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HomeMy WebLinkAbout115 W 10th St - BuildingElectical Permit 115 w 10th st 13 -249 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH '1,6-11- y� SERVICE ROUGH -IN 3 f J 6'' 1 3 41 5 i ,1 FINAL COMMENTS: 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Detached garage Owner HIGBEE MICHAEL A 115 W 10TH ST PORT ANGELES WA 983627705 4 W 7 53 6 Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL NEW RESIDENTIAL 74.00 3/14/13 9/10/13 74.00 .00 74.00 Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING Contractor 13- 00000249 368739 115 W 10TH ST 06-30-00-0-2- 9280 -0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ELECTRICAL PERMIT, CITY OF PORT ANGELES 360- 417 -4735 GENTECH NORTHWEST LLC PO BOX 2195 SEQUIM (360) 808 -6188 74.00 .00 74.00 Plan Check Fee Valuation Qty Unit Charge Per 1.00 74.0000 ECH EL- R -OUTBD /DTCH GAR IN /SEP Paid Credited Due .00 .00 .00 Date 3/14/13 WA 98382 .00 .00 .00 .00 0 Extension 74.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date:-?-3-1 3 o< 1 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: //5 Gvesf Co f= Building Square Footage: Description of above Owner Information 1� Name: /'f.lcJ e 1 /'hr'410-Q-- Mailing Address: S W e.J+ City: Pa el— II- as State: c`'A Zip: Cp Phone: Fax: License Exp. Item 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 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 4,64 T eu4 hit R)> -(tAAA 6 VP) friC0 IoM Electical Permit 115 W 10 St 13 -254 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN j 1 i3 FINAL I l I3 c•c+C'Jl COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Garage wiring 4 circuits Owner HIGBEE MICHAEL A 115 W 10TH ST PORT ANGELES Permit Additional desc 3 Permit Fee Issue Date Expiration Date Qty Unit Charge Per Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983627705 ELECTRICAL ALTER RESIDENTIAL 75.00 3/15/13 9/11/13 75.00 .00 75.00 Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING BASE FEE ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 13- 00000254 690586 115 W 10TH ST 06-30-00-0-2- 9280 -0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Paid Credited Due 75.00 .00 75.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation .00 .00 .00 Date 3/15/13 .00 .00 .00 .0 0 Extension 75.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 1 2 Single Family Dwelling Plan Review May Be Required, Pleas Cop�.ete Electrical Plan Review Information Sheet Job Address: 1t5 4), 2 Building Square Footage: 1/41V Description of above /Y -G,) r(/< or Owner Inf Name: i// c i'Igei/ 4 y6 e— Mailina Address: P City: f o f i't r,e/ 'f State: A/f— Zip: g7'J6 Z Phone: `/S 7- 53'5 Fax: License Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp Portal to Portal Hourly Signal Circuit/ Limited Energy -1 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge 120.00 146.00 205.00 262.00 373.00 5.00 63.00 5.00 75.00 93.00 110.00 149.00 168.00 96.00 64.00 120.00 102.00 56.00 120.00 40.00 74.00 110.00 Dated: Y Contractor Information Name: 36- r/t/te 5 -ozi Mailing Address: City: State: Zip: Phone: Fax: License Exp. CLLCTRI4d,L INSPECTIONS Total (Qty Multiplied by Unit Charge) Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. i am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check 01/01/2012 7$c roa r.4..v. NEW Building Permit ll5WlOthSt 13 -143 Application Number 13- 00000143 Application pin number 684234 Property Address 115 W 10TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 9280 -0000- Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 20000 Application desc Demo and rebuild new detached 20 x 20 garage Owner HIGBEE MICHAEL A 115 W 10TH ST PORT ANGELES Other Fees Fee summary Charged 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 WA 983627705 Contractor OWNER Other struct info -HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc DEMO REBUILD DETACH GARAGE Permit Fee 347.75 Plan Check Fee Issue Date 2/15/13 Valuation Expiration Date 8/14/13 Qty Unit Charge Per BASE FEE 18.00 14.0000 THOU BL- 2001 -25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments February 8, 2013 11:31:52 AM sroberds. The proposal will result in the demo and new build of a 20 x 20 detached garage for a total lot coverage of 28% in the RS -7 zone. No land use issues anticipated. February 7, 2013 11:31:47 AM banders. New structure must maintain 4 feet clearance below electrical service conductor. Looks like it should not be a problem. Electrical load calculations and electrical permits are required. When roof gutters are .installed, drains will be located in dry wells or piped to an approved storm drain location. No pressurized or pumping to curbs is allowed. Roof runoff should not be connected to sanitary sewer or drain to alley. An inspection by the Building Department is required prior to backfill. STATE SURCHARGE Date 2/15/13 Paid Credited Due 226.04 4.50 20000 Extension 95.75 252.00 REPORT SALES TAX 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. e s -Cat), TtKi- *-57/ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date 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: Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: _SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: _SHORELINE: Parking Lighting Landscaping 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. 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 Application Number 13- 00000143 Application pin number 684234 Permit Fee Total Plan Check Total Other. Fee Total Grand Total T:Forms /Building Division /Building Permit 347.75 226.04 4.50 578.29 347.75 226.04 4.50 578.29 .00 .00 .00 .00 Page 2 Date 2/15/13 .00 .00 .00 .00 REPORT SALES TAX on your state excise fax 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) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by 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: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. T: Forms /Building Division /Building Permit Project Address: //s H) iO s>. Main Contact: s,7 ,_......_,f___... Phone .340-43 E -Mail: Phone 4r7- ..sr3�A Email Property Owner Name A G t, N't 4 TA Mai ing Address itl" id i cePA Sr. City `mot-r State lA Zip IC 42_, Contractor Contractor License Name Phone Mailing Address Email j fi M /w cLJ C /IA- 1t.LL.i Zip �,I'� Expiration: Project Value: Zoning: Tax Parcel Lot Type of Permit Residential Commercial Industrial Public Demolition AI Fire Repair Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction at Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Yes No Maximum height of structure 14 1 A Proposed Bedrooms Proposed Bathrooms Project Description T r`'- ��d�i]x aP+� ��af�o! Iv ‘.4 ad e( ?fi' -43 I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned and the fees forfeit. Date 2 5 Print Name ZATV4.5 ..-5;110..rani Signature itiov,"S/L--- Tc" o PORTANGELES W A S H I N G T O N U.S. 321 East 5th Street Port Angeles, WA 98362 P: 360- 417 -4817 F: 360 -417 -4711 permits @cityofpa.us Building Permit Application For City Use 1.3 X13 Permit# Date Received: of j /�3 l I Cate Approved 4--, 1 l'' Residential Structures Area Description (SQ FT) Existing Proposed value For Office Use Basement Appliance Vent Heater (Suspended, Floor, Recessed wall) First Floor Size: Heating /Cooling appliance repair /alteration Second Floor Pellet Stove/Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping Covered Deck /Porch /Entry Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Deck Ventilation System Garage Carport Other (describe) Zw Area Totals Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: Haz /Non -Haz Piping of Outlets: Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not portable) Pellet Stove/Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Commercial Structures Area Descriptions (SQ FT) Existing Proposed Value For Office Use Existing Structure (s) Medical gas piping of Outlets: Water Line Proposed Addition Vent piping Sewer Line Tenant Improvement? Other (describe): Other work (describe) Area Totals Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping of Outlets: Water Heater Medical gas piping of Outlets: Water Line Vent piping Sewer Line Industrial waste pretreatment interceptor Other (describe): Lot/Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage ,.SQ FT Site coverage (all impervious structures) Site Cove r ag p� r� �d l r i 1 i 1 11 1 4 i Mill Creek Construction Inc. 4619 Old Mill Road Port Angeles. WA 98362 360 -452 -8281 voice 360 -452 -0292 fax t N i O r 1- ^r�� t t f t i_...., i 1 l Y I F1 i s t i 1 t Brans specifi- official in said venting hen in diction. 