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127 W 7th St - Building
Cuy of.FORT ANGELES PERMIT AppmcAnoN RECEIVED Building Division/Efl+ectrit-al Inspection 321 East fifth Street-P.O.Box 115©1 Port Angeles Washington,98352 !JUN 17 2013 Ph.(360)4174735 Fax:(360)417-4711 ELECTRICAL Date:_ f ? l&2 Single�amlly Dwelling INSREc'mNs *Flan review May Be Required,Please Complete Electrical Plan Review Information Sheet JobAddress: 7 - Buli&g Square Footage, oescr7ptior of above l�.L�%rr1f I.....�'" _� e�i.b�n I Owner atiContractor& f'ervaat, nrr�� -^ Name: id'l,- a iE Ie Ices Mailing Address:_ 7 _ c,�_ Malling Address: city:.._ tale, i � zip:_`(..,tz3. ..��.. City=.. �.. -,_-_ SIe9e:—%L& z# � f Phone; 7 5� ax: Phone:}S -5 fax: t_icense#1 km- Unit Chi hgr� t�ty Tottai.tQtY @+1Lf€tieliei�by tlby lla�dt Gharaat ServicelFeeder 200 Amp, $120.0-0 ServicelFeeder 201.400 Amp. $146.00 — Service/Feeder409-600 Amp $205.00Service/Feeder 601-9000 Amp. $262,00 ServicelFeeder over 1000 Amp, $S73.00 _ $ Branch Circuit W/Service Feeder $ 5,00 $---- Branch Circuit WIG Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $_ Branch Circuits 14 $ 7&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.ServicelFeeder 601.1000 Amp, $168.00 _ $ Portal to Portal Hourly $ moo � $_ Signal Circult/Limited Energy-1&2 Family dwelling $ 64.00 _ $ Manufactured Home Connection $120.00 $ _W Renewable Clectrical Energy-54NA System or Less $102.00 $_ Thermostat $ 56.00 Nate:$5,00 for each additional T-Stat NEIN CONSTRUCTION QNLY: First 1300 Square Ft, $120.00 Each Additional 600 Square Ft.or Phan of $ 40.00 $ Each Outbuilding or[Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 _ _ _ $ _ $-_7yTotal Owner as defined by RCN,19.28.261:(1)Owner Will occupy the structure for two years after this etectdcal permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires atter six months of last inspection. After reacting the above statement,I hereby certify that€am the owner of the above-named property or a licensed electrical contractor.I am making the electrical installation or alteration In compliance with the electrical laws,KE.C.,RCW.Chapter 99.28,WAC,Chapter 296-4613,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.45.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor err elieeldcal administrator. © Cash 0 check 0 Cra&Card$ ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 6� Application Number . . , . 13 -00000660 Date 6/18/13 Application pin number . . . 161020 Property Address , , . . . . 127 W 7TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6570-0000- REPORT SALES TA Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . , . , . Property Use . . , , , , . , to the City of Port Angeles Property Zoning . , . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation . . , , 0 ---------------------------------------------------------------------------- Application deac New detached garage ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PAUL E FORREST&GAIL T MCDONALD EXTRA MILE TECH & ELECT, , LLC 432 E 8TH ST 41B N, RACE ST, PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 477-5290 (360) 457-0136 I 7 5- ------------------------------------------------------------------------------ Permit , , . . , , ELECTRICAL NEW RESIDENTIAL Additional. desc Permit Fee . . . . 74,00 Plan Check Fee 00 Issue Date 6./18/13 Valuation , . . , 0 Expiration Date 12/15/13 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-R-OUTBD/DTCH GAR IN/SEP 74,00 ------------------ . _--_ . _- .-_ --- ._. ___-____.-__-_ __--_ -.._-__,- Fee summary Charged Paid Credited Due ----------------- ------ ---------- ---------- ---------- Permit Fee Total. 74,00 74,00 00 00 Plan Check Total ,00 ,00 .00 .00 Grand Total 74,00 74.00 .00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILT,EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\BUILDING Building Permit 127 W 7°i St 12-887 PREPARED 12/12/12, 12:38:45 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES -- --- --------------- ------------------ APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 12 00000887 127 W 7TH ST 06-30-00-0-1-6570-0000- 063000016570 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL1 0001 BLDG FOUNDATION FOOTING 7/30/12 APPROVED JLL REQ COMM: July 30, 2012 9:06:36 AM pbarthol. REQ COMM: Tommy 477-0778 RES COMM: July 30, 2012 3:26:45 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL2 0001 BLDG FOUNDATION STEM WALL 7/31/12 APPROVED JLL REQ COMM: July 31, 2012 9:02:35 AM hcatuzo. REQ COMM: AM BETWEEN 10-11. 670-8062 WILSON WITH UNITED CONCRETE. RES COMM: July 31, 2012 4:45:08 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BLFW 0001 BLDG FOUND FTG/STEM WALL 8/03/12 APPROVED JLL REQ COMM: August 3, 2012 8:48:11 AM hcatuzo. REQ COMM: TOM. 477-5290. RES COMM: August 3, 2012 4:23:29 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BLHD 0001 BLDG FRAMING HOLD DOWNS 8/27/12 APPROVED JLL REQ COMM: August 27, 2012 8:51:13 AM hcatuzo. REQ COMM: TOM 477-5290 RES COMM: August 27, 2012 4:22:11 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL9 0001 BLDG SHEARWALL 8/27/12 APPROVED JLL REQ COMM: August 27, 2012 8:51:34 AM hcatuzo. REQ COMM: TOM 477-5290 RES COMM: August 27, 2012 4:22:11 PM jlierly. 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL3 0001 BLDG FRAMING 8/27/12 APPROVED JLL 000 000 BPR 00 BUILDING PERMIT - RESIDENTIAL BL99 0001 BLDG FINAL 10/09/12 APPROVED JLL REQ COMM: October 8, 2012 10:23:49 AM permits. REQ COMM: 809-0731 RES COMM: October 9, 2012 4:06:40 PM jlierly. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 Application Number . . . . . 12-00000887 Date 7/25/12 Application pin number . . . 768337 Property Address . . . . 127 W 7TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6570-0000- REPORT SALES TAX Application type description RES DETACHED GARAGE Subdivision Name . . . . . . on your state excise tax form Property Use . to the City of Port Angeles Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation . . . . 36000 ------ Application desc 595 SF DETACHED SHOP ---------------------------------------------------------------------------- Owner Contractor PAUL E FORREST&GAIL T MCDONALD CLEAR HORIZON LLC .432 E 8TH ST PO BOX 38 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 477-5290 (360) 452-3457 Other struct info . . . . . TOTAL o LOT COVERAGE 34.60 HARD SURFACE AREA EXISTING LOT COVERAGE 1826.00 LOT SIZE 6998.00 PROPOSED LOT COVERAGE 595.00 ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . 595 SF DETACHED GARAGE Permit Fee . . . , 528.85 Plan Check Fee 343.75 Issue Date . . . . 7/25/12 Valuation . . . . 36000 Expiration Date 1/21/13 Qty Unit Charge Per Extension BASE FEE 417.75 11.