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2624 S Lincoln St - Building
PREPARED 3/15/11 8 15 42 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/15/11 ADDRESS 2624 S LINCOLN ST SUBDIV TENANT NBR RICHARD ROSLIE ODEN CONTRACTOR COAST TO COAST CARPORTS INC PHONE (208) 436 3157 OWNER RICHARD ROSLIE ODEN PHONE (360) 460 8610 PARCEL 06 30 10 5 0 0576 0000 APPL NUMBER 10 00001450 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 3/15/11 UI BLDG FINAL TIME 01 00 March 14 2011 2 33 12 PM 1pangrle RICHARD 460 8610 BUILDING FINAL CARPORT AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES cc, Application Number 10 00001450 Date 1/04/11 Application pin number 924450 Property Address 2624 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 10 5 0 0576 0000 Tenant nbr name RICHARD ROSLIE ODEN Application type description RES ACCESSORY BUILDING Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 5040 Application desc 420 SQ FT CARPORT Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RICHARD ROSLIE ODEN COAST TO COAST CARPORTS INC 2624 S LINCOLN ST 22525 I 40 PORT ANGELES WA 98362 KNOXVILLE (360) 460 8610 (208) 436 3157 Structure Information 000 000 420 SQ FT CARPORT Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 420 SQ FT CARPORT Permit pin number 178848 Permit Fee 151 75 Issue Date 1/04/11 Valuation Expiration Date 7/03/11 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Date T:Forms /Building Division /Building Permit Contractor Plan Check Fee Qty Unit Charge Per BASE FEE 4 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 December 22 2010 11 51 10 AM sroberds The carport is closer to the structure than is permitted to be considered detached but as it is not sided the 3 separation is acceptable However the carport CANNOT be sided or attached to the primary structure MAINTAIN CLEARANCES FROM SERVICE WIRES Driveway shall not extend into asphalt at alley Charged Paid Credited 151 75 151 75 00 98 64 98 64 00 4 50 4 50 00 254 89 254 89 00 AR 72845 Due Extension 95 75 56 00 STATE SURCHARGE 4 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 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. Print Name Signature of Contractor or Authorized Agent 98 64 5040 ac) no REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) f., Signature of Owner (if owner is builder) 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 T:Forms /Building Division /Building Permit Inspection Type Date Accepted By 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 I FINAL Date MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments I FINAL Date Accented by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Date Accepted By CSI 0 0 3 15- II .2k" (12/22/2010) Pangrle permit reviews From Sue Roberds To: Linda Pangrle Date: 12/22/2010 12 10 PM Subject: permit reviews Linda: I and make sure Mr Oden knows (10 -1450) that he CANNOT side or attach the carport because it is too close to the house. If he wants to side it he needs 6' between it and the house and he only has 3' if he wants to attach it needs to be 7' from property line and it's only 3' Although strict Code says there needs to be 6' between the house and the detached structure, that 6' is for egress, which it has plenty of without siding, so without siding, the 3' is ok. Thanks, Sue \14 \\LA Page 1 Applicant �,C><ej Property Owner E- Property Owner's Address SC ,Z,,leeD/,ti/ s� Contractor C Dw y- T 004' ,�0J2 Contractor's Address 22 5 25 I- y v Knox vi Ile AR- License 6 r 1 4.9 7 0 3l0 t� T Expires PROJECT ADDRESS alha,5f ,l1/9,o /,mss P( 5Y: Lot /Q9,2 Zoning Parcel Number Project Type 8 Brief Description. )(Residential Multi- family Commercial Industrial Check all that apply 76 New Construction Cr4,R Pdt2 7 (PP- Fltdfb ,r. 1 t X 30 1 Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 S1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other 117 t- I2-H-t-t4 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Je&r oo mkt. conncv'`te 0.1d4v-a new C©ncre -ye. Ar /eWa) House garage other Heat pump wood- burning stove gas fireplace pellet stove other No Ptumbtna or Me-chant-cal Existina (sa ftt Proposed (sq. ft.) 111 q X 38 yL CJ Date%. -/jj- /b Print Name /J T Forms /Building Division /Building permit application Total footprint of structures 2 1 g 6 sq ft. T Lot size _,13 I g Site Coverage the amount of impervious surface on a parcel including structures and other impervious surfaces (see PAMC 17 94 135 for exemptions) d� $O°i-Z5b+160- 1 -5(2 4 8p2 2, $5� 4 6 525 3 1 2 z height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Z). OLe Al Phone' 3Z0 Phone „Ida- 977 6,3e8 5Sf- Phone /4 -S! ?G -3457 Sys E -mail tear off re -roof lay over one layer per sq ft. TOTAL VALUATION 5 sq ft. Lot coverage 20 paved driveways sidewalks patios Site coverage 33 3 of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain pe'rni on p ects. nature For City Use Only Date Received JZ- 12, Permit 16-t Date Approved (s, 5 oy a 121 "136, L. r- ..Park -Ave- '304 Clallam County Assessor Treasurer Property Details 64908 RICHARD /ROSLIE 0 Page 1 of 7 Clallam County Assessor Treasurer Property Search Results 64908 RICHARD /ROSLIE ODEN for Year 2011 2012 Property Account Property ID Geographic ID 0630105005760000 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 Range Location Address. 