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HomeMy WebLinkAbout2021 W 16th St - Building Electical Permit 2021 W 16 t" St 12 - 1544 ELECTRICAL PERMIT 1 CITY OF PORT ANGELES i a 360-417-4735 e , Application Number . . . . . 12-00001544 Date 11/27/12 Application pin number . . . 463136 Property Address . . . . . . 2021 W 16TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-1-0-7600-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use Location Code 0502) Property Zoning . . . . . . . RESIDENTIAL TRAILER PARK Application valuation . . . . 0 ' Owner Contractor BAUBLITS, SHIRLEY J OWNER PO BOX 1073 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . MOBILE HOME CIR/ SVC N Permit Fee . . . . 170.00 Plan Check Fee .00 Issue Date . . . . 11/27/12 Valuation 0 Expiration Date 5/26/13 Qty Unit Charge Per Extension 10.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 50.00 1.00 120.0000 ECH EL-MANF HOME SERVICE & FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---- ---------- ---------- Permit Fee Total 170.00 170.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 170.00 170.00 .00 .00 i� INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE 1 ROUGH-IN FINAL -Auhl , COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: — G:\EXCHANGE\BUILDING ��Pop7�CF ELECTRICAL INSPECTION WIRING REPORT RKS& 417-4735 � b DATE: PERMIT# INSPECTOR 171ty 74 OWNER NEM PA pt CONTRACTOR ADDRESS O ST APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . -.X ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: PA-10 1)L`i a g- W to LL- i7fL- 1 r1 -)4TlF)VID rj f—c, 2� 'Q "D fi?4tlh4-r VV Q X)I V—jFr Qb VV oTae:j- f izkm C-2>6Mg C,-T- of L v f. '90S 3) 'VOG w tiTK mE 31 0 bow tqrz-c 352-.-3c) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — ,*pORiA"�F ELECTRICAL INSPECTION 4��N �m y WIRING REPORT S 417-4735 DATE: PERMIT N INSPECTOR I Z, "L– t-z-L OWNLVA CONTRACTOR ADDRESS zv Z Lz APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . .. ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ 2 f Y CONRECTIONS NEEDED: Goo Co v� fin! V) W /'fit-( A4 j©n1CJZJF-i� ►1� 3�6 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — CITY OF PORT ANGELES PERMIT APPLICATION \ Building Division/Electrical Inspections tf� _ 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 �r Ph: (360)417-4735 Fax: (360)417-4711 _ Date: _1 &2 Single Family Dwelling *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 2- LA-� eS� \ Lo w Building Square Footage: Description of above Owner I formation ` \ Contractor Information Name: �aY �I \—0v)c7 P CISk ( ��ar�a l eS Name: Mailing Address: k �-o P EOL V,Q—�L Mailing Address: Ciiy: o<'N A,\W ke 1, State:'.�^Zip:G J;3(o -2 City: State: Zip: Phone: 9 1-7--,'SV6LFax: Phone: Fax: License#/Exp. License#I Exp. Item Unit Charge 9--ty Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ . Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ --75'P— Branch Circuits 1-4 $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/Limited Energy-1&2 Family Dwelling $ 64.00 `, $ Manufactured Home Connection $120.00 7C _ $�C' Renewable Electrical Energy-5KVA System or Less $102.00 TT $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ /M Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical install ration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-46B,The City of Port �ne les Munic' e,and U 'ty Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. ture of w r,el ctrical c ntractor or electrical administrator: ❑ Cash ❑ Check r ❑ Credit Card p X ` Dated: 2 ovomoU ELECTRICAL PERMIT 1 CITY OF PORT ANGELES d 360-417-4735 Application Number 11 00000342 Date 4/19/11 Application pin number 751932 Property Address 2021 W 16TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 1 0 7600 0000 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RESIDENTIAL TRAILER PARK Application valuation 0 Application desc 200 amp service Owner Contractor HAUSER PATRICIA A BOTERO & SON ELECTRICAL 2024 W 15TH ST 940 TAMARACK WAY PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452 4766 � Permit ELECTRICAL ALTER RESIDENTIAL ^, Additional desc l\J71 Permit pin number 183970 Permit Fee 119 90 Plan Check Fe 00 (� 1 Issue Date 4/19/11 Valuation 0 �J Expiration Date 10/16/11 Qty Unit Charge Per Extension 1 00 119 9000 ECH EL 0 200 SRV FEEDER 119 90 Special Notes and Comments April 19 2011 9 57 41 AM Brian 417 4708 OK Fee summary Charged Paid Credited Due Permit Fee Total 119 90 119 90 00 00 Plan Check Total 00 00 00 00 1 Grand Total 119 90 119 90 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor h Date G\EXCHANGE\BUILDING L Lr CITY OF PORT ANGELES PERMIT APPLICATION �"�� O Building Division/Electrical Inspections APR 19 2019 321 East Fifth Street—P O Box 110/Port Angeles Washington, 95362 L Ph (360) 417-4736 Fax. (360)417-4711 ELECTRICAL X. dd INSPECTIONS 1 &2 Single Family Dwelling _Multi-Family