HomeMy WebLinkAbout1837 Woodhaven Ln - Building CITY OF PORT ANGELES
C
I DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
J 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 10- 00000742 Date 8/09/10
Application pin number 288298
Property Address 1837 WOODHAVEN LN REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-1-4- 9020 -0000-
Tenant nbr, name R CLIFF TERI L MILLER on your state excise tax form
Application type description RES DETACHED GARAGE
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 25920
Application desc
864 SQ. FT. DETACHED GARAGE
Owner Contractor
R CLIFF TERI L MILLER OWNER
1837 E WOODHAVEN LN
PORT ANGELES WA 98362
(360) 452 -3062
Structure Information 000 000 864 SF DET. GARAGE
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc 864 SF DET. GARAGE
Permit pin number 169615
Permit Fee 427.85 Plan Check Fee 278.10
Issue Date 8/09/10 Valuation 25920
Expiration Date 2/05/11
Qty Unit Charge Per Extension
BASE FEE 417.75
1.00 10.1000 THOU BL- 25,001 -50K (10.10 PER K) 10.10
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
July 28, 2010 5:50:44 PM sroberds.
The proposal will result in a 864 sq.ft. detached garage in
the RS -9 zone for total lot coverage of 100. No land use
issues anticipated.
Electrical load calculations and electrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Public Works Utility Engineering has no requirements for n 1 i 1 U
this plan review. S /I 1 a x
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 427.85 427.85 .00 .00
Plan Check Total 278.10 278.10 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
/7/ 7( 4_ 0 0..
C- IVi tPF MILL jk
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
ywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
;ms CITY OF PORT ANGELES
r� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 10- 00000742 Date 8/09/10
Application pin number 288298 REPORT SALES TAX
Other Fee Total 4.50 4.50 .00 .00
Grand Total 710.45 710.45 .00 .00 on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735 (�J
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEF'TED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVE() PLANS AT JOE SITE.
Inspection Type Date Accepted By Comments
DATION: t U F1`
Footin 6-17-0
Stemwa l
oundation 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: 09
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only) (Q
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line S'
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs "O!
Skirting
PLANNING DEPT. Separate Permit #s SEPA: y
Parking Lighting ESA:
Landscaping _SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
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City of Port Angeles
R Development Department E C E'V E
Building Division JAN 1 2 2011
321 East Fifth St. CITYOFPORTAN
BUILDING DIVISIONES
Port Angeles, WA 98362
Dear Sir: 3 Werbc h L arve,
I hold Building Permit #10- 00000742 dated 08/09/10. Due to the demand
imposed by my occupation and the local weather I have been unable to
begin my construction project. Given the delay, I anticipate a
concrete pre -pour inspection required in late April or early May of
this year.
Unfortunately my building permit will expire in February unless
extension is granted. I hereby apply for extension. This is my first
application. I anticipate no others.
Thank you for consideration. I look forward to affirmative
notification.
Regards,
Cliff Miller
1837 East- -Woodhaven- Lane
Port Angeles, WA 98362
206 819 7458
b
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v
A pOHt,v BUILDING PERMIT APPL A TI N Print in ink
ri
CITY OF PORT ANGELES
For City Use Only:
Attn: Building Permit Technician Date Received 1 15 -10
321 E. Fifth St., Port Angeles, WA 98362 Permit 1 L
°u'- (360) 417 -4815 fax (360) 417 -4711
Date Approved
Applicant Ct I~ Fp I t _t _._ft Pho e irx-)2
Property Owner Cwt F itit L__C_el� Ce (Phone �'1( S(Q( 7�-�-$
Property Owner's Address �`7 w w_K p
Contractor Ce_( /(/f C -LF_Ik Phone
Contractor's Address
License Expires E -mail
PROJECT ADDRESS 1257 /re007 Y 4
Parcel Number Lot Zoning RS 9
Project Type Brief Description: Residential Multi- family Commercial Industrial
Check all that apply
New Construction
Addition cli x Vo cle q e
Remodel
Repair
Demolition
Re -roof House 'garage other tear off re -roof lay over one layer
Heat System Heat pump wood burning stove gas fireplace pellet stove other
Other Iia Piuvn hir►9 or (nechu,hi cal
Floor Areas Existing (sq. ft) Proposed (sq. ft)
Basement per sq. ft.
l st Floor c 9,
2nd Floor
3 Floor
Garage 3a c),G 9?0
Carport
Covered Porch
Deck 759
Shed
Other
TOTAL VALUATION a5 (a.0
Total footprint of structures -1 345 sq. ft. Lot size 3 65(6 sq. ft. Lot coverage o C T
Site Coverage the amount of impervious surface on a parcel, includi structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 14 D 5
15 -AsolAcLIA SOD csaivcv,(*e -i- 4 34 S (3L} S 4 3, 65g
Max. height of proposed structures 14' C3' ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to orkinnggon pr cts.
Date Print Name fl PF 6--L Signature /ti
c 0
T:Forms /:uildi ■g Division /Building permit application
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Clallam County Assessor Treasurer Property Details 66828 R CLIFF /TERI L MILL... Page 1 of 5
1
Clallam County Assessor Treasurer
Property Search Results 66828 R CLIFF /TERI L MILLER for Year 2010 2011
Property
Account
Property ID: 66828 Legal Description: BROWN -ROOT SHORT
PLAT V -14 P -27 LOT 2
1.00A
Geographic ID: 0630141490200000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi- Family Redevelopment: N
Township: Section:
Range:
Location 1 i
Address: 1837 E WOODHAVEN LN Mapsco: i �lQ� .5.--
PORT ANGELES, WA
Neighborhood: Cycle 5 Res Map ID:
Neighborhood CD: 10955130
Owner
Name: R CLIFF/TERI L MILLER Owner ID: 41265
Mailing Address: 1837 E WOODHAVEN LN Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
1 Taxes and Assessment Due i
Property Tax Information as of 07/15/2010
Amount Due if Paid on: ir
First Half 1Second Half 1 1
Year; Statement ID j Taxing Jurisdiction Base Due Base Due 3_ Penalty; Interest I Base
2010 48843 ST SCH STATE SCHOOL $369.54 $369.55 $0.00 $0.00 $3E
2010 48843 CC-GEN COUNTY $196.64 $196.67 $0.00 $0.00 $1.
2010 48843 PORT PORT $27.64 $27.64 $0.00 $0.00 $2
1 _2010 48843 PORT ANG PORT ANGELES $455.33 $455.34 $0.00 $0.00 $4t
2010 48843 SD #121 SCHOOL DISTRICT #121 W._...__ $478.67 $478.66 $0.00 $0.00 $47
2010 48843 NTH OLY LIB NORTH OLYMPIC LIBRARY $57.14 $57.15 $0.00 $0.00 $E
r HOSP 2010 48843
#2 HOSPITAL #2 $80.68 $80.67 $0.00 $0.00 $E
2 010 48843 WSMET PK DIST WILLIAM SHORE MET PARK DIST $25.67 $25.67 $0.00 $0.00 $2
2010 48843 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00
2010 48843 FIRE PATROL FIRE PATROL $8.70 $8.70 $0.00 $0.00 9
2010 48843 WEED CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 9
2010 48843 FP Fee FIRE PATROL COUNTY FEE $0.25 $0.25 $0.00 $0.00 9
2010 48843 TOTAL: $1737.08 $1737.11 $0.00 $0.00 $172
2009 668282008 ST SCH STATE SCHOOL $424.19 $424.19 $0.00 $0.00 $84
2009 668282008 CC -GEN COUNTY $214.68 $214.67 $0.00 $0.00 $42
2009 668282008 PORT PORT $30.41 $30.41 $0.00 $0.00 $E
2009 668282008 PORT ANG PORT ANGELES $470.88 $470.88 $0.00 $0.00 $94
http: /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year 2010 &prop_id =66... 7/15/2010
Application Number 09 00000130 Date 2/27/09
Application pin number 817040
Property Address 1837 WOODHAVEN LN
ASSESSOR PARCEL NUMBER 06 30 14 1 4 9020 0000
Tenant nbr name R CLIFF /TERI L MILLER
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 8564
Application desc
INSTALL HEAT PUMP
Owner Contractor
R CLIFF /TERI L MILLER
1837 WOODHAVEN LANE
PORT ANGELES WA 98362
Permit MECHANICAL PERMIT
Additional desc INSTALL HEAT PUMP
Permit pin number 141440
Permit Fee 64 80 Plan Check Fee 00
Issue Date 2/27/09 Valuation 0
Expiration Date 8/26/09
Qty Unit Charge Per
1 00 14 8000 EA
Fee summary Charged
Date Print Name
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
ABSOLUTE AIR INC
2820 E HWY 101
PORT ANGELES
(360) 452 8444
BASE FEE
ME FURN /HP /FAU OR 5 TON
Paid Credited
WA 98362
Due
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 00 00
Extension
50 00
14 80
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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that 1 have
read and examined this application and know the same to be true and corrFct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permi does not presume to give authority to violate or cancel the provisions of any
state or local law regulating const -pr the per orma e of constru�'t on.
2)02 7 /0 I Jos LAci CX..r..
Sign re of Contra or Authorized Agent Signature of Owner (if owner is builder)
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
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
C -02.O JT�-L
(FINAL Date ccepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
PREPARED 3/02/09 10 07 59 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/02/09
ADDRESS 1837 WOODHAVEN LN SUBDIV
TENANT NBR R CLIFF /TERI L MILLER
CONTRACTOR ABSOLUTE AIR INC PHONE (360) 452 8444
OWNER R CLIFF /TERI L MILLER PHONE
PARCEL 06 30 14 1 4 9020 0000
APPL NUMBER 09 00000130 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 3/02/09
MECHANICAL FINAL TIME 01 00
OVERRIDE TAKEN BY LPANGRLE DATE 02/27/09 TIME 10 01 33
February 27 2009 10 00 19 AM 1pangrle
STACY 452 8444
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
Applicant No -4 Q V'L
Property Owne r i N \\-€X
Property Owners Address vg3R- W mod+ lelb `t k
Contractor PtioSoV 4 1 k i\C Ph
Contractor's Address '2 7_o CL 4A l '''JY r\f,.(..e/3 6 45(?..(„7
License Ai__la lCKOl/ Expires 5 -01 E -mail QsA o„ eL\yx_e_ r„SY")
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417-4711
L-&
PROJECT ADDRESS $'2
Parcel Number
Floor Areas Exislipa isa. ft.) &posed fsa. ft.)
Basement
1 Floor
2" Floor
3 Floor
Garage
Carport
Covered Porch
Dec(
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinlder system be installed?
R Occupancy group
Occupant load
Constructiop type
Phone
Phone
Ap_y L 4 'g
ne LA 7) SL-4• 4
Lot
For City Use Only
Date Received 1 a- -')°t
f
Permit O �,n
Date Approved
(.PA U- g422-
Zoning
Pioiect Type BriefDescriptlon: )QResldenfial o Multi- family o Commercial ci Industrial
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
ci Demolition
Re -roof o House o garage o other o tear off re-roof o lay over one layer
Heat System P=Heat pump o wood burning stove gas fireplace pellet stove other
v Other
per sq. ft.
TOTAL VALUATION -i a
Total footprint of structures sq. ft. Lot size sq, ft, Lot coverage 96
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage
of bedrooms
of full baths
it of half baths
I have read and completed this application and know it to be try O and correct I am authorized to apply for this pennrY and understand
that it is my responsibility to determine what pen»its art3 rpcggii and to obtain permits prior to woo ng on p
Date 2..- S f Print Name 91 Signature
T ;Formsrauilding Divisionl&dg Parm �.l
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000550 Date 6/06/03
Property Address ...... 1837 E WOODHAVEN LN
ASSESSOR pARCEL NUMBER: 0630141490200000
Application description , , . RES ADDITION
Property Zoning .......
A~plication valuation .... 6100
Owner Contractor
MILLER R CLIFF/TERI L OWNER
PO BOX 1291
PORT ANGELES WA 983620240
...... Structure Information NEW 624 SF DECK .....
Construction Type ..... TYPE V NON-RATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Other struct info ..... NUMBER OF UNITS 1.00
Permit ...... BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee .... 162.75 Plan Check Fee . . 65.10
Issue Date .... 6/06/03 Valuation .... 6100
Expiration Date . . 12/03/03
Qty Unit Charge Per Extension
BASE FEE 92.75
5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00
Other Fees ......... STATE SURCH~%RGE 4.50
Fee summary Charged Paid Credited Due
Permit Fee Total 162.75 162.75 .00 .00
Plan Check Total 65.10 65.10 .00 .00
Other Fee Total 4,50 4.50 ,00
Grand Total 232,35 232.35 .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 §lye authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANrNING\FORMS\ 1102.15 [4/2002]
FOR OFFICIAL USE ONLY:
BUILDING PERMIT- APPLICATION PermitDate Rec.:#:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: {PI~[ L)~
COMPLETE to be accepted for review. If you have any questions, call Date Issued:
(360) 417-4815
Applicant or Agent: C..t. t t=~. ~ I L.l. ~.Rt Phone: ~./-
Owner: *~Atvt ~. Phone:
Address: lfgS~ ~=, W~O~,¥~nt City: raot~l'- ~N&~t.~$ Zip:
Architect/Engineer: ~, ~'{..t:' Phone:
Contractor ~ ~ t. ~ State License #: Exp:. Phone:
Address: City: Zip:.
PROJECT ADDRESS: I~? ~__. VV'CO~HA¥~N L3/. ZONING:
LEGAL DESCRIPTION: Lot: ~. og ~rO~at:~~~~,o~v /~q. -r~t
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name: 1 FF 1
Billing Address: [~'~ ~, i~L~H~V~AI ~ City: /~/~
CreditCardType~S~ '~ MC O' ~ ~'~ ~f ~g~ Exp. Date:
~E OF WO~: SIZE~UATION:
Residential D NewCons~. ~ Re-roof D Stove SF.~$ /SF.=$ ~10~
Mulfi-f~ly = Addition ~ Move ~ Garage SF. ~ $ /SF. = $
Co~ercial ~ Remodel ~ Demolition ~Deck SF. ~ $ /SF. = $
~ R~air U Si~ ~ O~er TOT~ VALUATION $
B~EFDESC~P~ONOFTHEP~O~CT: ~DOI~ & O~em ~ ~O~ ~1~
COMMERCI~SIDENT~D~p~cy Group: Occupant Load: Cons~ction T~e:~
No. of Stories: ~ Lot Size: ~ Exis~g Sq. Ft. &? I q & Proposed Sq. Ft.~ = TOTAL Sq. Ft.
E~st~g lot coverage ~ % & Proposed lot coverage ~% = Total lot coverage 2, ~
~PROV~S:
PLUG USE O~Y: PL~: __
BkDG:
DPt:
FI~:
ES~efl~d(s): ~ Yes D No SEPA Chec~ist req~ed? ~ Yes ~ No O~er: OT~R:
BUILDING PERMIT APPLICATION SUBMITTAL: Thc 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: If no permit is issued within 180 days of thc date of applicatinn, 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 cedify that I have read and examined this application and know the same to be true and correct. I am authorfzed to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T:WORMSXAPPSXBuildingpermit.wpd Applicant: ~~D Date: O~t/~'/03
j~ SITE PLAN
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
APPLICANT: C,U t ~= y'4 1 ~'~- ~ ~ PHONE:~ ~S& ~0~
PROJECT/DEVELOPMENTADDRESS: ~S~ ~. w~v~ ~ '
See Pa~e 4 ~r iostructions on competing the s~e plan, For mo~ info~eti~,. ~fl 417-4815. .
II
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date C~/v -~ ~ - ~ '~ Time c0/'~ ~/~'~ Received by ~~- (/~t~o~ person)
Location of Work to be inspected ! ~/~/~. /~ , L./~O (~.~-~,o .J~v~-.
Name of person requesting inspection C/, ~' J~}l, /I
Address of person requesting inspection Phone No. ~/~
Type of Inspection (c.ii~le appropriate one): Permit No.
Sewer Foundation ,/Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTIO" NOTES: I [0 [ I~ "~ Time ~// By
Inspected: Date I~ ~ \ _
Remarks:
RESTORATION REQUIRED ...... YES_ NO
;URFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC [~Other
~_1 Repaired by City Work Order #
[] Repaired by Permittee ~ COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
port
.,,~,,.'~,~,~ CITY OF PORT ANGELES
~,/~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
I~I.~II.I~IIV~ ~'1~1~1~111 ISSUED: 9/09/2002 PERMIT NO: 13697
OWNER/APPLICANT PROPERTY LOCATION
1837 WOODHAVEN LN
CLIFF & TERRY MILLER
1837WOODHAVEN LANE Lot: 2
Port Angeles, WA 98362 Block: [] Long Legal
360/452-3062 Subdivision: BROWN-ROOT SP
T: S: Parcel No: 063014149160000
CONTRACTOR ARCHITECT
WESSEL CONSTRUCTION N/A
P.O. BOX 1514
Port Angeles, WA 98362 , 98360-0000
360/457-8544 360/000-0000
PROJECT INFO
Project Value: $9,850.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SCI FT: 0
Zoning Use:
PROJECT NOTES
TEAR OFF / SHINGLES
RECEIPT #9646
FEES ASSESSMENT
Building Permit: $181.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $185.75
Plumbing: $0.00 AMOUNT PAID: $185.75
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 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 proy~'sic~ns of any state or local law regulating construction or the performance of
construction. //
Signature of Contractor or Authorized Agent ~ D Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\ I 102. l $ [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL4WFUL 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 DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / 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
PWUTILITIES/ SITEWORK (EngineetlngDivision) SEPARATE PEKMIT #'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 DEFT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 41%4653 FIRE DEPT.
BUILDING
T:\PLANNING\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQ~..~ST:
Date y- Z~ --4~'~ Time Received by ~ (phone, person)
Location of Work to be inspected /~ '7
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): /~ _i~i-~ Permit No.
Sewer Foundation Framing Chimney Plumbing~i~i~?Sewer Excav. Other
INSPECTION NOTES:
Date~'~/ ~-~ -~
Inspected:
· ~ 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
~1 No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
Application Number . . . . . 22-00000887 Date 7/18/22
Application pin number . . . 176006
Property Address . . . . . . 1837 WOODHAVEN LN
ASSESSOR PARCEL NUMBER: 06-30-14-1-4-9020-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
SELLON, DOUGLAS O ALL WEATHER HTG & COOLING INC
& SUSAN SPARKS SMITH 302 KEMP ST
1837 E WOODHAVEN LN PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 452-9813
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 56.00 Plan Check Fee . . .00
Issue Date . . . . 7/18/22 Valuation . . . . 0
Expiration Date . . 1/14/23
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 56.00 56.00 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Item Unit Charge Quantity Total (Quantity x 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 $
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 DU.$64.00 $
Manufactured Home Connection $120.00 $
Renewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional)$56.00 $
First 1300 Square Feet $120.00 $
Each Additional 500 square feet``$40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool / Hot Tub $110.00 $
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 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 and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711]
PREPARED 7/15/22,11:57:17 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00000887 1837 WOODHAVEN LN
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 56.00
TOTAL DUE 56.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Heat pump system
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/21/2022 22-887 TAP
OWNER
CONTRACTOR
All Weather Heating
PROJECT ADDRESS
1837 Woodhaven Ln