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1212 1/2 W 4th St - Building
PREPARED 10/18/10 11 11 37 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/18/10 ADDRESS 1212 1/2 W 4TH ST SUBDIV TENANT NBR STEPHEN & LAURA KINSLEY CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER STEPHEN J AND LAURA H KINSLEY PHONE (360) 477 4554 PARCEL 06 30 00 0 1 1505 0000 APPL NUMBER 10 00001080 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 9/29/10 PB MECHANICAL FINAL TIME O1 00 9/29/10 DA September 30 2010 8 36 46 AM pbarthol No one home Gas line inspection needs to be completed prior to final Recall final after gas line ME6 01 10/OS/10 JLL MECHANICAL GAS LINE TIME O1 00 10/05/10 AP September 30 2010 11 36 33 AM 1pangrle MIKE 457 4406 GAS LINE AFTERNOON October 5 2010 4 45 30 PM jlierly ME99 02 10/12/10 PB MECHANICAL FINAL TIME O1 00 10/13/10 DA September 30 2010 11 38 43 AM 1pangrle MIKE 457 4406 MECHANICAL FINAL INSTALLED A FREESTANDING GAS STOVE AFTERNOON October 13 2010 8 33 36 AM pbarthol no one home ME99 03 10/18/10 J MECHANICAL FINAL TIME O1 00 October 14 2010 4 58 09 PM 1pangrle LAURA 477 0563 MECHANICAL FINAL FREE STANDING GAS STOVE AFTERNOON COMMENTS AND NOTES PREPARED 10/12/10 8 03 46 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/12/10 ADDRESS 1212 1/2 W 4TH ST SUBDIV TENANT NBR STEPHEN & LAURA KINSLEY CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER STEPHEN J AND LAURA H KINSLEY PHONE (360) 477 4554 PARCEL 06 30 00 0 1 1505 0000 APPL NUMBER 10 00001080 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 9/29/10 PB MECHANICAL FINAL TIME 01 00 9/29/10 DA September 30 2010 8 36 46 AM pbarthol No one home Gas line inspection needs to be completed prior to final Recall final after gas line ME6 01 10/05/10 JLL MECHANICAL GAS LINE TIME O1 00 10/05/10 AP September 30 2010 11 36 33 AM 1pangrle MIKE 457 4406 GAS LINE AFTERNOON October 5 2010 4 45 30 PM jlierly ME99 02 10/12/10 JLL MECHANICAL FINAL TIME O1 00 September 30 2010 11 38 43 AM 1pangrle MIKE 457 4406 MECHANICAL FINAL INSTALLED A FREESTANDING GAS STOVE AFTERNOON COMMENTS AND NOTES Me eN-2 h�i 01 PREPARED 10/05/10 9 02 42 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/05/10 ADDRESS 1212 1/2 W 4TH ST SUBDIV TENANT NBR STEPHEN & LAURA KINSLEY CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER STEPHEN J AND LAURA H KINSLEY PHONE (360) 477 4554 PARCEL 06 30 00 0 1 1505 0000 APPL NUMBER 10 00001080 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 9/29/10 PB MECHANICAL FINAL TIME 01 00 9/29/10 DA September 30 2010 8 36 46 AM pbarthol No one home Gas line inspection needs to be completed prior to final Recall final after gas line ME6 01 10/ /10 MECHANICAL GAS LINE TIME O1 00 {` September 30 2010 11 36 33 AM 1pangrle V MIKE 457 4406 GAS LINE AFTERNOON COMMENTS AND NOTES '-�PREk ED 9/29/10 8 33 18 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/29/10 ADDRESS 1212 1/2 W 4TH ST SUBDIV TENANT NBR STEPHEN & LAURA KINSLEY CONTRACTOR PELLET HEAT CO PHONE (360) 457 4406 OWNER STEPHEN J AND LAURA H KINSLEY PHONE (360) 477 4554 PARCEL 06 30 00 0 1 1505 0000 APPL NUMBER 10 00001080 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 9/29/10 JLL MECHANICAL FINAL TIME O1 00 September 28 2010 4 22 OS PM 1pangrle LAURA 477 4554 MECHANICAL FINAL GAS STOVE AFTERNOON (A GAS LINE INSPECTION WAS NEVER CALLED IN OR SCHEDULED ) COMMENTS AND NOTES 0 6;. BUILDING.DIVISION CITY OF PORT ANGELES 1i Correction Nov �00 A Job Located at.. Inspection of your work revealed that the -following -is -not in accordance with the codes governing the work in this jurisdiction 72 6�w' 15AS I_11V< A,477,0-45 � 8ft- -7- ZIAlf These corrections must be made andare not to be covered until reinspection is made. When corrections have been made, please call '41/ 7 -'VA for -inspection Date � � /0 'in'spe'cior for` uming" Division DO NOT REMOVE THIS TAG rro; CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION J 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 10 00001080 Date 9/27/10 943080 1212 1/2 W 4TH ST 06 30 00 0 1 1505 0000 STEPHEN & LAURA KINSLEY MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 975 Application desc INSTALL A FREESTANDING GAS STOVE Owner STEPHEN J AND LAURA H KINSLEY 1212 W 4TH ST PORT ANGELES WA 983632018 (360) 477 4554 Contractor PELLET HEAT CO 230 EAST 1ST SUITE C PORT ANGELES WA 98362 (360) 457 4406 Permit MECHANICAL PERMIT Additional desc FREESTANDING GAS STOVE Permit pin number 174177 Permit Fee 121 30 Plan Check Fee Issue Date 9/27/10 Valuation Expiration Date 3/26/11 Qty Unit Charge Per 1 00 1 00 1 00 Fee summary BASE FEE 10 6500 EA ME STOVE/FIREPLACE/MISC APP 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 50 0000 HR ME INSPECTION MIN 1 HR Permit Fee Total Plan Check Total Grand Total Charged Paid 121 30 121 30 00 00 121 30 121 30 Credited 00 00 00 00 0 Extension 50 00 10 65 10 65 50 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Due 00 00 /3 00 t 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 Date Print Name T-Forms/Building Division/Building Permit Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD a i -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — C� Building Inspections 417-4815 Electrical Inspections 417-4735 Qq Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 p IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By Comments FOUNDATION 111 Electrical 417-4735 I Footings Construction j V) Fire Stemwall I1 417-4750 I I kA Foundation Drainage / Downspouts I Piers Post Holes (Pole Bldgs.) I PLUMBING Under Floor / Slab Rouqh-In Water Line (Meter to Bldg) Gas Line I Back Flow / Water I I FINAL Date Accepted by AIR SEAL. --- Walls N Ceiling I I I FRAMING Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling 1 Drywall (Interior Braced Panel Only) I T -Bar I INSULATION: Z Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line 110 —15 —to __XI�V Wood Stove / Pellet / Chimneyb �00 T CV Commercial Hood / Ducts FINAL Date �0— Accepted by MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs I Skirting I PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting ESA. Landscaping I I SHORELINE. dL— T Forms/Building Division/Building Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By Electrical 417-4735 I 6—) Construction R.W PW / Engineering 417-4831 I I V) Fire 417-4653 Planning 417-4750 I I kA Building 417-4815 m� dL— T Forms/Building Division/Building Permit 0.9/.23/2010 18 16 13604520503 SPA SHOP PELLET HEAT PAGE 01 ��� °"r^� BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES W_ ,.r— Attn: Building Permit Technician For City Use Only 321 E, Fifth St. Port Angeles WA 98362 Date Received 01 _27 - 16 wr(360)-417-4815 -fax (36D) 417-4711 Date Ap__] ed W Sa Applicant or Agent Pe//.0- f AA -M4 (!a Owner _/,.�„� Owner's Address _L2 2 i Z_ &" - Contractor/Engineer ams,. e -a _ Contractor/Engineer's Address 2- 3 o_ e s t License # f? C/ 1 _ N C o Ir o ,►t . Phonem •yam Phone Phone Expires PROJECT ADDRESS Parcel Number D� 3 Devon c -v S'oeoo Lot .I Proiect T"vpe & Brief Description, Check all that apply ❑ New Construction o Addition o Remodel o Repair o Re -roof o Demolition .Zoning 4e__V o Residential o Commercial a Multi -family in Industrial S tra It A kse.r/. ��s meq! L� o Sign c wall -mounted ❑ projecting )(freestanding ❑ awning o Heat System o Other Floor Areas Basement 1" Floor 2"d Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Total sign area sq. ft, Maximum allowed sign area sq 'ft. ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace c pellet stove o other ExlsfinQ (so. ft) Proposed (s4. ft.) sq ft. Lot size @$ per sq ft.