or Commercial* —Commercial Addition/Alteration/Remodel/Repair* *Plan Review May Be Requir Cl, Please Complete Elec rical Plan Review Information Sheet Job Address: 52'g> �L 6,-7 Building Square Footage: Description of above Owner Infor tion ) J Contra r I rmation Name:� ���/ i+/S Name: Mailing Address: MailinAddress: 9Sin ,Z 2 n w City State: Zip: City / tate:eNn Zip: 96T62— Phone: Fax: Phone: 761 License#/Exp. License#/Exp. e,s 2 Item Unit Charge Qy Total(Qty Multiefied bv Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $204.60 $ Service/Feeder 601 1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2.60 $ Branch Circuit W/0 Service Feeder $ 73.50 $ Each Additional Branch Circuit $ 2.60 $ Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp.Service/Feeder 601 1000 Amp $167:90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/Limited Energy 1 &2 Family Dwelling $ 63.90 $ Signal Circuit/Limited Energy Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy 5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY. First 1300 Square Ft. $110.30 $ Ea;h Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ :$ Total Owner as defined by RCW 19.28.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized (2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection After reading the above.statement,.1 hereby certify that I am the owner of the above named property or a.licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications. Signature of wner electrical contractor or electrical administrator El Cash ❑ check l LJ C,rree�dit Card ✓ ��/ yy� /0112010 J Dated. 0 �x, mde4 NOTES �—o uj Permit# 0 O` 119:7 b,.7�q� ( Z - p _ Q� � � 6 (Z-9 -10 ►eft- Ai-se towner sG�,r1�.i 'r3 , �horn,� Mes-Y. 0, `F y- a s s ArA-p oVN ",Is e3sd veA Pani- 'FVr 'vial `' 'eco-? 12, - I o "r S o -K�S T Forms/Building Division/Notes BUILDING DIVISION < CITY OF PORT ANGELES Correction Notice Job Located at I Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction I r` - LThese corrections must be made and are not 1.6 be covered until reinspection is made When correc ions have been made, please call for inspection F Date t' '14411 {�P i f Inspector for Building Division 00 NOT REMOVE THIS TAG PREPARED 6/24/09 9 06 00 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/24/09 ADDRESS 2021 W 16TH ST SUBDIV TENANT NBR FIRWEST MOBILE HOME PARK CONTRACTOR PREFERRED HOMES SERVICES PHONE (360) 808 1830 OWNER FIRWEST/OCEAN VIEW LLC PHONE (360) 460 7492 PARCEL 06 30 00 1 0 7600 0000 APPL NUMBER 08 00001197 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLBT 01 1/14/09 JLL BLDG MFG HOME BLOCK/TIEDOWNS w1 t1 1/14/09 AP January 14 2009 4 14 38 PM 1pangrle �I7 Lam! SHIRLEY 460 7492 VV��J if BLOCK & TIE DOWN January 14 2009 4 17 12 PM 1pangrle �t BL99 01 6/24/09 JLL BLDG FINAL TIME 00 22 June 23 2009 4 24 22 PM 1pangrle SHIRLEY 460 7492 BUILDING FINAL AFTERNOON 1✓� ' a PERMIT PL 00 PLUMBING PERMIT /te ? �(�I� REQUESTED-INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL6 01 1/14/09 JLL PLUMBING WATER SUPPLY 1/14/09 AP January 14 2009 4 16 18 PM 1pangrle SHIRLEY 460 7482 WATER LINE METER TO HOUSE January 14 2009 4 17 25 PM 1pangrle PL99 01 6/24/09 JLL PLUMBING FINAL TIME 01 00 June 23 2009 4 25 07 PM 1pangrle SHIRLEY 460 7492 PLUMBING FINAL 1 AFTERNOON COMMENTS AND NOTES o-&-n moo ' b D a ti1ttK o�� Lo - I U� 3D c�ae�s Cs a IrnaVlu�c� �re�P � � 0� RECElV D JUN 01 2009 (I: 30 flvn �°dar+c oivieio E o9 �z PREPARED 1/14/09 9 23 57 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/14/09 ADDRESS 2021 W 16TH ST SUBDIV TENANT NBR FIRWEST MOBILE HOME PARK CONTRACTOR PREFERRED HOMES SERVICES PHONE (360) 808 1830 OWNER FIRWEST/OCEAN VIEW LLC PHONE (360) 460 7492 PARCEL 06 30 00 1 0 7600 0000 APPL NUMBER 08 00001197 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS EL99 01 1/14/09 J L &LPG Fl "' TIME 01 00 1 - SHIRLEY 460 7492 4 52 38 PM 1pangrle - I ti t a- �J BLDG FINAL MANUFACTURED HOME --- -- PLEASE CALL HERBEFOREYOU GET THERE AFTERNOON � I/ PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL99 01 1/14/09 LL TIME 01 00 January 13.,_2009 4.53.47 PM 1pangrle SHIRLEY 460 7492 PLUMBING FINAL WATER LINE METER TO HOUSE PLEASE CALL HER BEFORE YOU GET THERE AFTERNOON COMMENTS AND NOTES �l ° ^FN CITY OF PORT ANGELES ���1 DEPARTMENT OF 1COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 08 00001197 Date 10/06/08 Application pin number 524377 Property Address 2021 W 16TH ST ASSESSOR PARCEL NUMBER 06 30100 1 0 7600 0000 Tenant nbr name I FIRWEST MOBILE HOME PARK Application type description RES MANUFACTURED HOME Subdivision Name Property Use Property Zoning RESIDENTIAL TRAILER PARK Application valuation 15000 Application desc I INSTALL A 1 680 SQ FT MANUFACTURED HOME I Owner Contractor FIRWEST/OCEAN VIEW LLC PREFERRED HOMES SERVICES C/O SHIRLEY BAUBLITS 61 HOUSE RD PO BOX 1073 SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 808 1830 (360) 460 7492 Structure Information 000 000 INSTALL 1 680 SF MANUF HOME Other struct info TOTAL %;I LOT COVERAGE 27 70 EXISTING LOT COVERAGE 264 00 LOT SIZE 7000 00 PROPOSEb LOT COVERAGE 1680 00 TOTAL LOT COVERAGE 1944 00 NUMBER bF UNITS 1 00 Permit BL MANUFACTURED HOME Additional desc 1 680 SF MANUF HOME Permit pin number 134890 Permit Fee 230 00 Plan Check Fee 00 Issue Date 10/06/08 Valuation 5000 Expiration Date 4/04/09 Qty Unit Charge Per Extension BASE FEE, 230 00 � Permit PLUMBING PERMIT, Additional desc WATER LINE METER HOME co Permit pin number 134908 /'„ Permit Fee 57 00 Plan Check Fee 00 /� / 1 Issue Date 10/06/08 Valuation 0 Expiration Date 4/04/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum lof six inches high and be of contrasting color from the background 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 NameX Signature of Contr ct11,9V Authorized Agent Signature of Owner(if owner is builder) T.Forms/Building Division/Building Permit 7 BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4807 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 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 FINAL Date. Accepted by- MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE Accepted By- Commercial Date Accepted By- Electrical 417-4735 Electrical Construction R.W Construction R:W PW /Engineering 417-4807 PW/Engineering Fire 417-4653 Fire Planning 417-4750 Planning Building 417-4815 Building T.Forms/Building Division/Building Permit "T CITY OF PORT ANGELES � ' DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION '�' 321 EAST 5TH STREET PORT ANGELES,WA 98362 Page 2 Application Number 08 00001197 Date 10/06/08 Application pin number 52437' Special Notes and Comments A residential fire sprinkler system, installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm October 1 2008 6 16 56 PM sroberds The proposal is a one for one replacement of a double wide manufactured home Placement shall be in ovservance of required setbacks for the RS 7 zone, as shown on the site plan No land use issues are anticipated Septic tank to be pumped send report to Clallam County Enviromental Health Service and copy, to City of Port Angeles i Fee summary Charged Paid Credited Due I Permit Fee Total 287 00 287 00 00 00 Plan Check Total 00 I 00 00 00 Grand Total 287 00 287 00 00 00 J 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 comme 1 ced, 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 Sig i ature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T Forms/Building Divisioi/Building Pennit BUILDING PERMIT INSPECTION RECORD C> — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4807 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 Petr Co n nec,440 Ro k_T.N� N Under Floor/Slab Rough-In _ (� Water Line(Meter to Bldg) G Gas Line (� Back Flow/Water FINAL Date: Accepted by- 1 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 Pum /Furnace/Ducts Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date. Accepted b MANUFACTURED HOMES .Footing/Slab Blocking&Hold Downs 1 14—0 C: Skirting PLANNING DEPT Separate Permit#s SEPA. .Parking/Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE Accepted By Commercial Date Accepted By, Electrical 417-4735 Electrical 3 0 �- Construction R.W ;`r\� Construction R:W PW I Engineering 417-4807 �� PW/Engineering Fire 417-4653 Fire [Planning 417-4750 Planning Buildin 417-4815 Building T:Forms/Building Division/Building Permit a j.al *61[p ne,1r is Ft r We S+1`xexx+V,e L .DlG PERMIT APPLICATIONPrint in ,,tk a - CITY OF PORT ANGELES —� may, I For City Use Only* Attn Building Perr{nit Technician Date Received q,- 1$-89 `— 321 E Fifth St. Port Angeles WA 98362 (360) 417-4815 I fax (360) 417-4711 Permit# vv� O�Sdv� 6-7 — g 7 6to Approved v Applicant or Agent Phone p 11AU Property Owner Phone C) A(,O7 -71492 Property Owner's Address I Contractor/Engine Q0sv�2. Sit-Q, --e-SPhone p ` 3(D Contractor/Engineer's Addres -e- License # r L I�l � Expires 1 a, PROJECT ADDRESSD - � W�s`� ,N�� ,��, \� ,,, Parcel Numbel- 063o ooia 764 -M Lot Zoning I Project Type & Brief Description. I Residential ❑ Commercial ❑ Multi-family ❑ Industrial Check all that apply ❑ New Construction ❑Addition ❑ Remodel ❑ Repair ❑ Re-roof. ❑ Demolition ❑ Heat System ❑ Heat pump ❑w od-burning stove ❑ as fireplace ❑ ellet stove ❑ other her �$ a c.G!),-V I Floor Areas xistin_g(sq. ftJ Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 1st Floor _ 2nd Floor 3`d Floor Garage Carport o? Covered Porch Deck Shed Other �� � TOTAL VALUATION $ OO Pa` $� a Total footprint of structures I -1 L sq ft. Lot size sq ft. = Lot coverage a /s7 % 7000 Max height of proposed structures f 3 ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? AJ U Occupant load �� #of full baths Will a fire sprinklersystem be installed? /V 6— Construction type ))h.r#of half baths I have read and completed thisapplication 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 working on projects. i Dateol \-1 b Print Nam�_ U ` U ` B71c L) a ;\S Signature aQ T Forms/Building Division/Bldg Permit Appl. 2006 Code.doc i �W S..'