2624 S LINCOLN ST PORT ANGELES WA Neighborhood. Cycle 5 Res Neighborhood CD' Owner Name: Mailing Address: r t and Assessment Details Property Tax Information as of 12/13/2010 Amount Due if Paid on 64908 10955130 Year' Statement ID I Taxing Jurisdiction 2010 47183 ST SCH STATE SCHOOL 2010 47183 CC -GEN COUNTY CLALLAM Legal Description. Section Mapsco Map ID 2 RICHARD /ROSLIE ODEN Owner ID 43877 2624 S LINCOLN STREET Ownership 100 0000000000% PORT ANGELES WA 98362 Exemptions: PUGET SOUND CO- OP COLONY 2 ADD LOTS 19 &20 BL 5 First Second Half Half Base Base NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due. Amt. Amt. Penalty Interest Base Paid $282.80 $282.80 $0 00 $0 00 $565 60 $150 49 $150 51 $0 00 $0 00 $301 00 2010 47183 PORT PORT OF PORT ANGELES $21 15 $21 15 $0 00 $0 00 $42.30 2010 47183 PORT ANG CITY OF PORT ANGELES $348 44 $348 46 $0 00 $0 00 $696 90 2010 47183 SD #121 SCHOOL 6 ISTRICT #121 $366 30 mm $366 31 $0 00 $0 00 $732.61 2010 47183 NTH OLY LIB NORTH OLYMPIC LIBRARY $43 73 $43 73 $0 00 $0 00 $87 46 12010 47183 HOSP #2 HOSPITAL #2 $61 74 $61 74 $0 00 $0 00 $123 48 2_010_ 47183 WSMET PK DIST WILLIAM SHORE MET PARK DIST $19 64 $19 65 $0 00 $0 00 $39.29 2010 47183 M CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00 2010 47183 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1_63 2010 47183 TOTAL. $1_331 11 $1331 16 $0.00 $0.00 $2662.27 2009 649082008 ST SCH STATE SCHOOL $323 05 $323 05 $0 $0 00 $646 10 2009 649082008 CC -GEN COUNTY CLALL_AM $163 49 $16_3 50 $0 00 $0 00 $32699 2009 649082008 PORT PORT OF PORT ANGELES $23 16 $23 16 $0 00 $0 00 $46 32 2009 649082008 PORT ANG CITY OF PORT ANGELES $358 61 $358.60 $0 00 $0 00 $717.21 http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =6 12/13/2010 Issuance e:. 'i'h _caaons h�ec irc therea#tr, .re ills specit� tic buil ding .oiler ciiilatjen tlDprp 1 "there 3" 3' 12 12 12 12 12 4 Between e ch Bow 12 x 21 12 x 26 12 x 31 12 x 36 12 x 41 12 x 21 12 x 26 12 x 31 12 x 36 12 x 41 N N l R r h I 12 x 21 $895.00 18 x 21 12 x 26 $1,120.00 18 x 26 12 x 31 $1,395.00 18 x 31 12 x 36 $1,730.00 18 x 36 12 x 41 $1,895.00 18 x 41 x 21 x 26 x 31 x 36 x 41 $795.00 18 $995.00 18 $1,245.00 18 $1,555.00 18 $1,695.00 18 $995.00 $1,195.00 $1,345.00 $1,655.00 $2,095.00 W x x x x x 18 x 21 18 x 26 18 x 31 18 x 36 18 x 41 $1,095.00 18 x 21 $1,320.00 18 x 26 $1,495.00 18 x 31 $1,830.00 18 x 36 $2,295.00 18 x 41 11 .4 s r ri ,.n r l sk 4O t 0 ._.W... 21 26 31 36 41 $995.00 $1,245.00 $1,555.00 $1,895.00 $2,095.00 $1,195.00 $1,395.00 $1,695.00 $2,095.00 $2,395.00 NOTE: Vertical Buildings are 1 shorter than horizontal. $1,095.00 $1,370.00 $1,705.00 $2,070.00 $2,295.00 $1,295.00 $1,520.00 $1,845.00 $2,270.00 $2,595.00 14 Gauge 20 x 21 $1,195.00 22 20 x 26 $1,495.00 22 20 x 31 $1,895.00 22 20 x 36 $2,195.00 22 20 x 41 $2,495.00 22 12 Gauge 20 x 21 $1,295.00 22 x 21 20 x 26 $1,695.00 22 x 26 20 x 31 $2,095.00 22 x 31 20 x 36 $2,395.00 22 x 36 20 x 41 $2,695.00 22 x 41 20 x 20 x 20 x 20 x 20 x 12 Gauge REGULAR STYLE AS LOW AS .00 STANDARD 14 GAUGE, 5' LEGS Prices are for top with open sides only I x 21 $1,295.00 24 x 26 $1,595.00 24 x 31 $1,995.00 24 x 36 $2,495.00 24 x 41 $2,695.00 24 1,495.00 $1,795.00 $2,295.00 $2,895.00 $3,095.00 A -FRAME STYLE j $89 STANDARD 14 GAUGE, 6' LEGS 14 Gauge 20 x 21 $1,295.00 22 x 20 x 26 $1,620.00 22 x 20 x 31 $2,045.00 22 x 20 x 36 $2,370.00 22 x 20 x 41 $2,695.00 22 x 21 $1,395.00 22 26 1,820.00 22 31 $2,245.00 22 36 $2,570.00 22 41 $2,895.00 22 AS LOW AS x 21 x 26 x 31 x 36 x 41 00 $1,595.00 $1,920.00 $2,445.00 $3,070.00 $3,295.00 *3,795_OO/ 24 24 24 24 24 21 $1,395.00 24 26 $1,720.00 24 31 $2,145.00 24 36 $2,670.00 24 41 $2,895.00 24 STANDARD FEATURES Welded center braces (18 wide or wider) for strength there will be a brace on every leg for added support 30 x 31 x 6 14 ga 313313S IC SELLER WHICH arm Now H8 YOURS FOIL ONLY x x x x x x x x x x x x x x x 21 26 31 36 41 STANDARD FEATURES Welded center braces (18 wide or wider) for rrengrh there will be I a brace on every leg for added support j 30K31K8 BSS r Sze LLS8. WxIC73 CAN NOW cc YOURS FOIL ONLY *3,995_00 We Offer 3 Styles Prices are for top with open sides only *AFrameLongwa p p y A -Frame Vertical Roof Only *A -Frame Vertical Entire Bldg. 21 26 31 36 41 24 x 21 24 x 26 24 x 31 24 x 36 24 x 41 21 26 31 36 41 $1 495.00 $1,895.00 $2,395.00 $2,695.00 $3,095.00 $1,795.00 $2,195.00 $2,695.00 $2,995.00 $3,495.00 $1,595.00 $2,020.00 $2,545.00 $2,870.00 $3,295.00 $1,895.00 $2,320.00 $2,845.00 $3,170.00 $3,695.00 12'X21'X5' Idaho, Oregon, Wyoming, Montana, Utah AUTO Howard Cunnin 2840 East Highway 101 Port Angeles, WA (360) 452 -5050 www.lipmansauto.com cars @olypen.com S*6,2t,-NES uy -Sell- Trade Consign Cars,Trucks,RV's,Farm Equipment ,Carports,Garages,Utility Buildings,Etc, WE, C OVE I_ wh LL We understand that buying a steel budding is a significant investment for your Family or business We have high quality ,products at ffordable prices and we take in our customer service With our professionaf installation crews as well as highly skilledfabrication teams, we are a comyany that has, proven time again to get the job done with customer satisfaction. Coast to Coast Carports Inc. is your best choice for quality steel buildings WWW.COAST- TO- COASTCARPORTS.COM CUSTOM /COLORS CALL YOUR. DEALER TEL36O.452-5O5O urritim STAR G AT '7 9 22525 1.40 12721 1.27 South 3702 Industrial Park, 340 Centennial Dr 210 E. Locust,st, Knoxville,AR 72845 Amarillo,TX,79118 Gallup,NM 87305 Heyburn,I1183336 Stanfield,OR 97875 are,on Facebook and Twitter Follow Us! Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Raise mast for clearence over garage Owner RICHARD ROSLIE ODEN 2624 S LINCOLN ST PORT ANGELES (360) 460 8610 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 119 9000 ECH EL 0 200 SRV Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 ELECTRICAL ALTER 181750 119 90 2/23/11 8/22/11 Charged Paid 119 90 00 119 90 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 11 00000167 366680 2624 S LINCOLN ST 06 30 10 5 0 0576 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 119 90 00 119 90 Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 RESIDENTIAL DATE. Plan Check Fee Valuation FEEDER PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Credited 00 00 00 Date 2/23/11 RESULTS WA 98362 00 0 Extension 119 90 Due 00 00 00 INSPECTOR. Date: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 02/22/2011 09 41 FAX 360 452 9265 City of Petitimptes Pend Application IiiirliNigpOliiibl00$61 hymens 1 2044 111tr. 01640.0.