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 111.10 ---------------------------------------------------------------------------- Special Notes and Comments The Fire Department has reviewed the project application and has no comments July 24, 2012 3:18:35 PM sroberds. The proposal will result in a 595 sq.ft. detached accessory structure in the RS07 zone for total lot coverage of 35% and site coverage of 491' in the RHD. No land use issues anticipated. Electrical load calculations and electrical permits are required. Public Works Utility Engineering has no requirements for this plan review. ------- Other Fees . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 528.85 528.85 .00 .00 Plan Check Total 343.75 343.75 .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 pro isions of any state or local law regulating construction or the performance of construction.. D to Print Name Signature of Contractor or Authorized Agent Sign ture of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rou h-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T-Fnrme/Rnilriinn nivisinn/Rnildina Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION .�� 321 EAST 5TH STREET, PORT ANGELES,WA 98362 J Page 2 Application Number . . . . . 12-00000887 Date 7/25/12 _y Application pin number . . . 768337 Other Fee Total 4.50 4.50 .00 .00 REPORT SALES TAX Grand Total 877.10 877.10 .00 .00 on your state excise tax form J 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 co{istruction. '-�Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. A Inspection Type Date Accepted By Comments FOUNDATION: Footings l• Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling 2 Z Drywall Interior Braced Panel Onl T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footin /Slab 1131ocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 N Fire 417-4653 Planning 417-4750 Building 417-4815 T-Fnrmc/Rnilrlinn nivicinn/Ri ilriino Permit CIT -O l NGELES �l-i.,y, 0,1=. For City Use Permit # 1 a� 0$� 0 -M W A S H I N G T 0 N , U . S co e M S2C 0 Date Received: �' ��'�� -0 r- 321 East 5th Street o 0 M Port Angeles, WA 98362 Date A rp Z Approved: Om o P: 360-417-4817 F•: 360-417-4711 zr IMI hcatuzo@cityofpa.us Building Permit Application Project Address: Main Contact: Phone # 41/17 - SZ9LI) Property Nam "d' PhOT-C Jd4C Owner Mailing Add ss, �� Email r(� Ci y _L- � State - Zip e Contractor NameQ r ` Phone Mailing Address Email C4 Sate Ip � er'4-- XA:'Z4� Contractor WXP, �� 512-TExpiration:Project V ue: Zo in Tax Parcel # Lot# $ 000 M- '366,7016I 7 ) Type of Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: New Construction 1!� Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 11 No i '�-' Project Description I have read and completed thea cation and know it to be true and correct.I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,and to obtain permits prior to working on projects.I understand the plan review fee is not refundable after review has occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned,and the fees forfeit. Datein Si natu Residential Structures Area Description (SQ FT) Existing Proposed Minimum$ For Office Use value Basement First Floor ,� � Second Floor Covered-Deck/Porch/Entry Deck —Go me Carport Other(describe) Area Totals Commercial Structures Area Description(SQ FT) Existing Proposed Minimum$ Fo value Structure (s) Addition Tenant Improvement Other(describe) Are a s Lot Site Coverage Calculations Footprint(SQ FT)-of all arpctures: Lot Size: .�-6� C %Lot Coverage' I 'jv�rr7o SQ FT Site coverage -((aall' e vio s I -dn. / q�Q %Site Coverage,. �o structures U 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 tlets: Appliance Vent # Heater(Suspended,Floo essed wall) # Boiler/Compressor Size: # Hea ' ing appliance # repair/alterationool Evaporative Cooler(attached,not Pellet Stove/Wood-burning/Gas # portable) Fireplace./Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnac at Pump/ Size: # Ventilation System # ced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping # s: Water Heater . # Me ipmg #of Outlets: Water Line Vent piping # Sewer Line # Industrial waste pretreatment # interce for describe : 1 Residential Structures Area Description (SQ FT) Existing Proposed Minimum$ For Office Use 4 value Basement First Floor2-0 Second Floor; l Covered Deck/Porch/Entry Deck Carport Other(describe) Area Totals Commercial Structures' Area Description (SQ FT) Existing Proposed Minimum$ Fo case value Structure (s) Addition Tenant Improvement Other(describe) LArjjY�a Lot Site Coverage Calculations Footprint(SQ FT).o�l Structures: Lot Size: . q C %Lot Coverage= _I ' v�c,7o SQ FT Site coverage(all' e vio s / ��� %Site Coverage `rC structures (� 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.* f Ofitlets: Appliance Vent # Heater(Suspended,Floo a essed wall) # Boiler/Compressor Size: # Hea ' ooling appliance # repair/alteration Evaporative Cooler(attached,not Pellet Stove/Wood-burning/Gas # portable) Fireplace./Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # 2Furn:ac at Pump/ Size: # Ventilation System # ced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping —RALOLutietg. Water Heater # Me ipmg #of Outlets: Water Line Vent piping # Sewer Line # Industrial waste pretreatment # interceptor scribe): uj N W Z c7� V $� Cl m J °moo t -E -E m Lu 4, rte.i0 Q w N 00 O G O y C Vi-p 5'a d {P N O E �y • 0, V F•- U `� 0.11 � � 1 7 77 q _..... : S Hook lw� ,,�5 ; �! h e P, 7-T- ' � � � � ,� � i°d t1 ,.�.., �+ .9 t�.'ii 1..�. w. �� n�.y. •t��'� 13 y� � � "�r.� �r�'.' 8• � � �f. � � `,,. �:�:. 1� � "r , . . . . .. , . . 1 ?'� a� ?'.,.. �� i �,' .. 1 ' ' � ; t`, e?^ �� ,R�. .� A � � f0 � � .. .. 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By: Date: J a12 Sheet • / of NGLUS(=VO 157-72%,4CzTLr✓I Pzr LA/7 top yy1 N PM I • i i I t 1_ 1 I 1 I j n I RECEIVE ® , JUL 1.`9 2612 CITY OF PORT ANG LES' BUILDING DIVISION I LINDBER �, AMIM A R C H I , ' C T S. 319 S.Peabody,Suite B.,Port Angeles,WA 98362 360.452.6116/fax 360.452.7064 contacr(@Iindarcl com/www.lindarehcom- Project: ®1d•� �'S' Proiect No. Subject: L.L -;)Atm By: -C-tJ Date: .J U Sheet 2 of SHEAR WALL SUMMARY . W L H V V2 SW VH-WL/2 POST HOLD-DOWN 4 s' -ff5 14-3.5 4a� © , :259 d '' ,r�?•• . I T 11 Z � � 271 - 410 I-. - G, �°����'° �'' =;�1��J�`- ���•��, �� I/ALLOFIT/FIIZ YE2,TFO/FOP,W/SHEARWAL L COP. S OVER Cim 30 LB BUILON3 PAPER WVeff TRA ES AT 24'O 2X BLOCKWS WiH L. D D SCF53m VENT WALHl t L s. O NOLE6-TYP. TLF8p p, WOO X 6 UVE OO A714M OTOPTO '$ r w ►3 PAW4A WARD WrN� PLATE COMEGUON CONTNJDM MAL GUTTER BtDIdG OBER TYvw A V-O'ABOVE SILL M STUDS AT*'O� (' � W F'L4TE � � s. x p z. 4'THICK CCNCF" Vr SI IAA kCNM ~ 61 THICKW 67 WALL &AS OVER GRAVEL BOLT AT 46'O.G wl�, WTH!U NOA 4mz EAS WTH e"MM EM DhENT Nate AT TOP MD > 4W O.C.VERT. 21amx61DEET 3 CONCRETE FOOTM WTH(2)NOA SARK • `4;� f 5UILDINS SECTION SCALES V4'-r-O' 4s 4 WALL T'GMM WALL A Ci v a a� g 6�4EAR WALL PL,4N SCALE+V4'•I'4' SHEAR WALLS 2. MAXMJ'T OREM-200 M.F. USE VY SHEATNG-ONE SIDE OF YOWL NAW ALL EDCE6 WTH bd"LS AT 6'OG FOR USE DF NO2 PROVIDE IR'DIW OM ANCHOR BOLTS AT 46'OC.MA)4h1M SPACMi AT THE FOUNDATION. FOR TE DOIIM AT EACH END OP THE UUILL,SEE PRdM 40EAR PLANA O 4. MAXMM SHEAR-30 PLF. USE VY SHEATNG-ONE SIDE OF WALL NAIL ALL EDGES WTH 6d NALS, AT S'OC. POR FRN'TNG,USE DP N0?. PROVIDE VY DIAMETER ANCHOR L BOLT6 AT 32'OL.MAIGMM 6PACN6 AT THE FabOATICK C' FOR TE DaM AT EACH END CP JFw UWLL,SEE BAR PLANA b 6. MAXMM SHEAR-490 PLR I� USE W'SMATNG-aM SIDE CP WALL NAIL ALL NX&S WTTH ad NAILS I� AT 3'OG FOR FRMWj,USE 3X DF NO2 DOUBLE BOTTOM PLATES ARE �1 W.0111D.BOLT TMWtJ&4 BOTH PLATES WITH ANCHOR BOLTS, PROVIDE S/S'DIAM-TER ANCHOR BOLTS AT 32'OL.MAX"M SPA CMi AT TM POIMATOL FCR TM Do"AT EACH END OF THE WALL, SEE MWIWA011RAIR PLANS. e-%%Mf.1 r &HEAR WALLS 2. MAXIMUM SHEAR = 200 P.L.F. USE 1/2" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH (od NAILS AT 6" O.C. FOR FRAMING, USE DF NO.2. PROVIDE 1/2" DIAMETER ANCHOR BOLTS AT 48" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR PLANS. 4. MAXIMUM SHEAR = 315 P.L.F. USE 1/2" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH Scd NAILS AT 5" O.C. FOR FRAMING, USE DF NO.2. PROVIDE 1/2" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR PLANS. (0. MAXIMUM SHEAR = 490 P.L.F. USE 1/2" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3" O.C. FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR PLANS. page Project: Location: STUDS Column (2009 International Building Code(2005 NDS)) 1.5 IN x 5.5 IN x 11.5 FT @ 16 O.C. #2-Douglas-Fir-Larch(North)-Dry Use Section Adequate By:39.3% StruCalc Version 8.0.100.0 7/19/2012 7:53:35 AM LOADING DIAGRAM DEFLECTIONS Deflection due to lateral loads only: Defl= 0.44 IN=U313 Live Load Deflection Criteria: U180 VERTICAL REACTIONS B Live Load: Vert-LL-Rxn= 400 Ib Dead Load: Vert-DL-Rxn= 260 lb Total Load: Vert-TL-Rxn= 660 Ib }f; HORIZONTAL REACTIONS Total Reaction at Top of Column: TL-Rxn-Top= 215 Ib Total Reaction at Bottom of Column: TL-Rxn-Bottom= 215 Ab COLUMN DATA ay Total Column Length: 11.5 ft Unbraced Length(X-Axis)Ly: 11.5 ft Unbraced Length(Y-Axis)Ly: 0 ft Column End Condtion-K ) (e: 1 11 5 f Axial Load Duration Factor 1.00s Lateral Load Duration Factor(Wind/Seismic) 1.33 as COLUMN PROPERTIES - #2-Douglas-Fir-Larch(North) Base Values Adjusted Compressive Stress: Fc= 1400 psi Fc'= 688 psi Cd=1.33 C1=1.10 Cp=0.34 Bending Stress(X-X Axis): Fbx= 850 psi Fbx'= 1690 psi Cd=1.33 CF=1.30 Cr-1.15 CI=1.00 Bending Stress(Y-Y Axis): Fby= 850 psi Fby'= 1690 psi Cd=1.33 CF=1.30 Cr-1.15 A Modulus of Elasticity: E= 1600 ksi E'= 1600 ksi Min. Mod.of Elasticity: E_min= 580 ksi E_min'= 580 ksi AXIAL LOADING Column Section(X-X Axis): dx= 5.5 in Live Load: PL= 300 plf Dead Load: PD= 180 plf Column Section(Y-Y Axis): dy= 1.5 in Area: A= 8.25 int Column Self Weight: CSW= 20 plf Section Modulus(X-X Axis): Sx= 7.56 in3 Total Load: PT= 500 plf Section Modulus(Y-Y Axis): Sy= 2.06 in3 LATERAL LOADING (Dy Face) Slenderness Ratio: Lex/dx= 25.09 Uniform Lateral Load: wL-Lat= 28 psf Ley/dy= 0 Column Calculations(Controlling Case Only): Controlling Load Case:Axial Dead Load and Lateral loads(D+W or E) Actual Compressive Stress: Fc= 32 psi Allowable Compressive Stress: Fc'= 688 psi Eccentricity Moment(X-X Axis): Mx-ex= 0 ft-Ib Eccentricity Moment(Y-Y Axis): My-ey= 0 ft-Ib Moment Due to Lateral Loads(X-X Axis): Mx= 617 ft-Ib Moment Due to Lateral Loads(Y-Y Axis): My= 0 ft-Ib Bending Stress Lateral Loads Only(X-X Axis): Fbx= 979 psi Allowable Bending Stress(X-X Axis): Fbx'= 1690 psi Bending Stress Lateral Loads Only(Y-Y Axis): Fby= 0 psi Allowable Bending Stress(Y-Y Axis): Fby'= 1690 psi Combined Stress Factor: CSF= 0.61 NOTES " CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 --p Application Number . . . . . 12-00000854 Date 7/09/12 Application pin number . . . 522496 Property Address . . . . . . 127 W 7TH ST f ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6570-0000- REPORT SALES TAX Application type description DEMOLITION r on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles e Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation . . . . 8000 Application desc DEMOLITION 558 SF GARAGE ---------------------------------------------------------------------------- Owner Contractor PAUL E FORREST&GAIL T MCDONALD CLEAR HORIZON LLC 432 E 8TH ST PO BOX 38 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 477-5290 (360) 452-3457 ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION Additional desc . . DEMO GARAGE . 558SF Permit Fee . . . . 50.00 Plan Check Fee .00 `1 Issue Date . . . . 7/09/12 Valuation . . . . 0 Expiration Date 1/05/13 Qty Unit Charge Per Extension BASE FEE 50.00 ----------------------------------------------------------------------------- Other Fees . . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 54.50 54.50 .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 e last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions 9f lawsrand 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 construdtio . d 7l� L/ rte+ ,4 .Date Print Name Signature of Contractor or Authorized Age Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. t A Inspection Type Date Accepted By' Comments -� FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bidgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bid Gas Line Back Flow/Water FINAL Date Accepted b 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 Wali/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab. Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By yes Electrical 417-4735 Construction- R.W. PW / Engineering 417-4831 ��(] Fire 417-4653 V Planning 417-4750 4. Building , 417-4815 T•Fnrmc/Rnilriinn nivisinn/Rniirlinn Permit PREPARED 7/18/12, 10:05:41 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/18/12 --- ------------ - ADDRESS . : 127 W 7TH ST SUBDIV: CONTRACTOR CLEAR HORIZON LLC PHONE (360) 452-3457 OWNER PAUL E FORREST&GAIL T MCDONALD PHONE (360) 477-5290 PARCEL 06-30-00-0-1-6570-0000- APPL NUMBER: 12-00000854 DEMOLITION ------------------------------------------------------------------------------------------------ PERMIT: DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED . RESULT RESULTS/COMMENTS --------------------- -- BL99 01 7/18/12 LL BLDG FINAL ----------------------- ------------ COMMENTS AND NOTES ------------------------- THE V T NGELES CITY OF For City Use Permit # �2' co: M W A S H I N G T O N , U . S . ao c r— Date Received:-11' jr 0o r 321 East 5"` Street 0 4 �.a.ly N Port Angeles, WA 98362 Date Approved. 50 P: 360-417-4817 F: 360-417-4711 zM M hcatuzo@cityofpa.us Building Permit Application Project Address: 214- W -4-1 " ST Main Contact: Phone # To M Th o m 10so rl Z4 5263o Property Name a, Forres- / i7u; / mclx/ `a�� P�0 D�i "10' CY O Owner Mail Address � _� Email S� City State zi P o O- N g Contractor an^ 1 L i / / n Phgge, _ 5� Mailing Add ess ('(�J Email po oX ioff t oD 0 pm nrvi City(-� A /Ca/'1tos State W )meq Zip 2 Contractor License # Expiration: d Project Value: Zoning: . Tax Parcel # Lot# $ 91 000 -1 +D 0(p '�)0 00 0l40570 Type of Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project C a e'VY) Description I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,and to obtain permits prior to working on projects.I understand the plan review fee is not refundable after review has occurred.I understand that I will forfeit 20%of the review fee if I cancel or withdraw the application before plan review has occurred.