=$ c other TOTAL VALUATION $ 9 7S &o sq -ft. = Lot coverage % Max. height of proposed structures 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 1 have read and completed this application and know it to be true and correct: 1 am authorized to apply foXthn,.,; rmit and understand that it is my responsibility to determine what permits are required, and to obtain permi rking on projects Date �%-Z3 -� Print Name Signature- - . T-Forms/Building Division/Bldg Permit Appl.-2006 Code.doc Clallam County Assessor & Treasurer - Property Details - 56679 STEPHEN J AND LAU Page 1 of 6 Clallam County Assessor & Treasurer Property Search Results > 56679 STEPHEN J AND LAURA H KINSLEY for Year 2010 2011 Property Account 39715 Section Range. Property ID- 56679 Legal Description. LOT 3 BL 115 Geographic ID- 0630000115050000 Agent Code Mapsco Type Real SD #121 SCHOOL DISTRICT #121 Neighborhood 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 39715 Section Range. 39715 CC -GEN COUNTY Location 39715 PORT PORT Address: 1212 W FOURTH ST Mapsco 2010 PORT ANGELES WA 98363 SD #121 SCHOOL DISTRICT #121 Neighborhood Cycle 5 Res Map ID - Neighborhood CD- 10955130 HOSP #2 HOSPITAL #2 Owner 39715 WSMET PK DIST WILLIAM SHORE MET PARK DIS Name. STEPHEN J AND LAURA H KINSLEY Owner ID - Mailing Address. 1212 W 4TH ST % Ownership: WEED CONTROL WEED CONTROL PORT ANGELES WA 98363-2018 2010 39715 TOTAL. 2009 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/27/2010 3 194102 100 0000000000% Amount Due if Paid on. LM. NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due Year Statement ID Taxing Jurisdiction 2010 39715 ST SCH STATE SCHOOL 2010 39715 CC -GEN COUNTY 2010 39715 PORT PORT 2010 39715 PORT ANG PORT ANGELES 2010 39715 SD #121 SCHOOL DISTRICT #121 2010 39715 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 39715 HOSP #2 HOSPITAL #2 2010 39715 WSMET PK DIST WILLIAM SHORE MET PARK DIS 2010 39715 CITY STORMWATER CITY STORMWATER 2010 39715 WEED CONTROL WEED CONTROL 2010 39715 TOTAL. 2009 566792008 ST SCH STATE SCHOOL 2009 566792008 CC -GEN COUNTY 2009 566792008 PORT PORT 2009 566792008 PORT ANG PORT ANGELES 2009 566792008 SD #121 SCHOOL DISTRICT #121 2009 566792008 NTH OLY LIB NORTH OLYMPIC LIBRARY First Second Half Half Base Base Amt. Amt. $23396 $23396 $12451 $12450 $1750 $1750 $288.26 $288.28 $303.04 $30304 $3618 $3618 $51 08 $51 07 T $16.25 $16.25 $3600 $3600 $082 $081 $1107.60 $1107.59 $162.94 $162.95 $82.44 $82.48 $11 68 $11 68 $17481 $17482 $15493 $15494 $2396 $2396 Penalty Interest Base Paid $000 $000 $23396 $0 00 $0 00 $12451 $000 $000 $1750 $000 $000 $288.26 $000 $000 $30304 $000 $000 $3618 $000 $000 $51 08 $000 $000 $16.25 $0-0,0 ___$00,0 $3600 $0 00 $000 $082 $0.00 $0.00 $1107.60 $000 $000 $32589 $000 $000 $16492 $000 $000 $2336 $000 $000 $34963 $000 $000 $30987 $000 $000 $4792 http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=56 9/27/2010 PREPARED 10/14/09 8 51 38 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/14/09 ADDRESS 1212 1/2 W 4TH ST SUBDIV TENANT NBR STEPHEN AND LAURA KINSLEY CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906 OWNER STEPHEN J & LAURA H KINSLEY PHONE (360) 477 4554 PARCEL 06 30 00 0 1 1505 0000 APPL NUMBER 09 00000900 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 10/14/09 L BLDG FINAL r October 14 2009 8 44 21 AM 1pangrle KEN 460 0036 BLDG FINAL WALKWAY & GARAGE ENCLOSURE COMMENTS AND NOTES CITY OF PORT ANGELES �1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION ` 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 09 00000900 Date 9/11/09 915100 1212 1/2 W 4TH ST 06 30 00 0 1 1505 0000 STEPHEN AND LAURA KINSLEY RES REMODEL RS7 RESDNTL SINGLE FAMILY 7400 Application desc ENCLOSE CARPORT / ADD ELEVATED ENTRY WALKWAY Owner Contractor STEPHEN J & LAURA