1 L---L--L-,- t s f s i 177 Fmr- t t 3 t 1 i E f 1 y i 1 i. _i t`— I i i a 1 i y f E i a 1 i"2 t— t I f )HH t L a t a t 1fYiOF•PORT ANGELES jr- Con. tcuctiou t i s�f l i r t a d—i 1 f r I, y I i i i Tf Isuznce this f perr'itit bee d upon these plans, s tt i j t ca 1- it i fr r ons and data shah not prey ent the buildi thereaftert regnrrrn correctian bf errors• t ci `data o pre ns,ispecyfications and other or froth (ding operationsbeing carried on thereunder yj at of ail; codes and ordinances of thisi juris i i 1 s t I --j pi 99 1 4 1 i bu 1 t= i j 4 I I 'yi y E _J_ c Jl t t i 1 y l i t y t A r ro Da te i By x r 1 S i i 1 i 1 f, 1 r t i 1 t j i f 1 i I S "`a i i p� f �r "'its �i i r f a t 1 1 i i —1 t 0 I 1 FM E f I S f t 1 'bit. a 1 E i j E t l am-, t t i f�1 �,i7 Si/ t J t �j l� j 1.____„_____I fi t_, ,ac r l ____i i r N W et x h e. 1 9 0 T ys ;�9 E 1 y�mp�y i iC 9 CY 1. t 1 1 1 y_. -�.I 1 I rte' r 1 r i t i S 1 1 1 t i I l i L_= i i i I i f 1 i J t f f f j"4' 1____i 1 1 1 r p -f t_ f t t E— d i i E 1 g F E i J t g I j i E t i i i —t _f 4_,---1 0 i 1 t f tAi,,,,i 1 i--� j t 5 t I r 1 d 1 f 4 d i 1 t 4 i__ i 0 r i 1 i E E f. f j b i i i Ai� a^ f i d I j f 1 I mo t r i�t r 1 E t s f.�/ 1 i ce-- 1 'i f i. r i f t —1'_ &PrZ. //6lr► I I FO ./.0.i..o J 2.9 :I TAM, l l r i 1 i 1 11 1 4 i Mill Creek Construction Inc. 4619 Old Mill Road Port Angeles. WA 98362 360 -452 -8281 voice 360 -452 -0292 fax t N i O r 1- ^r�� t t f t i_...., i 1 l Y I F1 i s t i 1 t Brans specifi- official in said venting hen in diction. 1 Itizego-,5/dot' 4619 Old Mill Road Port Angeles. WA 98362 360-452-8281 voice 360-452-0292 fax Mill Creek Construction Inc. s?A, -140-1441'1---2 1 ad 0 (ow( /406g_ Viritcr: >hf. 1. 6(43 Y2. ply a 944, r PREPARED 4/26/13, 11:47:34 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT INSPECTION HISTORY REPORT 0 /00 /00 THRU 0 /00 /00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION PAGE 1 RESULT DATE /STATUS INSPECTOR 13 00000143 115 W 10TH ST 06 30- 00 -0 -2- 9280 -0000- 063000029280 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLFS 0001 BLDG MONO SLAB 2/20/13 APPROVED JLL REQ COMM: February 20, 2013 10:07:41 AM pbarthol. REQ COMM: Rex 460 -7317 RES COMM: February 20, 2013 4:57:43 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL9 0001 BLDG SHEARWALL 3/07/13 APPROVED JLL REQ COMM: March 7, 2013 9:47:24 AM pbarthol. REQ COMM: Jim 460 -6268 RES COMM: March 7, 2013 4:15:49 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL3 0001 BLDG FRAMING 3/20/13 APPROVED JLL REQ COMM: March 20, 2013 8:43:01 AM pbarthol. REQ COMM: Jim 460 -6268 RES COMM: March 20, 2013 4:14:38 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0001 BLDG FINAL 4/12/13 APPROVED JLL REQ COMM: April 12, 2013 8:24:30 AM pbarthol. REQ COMM: James 460 -6268 RES COMM: April 12, 2013 4:31:14 PM jlierly. Permit Additional desc Permit Fee Issue Date Qty Unit Charge Per Permit Additional desc Permit Fee Issue Date Qty Unit Charge Per Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T: \PLANNING \FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03- 00000023 Property Address 115 W 10TH ST ASSESSOR PARCEL NUMBER: 0630000292800000 Application description RES ADDITION Property Zoning Application valuation 30240 Property owner HIGBEE MICHAEL A Owner address 115 W 10TH ST PORT ANGELES Contractor MILL CREEK CONSTRUCTION Structure Information 505 SQ. FT. ADDITION Construction Type TYPE V NON -RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 452.35 Plan Check Fee 1/09/03 Valuation BASE FEE MECHANICAL PERMIT Permit PLUMBING PERMIT Additional desc Permit Fee 48.00 Issue Date 1/09/03 38.00 Plan Check Fee 1/09/03 Valuation BASE FEE Plan Check Fee Valuation' Charged