�A 'Ali•. \ �q � �� • 7 � _ .>. �B� fir" �"` �\,`' ;..„ � •�,��`,• 5 l c ol, �wl ,.Y,i ' 9' •�. ,r iy��n . a7 .�� N � r, •s ym,•,. P. py -iron^ I Co 5 r 41ne- a,(Iejs Zo Fee,+ we i—clans }fie.. is 2028 q� X0,24' O� t• 0 J ? his soh. 90 .., \ 13 2 P, 203,2 al2009 a a 75 ;\ w� 201 �, w i 32 All. 2024 ' m _ i. 2Q3' • X12 / 1400, 204., 202-5 13 \ 2 . 1 ~ 2005 \` f µ O \ 2003 20 '0 ',' \ INV®ICE 35402 5 Or,T;O-b- ," i ADDRESS I ADDRESS I I i 263 Hauk lid CITY,STA ZIP CITY STATE,ZI MMB�i�7-'-RAql CUSTOMER ORDER N SOLD BY TERMS F.O.B. T� ms•µI. ,� I ORDERED SHIPPED I DESCRIPTION PRICE UNIT AMOUNT I r 1. v I VY Jol I I i Mad—5840 � 1b 3� CITY OF PORT ANGELES—Con stc Won lans The Issuance of this permit based upon these plans,s ecifi- cations and other data shall not prevent the building fficial from thereafter requiring the correction of errors i said pla, specifications and other data, or from prev nting building operations being carried on thereunder w n in violation of all codes and ordinances of this jurisd ction. Approval Date By I tO02le-- s� � o ' 1 -tz > k I 4. 1 I p a- L1 1 a i 1 RE1VE.D SEP 3 0 2008 1 CITY OF poRT ANGELES BUILDING t)IVISION ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000061 Date 1/16/09 Application pin number 450011 Property Address 2021 W 16TH ST ASSESSOR PARCEL NUMBER 06 30 00 1 0 7600 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL TRAILER PARK .--+ Application valuation 0 Application desc Existing mobile service Owner Contractor Baublits Shirley BOTERO & SON ELECTRICAL PO BOX 1073 940 TAMARACK WAY PORT ANGELES WA 98363 PORT ANGELES WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1 Permit pin number 140459 Permit Fee 93 75 Plan Check Fee 00 Issue Date 1/16/09 Valuation 0 Expiration Date 7/15/09 �v Qty Unit Charge Per Extension 1 00 93 7500 ECH EL 0 200 SRV FEEDER 93 75 Fee summary Charged Paid Credited Due Permit Fee Total 93 75 93 75 00 00 ^ Plan Check Total 00 00 00 00 Grand Total 93 75 93 75 00 00 V INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE 14120/d ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X Date t 0, p0RT4,V, ELECTRICAL INSPECTION y WIRING REPORT °wo S 417-4735 DATE PERMIT# INSPECTOR c OWNEWCONTRACTOR 0-rfr ADDRESS APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ FINAL ❑ CORRECTIONS NEEDED- K h—r 1467 -Tb 13 V— L)17�� J'jr- ` yE4: t)t c x7_ I irrrZA t-L cam__ WAC 296 465 -z30 ,t 6q3 , -8 R� DST)4cj+ z i. Ar1,-F;-; c 11f1zL 23j� � NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1381 flC • City of Port Angeles Permit Application RECEIVED 4E]RT�gr� Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150 JAN 16 2009 Port Angeles Washington,98362 Ph:(360)417.4735 Fax:(360)417.4711 Date. UQHT DEPT 1 &2 Single Family Dwelling V Multi-Family or Commercial* r-- Commercial Addition/Alteration/Remodel/Repair* *Plan Review May Be Required, Please Complete ectrical Plan Review Information Sheet Job Address: � i (A 2 / �Q /� Building Square Footage-,4=�jaa Description of above 4� Owner Information Contractor Informa�m Name: Y, Name. ,�o) t✓ 75� Mailing Address: k 9 Mailing Address: (1.11/) City t g,`,�1 n�vLa� ate. ,.4 M Zip: k (� 3 City i?�,�i yQ , - State. _Zip: 9,E U Phone. Phone. L,�� �- License#/Exp License#/Exp 7Se2p tac p r,z�2 Unit Charge Qty Total Qty Multiplied by Unit Charge) $ 93.75 $ T Service/Feeder 200 Amp. $113.75 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601 1000 Amp. $291.25 $ Service/Feeder over 1000 Amp $ 2.00 $ Branch Circuit W/Service Feeder $ 57.50 $ Branch Circuit W/O Service Feeder $ 2.00 $ Each Additional Branch Circuit $ 72.50 $ Temp.Service/Feeder 200 Amp $ 86.25 $ Temp.Service/Feeder 201-400 Amp $116.25 $ Temp.Service/Feeder 401-600 Amp. $131.25 $ Temp.Service/Feeder 601 1000 Amp. $ 75.00 $ Portal to Portal Hourly $ 69.00 $ Sign/Outline Lighting $ 75.00 $ Signal Circuit/Limited Energy Commercial $ 50.00 $ Signal Circuit/Limited Energy 1 &2 Family Dwelling $ 50.00 $ Signal Circuit/Limited Energy Multi-Family Dwelling $ 93.75 $ Manufactured Home Connection $ 80.00 $ Renewable Electrical Energy 5KVA System or Less $ 86.25 $ First 1300 Square Ft. $ 27.50 $ Each Additional 500 Square Ft.or Portion of $ 57.50 $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub $ 43.75 $ Thermostat $ 4 Total Owner as defined by RCW 19.28.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C. RCW Chapter 19.28,WAC.Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications. Signature of owner electrical contractor or electrical administrator Date: J CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000199 Date 9/24/04 Pin number . . . . . . .022659 Property Address . . . . . . 