H KINSLEY COZI HOMES CONSTRUCTION INC 1212 1/2 W 4TH ST 324 E 9TH ST PORT ANGELES WA 983632018 PORT ANGELES WA 98362 (360) 477 4554 (360) 452 9906 Structure Information 000 000 ENCLOSE CARPORT/ADD ELEVATED WALKWAY Permit BUILDING PERMIT RESIDENTIAL Additional desc ENCLOSE CARPORT/ADD WLKWY Permit pin number 152819 Permit Fee 179 75 Plan Check Fee 116 84 Issue Date 9/11/09 Valuation 7400 Expiration Date 3/10/10 Qty Unit Charge Per Extension BASE FEE 95 75 6 00 14 0000 THOU BL -2001 25K (14 PER K) 84 00 Special Notes and Comments September 4 2009 4 16 54 PM sroberds The proposal will result in enclosure of an existing carport No additional lot coverage or addition is approved The site was given a variance for setback in 1982 to 16 from alley No land use impacts are anticipated Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 179 75 179 75 00 00 Plan Check Total 116 84 116 84 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 301 09 301 09 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building.Division/Building Permit IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I C> BUILDING PERMIT INSPECTION RECORD '9 1 I Comments -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -- G� Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date ( Accepted By I Comments FOUNDATION Footings Stemwall 1 Foundation Drainage / Downspouts 1 Piers Post Holes (Pole Bldgs) PLUMBING Under Floor / Slab 1 Rough -In j Water Line (Meter to Bldg) Gas Line 1 Back Flow / Water ]FINAL Date Accepted by AIR SEAL. Walls I I 1 Ceiling FRAMING Joists / Girders / Under Floor Shear Wall / Hold Downs N Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION* Slab Wall / Floor / Ceiling l MECHANICAL. _ Heat Pump / Furnace / FAU / Ducts 1 Rough -In 1 Gas Line 1 Wood Stove / Pellet / Chimney Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES I Footing / Slab 1 Blocking & Hold Downs I I Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / LightingI I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 Ttt - C� T.Forms/Building Division/Building Permit Owt)e -S oA-'P- S heh 7 Kinsler, end O�.pON7,gh BUILDING PERMIT '*�•'- CITY OF PORT ANGELES �- Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant CDS Pte, *Property Owner S-} Property Owner's Address "D 4 -#4 - Contractor 9 V4-cA,,, � Contractor's Address ,� 1 License # f"-? Expires PROJECT ADDRESS D ayvU_� Laura H Wh slej APPLICATION Print in ink For City Use Only' Date Received 91-2-0q Permit # ©`( p ,f Date Approved I P le Pho l e y�,7 Wig/ Phone E-mail Parcel Number Lot Zoning Proiect Tvpe & Brief Description. ❑ Residential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply XNew Constructionc/�srn� ❑Addition , 1 r .t2e�y �71t�[G�-� <Q , lkw,�iv e i�---, --%� C"l L2, nci liftmear its Remodel �rmc �k,—s�_� �,Ja\Kivu sir' cP_ Naandrniks +n P . o Repair �Q$Z V0,rianre_ allows iLfk ct_GP s«,:i-Lac,k \/-$z (04 %WoR suec ,%.' eA ' ❑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 Floor Areas Existin_ s . ft.2 Proposed (sq. ft.) Basement / 1 st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed / Other New wakKwa.4 for*he -1�kvrrH ' e_hirance-H -I-he. Horne @ $ per sq ft. = $ enclose carrpav ;, 00 12 _9 TOTAL VALUATION $ �Q© Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage % 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 % Max. height of proposed structures 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 1 have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine tw�hat permits are required, and to obtain permits prior to working on projects. Date S. o� -101911 Print Name f►-eSignature -_3 4 T Forms/Building Division/Bldg Permit.doc /11-:�,-W� 1 1 We*0 I crry OF PORT ANGELES — Construction Plans The Issuance of this permit based upon these plans, spedfi- cations and other data shall nut prevent the building official from thereafter requiring the comfion of errors in said plan- specifications and other data, or from preventing building operations being carried a" thereunder when in violation of oil codes and ort1mces of this jurisdiction. 77 - Approval Date By -:z � L I j— tori40c'-- �C441* y f14 Oh 2"'sWc, 'rA 5 MF 4L f14 Oh 2"'sWc, 'rA 2009-1239969 Page 1 of 1 Warranty Deed Olympic Peninsula Title Company Clallam County Washington 07113/2009 12 36 28 PM mill F04 11111 114A 1114YA 1% H1.1A WIL *1 Airm"I 11111 OLYMPIC PENINSULA T 1 t I e C o m p a n y NO. � 7'3qto CLALLAM COUNTY ��to TRANSACTION EXCI File Number 01093101Y-,� LPB 10-05 STAT'tjT0"""%7 Xv XWARRANTY DEED THE GRANTORIS) WILLIAM A ROBERTS, AS TRUSTEE OF THE WILLIAM A ROBERTS REV LIVING TRUST DATED JANUARY 22, 1992 for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand paid, convoys, and warrants to STEPHEN J KINSLEY AND LAURA H KINSLEY, HUSBAND AND WIFE the following described real estate, situated in the County of CLALLAM State of Washington LOT 3, BLOCK 115, TOWNSITE OF PORT ANGELES CLALLAM COUNTY, WASHINGTON SITUATE IN CLALLAM COUNTY, STATE OF WASHINGTON SUBJECT TO NONE Abbreviated Legal (Required if full legal not inserted above.) LOT 3 BK 115, TPA Tax Parcel Number(s) 06-30-00-011505 Dated: Jute 12, 2009 WILLIAM A ROBERTS REV LIVING TRUST WILLIAM A ROBERTS, TRUSTEE State of WASHINGTON ss County of CLALLAM I certify that I know or have satisfactory evidence that WILLIAM A ROBERTS axe the person(s) who appeared before me and said person(s) acknowledged that . h e signed this instrument on oath stated that his authorized to execute the instrument and acknowledge it as the TRUSTEE of THE Wl.j� 'If AMShW tBERTS REVOCABLE LIVING TRUST UTD 1/22/1902 to begluntary act of such party(ies) for the ) uses at;�r�o�G�t ioned in this instruFen Dated o J[ NE 12.- 2 0 Notary nam( rinted or typed DAWN L SHIDELER ��t}}� +t:t!►1\\ �,,°' Notary Notary Public nand for the State of WASHINGTON. PORT ANGELES, WA My Appointment Expires 4/9/2011 | �� Port. `'m wm` ,Rowr or ,o oux noo ron, 4xIsL .5. wv.mwoToxo83v w ;� kubci.cp 1212 luqztx Street Poi- nnqcics wx 98161) c rilc mo v-V2(x).4 ooux or Roberts On June 7th the onaid of odjootw*ot grantpd you variances reducing the 7 -toot side yard setbaclk to feet 'and the 25 -foot rear yucD setback to 16 toot to allow the construction of an attache -4 carport to the residence zbcated at 1212 West ruurtb �treet These /arjanceo must be exercised within six months of the date granted bl m nimum of applying for a building permit vn additional six month e tension may be applied for in vzitinp ^o the Planning Department at least one month prior to the expiration If you have any questions please do not hesitate to contact the plannznq Department at 457 0411 extensio6 171 Very truly yours C o vaoxcmert Assistant Planner oovx r cc Building, Dept (o ` I'ZI M.G t •� 4 ; ytt3��'� Uit._ gg g z` 1'1{ r • .sib^` �' .3 ;� i.4 t .7 1 ' � . X,.{M2 k y. ,• n i?ri x�' -T 1 1 S. `• 'tt7e r + n1t i, n I'. ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000838 Date 8/19/09 Application pin number 623740 Property Address 1212 1/2 W 4TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 1505 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 6 added circuits Owner Contractor Kinsley Steve ELECTRIC SERVICE 1212 W 4TH ST 82 DRAPER RD PORT ANGELES WA 983632018 PORT ANGELES WA 98362 (360) 452 6424 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 151944 Permit Fee 67 50 Plan Check Fee 00 Issue Date 8/19/09 Valuation 0 Expiration Date 2/15/10 Qty Unit Charge Per Extension 1 00 57 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 57 50 5 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 10 00 Fee summary Charged Paid Credited Due Permit Fee Total 67 50 67 50 00 00 Plan Check Total 00 00 00 00 Grand Total 67 50 67 50 00 00 INSPECTION TYPE I DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL �' 1 COMMENTS Signature of owner or Electrical Contractor X Date QCT -7-2005 10 10A FROM ELECTRIC SERVICE City of Pat Ante PennR AppwHeWon 4u�nab�l6eyrcy� 32t dad flIM �If -PA. Dolt 1150 Pa! Ao01�MYlAoAM*ey, Of012 PA: fM0►Nt Fet:pgq+tt•4rlt pets_Oj f "7! . 