*Ox 1110 Nr 6 A14 111 01 11, 111010:1 1 012 ineta0)411414fitplO) 4174n I Date: 2./) g• 1 142 Single FeMilyAmilIng MulOarnly Orp3Mmerchr COMMen$A1 /AftelatiOn Remodel Raper Name: Cfty Phone' :Unetieff Exp plairaeviewmiy*Required, Pleam Elecbtel Plan Rev* InformelimrShee JOirAddiMic _2 000100glamf DOW 1 DegrIptIonoistgv• 412r- figtd ZIAA,42.•.1.e". P5 StItS !rTAI 1 26E2 1050 1145.60 20410 $21220 437210 2.10 73.50 2.10 1210 3.11030. 1470 •POO 1140 0190 1313 SOO 119.61 10/30 i 40.30 .1. 35.20 73.60 rfr...k Name: Angeles Electric ri) MdIngliddmu: SZse 7 Sr atr nitrAnaucti bat ZIP: 04— Phone: MS 4 f AC 4 14 Ziddr" License Si Elm. 4'o4f o Motel (Oty MuNded by Unit Charnel Si 17 lieratecod. fonicer-emir 201403 Amp. SerdneFeider401400 Amp. Smvfmffeeder 614000 MO. fierottscietheimir !COO Amp. Pooch CIMIAWO Sento Fmk! &sib Chu& WO Ilevim Fodor Each PARINI WM* Cim.* Temp. SofelodFoodsr203Arr4. Temp.11sotteffaider201400 /am Tenip. Spidostradir401402504L Temp. iliMmireodyr1014000 holm PodyiNc4nts *Oa* ithIrc 62000 ChunbibriEnogy Oankyrdal. ?Adana MOO $5.00 Vend amtittimbd Dm y I 2 Fe* pw41610 SW Ctme/ Lbdimiatemy kaki* Mpg Menutaioi.Nome Coimmlat Ramo* DoMicalfroMy-IKVA Ryobrn of Um not IWO Soto Ft Each MINIM KO MpAro Ft or Pomo of Emil GAMOW arDobehod Owns Ea* sommatremopornip ThomEdot /1 TAO 7 OWneris dened&YRCW112&2•14001morsdlomsupy meow= *Mop= anorak *Moll pant t Is Sulised 0 1 Mew Is ow+ 6 Mem akfte. oxibeco a lbOtil1101004410014 Pat* ha& Of* OPies after stir swam onsNimPiett& I 4Jmr.M$1ing the etmwebtinent 1 hemby cm* NH me Sr owner el Me above aimed engirt er a No.noml slockfoll confrodon I am fild; Ws Modflooliiddidoo or m CU I IR i m 1 ft m d m MI I 1 m r s N E C RCW. Chapter 19.211, WAC.ChM*211040,Tho CI of port Ands flunkipal Cads, UM IpoOlkolloot I- Weollum :of tow olooffkol oontmolof or Mocklool mindnistudor CI Cuff EG EflVE FEB 22. 2011 ELECTRICAL INSPECTIONS od a000,70004 Application Number 05 00001154 Application pin number 088374 Property Address 2624 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 10 5 0 0576 0000 Application type description SIDING Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 17177 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 11/22/05 Owner Contractor ROSLEE DIPAOLA YOUNT /G B YOUNT EXTERIOR SDNG NTWK INC 2624 S LINCOLN ST 3566 E MCKINLEY AVE PORT ANGELES WA 983626306 TACOMA WA 98404 (253) 627 0101 Permit BUILDING PERMIT NO PR FEE Additional desc REPLACEMENT SIDING ON HOUSE Permit pin number 65821 Permit Fee 319 75 Plan Check Fee 00 Issue Date 11/22/05 Valuation 17177 Expiration Date 5/21/06 Qty Unit Charge Per Extension BASE FEE 95 75 16 00 14 0000 THOU BL -2001 25K (14 PER K) 224 00 Fee summary Charged Paid Credited Due Permit Fee Total 319 75 319 75 00 00 Plan Check Total 00 00 00 00 Grand Total 319 75 319 75 00 00 6 Separate Permits are required forelectrical 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 fora 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 constructs n. �6 .4 /47 /0( Signature of Contractor or Authorized Agent Date Signature of Owner Of owner is builder) Date S 3 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL YES I NO FINAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 I PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 14"'N w I I I I PLANNING DEPT BUILDING 417 -4815 1 joi r y eJ L8--zo I 10 I BUILDING T \Policies \1102_15 building permit inspection record05.wpd [I/4/20b5] FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I Address Architect/Engineer TYPE OF WORK. Residential Multi family Commercial BRIEF DESCRIPTION OF THE lac Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLET to he accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: E X *g 12101? S, d, I1 Owner OA OLA (OSJ. f L Phone Aity' C2rf4/? e4V3 Contractor a atate License Exp Phone Address. 364'6 E 1 r J City• l c 7 7 Y L O L 1 140, Zip 98/04 PROJECT ADDRESS G 4 4 S. a L i ri r r1 hi ZONING 05 7 LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. New Constr Addition Remodel Repair Re -roof Move Demolition Sign PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories. Lot Size: Existing Sq Ft. SIZE/VALUATION Stove SF /SF Garage SF /SF Deck SF /SF 'E Others CL Y14 TOTAL VALUATION I 77 6 ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone 46"3 re,,a7 0/0 Occupant Load. Proposed Sq Ft. Phone 119 c)S-e FOR OFFICIAL USE ONLY Date Rec. 41— D_ S Permit 4 Date Approved. Date issued. 4s -9363 Zip C 75(3( I Construction Type: TOTAL Sq Ft. APPROVALS PLAN BLDG DPWU FIRE OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Buildmg Division to comply with current fee schedules. Contact the Permit Coordinator at 417 4815 for assistance. PLAN CHECK FEE IF a plan check feeds 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 If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. TAPolicies\BL 1102_13 wpd Applicant: Date: /Y/ OS .... CITy OF PORT ANGELES °~' DEPARTMENT OF COMMUNITY I~EVELOPMENT - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 .... ~ .... ~; ~;;;;; ~.,~$LIk.!.~. ~ik:u~ ~- ..........~ ...... OWNER/APPLICANT PROPERTY LOCATION 2624 LINCOLN S GEORGE B. YOUNT 2624 SO. LINCOLN STREET Lot: 19 & 20 Port Angeles, WA 98362 Block: 5 [] Long Legal 360/457-9353 Subdivision: PSCC 2NDADDNT. T: S: Parcel No: 063015005760000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 206/000-0000 ~ / PROJECT INFO Project Value: $30,000.00 Commercial: 0 Project Type: ADDITION Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: \~, Construction Type: '~"~' Zoning Use: ~',.~ PROJECT NOTES ADDNT. 1080 SQ. FT. TWO STOR~' VlTH 180 SQ. FT DECK AND PLUMBING FEES ASSESSMENT Building Permit: $442.25 Misc Fee 1: $0.00 Plan Check: $176.90 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 0 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $680.40 Plumbing: $26.00 AMOUNT PAID: $680.40 Mechanical: $30.75 BALANCE DUE: $0.00 Radon: $0.00 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 certi~ 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 Sign~ure o/i~wner ' ~/wner is I~uilder) - Date T:\PLANNING\FORMS\ 1102.15 [412002] BUILDING PERMIT INSPECTIC~',~.LE,~ORD' ,~' ~ ' CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY ~VORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE ] DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: g PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS [ CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT g's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOKELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT 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:~PLANNING~FORMS\ 1102.15 [4/2002] ,-,~i'.~"'..~c\-,~~~,;~r~i~~.~~~~~~ ~ ~OFlT ~ 8~ ~~~ Ra L~ ---- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000092 Date .729432 2624 S LINCOLN ST 06-30-10-5-0-0576-0000- ELECTRICAL ONLY 2/05/04 C) ~ \ --D RS7 RESDNTL SINGLE FAMILY o ~ Owner Contractor ROSLEE DIPAOLA-YOUNT/G B YOUNT 2624 S LINCOLN ST PORT ANGELES WA 983626306 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 90A SUB-PNL./ 6 CIR. ELECTRIC SERVICE 76.30 Plan Check Fee 2/05/04 Valuation 8/03/04 .00 o \:"'- D l ~ ~ ro. ...~, -..... -..... V\ -.......... ;r...~ ,....... l \ c:, 1 ---------------------------------------------------------------------------- Qty Unit Charge Per 1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 76.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76.30 76.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 76.30 76.30 .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:\PLANNING\FORMS\1102.15 [11/14/2003] ..- :'<.,,",,,;];~>~;: <'..~.'" BUILDING PERMIT INSPECTION RECORD .. CALL 417-4815 FOR BUILDING INSPECTIONS. 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 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 DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN ~- <-- Ol( IlJR'.lJ PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO 8LDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED /) YES NO ELECTRICAL - LIGHT DEPT. 417-4735 (1- f-Ot( j( /(~ ELECTRICAL LIGHT DEPT 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:\PLANNING\FORMS\1102.15 [11/14/2003] :ff'-=-'1'!lT""-\t, $""'O~~t, rea ~-- 't,\1C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000464 2624 S LINCOLN ST 0630105005760000 PLUMBING REPAIR Date 5/13/03 Owner Contractor @ 4000 ROSLEE DIPAOLA-YOUNT/G B YOUNT 2624 S LINCOLN ST PORT ANGELES WA 983626306 OLYMPIC IRRIGATION AND LANDSCA 263 OXENFURD RD. PORT ANGELES WA 98363 (360) 928-3633 Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 54.00 5/13/03 11/09/03 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 54.00 .00 .00 ~ ~ '}) -l:. ~ G .. j-- - .:s S -- ~ ~ 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 cons ction. Signature of Owner (if owner is builder) Date T'\PLANNING\FORMS\ll 02.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 ,"- ~,. FOUNDATION: . '- " FOOTINGS ~ ..._....6 ..~. ) WALLS \"---:.! .....r.-.... FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING 1 MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVIsIOn) SEPARATE PERMIT #'s' WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKINGILIGHTING ESA- LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 ^ PLANNING DEPT BUILDING 417-4815 : B-:z..h~~.3 ;~t'5 BUILDING T \PLANNING\FORMS\I 102.15 [4/2002] . ( L _ ---....,- -- ,~~\ . BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec .5;-IS-03 PermIt # ~t"'r Date Approved Date Issued. Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent: ~IC ~ Owner:---.Mll ~ MRs. V\ (S\)~ Address: a.b.;2.t{- S. lLNC!n-.N Phone: q'L~ ?;:'b?~ Phone: CIty: (6(L1' ~~ Wt) Zip: qa~6'2.. Architect/Engineer: Phone: ContractortlJ,tf'v'V\)tC.tOO~ ~State License #Cl'1Wl{1lc::cY.>f"$.p: b-1.ro'J, Address: db3 b~~W <Z1) CIty: (/o(L't" bN~ WI) PROJECT ADDRESS: ~;t.~ S WN~L.I\I Phone: Zip: cfif 3b '3 ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA Me # TYPE OF WORK: o ReSIdentIal 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o CommercIal 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: l"\~ ck ~~~ City: Exp. Date: o Stove o Garage o Deck o Other V SIZEN ALUATlON: SF.@$ /SF.=$ SF.@$ /SF.=$ SF.@$ /SF.=$ TOTAL V ALUA TION $ 4bcO.- S-914NtL.l:EL ~~~ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories. Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. EXIsting lot coverage _ % & Proposed lot coverage _% = Total lot coverage ConstructiOn Type: = TOTAL Sq.Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): 0 Yes 0 No SEPA ChecklIst required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building DiVision can provide you with mformation on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. 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 permlt application and constructIon plans are sublTIltted. All other permlt fees are due at the tIme of permlt issuance. EXPIRATION OF PLAN REVIEW: If no permlt is issued withm 180 days of the date ofapphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the apphcant (see SectIon 107.4 of the Umform BUlldmg Code, current editIon). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are requifi ,no the . 's, and tha mu obtain such permits prior to work Date: 5//3/03 Apphcant. T \FORMS\APPS\BUlldmgpenmt wpd f pORT ~ t.J.O~~~ ". "- -=.;or ~ ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PEkMIT OWNER/APPLICANT GEORGE B. YOUNT 2624 SO. LINCOLN STREET Port Angeles, W A 98362 360/457-9353 T: S: .....t:t'\:IVIII I'IV. 1')0":;;) ISSUED: 10/30/2002 PROPERTY LOCATION 2624 LINCOLN S Lot: 19 & 20 Block: 5 D Long Legal , Subdivision:' PSCC 2ND ADDNT. Parcel No: 063015005760000 ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD sa FT: 0 MFD Units: 0 MFD sa FT: 0 Misc Fee 1: Misc Fee 2: Misc Fee 3: CONTRACTOR OWNER VARIOUS Port Angeles, W A 99360 206/000-0000 PROJECT INFO Project Value: $18,000.00 Project Type: GARAGE NEW Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: Commercial: Industrial: Garage: ~ E; ~ X o o o $0.00 $0.00 $0.00 tD ,," :z. \' ~ -. :5 () () 5 PROJECT NOTES NEW 1200 sa. FT. ATTACHED GARAGE AND REMODEL 220 sa. FT. LAUNDRY ROOM RECEIPT#9192 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $293.25 $117.30 $000 $0.00 $0.00 $0.00 $26.00 $30.75 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $467.30 $467.30 $0.00 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 T'IPLANNINGIFORMSII102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: 'L- \ '-(')7_ LEft MaD ~ FOOTINGS q CAV'CAS-t:... WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN r<-i~ -(9JJ ..J ~ L. WATER LINE GAS LINE 01'-\.\ J.J e. ) J s 7., -I r,; -tr3 T: ~ . BACK FLOW / WATER AIR SEAL V WALLS 'L-I1-oJ./ \ L< CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING 3 -3/-a~ f(LJ DRYWALL T-BAR INSULATION SLAB II / , r { WALL / FLOOR / CEILING 1HJ-'117/V'1 I ...J, k MECHANICAL "7 I HEAT PUMP WOOD STOVE / PELLET / CillMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA- LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 Cl- r:J.. -(-.,1-/ r) J-).-. BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 1-1 0- f!) If \ , ~ Time )..} tes-' {J./1)jJ Received by\if~ (PhoneB Location of Work to be inspected {f6 ().)-J Se,) J J1 (? dJ/;/l Name of person requesting inspection G pd) 7J.D Vc> v-vVj- , -L-~ Address of person requesting inspection 1J--f''J..1/ KI'J.. ,,)1J1~i?' Lvrhone No. (!j7?-.$'Z.~ J Type of Inspection (circle appropriate one): ~ Permit No. 13 'f?f)..6~ Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other INSPECTION NOTES!: I . - Inspected: Date t'JJ'2{Vc! Time~1'1 By ~U ~ Remarks: pJ>It$!< - 1(" '" ! J I ,.,:j- n ho.;~ p hop"" ,fk f }-ICl;: 'h ft1'JfJ"fd10IQ RESTORATION REQUIRED . . . . .. YES NO (ct<-) tJ0 ~UOfAPS )J~l~'a ~ IF r;L6cliU L ~p T4;-~t! h'~~1 6vJ.J,'uCj - 6'0 (L. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC D Repaired by City D Repaired by Permittee D No Damage Found o Other Work Order # o COMPLETE o INCOMPLETE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date 8 -/2- DL( Time Received by {2\) (phone, person) I Location of Work to be inspected ok, d..tJ S ^ L, V1 Co! V\ Name of person requesting inspection G-9~(,,) \r--8~ Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimn Phone No. '-157- 9"_-;:5'""3 Permit No. -=# /:;?8'LS- INSPECTION NOT~~:. ^ (~, l Inspected: Date~_ Remarks: Sewer Excav. Other By ~ ~~ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date /2 - /O-O,"?--- Time / Received by f<t! (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspecti circle appropriate one): ;<.Ca.2Y ~ /;Ve.. ViIL~ II 1- / vtC..o L '^ Phone No. 1"tL) <i?> "?!;71O Permit No. j__'5AZS;- Sew Chimney Plumbing Final Sewer Excav. Other Inspected: Date Remarks: /i/ ~ ( / ' ;J (;/~ ' j~---- ~~~~ ,../ ~/~ /, , ~ Time By RESTORATION REQUIRED. . . . .. YES NO ---- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE " (Continue on reverse side if necessary) ~TRFFT ~I JPFRINTFNnFNT IDA TEl CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . ~ REQUEST: Date /9) lip? Received by ~ -Spersonl Time 1/"1 () Location of Work to be inspected f)-h P-1 5". , Name of person requesting inspection (7..... {~r~12 Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: _ /J Inspected: Date 3'111--03 Time 2. 30 ,,4.v- By '-'i~J.. / Remarks: ruo ::;;~ I,...~ 1/1/ A"4't;f~ ,tI-+c..~tM ll-r..l-$i SF4 ~'..l &l..oc.~ ~(~~~ ~c~~ ~~:~:if~ . 6~ ~r RESTORATION REQUIRED . . . . .. YES NO ........,--.----- r /.J., ,1'11 --~O ( \ \ , 1 - /PIG J u" ~ C/o ~~\ i !/A . ~ ") ~,.1f>"--: . ,< \ vi' 1-'1'7/ ~ ~ I ! \ SURFACE RESTORATION: I ~ SURFACE TYPE: 0 Unimproved o Gravel o Repaired by City [] Repaired by Permittee o No Damage Found r~l( if; '5...0 1)6 r ) ." 4 r- D~I o Asphalt 0 PCC Work Order # o COMPLETE o INCOMPLETE o Other (Continue on reverse side if necessary) ~TRFFT ~I JPFRINTFNnFNT /nATEI CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . REQUEST: Date 03 -3/ - 0 ~ Time lo.r /J- Received by / Location of Work to be inspected 8-fj;[)--/( Sc Iti-t c..eJ Id Name of person requesting inspection 6 Q.CJ U V ('? <' ,,{,1- Address of person requesting inspection Phone No. ?' -7' r363 Type of Inspection (circle appropriate one): Permit No. /58 ZS- Sewer Foundatio"8 Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date .~ -:5 1- () ~ Remarks: Time By PI/ - Ok RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) ~TRFFT ~IJPFRINTFNnFNT /DATEI CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . REOUEST: Date a., \ tl I dL l /' . . . . Time \. t '. ~t) Received by ~ L-- L J"-lC-o L.-\ (phone, person location of Work to be inspected {).. ~ J... cf Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing s Phone No. Permit No. 13~c/( Final Sewer Excav. Other fA I fL- S ~va--- J INSPECTION NOTES:i / Inspected: Date 9 " I 01 Remarks: Time---f1Y1 By ~. RESTORATION REQUIRED . . . . .. YES NO r G, (;;:;u~G:: A-\ (L L{ S-'~ - Lj 'SS- 3 s~@-- J fJ IJp JID'; &\) 1"--" J ~ LL " SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE /(~nntinl.p on reverse side if necessary) ~TREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . ./ . . . . REOUEST: Date .2 - /7 .... () L/ Time Received by R\J (phone, person Location of Work to be inspected 2. b 2. t..( dS Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final ( LtUc.clV( Phone No. '157- '7.$S':S Permit No. /382,:;:- Sewer Excav. eU<,'<.4i':J INSPECTION NOTES: l Inspected: Date 21, OJ 0 ~ Remarks: Time ~ (Vl By :JL- 'AP RESTORATION REQUIRED . . . . .. YES NO r SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE Ir.nntinllp. nn reverse side if necessarvl ~TREET SUPERINTENDENT (DATE) BUILDING PERMIT - APPLICATION FOR OFFIC~L USE ONLY' Date Rec b - Z -6 '"Z...- PermIt #. 1'~ ~ f::;.. U- Date Approved. Date Issued . ~~.p The Building Permit Apphcation must befilled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent:~ee a.ud qp~e l(OlA\.1t Phone: 3Co()- 4S; 7- 9553 Owner: i?osWIltU 1>t'~l)!a-YoL((Il.t- ~ G'aJV1t'13.\{()IAVd:.._Phone: 3foO 457- 9353 Address: 2(,; '),,1-1 0~t( ~~Jf;f Si-. City: -p,,("+ AurreJes Zip: 9~$&;2 Architect/Engineer: Contractor t1J W AJI.J'7'L- Phone: License #: Exp: Phone: Address: Zip: City: \ PROJECT ADDRESS. ~G:,~ 1./ So Lt .A.c:...c.{ ""'\. ZONING: LEGAL DESCRIPTION: Lot: I q '-(,- '2..c? Block: S Subdivision: P~<:.s:::.. 2'...,) A~II\.\-. CLALLAM COUNTY PARCEL NUMBER:68c/$oc57baoc Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZEN ALUA TION: ~ Residential 0 New Constr. 0 Re-roof 0 Wood-stove SF. @ $ /SF. =.$ o Multi-family ~ Addition 0 Move 0 Garage _ _ SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck _ J -e0:::1 SF. @ $ /SF. = $'_ 1;1 Repair 0 Sign 0 TOTAL VALUATION $ if1c>O..o- BRIEF DESCRIPTION OF THE PROJECT: --11.dd Ok 1l"<C~~io\lt \/""ti-IJ/IlL COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load. Construction Type: /)/iO No. of Stories: ~ Lot Size: /p()7<I'Io-:= 1"1 % Lot Coverage: '-6 t Cj, ,,% . , Existing Lot Coverage: 14'18 /sq. ft. + Proposed Lot Coverage: __rzo~ /sq. ft. = TOTAL LOT COVERAGE. 2'=-'18 _/sq. ft. PLANNING USE ONL Y. APPROVALS: PLAN Notes: BLDG. DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checkhst required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION. SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you'~with more detailed information on the applicatiOn and plan submittal requirements. Your completed application, site plan (for additions) and buildmg construction plans are to be submitted to the Buildmg DiViSiOn. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. This figure wtll be reviewed and may be revised by the BUildmg Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the hme 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 within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the apphcant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No apphcation can be extended more than once. I hereby certify that I have read and examined this applicatIOn and know the same to be true and correct, and I am authorzzed to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required, it remains the applicant's responsibility to determzne what permits are required and to obtain such . APPlicant'~~~' /ll'7f3~ '<~"'L T.\FO RMS\APPS\Bulld ingpermi t o 0.l N I , ~ i I -t--- i ~ , i I \'(\ N -;>0\ 1 I I T I I~I ~ ! ':.. ':$ -'r- 0 -<( ~ C) "f 12~ .,.. <:) \ -+- I'J <:Y"p -' ~ ""' 1 Z L ,9-i>..",h \ I .~ C( J 1\1 .1 -7P' \, -/ '-- ~ -t 2 -+-- 't ~ '- 0 ~ 0 I ~ , I " <'<I I ~ ('(')1 \ I 1 I I In I k '-Sl r!~ 1:; //,;, ~".~ ~ ;>'-1' "i'" '""Q' t r-- -_..- .. .. '~ t<) + z oJ -l C> "- :L u 0 ;::::>- l'- Q::: t -<:C -1 (.:L 11X20 30X24 32X14 EXisting Garage EXisting House EXisting House Total Square Feet Square Feet 220 720 448 1,388 1,200 60 1,260 2,648 14,000 19% New Construction: 3Ox40 New Garage 6X10 Back Porch Addition Total Square Feet Total Square Foot Foot Pnnt 100X 140 Land: This does not Include right of ways or easements The alley IS 12 feet wide Pecentage Of Covered Area: '0 ~\ x r; eo!UI. e ~. 1 Q os. Le ("~ liNN Y C?U tV I . ~ 0..:2IfO-S, /-'Ne-.O LN ~ / -. po Il- T IT-Alq e./ e ~ , J,-J 11-..5. H. '7 e- 3 "" z- ,. q 2002 MAY 34 PM 2: 24 " ~ II ~ 1/1111/111111//111/1111111 (]) FILED FOR RECORO ^ T THE REaUEST :?!k~. ,'cCOROED Iii :,:.C'1~,);/('l^Ll^H co. 2002 1086222 Clallam County -. - " vC ZONING LOT COVENANT I1WE the undersigned owner(s) of the following described property: (Insert legal description here) () 0 (' ( . J..(J.fs 19 a.ud 20 ~ J3f"d:: 5 Or ?lA.tJef- J-eu.ua CJ()r~ncJ-.€..; colt>Ytlj:O ~COud ()..cfcr,'It~vc a~ 7~.J- ~eres,. I as .~~ I~ Llt?Jut."e.. I or;. nGt~ 1"2.) ~cCl...ds at craH~Vt( C'19INVC)EjJ fl(/a.sk~~ do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 "l" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). II This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and loea land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DATED this "31 day of ~ I 20Qz.... k&5J.ep-4tJ/V 7)rp~/A.- ~ v/lJ-t (Owner) / GecMfe 7:,. ~L(IA-f (Owner) ...:.... (Owner) (Owner) STATE OF WASHINGTON) COUNTY OF CLALLAM ) ss I,~I/f2.. ~<s. ~1ae,J.s , Notary Public in and for the State of Washington, do hereby certify that on thi day of ~ ' 20ag personally appeared before me ~ v Ie. e. - /? n/7 ::J;~/IJJ.C>/Q - 'jt!"Jl..Lnt- ' and Q,C"'o'J~e f?:,.. ~6o..Y\-t to me known to be the individual(s) desribed in and who executed the ithin instrument and acknowledged that ~ 0 . J-:-- signed and sealed the same as -+ 11 O..l 1)\ ___ free and voluntary act and deed for the purposes herem mentione . GIVEN UNDER MY HAND AND OFFICIAL SEAL this ~ q)'X^l+ day of - \\\\\\11111'''''11. ':0.""'''' ~OBE'.q :l11'~ *' c:a, . .......... 0 \S' ~ fl~.....'\~R~~ -:.\ - ", ~O 1\...... ~ J 0 - =.... ... (fI/lO ... = ~ Q~. ",(I 0 ~ ~ PU$~~ ~, .~ s AUDIT~':Wppm ~ ~I'II ~ 9 F ~,~ Filed for recot'(t!"Mf\f1~~st of ~0--IJ~ '71/~ 20~ NOTARY PUBLIC in an Washington residing at Po 1\ ef\-l- ~cA ~\''\l\'-;~I..,I ~U~fu~ayof 20....Q.O-. CLALL* ADm I 0 I J Gttkv ~UL By: ~ Cayttj~ ~ /I.::. I' Sco.le.. ~ ~ ~~"" w..,t. ~,.,. ~~h#""60;'" 11' 20' CITY OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans, speCIfi- cations and other data shall not prevent the building official from thereafter reqUiring the correction of errors In said plans, specificatIOns and other data, or from preventing bUilding operatIOns being earned on thereunder when In VIOlation of all codes and ordinances of thiS lunsdlcbon. (:>ECTION 303(c) . Uniform BUilding Code.) t\~~~oval Date /O-3CJ~c:r2_BY R V Ge'c.?~'e lS. YOt.<l1 t 1.".24 r. ~/c.( S'tv-eet P(1Yt tk~ele5 vJA 457- 935J ~ J '.' ,'~ OCIIJIQS I fICIN SM1MM..E ..,. Ul' F'l1.r ~~ tRUSSa."- GO ~ .. S'ftI)S . I.- 00 7/..-fa SMU'tUtl 1WlK ~ OR l'Cl Y1N\'L .IOfNlJ 1'IUISI'MLL COfCOT fClt ~ '::.sfUlt.CWC Tll 24-MAtWO SOFflTa aPEN .. 8t-.. WH1"INCI It <;> .. ex) IlCt .... SILL W/fll-XIO. ANtHIR aU .72- 00 1MJ WlntlN"-OP' EMH lEND .- CQCRt'tf: SUI OVER 2-. SAND NIl) . M,f. POLY VAPOR '-flR AND CIIIWn' HATI~ m'L CROSS SECTION 1/4n=1 '_On ........,TH'O ~ SUIt ./II-xI.- PCD1't. · · "'(3) f4 .. 00N1'. 30 ' -0 II - -.. 12'-0>> 6'-0" 6'-0" ~" 3t-o" / " \ , 8o.tO BAY WI NtGY 3088 It Y :a- ... 9 " 1llt - ' '. " .. " ,..... " = i <;> ... CO . , 0 l .. 8070 CO lit , , ,I " 1~; :l 9 " 9 " " '~ " ,,' , t.l~ .. - ... t') ,.., ,- - It 1> '" 8070 <<J /L ./ .' / F " :t .' 0 (!) - t z ,-, . ~l~ l~'" r. '. " .. - " ' " \' ... ,-, l'~\" 0 f- . , .J.. ~1\ (I) ., - >< " 3088 . -.-1 .. W CITV OF PORT ANGELES - Construction Plans ;: The Issuance of this permit based upon these plans, speclfi- 1> catIOns and other data shall not prevent the bUilding official .. from thereafter reqUiTing the correction of errors In said "'It' plans, specificatIOns and other data, or from preventing - bUilding operations being carried on thereunder when in I vlolahon of all codes and ordinances of thiS jUTlsdlcbon. 9 (SECTION 303(c) - Umform BUlldmg COde~ :I . Approval Date 10-5/>-02 By .. T 0) -, , .. ~~. to .;. 3088 .' '1 , 1 , 4'-6'\ , : , " .' ).. '~ ...... "'....... L. GARAGE, "FOR GEORGE ,YOUNT . 9-11-02 "-- ", 2624 S LINCOLN ST. REVISiONs: It " ... ~ 380-457-9353 SCAlE: 1/4--1 '0"_.____ ~ t- ~ l- (I) -{f: \~ f! ,ORT ~ l~~ ". "-~ ~ ~"'~ CITY OF PORT ANGELES' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000408 2624 S LINCOLN ST 0630105005760000 ELECTRICAL ONLY Date 5/13/03 o Owner Contractor ROSLEE DIPAOLA-YOUNT/G B YOUNT 2624 S LINCOLN ST PORT ANGELES~ WA 983626306 , ;!-I OWNER , , ------------------------------ Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 64.90 5/13/03 11/09/03 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64.90 ~ ~ \> -t Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.90 64.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.90 64.90 .00 .00 fA ~ :t~ ~~ ~ ~ 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 lC!w regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T \PLANNING\FORMS\II02.15 [4/2002] ,.. , . BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE (LIGHT DEPn SEPARATE PERMIT' # ELECTRICAL ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING I JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS I I PW UTILITIES 1 SITE WORK (Engmeenng DIVIsion) SEPARATE PERMIT #'s. WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s PARKINGILIGHTING LANDSCAPING SEPA. '7/17,A ESA- r-v V SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES COMMERCIAL NO ELECTRICAL - LIGHT DEPT. 417-4735 11hJp~ I~ , J ELECTRICAL LIGHT DEPT CONSTRUCTION - R W PW 1 ENGINEERING CONSTRUCTION R W 1 PWI ENGINEERING 417-4807 417-4653 FIRE DEPT FIRE PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [4/2002] COMMENTS (J/I1clU c:5~ DATE /1'1 ACCEPTED YES NO Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. . ELECTRICAL PERMIT DATE o? 7.;<' </ 7ps/9o .&:J . o READY FOR INSPECTION License Number: )(WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: I Owner/Business Address: , Phone: Sq. Ft. DetailslDescription: ~ Residential Heat KW IZo- o Baseboard 0 Furnace/Boller o Heatpump ~ Othe~ o Commerciai/lndustrial load 0 Add/aiter circuits Total Connected load 0 Auxiliary power (attach breakdown) (list beiow) Total Motor load 0 Special equipment (attach breakdown) (iist below) Rlf~;Uf ~,if. Il-dclrtJ () / o New Construction o Remodel o Service update/alter/repair ;s<r Overhead o UndergrOun~..k> Voltage /~ '-2"'.... \l(:;10 03.0' Service size .::2J().n o Temporary Amps 1000,('fAj ~ tv,./4 /~J.4 ~ ~ ~ . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. JbP!' '$. O.K. to connect service iJ Final O.K. !If' Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Permit/Receipt No. . I ~~ Installer: New Meters I I I N6tily the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. ~~ NO OCCUPANCY OR USE ESTABLlSHEO UNOER THIS PERMIT ~ t!fJ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLY~PIC. PRINTERS, INC. .. ELECTRICAL PERMIT APPLICATION =CI~;~r.L^\ "'~ ",..."d' 1?e, . Datel"ue.J: The Electrical Permit Application must be filled out comDletetv. Please type or reprint In Ink. "you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 iOB OWne, or Eec. Contractor Agent: Phone: Property Owner: G~~e /;. yt'LfA.f . " Address:_17",k ay (."t:. Zf/lZcJ S. Utadf'-I ~ity: Pw-? l/ur-kr; Electrical Contractor: Ucense #: Fax: Phone: 45'7- 9Sr:;3 Zip: ~~t.2. Exp: Phone: INSTALLATION WIRED BY: ",.OWNER City: o ELECTRICAL CONTRACTOR Zip: Address: Credit Card Holder Name: Zip: VISA: City: Exp. Date: Billing Address: Credit Card Number: MC:_ PROJECT ADDRESS: U ~1 5 UNCQ<UV Sr. TYPE OF WORK: Check all that apply: 0 New gfJ Alteration! Addition !Xl Residental 0 Multi-family o Commercial 0 Mobile Home , Sq. Ft. l/.CKJ o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 S,eptic P,umpD Low Voltage 0 Telecom. 