2021 W 16TH ST ASSESSOR PARCEL NUMBER: 03-63-00-0-8-4530-3000- Application description . . . RES MANUFACTURED HOME Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL TRAILER PARK Application valuation . . . . 1650 Owner Contractor ------------------------ ------------------------ WAUGAMAN, GLEN OWNER 2021 WEST 16TH PORT ANGELES WA 98363 ------ Structure Innfformation MANUFACTURE HOME ----- Construction Type . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL % LOT COVERAGE 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 1.00 PROPOSED LOT COVERAGE 1.00 TOTAL LOT COVERAGE 1.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc . . 200 A FEEDER ONLY Permit Fee . . . . 48.10 Plan Check Fee .00 Issue Date . . . . 9/13/04 Valuation . . . . 0 f Expiration Date . . 3/13/05 Qty Unit Charge Per Extension 1.00 48.1000 ECH EL-MANF HOME SRV OR FEEDER 48.10 Other Fees STATE SURCHARGE 4.50 Fee summary-- - Charged Paid Credited Due ----- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .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. 6 Ar Signature of Contractor or Authorized Agent Date Signature of Owner(if own6r 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. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE -7DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS J ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# r_ee ROUGH-IN y -J-C( _t"i �!:1 ✓1�Lt. ^�v_,. 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 HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCT PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: bp E k P 1 c f-0 L( f .5I WATERLINE/METER SEWER CONNECTION SANITARY STORM Ex?1 "p T l l s O PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING 4- ESA: ka LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING TAPLANN NG\FORMS\1102.15[11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000199 Date 9/24/04 Pin number . . . . . . .022659 Property Address . . . . . . 2021 W 16TH ST ASSESSOR PARCEL NUMBER: 03-63-00-0-8-4530-3000- Application description . . . RES MANUFACTURED HOME Subdivision Name . . . . . . Property Use • • • • . ' ' p R E D Property Zoning RESIDENTIAL TRAILER PARK Application valuation . . . . 1650 Owner --------- - Contractor WAUGAMAN, GLEN OWNER 2021 WEST 16TH PORT ANGELES WA 98363 ------ Structure Information MANUFACTURE HOME ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Other struct info . . . . . TOTAL % LOT COVERAGE 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 1.00 PROPOSED LOT COVERAGE 1.00 TOTAL LOT COVERAGE 1.00 NUMBER OF UNITS 1.00 - --------------------------------------------------------------------------- Permit BL MANUFACTURED HOME N Additional desc 84 LIBERTY SER#0969610 Permit Fee . . . . 230.00 Plan Check Fee .00 .� Issue Date . . . . 8/23/04 Valuation . . . . 1650 Expiration Date . . 2/20/05 Qty Unit Charge Per Extension BASE FEE 230.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due -�• ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 230.00 230.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 234.50 234.50 .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. Ljc 6-v Signature of Contractor or Authorized Agent Date ignature of Owner(if owner is(builder) Date T•\PLANNING\FORMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE -7DATE ACCEPTED COMMENTS YES NO i FOUNDATION: FOOTINGS ' WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engmeenng Division) SEPARATE PERMIT#'s WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA- LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 4174750 PLANNING DEPT. BUILDING 4174815 BUILDING T.\PLANNING\FORMS\1102.15[11/14/2003) PREPARED 9/24/04, 13 12 26 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/24/04 ------------------------------------------------------------------------------------------------ ADDRESS 2021 W 16TH ST SUBDIV CONTRACTOR PHONE OWNER WAUGAMAN, GLEN PHONE PARCEL 03-63-00-0-8-4530-3000- APPL NUMBER 04-00000199 RES MANUFACTURED HOME ------------------------------------------------------------------------------------------------ PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----- ------------------------------------ --------------------------- BLBT O1 24/ 4 LL BUILDING BLOCK AND TIEDOWNS ---- -- COMMENTS AND NOTES ON���X#1C FOR OFFICIAL USE ONLY �•`` BUILDING PERMIT - APPLICATION Date Rec .3-5—c>4( LDate . Fill out COMPLETELY and in INK.Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions,call proved i (360)417-4815 ued c' Applicant or Agent: r r- CO 0 V117 Q )11 Phone: 3 4'-_0 - CGU- l-7 Owner:— "C rn 2_ Phone: 3 60 Address: City. Z-A-) se U Y11 Zip: gg 8 Architect/Engineer: Phone. Contractor C,U y)e- b''-' State License#: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: 3zn 0 / W l ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: Gt/e s i< CLALLAM COUNTY PARCEL NUMBER: 01- I rp'E 00 Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF. _$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF._$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF._$ ❑ Repair 13Sign 11Other TOTAL VALUATION $ SCS BRIEF DESCRIPTION OF THE PROJECT. n cy•(Ci.c-f U�,^ec/ )IO -e L' rfy jet ;C6 d Seiler ( -# c� cZLla / D COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stones:_ Lot Size: Existing Sq.Ft. &Proposed Sq Ft. =TOTAL Sq.Ft. Existing lot coverage %&Proposed lot coverage %=Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESA/Wetland(s): ❑ Yes 13No SEPA Checklist required? 11Yes 13 No No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan subnuttal 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: If no penint 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 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required t the City's, and that I must obtain such permits prior to work T TORMS\APPSTuildmgpermit wpd Applican Date- Single-section Multisection DO: Crown and grade the site to slope away from the home and cover it with 6-mil-thick polyethylene sheeting or the equivalent. iY n "4 2 v z; ,i• ­">, ;A`. �ntw�'�^ c;,�d.'� :�c�: ''•3"�oF+ 35�=�-'c.$e�=s;; .,c>,�-_'-s ` DOWT: Grade the site so that water collects beneath the home. FREi CITY OF PORTANGELES— Construction Plans The Issuance of this permit based upon these plans,specifi- `""--- �8 j/ I cations and other data shall not prevent the building official 01e4 lenaddV from thereafter requiring the correction of errors in said ('apo0 BuipI 9 W1 � Plans, specifications and other data, or from preventing uollalpsunf s1q; ;o saaueuipJo^ eo,an NEU NOItO3S) budding operations being carred on thereunder when m ul uayn� �apunala Poa Ili' ;o uogeloin violation of all codes and ordinances of tli s jurisdiction Su!luanaad ql ua 1leo maQ suoge�ado 8ui m ` Wog; 3eP �aq;o (le suoi pl q (SECTION 303(c) id{or Building Code) Pies ul sJoi leoiliaads 'sue d "_ _ BY o ua-9/10i a I APPraval Date a leiar;;o Plmq ay;ivana�d ou4j A �inba> >aftea�aq# Wm; ds'sueld asaq;uodn IleyseP�aglo pue suogeo Btr7€v U0113 t SUQ--�PaS��jfUl1 fY,q,to aauenssi ay Figure 3-2--Elimination of water beneath the home �r mac' ti ff3" 'G- ._" Anchor�Min.-• Maximum Anchor Spacing Strap Method, Ultimate Load. Zane! Zone 113 Zone 1113 Capacity- 11' -0' 6' -0" 4' _ 6" Single Strap 4725 lbs. 2 Double Strap 4725 lbs.' 11' -0"2 6'-0"Z 4� _6„ Note-- 1 Unless listed/labeled for a higher capacity by the anchor manufacturer 2 Unless a greater spacing is specified by the anchor manufacturer 3 All homes located in Wind Zones II and III shall have a vertical tie 2-foot see chart 2-foot maximum maximum --------------------- ------- -- \ Frame I-beam --------------------- -�------------------------ ------------------------------------------------ / Anchor -----------------------/----------------------- z - pauu uuui - - ---$ - -- -�-- - - - �- — - - - - - - -®- - -- -� - - - -r<-W Frame support Main beam Front(hitch) I / I � - - --- -- - -- - - - -- �- - - -5- - --- - ----41- -- - 1'#- Exterior door of home Required perimeter Exterior wall- support(see note 4) line of home Figure 42 o Typical blocking diagram for single-section home when manufacturer's instructions are not available Note(applies to both figures 4-2 and 4-3) - 1. See table 4.1 for required pier capacity and spacing. 2. See table 4.3 and section 4.2 for footing requirements. 3. Piers shall be located at a maximum of 2 feet from both ends. 4. Place piers on both sides of entry doors and at any other openings greater than 4 feet in width,such as patio or atrium doors;under porch posts,fireplaces,and wood stoves;and under those places where heavy pieces of furniture such as pianos,organs,waterbeds, etc.,may be placed. Piers/supports shall be sized Required perimeter ; according to table 4.2 or calcu- support (see note 4) lated by a design professional and located under the bearing points of Patio door clear-span openings in center i mating walls �-- 4F- --,- - ----,- -®-- --e� - - ; --� --,- - - -- -� ■ ■ _-W-_;- - -- --*--- — i---�--�---tom—� L1 _ _i __1 _ __L _ _ _I�� Slide-out fireplace 11 Exterior door of homet Exterior wall- Required perimeter tine of home support(see note 4) ; I Figure 4-3--Typical blocking diagram for multisection home when manufacturer's instaffation Instructions are not available - � I 44-N-N vu.' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET, PORT ANGELES.WA 98362 ELECTRICAL PERMIT ISS : 516 2002 rrMMII NU f000 OWNER/APPLICANT PROPERTY LOCATION MICHAEL SAUVAGEAN 2021 16TH ST W 2021 WEST 16TH Lot: Port Angeles, WA 98362 Block: ❑ Long Legal 360/417-2997 Subdivision: FIR WEST T: S: Parcel No: 063000841583000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 98360-0000 206/000-0000 360/000-0000 PROJECTINFO Project Type: MANUFACT. HOME Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: Electrical Heat: fJ ❑ Baseboard 0 KW ❑ Riser ❑ Underground Service ❑ Furnace 0 KW ❑ Overhead Service Voltage: 0 ❑ Heat Pump 0 KW ❑ Temp Service Phase: ❑ 1 ❑ 3 ❑ Fan Wall 0 KW Service Size: 100 _ Feeder Size: 0 PROJECT NOTES f FEES ASSESSMENT Service: $44.25 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $44.25 AMOUNT PAID: $44.25 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. �/ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE (/ 6 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH 51 3,)Io z I I FINAL 3o u z: GENERAL COMMENTS: M-1102.15[41961 0'.." CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 7M-�o BUILDING PERMIT ISSUED: 5/16/2002 PERMIT NO: 13429 OWNER/APPLICANT PROPERTY LOCATION MICHAEL SAUVAGEAN 2021 16TH ST W 2021 WEST 16TH Lot: Port Angeles, WA 98362 Block: ❑ Long Legal 360/417-2997 Subdivision: FIR WEST T: S: Parcel No: 063000841583000 CONTRACTOR ARCHITECT NU TREND ENTERPRISES INC N/A P. O. 1780 SEQUIM, WA 98382-0000 98360-0000 360/683-6080 360/000-0000 PROJECTINFO Project Value: $5,000.00 SFD Units: 0 Commercial: 0 Project Type: MANUF. HOME SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: �1 PROJECT NOTES INSTAL 14'X 56MANUFACTURED HOME IN TRAILER PARK RECEIPT#9089 FEES ASSESSMENT '- Building Permit: $0.00 Misc Fee 1: $0.00 S Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $230.00 Sign: $0.00 TOTAL FEE: $234.50 Plumbing: $0.00 AMOUNT PAID: $234.50 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $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 orwork 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 §TgrGtur /bf Ow r(if owner is builder) Date T:WLANNINGTORMS\1102.15 14/20021 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 i 3 O- / INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: 5-Z2-c>2 FOOTINGS WALLS J FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:N ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ROOF/CEILING DRYWALL T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT H's: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT Ws SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15[4/20021 jof eoaT" FOR OFFICIAL USE ONLY: RecBUILDING PERMIT - APPLICATION DatePermit#:it#: 437-OR r� Date Approve: Date Issued: The Building Permit Application must be filled out completely. Please type or rinntt in i/nk. If ou have a y uestions,please call 417-4815 Applicant or Age%: G��U Phone: � ��5�" � 2-2 C� Owner; M Ck i 3C."k vU5eC1 u / Phone: L10� - Z.4�7 Address: Z 0 2 l /� City L7 r �c �L£/� S Zip: - z Architect/Engineer: p Phone: Contractors /V�Z ` t✓c`'1i�1 License #:/yu T�t`"G�7E p: 1251 Phone. �Y-�60�D Address 9 7s'oL�Q� - - City: _ zip:-, :2, : — PROJECT ADDRES J,.O 2 1lxo L7 /" r v ZONING: p LEGAL DESCRIPTION: Lot: 2n2 Block:V ",�T IjC Subdivision: 1—,rlilaa CLALLAM COUNTY PARCEL NUMBER:000WRW603 Credit Card Holder Name: Billing Address: City: Credit Card#: Exp.Date: VISA MC//99/J TYPE OF WORK: SI�UATI $ 21V v .�Residential 11 New Constr. ❑ Re-roof ❑ Wood-stove SF. @$ /SF._ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF. = ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF. =$ ❑ Repair ❑ Sign ❑ TOTAL VALUAATION ,�$ BRIEF DESCRIPTION OF THE PROJECT: �V C T L Z 4,14 '/ % yX , S� - COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:_ No. of Stories:_ f Lot Size: YOX 1064 %Lot Coverage: % Existing Lot Coverage: /sq. ft. +Proposed Lot Coverage: /sq. ft.=TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): ❑ Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be felled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan(for additions) and building construction plans are to be submitted to the Building Division. 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 permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,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. /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 this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine whatpermits are required and to obtain such. 99 Applican / Date: 2— TAFORMS\AP PSTuild i ngpermit 1 IN�����w��w������w����l■�MENEM No 0MENommom1■oommo�l�■ ME0 [ME������,�� miwONMEw�w���i�� ONmom MmF wmM�w���ll!■ S/Imw=w��������wll�E�w0�ww�il■ oil�w�w�wonammMON��.l■ f/IEI/1��������f��l� ©►■■ww�l�w ■I�I��■Iwwwwr���wwwwwowr��i!� lel■ so WE�������h1�7�■ u11■wsww/laiiiilmr/m���I■w�wt.�■ QUEERER U/Nmmmmoom w����S�l�iiFi�■ oil . RARE��s��w1'i�ll� NIM mom MEN SEEM MIN NEON ■I■ lllMENEMNil oil 0 NJ ori �'#1�■ Nil No ■Olmmmo������i����■1����� 0 L1■1ONEENOMENEMmmommommom1/� Edit MOEN mmo0 MENEM������i�'! FaI1■SNE■1N ONE SEEMall NEON ONE - ENSUE wwMU■::::::wi®wiwwi:w....