1-r ftle FW* Dwftg —MUAWw*wCwmwcW Cam MMWAddboiAb tRemodd/R4W nrCEIVED AUG ;11 2009 EL I KCAL !NS iE 'ONS • R m ftmkwr mw Ba pfeese Comgt� ppi�nn ReNewt anrWa:' JobAddrm- ae�lonofoDaa ��.� z•L=U 2 �"'� fi1. S L � CONMAW Nom; � Ne�+�:.r. CA -4 Mift air • - f" � r� .ia"r..LL � �r B� b t �. Phe UceneeAlEAp, Uoonte#► fWG !� 41+176 senlodF.ed. s�t�.aa � � �Moa�Feeoe► 1 2m s� -•-� e, y Bteaa►rha , = --F-�- s l -W Brad a"v FMAMW A US ! FOOD s afiari � �t� 4� I&A I �: $ 8s�S Sst i�00 Spt . $ 91" $ Eodt Oumut 5 n' s ! EwSNAore( s 4315 eww.rar�o/�,rAf�tW.isf:nlAoM►o�leeappekAaAwtrAw�d� ° etemw eonhoert►iredew eMd/ywgr M f or � wnt w wuw AIMt11q 1hedm,mt MtfbrolAlY�MfIY�Ib�MM�rMW�wIfaAM�i I (�„Ildlrlba��al.edo.baostlAo�e..dean.MddodE�e.N,lC..mdICC1�t10t►�` r, e#pm�.e� ored�tnrMr , x _ now *A,* nod 101#100 Mp TO 4174711 P 1./1 • 1 s jyt 7�• 4'7t"Z.c a j=•Cammwm i AxFtp om" 6v iEnrpJr-SINA AyeMe11►t� SWero Retrt�Dn d $on►o�ru �1 pltra Mtrttk�a►piR ■d CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT NY 17328 Port Angeles, Washington -----.- A.- "----------------------------1 19._rU In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address ! -'�-----�----- 1t /A Occupancy ------------------------------------------- Owner ----- ------------------------------- ' ---- --- Owner----- Tenant --------------------- ----------- ----------------------------- ---------. Wiring Contractor ----- ` 'i ------------------------------------ By-------- Light Outlets ........ A-4 ................. ...... Service, volts ..�t---.6'3'.R'�....9..P.... Receptacle Outlets.... ---1 ................. No. wires ......_.�.............__..._.. Dryer, KW .......... .1-. - Size wires........ Range, KW.----- -- .+..G_. ---- _----- -- _ Main fuse --- ------ P—.6 ..... !:f-... Water Heater: KW--.......t.../-il-----..--..� Heat: KW .... 1? -q-<.../. W------- Motors: size, volts and phase: ..... --`-.... .................. Total Remarks: Enclosure Type of wiring: Entrance Cable Rigid Conduit ....... Metallic Tubing -- Current transformers: No. & Size ....................................... Ser. No ................................. -`--------- Ser. No - ----------------------------------- ----- --- Ser. No. Ser. No. Type of Wiring: Armored Cable . Non -Metallic ..... Knob & Tube...., Rigid Conduit ... Metallic Tubing Raceway..........„L'PE3 .,,..g...................._.--”- Circuits, Light ........S7- .................. Utility ......... ZJ6... -..................- Heatt......_.!....�� ............................ Rangel.......... 2--.n-----------------------_ Water Heater .......:2-cr............ Motor �.. Dryer...................._C.... :........-/". Furnace ......................... Total ------------- 13 .... x...?......... R Permit Fee Treas. Receipt 1 $------_ (--'-A-- /-�----------- . No---------------------------- By < f�=" ----- ,�� K t e y}ir ct ------- NOTICE—Current must not be turned,on until Certificate of Inspection has been issued. If work Is to be con. cealed due notice must,be given the Inspector so that work may be inspected before concealment. NOTIFY THVINSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address Owner N° 17328 WiringContractor .... ............................... _..................................................................................... B NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc.