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1040 W 11th St - Building
`v CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000782 Date 7/27/11 Application pin number 210840 Property Address 1040 W 11TH ST ASSESSOR PARCEL NUMBER: 06430 -00- 0x3 -5340 -0000- REPORT SALES TAX Tenant nbr, name ROBERT DEBRA PETTY on your state excise tax form Application type description RE -ROOF Subdivision Name to the City Of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 4000 Application desc RE -ROOF HOUSE, RE -SIDE, REPAIR PORCH Owner Contractor ROBERT DEBRA PETTY OWNER 1040 W 11TH ST PORT ANGELES WA 983637209 (360) 452 -6009 Structure Information 000 000 RE -ROOF HOUSE, RE -SIDE, REPAIR PORCH Permit BUILDING PERMIT NO PR FEE Additional desc RE -ROOF, ETC Permit pin number 189894 Permit Fee 123.75 Plan Check Fee .00 Issue Date 7/27/11 Valuation 4000 Expiration Date 1/23/12 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL- 2001 -25K (14 PER K) 28.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 128.25 128.25 .00 .00 f I, via 1 .11.1-. I L Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null•and void1fwork authorized is not commenced within 180 days, if construction 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: 1 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 construction or the performance of construction. �J J 2, I 1 6w D P-e t-�'j lam •vA- 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 00 PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line O Back Flow Water FINAL Date Accepted by AIR SEAL: E Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By u 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 BUILDING PERMIT INSPECTION RECORD Q' 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 A T 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 Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE trispection T y p e Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 4 Building 417 -4815 T:Forms /Building Division /Building Permit H N H H H rn W W a 0 0 al 0 0 0 a \j N o N n 04 O N f O O N d a M ro T a u v ,f‘ H' N a 0 w CO a W U) 01 0 0 a A W .4 W 0 x x S+ H VA t� U V) a s N U) 0 H a' A z H h co a 0 V O H 0 V) N U) W 0 W z N 01 o v W a s N E V l H z I >1 O H 0 U a ~Pa 0 li H z ti E U [1,,,�„ aaE w a a s: o Zc 0 N 4I o w w a m 0 ro 0 12 C)E3 H F 0 H W (4 0 H a a a w m E L w as N c n a a i x a Ch 0 W CO co 2 ca N x W W 4 0 (9 H W a• H O 0 0 co Z a r� H r H m H W S) 0o 9 v] o o a 3 a a o o D w w N 04>1 041 ('1040 W H H H H U w 0 al cn W Z 0 0 0 40 04 0 41 4.1 40 4:n 1 C4 >40H 0004 H H 0 en 0 a w Z IX r.i 04 z0 m 0 0 H a0 c `n n H U a z E 0 o crs W H 0 Z Z Z 1 W 10 a cn a U u 4 04 U 0 (0 a H 01 PROJECT STATUS UPDATE Permit# I I Date: 3 /3- /a 1 phoned the: Applicant Et pe .d_frt at qs2" (p00q 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. read krA T:Forms /Building Division/Project Status Update rt»t� BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received —11 1 321 E. Fifth St., Port Angeles, WA 98362 v (360) 417 -4815 fax (360) 417 -4711 0 Detroit Date Approved Applicant r f- 1 Phone /g' J- 6 001 Property Owner s a j Phone Property Owner's Address zo w L Contractor o carne r Phone Contractor's Address License Expires E -mail PROJECT ADDRESS Jo Ve w, l/ Parcel Number Lot Zoning Project Type Brief Description: Residential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition Re-roof douse garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other y 1 'Other Si �i� .c e S��v��; ©r c Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage at AAS Z Carport 14;020i- 2 mix) Covered Porch Deck Shed Other TOTAL VALUATION Li 0 C 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 cyo 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 I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date -Z7 11 Print Name /e4-e-1- 4 D --ct r9 Signature Z` r egat T:Forms /Building Division /Building permit application Linda Pangrle From: Linda Pangrle Sent: Wednesday, July 27, 2011 9:53 AM To: Billy McCurdy Subject: 1040 W 11th St needs a building removed from our GIS map Attachments: 1040 W 11th St.pdf Hi Billy, Please see the attachment and note "this is removed long time ago") pointing to a building that needs to be removed from our GIS maps. Please update GIS. Thanks, Linda 1 ern. i ki/ 1 T v J i 1 i s CV t x t.b C, Otis 4 i' ^A l6 N� Q: P a 1Sj[• s of I.. '''(\i- 0 ,F: "'a 1-*. �,1 w K it"' t s t y .F a N .4 ../^kt c. a :kit t e w r '7 b u ,r :t E., a 0 •r 4 t t ,y te r. n M r i d i f r a 72 4 4st i' t t ?,x i s t c E 1 O 7 'J l j r r` r fi r i, t ...4........_ w 4 X 4 fi,A--/ 1 d� j e) III .1 l'• 1 i j I i 0 Q eco C C,O �v r ..v i V" i Clallam County Assessor Treasurer Property Details 59651 ROBERT AND DEBR... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 59651 ROBERT AND DEBRA PETTY for Year 2011 2012 Property Account Property ID: 59651 Legal Description: LT10 BL 353 Geographic ID: 0630000353400000 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 j Township: Section: Range: Location Address: 1040 W ELEVENTH ST Mapsco: PORT ANGELES, WA 98363 Neighborhood: Cycle 5 Res Map ID: 3 Neighborhood CD: 10955130 Owner Name: ROBERT AND DEBRA PETTY Owner ID: 46171 Mailing Address: 1040 W 11TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -7209 Exemptions: Taxes and Assessment Details Property Tax Information as of 07/27/2011 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 O" Statement Details 2011 154258 $811.97 $811.94 $0.00 $0.00 $811.97 $811.94 k Statement Details 2010 42543 $778.08 $778.02 $0.00 $0.00 $1556.10 $0.00 Values Taxing Jurisdiction I Improvement Building Sketch Property Image Land Roll Value History 1 Deed and Sales History 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: 7/27/2011 3:52 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =59651 7/27/2011 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000973 Date 10/12/11 Application pin number 342077 Property Address 1040 W 11TH ST q ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3 -5340 -0000- REPORT SALES TAX Tenant nbr, name ROBERT DEBRA PETTY Application type description RES ADDITION on your state excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 2688 Application desc 224 SF COVERED PORCH Owner Contractor ROBERT DEBRA PETTY OWNER 1040 W 11TH ST PORT ANGELES WA 983637209 (360) 461 -5465 Structure Information 000 000 224 SF COVERED PORCH Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 224 SF COVERED PORCH Permit pin number 192237 Permit Fee 109.75 Plan Check Fee 71.34 Issue Date 10/12/11 Valuation 2688 Expiration Date 4/09/12 Qty Unit Charge Per Extension BASE FEE 95.75 1.00 14.0000 THOU BL- 2001 -25K (14 PER K) 14.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments September 21, 2011 4:59:11 PM sroberds. The proposal will result in construction of a cover over a 224 sq.ft. porch in the RS -7 zone. No land use issues anticipated. September 14, 2011 8:18:21 AM Brian 417 -4708. OK 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 109.75 109.75 .00 .00 Plan Check Total 71.34 71.34 .00 .00 Fula. Other Fee Total 4.50 4.50 .00 .00 Grand Total 185.59 185.59 .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. /69-/l-// .8019. P -t--�1 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if ow er 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 ACCEF'TED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOE SITE. 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 Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls C> Ceiling FRAMING: Joists Girders Under Floor 1 j Shear Wall Hold Downs Walls I Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts 1 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE (1-.) Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 0 Planning 417 -4750 j Building 417 -4815 J t "1 10 BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 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. `S Inspection Type Date Accepted By Comments ‘.5\, FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post I Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 1 FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor 1 Shear Wall Hold Downs Walls Roof Ceiling r /1/"L; Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirling PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction F.W. PW Engineering 417 4831 1 Fire '417 -4653 v" Planning 417 -4750 Building 417 -4815 �J BUILDING PLUMBING MECHANICAL PERMIT APPLICATION LONG FORM (To be used for projects that require plan review.) Q Date Received 1- D t i Permit City of Port Angeles Please print in ink. Date Approv -d Attn: Building Permit Technician Approved AV, 321 E. 5th St., Port Angeles, WA 98362 360 417 -4815 fax: 360-417-4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no Am rca Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -1 ':30 pm Contact person: Kr, r I Phone: 6 r 5 Property owner: 5 r1.e cx 5 rL >Ioo ti Phone: _5 Property owner's mailing address: a (/d t g 1 D f A_ Via Z $3 6 .y Contractor's business name: !RA b P� Phone: (or property owner's name if he /she oing /oversees g the work) cf� S `163 Contractor's mailing address: Contractor's L &I license number: Expiration date: Project Address: I 0 LI6 III S Project Type: i '(residential Commercial o Industrial ui Multi- family Project Business Nra e: Zoning: 1 K5 J �1 (for commercial, industrial, or multi family projects) Parcel Lot Complete only the portions of this permit that are relevant to your project. Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Projects submit: Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) (1) Prescriptive Approach Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: (1) Three sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Paperwork confirming conformance to the Energy Code For large projects, a pre- construction meeting with various City department personnel is highly recommended. To schedule a pre- construction meeting, contact the Planning Manager at (360) 417 -4750. Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing proposed), curbs, sidewalks, storm water plan, etc. For Additions New Structures also submit: K Site plan (8 1/2 "x 11 showing all structures (existing proposed), setbacks, new driveways If an architect or engineer drew the plans or calculations, include at least one "wet stamped" set of plans and /or calculations. T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Long Form (Revised 2011) Page 1 of 4 e Repair Solar Panels Miscellaneous: (explain the project) 0 Project Valuation Remodel: (explain the project, including how the building space is currently being used and what the new, remodeled use will be) Project Valuation If the space will change from commercial to residential,. submit: "Checklist Converting Commercial Space into Residential Space" Addition: (explain the project and complete submit page 3) Maximum height of the new addition feet Project Valuation New Structure: (explain the project and complete submit page 3) 1 ..eX 1 54- h •e- P14.5+' c 'voles %nil Maximum height of the new structure 7 g feet Project Valuation 2 6. R.3 PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check one: No Yes If yes, complete submit page 4 "Plumbing Changes" MECHANICAL PERMIT: Will there be ANY mechanical changes (items moved, added, replaced, or altered) Check one: No Yes If yes, complete submit page 4 "Mechanical Changes" 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 *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 2-er Signature Print Name 1''d 7~r1 Page 2 of 4 r J Floor Areas Existing square New square Price per new footage footage square foot Basement x 1St Floor 13e 2nd Floor 3,5"0 3rd Floor Garage 5 Carport J Covered Porch Si° 12, co A. 6 SS Deck 30" high)* Deck 30" high)* Shed Other Other Remodel project valuation TOTAL VALUATION 9 2g *Walking surface of the deck above ground For residential building projects the minimum square foot valuation we accept is Dwelling $85.00 per sq. ft. garage /utility /misc.structure $30.00 per sq. ft. porch /deck /carport $12.00 per sq. ft. LOT COVERAGE SITE