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Home My WebLink About414 1/2 E 6th St - BuildingJob wired by "alectrical Contractor 0 Owner Electrical contractor name License number Date Expires tp..A..4 Elect' cct.I Cerl4 .5HriThtbroz.ifig Purchaser's mailing address f® 7'oX 36 3 City State ZIP fof A'i c le c t c. Telephone number •J FAX number Premise owne,r's name Address of Inspection /-1/ 4 1/ /z.. e 5 city Apo .j 1. Phone number to schedule inspection. Owner us defined by RCW I J 28.261 (1) Owner will occupy the struclure for two years alter this electrical permit is finalized. (2) Owner Is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- 0 Credit Card lotion 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 Codc, and Card Utility Specifications. /Signature of owner. electrical contractor or electrical administrator Expiration Date \X r Date 3 J /3/O‘ `f card EleoLoad Ad,p ctions NO LOAD CHANGES Baseboard KW D Furnace KW Heal Pump Ton LAR O Fan.Wall KW SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH-IN THERMOSTAT Inspection Date Dote Loo/LOOM Approved H FINAL Ap rove y //i.4/ Q Overhead Service Temp Service Underground Service Date. nide Approved By DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION /Installation description Commercial Residential 0 Now 0 Cash 0 Check Approved By Altered /Addition G q t M.a.s 4. 11 O e, I 1 r i Visa Mastercard Due IJou D FIL-E Voltage Phase 1 3 Service Size: Feeder Size: SERVICE Approved By FEEDER Action Taken Approved By Discover lnepectio d//77 r Service Information eneenemmt Electrical Inspector P. L v v XVd tbt' bl 900Z /El /E0 I Of f'ORT ~ ~~~~ Uha~ 11" -- 'l.&i,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000992 Date 10/20/05 412896 414 1/2 E 6TH ST 06-30-00-0-2-0330-0000- RES NEW SFR RESIDENTIAL HIGH DENSITY 25000 Owner Contractor RICKENBACHER, JOHN 121 E 2ND ST PORT ANGELES (360) 457-0467 Other struct info OWNER WA 983626206 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 27.00 2.00 1098.00 7000.00 797.00 1895.00 1. 00 ~ ......... ...:t: ~ Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 63131 414.75 10/20/05 4/18/06 Plan Check Fee Valuation 165.90 25000 ttl Qty Unit Charge Per Extension 92.75 322.00 ~ ;1.1 BASE FEE 23.00 14.0000 THOU BL-2001-25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/20/2005 08:42 AM SROBERDS -- The proposal will result in the placement of a second residential structure in the RHD zone for a total lot coverage of 27%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical permits are required. 10/10/2005 03:06 PM JHEBNER ---------------------------- $410 Connect Fee. Ref 10008 WF43086/01 10/10/2005 03:07 PM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. A seperate water meter is required for the new residence and a sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. F6. Other Fees STATE SURCHARGE 4.50 ~ /.-J ? /' /:~ ~/ ~ b Fee summary Charged Paid Credited Due Permit Fee Total 414.75 414.75 .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 s ction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 ys are work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I h by c that I have read and examined this application and know the same to be true and correct. All provisions of laws and 0 Ices rning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume 0 e aut ity to violate or cancel the provisions of any state or local law regulating construction or the performance of constru i ) Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd (1/4/2005] L-- I ~" I BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FORELECTRlCAL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRMNAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR I CEILING '.. filii- '. ,,~ MECHANICAL HEATPUNW/FURNACE/D~TS~~ " GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT II's SEPA: P ARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] I ~ (/ pORT ~Q ~~ ~.....~t~ "na~ ~ -- ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . Application pin number Plan Check Total Other Fee Total Grand Total 165.90 4.50 585.15 05-00000992 412896 165.90 4.50 585.15 Page Date 2 10/20/05 .00 .00 .00 .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 orwork 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 T:\Policies\1102_15 building pennil inspection record05.wpd [1/412005] ~ BUILDING PERMIT INSPECTION RECORD 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 NO FOUNDATION: I FOOTINGS -);}/ f / C( ~St-L S j/'Yloc ,7'(- WALLS li!J:Jar -:r u.... -, f FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) "!>k,IOra JVV GAS LINE BACK FLOW 1 WATER AIR SEAL . WALLS Yj"" Inc. ,JI/ CEILING FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB / WALL 1 FLOOR I CEILING 7/I-vj U(p Vy MECHANICAL I HEATP~/FURNACE/DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 , PLANNING DEPT. BUILDING 417-4815 11i}.!fltl n h J LL BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4120051 ~ ~ i~ ~ m r~ ~ S !:..-- ~Yi!iI" CITY OF PORT ANGELES PUBLIC WORKS - UTll..ITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000992 Date 12/14/06 412896 414 1/2 E 6TH ST 06-30-00-0-200330-0000- RES NEW SFR TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 27.00 2.00 1098.00 7000.00 797.00 1895.00 1. 00 '~ ~ 1 ~ ~ RESIDENTIAL HIGH DENSITY 25000 Owner Contractor RICKENBACHER, JOHN 121 E 2ND ST PORT ANGELES (360) 457-0467 Other struct info OWNER WA 983626206 Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date STREET ALLEY RESTORATION 92221 270.00 12/14/06 6/12/07 Plan Check Fee Valuation .00 25000 Qty Unit Charge Per 1.00 270.0000 ECH STREET ALLEY RESTORATION Extension . 270.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/20/2005 08:42 AM SROBERDS -- The proposal will result in the placement of a second residential structure in the RHD zone for a total lot coverage of 27%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical permits are required. 10/10/2005 03:06 PM JHEBNER ---------------------------- $410 Connect Fee. Ref 10008 WF43086/01 10/10/2005 03:07 PM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. A seperate water meter is required for the new residence and a sanitary sewer connection inspection is required by public Works prior to back fill of ditch. 24 hour advance notice is required. R ~- \\1 Other Fees STATE SURCHARGE 4.50 ~ Cf?- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 270.00 270.00 .00 .00 Plan Check Total .00 .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 0 ork is suspended or abandoned Signature of Contractor or Authorized Agent Date e ted within 180 days from the last true and correct. All provisions of 1. The granting of a permit does not g construction or the performance of for a period of 180 days after the work as commenced, or if required inspections have not been [ inspection. I hereby certify that I have read and examined this application and know th J>a laws and ordinances governing this type of work will be complied with whether specifie rEf /, presume to give authority to violate or cancel the provisions of any state or local r / construction. / /, i ( ( T:\Policies\1102.1SR [lI0SJ PERMIT INSPECTION RECORD .. CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I ACCEPTED COMMENTS I YES I NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I . I I . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] fBof~.~ &'~~ !.. -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . Application pin number Other Fee Total 4.50 Grand Total 274.50 Page Date 2 12/14/06 05-00000992 412896 4.50 274.50 .00 .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 Date Signature of Owner (if owner is builder)' . T:\Policies\1102.ISR (1/05) I I PERMIT INSPECTION RECORD .... CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. / PW / CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [I/05J 'fi "'" r..;.o' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 91B62 Application Number Application pin number. Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000992 Date 412896 414 1/2 E 6TH ST 06-30-00-0-2-0330-0000- RES NEW SFR 3/23/06 RESIDENTIAL HIGH DENSITY 25000 Owner Contractor RICKENBACHER, JOHN 121 E 2ND ST PORT ANGELES (360) 457-0467 Other struct info OWNER WA 983626206 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 27.00 2.00 1098.00 7000.00 797.00 1895.00 1. 00 Permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL SHAMP/ ALTER MAST 72884 SHAMP ELECTRICAL 66.90 3/23/06 9/19/06 CONTRACTING Plan Check Fee Valuation .00 o --tl -...... * I ~\, Qty 1. 00 Unit Charge Per 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 ~ Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/20/2005 08:42 AM SROBERDS -- The proposal will result in the placement of a second residential structure in the RHD zone for a total lot coverage of 27%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical permits are required. 10/10/2005 03:06 PM JHEBNER ---------------------------- $410 Connect Fee. Ref 10008 WF43086/01 10/10/2005 03:07 PM JHEBNER ---------------------------- Any modificat~ons to the City's electrical facilities will be at the customer's expense. A seperate water meter is required for the new residence and a sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. ~ 1- 1 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 66.90 66.90 .00 .00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE I ACCEPTED COMMENTS YES I NO DITCH IH)1T~l-I_IN I \';UY~K :ShK Y lCh ~"' TAT 1 I GENERAL COMMENTS: PW.II02.l~ (4'961 '(J ..... r..? CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 91B62 ~ Application Number . . . . . Application pin number Plan Check Total Other Fee Total Grand Total .00 4.50 71.40 COMMENTS/ACTION NEEDED Page Date 2 3/23/06 05-00000992 412896 .00 4.50 71.40 .00 .00 .00 .00 .00 .00 ELECfRICAL PERMIT INSPECfION RECORD ; CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCKPTED COMMENTS I YES NO UlfCH ROIIGH_lN I CUV-hK ~~K VICE . .. 3 -";"J,--Ob I ~ GENERAL COMMENTS: PW-lI02.1~ (4196] t . ~f'ORT~ ~...O~~(I": C~~ "-~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000992 Date 11/22/05 412896 414 1/2 E 6TH ST 06-30-00-0-2-0330-0000- RES NEW SFR RESIDENTIAL HIGH DENSITY 25000 Owner Contractor RICKENBACHER, JOHN 121 E 2ND ST PORT ANGELES (360) 457-0467 Other struct info OWNER WA 983626206 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 27.00 2.00 1098.00 7000.00 797.00 1895.00 1.00 ~I - ~ ~- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date M- MOVING PERMIT HOUSE MOVE FROM 1025 GEORGIANA 65516 115.00 Plan Check Fee 11/22/05 Valuation 5/21/06 .00 o ~ ~ <.. ..- ~ \\T BASE FEE Extension 115.00 \\ & ~ Qty Unit Charge Per Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/20/2005 08:42 AM SROBERDS -- The proposal will result in the placement of a second residential structure in the RHO zone for a total lot coverage of 27%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical permits are required. 10/10/2005 03:06 PM JHEBNER ---------------------------- $410 Connect Fee. Ref 10008 WF43086/01 10/10/2005 03:07 PM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. A seperate water meter is required for the new residence and a sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .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 T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. / PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\II02.15R [1/05] . d pO"f ....\i t.J,,~~~ ,. ~ -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . Application pin number Other Fee Total 4.50 Grand Total 119.50 05-00000992 412896 4.50 119.50 Page 2 Date 11/22/05 .00 .00 .00 .00 ~ ~ - Z 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 ave read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governi IS type 'fwork will be complied with whether specified herein or not. The granting of a permit does not presume to giv t I 0 olate or ancel the provisions of any state or local law regulating construction or the performance of construction. J\J. 'kL <J :s Date Signature of Owner (if owner is builder) Date T:\Policies\1 J02.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\11 02.15R [1/05] :ff'ORT~ (t~~~ ha ~-- ~.,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000992 Date 10/20/05 412896 414 1/2 E 6TH ST 06-30-00-0-2-0330-0000- RES NEW SFR RESIDENTIAL HIGH DENSITY 25000 owner Contractor RICKENBACHER, JOHN 121 E 2ND ST PORT ANGELES (360) 457-0467 Other struct info OWNER WA 983626206 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 27.00 2.00 1098.00 7000.00 797.00 1895.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 62331 715.00 10/20/05 4/18/06 plan Check Fee valuation .00 25000 Qty Unit Charge Per 1.00 .715.0000 EA PW W/M 1" SERV 5/8" METER Extension 715.00 permi t . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 62349 110.00 10/20/05 4/18/06 Plan Check Fee valuation .00 25000 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 10/20/2005 08:42 AM SROBERDS -- The proposal will result in the placement of a second residential structure in the RHD zone for a total lot coverage of 27%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical permits are required. 10/10/2005 03:06 PM JHEBNER ---------------------------- $410 Connect Fee. Ref 10008 WF43086/01 10/10/2005 03:07 PM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. A seperate water meter is required for the new residence Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or con . n authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days erthe ork as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereb certify, a have read and examined this application and know the same to be true and correct. All provisions of laws and ord. c gove this type of work will be complied with whether specified herein or not. The granting of a permit does not presume uthor" violate or cancel the provisions of any state or local law regulating construction or the performance of constru io Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05] I' PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. / PW / CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] f,ORr"""" $.j,O~~~ ,. 1'1::.--- ~"'~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000992 Application pin number 412896 Page 2 Date 10/20/05 Special Notes and Comments and a sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 825.00 825.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 829.50 829.50 .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 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] 1il\O o , .... N , N .... r.lr.l "E-< <(<( I>.Q r- \0 '" o , r- Iil '" >< ..:l ~ r.l H , ..:l ..:l E-< r.lCIJ ".'" 8~ E-<.., Z O~ HO E-<E-< UU r.lr.l 1>.1>. CIlCIJ ZZ H H o \0 M :> Hr.lr.l QZZ ~OO ::>:x::x: 001>.1>. '" .... ,~ 0'" 000 o 0;3: @~~ E-< OM CI) ~MCI} or.l ::r: .. 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'1J.1.1 Re: tedJ'f;rL} ~cf~AckGtiOV'\aj -L.J\';L)r~__ I c~ afkouYJV\ ~, ~l'S i<; fu t'i'ftl?; i(, 1-1'. of ~S'liC"""'~ >'l/t... ;':5 ~o Cj~ or (JDrf ~jf~ ()') Q&frh~ I i~()vpcf ~ ~ ~ Mm.,.p . ~- r "1 ijot~~ Obo ~ I ! L If you do not receive all page., plel.e call (250)656-2237 /~.. :~; ..,....--. ,_..... embers of the "International Suuctw"al Movers Association." BC Structural Movers Associatio ,~, f.A~ '~d. ~Jli; "~ 11/23/2005 13:08 2506568850 1l/;:;'/U~ ~l::ll 1:5:0-1 FAX HlJ279811281 NICKEL BROS DA\~ PIZUR ASSOC PAGE 02 ~002 ~COR~~ ...-.,._........... ~RQgIJOI~ DAve ~IZUR & AlaOCIATI!S. LTD. 20800 IlI\l!NSON DRIVE. SUITIl110 WAUK18IotA. WI 1311. PH: (212) 7N-1280 UII TS (IHI1DCJn') 11:231200e THIS C TI"CATE II I SUED AS It MATTiR OF INFORMATION ONLY AND CCNFE~1S "'0 RIGHTS ~~ THE CERTI'ICA~ 1'40lDl!fl. 111411 CEIHIFICATI POQ NOT AMIi"D, EXT!ND OR ALfl!lt TMI CCVI:AACIE AFFOItDeC IY THIi flOLIClES l!lOW. COMPANIIi' AFFORDING COVI!RAGE TRAVELERS INSURP.NCE C::lMPANY NICKEL 91'105. HOUSE MOVING USA., INC. ZOllO I\I:IU,S R.OAD SIDNEY Be veL 11)(4 : CONIWIY -cr' CtI..,A/IIT i C ; COMI'ANT D '''SU''ED . ,," , " ~'. .". . I. :1....:;.( ,... . "M. .:\:'~~.. I ' :. "'" ....~.... ,o.a ..,", ,', THta II! 'ft) CERTI?1' T~'f THI POLICIES of 'NSL:RANCE LISTED 81!LOW HAve 'EI:~ ISSUED "TO THE IfjSUREO HAM!D ...eOVl! I'CR THE POUCV PERIOD IMDICATED. IIfOTWIT"'TANDI~C /l,HY REQUIIU:'..EIlIT. "Tf"'" OR CONOIT'lON OF ANY CONTRAcT OR OTHER DOCUMEt. T W!TH "llipeCT TO WHICH 'Ofl. CERTlFlc.Tl! ~y IE ISSUED 0" t,AAV IIERTAIN, THE 1'I6URA"CE """0"1>10 ..., T"E! iJO~It;lES DESeR.ED ...EREIN I! $IIIJICT'O ALL THE TER""lI. I!)(CL\I'ION'I\~P CONDfT!ONS OF BUCH POl-leIE.. uwrs SHOW~ .Y MAVE IEEN REDUCED BY PAID ClAJI.S. co LTII ~5 01' INSUA.tJjc~ 'OLICY NuM..lII P~IO\' '."C'nf' ~T UPlRAlION N'llIIINlllTTl MTlI_DDlWI ClENERAL UA~LITY ,660-S68K444-0 A. X ~CIIIMMCIA.. CO!NEAA.. ~1A81,",f' ! : CL.AU.....~ ~ ~ : O~1!1l'1I .. COMNAe'lOfta PilOT : O"U1/200~ 011C1/20oe Ofi~EIlAL 114~~IO"Tc I 1'1I00",C111.. QI)IlI~IO. 'IGG I' ! PIPIUIONf.L .. ~ INJ~ II I i IACI'l OO<lUllIl_~1i ._!.-._ ~II\I! DAMAlJ~ '"''lICI"!..''''' a UEOl\llP (Ally_---. I AUTOMCIIILZ I.\UIUTY ~. "NY A\,;TQ -: AlL OlNflEC AUT08 aCi4lDUL!D AIJTOB MI"lfD AUTO$ NON-OWNID AU'fOI -g...... UAaUn ~'/ AUTO tOIll..M;D SlNCILf .JIH . ! ItCClL" 11~~Il" (PI( pll'10III l I. I I , l, ...... , ; IO~L'" I~"'JI.~ ; (l""o1iMoGIPlI) I : ~l'OPalt'l'Y OAaoIAOJ:. icupe6BK~5-2 , 1)1/01/2005 01.'01/2Q08 l'-',"O (IN.'' . f.'\ /lCClDt;N'T . . I Oll4ill 'MAN #.1.'0 U'M: ; I-- r--- ~ I!A....... ACClDtHT I' I .-.c,GlletlA'l! ,. 1!.lI:H O:C:VII"I~..e 'loOaReOATI! , f I A OTHCIl '~lj VI;II!l~..u FO~lI WOIUlll"" 1:011'11"/1"0111 "IIID 1...I.O'I'IM'l.IA.LITT ~. ....0'''.,.''': I :''':'~~'T''' I,M::L I El'I::L ; I!L I!.'CIl/lCCIO!HT j , IlL QI'"'''E . OOOLlCY UlliIlT i. .~ :lis........... IMOLOril . S :cn~ . I : I MlcaJltna. 0" O~I""TIDN'A.DGA"DIlSW"G\.a""''''~ 1ft... CI'T'Y OF PORT A.NGeLES IS NAMED AS AOOITIONAl :NSiJ~eC ..O~ LiABIL.ITY peR CG T8. CITY OF PORT ~~eLES 321 !AST 5TH PO SOX, \!le PORT ANG!leS. WI< t83e2 .o4OUI.fl An O~ THI "IIVI IlI.llltJIIIl IIlLICHI II CANCtLlII .,eA. 'III lJI"Unvll ~TII TIlIMOF, TIll 1"'~.1I ~.III' WILl. ElIllliAWOlt TO MAil. l2.. DI'" ""'""II II~TIO' TO THlllIll1I"'OATI MOL"" IUUIIIG ro 'HI LV'. .IIT "ALIIM TO."", IVett ..Onol ."~I.l. "'fIOtl! NO C.......no.. 011 UAIILIW ~ ...... II'" IIPOtt ftII COli'..'. IT' 101..." OIl .......,IT. TlViI. a_~~..';~~',~,::, a House Move Permit Nickel Bros. House Moving Ltd. 2060 Mills Road Sidney B.C. V8L5X4 250-656-2237 Date of move: November 25 2005 Time: 4:00 AM - 6:00 AM Read before signing: This permit is issued under authority of RCW 35A.82.090 and P AMC adapting the Washington State Traffic Code with the specific understanding that all Washington State Laws, Administrative Codes, Regulations and Conditions, including those not listed herein will be complied with. The undersigned permittee hereby certifies the information supplied to the City of Port Angeles is true and correct. I understand that the permittee shall be liable as set forth in RCW 46.44.110 for all damages to any property resulting from the movement ofthis structure. The permittee shall hold harmless and indemnify the city, its officers, agents and employees against any accident, liability, loss, injury, action and the costs thereof arising from the conduct or operations ofthe permittee in connection with this permit. Agent signature: Date: Jlbv~ ~1-03 C/file Port Angeles Police Dept. NICKEL BROS PAGE 03 . INSURED .-.-._--.....~~.-._-_.. OA Ti:' iMwDDfYYj '1: ( 01/01/2005 ~ THIS CERllFICATE 1$ ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CElnlFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE .._~ ....--.-....---..... COMPANY TRAVELERS INSURANCE COMPANY A DAVE PIZUR & ASSOCIATES. LTD. 20800 SWENSON DRIVE. SUITE 160 WAUKESHA. WI 53186 PH: (262) 798-9280 NICKEL BROS. HOUSE MOVING USA, INC. 2060 MILLS ROAD SIDNEY, Be V8L 5X4 COMPANY B -----~ .-....-.. .. .__... ..... ..-...--- COMPANY C .-.-.....-...........--.-...-..-........- ... COMPANY o COVED'~~ !i..l'>,~.:,\" 1'.......1 . "'~~ . I :~""" ,.. THIS 1$ TO CERTIFY THAT THE POLICies OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTlFICA TE MA Y BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO Al.l THE TE:RMS. E)(ClUSIONS AHD CONDITIONS OF SUCH POUCIES, LIMITS SHOWN MAY HAVE BEEN REDUCEO By PAID CLAIMS. co UR TYPE OF INSURANCE POLICY HUMBER ~ouey E'FlC;nYE POLlCV UPIMTlON ~n (lIIWDllIYYl DATI! IMIIIOIllYYI .--..---------- '. ._~_.-.... ....---.... UMITS aENERAlllABIUTY 660-0081<444-0 A X COUME~ClAL GENERAL L1ABILITV CLAIMS MADE 00 OCCUR OWNER'S & CO/llTRACTOR'S PROT AUTOM081lE LIABIUTY ANY AUTO ALL OWNED AUTOS SCHEDUl.ED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LlABIUTY ANY AUTO .._-- EXCESS LlABIUTY EX86BK445-2 A UMaRELLA FORM X OTHER TtiAN UMBRE..v. FORM . WORK"R'S COWEMlIATlON ANO .IPLOVE,..' L1A.1UTY 1/1105 1/1/06 GENERAL AGGREG^TE S ...._- .---. PRODUCTS. COMP/OP ^GG , PERSON~ " ADv INJURY EACH OCCURRE/IlCE J FIRE DAMAGE (Ally one rlAll I MED EXP (Anyone I*lonl S 2,000,000 2,000,000 1,000,000 1,000,000 100,000 5.000 COMBINED SINGLE UMIT 800lL \" INJVRY (pa, .....0..1 800IL Y INJURY (pe, ac:dclanu PROPERTY DAMAGE AUTO ONLY. E^ ACCIDENT OTHER TtiAN ^UTO ONLY: EACH ACCIDENT S AGGREGATE S 1/1/05 1/1/06 EACH OCCURRENCE -'GGREGATE 1,000,000 I 1,000.000 INet EXCl s -'--"'--- THe Plla.ouETORI PNnN~CUJ~ OFPlCEA8 ARE.: OTHER El, EACH ACCIDENT EL DISEASE. POLICY LIMIT EL DISEASE. EA EMPLOYEE S ,SCRII'T1OI1 Of O~EMTlOIISlLOCATlOlllUVII!HICLEIIIS~_L IT"'" ..... , .. .( STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES CONTRACTOR REGISTRATION SECTION 221 HERITAGE FARM LANE FRIDAV HARBOR, WA 96250 'WOULO ANY OF THIi A.OVE D&ICRlBED .oue.ea BE CANCELLEIl aEfORt: TME liX"ItATlOIt DATa '~OF. THE .UUlNG CO.'AIIY WILL IiNDEAvOl\ TO MAIL 30 OAYI *RITTEN~~ CElmflCATE HOLD"t HAMED TO THE LEfT, aUT" UI\E TO a"'CH NOTlCi I POlE NO DBUGA TION DR LIAIILlTY OF IIY KIIID UI' THE CO_AllY, IT AGENTS OR REPRESENTATlVEO. COR. D'~'2' ..~J... :. ),,;;')";r:;1;' J:;;-",;;.;~.,~~Jt.",i.l5i~~)"':d"\\";.::~1~~~~\"''*i.il~;;'J:'~).,.!f~~,,'(.'~;.~', . .. ~. I'.... ''l''',...~....,...'ir~.._~.~~~"':tI...",~. .'.'. ._'"-':'~ .r....1..~v:Y'~lllv.... -.Wi.... . ,.. i". .~;.;Ci.ACORDcORp.ORAnolflf8ila~. 11/15/2005 10:40 250656885El NICKEL BROS PAGE Ell Nickel Bros. House Moving 2060 Mills Rd. Sidney, Be V8L 5X4 Tel: 250 656-2237 Fax: 656-8850 Email: vic@nickelbros.com Websitc: www.nickelbros.com NICKEL BRD.!Y. HilL/IE ..wDV'N6 ~ TD. Fax Transmission Date: Nov IJ) 1010) Attention:~ Pages (inc!. cover): 7 From _ ('j.....;~ ~ or ~~l-J~~ Fax # (?iI'D) l1I,- '1111 ,-~~:_--_&C(y)d:.........G.,.C._....hDU~__f.bo.~:.....___.._._..._...... I ...-.-----.--.~.-...., ___._......4 ...._..n. ...,.. '___00."""'" ..... . .... .._._....... .. n...... .._m ,".......4 ...,. _._............................._. I I I J ! ~ "",orl\" '5 Qj. , I I I I ! ~ : .,^--is is aL~ o~;rrYftOh ~r ~DV~ r"N"J\J,~d' 0-. I ~, i--" DlJr- L.t.JoII;+-:J LhSIYTl.J/'\f,p,~ CS~~ ~Il~ j ~~1 IV\j) n ~ r'J ~,... fP n,( -+kt' WVl J..P rOt t-.e . PIPA~ 1tt'- M.f k(\Cu.) if 'PI) ~~UU'~ tU'\ ,tppJira:hcrn to....... a ....,~ fA.V~ pi i'"'M: -r. ------~-~---:-._---_._-_._-- _.._---. ._~~_._--_.__...- ..-...-..-------- ------...-..------... , .__...""-_..~~-- .._--..._..._...._-..~......._.-.._--_...- ... """---......----.--.. : -----......-.-----------...-..--- - .--------..~...-. , I I I i -....------.......----.--- -..- - .--.---~--..-.---.._ : I . I ""- -."...., '.. ........., ."... _... ... ,....- ...-. ..- -- - .. ....-..... .~_. - .~ ... - ...- - - -~_. - - '. - ._...._- -- ... _.._- --... .. -....- ...-....,- ...--- - .._-- , " -, --_.... -- ... " .. _.. . - ....- .,. -_. .-.. .--...,,, ~~..."... ... .,-,. ..... ---, .... -- -_...; I I ---...-.--..---.--.-.............. ----_.J ." ..._..._______._...___ : If you do not receive all pages, please call (250)656-2237 ~~ embers of the "International Structural Movers Association. & Be Structural Movers Associatio ~. .fAg;l ."...., ......- 11/15/2005 10:40 2506568850 . I .. I' - ::,: - \..~ ,!', : i;'I j !'\ ~ AtJ. ; NICKEL BROS PAGE 06 .. .J.!...,", ..~,7 . '", #. ;- .. ~ 11/.~1.':~~~~ ..+ ~;,~a" . .: ,2~~656~,8.51r. 1.1,' I" 1.l1..IA.I lJr.r l HICKEL BROS ~~~ ~O. 'b~ ~l! illl PAGE El2 f ')1.:.: ... ~', .... HOUSE MOVING APPLICATION and PERMIT CITY 01' ~O",T ANGElES. IUIUJING l)IVlSJON Thelo/lOwlno m.aerlal. ... herwbV pravlCl~ lr; allpl[catlon for _ I1OU.. fJlPYSt Permt!: NN.4IT NO. 1. N'~'Cf~tcm"t:. NI(V~J ~j ~ nnlj~ 2. Addr~, \'1f ~pllC3nt.P ~t"i~ ~ J-n "" \ ~dn) t'tr~....., l~)l} ~j2 3. Tllepf1ant af~plleallt{~3m~.~ D.oIprapoeed mcw.en~ (l1.I'.lIor!:~v~k ~~ ~ __._ ~..~?!'!S!.~~!!!?E! Cgmp"1"~!.8.!'~.~.nd !!!..~.:~l'tIb.. of /nI16ano.: --..- ."-'~--'-"".'" .. fi: OrIOMIIDC*~ (~tjdrea)ofbulidlng::~ ~l'^'1I\A ~..,,'*.. .";' iU-;t..-..--.---. ......-.. ,,-.~. ~ deacrlptlOn d arl~t1"ll)oa'cm ~ buUdil~ ..... ft. 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I 1l1.~1.(~0~~ _ _q:.~3 _ . 2506568850 . ~... 'wi ;. .10. '-'j . n UJ.dA..II JJ';'f j NICKEL BROS ff.A tH. jOL. ~!.' It i I J PAGE 02 t' IJ:.: 1 ... r.o ~. HOUSE MOVING APPLICATION and PERMIT cmr OF PORT ANGELES. eUILDING OIVISION The following mare:"ials ,are hBi"8by provided In apl)lIel!ltlon for 8 HOUie MOVEl PQmlit: ~~MIT NO. 1. Natr.& of applicant: l\ll (uj ~c;.. ~ N'DI i ~ .2. Addr~1S Of ~ppIlCllnt; fP\ \otl.r", ~- ~ Ln 1M 1 .~ t:fJ'J j Hr.l.rh.>Y'"iu 1A q~:lq) 3. Telephone of ApPIiCant'~~.. .~, Date of propo&e~ move and duretiQ": ~",.a"Vhs- 40". ~ ~ '''. 4. Name of insurance c:ompeny~d agent and copy of certlrIc.ate C1f in~ur.ance; - - ;-~~~:;i~~~:~) ~ b:,id~~:~:"~-~~-;:~~~~~$ ~.~~-~.. .-1,;;,' -,".,,-, --"-' .'.., '.' ,.. Lllgal descrlptlon of arlclnal ((lcdon 01 building:, ij. Ne\'\' proposec ICCOIt!Dn of bUlldlng;~ E.. ~ ~ fibt(j,!;., U""', Legal ~sc.:rlption of n8W projXJ:J.d location of bulldlrlg: " ~~ ~ ~ On ~~b", ... Ai;.ct- OYl f, ~ ~ ld+ 0"\ 7, Route to be taken from olClloeatlon to new location: ~. ~ c;r. ~ tlal6loct ".",. ct. ~ Fit: -In ~I" E.<~ St-. S, Description Cf current building: ~l)~ 9, Written exmflrmallon that the following hllVe been contacl.ad incll,Jdlng indiVidual's name, telephoho and date: A.GENCY CONTACTPE~OIll OA-;E PHONE NO. Poiclt WlIt,r. SIl\'IIer (-47u" O~ aw.! CoIrvrwnQ~o:lll Walta a~lUItl Tel"cable Gtatll Dllpl otlr4lns. CPI (A....r Ol'ClCl!l ) ! herioby acknowledg" that I am I1IepoftSlble for ''''Unlltl, darl\:lgel. .nd any e~n&G1C InCl.lrl'8d by the City or oilier ag9l'lclaa eluring tl18 m::>\.'il1ll ~ \l)ls alnJ~,.. II'ld that fh$ S1l'lJc:tur. Is 10 tllIlMlPfllC/ 10 mifllmum Bulidlng Code requ1f8ffi1lll1l .1" I1lt'N IoClltklrl .00 read)' for"" Wllbfll onlll (1) rear from the dIri!o ar mC\o1nllltl" lSlru~re. In con~J~ra1ign (If tllo '"'ntlnq ar lhi, permtt, it i!l1urthet acreell by 1Il4l1lpplioel1\ !hilt t"'- City of Part AngeilSll: and .oy ot i1B cfflClll'S O~ arnplQlljeft ahall b6 aavad harmlNllo 1h(lllppllcllnt from .-!y l~bNItY or rw'PDl1fI/jlIIl~ 1'cr anr elll:ld8l'lt, IDIII I,)f cllrnnQII ro Pt$1\Il or prol>lrty. haPlltlnlng D:' 0I::UIT1r1I;; ~ tflo pI'Ollirnllll reault t;lany wort: llIIdllt12k8n dlr rI1I! II!IrmI r;tI Dlit IPIIKCII&lon lUll! lfIe perm't or perml15 \MIj~ may be cmnlell in to, .,t11hat all df "Id IGl1ItI.. are heratly saallmed ~)l11le .pi'llcel'lt. .tbit. 1/4r De" -OFFICIAL U8fi QMLY;- Om:.: n'lO'JU 10:* ;:MC1I: rnlls6urer'tl RllC1lIP1Io1o.; SIdt). Pennlt. ~ht d W:w eonttr. Pel'1"l'lll tI Oilll'NlQl: III'l<I Of inoldenl2l en IOU" Ilnd OOII'ltI'Iett13: OriQll'lal S~ ~lIltft11ion compW8d:~ Dat. ok ftJr ~patlCy:_ Retund ~..~_ RllfOntl Amollnt:L Ctl<<k 1'10.____ APPJIlOVED I;V BUILDING INSPECT~ DATE.: 8L.1'O~..DZ 1~/Cl4l ....... .-.. -._---- --... . 1 1 - 1 - 0 5; 1: 36 PM ........._--:.':/...~';'"":"";-: ...."'7":':.":'.........' ~ _~....";~"......-".....~~'-'J.-i.....uJ.. J Ii .DLVoJ Jicr J ,....--...,......- -" ,......'-" rf.A lH, ~bL 41! it; i J 2506568850;# 2 P Gel ~~~ ... " .' II', ~. HOUSE MOVING APPLICATION and PERMIT CITY OF PORT ANGELES - 8UILDING DIVISION PERMIT NO. The fOllowing male~ials are ho.-eby provided in sppllc!tion for a House Move Permit: '1. Nama of applicanLA11(~j eroc.. ~ N'nv iiYj 2. AddTe~l'l olp'ppl1c8nt:_~ \{.tci.~ ~ -LoV\l-. ~rIrfoJ Hru-kny"ll1'~ q~"V 3. Telephone of AppliC8nt:{~)~' -~ Dato of proposed move and duretio'i: kh\l..1.-ybS- ~ ~ 4. Name of Insuranco ccmp21nyand .agent and copy of certlflcate of in~ur.ance: ... -... - -. '.-- '...., ....---., --~- _.._-~---~---- .......... -..-~_."""''',""... ....-- -.......-.... . --.---..-.,.--...... -........-. ... '-' ---.-...... 5: Orl~jnal i~~U~~ i8ddres~) ofbulidl;,g:~ IQ~ ptn~;o.J{\Jl $-,'*. ~es I LUA-."-'-'-' ..... Lll'lgel de~crlption d orlginallccstion of bUilding: 6. New proposed locstlon of buildll"lg:~ E:... ~ ct. , Qt~:.. I lilI\- Legal df)sc.:rlption of naw proposed locatio,., Or building; _ 7. Rout~ to be tDk~ from Old location to new lOCation: ~g.~ ~ ~~~~ -+o:~ o4,.f'l' ~ ~ 0""_ 8. Descripllon Of current building; Hnu~ e. Written confirmatJon that the following herve been contacted including individual's name, tolGphone and date: AGENCY CONTACT PERSON OA'rE: PHONE NO. PoIce QWut CoIMlUnicabo.18 WIIVII Broa:ltlland TQI~cable State DIlr,1t DfTrano:, CPJ (Fiber ()pCja ) ! h8~by acknowledge that I am IUpoMlb~ lOr In)Ul1l1ll. !Jirn:agel. and .n( elCfll!ln!lllc InCUl'1'8d by the City or otllbf a~anclooa cluring tld mo~ing of It.i~ iOlnIclLl,.. ~d rhDt thell1ruchxe ~ te be ~s!l:lllld to minImum alljid~.ll Code requltl'llTllll115 ;It 1111 ne'IV I~ .nd relWY for ~. wltbln tlnll (1 i year from the dill!! ar mCl'flnlllh1l tllroDluI'll. In oonsldllratiDn Of thil grllntlng afti'll, permit, it is 1IJrther agreod Ily tJ')Q Ilppllcent !hilt thQ C,;fly of Po~ A.n~18Il !lnd any of l1!I offlellf!l o~ .~loye" ..hall ee ~ tlarml_ to the applicant trOll't Wly IletlYlty (lr ruponlltllJlty tor 2nr IDllldri Ion or d~nlllgO to ~l\Il .or p/Of)ertt. happei'llng O~ QCC\lmng lII! tho Dr'O)omalll rfllUIt of an)' WtlIt: und8l'lalcen under tile terms Df DlI. aJ)1)lIoatiOlllllnrllhe permit 01' permits v.tJjch may be w.anlell ~~. to, ..,d hI 1111 of 'al~ K;abl111l8ll are: htll"llby ..IUlT\lld by tie appnc.nt ~~ ~1/tJJ . 1711ture ::lB'" -oFJIllc;;W.. U8E ONL Y:- Oa;e /nOVlI tooII ::IIIC.:___ l'relll~Ll/'Ofc Receipt No.: Bldg. P8rmltj RIgIl! or Way Conatr. PermIt' Dal'l\lIOe ISI'Id or ;,oi:len!$ er, ItlUlllllncl oomm911ts: OriQlnBI Sitll Ri:oOlomtiQI\ COI'!'\pletad:_ Dat. ok fer OCCLlpal'll:y;_ ~!lfund DAr.~_ RllltJnd Amcunt-L. Che(:k No APPROVED BY BUILDING II"SP!;CTOR: DATE: BL.llG~_02 191041 ,- 11/15/2005 10:40 2505558850 . l..UI....I1 11\;' I l'., . oJL !!. J I riD! rut( 1 I-\I"'ut.l..l:.~ t J I'(j:; NICKEL BROS nx No. 36C 41'7 4659 PAGE 04 P 002 11/Bl/2eB~ 12'18 2SB65688!e ~U..JI ',/I, ',,:11/ i .1. ..., .: j tii; ~ I H Vt nI IfI.Vw ut.r, .... NI 0<El.. liROS . 1M. !io.-~~I ~l'! f71J PAGE 83 f' OC: " ". ~.. HOU8EMOVING APPLICATION and PERMIT CfTY OFI't>Prr N4i~iIJ . JtL1ILOI"'~ OMSION Th..folIDWlng ma-.:....II. '*-)1 PfMU fn applbllon far a H~ ...,. Pormlt. t. N-"_af~~ UI(~J ~. ~ 'Nlt'W;~ .2. ~orAPplcant D lotIrl~ ~J.~ I i=W1dh) HrU'~V"..'h'" ~~ 3. Tel~ot~~~..~ ~ o..fllnpO.clmD\la"'dch..ttc":lhlJ.~ L,1t.4A ..- - L. ~!!~_i!.lI..!!!!t~ corlJplnY_ ........a OOClV M lIal'tlClIa tIIlnlrtqnc.: -"'.' .--...... -....... ---.--.. -. '","- .. $: ~~ (-,...jdlMlliaitli"l~ ~j rt~ ~,p. ~ ~;;. ...--- ...- '-'" -. .. L..,. dllct~ d ~ ~ ofbullG"';: . . S,' N_pnlClahdICCIlllc..;DfbIlIClI";; '.:l.4 E:..~ ~. Pt Avf.J#~, II'" L.aoel dMcrll:ll", t:A ~ "rollOl_" loaallon of b6IIttnO~ _' . ... _ . 7, Ao&leID"....h,.,.G.sIOOltilltltonew*-UQn~g. ...~~~~l.o1eIL...~~l" ~~ 0'\ B. DRenlllan or OWf'Ml.llulldwll!:' ~ __ S. Wl'II8n CDllllrlMlIoI) Nt.. ~... been ,**eIId ~ ~"~I'. nem.. .llJPl1Dna MC dlte; NlWI'I' NO. ! h.rUY" "'1.1 11IIl.......... Ib' 1IWrIa. .".... .1Ilt .,........1IIl:Ir.III ~...~. ..r....... IIUtIlO 1M /7llh1,;g 0111I1. . "'ea,. ................. ., "1IIl!lllIlI1II riII/IVll"" c-........ ... I\ll/f .......1lIlCI1II1II, _lID __ -I~i ~_ 1M .. fJI,.... ........ ... ~ ",.......fltIU......ltiltllllW....~.. ~ 1Mt" c:.rtJ~ ~ WaII,.e_ aIWI cy,~..."""", ---.......-..c... ~ 1lIIIIr-......... _.......... ... r....... ~ 1*1....,. .....", ""JI/IIhiI O~ ~ ... ,"",1llMI ~ Ilf .""...11II..... __1M IIMilIfIf 1111 ~ 41h1l '" Mftlt., ,..". WIIlIIl "'11- gl9\., " .I~ _Ill.......... -.............."Dle...... ... ..--- 00_. ~ - ~ ~ . J4: ~ /4,'r . '~IM.'" D"'~ On -- :8__ 1'-'t1'" ........HL.:. .... PIn"IIl.~ _ fI'Wayc:..l. """1. AftSNC:V nr\_........_ ~~ J1fH~Na. p :Il-.J ... ~~N:."\..~ a. , .OC" "",, ..." ~ I ~II -t \ W_ ......., T....... ~ PICIt III,...... - Ci'i (I'IW 0gIIa I 01"'. "lit ......~ IGIIIIIIlCI ___ ............- . v' .. ~ s. "'_hn~ct___~or_...JIAll'f:_ "11IMe ~:~ ~Anat~ .Ctlldllifo_ . . ~~eytclt~~ ... c.lTII ....t 1:;tl.Jlt IJfOIi . -... . ".-.- --.----..... ll/W~30~5, ~~: 4Pl1 ::2U~5055588~5~PD ADt'll1"t ~~'~AJL~~ 12:13 25865&9958 ."....1' ...........'~I :.~. v~ ':'..b ""1.aI....r r" C4.~ JJe.YI NICKEL BROS 3BO-~1'?-"55S PAGE 05 10.4 NICKEl. BROS · .~. 4 ~o ,ti. 1:' ; ~ : . P~F. ~::. j .~~. -. HOUlE MOVING APPUC""ON and PERM',. Cl1" Oft ItORT ANGtU.lll . BUlI.DIMQ Ol'IasION Ttt. IoNowtI" ~... .,.. "._~ '1QvId~ ill lIl~~llcllli<ll' ... . How.. Moyt; "'-'n,. I. N....ol.O~ ~.,~J ~, ~ NnI;~ __ __._. a. AlIdIw'ufAt>>~CM:_M ~i~ ~ L.."",. ~,i".:s ..........b1.....IJ~ . ~~ 3. ';"~oF~PJiCltt1t:~Ibl.~ __ D....,~"1Q...,..:{'ureliC"Ah"',~ ~~~ ..."~Ir "40. " ......'t.~-~~.1!'_I;!.~~~~.~~~!~ ~~~.~ o:"~~";e~_..___ ______ '.. - a .~. ..._... '~'. ....... ....., ..' ... ...,.., ... . 5 Ofiuil1l' icalion (a,.,Ib.) Clf ~ulidl\v.. ~ ~; ^'^^ l~... Dt. ~ .... -:... _ . . UfO" ~l!J1lon d lIrlO'-'. 1G1l1I., rI ~"g; & ..... _.~_.___.._...__. O. N_' P'lIPDlC lecdon of Dl/1cJfto; 1ti4 ~ ~ F} . ot ~U4.. . U 1It '_'_ ~ ~11IIIOl\ of.- DfOllOlld l(QlIDI' of lJ~'IC:...- ~ ___.__ 7 'tolh ';l tJe.WI "OIn 0111 '*"on'" "'lIQIDn.~~~ ~~~~~.s:.~O~:- r ~ ~ 0"'. · DHen....", ~1 DUlICI'OCl; ~ "---- G. Wntltn ~ lMt ".. 'o*'-'flt htW OWl ~_d ~ IIlcJytcju.I'. n.",.. fel8P:lOI'ID "0 dl'.' _..-..~_. 'M ...... ........, T...... 1iW. DIp! tI r_. CI>, (~o.-. ) ---.. ---.. . '...., A - "'- fWlllnl ~.... ... "'- ~ ......,............ .., 11.0., ar.., ____ ~ ... "''''''8 111-.;, .-.. .....tIt "',"!In" lD"_M "mr_"", ...."DCIdI ,,~.._ _lteIIIlft ""''-' ...1lL#....J.i~ CA'lr.),... '",",ft .. 11-.... ...~, 1Ft CiIlIIQ..... "\Il. JI'IIlIrlltIlIlI.1IIll'IlI. . i, ..,.......~ ~.. "'1_1 "'. III (''Ily of p~ .,.. '"' In;,' !I' .. --.0............ ...............-........., .....~..III\-... "'Y.-'-, '.' or..,..... ___11""'-'>>. 'WIIOIo" I' QQNIIIa _ "lfIIlI6d11-...." ..a:........... ... ..... "'.... -..-. ifill ................ _~ ~ 11 ~ ":~_.. ~- ......,......,~..,........ ~- ~t/'tr" ~ UH-,,~ Oa, ..... 110 --___ r...wra "- --=_ .. PM1118__ "-"I_v.." Onll. __...._ OWl\lQl "tJI........ __.. __. ...... t .'"' ~- '--.-...-..-., . ,.--. "'--.- ,,~..ovr., I'" IUILlllN6 I181'1!.CTCiH:___ 0,.1" ...~~_O'...lDr~,_ ~\tDl.~ "'-"AIIIlUIt... ~._-_._- _._ ~T'E;..__ ".II~.flt '"'" ._---..,......~_.. _.... .. .-........ ,_.~._.-.... ~1~-05; 1:36PM; ~~i~.( ~--- ._.-~ ---~------ ,.. .... ~bUbobcH::SbU ;;+- 4 . ',. '.. I iii ~ ;. .: I'. ; .. . . " " . . I.....' :'.w. . :.......:.~ .~::~:.\. . ../ :_~~: '.' ..=;>'.'~':...:: / ~I~}/>/ Q) >,.; . '. , C) .. .' . i C "0 :'..J <( '~"'. ,../ t. .. ! ~ ,:<"I - , . ..... .. / CIJ ,i = .'/ co ! I W' ! ~! T"'" ' 'VI o i - ' ! "';1 C/)/ cuI CI mj .~! ~ o Q) C) L{') N o ~ ~ 8 j N ! C,) j ~ t .!1! o i ~ I j j i ~ I ~ Ij Jj ti ~i ~~ Ii t~ ~~i i~~ -~E f ..eo '~f1 ~~j !!j lit ~E -~1 iJ~ 5o~ I I I I 1 1 - 1 -05; 1: 36PM , ~~i--i --~- ._I-~ ~b06568850;# 3 . . NICKEL BROS. HOUSE MOVING USA Inc. 221 Heritage Farm Lane, Friday Harbor, WA USA 98250 Tel: 38~378.3328 Fax: 250-656-8650 Email: vlctoria@nickelbros.com Website: www.nickelbros.c.om House Moving Application 1il~...u;;.U . ':a~~ ."::' .i'IM05 602 ~~~BQh~W'1'i!'ir@Q.i~1m ~ Date: November 1, 2005 fu: ~~ Port Angeles Police Department.?1 Port Angeles Fire Department Public Works Engineering Port Angeles Building Division City Light Department Qwest Communications Wave Broadband CPI -zm>l (M./; /r / A!tJ1: Terry Gallaghert Deputy Police Chief ~ttn: Ken Debuc, Fire Marshall JAttn: Trenia Funston ~n: John Hebner -- / Attn: Frank Lockha~ e>>J~,e '0)~~~UJP - C~ Attn: Mike Sturgeon ~ ,",\" ~tt.s Attn: Bob Jensen ~~LP~F\OO~U?n. From: Christy Please see listed below the details of a structural move that is to take place on public roads: Structure: Moved from: To new location: House 1025 Georgiana St, Port Angeles 414 E. 6th St., Port Angeles Dimensions Loaded: HEIGHT: 17' WIDTH: 24'6" LENGTH: 52' ROUTE: 1025 Georgiana St., Port Angeles to Left on Washington To Right on E. 5th St. to Left on S. Vine 51. to Right on E. 6th St. to 414 E. 6th S1. Proposed Moving Date: Friday, November 25, 2005 Proposed Moving Time: 4:00 AM - 6:00 AM Please sign the attached House Moving Application and Permit and fax back to (250)656-8850 or call 1-866-606..2237. Thank you, Nickel Bros. House Moving Ltd. , ~~",".~'''~''~ ~~r~ : - , t "'" : '. ..~"'Io-'-:,_. /'" . .MN.......' Members of the "International Structural Movers Association. 11/01/2005 13:33 2506568850 NICKEL BROS PAGE 01 NICKEL DRD$. HDL/IE IWOV'N, ,L. TQ, NrCKEL BROS. HOUSE HOVrNG USA rnc. 221 Heritage Farm Lane. WA USA 98250 Tel: 360..378-3328 Fax: 250-556-8850 Email: victoria@nickelbros.com Webl>ite: www.nlckelbros.cQm Fax Transmission Date: November 1, 2005 Pages (incl. cover): 4 To: ~n ~vvr From: Christy Fax #: ~~I-Lf70q Re: AQplication for House Move, Port Anqeles Good mornil1fL. The following paQes include an application for a house move in the Port Anaeles area. which reQuires a sianature from your aQency. I have also included the details of the move and the dimensions of the house as well as a map of the move route. Please call me if you have any Questions. Thank YOU, C.~_~i~~__ n n -. _n__. n - - n - n. n n - n n --. - ".n _ n _ -- '''u u-_n__..unnn n_ -.._______u _ '" nn_. __._."^ __ _ __ _ _ n n_. __n n_ ____on ___ if you do not receive all pilgGS pleate call (2501858.2237 {(~ (.<' ~jl~J F ~~ ~ ~--p 6p7 .f 6f-~ r { ~.,.~~""",,-. (~) ~ ! ,J&-f2 '~(j4-17 -4-76 fa IMembers of the "International Structural MOvenl Association. & Be Structural Movers Associatioi$l"o\ l..~),: 'lS~ 11/01/2005 13:33 2506568850 NICKEL BROS PAGE 01 NrCKEL BROS. HOUSE NOVrNG USA J'nc. 221 Heritage Farm Lane. WA USA 98250 Tel: 360-378-3328 Fax: 25Q..856-8850 Email: victoria@nickelbros.com Website: www.nlckelbros.com N'CKE~ BHD-*- HOUlE MOV'N6 ,<< T'~ Fax Transmission Date: November 1 J 2005 Pages (Incl. cover): 4 To:..:hhn ~vvr From: Chrisb' Fax #: ~11-470q Re: A2Plication for House Move, Port Anqeles Good mornin...a.. The followinQ paQes include an application for a house move in the Port Anaeles area. which reauires a siQnature from vour 8Qencv. I have also included the details of the move and the dimensions of the house as well as a map of the move route. Please call me if you have any auestions. Thank you. C:~!i~~___.___________________..__________._..____.__________________._____________.__________..__________..._.______.___._____________.... ~'~~........ -. (~) ~ · you do .:r;r:.:"- ...... """ 1..........37 ~~ (ld+L- /' - - r _ iJ 0 kltj; 1iooo(i'M>. t' /\~~L4 of> rl~ ~ . ~);(~K( '7 f\ M C~~\~\W-VU) ~~ ~ [~ embe" of Ihe "1>>temation'l Slro"""a! Move... A_i.boo. & Be S1m"ural Mo..,. A,soeiatln '@ . -'-'-"~-I- I \ \ \ \ I r'---'- ~ \ I I \ \ I wi 3\ \:=1 B1! tL. ~\ tL.\ I I I I )i IV/VI=iUI,:? 3NIl AL'ci3dO'cid -"-'- -- -- -'-"--' ~ I Q) ..- :.r it> I I I \ - ,'---" ______ ,,9,,'Ol.-.---------'. '1 ______ "o-,zl------I-.- N t =- - ______~._________.___. "jr-,vZ----..---------------.-- ~ -,!1;; ,~J --- w \S) :::) o I ~ Z \- \S) X W ~"O','O N ~ 'I b it> .L ~ J b I N ..- ..- u.i ('L ,~ -< :ii' _.____~___________,. "O-J.z -----.-----------'---- ~ ~ s:f'- :3 ,,,0','0.. ---.- ,. --._,--.. ",' --1--.-r----- ~ .~---~- ~ Sl ~ \ <j) ~ ~ : ~r~~ I ~ ~ _ .}____ 0.'" r:. ~ ~ \ . I ~ j~,f---" ,- j * r'~~'~' ?: ~I ' 1'00','0 I l I -c ~~ - --'-- ~ ~ ~ ~ Z I Ul'~ g " _:: b , .fl.> I oj. (~ '\' I- In - I ;q.' I~:~ f.1 :Ji'o ~ r---'-~ ' " ~d - ~ i ,HUt I 0' ~ i ~ ~ t Z l).) i\l ~ '~.,--- --.._~ '. is ~ ~ --- ---\,~ \ >WI . !:::, b., l ,-.-- -.--- .'-'. ,1) ~ ....1 __1, \ ____ "Z"g.--.l ,;~~.j., ,M'O hv '., ""VII '0',1> J,;~~ 1--- "e"v ---..~ . ,,0-,'01..., _____' "vl'O l"ZI-..--,-------,.,.,----.---.-- "vll OhH ----.--.--..-----'1", ,,0','0 ,.. _ _'_" _,,_ ______.....__._.____ ._..._.___ ,,0" ,0'0 -.-...----.--------. .-.---...----- ....-_. 2:' oq> o~ ('L x D;.. liS '0) ~ 2:l'-- 0':' 0- ('L _x DCl) UJ .' tOSl _~~':cl.--""'" N '.- I~ _- ~~~ ~ ~x / wi: j;, l'D~)! N ""~~ ". ',- I \ I I \ \ \ I I I 1- 1<i \ z o \- <C D Z ::::) o LL S W -r ""-- l'lll .---- -\ \ \ \ \ I I I \ \ I I \ I \ \ \ I I \ \ I w z I ... --l ~ \ E l\ - - I w t(j tL. -.... , I 0 ~ ~ tL. Z I <( I ---1 \ ~ \- \ 0 ---1 \ ~ \ \ \ I \ \ I I \ I I 1 I I \ \ \ I -...... s w \f) ::::) o I Z - , D W > o :2 = :w... . Cd, ~,// ;S:>Oi/ 0'li / <Zi 6'0 &{ . ~:~ / 50 N Area Map This map is not intended to be used as a legal description. This map/drawing is produced by the City of Port Angeles for its own use and purposes. Any other use of this map/drawing shall not be the responsibility ~r the City. f?~ ,~ ~ Feel BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUS COMPLETE to be accepted for review. If you have any questions, ca PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: ,10 hI') tJ Address: 16 / z I E !?(t~t'N> t, CfC 4 (' (' 2 YlcJ Sr- City: I2rf Aq ek.J J Phone: Phone: 3 (; 0 tv'1I- Zip: L/fl tf2.8'c. 9<f36< Phone: State License #: 'J), ICkfdF9'1l'li'bExp: 01 la'll€) (, Phone: 'I' / C/Z S' C 1 { City: i?rI 4.~~ll I.J b Zip: Cff3( (. ~l S1 ZONING: Rl/lJ Block: 2 03 Subdivision: r p /l CLALLAMCOUNTYPARCELNUMBER: - a b:'~.~ E)@:oaJ3JC0060 Contractor Address: P OJECT ADDRESS: E.. SIZENALUATION: / SF. @ $ /SF. = $ 2- ~ 000 SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $ #'0 ""I", Fro^,", IU#'....-J.- GC"nrolc...,c, v Por c ( Oorf,G"~ C r"t off .far IL. I^oI tllJ ~ . I TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition ji1 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck 7)f. Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: /'7 ("M!' L! / ~ E ~~~ Reale-a;) Roof <1 I <'>11 tl e",J Co/l~,,~ffJ -h,,,,,,,j<;,,ho"l COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: 1i Lot Size: 7/)()o'" Existing Sq. Ft. 1098 Total lot coverage '27 % :/-0 5"f Occupant Load: . & Proposed Sq. Ft. Construction Type: ?l/i! = TOTAL Sq. Ft. I?J 'rJ , 7'7 '; ESAIW etland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: 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 time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued wi' 80 days of the date of application, the application will expire. The Building Official can extend the time for action by appli to 80 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2 a 'ca' n can be extended more than once. know the same to be true and correct. I am authorized to apply for this permit and e required ,not the City's, and th I mu obtain such permits prior to work. )05 I hereby certify that I have read and examined t understand that it is my responsibility to determ' e LOli'i~\BL-1102_13.WPd CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . .. . / REQUEST: _! J ~ Date 7jLCftJ(P Time ~~ Received by ir (phone. parsor ~~' /. f'~ /- ""21 Location of Work to be inspected ~ ~ cp Name of person requesting inspection J'l!{2W E~ - ~p. Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. &'5_ <94~ c5>FoundatiOn Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: J 4 Inspected: Date ;L/I tJ 0 ~ Remarks: O. t:. - 1.-,.".... '..,.... ~\-k '-4'...."'-e ,t- ~ (\~.... 3~ Time ~.... on (.. -ili rIM ~ (...11 - ~"- 'f1,...l- By 1,Jr> .L., altey h-.~~. /:./ - ~ ~ I / ) / /';XIG "\ RESTORATION REQUIRED . . . . .. YES X NO ) . t '-A /i'-- ~ .-/ " LI,"'~ co....., './.-.... I 4- t 4 i'z. : k...,.~ ." c..'i- I I r~tl ~"-er f' ,; '!.- ~. 1 & t..F L. (I ?1Jc. 4.. Co \r fO! ~ ;/-.. ---- - '. -. --~ u /1 t\-It-e-y q !. ~T'l;> o~ (, I' l~ be Iou...< Ihf'- ~......~ ' ~ ---.. --- ----.... SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel Q"Repaired by City: o Repaired by Permittee o No Damage Found C6Asphalt 0 PCC 0 Other Work Order # ~ COMPLETE 3//;)../07- wO--- o INCOMPLETE 0\ \d- g:d-<"- J/(f..7 " , , CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . .. . REQUEST: ~r J (l J1!- Date ~?t;; Time 0 Received by -r-,=- (phone, person) ~ / I Location of Work to be inspected ,,-1'/L! F ~ ~ Name of person requesting inspection ~ J'l'lUU E"~ - ~~. Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. CJ5_ t1/4;;;, e Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTE~ ~ / (" Inspected: Date f I [) L 0 Remarks: O. C. - \- i........ ~~..,.... 'F:,...'\-k c:-...,.,..,,~ ./:-.. ~-e..... 3~ Time ~... on (.. -fu rIM !o L.~ - 5.coc ~I-. By IJ... .Lu. alter h.....s. e. t ' i. ' \ L".,-c co.......,,'~ i 414 z . Lot....... .... (,.~ r~tl ~"'er f' ~;'L ~- U, Lt= l". II !('\i,- h Co \t . ~ lO- T" - -- --~ - . - -- --- -~ 0/1 ~lI.~y q !. ~T.l" o~ (, I' l~ ~lo"'-' /h'F' S-",p RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0Repaired by City -: o Repaired by Permittee o No Damage Found [}-Asphalt 0 PCC o Other Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)