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 Print anW- Signat �` 12, �J Residential Structures Area Description(SQ FT) Existing Proposed Minimum$ For Office Use value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage �� Carport Other(describe) Area Totals ¢ Commercial Structures Area Description(SQ FT) Existing Proposed Minimum$ For Office Use value Structure (s) Addition Tenant Improvement Other(describe) Area Totals Lot Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Coverage SQ FT Site coverage(all impervious+ %Site Coverage structures 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) # I Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit 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): C) ,is C, 3 r p O O 00 to 3.Y o 0 o CD 00 w o «, « d o0 0 el CV J p c� n° n° of N 5, 2 µ C cn /xS ,r M 6 of , Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with LEtl to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name CLEAR HORIZON LLC UBI No. 602417490 Phone 3604523457 Status Active Address P 0 Box 38 License No. CLEARHL952RT Suite/Apt. License Type Construction Contractor City Port Angeles Effective Date 12/30/2005 State WA Expiration Date 1/3/2014 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date THOMPSON, THOMAS A Partner/Member 12/30/2005 Bond Information Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company Number Date Date Date Date Amount Date Name 1 CBIC SG4924 12/29/2005 Until $12,000.0012/30/2005 Cancelled Assignment of Savings Information No records found for the previous 6 year period Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date Contractors 5 Bonding Et C11SG4924 12/29/2011 12/29/2012 $1,000,000.0012/29/2011 Insuranc 4 CBIC C11SG4924 12/29/2010 12/29/2011 $1,000,000.0011/09/2010 3 CBIC C11SG4924 12/29/2009 12/29/2010 $1,000,000.0012/14/2009 2 CBIC C11SG4924 12/29/2008 12/29/2009 $1,000,000.0012/08/2008 1 CBIC C11SG4924 12/29/2005 12/29/2008 $1,000,000.0012/03/2007 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 7/9/2012 ® s ' i E&LIES W A S. H I N G T O N, U. S. A. Public Works & Utilities Department a July 3, 2012 $ Clear Horizon Construction P.O. Box 38 rr . Port Angeles, WA. 98362 ^ RE: Port Angeles Landfill/Transfer Waste Disposal Application,WDA#12-8 We have received your application for approximately 15 tons from the referenced site and reviewed : the testing results.. Based on the test results submitted by Olympic Peninsula Consultants, LLC and NVL Laboratories, Inc. Clallarh County Environmental Health Services(CCEHS) concurs with the disposal of approximately 15 tons from 127 W&7`.h Street to the Regional Transfer Station. A copy of your approved application is attached. This approved application must'be shown to the 4 transfer station scale attendant at the time of disposal. Please be advised that the dis osal a lication is only for the materials and quantities listed in the p pp Y application. Materials not listed or in excess of the quantities noted may require separate , applications and approval. " Please call Torn McCabe,-Solid Waste Superintendent at 360-417-4872 or e-mail . .;' tmccabe@cityofpa.us if you have any questions. Sincerely Tom McCabe Solid Waste Superintendent Cc: Brian Tate, Operations Manager, Port Angeles Transfer Station Sonja Coventon, Scale Attendant; City of PA { d Enc: WDA 3 - a C:Waste Disposal/correspondence ; f Phone: 360-417-4800/Fax: 360-417-4542 Website: www.cityofpa.us/Email: publicworks@cityofpa.us a xyyF 321 East Fifth Street- P.O. Box 1150/Port Angeles; WA 98362-0217 1 eorr4'lr. WASTE DISPOSAL APPLICATION PORT ANGELES SOLID WASTE TRANSFER STATION To: City of Port Angeles Phone: (360) 417-4872 Attn: Solid Waste Superintendent Fax: (360) 452-4972 321 E. Fifth Street P.O. Box 1150 Port Angeles, Washington 98362 D f� (r� 9 1117 15f� NOTE:All questions must be answered for waste to be approved. (5 l� U JUL 0 2 201 1. Applicant Information: G��� City of Port Angeles Company Name: [��9-e 121Yy Public Works and Utilities Dept /� Engineering Services Division Mailing Address: t;O•Qom 38 Contact: Phone: Project Name: C,'�24 � eta7o� n Project Location: _ 27 /.� 7'-4' S7z�Z1 pow ��'s�r 2. Other Contacts(if applicable): Consulting Firm: 2'f vdyic 4116, rc Contact: _ 2 y �c 44 Phone: x(17-oro 1 Contractor Name: ZZ14626 U l MU47�1 Contact: khj Phone: _ g152- 2oSY Laboratory: LJ✓L �noc�t uerfiS� c Contact: A412-ry✓ Az,..v Phone: 3. Source of Waste: Check the appropriate box below and briefly describe the project, process, and/or cleanup that will or has produced the waste requiring disposal. Include the gasoline service station number(if applicable). ❑ CERCLA/MTCA Remediation Agency Contact: ❑ Independent Remedial Action ❑ UST Removal ❑ Unused Chemical Product Spill VOther Source: Li City of Port Angeles-Waste Disposal Application Page 1 of 4 (last updated January 2011) 4. Waste Material Composition: (Check all that apply and include percent of total) Soil % Foundry Slag % Solvents % Dredge Sediments % Preserved Wood % _C Debris oo % Coal Ash % Other(list) Wood Ash % % NOTE:Total must equal 100%. % 5. Waste Material Contaminants: (check all that apply) Gasoline Metals Diesel Solvents Heating Oil PCBs Unused Motor Oil Used Motor Oil/Waste Oil _ Other 7 >s PAIAJf Other Petroleum Product Unknow -I'eZp 6444 A'g4S1ot SvQVey 4 Y e Note: Supply and MSDS information with application, if available. 6. Estimated Quantity of Waste for Disposal: Cubic yards/ /- Tons(estimated both) Drums/ Tons(estimated both) Other: NOTE: Estimated quantity for disposal must be within 20%of the quantity actually disposed. (10%for projects over 7,500 tons or 5,000 cubic yards) 7. Frequency of Disposal: _ One time Monthly Annual other 8. Waste Sampling: Proper characterization of the waste for disposal requires the collection of representative samples. The methods and equipment necessary for obtaining representative samples of a waste, and the frequency of sampling,will vary with the type and form of the waste. Check the appropriate box and briefly describe how the waste was sampled. Identify site and location where material is being removed from. Number of COMPOSITE samples: I Number of DISCRETE sa7(('-Z les:- 12 [� A - Qri%/05i A ,m?" per' I k S, „rGs CcxaA` k-- . 4u.'e W o o D 6-19074 _JV 4 �i14.�.itifr City of Port Angeles—Waste Disposal Application Page 2 of 4 (last updated January 2011) NOTE 1: Unless prior approval has been granted by Port Angeles, the following sampling frequency will be used: 0-25 cubic yards = 1 composite sample 25-100 cubic yards = 3 composite samples 101-500 cubic yards = 5 composite samples 501-1000 cubic yards = 7 composite samples 1001—2000 cubic yards = 10 composite samples >2000 cubic yards = 10 plus one sample for each additional 500 cubic yards NOTE 2: One composite sample shall contain a minimum of three/maximum of five discrete samples. 9. Waste Analysis: The."Dangerous Waste Regulations" (WAC 173-303)shall be utilized to determine the appropriate analytical requirements for waste characterization. Ecology Publication#91-30 (Revised November 1995) or any future updates "Guidance for Remediation of Petroleum Contaminated Soils" shall also be used to characterize petroleum contaminated soils from underground storage tanks releases. Submit all laboratory analytical results, QA/QC data, and Chain of Custody sheets along with this application. (NOTE: The sampling laboratory must be accredited by the Washington State Department of Ecology.) a) List all an lytical test methods used: nR 13fI 7voa/.3 _ b) Provide a narrative as to why the above analytical methods were selected: �c �0 4 7FSG�uL� Ty�k t�'K /asrr�iU yY NOTE: Additional sheets attached: YES NO 10. Soil Classification: (**FOR PETROLEUM CONTAMINATED SOILS ONLY**) Based on the analytical data and Ecology Publication#91-30,the soil classification is: (check one) Class 1 Class 2 Class 3 Class 4 Calculated Hazard Index 11. Dangerous Waste Affidavit: Based on a review of the analytical test results,site history, and the applicable regulations,this waste is classified as: (check one) neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHW) ❑ Dangerous Waste(DW) and Waste Code: ❑ Extremely Hazardous Waste (EHW)and Waste Code: City of Port Angeles—Waste Disposal Application Page 3 of 4 (last updated January 2011) 12. Special Notes for Asbestos Disposal All asbestos—containing materials(with the exception of roofing material In good condition that Is not peeling, cracking or crumbling,with petroleum binder that still exhibits plasticity to prevent release of asbestos fibers)must: Be tightly wrapped or bagged in 6 mil plastic with no excess air In the packaging • Not exceed 50 pounds per bundle Be labeled as asbestos with required information regarding Its origin • Be transported with a manifest in the vehicle Arrive at the transfer station only by appointment with Brian Tate of Waste Connections at 360-452-0427 or cell phone 360-912-7080,so that the material can be deposited in a lock box. Certification: We,THE UNDERSIGNED,certify that this application is true to the best of our knowledge. All Information provided is correct and the enclosed analytical results r pr nt proposed waste material to the best of our abilities. Waste Generator's Signature: Printed Name&Company Position 7;1'44y 4Wad fi.��1 -r.�.r� ✓L1.eaa�d Company: Ar---dc. .ZL Date: 6lv,61 If you have any questions please contact Tom McCabe,Solid Waste Superintendent at 417-4872 or email tmcca be C&citvofpa.us. THIS SECTION TO BE FILLED OUT BY AUTHORIZED STAFF Approval: ,#W.*Y,IA �W& 7-3adr.c fig - "I E ronmen Health Specialist Date Approval with the following conditions if applicable: I certify under penalty of law that the statements made on this form are true and correct to the best of my knowledge,Information and belief. r Tom McCabe,Solid Waste Superintendent Date ' Contractor shall present their copy of approved application to Scale House. •A Demolition Permit must be obtained if demolition occurs in the City. Permit forms ale available at the building counter at City Hall or on the City's website under the link hhto:/www.citvof na.us/-Phone 360-417- 4815 City of Port Angeles—Waste Disposal Application Page 4 of 4 (last updated January 2011) NVL- Laboratories, Inc, CHAIN of CUSTODY BATCH !D 470E Aurora Ave N, .,�98,«i 12 092 99.00 Tei:206.547.0100 Emerg. Pager:206.344.1878 SAMPLE LOG ; 1.888.WL.LABS(685.5227) Cdent Zenovic & Associates, Inc. NVL Bad Number street ,60\ L• (neF—A '�1 cnent.rob Number Port Angeles -- Total Samples Project Manager Tum Around Time ❑ 1-Hr ❑24-Hrs ❑4 Days Project Location !2� t� 7�"ST`��T 4,e,,-,,- cs D 2-Hrs ❑2 Days Days O 4-FIrS D 3 Daus_-0[]6 6 to 10 Days Please call for TAT less Ow 24 Flea EniaN address4GY� �4c, _ Phone: (360) 417-0501 Fax (360) 417-0514 D Asbestos Air O PCM(NIOSH 7400) D TEM(NIOSH 7402) U TEM(AHERA) O TEM (EPA Level ll) O Other D Asbestos Bulk O PLM(EPAIS M-83/116) O PLM(EPA Point Count) O PLM (EPA Gravanetry) O TEM Bulk METALS Dei It NWX RCRA Metals ❑All 8 O O Total Metals PPm(AAS) Ci Air Filter O Paint Chips O All 3 Arsenic (As) 0 Lead(Pb) O (Cu)0 Ppb(G FAA) ❑Drinking water O Paint Chips(Area) ❑Barium(Ba) ❑Merc*(Hg) U Dust/wipe O Waste Water ❑Cadmium(Cd) ❑SeteNum(Se) C]Nickel(Ni) O Sail ❑Chiomium(Cr) ❑Silver(Ag) O Zinc(Zn) ❑Other Types - O Fiberglass p Nuisance Dust O Rotometer Caliluation D Other'(Specify) of Analysis ❑ Silica (]Respirable Dust O Mold/FwW Condition of Package:O Good 0 Danutged(no spillage) O Severe dame(spike) Seq.g Lab ID Cl lent Sample Number Commerf AIR 1 L1 2 3 4 �- 5 6 7 8 9 10 ' 11 12 13 - 14 - Print Below Sion Bel at Time Relinquished by Received by - Awlyzed by Results CTed by -- Resutts f:aued by _T-•-- Special Irnstructiora: Unless requested in writing.all samples win be diseased of two(2)weeks after analysis. I NVL Laboratories, Inc. 4708 Aurora Ave. N., Seattle,WA 98103 AlHK Tel`206.547.0100, Fax: 206.634.1936 ANA -IH# 101861 ACCREDITED www.nvllabs.com Analysis Report WA-DOE#C1765 LABORATORY Toxicity Characteristic Leaching Procedure - Lead (Pb) Client: Zenovic&Associates, Inc. Batch #: 1209299.00 Address: 301 E. 6th St. Suite 1 Matrix: Bulk Port Angeles, WA 98362 Method: EPA 1311/7000B Client Project#: 12114 Attention: Mr.Tracy Gudgel Date Received: 06/19/2012 Project Location: 127 W:7th St. Port Angeles Samples Received: 1 Samples Analyzed: 1 Lab ID Client Sample# RL Results Results inmg/ L in mg/L ppm 12055030 12114A 0.5 < 0.5 < 0.5 Sampled by: Client Analyzed by: Aaron Brown Date Analyzed: 06/20/2012 D RAFT mg/ L=Milligrams per liter RL = Reporting Limit ppm = parts per million '<' = Below the reporting Limit Note : Method QC results are acceptable unless stated otherwise. Unless otherwise indicated, the condition of all samples was acceptable at time of receipt. Bench Run No: 32-0619-10 Page 1 of 1 215 SW 153rd Street Burien,WA 98166 OFFICE: (206)988-1746 FAX: (206)988-1978 NVLAP Lab Code: 200511-0 - - �N�LS3'R SAL HYOOEN E,.�NC. I i (Bulk Asbestos Analysis . ----- - _ --- -- Olympic Peninsula Asbestos&Env.Consultants,LLC NIH Batch Number: 12-00352 P.O.Box 758 Client Job Number: Port Angeles,WA 98362- Turn Around Time: 5 Day Project Location: 127 W. 7th Street,Port Angeles, WA Samples Analyzed: 1. Client Sample Number: AS-1 Lab Sample Number: 12-00352.0001 Client Sample Description: Asphalt Roofing-2 Layers Client Sample Location: Exterior Roof Sample Comments: Checked If Sample Not Analyzed El Layer 1 Brown and gray gravel with black fibrous asphalt Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 15% Fiberglass 35% Aggregate 50% Asphalt Filler and Binder Layer 2 Brown,tan and gray gravel with black fibrous asphalt Asbestos Fibrous Components: Non-Asbestos Fibrous Components: Non-Fibrous Components: No Asbestos Detected 13% Fiberglass 30% Aggregate 57% Asphalt Filler and Binder i. .+4 =F-!.:3.. -s. - --s:*.. ':-«.x` ... .,t-;•�s.v' ,,i., iyn6..:.... -..._- .s' .. F,wa A,+S-::� �m..�. .. h._.t...-.<. .>e.... . h�. ,....,.—.: Sampled by: James W.Ciaciuchi 6/1/2012 Received by: Fermin Uribe 6/4/2012 Reviewed by: Rachel Melgoza 6/5/2012 Rachel Melgoza,Analyst Page 1 CITY OF PORT ANGELES d DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET PORT ANG ELES, WA 98362 Application Number . . . . . 11-00001232 Date 10/31/11 Application pin number . . . 311888 Property Address . . . . . . 127 W 7TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6570-0000- Tenant nbr, name . . . . . . . PAUL FORREST & G MCDONALD on your state excise tax form Application type description MECHANICAL APPL. PERMIT to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 10961 ---------------------------------------------------------------------------- Application desc HEAT PUMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PAUL E FORREST&GAIL T MCDONALD ALL WEATHER HTG & COOLING INC 432 E 8TH ST 302 KEMP ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 477-5290 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . MECHANICAL PERMIT Additional desc . . HEAT PUMP Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 10/31/11 Valuation . . . . 0 Expiration Date 4/28/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 �lnd,Q,�•Z• 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 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. 31 &g rM �V1 Lo Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD N — 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Onl ) T-Bar _ + INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blockinn g Hold Downs Skirting - PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 �' o`Z' �^ ��-L PREPARED 4/09/12, 8:37:55 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/09/12 ----------------------——------------------------------------------------------------------- ADDRESS - : 127 W 7TH ST SUBDIV: TENANT, NBR: PAUL FORREST & G MCDONALD CONTRACTOR ALL WEATHER HTG & COOLING INC PHONE (360) 452-9813 OWNER - - PAUL E FORREST&GAIL T MCDONALD PHONE (360) 477-5290 PARCEL 06-30-00-0-1-6570-0000- APPL NUMBER: 11-00001232 MECHANICAL APPL. PERMIT --- -------- ------- - -------- PERMIT_ ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------ ---—---------------------—----- ME99 01 4/09/12 1 MECHANICAL FINAL � o April 5, 2012 4:13:44 PM hCdtuzo. ��1 JENNY W/ALL WEATHER 452-9813 A -------------------- ---- COMMENTS AND NOTES -------------------------------------- Lb w -------- --------------------Law rL- (� PROJECT STATUS UPDATE Permit# Vv Date: I phoned the: Applicant A elk- at Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. T:Forms/Building Division/Project Status Update 10/31/2011 10:22 13604525177 ALL WETHEP HEATINGPAGE 02/02 ,Y cFPOR7gn, lw BUILDING PERMIT APPLICATION Print in ink ��-�- CITY OF PORT ANGELES For CityUse Onl �31r Attn: Building Permit Technician Date Received 321 E. Fifth St., Port Angeles, WA 98362 Permit# I i L `�� (360)417-4815 fax(360)417-4711 Date Appr eov d Applicant VvQ���Q,r 'ieo,�j -, Cook( rXCA Phone 3jpp- 45�,-ygl3 Property Owner Phone X60-43 7-5@i-qp Property Owner's Address p Contractor A110 , Fr AioQ(-r-,nw - ���na Phone a 5d. 9W/-5 Contractor's Address o License# ALLVJ ERC,V5014.6 Expires a E-mail PROJECT ADDRESS a, Vol, -7th St Parcel Number Lot Zonin P_cviect Type&Brief Descri Check all that Apply ation: Resldentfal c3 Multi-family ❑ Commercial ❑Industrial c New Construction IP (n 5 ,_n Addition o Remodel ❑Repair o Demolition o Re-roof o House o garage o other ❑tear off& re-roof ❑la20ver jlayer ).Heat System Heat pump ❑wood-buming stove ❑gas fireplace ❑ pellet stove ❑ other o Other Floor Areas Exist/n9(scLftl Proposed(sa.ft.l Basement @$ per sq. 1°'Floor 2nd Floor 3'dFloor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ 10,9 I Total footprint of structures sq.ft- " 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 have read and completed this application and know it to be true and cormct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits am.required,and to obtain permits prior to ing on pratpts. Dat el>I � / Print Name��1 t iLY)POLon Signature /�.. T:F0rrn&9ulldln9 DhAslon/Bldg Permit.doo Clallam County Assessor& Treasurer - Property Details - 57266 PAUL E FORREST AN... Page 1 of 1 Clallam County Assessor&Treasurer Property Search Results > 57266 PAUL E FORREST AND GAIL T MCDONALD for Year 2011 -2012 Property Account Property ID: 57266 Legal Description: LOT 14 BL 165 TPA Geographic ID: 0630000165700000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 127 W SEVENTH ST Mapsco: PORT ANGELES,WA 98362 Neighborhood: PA East Res Map ID: 2 Neighborhood CD: 5001000 Owner Name: PAUL E FORREST AND GAIL T MCDONALD Owner ID. 202901 Mailing Address: 432 E 8TH ST %Ownership: 100.0000000000% PORT ANGELES,WA 98362 Exemptions Taxes and Assessment Details Property Tax Information as of 10/31/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement, First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 151980 $443.09 $1033.15 $0.00 $0.00 $1476.24 $0.00 1 Statement Details 2010 40270 $294.60 $294.59 $0.00 $0.00 $589.19 $0.00 I Values ._._.._.. .____-.. _ _.__..._.-_ 7- i Taxing Jurisdiction Improvement/Building Sketch _ ..._.._.. _------------_.____,._ . ._.___. _._... _.._. Property Image _ ' Land _......-_. .. ,... _._.._l Roll Value History Deed and Sales History 77 I Payout Agreement This year is not certified and ALL values will be represented with "N/A". Website version:9.0.32.2200 Database last updated on: 10/31/2011 3:46 AM ©2011 True Automation,Inc.All Rights Reserved.Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=57... 10/31/2011 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 W Application Number 11-00001307 Date 11/18/11 . Application pin number . . . 149457 REPORT SALES TAX Property Address . . . . . . 127 W 7TH ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6570-0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . (Location Code 0502) Property Use . . . . . . . . Property Zoning . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 circuit heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ PAUL E FORREST&GAIL T MCDONALD BLACK DIAMOND ELECTRICAL CONTR 432 E 8TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 477-5290 (360) 565-1035 ---------------------------------------------------------------------------- N Permit . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 73.50 Plan Check Fee .00 Issue Date . . . . 11/18/11 Valuation . . . . 0 Expiration Date 5/16/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 73.50 73.50 .00 .00 r Plan Check Total .00 .00 .00 .00 `w1 Grand Total 73.50 73.50 .00 .00 . V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGII-IN Z FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCI-IANGE\BUILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections T_ W 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington, 98362 f LJ Ph: (360) 417-4735 Fax: (360)417-4711 Date:41L d 1 &2 Single Family Dwelling _Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel/Repair* *Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: 10-7 W -7 Building Square Footage: Description of above b b �,4-r "� �r-.p c r�Gv i-r- Owner Information Contract Inform on Name: ?A UL F;D a-C SI— Name: L L chk--O'. jamc.A L Mailing Address: Mailing Address: 5-o- Q.ACk- � City: TA- State: Zip:gTl?1,7 City: 'PA State: 1, �- Zip: 12 Phone: 'V77- S-2Q0 Fax: Phone: 1`61-31rS`7 Fax: License#I Exp. License#/Exp. St_AC c_R..0 8g►1D.2_ Item --Unit Charge QtV Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $204.60 $ Service/Feeder 601-1000Amp. $262.20 $. Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2.60 $ Branch Circuit W/O Service Feeder $ 73.50 f $ 7 3 Each Additional Branch Circuit $ 2.60 $ Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 20.1-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp.'Service/Feeder 601-1000 Amp . $167,90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 63.90 $ Signal Circuit/Limited Energy-Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy-5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. 1 1 $110.30 $ Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or=Detached Garage $ 73.50 $ Each Swimming Pool or.Hot Tub $110.30 $ $ Total Owner as defined by RCW.19.28.261: (1)Owner will occupy the structure for two years after this electrical permit is finalized. (2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last:inspection. After reading the above statement,.l hereby certify:that.l 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'Per m�it/JApplications. Signature of owner,electri I co ctor or electrical administrator: ❑ Cash check f ❑ Credit Card#\ x Dated: 01/0112010 PREPARED 9/22/09 8 46 00 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/22/09 ADDRESS 127 W 7TH ST SUBDIV TENANT NBR CHARLIE GAGNON CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 4 7 1708 OWNER CHARLES I GAGNON PHONE (360) 457 6845 PARCEL 06 30 00 0 1 6570 0000 APPL NUMBER 09 00000804 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/12/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 8/12/09 AP August 12 2009 8 32 28 AM 1pangrle DAREN 460 6325 FOOTING MORNING August 12 2009 5 02 04 PM jlierly BL2 01 8/17/09 PB BLDG FOUNDATION STEM WALL TIME 09 00 8/18/09 AP August 17 2009 9 09 35 AM 1pangrle DARREN 460 6325 FOUNDATION WALL MORNING August 18 2009 8 42 54 AM pbarthol BLDS O1 9122/09 BLDG SIDING TIME O1 00 ��� U�y�, _y�[ September 22 2009 8 34 11 AM 1pangrle CHARLIE 457 6845 BRICK VENEER AFTERNOON COMMENTS AND NOTES PREPARED 8/17/09 9 24 48 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/17/09 ADDRESS 127 W 7TH ST SUBDIV TENANT NBR CHARLIE GAGNON CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 457 1708 OWNER CHARLES I GAGNON PHONE (360) 457 6845 PARCEL 06 30 00 0 1 6570 0000 APPL NUMBER 09 00000804 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/12/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 8/12/09 AP August 12 2009 8 32 28 AM 1pangrle DAREN 460 6325 FOOTING MORNING August 12 2009 5 02 04 PM jlierly BL2 01 8/17/09 JL/J BLDG FOUNDATION STEM WALL TIME 09 00 < August 17 2009 9 09 35 AM 1pangrle DARREN 460 6325 FOUNDATION WALL MORNING COMMENTS AND NOTES PREPARED 8/12/09 8 39 19 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/12/09 ADDRESS 127 W 7TH ST SUBDIV TENANT NBR CHARLIE GAGNON CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 457 1708 OWNER CHARLES I GAGNON PHONE (360) 457 6845 PARCEL 06 30 00 0 1 6570 0000 APPL NUMBER 09 00000804 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/12/09 JL BLDG FOUNDATION FOOTING TIME 09 00 August 12 2009 8 32 26 AM 1pangrle JOY DAREN 460 6325 FOOTING MORNING COMMENTS AND NOTES Z BUILDING PERMIT APPLICATION Print in ink s CITY OF PORT ANGELES # For City Use Only* i � Attn. Building Permit Technician Date Received Z- 321 E. Fifth St. Port Angeles WA 98362 Permit# —80 (360)417-4815 fax (360)417-4711 Date Approved Applicant P on 4/60 -,x(07 ;�> Property Own C�n6LrJ�e C,- Phone Phoney5�- 6alf5 Property Owner's Address 1 a i� S�c�e of PX '— Contractor (.:, r 1��_ C OyysiruL-k-'Lott,/ Phone L/S -2 1 ?©R Contractor's Address 3 afsd a^f nnqp I eS License # M Ex fres p -mail PROJECT ADDRESS 7W 5 e Parcel Number Lot & oning Project Type &Brief.Description. PkResidential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel X Repair '0 c>(,+k m5f ror ❑ 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 ii other ❑ Other Floor Areas Ex"stin (sq. ft. Proposed(sq. ft.) Basement @ $ per sq ft. = $ 15t Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed /Ai/ Other ©o TOTAL VALUATION $ Total footprint of structuresX' ervious sq ft. T Lot size s = Lot coverage % Site Coverage = the amounsurface on a parcel- including structures aved:driveways sidewalks patios and other impervious surfaAMC 17 94 135 for exemptions) Site coverage Max. height of proposed stctures ft. Occupancy group #of bedrooms Will a lawn sprinkler system b ins led? Occupant load #of full baths Will a fire sprinkler system be i Iled? Construction type #of half baths I haver read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits pri to working on projects Date`2 -11—pg Print Name (� ( Signature — T Forms/Building Division/Bldg Permit.doc CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION ` 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 09 00000804 Date 8/11/09 Application pin number 154552 Property Address 127 W 7TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6570 0000 Tenant nbr name CHARLIE GAGNON Application type description RES REPAIR Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 5000 Application desc FOUNDATION REPAIR N E CORNER OF BLDG Owner Contractor CHARLES I GAGNON J GRICE CONSTRUCTION LLC PO BOX 2093 223 MARSDEN RD PORT ANGELES WA 983626010 PORT ANGELES WA 9.8362 (360) 457 6845 (360) 457 1708 Permit BUILDING PERMIT RESIDENTIAL Additional desc FOUNDATION REPAIR NE CORNER Permit pin number 151456 Permit Fee 137 75 Plan Check Fee 89 54 Issue Date 8/11/09 Valuation 5000 Expiration Date 2/07/10 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL 2001 25K (14 PER K) 42 00 d Other Fees STATE SURCHARGE 4 50 I Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 89 54 89 54 00 00 Other Fee Total 4 50 4 50 00 00 f Grand Total 231 79 231 79 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 Si ure 412ontractor or Authorized Agent Signature of Owner(if owner is builder) T.FormsBuiWing Division/Building Permit C BUILDING PERMIT INSPECTION RECORD Ov C> - 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION 9-7-2-Oal bp-i CK v¢"rlee- sl<ut�''' Footings -Q Stemwall V- L L Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING Under Floor/Slab Rough-in Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls N Ceiling 1 FRAMING ^tel Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By . Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit PREPARED 8/10/10 8 14 08 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/10/10 ADDRESS 127 W 7TH ST SUBDIV TENANT NBR CHARLIE GAGNON CONTRACTOR J GRICE CONSTRUCTION LLC PHONE (360) 457 1708 OWNER CHARLES I GAGNON PHONE (360) 457 6845 PARCEL 06 30 00 0 1 6570 0000 APPL NUMBER 09 00000804 RES REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/12/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 8/12/09 AP August 12 2009 8 32 28 AM 1pangrle DAREN 460 6325 FOOTING MORNING August 12 2009 5 02 04 PM jlierly BL2 01 8/17/09 PB BLDG FOUNDATION STEM WALL TIME 09 00 8/1B/09 AP August 17 2009 9 09 35 AM 1pangrle DARREN 460 6325 FOUNDATION WALL MORNING August 18 2009 8 42 54 AM pbarthol BLDS 01 9/22/09 JLL BLDG SIDING TIME 01 00 9/22/09 AP September 22 2009 8 34 it AM 1pangrle CHARLIE 457 6845 BRICK VENEER AFTERNOON September 22 2009 4 15 24 PM jlierly BL99 01 8/10/10 J(/LLLnL BLDG FINAL TIME 01 00 August 9 2010 4 29 15 PM 1pangrle CHARLIE 457 6845 BUILDING FINAL FOUNDATION REPAIR N E CORNER OF BLDG AFTERNOON COMMENTS AND NOTES -000 6t V\00 e ve-M(0\ -� \0-\- vy \ILK 163 5 i noel� Lt-4L( Poo p 0 FILE proper+j Int t c.s 3 i 1 5kv1C41f_ 5tort CITY OF PORT NGELES—Construction Pians IC, The Issuance of th permit based upon these plans,specifi- cations and other d to shall rat prevent the building official o from thereafter re firing M aeeetion of errors in said C`('p-W\ � Plaps, specification and other date, or from preventing building operations being arried on thereunder when in violation of all cod sand orAhimces of thisrisdi_'ctiyn. � ifany B e,dar, C7.T� Approval Date 9 In BY \a EtC�S'� Fouhdd�io - k\40 CJ'�jC4L_ 17 p- UN o� V,V l % S�rv. Sotil, £ `S�V"y POOR aO�s � N-0 3 prc U're- �xti tVo-�- p v e-v^ k- \- F f D M S eatms ex, \ G� wa1 rt r Qroo4 t(,Y% + ale_ ko C�'M�o:G�e� CcrOvn� Fo C. �a ,OF PORT gNCF CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 C c T (206) 457-0411 PERMITNO. /lvp p L DATE / �O// ELECTRICAL PERMIT Site Address: -('' �'j ❑ READY FOR El WILL CALL FOR /c;2 �/( T INSPECTION INSPECTION Installed By: + License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIALRISER L1BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROU D SERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: ❑ FAN/WALL KW ❑. ADD/ALTER CIRCUITS SERVICE UPGRADE/REPAIR tt SERVICE SIZE r2t9 AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. 4OX to connect service ❑ Final O.K. Site Address: Permit/Recgip,No vAm A Installer: /-' New Meters Date: 14 f� Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. 72 ^^ _ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT @ �PY✓1 W Electrical Inspector Permit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. CITY OfPORT ANGELES ELECTRICAL PERMIT o LIGHTT DEPARTMENT � � 15385 Port Angeles, Washington---------- — -------------------------- '----'-----, 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. -_ zf / Address ----/-------j-----!----'--//"---------------------------------------------. Occupancy-- -----------=-------------------------- Owner ------------------- ---------------------------_------------_ ----- Tenant---------------------------------------------------------- ----------- 1 1 Wiring Contractor -=-----------------------------------'=------------------'-- By-------- -----------------------------"-'------------"-'--------- Light Outlets------------------------------------------ Service, volts -_e�---------------------------...... Type of Wiring: Receptacle Outlets------------------------------- No. wires .........--------------------------_ Armored Cable .......-__................. . Dryer,K Size wires..................._'............... . Non-Metallic ......------------------....._.. G I{nob & Tube Range,KW---_------_..._____----__---------- Main fuse. ..... Rigid Conduit .-.._.........._.......__._. Water Heater: Enclosure ------�._. .__..----_...... Metallic Tubing --------------------------- KW------------ -- - ----- -------------------- .._.._..................KW............____...__------------------- Type of wiring: Raceway y -_......_...._......_.._.___.-._ Entrance Cable Heat: RW------- __._ Circuits, Light----------_.......................... Rigid Conduit ------------------------------- Motors: .-----..._...................Motors: size, volts and phase: Utility ............................................. Metallic Tubing ----.--_------------------ Heat ................__.-..--------....._..........---......--. Current transformers: Range ............................................. ----------------------------------------------------------- No. & Size----------.------....._................ Water Heater ....---'------------.....---- ........................................................... Ser.No---------------------------------------------- Motor ............................................ .................__......_.....__.........._..-....--...-- Ser. No---------------------------------------------- Dryer___------------------------------------------- ------------------.............. --- Ser. No---------------------------------------------- Furnace ............--............................. TotalLoad -- Ser. No_------------------------------------------- Total ------......__.__.._--------._.-.-._.. Remarks: -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Permit Fee Tress. Receipt $-------------------------------------- No----------------------------- By -------- -- - r - -- NOTICEr-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 THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15385 Datecalled for inspection-------------------------------------------------------------—------------------`-----------...------------...--------------------------`------------_----"---- Preliminary inspection dates........................................................................................................ Inspectioncompleted---_--_.__----------_.-_.................................................................................................................. TotalLoad ......................................................................................._...........................................-......._-.-..--......__...._.....-----------------_--------...- 1M 3-72 Olympic Printers, Inc.