COVERAGE Lot coverage is the amount or percent of ground area on which buildings are located. It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer than 30- inches, uncovered decks or porches having walking surfaces higher than 30- inches off the ground, etc. Total footprint of structures 1 :704 sq. ft. T lot size G sq.ft. Lot coverage d y. 3 Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94.135 for exemptions) Does the project include a new driveway? yes Vno If yes, what will the driveway be made of? cement asphalt gravel other (NOTE: 18 feet is the recommended minimum driveway length for residential projects) Does this project include a new parking pad? yes no If yes, what will the parking pad be made of? cem nt asphalt gravel other 6141 sb f 5b± Total footprint of structures 1) `7O sq. ft. (existing new) b) Total concrete, asphalt, other impervious surfaces 223 sq. ft. (existing new) c) Add lines "a" "b" above to get the•total impervious q 2'� sq. ft. (existing new) Total impervious 6 12--7 sq. ft. lot size 1p. I C I 3 sq. ft. Site coverage .27 t: 5 Page3of4 4 PLUMBING CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Type Plumbing Changes (Mov- Added, Replaced, or Altered) Sink (hand, mop, floor etc.) No Yes Quantity Toilet No Yes Quantity Bathtub No Y= Quantity Shower No es Quantity Washing Machine No Yes Quantity Hot Water Heater No Yes Quantity Water Line (meter to structure) No Yes Quantity Re -plumb the structure N. Yes Quantity Sewer Line I Yes 'Quantity Backflow Prevention Device Types: Beverage Machine No Yes Quantity Landscape Watering System No Yes Quantity Fire Sprinkler System 2 inch line No Yes Quantity Fire Sprinkler System 2 inch I -e No Yes Quantity Please list all other plan -d plumbing changes or additions .that.aren't listed above. MECHANICAL CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Type Mechanical Changes Moved Adde• Replaced Furnace, heat pump, or or AI -red forced air unit 5 tons No Yes Quantity Furnace, heat pump, or forced air unit 5 tons No Yes Quantity Ductless heat pump No Yes Quantity Wall (recessed) heater No Yes Quantity Baseboard heater No Yes Quantity Steffes room heater No .-s Quantity Wood- burning stove No Yes Quantity Pellet stove No Yes Quantity Radiant floor heat No Yes ','Quantity Gas fireplace or freestanding stove No Yes Quantity Gas cooking stove Yes Quantity Propane tank set o Yes Quantity Gas line No Yes Quantity Boiler No Yes Quantity Clothes Dryer No Yes Quantity Ventilation fan (single duct) No Yes Quantity Hood duct mechanical exhau No Yes Quantity Ventilation system (not part a heating or air conditi• ing system) No Yes __Quantity Air handler No Yes Quantity Evaporative cooler (no portable) No Yes Quantity Please list all o- er planned mechanical changes or additions that aren't listed above. Page4of4 C 17' y 1 j i 5 J +f 0 4 a •0•2•,•:,./,.. f f 9 1 Vi.. r o L' s D t r 1 5 i G' J 'y o -Mr �5 q y 7 N fL xX is ti fi t y t R c t S° j f t f l f..' ;_c -11. it JJ Vc L r Q 3 Jy,i P IP SS N 'l am 17 'v` _l Clallam County Assessor Treasurer Property Details 59651 ROBERT AND DEBR... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 59651 ROBERT AND DEBRA PETTY for Year 2011 2012 Property Account Property ID: 59651 Legal Description: LT10 BL 353 Geographic ID: 0630000353400000 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 v Township: Section: 1 Range: Location f Address: 1040 W ELEVENTH ST Mapsco: PORT ANGELES, WA 98363 Neighborhood: x ref Cycle 5 Res Map ID: 3 Neighborhood CD: 10955130 Owner Name: ROBERT AND DEBRA PETTY Owner ID: 46171 Mailing Address: 1040 W 11TH ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 -7209 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/08/2011 Amount Due if Paid on: M. 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 0 Statement Details 2011 154258 $811.97 $811.94 $0.00 $0.00 $811.97 $811.94 1 Statement Details 2010 42543 $778.08 $778.02 $0.00 $0.00 $1556.10 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History 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: 9/8/2011 3:48 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =59651 9/8/2011 s te .1 7 2 -q g Cr .,,a ,,:_,,,,,„:.r.,,,,„.„,„..,,::_,,...-.q., ',,,,.-:;:t,,m,;/;,--,(7,,t'i,r7,:',',4i;,P,--;,- ..of.,..;.i:.;,':.',17.7.;,,-.,....:„.,-17!,..n.::K.,:,..,4,,,1--i-,:ii?-:;:-4taiiiit...tki.4' 7 c.. f?; Z g,. .1z 8 i A 1 4k.t.:!;t:!,,'.'.!::fgvi7;oo::t.;i!igg.;;?',t,li'..z: '''''N, Lc' 24 ells ;7 o tp:, CC 92 2, 4,-; ..-1 CZ ,A; V° .52 1, 4 i „..:.1.:.:..........; ,„.s, .:1,,,,,ts: t _=,...g E 1.-' tho tu ,f,„i'4'; '140-4" li A 's ....ait";,4010,KZAltqgcf",' i// zti. :o o.;,.....2:4;: "Rkir,.„' CI 1 4 t 1 %It 4.... j/ 2 q .4 t !At .3- mit UM- l r mi .i •••T, ii ,1,' N •N•ii 1 4 -.1 II 4 1' N 1 r„ 1 N i AliiiikialliNIN 1 1 OF 'i I 1 i!--r--;-- t'l N.,, a f r It N 1 I f, lit 1 "(3 11111 k r .1 ,4 i 'llAlhits, i 1 i 11 I S i •.-1. N 1 1 s th 4.,. iiii..n I 1 i I 1 ii 1 I .,.1 0 ,t No* vol. 4 N i t k II .4 q. r .4' 4 011111 i 4... iiit or ltlits 4. 4 t t 1 t? ci Q 4 1% 1 j•-• CV k Cr N ALL 4 .et, e 691-5 tt rean," qu 4 cKee 1 'Lc PREPARED 1/31/06 13 43 19 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES ADDRESS 1040 W 11TH ST SUBDIV TENANT NBR ROBERT PETTY CONTRACTOR SUBURBAN PROPANE PHONE (800) 647 5485 OWNER Petty Robert Debra PHONE PARCEL 06 30 00 0 3 5340 0000 APPL NUMBER 06 00000074 MECHANICAL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 /a1/J6 JLL .1 lam J INSPECTOR JAMES L LIERLY MECHANICAL GAS LINE TIME 13 00 01/30/2006 08 41 AM DYASUMUR BOB 457 9690 PERMIT WILL BE UNDER LID OF PROPANE TANK COMMENTS AND NOTES DATE 1/31/06 OF PORT,0 o v Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Petty Robert Debra 1040 W 11th Street PORT ANGELES Fee summary Permit Fee Total Plan Check Total Grand Total T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983623 desc number 69765 60 65 1/25/06 Date 7/24/06 06 00000074 545074 1040 W 11TH ST 06 30 00 0 3 5340 0000 ROBERT PETTY MECHANICAL PERMIT RS7 RESDNTL SINGLE FAMILY 1500 Contractor SUBURBAN PROPANE 25 SETON RD 420 PORT TOWNSEND (800) 647 5485 Permit MECHANICAL PERMIT Additional Permit pin Permit Fee Plan Check Fee Issue Date Valuation Expiration Qty Unit Charge Per BASE FEE 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 Charged Paid Credited 60 65 60 65 00 00 00 00 60 65 60 65 00 Date 1/25/06 WA 98368 00 0 Extension 50 00 10 65 Due 00 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 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 (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION- FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS,) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE. FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 1 PW ENGINEERING FIRE 417 -4653 I I 1 I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I I I I BUILDING T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] DATE ACCEPTED BY. DATE ACCEPTED BY. I I I I I I I I I VOr,T BUILDING PERMIT- APPLICATION Fill out COMPLETELY and in INK. X our application and site plan MUST BE COMPLETE iE to be acc'epteu fc e ew If von ha e an qucst.on c:ll PERMITS (360) 417 -4815 FAX(360)417-4711 Applicant or Agent: S 6t.w1e a.5 e_ (n.- Phone Owner i er D ee. ii'`1 Phone 1 a Address 0 4 6 U- I I I .a# City (i r At Zip 9 8.363 Architect /Engineer Phone p gu t W •PL P44PA Contractor Svl b vv bGvt C �'o. ckne State License Exp o Phone.360 77_ 76 Address. 3 S/ 5 e �.v u-)c'- .&)L.i.1 City' f ✓emer ,to. i Zip q 31.V- PROJECT ADDRESS 0 4 v w f ZONING 5 LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION Residential New Constr Re roof ,Stove SF /SF Multi family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION r BRIEF DESCRIPTION OF THE PROJECT v1,. 1 4. '--Can—/C COMMERCLdIDENTIAL- N)ccupancy Group v� PLANNING USE ONLY ESA/Wetland(s) Yes Subdivision. FOR OFFICL USEPNLY Datc Rec. 1 4 Ole Permit n '14 Data Approved 46/04_ L Z Da „ad Occupant Load. Construction Type. LA) o No of Stones. 0.. Lot Size. '7000 Existing Sq Ft. 0 o d Proposed Sq Ft. 0 O U TOTAL Sq Ft. v O O Total lot coverage 7 SEPA Checklist required? Yes No Other TA\Policies\BL 1102_13.wpd Applicant: 0 12 Date: 9 r APPROVALS PLAN BLDG DPWU FIRE OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the tune 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, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3 2 of the International Building/Residential Code, 2003). No application can be extended more than once I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17616 ELECTRICAL PERMIT . ,Y'-/5- J/ Port Angeles. Washlngtonm...m...m_.m_.._m_m_m__m_mm.____mm_. 19000_:.. 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 he~b~nt:'; d/~9al work as listed below. ..;L.. Address mk.__m_._m_mm_.______m_m_m__m._..______.._m_..m_..m._ OccupancymA?..__.___m_m_...__mm_.. o~~er ..2~-1/:f}ff!j;:!jJJl~'WJ ~e~anLm...---m-m---m-m.-.---m-....--m--------m-m-- WIrIng Contractor m~___'mf;.__.________m'_____~~____ By_.m._mmm..._______mm_____________.____m_____.____m Light outlets___............___.~___:..___._.._____ Service, volts ../..?:--%2..F...r?.___ Type 01 Wiring: No. wires '''''Yk7--- Size wlres......._nn__...._...."2f....._.. '/c;CJcJ/T Main fuse _.....(..__.....__.n_................_ Enclosure ....0m........._._...._....__. Receptacle Outlets.....___..............__....... Dryer, KW un......._..._............____.___...__. Range, KW.._.nn______......____._ Water Heater: KW.___.___..______..___......................____ Heal: KW..................................._.._...n.._____ Motors: size, volts and phase: ./.5:.~ c?-He?~~~rC'....... Total Load.................______..___. Type of Wiring: Entrance Cable n.......m..m_____....... Rigid Conduit .._..___.._______m___....___. I Metallic TUbing nmh.................... Current transformers: No. & Size....n........................ Ser. NO..nn_....._.n._..nn....nn.__.........._ Ser. NO........_.................._.n._..nn__..... Ser. NO..........._nnnn._....................._... Ser. NO.n.._............_.........._n.n_......... ~ Armored Cable .._mm........_n.n......' Non-Metallic ................................. Knob & Tube______.............___.._....____ Rigid Conduit .___........___.___.........___ Metallic Tubing ..._...__h......._._.n... Raceway _........._.___.._...........n__....._ Circuits, Light................nn.n_............... Utlllly .........___......___..___...___..________.. Heat ..n___......................._........_...... Range ______..........________......._________..... Water Heater ..__m..n......m.._........ Motor ..._......__............_...n_............. Dryer ....._....nn.............__.._.................. F urnace ._._..............__......~................._. Total._._................._._.............._ Remarks: ___..mmm_m.__~l,e._~.~_~~_._..___________m___..__.._m_m_m_m.._______..-000-000000-..--000-000000----.000- nunn..nnn_.uuunnnnnnnn_.....un...nn.n..n__..nn..nn.nnnn...u__...u...unn...n.n_.___._n_nnnn_n_n..h....._nuu__n___nnn.U'''_ _~:~;~_;~:__________m_____.___..____;~:~~~.~:~:;~~_m.______________m_m..-'--'-:--:~Jlz:--m=~~ $.000....000.._.._000000_000.._000000_. NO.m.......___m___......... By __L:6..____m___..___..__...___mm~.._____.__ NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected belore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 6 1 6 Address....._..__..____.___.__.......................__...__...............___...__.........__................_______........._................Date..._......________._.................._......_h_.___.. Owner ..d................................................._._......_..___..............n_..........nnn__........n............ TenanL...nnnnn............_.....____nnn_.nn...nn.....n_..... WirIng Contractor ____............_............_................................______......................._.._._.__.____..............._. By .---..-.....------------.........--........-...-..-.----.-".- NOTICE-Current must not be turned on until CertifIcate of Inspection has been issued. If work is to be con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. ." 1M Olympic Printers, Inc.