HomeMy WebLinkAbout116 S Ennis St - BuildingPREPARED 5/05/11 8 41 35 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/05/11
ADDRESS 116 S ENNIS ST
TENANT NBR ADVENTURE PHYSICAL THER
CONTRACTOR JACKSON S SIGNS GRAPHICS
OWNER SEAN A AMANDA E CASH
PARCEL 06 30 99 1 0 1020 0000
APPL NUMBER 11 00000301 SIGNS
PERMIT SIGN 00 SIGN
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 457 3703
PHONE (360) 452 3529
BL99 01 5/05/11 JLL BLDG FINAL
h May 5 2011 8 40 27 AM 1pangrle
I SEAN 504 0234
SIGN 10 5 SQ FT SIGN MOUNTED ON THE DECK RAILING
COMMENTS AND NOTES
'application mummer 11 00000301 Date 4/27/11
Application pin number 249319
Property Address 116 S ENNIS ST
ASSESSOR PARCEL NUMBER 06 30 99 1 0 1020 0000
Tenant nbr name ADVENTURE PHYSICAL THER
Application type description SIGNS
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 1500
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application desc
10 5 SQ FT SIGN MOUNTED ON THE DECK RAILING
Owner
SEAN A AMANDA E CASH
116 S ENNIS ST
PORT ANGELES
(360) 452 3529
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
WAI98362
SIGN
10,5 SQ FT SIGN
183442
47 00
,4/27/11
10/24/11
Contractor
JACKSON S SIGNS GRAPHICS
472 MT PLEASANT RD
PORT ANGELES WA 98362
(360) 457 3703
Plan Check Fee 00
Valuation 1500
Qty Unit Charge Per Extension
1 00 47 0000 PER S ALL SIGNS OR TO 25 SF 47 00
Special Notes and Comments
April 20 2011 7 55 05 PM sroberds
Single sided sign for a total of 11 sq ft in the CA No
land use issues anticipated
Fee summary Charged Paid Credited
1
Permit Fee Total 47 00 47 00 00
Plan Check Total 00 00 00
Grand Total 4• 00 47 00 00
Separate Permits are required forelectrical work SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or constructioh 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
r7J
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T Forms /Building Division /Building Permit
Due
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
<-\\c\c'el\
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date
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
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
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T:Forms /Building Division /Building Permit
Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I I ESA.
Landscaping i SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By
5 -5 -11 I S2-b• y
I—
SIGN PERMIT APPLICATION
CITY OF PORT ANGELES
Attn: auilding Permit Technician
321. E.' Fifth St., Port Angeles WA 98362
(360) 417-4815 fax (360) 417 -4711
Applicant or Agent Jackson's Signs
Property Owner 'Sean Cash
Property Owners Address '116 South Ennis Street
Contractor /Engineer JaCK5011 5 SIGIns
Contractor/Engineer's Address 472 Mt. Pleasant Rd
License JACKS5G022M1
Project Address
Business Name
I Parcel Number
Sian Tvne Brief Descriatiorn (Type, location, sq. ft.)
58" x 26 ";Single sided 1Y2" SignFoam Sandblasted
Sign #1
Sign #2
Sign #3
Sign #4
116 South Ennis Street
Adventure Physical Theraav
Lot
GRAND TOTAL
47.00
Phone
Print in ink
For City Use Only
Date Received 4 -1 -11
A Permit I\ 301
Date Approved4e.
ry
Phr �ne� _4 7-37-n7
Phone 452_352.
457 -370_3
Fort Angeles, WA
Expires 1 -28 -2103
Zoning C A
Submit an i "x 11 "site plan three sets of plans that include.
Type of sign (wall mounted projecting,- freestanding illuminated other
Placement and sq ft. area
How the sign will be securely attached (Engineering specs may be required for freestanding signs)
g. Separation distance between the bottom of projecting and freestanding signs and. the surface below
See "Chapter 14 36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements.
Railing mount (D. r
i Totals (Unit charges Sign(s)
Unit Charge. Quantity I multiplied by ouantities) _ripe of Sian Valuation 1500.00
1
$47 00 x 1- s 47 00 All signs less than or equal to 25 sq. ft.
$85 00 x 1= Wall sign or .marquees, over 25 sq. ft.
$115 00 x Frees tanding sign or projecting sign, over 25 sq. ft.
a
Make Checks Payable to: City of Port Angeles
Credit Cards (Except American Express) are accepted
Existing sign(s) area 0 I sq. ft. Proposed sign(s) area 10.5 sq. ft. Total sign(s) area 10.5 sq. ft
Building fapade area (height 20 ft. X width 38 ft.) 760 .sq. ft. (If a building has more than one
business in it, only measure -the area of the building fagade that is used by the business applying for this permit.)
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 permit nor to working on projects
(4t4I-Lik-
date 1 1-7 2 (`4 riritNarrie Si
d
Clallam County Assessor i Treasurer Property Details 70526 SEAN A AND AMAN
Clallam County Assessor Treasurer
Property Search Results 70526 SEAN A AND AMANDA E CASH for Year 2011 2012
Property
Account
Y
Property ID 70526 Legal Description. TPA SP 78 -6 -19 V5
PG51 LOT B -SUB
LOT 10- .21A
Geographic ID 0630991010200000 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 116 S ENNIS ST Mapsco
PORT ANGELES, WA 98362
Neighborhood Cycle 5 Res Map ID• 2
Neighborhood CD 10955130
Owner
Name. SEAN A AND AMANDA E CASH Owner ID 17417
Mailing Address. 116 S ENNIS ST Ownership 100.0000000000%
PORT ANGELES WA 98362
Taxes and Assessment Details
Property Tax Information as of 04/07/2011
Amount Due if Paid on
Exemptions.
Page 1 of 2
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
First Second
I Half Half
Base Base i i
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest' Base Paid i Amount Due'
2011 163312 ST SCH STATE SCHOOL $188.38 $188 $0.00 $0 00 $0 00 $376.76
2011 163312 CC -GEN COUNTY CLALLAM $104.00 $103.98 $0.00 $0 00 $0 00 $207 98
2011 163312 SD #121 SCHOOL DISTRICT #121 $246.25 $246.24 $0 00 $0 00 $0.00 $492.49
2011 163312 CITY PORT ANG CITY OF PORT ANGELES $240.08 $240.07 $0 00 $0 00 111.00 $480 15
2011 163312 PORT PORT OF PORT ANGELES $14.64 $14.63 $0 00 $0 00 $0 00 $29.27
2011 163312 NTH OLY LIB NORTH OLYMPIC LIBRARY $43.62 $43.61 $0 00 $0.00 $0 00 $87.23
2011 163312 HOSP #2 HOSPITAL #2 $42.69 $42.69 $0.0_0 $0.00 $0 00 $85.38
2011 163312 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.98 $12.97 $0.00 $0 00 $0.00 $25 95
2011 163312 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0 00 $0 00 $72.00
2011 163312 WEED CONTROL WEED CONTROL $0.82 $0_81 $0.00 $0.00 $0.00 $1.63
2011 163312 TOTAL. $929.46 $929.38 $0.00 $0.00 $0.00 $1858.84
2010 51616 ST SCH STATE SCHOOL $186.50 $186 49 $0 00 $0 00 $372.99 $0 00
2010 51616 CC -GEN COUNTY CLALLAM $99.24 $99.25 $0.00 $0 00 $198.49 $0 00
2010 51616 SD #121 SCHOOL DISTRICT #121 $241.56 $241.56 $0 00 $0 00 $483.12 $0 00
2010 51616 CITY PORT ANG CITY OF PORT ANGELES $229 78 $229 79 $0 00 $0.00 $459.57 $0.00
2010 51616 PORT PORT OF PORT ANGELES $13.95 $13.95 $0 00 $0.00 $27.90 $0 00
2010 51616 NTH OLY LIB NORTH OLYMPIC LIBRARY $28.84 $28.84 $0 00 $0.00 $57.68 $0 00
2010 51616 HOSP #2 HOSPITAL #2 $40 72 $40 71 $0 00 $0 00 $81 43 $0 00
2010 51616 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12.96 $12.95 $0.00 $0.00 $25 91 $0.00
2010 51616 CITY _S i ORMWATER CITY STORMWATER $36 00 $36.00 $0 00 $0 00 $72.00 $0 00
http. /websrv8 clallam.n propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =70526 4/7/2011
Adventure Physical Therapy Jackson's Signs 457 -3703
116 So. Ennis Street
Fort Angeles
Lag Bolt and Washer
Sign: 58" x 10 5 SQL Ft Sign
Wall Mounted (Deck Rail)
Single -sided
Sign
u i
Lag Bolt and Washer fl
CDeck Railing
Deck
Sign
Building
Deck
Deck
4" x 4" post
Fik
CITY OF P+ )RT ANC IES Construction Plans
The issuance !f this oern it based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
alar specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and o dinances of this jurisdiction.,
Approval Date By
11 IC ,o2 J
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PREPARED 12/14/10 8 24 40 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/14/10
ADDRESS 116 S ENNIS ST SUBDIV
TENANT NBR SEAN A /AMANDA E CASH
CONTRACTOR PHONE
OWNER SEAN A /AMANDA E CASH PHONE (360) 504 0234
PARCEL 06 30 99 1 0 1020 0000
APPL NUMBER 10 00000420 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BCF 01 6/03/10 JLL BLDG CONCRETE FLOOR TIME 01 00
6/03/10 AP June 2 2010 3 01 23 PM 1pangrle
SEAN 504 0234
CONCRETE RAMP
AFTERNOUs
June 3 2010 4 52 57 PM jlierly
BL99 01 6/22/10 JLL BLDG FINAL
6/22/10 DA June 22 2010 8 43 18 AM 1pangrle
JOHN 504 0234
BUILDING FINAL
June 22 2010 4 09 12 PM jlierly
complete hand rails per code/j11
BL99 02 12/14/10 BLDG FINAL TIME 01 00
December 10 2010 4 47 45 PM 1pangrle
SEAN 504 0234
BUILDING FINAL
AFTERNOON
THE PERMIT IS AT THE FRONT DESK
COMMENTS AND NOTES
(WM('
2 Fvo v��d eSk
(\raSQ4
CE RTIFI CU PAN CY
City of 'Po rt Angeles 'Building, f,Piv
This certificate is issuedipu_rsuant to,the requirements of Section 110 of the 2006 International Building Code
certifying that at the time.`of zssuance.:tins str,-.ucture was in compliance with the various ordinances of the City
regulating building construction forthefollowzng: }`4
t,;
venture Physica
zST'Ennis St. V:
Sean A. Aman
116 S Ennis St
Business name
Business address
Property owner
Property owner s addres;
Automatic fire sprii kler stem. Per I:BD
Use occupancy claksitAtion. Business
Occupant load.
Building permit numl er
Type of construction.
ash=
4r%g�eles
wner Sgan bash)
Ma er
g
x`8'_362
06 -28 -10
Date
Post on the premises in a conspicuous place. This certificate°shall not be removed except by the Building Official.
PREPARED 6/22/10 9 02 03 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/22/10
ADDRESS 116 S ENNIS ST SUBDIV
TENANT NBR ADVENTURE PHYSICAL THER
CONTRACTOR PHONE
OWNER SEAN A /AMANDA E CASH PHONE (360) 504 0234
PARCEL 06 30 99 1 0 1020 0000
APPL NUMBER 10 00000481 CO CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
C099 01
6/22/10
BLDG C/O FINAL
OVERRIDE TAKEN BY LPANGRLE DATE 06/22/10 TIME 08 44 59
June 22 2010 8 44 01 AM 1pangrle
JOHN 504 0234
C OF 0 FINAL ADVENTURE PHYSICAL THERAP
COMMENTS AND NOTES
PREPARED 6/22/10 9 02 03 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/22/10
ADDRESS 116 S ENNIS ST
TENANT NBR SEAN A /AMANDA E CASH
CONTRACTOR
OWNER SEAN A /AMANDA E CASH
PARCEL 06 30 99 1 0 1020 0000
APPL NUMBER 10 00000420 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE
PHONE
BCF 01 6/03/10 JLL BLDG CONCRETE FLOOR TIME 01 00
6/03/10 AP June 2 2010 3 01 23 PM 1pangrle
SEAN 504 0234
'CONCRETE RAMP
AFTERNOON
June 3 2010 4 52 57 PM jlierly
BL99 01 6/22/10 LL BLDG FINAL
June 22 2010 8 43 18 AM 1pangrle
JOHN 504 0234
BUILDING FINAL
COMMENTS AND NOTES
(360) 504 0234
4NAD I- Got
ctr-A-L Q'6(A)tji
Busi DA,,E Ala&g, P, 'ILi ci. -izppy Addr 1 <<o
Mail Addr City /State
Owner /Occupant/Manager
Occ Code
Emrg Contact
Comments
Last Inspected
2' Drain Test Date
A Reasonable Degree of Fire /Life Safety Exists at This Time
DATE I VIOLATION
CLEARED I
Measures shall be tak
RECEIVED BY X
REINSPECTION DAT(
forthwi to correct all
ctA.a �N
A larm 1.1
LO I W. P z-Pcr )S NOTCI,
Our goal is to work cooperatively with the community
to provide a fire safe environment.
CITY OF PORT ANGELES FIRE DEPARTMENT
102 E. 5th St. Port Angeles, WA 98362
(360) 417 -4655
FAX (360) 417 -4659
INSPECTION NOTICE
of a v' lotions
Page t of
Date Co 22 ZO t o
eva ic. Struct.
Phone 50'I -023
Phone
Haz/Mat N Spk 1.1 Knox
Phone
Alarm Tested Inspectors Test
Static Residual
NOTED FIRE CODE VIOLATIONS
DATE to ?-2- 20 to
By A LQ `'11L-
Shift FAO
Fire Inspector(s)
FIRST NOTICE
PREPARED 6/03/10 8 43 21 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/03/10
ADDRESS 116 S ENNIS ST
TENANT NBR SEAN A /AMANDA E CASH
CONTRACTOR
OWNER SEAN A /AMANDA E CASH
PARCEL 06 30 99 1 0 1020 0000
APPL NUMBER 10 00000420 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BCF 01 6/03/10 JL
u
SUBDIV
BLDG CONCRETE FLOOR TIME 01 00
June 2 2010 3 01 23 PM 1pangrle
SEAN 504 0234
CONCRETE RAMP
AFTERNOON
COMMENTS AND NOTES
9
PHONE
PHONE (360) 504 0234
i
e
Q
Print in ink
ACTION
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non -PBIA location
Change of ownership
Remodel
Temporary business
Change of use
I:Forms/Building OrdismniCertiticale of Occupancy Application
CERTIFICATE OF OCCUPANCY APPLICATION Permit# 10
CITY OF P ANGELES e'd 9e- FEES d tVe y ^01(V
Attn: Building (Permit Technician
Certificate Inspection (See* /0-4 Z46 321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -48' 5 fax (360) 417 4711 $10• Parking Business Improvement Area .(PBIA)
fee charged for downtown locations
BUSINESS NAME LkVe .k -uve TVt (ic.ov( ier u_'PC
BUSINESS ADDRESS m c ntA, s 51\ 1 p m' A.}-Pt s 1,.7A 9R362... Zoning C P
Business mailing address S esw.A- Phone 31,,n so -t e a.34
Opening date (y\09 19- o I u Days hours of operation l u ,Y r+V
(2) Pm
Washington State Tax I D. If known, list the name of the previous
7/— Oi'' 3 '7 1 business at this location
Brief description of proposed business RNA., t, r o& a eAake :kx.e o
Business owner's name cacuk Crx& -it Phone 46o Soy! -02.3 (.P.
Business owners home address m, s. At s Si far k PriNpe.t I q 9Th
PLEASE NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second -hand dealer Pawnbroker
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 4174634 for additional information.
Approved
I Initills date I Rejected
Initials date
WILL THERE BE ANY OF THE FOLLOWING?
Electrical changes
New or relocated signs
Construction changes
Mechanical changes (ventilation, heating, cooling, etc.)
Plu'mbin9 changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
Excavation or filling of lots
Work done in the City right of-way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
Landscape irrigation system (baddlow devices)
Is this a home occupation?
Is this a second -hand dealer or pawnbroker business?
Is there off- street parking for this business?
Is the street in front of this business paved?
Is there a sidewalk in front of this business?
Is there a curb gutter in front of this business?
City Clerk 1-SW 5 25 I
Public Works 'I+R+v 5-17-lo I I i
YES/
Call for Certificate of Occupancy inspections before opening business.
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
I hereby apply for a Certificate of Occupancy acknowledge that I have read this application and
state that the information I have
supplied'is correct to the best of my knowledge.
Dat_ Cal fv /P Print Name_SeLA sli Signature
For City use only: I
Department
Building. tru^ 2.ib Type of construction Occupant Load
Fire k bn 6 az.1d l Automatic fire sprinkler system required no yes
PBIA I I
Planning IM 5 d I €n"4 '1 :'f E
Comments Conditions
C
Please sign up for utility services
at the cashier counter
1
1 MAY 2010 I
Dance, Hotel-
Public Works at 417-4807
Water Dept. at 417 -4886
Planning Div at 417 -4750
City Clerk at 417 -4634
How many spaces? b
IF YES, CONTACT
Electrical Dept at 417 -4735
Building Div at 417 -4815
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)f the Townsite of Port
;inning at the Southwest
3rly along the south line
as in a southerly direction
a First and Second Streets;
a along the north line of
Street; thence at right
line of Ennis Street,
Streets as being run at
ggslimed for this survey
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5-FT EASEMENT HEREBY
TO G(Ty OF P /A FOR OVERHEAD
(Y) I LECTRIc CO(MUNICATIONIS
ml SERVICES,
Ss G° F,.
rc5 o0
95 00
C,RANTED
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STATE OF WASHINGTON) RANGE no SFf.710N 1/4 In
ss -^[3.()I(> >i /1�
COUNTY OF CLALLAM
This is to certify that on this -R'r dky of
a Notary Public, personally appeared C.*._
to me known to be President and Secretary, respect'
executed the within instrument, and acknowledged tU
the same as the free and voluntary act and deed of
uses and purposes therein mentioned, and on oath s
I
12 0'
Living 0 Or
18 0'
Room
E
Bath
Brm
C
30 0:'
AI 1
Dine
38 0 HIIII 18 0
Kit A. 0
Util Nook
A2
AS
SKETCH CALCULATIONS
First Floor
F
Attic
Al 12 0 x 10 0
A2 30 0 x 28
A3 23 0 x 3 0
A4 9 0 x 3 0 4; 1
A5 30 0 x 15%, 0+`
A6 11 0 x 1 0.
A7 7 0 x 2 0
Second Floor
23 0'
Brm Brm
Bat /2
9 0' 7 0'
19 0'
120 0
840 0
960 0
+9 0
.2 -7 0
450 0
11 0
14 0
571 0
Total Living Area 1531 0
7 41, CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 10 00000420 Date 5/06/10
Application pin number) 585740
Property Address I 116 S ENNIS ST
ASSESSOR PARCEL NUMBER. 06 30 99 1 0 1020 0000
Tenant nbr name SEAN A /AMANDA E CASH
Application type description RES ADDITION
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 2500
Application desc
NEW EXTERIOR DOORWAY ENTERING INTO MASTER BEDROOM
Owner Contractor
SEAN A /AMANDA E CASH OWNER
116 S ENNIS ST
PORT ANGELES WI. 98362
(360) 504 0234
Structure Information 000 000 NEW EXTERIOR DOORWAY
Other struct info HARD SURFACE AREA
Permit BUILDING PERMIT RESIDENTIAL
Additional desc NEW EXTERIOR DOORWAY
Permit pin number 164434
Permit Fee 109 75 Plan Check Fee 71 34
Issue Date 5/06/10 Valuation 2500
Expiration Date 11 /02/10
Qty Unit Charge Per Extension
BASE FEE 95 75
1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00
I
Other Fees STATE SURCHARGE 4 50
Fee summary Char Paid Credited Due
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 71 34 71 34 00 00
Other Fee Total 1 4 50 4 50 00 00
Grand Total 185 59 185 59 00 00
Date
Print Name
T:Fonms/Building Division/Building Permit
(0'
`2 J 0
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction author i s 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 now 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 violate or cancel the provisions of any
state or local law regulating construction or the performance of construction.
Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T Forms /Building Division /Building Permit
BUILDIING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
C one p 5 LL
FINAL Date Accepted by
FINAL Date Accepted by
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 I Z- 9- t Q I ��.L—
CITY OF PORT ANGELES
Attn Building Permit Technician
321IE Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant
Property Owner S pp r "fylorkgq
Property Owner' Address r^ ,S
Contractor
Contractor's Address
License
I
PROJECT ADDRESS o
Parcel Number
Project Tyne Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
%Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
Huse garage other
Heat pump wood burning stove
Existjnq (sq. ft.)
Max. height of proposed structures
Will a lawn sprinkler system be intalled?
Will a fire sprinkler system be installed?
q,Residential
ft.
Expires
Proposed (sq. ft.)
/o zo
Multi- family
Total footprint of structures 15 `50 sq ft. T Lot size c0 ILI 5
Site Coverage the amount of impervious surface on a parcel including structures
and other impervious surfaces (see PAMC 17 94 135 for exemptions)
Occupancy group
Occupant load
Construction type
For City Use
Date Received
1 Permit
r iD ate Approved
eioj o t\ 1 4- a g l c-►aueo �r
PhoTie oZ3y
Phone
Phone
E -mail
Lot Zoning
`Op✓ iillj �Yjg1r`!v
pi t t \O
tear off re -roof lay over
gas fireplace pellet stove other
TOTAL VALUATION
Commercial Industrial
per sq ft.
of bedrooms
of full baths
of half baths
one layer
Sov
sq ft. Lot coverage
paved driveways sidewalks patios
Site coverage
I have read and completed this appliaition 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 yv�rking on proje ts.
Date �O Print Name ��'s C Signature >c
T•Forms /Building Division /Building permit ar plication
eft...I' ,n
Clallam County Assesso I Treasurer Property Details 70526 SEAN A/AMANDA E
Clallam County Assessor Treasurer
Property Search Results 70526 SEAN A /AMANDA E CASH for Year 2010 2011
Property
Account
Property ID
Location
Address:
Neighborhood'
Neighborhood CD
Owner
Name
Mailing Address:
70526
116 S ENNIS ST
PORT ANGELES
Cycle 5 Res
10955130
SEAN A/AMANDA E CASH
116 S ENNIS ST
PORT ANGELES WA 98362
Taxes and Assessments )ue
Property Tax Information as of 05/06/2010
Amount Due if Paid on. 21_
Legal Description.
Geographic ID 0630991010200000 Agent Code.
Type Real
Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space: N DFL N
Historic Property N Remodel Property N
Multi Family Redevelopment: N
Mapsco
Map ID
Owner ID 17417
Ownership 100 0000000000%
Exemptions:
First
Half
Base
Due
TPA SP 78 -6 -19 V5 PG51
LOT B -SUB LOT 10- .21A
Second
Half
Base
Due
}-PA *1\Q-
Penalty Interest Paid
Page 1 of 4
I Base Amoy
I Due
I Statement
Year i ID Taxing Jurisdiction
2010 51616 ST SCH 1 STATE SCHOOL $186 50 $186 49 $0 00 $0 00 $186 50 $186
2010 51616 CC -GEN COUNTY $99.24 $99.25 $0 00 $0 00 $99.24 $99
2010 51616 PORT P ORT $13 95 $13 95 $0 00 $0 00 $13 95 $13
j 2010 51616 PORT AI IG- PORT ANGELES $229 78 $229 79 $0 00 1 $0 00 $229 78 $229
2010 51616 SD #121 SCHOOL DISTRICT #121 $241 $241 $0 00 .re $0 00 $241 56 $241
2010 51616 NTH OLY LIB NORTH OLYMPIC LIBRARY $28 84 $28 $0 00 $0 00 $28 84 $28
2010 51616 HOSP #2 HOSPITAL #2 $40 72 $40 71 $0 00 $0 00_ $40 72 $40
2010 51616 WSMET _4 K DIST WILLIAM SHORE MET PARK DIST $12.96 $12.95 $0 00 $0 00 $12.96 $12
2010 51616 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $36 00 $36
2010 51616 WEED CONTROL WEED CONTROL $0 $0 81 $0 00 $0 00 $0 82 $0
2010 51616 TOTAL. $890.37 $890.35 $0.00 $0.00 $890.37 $890
2009 705262008 ST SCH STATE SCHOOL $212 64 $212.64 $0 00 _$0 00 $425.28 $0
2009 705262008 CCGEN COUNTY $107 62 $107 61 $0 00 $0 00 $215.23 $0
2009 705262008 PORT PORT $15.24 $15.25 $0 00 $0 00 $30 49 $0
i 2009 705262008 PORT AN PORT ANGELES $236 05 $236 04 $0 00 $0 00 $472.09 $0
2009 705262008 SD #121 SCHOOL DISTRICT #121 $262.97 $262.96 _$0 00 $0 00 $525 93 $0
2009 705262008 NTH OLY LIB NORTH OLYMPIC LIBRARY $31.27 $31.27 $0 00 $0 00 $62 54 $0
2009 7052_62008 HOSP #2 1 HOSPITAL #2 $44 13 $44 14 $0 00 $0 00 $88.27 $0
12009 705262008 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 $0
http. /vpn.clallam. net. 8084,' propertyaccess /Property .aspx ?cid =0 &year= 2010 &prop_id =70526 5/6/2010
-4
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N'!
16954
Port Angeles. wsshlngtonm.....Z....::._L.9....._um.m__m..._....... 19.00).7
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?; c:anted..:L:o electrical work as!.:!!!:!eloWj;J;} ~ 'f::;;3
~i:' 2SSl~iif~;:>=~~;:O~~:~~=:::::-:=::::~:::
, :;l 0 r) A-
Light Outlets.....n........................_.._..... Service, volts nhn......h.........................
! ~
Receptacle Outlets.n...........__m..n........ No. i as II
slzewWrlres........:....:::::~:::::::::::~:::::::~Z:
Dryer, KW nnn.....nn..__.____hhh"""__''''
Range, KW __........h.......__......__.
Water Heater:
'"
Heat~:~..:::i.:e::k:.;;;:::E~ ,
Main fuse ....0000.....00.......__...............
Enclosure ....0000..0000__.00....................
Type of Wiring:
Entrance Cable ..hm......................
Motors: size, volts and phase:
Rigid Conduit ...............................
Metallic TUbing ..__00__.....___...........
Current transformers:
No. & Size__.................................n..
Set. NO.................n...n.......nn...........
Set. NO.n....n..n........n.......................
Set. No. ...00__...............................__.....
Total Load.n..........................
Set. No. .n...nn.n...._..........................
Remarks: _.._~~oo-oooo.~:.!:'~m:-~1:oooo:-:':::.~--~.~1~.oo1.~'~~.mm...m--oomm000...__.000.......
Permit Fee
Treas. Receipt
NO'm..m........m.........
'. By .__~oo~Um!'l~m=..oo__
$:000__..000___....___....______.__.00.
Type of Wiring:
Armored Cable ..h............._..n...__
Non-Metallic .........00....................._
Knob & Tube__.............................._
.-
RIgid Coodult ...._..........................
Meta1l1c Tubing ...___00..............._..
Raceway ......................._.....____
Circuits, Llght................n................._..
Utility ................._...._........._..........
Heat ......................................._.._
Range .............................................
Water Heater ...............................
Motor .h_..................................~....
"
Dryer ..............................................__
Furnace .........................._......_.._.......
-.
Total ............h.........................
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It 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?
16954
Address........................................................................................................................................Date..._......_.._.._.._.........._.._.._......_......._
Owner..................................._......_.._......_......_.._............................................._.............Tenant.........................._.............__..........................
Wiring Contractor...................................... ..................................................._................................By..............................................._.............
NOTICE--Current must not be turned on until Cert1flcate or Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.