Paid Credited 538.35 538.35 .00 180.94 180.94 .00 4.50 4.50 .00 723.79 723.79 .00 Date 1/18/03 WA 983627705 Due 1.00 STATE SURCHARGE 4.50 .00 .00 .00 .00 180.94 30240 Extension 452.35 .00 0 Extension 38.00 .00 0 Qty Unit Charge Per Extension BASE FEE 48.00 L73 r .l Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner Of owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS sLIK i 5.I��L 1 t ij WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: 4 ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN ate-63 I� 2 WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS 7 9-03 �J`/ IL CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS /ROOF /CEILING Ve-c3 KV DRYWALL T -BAR INSULATION SLAB WALL /FLOOR /CEILING 2r 2w /y j MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT k's: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 d 4 0 3 Nl• BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE o 3 o T: \PLANNING \FORMS\1102.15 [4/2002] ri BUILDING PERMIT OWNER/APPLICANT MIKE SHERYL HIGBEE 115 W 10TH STREET Port Angeles, WA 98362 360/457 -5350 T: CONTRACTOR MILL CREEK CONSTRUCTION 4619 OLD MILL ROAD Port Angeles, WA 98362 360/452 -8281 PROJECT INFO Project Value: $30,240.00 Project Type: ADDITION Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: PROJECT NOTES NEW 504 SQ. FT. ADDITION, PLUMBING, MECH. RECEIPT #10063 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: T: \PLANNING \FORMS \1102.15 (4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 $452.35 $180.94 $4.50 $0.00 $0.00 $0.00 $48.00 $38.00 $0.00 S: ISSUED: 1/09/2003 SFD Units: SFD SQ FT: MFD Units: 0 MFD SQ FT: 0 Misc Fee 1: Misc Fee 2: Misc Fee 3: PROPERTY LOCATION 115 10TH ST W Lot: Block: Subdivision: Parcel No: ARCHITECT N/A 98360 -0000 360/000 -0000 TOTAL FEE: AMOUNT PAID: BALANCE DUE: PERMIT NO: 13885 17 292 n Long Legal TPA 063000029280000 Commercial: 0 Industrial: Garage: 0 $0.00 $0.00 $0.00 $723.79 $723.79 J s P i th" $0.00 0 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent ate Signature of Owner (if owner is builder) Date O CP INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS %it` 0 5 WALLS i, FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN 91/ Y) WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS 9 O3 p V CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING iI) it 0 5 AI/ DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING 2. 2C»a V c MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT q's: WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T:\PLANNING\FORMS \1102.15 [4/2002] pf PORTM tin V— BUILDING PERMIT APPLICATION The Building PernMt Application must be filled out completely. Please type or print in Ink. If you have any questions, please call 417 -4815 Applicant or Agent: /7J .Ii C/z,elc- Ghsr Tree Owner: ,A/114 Ct4prZy/ Address: //S 1A/ /II $7. City: flyer A i(,r t las Architect/En I1L CI�d�l�K Coo tc Contractor /1lt.t,Ctzewtt G r 3 i License t "tlt t a-4044tist. Exp: 7/ oit Address: tf t ,i 9 Ol lf4J .L PO City: fi PROJECT ADDRESS: //.S kJ /UV"' LEGAL DESCRIPTION: Lot: 7 Block: 717 Subdivision: CLALLAM COUNTY PARCEL NUMBER:tifeyrn Card Holder Name: Billing Address: City: Credit Card Exp. Date: VISA MC TYPE OF WORK: Residential New Constr. Multi- family A Addition Commercial Remodel Repair T:\FORM S\AP PS \B u i ld ingpermit Phone: 1 15Z• A2 R t Phone: 57 Sas Pho Zip: 9 &3/03 ne: t92m t Phone:t5Z Pt2451 ZONING: BRIEF DESCRIPTION OF THE PROJECT: .Soli F A OOI ron ik 'Ttl MC) rvt F FOR OFFICIAL US ONLY: Date Rec.: 0 2 Permit Date Approved: Date Issued: Zip: 98,4Z. SIZE/VALUATION: Re -roof Wood -stove SQL{ SF. (.0 /SF. 3 O 2.4 Move Garage SF. /SF. Demolition Deck SF. /SF. Sign TOTAL VALUATION 30 240 COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction TypeSl7r JIL No. of Stories: Lot Size: 7OV0 Lot Coverage: 2 s /N L /a IGI[:411c'rJ, Existing Lot Coverage: 402 /sq. 11. Proposed Lot Coverage: 4( 014 /sq. ft. TOTAL LOT COVERAGE: 937 /sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE' Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certifr that l have read and examined this application and know the same to be true and correct, and l am authorized to apply for this permit. l understand it is not the City's legal responsibility to determine what permits are required, it remains the applicant's responsibility to determine what permits are required and to obtain such. Date: t )13v4 SITE PLAN DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: 41)1.4... GZGr'IC. Kvcpw Apar. PHONE: 1 -1.52-,43291 PROJECT /DEVELOPMENT ADDRESS: /75 td jnt See Page 4 for instructions on completing the site plan. For more information, call 417 -4815. mrml1111111011 AA ispimmolonium i�■ /111•11111111.11 Mini kJ 0 y /Foo•r Mill Creek Construction. Inc., 4619 Old Mill Road Port Angeles, WA 98362 360- 452 -8281 phone fax MIKL /Inv Cdopyi- IIIVwos Aeornom its w Ie RA. u sssa s s ass attnisb. 7 I 26vNDCA5 r rrr a nsssrssanscl7 #mover r 9• P /N/N6 *.5 TrR- /3.MD /zoom NEVI a I--- G •=6" ANGELES Construction Plans The Issuance of this permit based upon these plans. spec`+. /(:7 �tiops and other darn cn y r^t preva,t U,. batting mau1f1 2 mmi thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing budding operations being carried on thereunder when in violation of all codes and ordinances of this (SECTION 303(c) Uniform Building Code.) Approval Date 4'T B, ea_ INGW 141 &T3AE froaDqu Mill Crqek Construction. Inc. 4619 Old Mill Road Port Angeles, WA 98362 360- 452 -8281 phone fax 2 k a',c 8' t'M2 wV I a" 1 llr- PIG POO 4dnn od Mil Creek Construction. Inc. 4619 Old Mill Road Port Angeles, WA 98362 360 -452 -8281 phone fax 2 1-4 o f Icoc. ?//c. lta• 9Yz T1'= -1—. -ftM P_TSIU— Lb 50i114,6 REQUEST: Date I CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Time Received by Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of In n (circle appropriate one): Permit No Sewer o ndati. Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date I Remarks• RESTORATION REQUIRED SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Repaired by City Repaired by Permittee No Damage Found (Continue on reverse side if necessary) VJ (6 Time YES By NO (phone, person) Asphalt PCC Other Work Order COMPLETE INCOMPLETE STREET SUPERINTENDENT (DATE) REQUEST: Date G- I�'> r -a CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Location of Work to be inspected 1 15 w /r7 Name of person requesting inspection „I( 444-1 144 (II Address of person requesting inspection Phone Nd S C Z Type of Inspection (circle ap ropriate one): Permit No Sewer Foundation Framing himney Plumbing Final Sewer Excay. Oth s V Inspected: Date Time INSPECTION NOTES: 2- 1B-- v2 Remarks• RESTORATION REQUIRED SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Repaired by City Repaired by Permittee No Damage Found (Continue on reverse side if necessary) Received by (phone, person) Time By MY YES Asphalt PCC Work Order COMPLETE LJ INCOMPLETE NO STREET SUPERINTENDENT Other (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST: Date Z' FO-5� Time Location of Work to be inspected I f T l't' /C '1--`i Name of person requesting inspection 1144 Address of person requesting inspection Phone No. 942 9 2 8f Type of Inspection (circle appropriate one): Permit Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. 0 INSPECTION NOTES: Inspected: Date 2 03 Time RESTORATION REQUIRED SURFACE RESTORATION: SURFACE TYPE: Unimproved E] Gravel Repaired by City Li Repaired by Permittee No Damage Found (Continue on reverse side if necessary) Received by P✓ (phone, person) YES By l� Remarks: NO her [1x s°GLc �lc9U Asphalt PCC Other Work Order COMPLETE INCOMPLETE STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST: Date /04/b, /O 3 Time Location of Work to be inspected //6 J) Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbin Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date y "`1 Remarks• 1' RESTORATION REQUIRED SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Repaired by City Repaired by Permittee No Damage Found (Continue on reverse side if necessary) Received by S7 (phone person) Time 1: By YES NO Asphalt PCC Work Order COMPLETE INCOMPLETE C kiL ouL Other STREET SUPERINTENDENT (DATE)