROJECT ADDRESS 5 I SD (14 k 5 u LEGAL DESCRIPTION Lot:Zc I A It. BBlock: 4'u+P 'tii>dpi7l CLALLAM COUNTY PARCEL NUM Q 3 00 0 1 h4v0.G4or 1S a i C p os\r i�lurvir, Abeim 175 7 6 6i w i 01+,5 I edl /Ter co E cU0 Q c o� TYPE OF WORK SIZEIVALUATION 10 Residential New Constr 10 Multi-family Addition Commercial 10 Remodel Repair Sign Phone l�L S Phoned l -7D-- '1 a �S Ke BRIEF DESCRIPTION OF'1HE PROJECT' Pvtfihc vad COMMERCIAL/RESIDENTIAL. Occupancy Group: 3 r? 3 floor 153 LOT COVERAGE Lot size Sq Ft {94 S 9 Existing Structure(s)'Sq. Ft. Footprint Re -roof Stove Move 76, Garage Demolition Deck Other r3.5 I3 SF S /SF SF /SF SF /SF TOTAL VALUATION Occupant Load. apply for this permit and understand that it is my responsibility to determine what perm such permits rior to work. Date I 1 '7 App(ic (T/K--)" T'1FORMS\BUILDING DIVISIOMB1dgPermitAppl:2006 CODE backup.wpd R OFFICIAL USE ONLY r ate Rec. 9 Ii ermit (57 ate Approved: L ate Issued: Phone ZONING .7 Sq. Ft. 3` floor Sq Ft. 6. Accessory Structures (17 t 'LS Sq. Ft. Accessory Structures h0 Sq Ft. Existing Structure(s) TOTAL) 5 I' 5 Sq. Ft. Proposed Structure(s) TOTAL Sq. Ft. TOTAL of existing proposed structures 1 4 5' Sq Ft. Maximum Height of Proposed Structure(s) 14 P Ft. laming to install a lawn sprinkler system? A'O Expires S 7 C, Construction Type: 4. Existing Structure(s) basement Sq. Ft. Proposed Structure(s) basement /V Sq. Ft. 414) l floor 1 DCS +ZS Sq. Ft. 1 floor Sq Ft. owl 4 to 2° floor Sq. Ft. 2 floor 'Xa Sq. Ft. ce\° 99) T1 L1 P 24 l Proposed Structure(s) Sq. Ft. Footprint p l 3051 TOTAL Structure(s) Sq. Ft. Footprint 1 10 Oen. 2',` Total Lot Coverage_ j (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) O VALUATION OF CONSTRUC ON In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW An application for a permit for any proposed work shall be deemed to have been. abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued, except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180. days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/TBC 20.06 1 I hereby certify that I have read and examined this application and know the same to be true and correct I am authorized to are require fiEtC 1E V "E D AUG 2 G 2007' CITY OF PORT ANGELES BUILDING DIVISION v 1 SETBACK EXITIN GA EN SHED FRONT SETBACK EXISTING CONCRETE DRIVE AND CURB CUT EXTEND CONCRETE DRIVE. TO ALIGN WITH NEW CsARAGE. 41.■ a.m. EXISTING RESIIDENCE PROVIDE NEW CURS CUT AS PER CITY OF PORT ANGELES 81TE PL AN VO4) f\T“ sT, CENTER LINE CP FRANCIS ST. ERIE TING GAR 4GE 10 MINI, MM. •Mis z1) 1 1 8 PROPOSED Z?' GARAGE 1 1 14'-0" 1 3-3" PREPARED 12/01/05 13 16 28 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/01/05 ADDRESS 521 S FRANCIS ST SUBDIV CONTRACTOR PHONE OWNER OLIVER JTROS WILLIAM H/B PHONE PARCEL 06 30 00 0 1 9460'0000 APPL NUMBER 05 00001188 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/01/05 �JLL MECHANICAL FINAL 4414--;•-• 9 Q 11/30/2005 12 02 PM PBARTHOL r BARB 417 4595 (SWIMMING POOL) WILL BE HOME BETWEEN 12 30 AND 1 00 COMMENTS AND NOTES c4 dr' /LA 4,‘ o f A -ec6s5 l e Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner OLIVER JTROS WILLIAM H/B 521 S FRANCIS ST PORT ANGELES WA 983626430 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 Fee summary Permit Fee Plan Check Grand Total MECHANICAL PERMIT PROPANE INSERT 66290 60 65 11/30/05 5/29/06 Unit Charge Per BASE FEE 10 6500 ECH ME -GAS PIPE Charged Total Total 60 65 00 60 65 Signature of Contractor or Authorized Agent Paid 60 65 00 60 65 T-\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00001188 275800 521 S FRANCIS ST 06 30 -00 0 1 9460 0000 MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 500 Contractor OWNER Plan Check Fee Valuation 1 TO 5 Credited 00 00 00 Date 11/30/05 Due 00 00 00 00 0 Extension 50 00 10 65 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. Date Signature of Owner (if owner is builder) Date FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FINAL 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 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING DATE ACCEPTED BY. FINAL S 10$9 DATE ACCEPTED BY. I I I I I I I I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address . ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00001004 Date 521 S FRANCIS ST 06-30-00-0-1-9460-0000- RES ADDITION 1/30/04 RS7 RESDNTL SINGLE FAMILY 3800 Owner Contractor OLIVER JTROS WILLIAM H/B 521 S FRANCIS ST PORT ANGELES WA 983626430 BRUCE SHAVER P. O. BOX 3332 SEQUIM (360) 681-4839 WA 98382 Structure Information Construction Type Occupancy Type Other struct info 99SF ADDNT TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 18.40 V-N 1. 00 1192.00 7000.00 99.00 1291. 00 1. 00 ~ '- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL CHANGE SERVICE/ALTER CIRCUITS SIMPSON ELECTRIC 76.30 Plan Check Fee 1/30/04 Valuation 7/28/04 ,l1\ .00 o Other Fees STATE SURCHARGE 4.50 ~ ~ lI\ Qty Unit Charge Per 1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 76.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76.30 76.30 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 80.80 80.80 .00 .00 u ~ 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 petted of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspeafOi1~ 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 o~dinances 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 c.Qnstruction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/20031 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN 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 I CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHJMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM Ex p / tZLO PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: 1--3;. o~ PARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [I 1114/2003] ! rfPORr~G' t::"'~<(", C~< L~ ~ 'lO:.;;;;<' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 IJUILUINCi fJ~HMII ISSUED: 9/09/2002 PERMIT NO: 13699 OWNER/APPLICANT WILLIAM OLVER 521 SO. FRANCIS Port Angeles, WA 98362 360/457-3254 T: S: PROPERTY LOCATION 521 FRANCIS S Lot: S 1/2 L T 10 & 11 & EAS Block: 194 D Long Legal Subdivision: TPA' Parcel No: 063000019460000 CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $1,500.00 Project Type: ELECTRIC FURN. Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 Commercial: 0 SFD sa FT: 0 Industrial: 0 Garage: 0 MFD Units: 0 MFD sa FT: 0 \n f\J If\ T1 J ? 5 r .., V' PROJECT NOTES INSTALL HP-FURNACE, DUCTS RECEIPT#9648 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.15 $0.00 Mise Fee 1: THERMOSTAT Mise Fee 2: Mise Fee 3: $34.40 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $68.55 $68.55 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Th granting of a permit does not presume to give authority to violate or cancellhe provisions of any sta or local law regulating con clion or the performr1 of construction. ~ Signature of Contractor or Authorized Agenl Date Date T:\PLANNING\FORM$\l 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE /76?1 INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TIQN DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS I I CEILING I I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DR YW ALL T-BAR INSULATION SLAB I I WALL / FLOOR I CEILING I I MECHANICAL HEAT PUMP WOOD STOVE / PELLET I CHIMNEY HOOD / DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT Irs SEP A: 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 I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 / / /://:, PLANNING DEPT. BUILDING 417-4815 1'1/ l...Cf /117... i'7'>-.M BUILDING I / T.\PLANNING\FORMS\1102. I 5 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQU~T: Date - - 215 ~CT2- Time Received by (phone, person) Location of Work to be inspected S-z I Ftz4 .(J(!./ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): ~ Permit No. Sewer Foundation Framing Chimney Plumbing c.nnav Sewer Excav. Other /3C/1'Q ! ,/v: tP-eJ INSPECTION NOTES: ' Inspected: Date q - Z 4- (5 L- Remarks: Time By ~ D~ rt- RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) dr"'''~ ~ &~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION '21 EAST 5TH STREET. PORT ANOELES. WA 9R362 ELECTRICAL PERMIT PERMIT NO 7823 ISSUED: 9/13/2002 OWNER/APPLICANT WilLIAM OLIVER 521 SO. FRANCIS Port Angeles, WA 98362 360/457-3254 T: CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 S: PROJECT INFO Project Type: RES. MISC. Occupancy Type: Occupancy Group: Electrical Heat: r- Baseboard Furnace Heat Pump Fan Wall PROPERTY LOCATION 521 FRANCIS S lot: S1/2lT10&11&EAS Block: 194 long legal Subdivision: TPA' Parcel No: 063000019460000 ARCHITECT N/A , 98360-0000 360/000-0000 Project Value: $0.00 Construction Type: H. P./ FURNACE Zoning Use: o KW o KW o KW o KW Riser Overhead Service Temp Service 'J1 N Underground Service Voltage: 240,120 Phase: L><:: 1 'j 3 Service Size: 200 Feeder Size: 0 lj\ PROJECT NOTES REMOVE BASEBOARD HEATERS, AND INSTAll NEW FURNACE AND HEAT PUMP. REC # 9657 FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Mise Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE COMMENTS/ACTION NEEDED T: ) }' ? [) \J' $0.00 $0.00 $46.70 $0.00 $0.00 $46.70 $46.70 ------ $0.00 ELECfRICAL PERMIT INSPECfION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MlNlMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 7'5?-'3 INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO ROTTnl-l_IN I CUYER ~ , , RTN J;. T "l/"''1'/tJz.-1 /frJ..I1 , , GENERAL COMMENTS: PW-I 102.15 (4r'96] . _.,._,:,o,..,....!........~~""l.'II~hi;':..'$(....~;;.. ....\j}:lt~W~~::; CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000145 Date .229800 521 S FRANCIS ST 06-30-00-0-1-9460-0000- RES REMODEL 2/20/04 RS7 RESDNTL SINGLE FAMILY 1000 t~ Pl t2W ~I rv7! oro Owner Contractor OLIVER JTROS WILLIAM H/B 521 S FRANCIS ST PORT ANGELES WA 983626430 OWNER ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc REMOVE WINDOW, REPLACE DOOR Permit Fee 62.25 Plan Check Fee .00 Issue Date 2/20/04 Valuation 1000 Expiration Date 8/18/04 Qty Unit Charge Per Extension BASE FEE 47.00 5.00 3.0500 HND BL-501-2K (3.05 PER C) 15.25 \J't N Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62.25 62.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 66.75 66.75 .00 .00 (j\ Ii ~ p ?- (\ ~, \p Separate I='ermits 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 cO",Uucllon. ~ /;Oft. . U!f)l( Slgnatu,e of Conbaclm 0' Authorized Agent Date Slgnatu'" of Ow'!!fit;;. bullde,) tYf / 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING t}_ 1~1-0H J J... DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB >(.-- J-f - 04 . \ 1-J WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I 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.I PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] III >-3 ~ ;l>'Oon~ n'O t"' >< :g~~t:l H:<l :>: '0 >-3 OJ (J) , t"'nOJ>-3:<l ><'0 (J) H zlS:<l~gJ ;l> 0 10 >-3 O:<l f-' ~. . Cl (J) "lOJ t:l tIl III 0 '0 '" OJ. :<l. 0 n:<llitl :<l :<lCD OOJ >-3' 3:10 0 ",CO 000 \J1 ~~ t"'OJO "<1\t"' N OJ{J) , , H f-' <;)0 >-3>-3t1l OW<: OJ'" tHlS ooOJ (J) t"- 0' :<l OJ e; 00 "l (J)f-' 00"-< :<l N H f-" >-3 ~ 4:" :<l IzI ",o:<l N OJHG) \J1 , 0 n lJ1 , t"' (J)Z f-'{J) H , C{J)'" :<l' (J) 0 , ~tO; OJ\O:>: ... {J)"'H (J) , <1\t"' >-3 , H :<lOt"' >-3 OJ'H , ~~~ , lIllIl :<It:l' , HC OJ OJ t:lo t"H {J){J)1:j OJO;X: , t"'t"' t'" , , t:l ElQCIl III , Z >-3HH , (J)'OO n G) '>-3~ 0 nH H 3: "'H 00 HZ :;:: lJ1Z 3:ZH Z{J) OJ -..]{J) 3: ~ (J)'O Z , C OJ '0 OJ >-3 Wt" Z OJn (J) N;l> >-3 n>-3 \J1>-3 (J) >-3H ~ "'H 00 0 :<lZ t:l Z "-<>-3 Z :>: ~n 0 ;l> 'O'O{J) >-3 t"' 8853 OJ:>': OJ t"' (J)OJ (J) , ZZt:l >-3 "l OJOJH t"' t"' <: 0 t"' 0 H :<l OJ :<l t"' >< t:l'O ;l>;l> >-3G) OJ OJ CD , o .. , o "'CD '-J ~ ~j '-, ("J BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec6~- Jt.f-::;- Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Permit #: Date Approved: Date Issued: Applicant or Agent: owner:JJ/JU//lfrJ tJhV[;(V-- Address: ~~I ~V'fP ~U.! Phone: Phone: City: /JPf!.r/JN~ I Jl#1f~ -.3Ulj ZIp: ~ Y Architect/Engineer: Contractor Phone: State License #: Exp: Phone: Address: City: Zip: ZONING: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: ilYResidential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ ISF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ ISF. = $ o Commercial tr"Remodel 0 Demolition 0 Deck SF. @ $ ISF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ 16DO 0 U . BRIEF DESCRIPTION OF THE PROJECT: . Pl1'11V6 ei./t-nNJ avn..y UI/VWJAlMJW -- 1N1~U- NEW fI1)PYJ,J~tJb ~nF COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: = TOTAL Sq.Ft. % No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are require ot t City's, and that I must obtain such permits prior to work. ~ Date: ;fUJI" Applicant: T:\FO RM S\APPS\Bui Id ingpermi t. wpd --" -// ~ ~~/-7 :'-- I I ~1 If; I b4- ~I NEM~"a:;;;.... 9)( C--J yv1 ~I / - r 111 ./ - ... I I , ~3~~ - I o. . ~.. ~ ;;f/<. L/ I( 'fc/f 6C ~~t'~v~ 5l-1 5PVn\ fP.A NUJ ~r ~ AN~, WA t1 t>&(,y q57-"!>~ JJ' JZ.b;11 f1i (~p~) NGELES - Construction Plans CITY OF PORT. A it based upon these plans, specifi. The Issuance of this per~ \I not prevent the building official cations and other dat~.s a he correction of errors in ~Id from thereafter requmng t th data or from preventing plans, specifications a~d 0 ~:ed o~ thereunder when in b,Mi" ,,,m'.." ...... ':.di""" ~"". violation of a\l code~f and uildin Code.) (SECTION 303(c) . U I orm ~ 0 By Approval Date ~~ N1~Nb IiNrfi-lI ~tF-- k'iP WlNP-VW. H.J~Lt.-NSW ~~ ~ WI WMpfiJfi1> p.a,t~ . 8~ ,,~ . -- ~>.:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET. PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00001004 Date 10/10/03 521 S FRANCIS ST 06-30-00-0-1-9460-0000- RES ADDITION 3800 Owner Contractor OLIVER JTROS WILLIAM HIB 521 S FRANCIS ST PORT ANGELES WA 983626430 BRUCE SHAVER P. O. BOX 3332 SEQUIM (360) 6Bl-4B39 WA 98382 Structure Information Construction Type Occupancy Type . . . . . Other struct info . . . . 99SF ADDNT TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 120.75 Plan Check Fee 48.30 Issue Date 10/10/03 Valuation 3800 Expiration Date 4/0B/04 Qty Uni t Charge Per Extension BASE FEE 92.75 2.00 14.0000 THOU BL---2001-25K (14 PER K) 28.00 Other Fees STATE SURCHARGE 4.50 ~ 'P ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ~--------- ---------- ---------- Permit Fee Total 120.75 120.75 .00 .00 plan Check Total 48.30 48.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 173.55 173.55 .00 .00 ifl II ~ "" o \t, [f\ --- 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 specffied herein or not. The granting of a permit does not presume to give authority 10 violate or cancel the provisions of any state or local law regulaling constructigJ1 or the performance of construction. . --/-.. /;f)l1f~~~ /P/!I/J3 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) . . Date T:\PLANNING\FQRMS\II02.15 [412002] BillLDlNG PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE 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 I ACCEPTED COMMENTS r YES -I NO FOllNDATION: FOOTINGS Fn -I}.O _ (p.. \,1 WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I T T PLUMBING - UNDER FLOOR I SLAB ROUGlf-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS I T CEILING I I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS / ROOF /CEILlNG f7-Gf..r?J.J I 1 DRYWALL T-BAR INSULA nON SLAB It"rJ-04 IJ.L. WALL I FLOOR I CEILING I I MECHANICAL HEAT PUMP WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT fl's: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGfLlGHTING 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.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. DUILDlNG 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [412002] " e " m , 0 ~ 11 ' 0 , 0 , . t6 n o ~ " Z " m IJl Pl HlCl c., Ill"" HltJ:l C::l110HCO'\OC: ""'P.PlH3:HOCH t:"' 32: t"1;:lL' 011..... Q::E 0 ty 0. t:l H lll::l t<J ""'WIl> H Z H,<.O H Z 0'\ n- Z (j)~ 0 ~!;Cil"'b'Q H3t:l'tl<:".l ::l"l :z: rD t>1t'l ~ 0 [(J t1n Hl~ ~PlO~>,3 0 rtrtH:E:H 0 ::r002: n-):< >-'llll Z Q .....'"'1 H P 't:l '(l PH Ort ro 0 tJl lQ 0 Z(!It1Z:>:I Z '1:3::;:: ..... ::€'<: f-'" H ::l "lj ):0 rt>-'lr'J mQ t"':( lll::I:U) '00 I:"'Il> [Jj- (\)0-1 .......'< 0 n H "l......:>;'OH nZ t'U. >-'l .....Q O.....mtl1t:1 0 O.....rDt':IO ::l ::a O::aZ o " o ~ o.~~ '030 OH" " " S " "'.#:I: n H :(~Q . m 0 ~ ." ~ , ~ O~3 ".H ~" ~ ~ Z o " " m n ~ o 0- o o " " " 00 ~~ " 00 .. 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T " 0 "0 ~ c 00 . . 0 , , 0 ~ , 0 ~H ~'~: ,~-'- t' I , t"': , , , , n o 3 3 ~ Z ~ W ^~ro moc o C H P ~ ""0 W'H moZ iJ'\f-'-Q o p " o 8~ 0> " ~ P H ~ 0 Z ". P" m 0 '00 ro ~ n H oZ "0 o p ~ o Z o ~ ~ W ro ~ w ~ ~ ~ ~ W H o ~ o w w o , ~ ~ , o w' " n~~ O~ .0 ~5ig "W ~~" ""0 OOH ~ H " . ~ZG ow~ ~'O~ H ~ "0, "" ~iq~ ~"W ~HH woo" 'O~~ OO:! 'ZH ~ ~ Z ~ W ~ o n , " ;; o " o p ~)';~8i; 'O;I:lZZt:l t<nt<:l..,:>;:t Zg!~~~ C nw .. ~ ro 0 t<J" :;0' " OOQWlIl W"'t"':;ON , . H c::..... ow<:O oot<:lt:>J1J.l 0'" 00 W>:z:l 6<;>~~~ oo:;o<Z ~ I 0 tTln >-'w:<!.... " ' W "~~ m.,..... (J) m~ ~ >O~ 0' H 8g~ ~o HO" o , Z 0 n'O H" ~" ,",'0 > 0" "~ o '0 Ow "0 ~, ~ ~::: 00 ~W ~. ~ W~ o W ^ 00 '0 'Ow sslE ZZO ~~H < H HZ ZW WOO '000 oon n~ ~H 00 "Z ~~ >H .n ~~ m~ ~ W m o ~ ~ H 00 " ~ '"' m ro w ^ ro W ~ 0'0 >> ~O 0000 w o , ~ ~ , o Wm BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Re,.: /()~'2-6,? ~ Permit#: /~ Date Approved: J71{n '.so ;te:~ Phone: ,3DP LJ!"7 J:J-sl/ Phone: .3!JP 'f~7 ,a"jtI. p{)Ar /qJ~ . WA Zip:~.&6y . . The Building Permit application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent:---!JIU/1rM /I. ~tlrEfl... W/~/kN Ii. bU~ Address: ~)..I Sb/lfJI /7VrNaJ $7:City: Owner: Architect/Engineer: Phone: Contractor ~tE _5h(u)e';- 'jcense #::SItAVE':B'It"qq-ltc~: <3-2 7-o~- Phone: 081 - '--(83:'1 AddressR.z>. ~ 5;:;;;>2.. '~ City: ~iA;""'- zip;Ci ~38? PROJECT ADDRESS: .....Zl <;.., r:....a.""'. ......~ ZONING: LEGAL DESCRIPTION: Lot: '/Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC SIZEN ALUATION: lOb SF.@$ 3r..;SF.~$ 31"10 SF.@$ /SF.~$ SF.@$ /SF.~$ TOTAL VALUATION $ ?!1/JD. BRIEF DESCRIPTION OF THE PROJECT: m ~jtPX. /PPjf- 71 /.{VI"" #'M ~ {jN ~" S#€lJ ~r 7fJ M~fUJ &X1.sflt..Jb Sf1'-.VtrV~- COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No.ofStories:~ Lot Size: 100f) % Lot Coverage: ie, y % . Existing Lot Coverage: il.~2../sq. ft. + Proposed Lot Coverage: _ 9i--/sq. ft. ~TOTAL LOT COVERAGE: 12 91 ~sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESNWetland(s): 0 Ves 0 No SEPA Checklist required? 0 Ves 0 No Other: OTHER BillLDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must befilled out completely to be acceptedfor review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Vour completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. Re-roof Move Demolition Sign o Wood-stove o Garage o Deck o TyPE OF WORK: I!!f Residential O.-New Constr. 0 o Multi-family It' Addition 0 o Commercial 0 Remodel 0 o Repair 0 VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building pennit application and construction plans are submitted. All other permit fees are due at the time" of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for thrs permit I understand it is not the City'S legal responsibility to determine what permits are reqUlred; it remains the applicant's responsIbility 10 determIne what permIts are required and to obtar j~ch I Jl1 J APPlicantl//tJi~QJfL ~te: II h/ P~ T \FORMS\APPS\Bulldlngpermll DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: PROJECTIDEVELOPMENT ADDRESS: See Page 4 for instructions on completing the site plan. For more information, caI/417-4815. PHONE: - , l . 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If yoU have any questions. please call (360) 411- 4135 Fall number: (360)417-'1111 # 7f3a~ REQUEST INSPECTION 0 Fax: ,/S7 - 3'J,S''1 71p: ~r3b'V phone' City: ;JIV' MJ~ I Phone: 'NA Address: INSTALLATION WIRED BY: ' ~OVVNER Credit Card Holder Name" , Clty:- o ELECTRICAL CONTRACTOR License #: Exp: -Phone" Electrical Contractor: Zip: AddresS: Exp" Date: Zip: VISA" Billing Address" credit Card Number' City: MC:.- PROJECT ADDRESS' 5;1,/ -.5, ,/ r ~CL..s ST IYPE OF WORK: , Check sill that apply: 0 New lAlterationlAddition ~ Residential 0 Multi-family o commercial" 0 Mobile Home Sq. Ft 1'If'J o Low Voltage 0 Telecom. 0 Sig Remote Meter 0 Detached garage r/ Hot Tub 0 Swim Pool 0 Septic pump Number of Circuits add<;>d or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: ~r Mlt1f i Etectrlcal Heat Load Additions Service Information LRA o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: o Baseboard o Furnace o Heat PumP o Fan-Wall --+KW _KW ~TON -f-KW I ",.by ,_ /I)aJ I "''''' ,.ad """ .",romad ~,. "",,"'lion ,,'" 'OOW the' -. 10 .. ""' ond oonod. and I "Jlwrized 10 ,pP~ to> ~j. p,,""'. j ,nd.,.,."" j. 001 the CiIy'. "'" --"" 10 d_' "",I pennlo a" ,""..,.d, , "mol'" the """"",I. ,."","",,'~ 10 ",I.on'" - peon" "" "',"" ond 10 obIaln sucb. I! f- ~tf<'9. ~~ ~'9 ~ t;:,J~ - - J-tf L. ((.,f{ - ~ Credit Card Holder's Signature: owner or Elec. Cont. Signature: C:lELECTRICALPERMITAPPLlCATIO~ -f . 'Vl Date: Date: 1/6 p,f. I I .--... 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