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Home My WebLink About1637 W 10th St - Building ,(I ~:iijf' CITY OF PORT ANGELES PUBLIC WORKS . BUILDING DMSION 321 EAST SrnSTREET, PORT ANGELES, WA 98362 BUILDING PERMIT S: ISSUED: 3/14/2000 PROPERTY LOCATION 1637 10TH ST W Lot: 11,12 Block: 307 Subdivision: TPA Parcel No: PERMIT NO: 11791 OWN ERlAPPLlCANT BRUCE & ERIN JOHNSTAD 1637W.10THST Port Angeles, WA 98362 360/452-3043 T: c><J Long Legal CONTRACTOR FLORES CONSTRUCTION 2530 W 10TH Port Angeles, WA 98362 360/452-1237 PROJECT INFO Project Value: $10,400.00 Project Type: GARAGE NEW Occupancy Type: Occupancy Group: Construction Type: Zoning Use: RS7 ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: SFD SQ FT: o o Commercial: Industrial: Garage: o o 832 MFD Units: MFD SQ FT: o o PROJECT NOTES 26' X 32' NEW GARAGE SIGN NON PROTEST L1D/R.OW. PERMIT FOR $ 100.00 REQUIRED ....... ~ \) " FEES ASSESSMENT Building Permit: $195.25 Misc Fee 1: $0,00 Plan Check: $0.00 Mise Fee 2: $0.00 State Surcharge: $4,50 Mise Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 TOTAL FEE: $19975 Sign: $0.00 Plumbing: $0.00 AMOUNT PAID: $199.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 ~ ,<:: ....... \:: , ~ RW SANITARY WATER OWY STORM ORA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void W work or construction authorized is not commenced within 180 days, W construction or work is suspended or abandoned for a period of 180 days aller the work as commenced, or W 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 I;lws 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 cance/the provisio s of any state or local law regulating construction or the performance of construction. Si nature of Owner W owner is builder Date BUILDING PERMIT OWNER/APPLICANT BRUCE & ERIN JOHNSTAD 1637 W.10TH ST Port Angeles, W A 98362 360/452-3043 T: S: PERMIT NO: 10280 ISSUED: 3/02/1998 PROPERTY LOCATION 1637 10TH ST W Lot: 11,12 Block: 307 ~ Long Legal Subdivision: TPA Parcel No: 0630000307500 CONTRACTOR OWNER VARIOUS Port Angeles, W A 99360 206/000-0000 PROJECT INFO Project Value: $55,636.00 Project Type: MANUF. HOME Occupancy Type: Occupancy Group: Construction Type: Zoning Use: RS7 ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD SO FT: 0 MFD Units: 0 MFD SO FT: 0 Commercial: Industrial: Garage: o o o PROJECT NOTES INSTALL O/S BELL/INSTALL S/W ON W. 10TH STJIMPROVE K ST. TO CITY STAr $600 CO-PAY FOR S/W TO PAID PRIOT TO B.P. ISSUANCE FEES ASSESSMENT Building Permit: $200.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: S/W COOP $600.00 House Moving: $000 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $804.50 Plumbing: $0.00 AMOUNT PAID: $804.50 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 ~ ~~ ~ ..... -"U:I CITY OF PORT ANGELES ~ PUBLIC WORKS 311 East Fifth Street. PO Hn.\ 11."'0 POrl Angeles, W:lshitlg\l1l1l):";:~h2-11.'i() Phone CH)() 1 4 1 7 --I XU.') Fa'I:,(,1I1417-4hll<} TTY 1'11<1110 (.1(,0) 417-4(,.15 c-1l1<lil P;lP\\'llcp[@()IYlllPlIS.lll'l Erin Johnstad 1709 West lOth St Port Angeles, WA 98363 1'UlIUC___ 1- 10 .-- 10 IllY iii _T. eAlI 1111 GARY -.. lIIIVI .0.... 8COIT llALI 8M. ........ tOM .... LOU MARk FlU; March 11, 1997 RE: Developer Reimbursement Agreement Information Dear Erin: Enclosed is sample copy of an agreement for reimbursement. This mayor may not help you with the wording for your sanitary sewer construction project. But it may give you some idea on how to word your agreement for possible future connections based on your engineer's design. I would suggest that you have your document and map of the area to be served recorded with the county. The developer reimbursement dollar amount is based on the construction cost distribute over the number of possible connections. The monies are collected at time of connection. The reimbursement agreement would not relieve the proposed property /connections from paying sanitary sewer connection fees to the City. Hope this helps. Sincerely, ~ Trenia Funston Engineering Permit Specialist PUBILlC WORKS & R/W PERMIT o Attached Notes OWNER/APPLICANT BRUCE & ERIN JOHNSTAD 1637 W.10TH ST Port Angeles, W A 98363 360/452-3043 PROJECT INFO Work is: Inside Traveled Road Plans Required: Contractor: OWNER Performance Bond Required: Proof of Insurance: Work to Perform: Issued: 5/08/1998 Permit No: Work Order: 809 o PROPERTY LOCATION 1637 10TH ST W Lot: 11,12 Subdivision: TPA Parcel No: 0630000307500 Block: 307 ['>g Long Legal Value Work: $0.00 Start Date: 1 1 Finish Date: 206/000-0000 1 1 Amount: $0.00 ['>g Install o Repair ['>g Watermain ['>g Sanitary Sewer ['>g Storm Drain ['>g Underground Tele/Elec o Mise PROJECT NOTES INSTALL 6' CONCRETE SIDEWALK SCHOOL WALKING PATH PRIVATE PRESSURIZED SAN SEWER IN ALLEY $600.00 sidewalk co-op pd on Bldg permit # 10280 rec # 3855 3/2198 FEES ASSESSMENT 1.) R/W Excav: $40.00 15.) Other San Sewer: $0.00 2.) Sidewalk: $0.00 16.) Sew Tap Wye/Man Tap: $0.00 3.) Curb/Gutter: $0.00 17.) Sew Capl W/M Removal: $0.00 4.) Driveway: $125.00 18.) Alter Repair Sewer: $0.00 5.) Dwy Culvert: $0.00 19.) Storm Drain: $0.00 6.) Street Cut: $0.00 20.) Catch Basin per ea: $0.00 7.) Other R/W: $0.00 21.) Sewer System Dev: $642.00 8.) Fire Hydrant: $0.00 22.) Milwaukee Dr. Sew Ass: $0.00 9.) Res Water Serv: $550.00 23.) R/W Use Perm: $0.00 10.) Comm Water Serv: 0 $0.00 24.) Admin Cost (DRA) $0.00 11.) Other Water Service: $0.00 25.) D.RA $0.00 12.)Water System Dev: $883.00 26.) Mise: $0.00 13.) San Sewer SFR: $80.00 TOTAL FEE: $2,320.00 14.) San Sewer MFR: $0.00 add unit 0 Amount Paid: $2,320.00 Receipt No: Inspection Fee: $0.00 Balance Due: $0.00 ~ From: To: Date: Subject: Timothy J. Smith GKENWORT, GCUTLER 6/13/01 8:29am Private sewer lines 9th and 10th Streets at I Street Gary What should have been a short and simple Real Estate Commitee meeting last night was hardly that. Previously, the Committee had asked that I prepare a sale listing of 5 City owned lots (#1 ,2,3,4,and5) in Block 307 TPA. As you know, that is the same block wherein a City Employee is preparing his property (Lots #9 and 10) for construction. I spoke with you and Cutler about 3 weeks ago about the potential for partnering with that property owner in order to try and affordably get sewer to the City lots at the same time it is being put into lots g and 10. ( I still have not heard back on that issue.) The listing which I was recommending last night was a listing "as is", with the buyer having to deal with the utility services. However, the Committee was only intersted in getting some answers to what is going on between the exisiting neighbors and an existing, private sewer line in the area...? Apparently there are several concerns regarding the existing and proposed sewer line connections involving existing residents and the City Employee? It seems that each of the Committee members have received citizen calls/complaints regarding the sewer line issue and other issues (something about some trees that may have been cut and removed in the area and the delivery of some pipe???? Although I attempted to shift resolution of the concerns directly toward the Public Works Engineering, the Committee wants me to get further involved. I will take that issue up with Mike. They also declined listing the City property until they get some answers to whatever is going on with the sewer infrastructure. I am really in the dark on this and need some background. They also asked that the City Attorney be briefed on the situation? Next Real Estate Committee meeting has been set for June 26th, We'll need a report and some answers by then. cc: MQUINN, CKNUTSON ~ ~ CIlY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TI1 STREET, PORT ANGELES, WA 98362 PUBLIC WORKS CONSTRUCTION Issued: / / Permit No: 809 & R/W PERMIT Cond: Work Order: 0 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ BRUCE & ERIN JOHNSTAD 1637 10TH ST W 1637 W.10TH ST Lot: 11,12 Port Angeles,WA98363 Block: 307 Long Legal: 360/452-3043 Sub: TPA PROJECT INFO-------------------------------------------------------------------- Work is INSIDE traveled road Value Work: $0.00 Plans Required: N/A Start: / / Contractor: OWNER Finish: / / Performance Bond Required: N/A Amount: $0.00 Proof Insurance: * Storm Drain * Underground Tele/Ele Misc PROJECT NOTES------------------------------------------------------------------- INSTALL 6' CONCRETE SIDEWALK SCHOOL WALKING PATH PRIVATE PRESSURIZED SAN SEWER IN ALLEY Work to Perform: INSTALL * Watermain * Sanitary Sewer PROJECT FEES ASSESSMENT--------------------------------------------------------- R/W Excav: * Sidewalk: Curb/Gutter: Driveway: * Dwy Culvert: Street Cut: Other R/W: Fire Hydrant: Res Water Serv: * * 5/8" 3/4;' 1" Cornrn Water Serv: 1" 1 1/2" 2" Oth Water Serv: Water sys Dev: * Receipt No: Inspection Fee: R/W SANIT AR Y $40.00 $0.00 $0.00 $125.00 $0.00 $0.00 $0.00 $0.00 $550.00 San Sewer SFR: * $80.00 San Sewer MFR: $0.00 Add Unit: 0 Other San Sewer: $0.00 Sew Tap Wye/Man Tap: $0.00 Sew Cap/ W/M Removal: $0.00 Alter/Repair Sewer: $0.00 Storm Drain Tap: $0.00 Catch Basin per ea: $0.00 Sewer System Dev: * $642.00 Milwaukee Dr. Sew Assess: $0:00 ~AD R/W Use Perm: $0.00 ~/zgvl j"r) D.R.A.: $0.00 /2(; '/JlII t#1~~~c;osts (D.R.A): ~~:~~ R fr,?fO ============================== tP ~ ~dl;;( TOTAL FEE: $2,320.00 V-eJ/ 0/'6 '1 AMT PAID: $125.00 ~ -;~~-~~;~----:;;~::~~~~ -E DWY STORM DRA OTHER ptl-- ;;2320 $0.00 $0.00 $883.00 $0.00 WATER Separate Permits are required for electrical work, 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 lhis 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 Siqnature of Owner (if owner is builder) Date fPOATA..\o; .ti!1 ~c....... "Maintaining and building a better community. Jack Plttfs Director {4801] Phyllfs Rasler AdmJn/stTat;ve Assfstant {4I100] Cate Rinehart AdmlnlstTattve Assistant {4700] Bob Titus Deputy Director {4701} Ken Ridout Deputy Director {4S02] Gary Kenworthy City Engineer {4803] Stew Hursh EnglnoorlfIfJ Man8f1er {4702] Tim Smith Contract & Project AdmlnlstTator (4804) Lou Haehnfen Sr. Building Inspector {481.] Tom Spertlne Sr. Electrlca/lnsp6Ctor {473S] Scott McLain Power Manager {4703} Ralph Ellsworth Water. Wastewater CoIloctlon Superintendent [4855} PeteBurrett Equip. Servfcos Superintendent (4835) Merf< Shamp LIght Operations Manager (4731] Ken Maika Conservation Manoger {4711] Kevin Curtis "&at. Plant . SUpeM80r [4I145J Tom McCabe SW Collecffon SUpeMoor (487.) Stew Evans Landtrll Supervisor {4873] Daw IMlcox Street Maintenance SupeMoor {462S] MEMORANDUM DATE: February 23, 1998 TO: Gary Kenworthy, City Engineer FROM: Lou Haehnlen. Sr. Building Inspector / t&> 3 ~ Vi!. {O i: 5 { SUBJECT: Johnstad project at 10th and UK" Street Mrs. Johnstad has objected to the requirements placed on their project by the Public Works Department. Specifically the requirement for the placement of approximately 100 lin.ft. of sidewalk on the10th Street side of their project. The City offered to split the cost of the side walk 50150. Mr. and Mrs. Johnstad were to decide if they were going to participate, if they decide to accept the City's offer, the Building Division can issue their permit. The placement of the gravel is only required if access is from "K" Street. CITY OF PORT ANGELES CITY MANAGER 321 East Fifth Street. PO Box 1150 Pon Angeles. Washingwn 98362-1150 Phone 1360 I ~ 17 -~500 Fax 13601 ~17-~50Y TTY Phone (360) ~ 17-~6~5 internet address citym@olympus.llct February 27, 1998 Erin J ohnstad 1709 West Tenth Street Port Angeles, W A 98362 Re: Appeal of sidewalk requirement Dear Mrs. Johnstad: This is in response to your February 23, 1998, letter to me in which you appeal the requirement that a sidewalk be installed along Tenth Street at the site of your new home. After reviewing the situation, my decision is that the sidewalk must be installed in accordance with the City's Urban Services Ordinance, PAMC 18.08.040 D. I have also decided, however, that the City will allow you to utilize the City's 50/50 cost sharing arrangement that normally only applies where sidewalks are not required to be installed as a part of the development. In making this decision, I want to emphasize that this compromise will apply only to the 100 feet of sidewalk for your new residence at West Tenth Street and not to any of the other lots that you own or may be in the process of selling. In response to your statement that another newly constructed home down the street did not have to put in sidewalks, it is my understanding that the only reason the Public Works Department waived the sidewalk requirement in that instance was due to the lack of curb and gutter that would have made sidewalk installation impractical unless the City had been able to redesign the street and install the curb and gutter, which was not feasible at that time. It is also my understanding that since the Urban Services Ordinance became effective in February 1995, all new development creating pedestrian traffic on arterials and school walking routes has been required to include sidewalks. I would also like to make it clear that the SO/50 participation offer made by a City staff member was not consistent with the City's normal policy but that since the offer has been made I feel somewhat obliged to honor it. Accordingly, I am hereby instructing the Public Works Department to prepare an estimate of your share of the sidewalk installation, which you will need to pay prior to receiving your building permit. While you may or may not be satisfied with this decision, I feel that it is the most favorable decision to you that I am able to make given the requirements of the City's ordinances and policies. Very truly yours, Jeffrey A. Pomeranz City Manager .. i From: To: Date: Subject: GLENN CUTLER LHAEHNLE, KRIDOUT 7/2/995:04pm 1631 W. 10th SI. -Forwarded Ken/Lou, Can you shed some light on this topic. Are you the correct people to answer the querry? If yes please advise. If no let me know who is the appropriate action person. Thx...Glenn . cc: PRASLER From: To: Date: Subject: Jack Pittis GCUTLER 7/2/994:15pm 1631 W. 10th SI. Here's a complaint to cut your teeth on. Councilman Hulett has been contacted by Ms. Erin Johnstad at the address above. (spelling and exact address could be slightly wrong but is close) Councilman Hulett says that a garage permit has been held up and wonders why. Additional issues are also questioned: 1) They had to construct sewer line and have no sewer latecomer approved for others that useline? -vlL\"~ L-{ ~, frt.\v~ 2) Have been told that the contractor for "I" street project will build the sidewalk for them.. 1 Have been told that contractor can not build sidewalk the city must do so. 3) Have paid $600 for sidewalk and we have not built and will not build and have not gotten money back? .J. j 4) Must develop access with expensive cross section of gravel? ~r0\.J~ CAT 1 Could you please provide me with a report on exactly what has happened and what the facts really are within the next week so I can report to Councilman Hulett. May also need to contact Planning to see if there are any issues there. The above may not be the correct version of what is going on, but sounds like there is some confusion on the part of the property owner or just reporting her way the councilman, I do not know. ...----- "'::J/ 1"1..-> 5<:-<1. Jack cc: BCOLLlNS Ffom: To: Subject: Gary Kenworthy GCUTLER 1631 W. 10th St. _ Forwarded - Forwarded - Reply Glenn - I am the proper response for Mrs. Johnstad's issues. The grage permit has not been held up since no application has been recieved by the building department. The issue regarding the garage is the access off of "K" street, which is unimproved and is covered in my response to item 4). Resposes to specific issues raised: 1) The sewer line noted is a private force main in the 9/10 alley to serve only Mrs. Johnstad's lots. If she sells a lot and wishes to include a latecomer fee in the sale price she can. The only latecomer fees for utilities which we collect are those which are dedicated to the City with a developer latecomer agreement approved by City Council. 2) & 3) City will construct the sidewalk this summer. See forwarded City Manager letter of 2/27/98 and Director of Public Works letter of 4/23/99. 4) See Director of Pullic Works letter of 4/23/99 in response to Mrs. Johnstad's letter of 4/19/99 also forwarded. From: To: Date: Subject: SAM MARTIN GKENWORT 3/2199 4:42pm Erin & Bruce Johnstad problem Gary: I understand that Erin Johnstad was denied a garage permit unless she did. something special to her road on west side of property. Since she is supposedly the only user of that road, she is asking the city to not make her do this finish of the road. She has an appointment with Patrick on Mar. 10. I am requesting all the information be sent to me concerning this issue. Patrick wants to be prepared before she arrives. I need to know of all her visits and who she spoke to, and what she was told. Thanks, Sam cc: JPITTIS ~ <L- c9.-. ~ GO ~-( t<:" \'\9,/-(lv'':~ ~'-^-- :>~~~ ~J ""- f'Ol'/~<cC ~(" / r?<S+ o.-S!- <-.J u"'- !eeJ 11\ v <\- c9 f? --.. ~ td.J , ? z...... v...-~ t- \^o+ ,~ 0"'- OJ('~ 0---.7L hr /(Stre6f Ufr?fodeS ~O. pORT ~I( ~ <'Jo. I \~ I 't9( Ie ,p"" CITY Of ?ORT ANGELES - PUBLIC WORKS IDEPT. STANDARD DETAILS 10'-0' 10'-0. \.A,>%'\~, <-'<<<<\>> . ../'P~Of1LF: CRA<< ../' sa: NOra '2 AND N 26 SLoPe - r /.fIN. COMPACTED DU'TH CRUSHED SURFACING TOP COU~SE 8' /.fIN. COMPACTED DU'TH BALLASr GRA VEL ALLEY SECTION (NOr TO SCALE) .4'-6- . 6'-0' 10'-0' 10'-0' J'-O" ,'-6" 'if ~~~ ~~) I 2X SlOPC I .. \ ,r/. 1'. h;: %^>-: y/ -i'" >;:>~ /. >-.'v)..: / ~/)..: v: ",,<:<,/,,/,/"/.\7/,:< 0:: /(,""<' , /~/"/.>? I , ~. r /.fIN. COMPACITD DU'TH ASPHAlr CONCREIT (CUOSS .1000) " r /.fIN. COUPACTED DU'TH CRUSHF:D SUl/F"AClNG TOP COU~SE 8' /.fIN. COUPACTED DU'TH BALLASr " r MIN. COUPACTED DE:PTH CRUSHED ROCK SHOUWERS .:: ASPHAL T TWO LANE ROAD (Nor ro SCAlE) I 4'-6- I f 6'-0" 10'-0' TO'-O' PROfU Ci1ADE (See NOrcs n AND ~) 21t " J'-O' I "-6' 8" MIN. COMPACTED DU'TH BAJ.U,Sr r MIN, COMPACTED DU'TH CRUSHED SURFACING rOP COU~SE: NO res: GRA VELLED STREET (NOr TO SCAlE) I, TlICSE: ARF: THF: MINIMUM RCOUIRCMCNT'S FOR ALL-/I!"ATHER STRCCrs AND Au.c~ '. PROFlLC CRADe rD 8F: APA'IO~ 8Y TIfF: CITY OIGlNF:C1t. .. : ROAD CENTERLlNf TO 8f COiNClDfNr KITH RlCHr-OF-WA r CENTFRt.INr. " MINIMUM CLCAR ZONe IS 10' BCYONO TRAlf'tro WAr. ALL OBSTRUCTIONS TO'8f ~OIO~. 5, CROSS CUL If'RT'S FOR ORAINAGe AlA Y Sf RCOUIRETJ BASCO UPON sur: CONDITIONS. 6. ANY DCV1A TlONS FROM THfSE AlINIIIUII srANOAROS R(O/JIRFS IIRfTITN APA'IOVAL BY ClTY-OIGlNCER PRIOR ro CONSTRUCTION. APPROVE!) BY ::::TY ENGINE:i'l :,~ I?/? l' /o.t:;" MINIMUM DATE : 06/09/92 Rl'V'''l'n ~b Ii I! Iii . . ,.~ Ii. ,fi: ~f~ h, Il~ . ~ u~ ~~i h b~ A~ i~ II II . 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April 23, 1999 '.: Bruce and Erin Johnstad .. __ 1.637 W. 10th Street Port Angeles, WA 98363 RE: "K" Street Improvements J.,L/' Dear Mr, and Mrs. Johnstad: In response to your letter of April 19, 1999 regarding the improvements to "K" Street required for your garage construction the City will still require the minimum gravel street improvement along your "K" Street frontage as stated in your previous meeting with City officials in which the City agreed to assist with the sidewalk improvements along 10th Street. We realize that you own property on both sides of "K" Street, but this may not be so in the future. The City requirements for minimum street improvements .are in place to provide an adequate maintained access for owners as well as emergency and other vehicles. Due to the flatness of the terrain we will waive the need to have an engineered profile grade prepared for approval. ....... ~ \}l ~ ~ Very, trul~ JLt;, Director of Public Works '-... ~ I~ ~ JNP:gk Copy: Building Disk:N:IPWKSIENGINE ERISTRTCRSPI 1 OTH&KWP D File: Address 321 EAST FIFTH STREET. P. O. BOX 1 1 SO · PORT Ar,jGELES, WA 9B362-0217 PHON E: 360-417-4805 e: FAX; 360-417-4542 . TTY: 360-417~4645 E-MAIL.PUBWORKS@CI.PORT-ANGELES.WA.US FILED AT THE REQUEST OF: City of Port Angeles Public Works Department P.O. Box 1150 Port Angeles, WA 98362 COVENANT CONSENTING TO THE FORMATION OF A LOCAL IMPROVEMENT DISTRICT The undersigned, owners in fee simple of the real property herein described, consent to the formation of a Local Improvement District (LID) in the CITY OF PORT ANGELES, Washlrgton, including said pr~rty, for the purpose of installing the public facilities required to improve' Wk... S,.. _ N'~FIC"} .. 'ik to II City design standards, inciuding . which are improvements as-a 't~ authorized by RCW 35.43.040 as now or hereafter amended, and shall be binding on the owners, their heirs, assigns and successors in interest. By signing this Covenant, the undersigned, their heirs, assigns and successors, shall be deemed to have signed a petition initiating an LID including said property, under RCW 35.43.120 as now or hereafter amended, and shall be precluded from having their signatures counted as part of a protest to divest the City's jurisdiction to proceed with an LID including said property, under RCW 35.43.180 as now or hereafter amended. This Covenant authorizes the formation of no more than one Local Improvement District. After compietion of the LID, the City shall deliver a signed release of this Covenant to the owners, their heirs, assigns and successors. This Covenant shall be recorded and deemed to run with the land described as follows: . for a period of time not to exceed ten (10) years from the date of execution of this covenant. \-. 'J ( r , . '. ' ( I U ),- /~' l """ .',1\-:/.." I ~dwL.1J.. (Owner) .. (Owner) STATE OF WASHINGTON . t me known to ~ the individual(s) signed the same as 11..: L~ free and ~OII " . , Hiii " "9J C/38J1V'tH:J dJIVf7d UA.n .uo. J/'Ml/lnaw w.n .uo. '*!J!I oI'JM I/IIJ"/ 7SrXJ .".., lKI . .6 ~ 7m71l:M tHdWld nmX1.,,~C",,~ '.mrlt/ ,j(} $:10/$ 7'11' ~ '''lfM .to w.ro .z XMOIId '''''M <1MoOIOi 3d07S Jo<U IGd .z IUJM >OfHJ. 1ff'If'fIN1" .~ )h<Nl .to b'OO1$ ~ '5NOI.I~ IDHJJ!nd IIO.f !:!UtJN ~:!D$ ~ ~ 3Hl .to HORGlX3 WIlW lJCIII:WII JMJN:J .1HJ. Oi :/Y3$ooO-ifOHJ.. I/O .31JNOIf'rIrJ. A'1dIN IJO $)/fW1 .1HJ. .JO IIOIIf31JG 3II1UG :J/{J. Oi NOIS7nfG ~_ .:10 SlM:l:1 GlIlI A7ddI' 'f '7ItJY.JI7d.{y 3<i1IIM san (]NY SJN/()f' :JdIt! 71I'.JII('N.) 't ~';M 3f1 TfIIHS II:1II1WH:J dI'IN 3/{J. 'I .'S3J()N . " '1~ I()VJ iJIU (WIlJ) 0YJ/0I :JiM'NI.0 'II'lOi !JNwOT7QJ 7>a 1~ Iv.) 0; tHdWM .fO II/Wf/r.) :m 'I7>H$ """" $1><1 'dWJd 7.J'I1Q'S T1IJtsv_s ~I ,_ I1Wr' 7300If U7f1(J() .II ...... ': ':":,/:'~ ;-':'.~: ,: :~.::~:< : , 'J'. ~:MId ~ 'MI'lIllN Jl1d 'I'II'lSNt ,~:':'!;OHS SY SNOUIWIOOIf 1WIA..:::::r:.~ ~""""dlf(X) .nJNIS 'Nrl'TMJ O'i~ """""",""" -- "ZJIJ7 J}~ dtmd. 1r2l.. "(1'/ MOT1tJ "'" .J ]did M J7OI/ 'IllI .1/1 TI/IJ(J , " s:1OI$ Tff 'Sn1Wl/ .1 ~ "" "d)J, '.,g .r .. s:JH:UJMS " ....J.'lQy., AIIn:JlG/f .. .r .. "7>!)1J9('..~~ JIGfI'W1 ~ " 3tIOII .1/10 -.J.I1 J.1OtI .' 773 .os ~0IGl/ -~~Oi '. " ".". 3JJS I1S ~ J.IlIl.JSMtu 7$WIWZI 1N/Of' J.Xo.G ,. . 'IDJJirIro JSIXJ ~ 9 o:JIoGl/O HJJM DMrJ7/I?tJ 1" ~ ~ TMsNI '73I\W 7OIJ1NO:) Oi .JdJNo:J ~ 1I1I'f1 1IOIY ~lIW NM/rJ Oi 3rM1IJ ~ _-?,~I= + '1r2l7& HOem (]NY 'on NM()(J 17011 ~ :1W/Jdo]N H1J<< 0/7 ~U o:J/O//o JoI'Mi >r.EH:J d;f;j :JIttI 'WI = =, I ~m :9dJ!f/J IJ.Ci3/i ~/CiOH ~~HJ.MII.l.JJlt'JIX) trmV7:J Ihd ~/M1t1 JJtJ JSt'/If ~ ~ 3HI. "'IiJd'r 171M Mo-m; (U//y./3(] SNOWONo:J 1DIu0 7'11' 'JJOS3lJd.if ~ G\IU [)N/1f/IQ:f iro.m1 :J/{J. ~1Sf1rNCN/~ All ~ .nfM "Oi rnL/GWO:) 3tl IN:) )(WJ = !JML<:tIG.1HJ. 'rl"'I:1lhIMIo (]NY )(NY1 ::JUd3S [)NfNOU::JNrbJ ~ IIU<< G3NGS A1lN3lNJI'O S1 6/ 107 :,0, 3l0N I (JQ+~ _Dfl.t~ "'o'".-T. -""~~-~'--......_.<_..~_..;,.()(}"'i,.._. ....""---....__,,_....~.,..~...-, -"_~"~fJ!I..+O maN .. -..,-. . ....--- a.u. ""-If: SlZED AS REQlJJRE/) ..m r stJLJARt: OPERATINC NIJr S</PPUED TI1ROuCH /('fAN HERCo PRCDi.Jcrs CQIjp. , 1I_III_tl_III_IILIIC NATM: lW:KF1JJ.. C()jJPACT TO ~IJ/o/DD/~WA~ '.wo ~ IN IJJ. OrHfJ/ NI!AS. BALL VALVE DETAIL NO SCALE ClASS "/I" PIPf BEDDING POI lISGlOT/APIIM, P-oJ.17. C()N$TRVt;T TI/DoO< .wo INSTAJ.L PIPf POI IOSDOT/_ 7-17.:1. IilJ8Sf:C1IO/oiS (1)A. (')8, (2)8. (2)E. .wo (:1). t; M1r.c BN::KF7J.J. IS u:ss TI-Wi 1 FfIT BCJ..Ow ~IIII)'S mEN ~ PIPt: IN ClASS "C" co.o.c. 'tl_SNlE~_ 'OR PIPf: llfJi()I/;C. 0IJIII1NC 7IeO OR WJRE , T/oiDIE SHAJ.J.. BE I" wa: 8ET'tI!:DI PIPES). CAST /RON RING .. COIif1/ POI IOSDOT/ APIIII STD. PWlS. OITAlL NO. 8-' 8b (Wrm BOLT DOWN I.JO lW/XD) "SF:w0l") SCREw T'rPE PYC c.v> F7NJSHEo GRADE 41L WIN. l,,, ...... I .":: ";'~"', III III III III ,~l\t~ - "~"~' . '''''''),. ' CUANoI.n; /JAKE SAilE SIZE ","0 T'rPE OF' PIPE ,,1" 'lllf~ AS 1RANSPOI?r PIPE. SEX cAu. "IOt:S) snc PWI. lXJNC. ~ PRESSURE SEWAGE TRANSPORT "PIPE CLEANOUT #1 NO SCAI..i .---.---.. NOTE: THIS IS A PRIVA TE: SEWAGE SYSTEM AND ALL FACILITIES (INCWDING PUMPS, PUMP CHAMBERS AND APPURTENANCES) BETWEEN CLEANOUT 11 (CO#O AND CI..EANOUT 12 (COI2) ARE NOT ItIAINTA/NE/) BY THE CITY. CALL BEFORE YOU CALL 2 WORK DAYS /I ' ADVANCE BEFoRE YO DIG CALL: 1-800-424-~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . ; . . . .. . (~ " REQUEST: Date Time Received by (phone. person) Location of Work to be inspected Name of person requesting inspection -rh h '" < + ~ ~ Address of person requesting inspection Type of Inspection (circle appropriate one): ~w3 Foundation FralTling Chimney Plumbing Final Sewer Excav. Other /(P~7 w /0 ~ Phone No. Permit No. INSPECTION NOTES: Inspected: Date 3 - 17~ "17 Remarks: E.r/~t;'"~, (.." CnlflC. ...ld<: -4'1 PV ~<'l~;d~ (.." ~ "" o. Time By" A' t:i ,i'p11t-d ;I.... '" ,. IJ 'J. _ . tl.,;"" .\f.-P \\l"'I I :..-4- ~~ ,. ',.4 \- ~_n..,1;. . ,.;, -;'a<rleJ I....+; RESTORATION REQUiRED...... YES NO q~ - '1-.\ ~~.,~ ~' 1;[~ · l J -'-- _ Si<).....~_o _- -"'PO< ~..-... e,~ .... - 6."c..~~ f'~u.t'~ \,""q'.. I fir .\ -. -" ~\ . t' II>~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found' Work Order # o COMPLETE o INCOMPLETE ~ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) I of VOAT """ tiB '\i1C~ BUILDING PERMIT - PREAPPLlCATION fOR OFFICIAL USE ONLY: Dale RCC~ - 60 Permit U: I CJ J Pre-Ap Complete? Date Approved: The Building Permit - Preapp/ication must be filled out completely. Please type or print in ink. If you have any questions, please eall417 -1815 Applicant and/or Agent: (U,R,6 U"-'ST//6Urltl!. R. F(ores Owner: BKLJLI" {Ee.Ii\J. SOH-fJ'"':>fA. 0 Address: 1(0 3"'] IAj I;'::>T (1C>-J<T1-\ Phone:%o -lfs,- Id-",7 Phone:3ffl- 'f S-.;1- :'0'13 City: V/')R.l ~br;:L-Ec, .\lJA-. . Zip: H,'-3G3 ArchitectlEngineer: l.'~ "''7'''' V~<!r/ S Contractor tio /2.F.e; (' J) I-{ ST. Address: ~S-3 0 W f:S '( i 01h PROJEcr ADDRESS: \ I^~ I W eC~T ID Q.. LEGAL DESCRIPTION: Lot: Block: Phone: License #:H....Q"f:(J.ryn~ ExP:4/;J-~Joo Phone:"(S7-1~ 37 { ( City: P. '^ Zip: 1 'O:>{~ s ZONING Subdivision: TYPE OF WORK: j!l-Residential ~New Constr. 0 Reroof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign. BRIEF DESCRIPTION OF THE PROJECT: SIZElVALUATION: R'3}- SF.@$ i.;l. sC ISF. = $ SF. @ $ ISF. = $ SF. @ $ !SF. = $ TOTAL VALUATION $ ..we CA.:e- bill<R.f'<~€ . <~ 10 I <.j Ob. o Woodstove ?-- Garage o Deck o Deo, "C (-IE D COMMERCIALlRESIDENTIAL: No. of Stories: ~ Lot Size: Existing Lot Coverage:' n 31' Occupancy Group' 'S ''7 Occupant Load: ..-co' 'Construction Type: /4-1 000 % Lot Coverage: . I€> G % ,/sq. ft. + Proposed Lot Coverage: B ~ 2- Isq. ft. = TOTAL LOT COVERAGE: vAl .710 /4- fsq.Jl . PLANNING USE ONLY:' INotes: APPROVALS: . PLAN BLDG DPW FIRE OTHER . ESAlWeUand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: PREAPPUCA TION SUBMfITAL: Your application and site plim must be fUkd oul completely to be accepted for review. The Buildimg Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMfITAL: Your completed application. sile plan (for additions) and building construcli<Dn plans are to be submitted to the Building Division. V ALUA nON OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figurc will be reviewed amd may be revised by the Building Div. to comply with current fee schedules. Contact the Pennil 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 oth.,,- pennit 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 my limitations. The Building Official can extend the time for actioo by the applicant up to 180 days. 00 written request by the applicant (see SectiOln 304(d) of the Uniform Building Code, current edilion). No application can be extended more than once. I hereby certify that I have read and examined this applicatian and know the same to be true and correct. and I am authorized to apply [CDr this permit. I understand if iJ not Ihe City's legal responsibility to determine what pemtitJ are required; it remain.J the app/ican~J responsibIlity tv determine what pen1llls QI e reqUired and to obtam SIl~1r ~ Applic ~ r ~ Date JJV. 7,)UJO PW-l102_))(n:v 2/961 City of Port Angeles Applicant Project Review Sheet Applicant: Owner: f'Y<:~l'->.' E: ~,+wes Property address: i,i.n 2, 7 Lu C,:> T Proposed use: 11 j:'~ G~ Zoning: . 'L- 10 RG, P;e.1II~ 4: e: f!.( N .:rct\~ $1Ao Is the proposed use listed as a "pemritled use" or an "accessory use" in this zone? Is this the only use (business, residence, etc.) on this site? Has there ever been a subdivision, sbor1pla~ or PRD approved for this site, or has one been submitted and is pending apProVai? Does the proposed use require a new buisness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does the project exceed the permitted beight allowance or cause the property to exceed the allowed lot coverage m this zone? Does the project require any additional parking or special designllandscape improvements in this zone? Does the project eliminate any existing parking spaces? Is the project located within 200' of the sboreline? Are there any environmentally sensitive areas on or within 200' of the property, including: . wetlands or areas of standing water (year round or seasonal); . streams (year round or seasonal); . areas with a slope of 40"10 or greater, or . areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? o Site Plan 0 Construction Drawings o ParkinglDrainage Plan 0 Civil Drawings o Energy Calc 0 Supporting Engr. Calc o LandscapelLighting Plan 0 Other g:,.es: ok o no: requires PO review nyes:ok o no: requires PD rrnew o yes: requires PD B-no: ok review Dyes: requiresCC ~o:ok review o yes: requires PD ;gtno: ok review o yes: requires PD Elno: ok review o yes: requires PD ~no: ok r<Mew o yes: requires PD :tS:t.no: ok review o yes: requires PD ano: ok review o yes: requires PD ~o:ok r<Mew ,l>a:yes:ok o no: mark required item(s) If Planning Department review ;s required, the processing time may be extended. If it ;s determined a separate Planning Depar/1rU!nt permit(s) is needed, the Planning Department pennit(s) must be approved prior to the issuance of any other pennit. The iliformatiort provided above is I>'ue 10 the best ofmy knowledge, I understand that in the ""em that any of this information is determined by the City to be incorrect, rhis project will be stopped until such lime rhe City detemrines the correct iriformalion is provided and any subsequently required review and approvals are completed and granted. . -;{, ..' iJ'Vft;-rLr-- ~ If-' rii,1I-IlL.!f 7,06 Permit Category # z... (see reverse side) Building Permit # ,nq I Route to: oBD 1...-(1 _ Staff Initials o CC 0 FD Date}-'7-6D Completion oj this form ;s required for a/l category 1 b, 2 & 3 penniu. Completion is not required/or category la permits unless they result in a potential change Oluse or occupancy. OW oPD DPW o File DOther Master Tracking # APRS_I(6-U-97tN1venion) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . INSPECTION REPORT. REQUEST: Date -;;t- - "5 - C? 6 Time /0 /?J - Received by ~hone.person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney /0 37 W, /ei0 CST ~~A' p Phone No. Permit No. er Excav. Other 1/791 INSPECTION NOIjS: Inspected: Date - )- CJ.t!..J Remarks: Time z~ ~ By @-~ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. ...... REQUEST: Date '3 - 26 -00 Time I ~ Received by o ({)!$ r-0 ~ (phone, person) Location of Work to be inspected / ~ :57 Name of person requesting inspection Address of person requesting inspection Type of ircle appropriate one): Phone No. Permit No. 1177/ Sew Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date 3-ZfJ-c;(!:) Remarks: Time 2 "3}2- ~ By (0, t: RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel D Asphalt D PCC D Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE I RIGHT OF WAY USE PERMIT ~ORT.ANGELES WAS H I N G TON, u. S. A. NAME OF APPLICANT ~\ ~n\ ILJl(l~L'}d MAILING ADDRESS l VI); /.\, I {! \11 PHONE NUMBER '3(,;(;- L1e;'!2: ~)(I.n STREET ADDRESS OF PROPOSED STREET USE ~ DESCRIPTION OF REQUEST (include drawings required for clarity): [If street closure is requested, please state the name of the street and limits of closure, together with the duration of closure.] rr;€ l.J1J.Op-FNE:T1 (kit ~...,.r"''''T R./w To ~.s.s. ~tt Y'(I~I!?-, DATE IS THE USE TEMPORARY OR PERMANENT? CZie HOW LONG WILL THE OBSTRUCTION BE IN PLACE? WHAT ARE THE HOURS OF OPERATION? HOW IT WILL BE LIGHTED? EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP. ARE THERE ALTERNATE AREAS THAT COULD BE USED? I~ . '" .,..-,;. A-LLec;...,; &, ~e ~T 0 F J:;, ~ T - /'f// "...,- HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Street Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his successors in interest, hereby agrees to indemnify, hold harmless, and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of, or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, or planting strip. I' IL DATED this (' SUBSCRIBED and sworn to befor {OFFICE USE ONL Y] Copies sent to: Police Fire Planning _ Finance Date: Date application received :3 -'" I'~~'{)OD Fee paid $ (0 0 ~ Receipt # S &137 Certificate of Insurance per PAMC 11.12.140(B) Agreement to Remove Encroachment signed and on N/A Recorded on N/A ************* Application reviewed and recommendation by City Engineer ~ I- Date d 4'l :er~and with the fOllowing conditions: L.Ji? JJe".. - rr~M is to Applicatio Date 'J denied by the Director of Public Works .............................................................................................................................................................. Copies to: Applicant 0 Fire 0 Police 0 Street 0 other N:\POlIC'CP\0200_OFF\ll201l_10.'NPO [Ft"bruaI'Y 17.20001 o Address file 0 RUP file 0 RUP # OO-OS ill l '-, :7'18 T ~; 4',4 al:it / I ,I z I. ;;-9r I 1 l ' I { tZ: JJ l' '1 . ,.J , . . . ..:,.. .., -... . c '~.j QOI ........ i. j ...-' I I I I I I -.J z 110 9 B 7 ., . "I < .3 Z I I I I I ,~ " If. 1,. ;z. I '.9 8 JJ~' 1/.3 I( I ~ '" <1> TI ~i1121 '4'& I 18'1 I ,5 :r. I IIIZ1'3 I I I~J SIXTH i0.51 e 11! '- 1.6':4!.. I I I i l SEVENTH I, ~ Z I - .... Jt, fritz /3 14 71 z; I , , 1'2' I, TENTH I 10 ~ 10 19 " 71'" 1$ 4.3 2- , I '] III~ 1/!/ZI/.3~ ELEVENTH ~ I ... 3 44 /516 I /0 9 8 T 4 .: Z. I. IA. 16 :~ i , .,II! II I . 1.3 " I; ~~ w CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DMSION 321 EAST SUI STREET, PORT ANGELES, WA 98362 BUILDING PERMIT Issued: 3/02/98 Permit No: 10280 Conditions: OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ BRUCE & ERIN JOHNSTAD '1637 10TH ST W 1637 W.10TH ST Lot: 11,12 Port Angeles, WA 98362 Block: 307 Long Legal: 360/452-3043 Sub: TPA T: S: Parc No: CONTRACTOR-------------------~---------DESIGNER-------------------------~_______ , 000/000-0000 , 000/000-0000 PROJECT INFO---------------------------------------_____________________________ prj Value: $55,636.00 SFD UNITS: 1 MFD UNITS: 0 prj Type: MANUF. HOME SFD SQ FT: 1,782 MFD SQ FT: 0 Occ Type: Occ Group: Occ Load: COMMERCIAL: 0 Cnstr Type: INDUSTRIAL: 0 GARAGE: 0 Land Use: RS7 PROJECT NOTES--------------------------------------_____________________________ Fire:frie sprinkler system or outside bell-hardwired-painted red and labeled. CL:need electrical permit.PW:install s/w on W.10th st walking school route, improve K st.to City standards for driveway access. ***TO PAY $600 FOR 50/50 COOP S/W INSTALLATION PRIOR TO ISSUANCE***** PROJECT FEES ASSESSMENT---------------------------------________________________1 BUILDING PERMIT $200.00 -------------- $0.00 -------------- $0.00 PLAN CHECK. $0.00 -------------- $0.00 ---------RADON $0.00 STATE SURCHARGE $4.50 -------------- $0.00 $0.00' HOUSE MOVING $0.00 -------------- $0.00 $0.00' MANUFACHOME $0.00 -------------- $0.00 s/w coop $600.00 SIGN $0.00 -------------- $0.00 ========================= PLUMBING $0.00 -------------- $0.00 TOTAL FEE: $804.50 MECHANICAL $0.00 -------------- $0.00 AMT PAID: $804.50 --------------- $0.00 -------------- $0.00 -----------------______ --------------- $0.00 -------------- $0.00 BAL DUE: $0.00 THIS PERMIT DOES NOT REQUIRE A SEPA, SHORELINE OR ESA PERMIT Applicant Staff.. Date RW SANITARY WATER OWY STORM ORA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void ~ work or construction authorized is not commenced within 180 days, ~ construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or ~ 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 constr 0 Si nature of Contractor or Au1horized A ent Date 31'2iq~ Date I\ov~tr W-/5!} 'yv' {i" .""~ .t~ ~~ 'l=. -=;.w ~" w;id" BUILDING PERMIT - PREAPPLlCA nON FOR OFFICIAL USE ONLY: Date Rec.:Z.I. , (- <9~ Pmnit': 10:c-......0 _Ap C<>mplet.? Date Approved: The Building Permil - Preopplicalion mu<I be fUkd out completely. Please Iype or prinlln Ink. If you have any quesllons. please <811417-4815 Applicant and/or Agent13rucelFn/7 ,Tnhnslrtd , Owner: I )'iJInp. Address: 17M iLl, ILiliJ City (JNF/Jngt.ltS Architect/Engineer: Contractor . ?p.) P Phone: Exp: Phone: License #: "".~;-t -<>'..... . . '; ZONING Zip: f2S 7 Address: PROJECT ADDRESS: I (0 ~ I LEGAL DESCRIPTION: Lot (I ~ 1'2- w, City: : 01'\ 1 - Block: ':]01 Subdivision: IPA TYPE OF WORK: )i Residential }l' New Conslr. 0 Reroof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: o Woodstove o Garage o Deck o SIZENALUATJON: /7 f2. SF. @ $ ISF = $ . SF. @ $ ISF. = $ SF. @ $ ISF. = $ TOTAL VALUATION $ r-r- - .~ ','-, &.j[, ~ ""'( '" COMMERCIAURESIDENTlAL: Occupancy Group: :K '? Occupant Load: I 0 Consuuction Type: No of Stories: --L Lot Size: IDDX ii./tJ % Lot Coverage: /q,'lc % Existing Lot Coverage: (2f Isq. ft. + Proposed Lot Coverage: 11 cg '2... Isq. ft. = TOTAL LOT COVERAGE: vrJ 17e~ Isq.ft PLANNING USE ONLY: Permits Required: Max. Height: Setbacks: Site Plan and Use Approved by: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No APPROVALS: PLAN BlOG DPW FIRE OlliER Notes: Zoning: Date: Other: PREAPPUCA llON SUBMfIT AL: Your application ond site plan must be ftlkd out comp/deJy to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLlCA nON SUBMITTAL: Your completed application. site plan (for additions) and building construction plans are to be submitted to the Building Division. Any addition larger than 500 sq. ft. will need a Preapplication Review. V ALUA nON OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will he reviewed and may be revised by the Building Div. 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 consuuction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPIRA nON OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this applicaLJon will expire by limitations. The Building Official can extend the lime for action by the applicant up to 180 days. on written request by the applicant (see Section 104(d) of the Uniform Building Code. current edition). No application can be cxtended more than once. I herchy certify Ihat I have read and examined this applica/ion and hlOw the same to be (/lIe Gild correCI, and I am authorized /0 apply for this per",it. ! unden/and iI is nof the City's legal responsibility 10 delenllille whol permits are required; it remains (he applicant's responsibility 10 de/ermine whol permits are required and 10 obloi/l such. _ . ~Q' Applicant ;;;1/ -----:--~' Ii) 1k1/r 1[) Date parC:\DATAIWPlKEEPERSlBLDAPP.FRM 1._ PW.1102.0J(n:v.2I961 ".~---- " ~ _. ..e', k"~ .~ , ,.-"1" ~ -,-.. I 'J :::r- --- 1 (-17~ +-. cu ~)I , . I ~ '~"} ! / )' I I i 1 , ~.(! Lo-L, ! I ~ ; ~,,' 'I ,_ ,- , -' -,-~ '.. ;.... c-:-+-- -' ' I " -'" f-",,; ,/,-"'1 -"-. ! .... - . , . , 'i"';'. .. '~-' _; ex, \.:. ~~J , f- &f.- -7 t ~ l' I -;'0 I t ~/ uJ o~t fD1i-~h-"', f \ I, I I, K I ~ , f-17'-7 - INTERDEPARTMENT MEMORANDUM - TO: Linda Childers, Building Division FROM: ~David Sawyer, Senior Planner DATE: February 18, 1998 APPLICANT: Bruce Johnstad ADDRESS: 1637 W. 10th Street With regard to Planning Department submittal requirements, the application submitted by Bruce Johnstad for the project located at 1637 W. lOth Street is: ~ COMPLETE 0 INCOMPLETE. If this application is incomplete the items checked below as "Requiretf' but not checked as "Providetf' need to be submitted to the Planning Department. Required Provided Item '- ~ ~ Site Plan (accurately dimensioned with all property lines, structures, setbacks, landscaping and parking areas including spaces and aisles). Landscaping and parking information may be submitted on separate sheets. '\\ \) "' ~ o o SEP A checklist --- c:: \. V 1 o o ESA application o o Geological Hazard Report (supplement to ESA application) o o o o o o This application is for a Category 2 permit and 0 IS ~ IS NOT subject to the City's Consolidated Development Permit Process. If you have any questions, please give me a call. 1637WIO,CI Planning Department: Brad Collins: ext. 4751, David Sawyer: ext. 4752, Sue Roberds: ext. 4750 - INTERDEPARTMENT MEMORANDUM - TO: Linda Childers, Building Permit Coordinator FROM: ~ Sawyer, Senior Planner DATE: February 18, 1998 RE: 1637 W. 10th Street The following Zoning Code requirements have been reviewed by the Planning Department and approved as noted for permit issuance: Zoning Use SEPA ESA Development Standards: Setbacks (front) (rear) (side) RS-7 ok na na Lot Coverage Height Parking Signs Storage areas Landscaping Lighting pattern ok ok ok ok ok ok na na na na Special Conditions: none If any of the above items are marked as not approved no permits are to be issued until that item has been approved by the Planning Department. 1637WIO.PCI Planning Department: Brad Col/ins: ext. 4751, David Sa>I)'er: ext. 4752, Sue Roberds: ext. 4750 \"" 1m' I /~37 frj, /0 7'4 sr 1-0 -I: / / -/2/ f]L-IC:-.' 5t:J 7 ~ -; P/J \ ~ -- 1 J I ~ /-j . f: C0 \ :~ 7.2 . .. , ~ ~ ~ ~ ~ J -1'1\ 1.... f \ ~ ~ '/ ,:J ~ , , . (), '. ., /,: + ., ... .c. t I.' .- I ,-. -}'~,; E ,1,-. .' " \ I' f-lb : ;.. 'vt, !.\'j' '.: (:7 (. I, I .:.- , , '10.,.f.0'- i .r '-- ;~r / /.-. ::;: <7 IA/ //)7/\ <::: ,j~~./? r- " . .,' , ., D. HOLCOMB & COMPANY 112 Klahanie View Ln. Port Angeles, WA 98363 "- '1 I -J I ., ("'. . , .-1 ~~J - - -----j ~ I 1 ~ ~ I ... _:] [1-r:J ~9-, I I ~__:ii'" - - -----j f--- - - -----j - -:~ I - -J~~I II [-?;l - - -----j f--- - - -----j I I ~ 1 ~ ~:J L\~[JJ I I ~ I i - - -----j f--- - - -----i - -I~ L _ _~' 1 '-' --~ I--~ - -I-----j I I f--- - - -----j I' UI-'~I [= L_J I 1 I ::: I - -I -----j f--- - - -----j I-I" L _ ;~_~~ ,- I - ,~! I - -I -----j f--- ~ - -1---1 I I I 2~ ~ I ~-J [~jj I I I rl ~ I -- -I -----j I_L J=~, __I ~~J - --1 661 dL~Zd .. ~ ~~~-, J 50 I : L, I _ -----j ..~ __ _ _--I .. ,_ ~ ~-'"" I If--' ~ I r=-]t-~c c-' I, -;., II ::: I f- - - -----j f--- - - --1 I-:..--I---~I f--- - - -----j f--- - - -----j I ~ I I ~ I [.... . J [\'o~= 3 I '" I I c; I f--- - - -----j f--- - - -----j L_~~ L__~ // --? " ~ " " eL ~. ~ I--- - I " t~ ( I ' I--- - ~- ~ 1---- C\\l ~ I " 'C:;[- ~ " I '" f--- - L_ " '1' '-11----1 ,-- I ~J I , ~ I ,"> H..: '~';~ij ~- = _: {~I ~' ~ . ~ ~ I I ----- ---- " IUI ~ I~ - -I~-- - -;1 - - -- --u~ - -- I I I 0 "> I " - I 'I ~ I - - -- -- - ~- - ~ c; I~ '" II " I -- I " " " I 0, City of Port Angeles Applicant Project Review Sheet Applicant: Owner: fi1l~ IEf11{{: Johrty/rtd I~Drnt Property address: 1~37 W, !Dth Proposed use: SF/( Zoning: kS 7 Is the proposed use listed as a "permitted use" or an "accessory use" in this zone? Is this the only use (business, residence, etc,) on this site? Has there ever been 8 sutxlivision, shortplat, or PRD approved for this site, or has one been submitted and is pending approval? Does the proposed use require a new buisness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does the project exceed the permitted height allowance or cause the property to exceed the allowed lot coverage in this zone? Does the project require any additional parking or special designllandscape improvements in this zone? Does the project eliminate any existing parking spaces? Is the projecllocated within 200' of the shoreline? Are there any environmentally sensitive areas on or within 200' of the property, including: . wetlands or areas of standing water (year roWld or seasonal): . streams (year round or seasonal); . areas with a slope of 40% or greater, or . areas that have evidence of past ground movement or erosion? Have all the required subnuttals been provided by the applicant? o Site Plan 0 Construction Drawings o ParkinglDrainage Plan 0 Civil Drawmgs o Energy Calc 0 Supporting Engr, Calc o LandscapelLighting Plan 0 Other )Zf yes: ok o no: requires PD review pi yes: ok o no: requires PD review o yes: requires PD ? no: ok review Dyes: requues CC ~ no: ok review o yes: requires PO ,Ef no: ok review o yes: requires PD JZi no: ok review o yes: requires PD 7'no: ok review o yes: requires PD JZi no: ok review o yes: requires PD ~ no; ok review o yes: requires PD yf no: ok review o yes: ok o no: mark required itern(s) If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department pennit(s} is needed, the Planning Depanment pennit(s) must be approved prior to the issuance of any other pennit. The information provided above is true to the best ofmyknowledge, I understand that in the evenr that any of this information is determined by the City to be incorrect, this project will be stopped until such time the City determines the correct infonnation is provided and any subJequently required review and approvals are completed and granted. S:(1,(~~~ I1nXlto.d 2~lllq? pp lcant _ Da z. (see rever.Je side) Building Permit # l () 2. <{ 0 Pennit Category # ROUle to: 0 BD Master Tracking # SlatTlnitials ~/ o CC 0 FD 0 LD 0 PD 0 PW 0 File 0 Other Date""\ \11"t<1 Completion oj this form is requiredfor all category Ib, ] & 3 permits, Complelio" 15 "at ~ reqUired for category J a permits unless they result in a potential change of use or occupancy .>J>IU. I (6-~97 trUiI v-.on) FlU:U FUA KECOkO AI [tiE.. dEQUESl L-- /1J7 vohnstcd I~Oq W. /rJth (Jort- JJ nqel8s [JfJ, q?J63 1998 1003792 Clallam County OF E ,.Joh()sl-otd RECORDEO I~ RECORDS/CLALLAH CO. Feb ;( 98 JA1./ ~ AM 10: 21 V;:;L=-..:~. ?I:.) ).......L_ KEIi Hi)): c::. AUDITOR CLALlAi-l ceU/HY. WASH. BY K LI-I- DEPUTY ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property: (Insert leg-al descriptior. here) LtJts II CLncl /z 81 ?Dl NaJ nYJlJ!7 tJ.S lot do hereby covenant that said property shall be designated as one zoning lot as defmed in Section 17.08.032 "T' of the Port Angeles Municipal Code. This covenant creates one inseparable building lot and may only be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles' short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), herr{s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DATED this 2qtb day of ('.~. \ 7hn ~Iod ( wner) It VLnI L/Ln I J ,19f1l. (Owner) (Owner) (Owner) ESTIMATE TO PERFORM WORK LIST NO. ~ DATE: March 2.1998 WORK ORDER # DEPARTMENTIDIVISION REQUESTING WORK CO-OP SIDEWALK PUBLIC WORKS DIVISION REQUESTED TO DO WORK: STREET DIVISION ACCOUNT TO WHICH WORK IS TO BE CHARGED: CO-OP SIDEWALK PROGRAM REQUESTED START/FINISH DATES: LOCATIONIDESCRIPTION OF WORK: 1637 W 10TH (lOa FEET ALONG 10TH AT K ST NEW HOUSE) BRUCEANDERlNJOHNSTAD __E CIRCULATION APPROVALS 1) Requesting Dept's approval for preparation of estimate: Estimating Date:_ by: 2) Estimate prepared by Public Works: Estimator: Reviewed: ( ) Director: 3) Requesting Dept. review/approve estimate and authorize action: Date: _by: 4) All permits obtained by requesting Dept. \11 TOTAL Permit # Date: _by: 5) Work order authorized by Director of Public Works: Date: bv: Oricinal to Enar. Permit Tech. RENTALS: _111 .- <.::...........<<..\ TOTAL ...: PCC 7.5 CY $72.00 $540.00 1 1/4 BASE 5 CY $12.00 $ 60.00 TOTAL ~ ........<:....::...:....~...i....:...:......:.............:........:.....:........<....<..............................\< .::.::.:: . ..::... $600-.00 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . INSPECTION REPORT. . . . . . Location of Work to be inspected / ~ 3 7 c!t.J /0 ~ 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~ Sewer Excav. Other Time / & . Received by Date ~ (phone, person) INSPECTION N~S: Inspected: Date - Z7-rr Remarks: Time 3 ~ By ;()~ m.qg- gezL, K /tJZ'i"b RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE o Other IrnntinllP nn u:'\ltlIrc::p c;:in"" if n"""'Acc~r\l\ City 01 Port Angeles Applicant Project Review Sheet Applicant: Owner: /-;1I1~ (Bll1et: John5i!(\d \ gi /71t Property address: Ift37 Proposed use: SFf< {S} fHi W, LI- Zoning: Is lbe proposed use listed as a "permitted use" or an "accessory use" in this zone? Is this lbe only use (business, residence, etc.) on this site? Has lbere ever been a subdivision, shortplat, or PRD approved for this site, or has one been submitted and is pending approval? Does lbe proposed use require a new buisness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does lbe project exceed the permitted height allowance or cause the property to exceed the allowed lot coverage in this zone? Does the project require any additional parking or special designllaodscape improvements in this zone? . Does the project eliminate aoy existing parking spaces? Is the project located within 200' of the shoreline? Are there any environmentally sensitive areas on or within 200' of the property, including: . wetlands or areas of standing water (year round or seasonal); . streams (year round or seasonal); . areas with 8 slope of 40% or greater, or . areas that have evidence of past ground movement or erosIOn? Have all the required submIttals been provided by the applicant? o Site Plan 0 Consuuction Drawings o Parking/Drainage Plan 0 Civil Drawmgs o Energy Calc 0 Supporting Engr. Calc o LandscapelLighting Plan 0 Other " )3 yes: ok o no: reqmres PD rCVlew 91 yes: ok o no: requires PD rCYlew o yes: reqUires PD ? no: ok review o yes: req~ires CC ~ no: ok fe\IJ.ew o yes: req~ires PO ,Ef no: ok fCVlCW o yes: reqUires PD jZl no: ok rCVlew o yes: requires PD 9' no: ok review o yes: requires PD jZl no: ok re\l1.ew o yes: requires PD ~ no: ok review Dyes: req!,ires PD yJ no: ok revIew o yes: ok o no: mark required itern(s) 1/ Planning Department review is required, the processing Urne may be extended. If it i~ determined a separate Planning Department pennit(s) is needed, the Planning Deparlmenl permit(s) must be approved prior to the issuance of any other permit, Ths information provided above i. true to the b..t ofmy knowledge, I undentand that In tho evtnt that any of thi. infannat/on i. det.rmined by the City-to be incorrect, this proJect will he stopped Unlil ~uch hOme the City detennlnes the con-ecl ;n[onnanon i~ provided and any subJt!quenlly required review and approvals are completed and granted, < E~A'{}hn'()lad 71fl/C)? pp lcant ( l)a . Building Permit # l 0 2..~ 0 Permit Category # Z- (see reverse SIde) ROUle to: oBD Master Trocking # StatT Initials ~___ o CC 0 FD 0 LD 0 PD 0 PW 0 File 0 Olber Date"'\ \,1.,<1 Camp/ellon oj lill.form IS requlNldfor all cat.gory lb. } & 3 pemuu. Complellon IS nOI ~ fYqulred for category I a pemflt.J unle.u dulY result in a pUltllfwl change o/use or occupancy. APRI.I (t-U-91l1W vnc.) 02-18-1998 09:57AM FROM TO 94174542 P.02 BUILDING APPLICATION REVIEW MEETING February 18, 1998 1. A new 1,782 sq/ft manufactured home for Bruce Johns tad to be located at 1637 West 10th Street. A residential fire sprinkler system installed per NFPA 13D Standards will be required ($500 rebate is available tbrou!1h the City) or an outside alarm bell will need to be electronieally connected to the resident's smoke detectors. The outside bell will need to be red in color and identified as ~I:i.re alarm." 2. A new 1,188 sq/ft manufactured hOllle for Mort Castle to be located at 121 Dolan. The Fire Departlllent has reviewed the application and has no requirements. 3. A 578 sq/ft SPR addition, 143 sq/ft garage addition and a 275 sq/ft addition to an exi.ting deck for Stan Harris at 215 Whidby. Tbe Fire Department has reviewed the application and has no requiremen ts . TOTAL P.02 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date =-f- /0 - ttfY /,,1/ (phone, person) Time Received by Location of Work to be inspected ~?~-'tl /~ <& Name of person requesting inspection ~-E-n~5~' Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one~ " Permit No. Sewer Foundation Framing Chimne~Final ~ewer Excav. Other 1M Tl!t S612tIICff INSPECTION,NOTES: f/ 'ltt ~ ~Y . /J Inspected: Date ].(-/3 -14 Time 2 - By (~ Remarks: ~ /tJZ; RESTORATION REQUIRED . . . . .. YES NO '< ~/H. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE {Continue on rever~p. !=i;ifh~ if nAr.:A~~~rvl ::t~U;lr~ - 96' CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . /nl . / ./ "~-'~/ /-I'.~.'. (~./ . . . Time Received by (phone. person) Location of Work to be inspected / (p :> I Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): LV / tJ't#- Phone No. Permit No. 1~2&-d Sewer Foundation p;ra"n Chimney Plumbing Final Sewer Excav. Other 56(- uP INSPECTION NOT~ : 2 ~ Inspected: Date "t-~6 - 90 Time Remarks: By ~ ~t#- ~(JC:f7>:1 !3brt! ML~ ~~ - RESTORATION REQUIRED. . . . .. YES NO ~<7 \J;~ ""- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE \J,O / ...-'~ '~..., 'Continue on reverse side if necessary) C'Tnr-r-T rollnr-n...................,....,..... '....A.....,... CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: 11. ~5' Date:A:jL.-z.../ g ?' Time r ---- Received by rson) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final ~ j-A ~ J Phone No. /CJ~ per~o. Hf'J a Rz:;- sewerExcav~~ INSPECTION NOTES: Inspected: Date 4/- 23 -9/ Remarks: Time ~f'- By ''':'''- ~-V-~.It"JI-.1 ",:,-Set.J~u:> , ~ liNe RESTORATION REQUIRED..)... YES NO ... ~ - I 'I ] CJ'" ~ - I 1-1/ I I ~\~ " I/z,.. .- . '1 f)~ . SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt Opec o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) c:.TDI:I:T <:':IIDI:DIIJUTl:lUnl:a.IT .nATe, CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . REQUEST: cj "2-fl Date 8.....' f] - 9 Time 4-:.......----- Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): 1(0'37 LU, I 6'~ CST d~"~ Phone No. _ 4tao -oDS3 Permit No. i{)2ltO . Chimney Plumbing Final Sewer Excav. Other Time :-';)' O~ / f INS ECTlON NOTES: Inspected: Date :3 -I f -4!: Remarks: . By (}) /~ . ~ / . RESTORATION REQUIRED . . . . .. YES NO {oA-M .------- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE fContinue on reverse side if np.r.:p.ss;:r,rvl Received by ~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspe 'on (cir.cle appropriate one): /!J~ Phone No. Permit No. Sewer /02.g-c) . Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NO!ES: 0(/ Inspected: Date f-7- La.-- Time Remarks: rz~ ~ By -------. 1/ej)JcJtfJS I (~I:' RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City' D Repaired by Permittee D No Damage Found Work Order # o COMPLETE D INCOMPLETE trnntinllt) nn r~"~rc:D. cirillo if nOl"'occ::lorul '~';,. ~ a~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9H~112 ELECTRICAL PERMIT Issued: 4/13/98 Permit No: 6282 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ BRUCE & ERIN JOHNSTAD 1637 10TH ST W 1637 W.10TH ST Lot: 11,12 Port Angeles, WA 98362 Block: 307 Long Legal: . 360/452-3043 Sub: TPA T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: MOBILE HOME prj Value: $0.00 Occ Type: Cnstr Type: Occ Grp: Occ Load: Land Use: RS7 Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/wall KW: o o o o Service Type X Riser Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 1,20,240 X-I -3 200 o AMPS AMPS \ I \ PROJECT NOTES------------------------------------------------------------------- MOBILE HOME SERVICE AND FEEDER I ., ., PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $67.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $67.00 $67.00 --------------------------------- --------------------------------- TOTAL FEE: $67.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT SOB SITE INSPEC110N TYPE DATE I ACCEPTm COMMENTS I YIS I NO 4//5/cJt' 7"""'""""' IH1I1r.l-l"_IN I CUYhK , r :S~K Y ILh //llj/C;X' F I I GENERAL COMMENTS: PW.II02.UI06J - - -- --- --- --- --- --- ~ ~ - ~---- --