■■ � ■Iwwwwwwwwwwwwwwwwwwwwwwwwwwww� ON-SITE'SEWAGE DISPOSAL SYSTEM EVALUATION DATE RECD 05 - 16-02 SURVEY# Z z"�7/z0"i RECEIPT# i PERSON pR pR�,gtyl�gTION REQUESTING REPORT: REASON: NAME: Bob WalkotY/Michael Sauvageau _ p FOOD ESTABLISHMENT INSPECTION ADDRESS: ox ❑. LOAN CERTIFICATION CITU, STATE,ZIP: ars org, ® BMpb)le Home Placement below) PHONE:(X) ! NAME 0�1lob WOIk9 CORD: PARCEL 12�c00 �� 7�O 00 NAME MAILING ADDRESS P.O. Box 121 LOT CITY,STATE.ZIP Uarlsborg, WA V8324 BLOCK SUBDIVISION PROPERTY ADDRESS Luz I westStreet VOLUME PAGE CITY,STATE,ZIP Fort Angeles, Wa 98363 DIRECTIONS TO SITE(be speelfle): Hwy. 101 to West 16th Street to#2021. �2 cu¢Si- M•�' FINDINGS: THIS REPORT DOES NOT CONSTITUTE A GUARANTEE,WHETHER EXPRESSED OR IMPLIED,THAT THE SEPTIC SYSTEM WILL CONTINUE TO FUNCTION PROPERLY. THIS REPORT CONSTITUTES ONLY A SUMMARY OF FINDINGS ON THE DATE INSPECTED. PERMIT ON FILE? OYES ONO PROPERTY CURRENTLY OCCUPIED? ®YES ONO 1980's APPROXIMATE DATE OF INSTALLATION LENGTH OF TIME VACANT_(MONTHS,YEARS) NUMBER OF BEDROOMS: (EXISTING) (DESIGN)_ SEPTIC.TANK: DRAINFIELD: Conventional VOLUME/SIZE 1000 Gals. TYPE OF SYSTEM NUMBER OF COMPARTMENT SETBACKS IN COMPLIANCE ®YES ONO CONSTRUCTION MATERIAL Concrete SEPTIC SYSTEM ON SAME PROPERTY ®YES ONO NEEDS REPLACEMENT/REPAIR OYES ONO REPAIR/REPLACEMENT AREA? CONDITION OF BAFFLES:(INTACT?) ADEQUATE lC LIMITED INLET MISSING/NEEDS REPAIR OYES ONO SEVERELY LIMITED OUTLET MISSING/NEED REPAIR OYES ONO SYSTEM APPEARED TO BE FUNCTIONING AT TIME OTHER OF EVALUATION ®YES ONO PUMPING OF TANK REQUIRED? OYES ONO SYSTEM WAS MALFUNCTIONING AT TIME OF INSPECTION DUE TO: SCUM DEPTH 3inches SLUDGE DEPTH me es SURFACE DISCHARGE DATE TANK LAST PUMPED BACK-UP FLOW OTHER PUMPING HISTORY REPAIR HISTORY PUMP CHAMBERS,ALARMS,SCREENS ADEQUATE (IF REQUIRED) ®YES ONO COMMENTS/RECOMMENDATIONS: Septic system appears to be functional at the time of this inspection. ATTACHMENT CHECKLIST: X 05 - 15 -02 ❑PUMPER REPORTIRECEIPT INSPECTION DATE ®PERMIT(IF AVAILABLE) a OAS BUILT CLALLAM COUN IFIED DE IGNER OWATER SAMPLE RESULTS 009 OOTHER CERTIFICATE NUMBER NAME Dennis J. Swope DBA PLOT PLAN ON REVERSE SIDE X OR ATTACHED DATE S�6/Oz CLALLAM COUNTY ENVIRO ENTAL HEALTH REPRESENTATIVE BY SIGNING THIS REPORT,THE ENVIRONMENTAL HEALTH DIVISION IS CERTIFYING THAT THE PERSON PERFORMING THIS EVALUATION IS A CERTIFIED DESIGNER OR SYSTEM EVALUATOR IN CLALLAM COUNTY. EVALUATIONS OF SYSTEMS ARE TO BE PERFORMED IN ACCORDANCE WITH POLICY NUMBEP.540.4 OF THE CLALLAM COUNTY ENVIRONMENTAL HEALTH DIVISION. a NI � Ian 61 1 000 'Zo�(��T�. J av' CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date S ��� Time Received by _ (phone, person) Location of Work to be inspected -:ZU a / U /6 Name of person requesting inspection 1<e '4 I, Address of person requesting inspection Phone No. 64z-- Type /4Type of Inspection (circle appropriate one): Permit No, Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other &,-,- <«- INSPECTION NOTES: Inspected: Date t Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date Time Received byL/ (phone, person) Location of Work to be inspected j, 0 �2 f to /4 L"- Name of person requesting inspection Al cx - ' Address of person requesting inspection Phone No. _ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbin Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date 4 Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel []Asphalt ❑PCC ❑Other [] Repaired by City Work Order # ❑Repaired by Permittee [] COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) POR`5ry pf _ C 1i ............. FlF, FOR OFFICIAL USE ON,--y ELECTRICAL PERMIT APPLICATION D.W Approved' mlc�oF The Electrical Permit Application must be filled out completely. Dare i,sucd. `�NS PNO, Please type or reprint in ink. If you have any questions,please call (360)417-4735 Fax number: (360)4174711 - Owner or Elec. Contractor Agent: 191s%4 Al 1 A✓4,,f,j &,4 0r Phone: �SZ ��L Fax: ( . n Properly Owner: : 04, 14% &--A ,J1 Q Phone: $j l%A!Z L/ Address: 6 J I LJ I�S'I �� S`T. City: /�O A t4,j y4lft 60.A Zip: ?k yl1 Electrical Contractor: - License#: Exp: Phone: Address: City: Zip: INSTALLATION WIRED BY: p-OWNER ❑ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: City. Zip: Credit Card Number: J .�Exp. Date: V/SA: MC: PROJECT ADDRESS: J 0 A Sf f TYPE OF WORK: Check all that apply: /❑ New ❑AltAlteration/Addition ❑ Residential ❑ Multi-family ❑ Commercial t- bile Home Sq. Ft ❑ Remote Meter ❑ Detached garage D Hot Tub ❑Swim Pool ❑Septic Pump ❑ Low Voltage ❑Telecom. ❑ Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: Electrical Heat Load Additions and or Subtractions Service Information O Baseboard KW j Voltage: 11 Furnace KW El Overhead Service Phase: ❑ 1 ❑ 3 ❑Heat Pump —TON LRA o Temp Service Service Size:_Ae Qa .,,p ❑Fan-Wall KW ❑Underground Service Feeder Size:4e%j�_01wP / hereby certify that l have read and examined this application and know that same to be true and correct, and l am authorized to apply for this permit. / understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: Owner or Elec. Cont. Signature:y Date: Dcj-09� J� 1 Ek �1 R*0 + 3 OS PERMIT FEE: $ - /O C:/ELECTRICALPERMITAPPLICATION