0 S Number of Circuits added orallerad: ,c" ' ,J " DESCRIPTIONOFTHEELECTRIC~LPROJECT:A~ VI-e.u.J g-,<rll;~'P +6 ga.f'o':=:,e . o Baseboard o Furnace o Heat Pump o Fan-Wall -~ -~ -~ -~ -;iiA" 5t:M1a: Service Information Electrical Heat Load Additions 00 Overhead Service o Temp Service o Underground Service Voltage: JI r; Phase: il9 1 0 dO Service Size: 2./ -'I' Feeder Size: PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex, a one . line drawing of the Electrical Service, Feeders, building size (sq. ft.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I . authorized apply for this permit. I understand it is not the City's legal responsibility to determine what permits are rebi~ d; it remains the applicants responsibility to determine what permits are required and to obtain such. t-/t4 0 1"- ~ ( I , A-( - c5 r /r7 Ie; - ~'F ..d-\ '-- ....., CanI ..._. S~"""'" ~ Owner or Elec. Cont., Signature:~ I' Date: PW-9019 ~.lV~w<l (J Date;f~~ P3 ... lll~. El\i ;ervice-Entrance Panel , . 20.Volt :;',lIlCh :Ircuit -/ot ::onductor (. t,'.' ,. f F r l; i; ./ ~ ~. \ , ~ ~ ~rounding ~Ol1dllctor ::J,-oundin9 JUS Bar \JelitrClI-to- -:JroLJlld :onnector i\Jeutrd/ Conductor Grounding Conductor ~tJO ,) '-) ., "3 J '1 ') :1) V) 7 ) Nellt,..)1 Bus RlI Hot Conductor" / Nelllr,]1 Conductor It) ,~~:;1i~t:l ..H."""'l' ~;'j~*-< N..l)"'^< rt"'f'fi"'" ~iif'~:\ '.f1f.~}~i~~~ . .....&...m., 12U Volt i3rdll (Irel tt) "N To GrOL Eli'ct 1-fl7'1;Q "SQ.......', 'C.c/ / 7 (?<?." ~ (?. t:1t-~ 10 &0 tN// IT ;:'I./<t1U!-t t,( S 3 pi:' {t.cAw ~ '.$ 1<.:r.5 (pO Wft71 /0 " :.1 ;j ! l( + I 11 '7! (~J( ?</eA 17-4./ ) . , ' , , " ,;., . .'.... ., + I WCA ru-J fC-t....U; - , I l..t 1:0:.' ~ $' /> ",.,.. - n..JJ i W4I/ .' dtJ../) !{! )l; ()<<-p A)~.., '-' u '" ,. ". , ;, 0<>-;0 1-'<. t( jf>~ ,f@",. ,.I p""<,, u.. 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G <; 1'-":"":-.:1 /3 """'1 ~.,"'''' f4 .I wI b,'."'......,4o.., i~\/ '-Il"'c...'<- J , ~ I I , . I I I AI (lot> ~, .:;J<!.... l"~~ )i-J ti .. , J <,'~ l\ i // f ~/ 1,1 // I ~" . ;/ '-"\. J 3 w.~ ~,..J. VoJ. OI'I.'\~t..'t; ;/ ./ 1tt+4e..1t , !--. r.:-__ 't HI<.-K - -- I~ ~fJ cJ<f!.c......, I __ t_'" I ttMUc l..~ k.l I,^{ t cu " s !a " ~ I I t~ B ~Ij , I i' , I Hi S ~ , I 8 I, I m. I 1 t: !' ...t)~';j;) r;I>tCV ~ ," _I ".~~ ., u~--' ,I I / ,/ "" I' ;1 r;') ..') (IS' Iw-IrI .;..J 0 (f'[ ---- --,.--..- ""~- ..--- ,....."...... N ~ 3 r'.!.. ;)1 !..""'O 1'~.rr'I "')~ I-t(f)S L I /""'-;)711 D -, , . . - C! I,eCU.J I '? S~........d~ ;;00 ~p $.ut.- AI J [. .- I 'I.vl..... Tr 'I ()....p Ic.-I( I s- ~p C/~C...', T c; t - - - - 1 /~ :///0/ 0, / -----. rB'J -. ~'--'---c1-r ~ c.u s FROM Electric~5 FRX NO. 4526424 Feb. 042004 09: i9RM Pi ELECTRICAL PERMIT APPLICATION roR. O~IClA.l USli 0,.. D:llclJ:!lC.:.~ ~.: - D.uo~...~~.= tJ_1sw.t Th~ ElactrtcaJ Pe,'" It AllPlicatlcn muot be fllled out completelll. P ,....Iypll orreprlnt In i"k. Ifyau hav...y qullStlona. pie... call (380) 417..7. Fall number. f31D)417~11 0'1- 92- o..nerorEle<,Con~.otcrA.eent Eld"'l'~~ .S~.....v; a.. 1~PhO"e: propettyONner: r~r-~ I. 1'ovr. t ' Add.....: 2.10 :l..-\..f: s: _ \"';'n.- c;.r.k,~ _P J.l. t:::( L r. _' ...,.-, _ eLE:c:..T' ElllCtrfcalConltactor: t:: ~Tni-- ..:::.'!.JfV, ~ ,-I.:OS.,,:' ~i_..#:S.a:: )1"1.6-'1 EXIl: . AddlllSa: R''':l- 0r-~.- Vc./tt,lrrd Clty:-8..r..:J .Ab1~'J.1J..'S" INSTAL~TION WIRED BY: Cl OWNER CI EI.ECTRICA~ CONTRACTOR CretHt Card Holder Name: i..t.,":2.'G,fj~':;jFax: '76'2-~) 'J:2..~ Phon&: Lrs 7-CC'3: ZIp: qg1~ "'iJ''1/P''f , Phan.:llti Zip: '7 g~ ( BliNn, A/HItas: Credit C8nJ Number. On ~Clty: l Exp. 01,.: ZJp: II1SA:_ ~ I PROJECT ADDRESS: TYPE OF WORK: J.. <e> J./::f Check all that apply. s. li V!.C.z h" ~ew Cl A1tlll8tiDnlAddUlon -{) fJ y:.ReSldantJal Cl Multi-family D Commilrcl81 . D Mobile 'Home sq. Fl . o Remote Mater 0 Detached garage o Hot Tub, 0 Swim Pool 0 Seplie Pump' "0 LowVoItage Number afClrcults added Dr a,~ered: ~ . ( _ " . DESCRIPTlON OF THE ElEl.i9~c;.;l ::~ECT: s" 6 j (~~:;>,.:J 0 . b-- Q.. b-J ~l o Tefec:om. EI.ctrlca~~ Ad~h;~+ subtraction. OBaseba~ _KW o Fumactl _KW o Heat Pump _ TON _ LAR o Fan-Wall KW Service InformatlDn C Overhead Service o Temp ServiCQ o Underground Sarvl"" ( . Voltage: ) 2.t? / ":V-f(} Ph...e: an 0 3 Service Size: Feeder Size: ---z;o~ . PAMC 14,05.060(8): Fpr Induslrial. eornmerCial. & resldentilll projects larger lllan a duplex, a one -line drawing of !he Electrical Se Feedens. buHdlng size (sq. ft.). load calC1.llatlons, and the type & of c:onductolll ar1dfor ra.sway is required and shall accompany the Electrical Permit 81Jplicatlan, I hereby certify that I have read and examined this .,pplic.,tion and know that same to be true and COl'I'8ot, al authorized to apply for this permit. I under&t.,nd It is not the City's legal responsibility to determine whet PM are required; It remains the applicants responsibility to determine what permits are required and to obtain su OWnor or 1;11;. Cont, IIsnalur.: ()?~~fJfi2~ Dalo: .~ 'f / ri-+ . ?A~~,J 2r ~ Dlte: ~I '1 /0 1 PERMIT FE\:: $1> rye. .30 (ffP{lfJiJtP~~ ~1 f~l(.{j v4 & P~Nkt/ Cnldil C.rd Hold.~. Signature: