HomeMy WebLinkAbout1724 S O St - Building
FROM
FRX NO.
Oct. 25 2004 07:25AM P2
-~~
~,.
L
~~
~:
~.""
ELECTRICAL PERMIT APPLICATION
I~Oj{ (n1'fCI...:. \JSf.(lNl.\
I,.,t'k~.
l'"",",~ '__'_'__'.
U.'c Al>pluvclS .~ .~_~.______._
Dale t...,;..~,j .... .._,...h ,._"u.._
Thp. E!ectrical ~e,,"it Application must be fined OlJt eomtJ-If'lalv.
Please type (.Ir reprint in ink... if yoU ha",e ..ny questions, pll!ase call (:!60) 417..47Z:i
FBI number: (310)417-4711
,
I
Owne, or Elec. COn\~o'" Ag"nl~~~ hI.~~~~J- CrI'!-I'~ "":lzb. 't:>.J,>'
propony Owner ~ i, . Phone lu--l.. . ., I..;> )
Address: '"to "'o? I OS - ~..._ ClY: Zip:. 9i.1.jO_ _
f'leCI,lcalcontraclor..,J5t1..uh"l0 ~or\/I'r0nr_ Llcen...#: ~~!5;rn",pp:':J~p"one: I./S~-''f:;}!,
Addr..$.~Vlli/I'l;.....f2J City:_YA-. Zip:_ 9A3(..':2..
I .
INSTALLATION WlREI) 8Y! r:.J OWNER G E:LrCTRICAL CON"'!"RACTOR
I
I
Credit Carel Holder Name;
i
Billing Address: I
Credit Carel Number: I
i
em
~d:G
/ty:
~\,..
__Zip;
VlSA:__ Me:
c:
...,t
\
....(
-.....i
I Check !ill that apply:
I
Cl Multi..family
i ~
D Remote Met"r 0 Detached garage 0 HOf Tub CJ Swim Pool
I
Number ot CirouIts added or aiterad:
I
DESCRIPTION OF THE fLECTRICAL PROJECT:
I
I
I
I \-r '2.....,
~
D
PROJECT ADDRESS:
illE OF WORt<:
~nlial
DNew
o Alteration/Addition
" Commercial
;:J Mobile Home
Sq. Ft
\("eJl:>
o Septic Pump
:J Low Voltage 0 Telecom.
o Sign--.:
~-+
~
~
,
.
.
!;;Iectrical Heal Load Add!tions and or Subtractions
I
.
Service Information.
:J Baseboard
:J Fumace
"") .Heat Pump
~, Fan..Wall
_KW
I<,W
- TON_ LRA
KW
Q Overhead Service
Cl Temp Service
C Underground Service
Voltage: t,..../~..
Phase: ~ 0 3
Service Sil.:~
Feeder Size:
I hrmoby'cf'lrtify that I (lave read and examined this application and know that same to be true and correct, and I am
guthorized to apply for tNs permit. / /.."nderstand it is not the City's legal responsibilley to determine what permits
.re required: it remaifs the applicants responsibility to determine what permits are required and to obtain such.
(j?kJ '0". J
f)? ~(t 7J (j? u_ tI
: Owner or Elec. ConI. Signature:
Date:~
Date: It>k
i Credit Card Holder's Signature:
.
::IELECTRICALPERMIT APPLICATION
PERMIT FEE: $
,
\
. \
'.
J
">,.
. ,. '.
oAT~n
(filcllAiroR
ADDRESS
.. ;~......
.lElIEC1[R~CAIL ~INSI?EC1~([)N
W~IRl~NG ~1E1P(Q)1Rl1
417-4735
L:. .
PERMIT"
rJl(- 9 77
~~
I~
I l' t) '( ..57:
APPROVED NOT APPROVED
D ................... DITCH ................... D
I
D .............. ROUGH IN/COVER. ... .. . . . .. . .. D
D ..........;....... SERVICE .................. D
D ......... iY' . . . . . . FINAL. . . . . . . . . . . . . . . . . . .. D
CORRECTIONS NEEDED: '6J Ad..- 2. "jOt/~ If:, ~
CL~E- ~~ 7Z> t:.PllIlt')w/r' @ 6fuT1tJrY
'fHIIL-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
OLYMPIC PRINTERS, INC. (360) 452-1381
- DO NOT REMOVE -
.....,~---
~~RT~
$~O~~~
hiii
-- ~
~
'l.tii:,,~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
04-00000103 Date
.813102
1724 S 0 ST
06-30-00-4-4-0270-0000-
RES NEW SFR
4/09/04
RS9 RESDNTL SINGLE FAMILY
69610
Owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
OWNER
Structure Information
Construction Type
occupancy Type
Other struct info
NEW 1199 SF SFR W/ATT 524 SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GARAGE
22.90
V-N
1. 00
1. 00
7500.00
1723.00
1723.00
1. 00
~
'P
..):.
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 76.00 Plan Check Fee
Issue Date 4/09/04 Valuation
Expiration Date 10/06/04
Qty Unit Charge Per
.00
o
v
~'
4.00
7.2500 ECH
BASE FEE
ME-VENT FAN
Extension
47.00
29.00
i'I
_.
z.
>
\'
~
Permit PLUMBING PERMIT
Additional desc
Permit Fee 132.00 Plan Check Fee .00
Issue Date 4/09/04 Valuation 0
Expiration Date 10/06/04
Qty Unit Charge Per Extension
BASE FEE 47.00
8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00
~
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
807.25
4/09/04
10/06/04
Plan Check Fee
Valuation
.00
69610
Qty
Unit Charge Per
BASE FEE
Extension
667.25
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
T:IPLANNINGIFORMSII 102.15 [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, 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 DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
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 ONL Y)
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 #'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 BUILDING
T:IPLANNINGIFORMSI! 102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number . . . .
04-00000103
.813102
Page
Date
2
4/09/04
Qty Unit Charge Per
20.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
Extension
140.00
Special Notes and Comments
The site is within the Madrona Woods Subdivision. The
residential structure may NOT be finaled until
infrastructure improvements for the subdivision are
installed and approved.
Electrical load calculations and elctrical permits are
required.
Electrical load calculations and elctrical permits are
required.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ------,._-- ---------- ---------- ----------
Permit Fee Total 1015.25 1015.25 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2789.75 2789.75 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work 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 [ocal law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNINGlFORMS\1102.15 [11/14/2003]
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I NO
FOUNDATION:
FOOTINGS I. .:;7iit.. - 0 I-j RV
WALLS II.! - fL,"Jrl , "L
FOUNDA nON DRAINAGE/DOWN SPOUTS v.:; - i /-; -0 ;.J 1-..
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING FiNA- L- L./--'7S' -05 -J LI- A~
t...~ . i
UNDER FLOOR 1 SLAB
ROUGH-IN 'f -~ -00.4 \ ;
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS il- IS-:-OJ./ I. /..,
CEILING I
FRAMING
JOISTS 1 GIRDE~_---__._
SHEAR W_~OLD DO~ Cf311 ...J -JJ-~
--'VVALLS1 ROOF 1 CEliCING iJ~--OJ..( .LL
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL l-'\!:'cJ1. FitJAL 4-Z~.Cl6 -Ji..i. "'lP
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARK1NG/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 J./ ~yJ.. -0 ;- A-co ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI ~ - .tJv ...eS r/= CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 4.-1.6 -C5 JLL BUILDING
T:IPLANNINGIFORMSII102.15 [11/14/2003]
,
,
,
,
,
,
,
,
:~
I 1--'1--'1--'1--'
! ~I--'I--'I--'I--'\D\D\D\DO'\O'\
I .......................................................................................................................
I NI--'I--'I--'I-'NNNNI--'I--'
I O'\IJ1O'\UlNI--'NI--'O'\O'\
I ....................................................................................................................
I 00000000000
I \Jl,{::>.,l::>.,l::>.,l::>.,l::>.ol::>otl:>otf::>.,/::lo.*>o
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
Ol
t:"
'"
'"
Ol
t:"
w
o
f-'
o
f-'
Ol
~
:u
Ol
t:"
'"
Ol
t:"
:r:
o
Ol
t:"
'"
o
o
f-'
o
f-'
o
f-'
o
f-'
-fc.,;,.c.,;,.c.,;,.c.,;,.c.,;,.c.,
L'tUL'I-dL''1:lL'tOt''''t1L'
L' L' t'" t'" L' t'"
n
o
Z
...,
Z
G
OJ
o
o
Z
...,
o
Z
OJ
>:
...,
'0
;,.
Q
OJ
otrltDtrltrltrl
"'GIiGIiG
...........HCH~H
NL'Ot"'(')L"
Ult:lmtlmt:l
...........H H H
rvZ ZIZ
OG) GJ G1
o ... ...
U11-zj..J1"Ij...,J:J:>I
H..J::d....JH
I--'~~~~::d
Nt"lNHNC/)
oJ::oZ,l::>.tlj
,l::>. W(j)WP
'" t:"
'0
3:
...,
:;:
OJ
c.,
t:"
H
OJ
:u
t:"
><:
f-'
"
o
o
0l0l0l0l0l::E;0l0l0l0l
S~S~SS;~S~S
t:"nt:"nt:"...,nt:"nt:"
OOJOOJO(J}OJOOJO
H H H H H
Z Z Z"" Z Z
G) G)IGJOIQIQ
...,
:;:
OJ
(f) l-Ij "'Ij'"d t'Ij I-zj
:I: ::d OO,/::loO.c::.O
~...~~~HJ::i@::i@
::d..J H -..J b I t::l I t::1
:E;....JZ I ;:p.HI-'~I--';p.
)::>I I 411-' 1-3 Z tv 1-3 l\.) 1-3
t"l1--' l\JH ,/::loHol::>oH
t"'N::r:,/::loO~WOWO
tt::>oQwZ"'Ij Z Z
Wt:" ...,
o OOJ ::E;
:u:u ;,.
0;" t:"
o HZ L'
::E; ZO
Z ;"0
(J) QZ
OJ
f-'
"
o
o
H
'"
...,'"
HO
3:(J}
OJ(J}
.. H
Ol
f-'t:"
"OJ
o
o
0'\0'\lJ1U1
..........................................
DONrv
WN-..JO'\
............................................
0000
ol::>,l::>.ol::>~
;,.c.,;,.:u
'UL''l:I<::
t:"
Ol
H
'"
Ol
t:"
f-'
..., '"
~ ~
(J) H
o >ol
o
f-'
o
f-'
b;j
'"
n:u:o;
OOJ
3:0
'OGO
t:"OJO
OJ(J}
...,...,b;j
tltlS
e;
H
:u I!'l
OJHG)
(J}Z
G(J}'"
1~'1:l~
H
>ol
:UO,
OJ OJ
~f!l1:l
t:":uC/l
...,HH
(J}'Ot;l
'()~~
00::1
3:ZH
fii ~
Z
...,
(J)
'"
o
o
...,
H
Z
Q
1;;:g~8fj
"':UZZO
t"'()trll-3::d
OJ:U:UOJ
Zt:" ;"(J)
G n(J}
3: . ...,
Ol 0
tJj. ~.
:u
oo::r: I-'
of::>.O'IO -..J
I I c: N
OW(/) ~
OOH
I 0 I Z en
OOG)
00 0
f-' ~
Oof:>C {fJ
WI I-j 1-3
...:r:
:u , 0
OJO:U
(J}"'H
"...,
ZO><:
OJ,
::E;00
0'"
(J}O
",on
:u , t:"
~
t:"
t:"
~
n'O
H:U
...,OJ
><:'0
~
O:U
"'OJ
o
'0
o
:U'"
..."
~~
Qo
OJ en
t:"-
OJ
(J}f-'
W
'"
'"
en
f-'
"''O(J)
55iii
ZZO
OJOJH
<:
zz
(J}(J)
'0'0
OJ OJ
nn
...,...,
OH
:UO
.. Z
c.,...,
~8
OJ~
(J}OJ
...,
t:"
t:"
H
OJ
:u
t:"
><:
0'0
;,.~
...,Q
OJ OJ
...
,
'"
en
,
Of-'
en",
:;:: >oj "" ~~~8E; ()'O
t'l 0< ~ H;o
'" '0 'O;oZZO >oJt'l
'" "- t'()t'l>oJ;o 0<'0
UJ H t'll'd;ot'l )>
0 0 >oj Zt' )>UJ Ol'd
H ~. ()UJ "Jt'l
>oj 0
~ tJj 0 '0
~ t'l. ;0. 0
();o ;0 ;0'"
Ot'l >oJ"-
:;::0 '"
'O~o 00:I: H ~~
t't'lO "'0\0 -.J
t'lUJ , ,~ '" <;)0
[;Jta O'-'UJ '" t'lLn
00 H t'-
OO~ 0' Z [j) t'l
00<;) UJH
00 0 '-'
*~ H')>
;0 H ~~~ UJ '"
t'lH~ >oj '"
UJZ "':I:
~UJ ;0' 0 Ln
t''O t'lo;o H
>oj "" UJ"'H
~ -.J>oJ
Zoo<
t'l'
H :>;00
0:;:: ;oO>-j O"J
"'t'l t'l0l UJO
"-() UJUJ "JO()
"':I: ~() ;0' t'
() ~~ t';o )>
0 >oJH t'
Z "'H UJ'O t'
>oj O() ,,->oj ~
z 0)> ()H ZZ
Lnt' 00
~ ;;:Z UJUJ
t'l "J ;;: '0'0
0 H H t'l t'lt'l
"'Z Z ()()
0 .. )> >oj >oj >oj
Z "'t' UJ OH
>oj -.J , ;00
0 .. Z
Z '0 >oj ,-<>oj
t'l :;::H ~8
:>< ;;: 'O'OUJ
>oj t'l i3i35l t'l~
'-< .. UJt'l
'0 t' ZZO >oj
)> H H t'lt'lH t'
<;) t'l-.J <:
t'l ;0 .. t'
t'o H
0<0 t'l
l'd
t'
0<
0'0
)>)>
>oJ<;)
t'lt'l
'"
"-
'"
Ln
"-
0'"
Ln 0
'U 'U 'U >-l 'Cl ::;~~8~ n'd
t" t" t" ><: ~ H:U
'" '" N 'd 'd:UZZO >-lOl
'" '- t"nOl>-l:U ><:'d
Ul H Ol:U:Uol )>
0 0 0 0 ... Zt" )>Ul O:U
H H H ~. nUl 'dOl
>-l 0
'Cl tJ:l 0 'd
to< OJ. :U. 0
n:u :u :U'"
1)""0. OOJ >-l'-
................................................... 3:0 N
NOONN 'de:o 00;': H ~~
lJ1WWOOCD t"OJo "''''0 -..J
........................................... OJUl , , e: N G'lo
00000 >-l>-l'Cl OWUl ... OJ<.n
lJ1lJ1Ul~.s:::. OJ OJ to< 00 H t"-
oOi 0' Z Ul OJ
00G'l UlH
00 0 W
H H , )>
fr>">~ :u iZi ~~~ Ul N
t"ll't:lt"i'l:lt"l OlHG) >-l N
t" t" t" UlZ ...;.:
e:Ul'Cl :u , 0 <.n
~'l:I; OJo:U H
UlNH
-..J>-l
H ZO><:
, ... OJ ,
, :>;00
O'l:lb'''tlto''tl , :UO O'd
~t"lI1t-t::tlt"i OJ OJ Ulo
;:;~g~?i~ , UlUl 'don
, e:n :u' t"
Vltdrotx:!tJ1tt! , t":U )>
'- H H H , >-lH t"
NZ Z"'Z , Ul'd t"
n 0G'l G'l-..JG'l '->-l ~
0 0 -..J , nH H H
3: <.n'd :>; , :u , 00 ZZ
3: H )>HO , 3:Z UlUl
OJ Z >-lNe: , 3: 'd'd
Z H)> OJ"'G'l , OJ OJ OJ
>-l Nt" :UW;': , Z nn
Ul , >-l >-l>-l
... Ul Z Ul OH
~ -..J e: :UO
>-l 'd , .. Z
0 H 'd
'd3: t" '-<>-l
Z 3: OJ ><: >-l , ~;:;
0 H 'd'UW
>-l 3: 66iii , OJ:>:
ol ,-<H OJ , Ulol
W t"-..J >-l .. , ZZO >-l
H" H , OJOJH t"
OJO 3: H , <:
:u0 OJ -..J , t"
t" .. H
><: 0 , OJ
H 0 , :u
-..J , t"
, ><:
0
0
O'd
)>)>
>-lG'l
OJ OJ
...
'-
N
<.n
'-
ON
<.n H
'd
"
'"
,
,
,
,
,
,
,
,
,
'~
,
, """
I .............................
I Or0f'0
I wooco
, '-'-
I 000
, ......
,
,
:t;l>'-<
, 'd"
, ""
,
,
,
,
,
,
,
,
,
,
,
,
,
o
f-'
n
o
3:
3:
t'l
Z
>-3
(J)
O''Uttll-d
I-it"':;dt'"
~!i1?i!i1
rotIltIjtI:l
H H
Z"'Z
G)-'G)
-'
::;0:, :<l
;l>f-'O
>-3NC
t>J"'G)
:<lw;:':
~
tJ
Z
o
>-3
t>J
(J)
(J)
C
'd
'd
"
0<
>-3
H
3:
t>J
f-'
-'
o
o
'd
"
N
>-3 '0
~ ~
(J) H
o >-3
o
f-'
,
,
,
,
,
Z:
,
,
,
>-3'
H ,
3:'
t>J'
.. ,
,
f-' ,
-"
.. ,
0'
o
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
'0
to<
n:<l
Ot>J
3:0
'dCO
"t>JO
t>J(J)
>-3>-3'0
t>Jt>Jto<
tJtJ~
H
:<l Iz:
t>JHG'l
(J)Z
C(J)'d
~'U~
H
>-3
:<ltJ
t>Jt>J
(J)(J)
cn
":<l
>-3H
(J)'d
'->-3
nH
00
3:Z
3:
t'l
Z
>-3
(J)
;I>'don;l>
'd;l>::;O:OtJ
'd:<lZZtJ
t"lntz:!l-3::U
t>J:<l:<lt>J
Z" ;I>(J)
C n(J)
3: . >-3
tJj 0
tI:I. ?:\.
:<l
oo::z:: f-'
oP-O'\O ....]
I I C r0
OWCI) ,p..
00 H
o I Z lfJ
ooG)
00 0
f-' , ;I>
0':::"<:: (f)
w I ~ ~
...;:.:
:<l'0
t'lo:<l
(J)NH
-'>-3
ZOo<
t>J'
::;0:00
o'd
(J)o
'dOn
:<l'"
;I>
"
"
~
n'd
H:<l
>-3t>J
O<'d
;I>
O:<l
'dt>J
tJ
'd
o
:<If-'
>-3'-
~~
G)o
t>J'"
,,-
t>J
(J)f-'
W
f-'
...
...
w
'd'd(J)
1313iii
zZtJ
t>Jt>JH
<
H
HZ
Z(J)
(J)'d
'dt>J
t>Jn
n>-3
>-3H
00
:<lZ
'-<>-3
~8
t>J~
(J)t'l
>-3
"
"
H
t>J
:<l
"
0<
tJ'd
;1>;1>
>-3G)
t>Jt'l
f-'
'-
o
w
'-
o
"'N
'"
I:"
W
'"
~
:u
'"
I:"
'"
'"
I:"
:r:
o
o
f-'
o
f-'
o
f-'
o
f-'
1.0 \.OI.D\OO'\ 0'\
..................................................................
I-'NNNNl--'1-'
UlNI--'f\JI--'O'IO\
~................................................................
000000
of:>o+:>..t>o~.I:>o,l:>o,l:>.
~>o '-< >0 '-< >0 '-<
t" t"''Ur-''''Ot'"''1:It'"'
t'"' t"l t-t t'"' t"'
n
o
3:
3:
OJ
Z
>-3
w
"''''''''''
'i c: 'i c:
C He H
(1 t'"' n t"'
m t1 ro t:l
Z Z
Gl Gl
.. ..
-.J~...J:X:-
-J::d-.JH
~~~~
NHN{j)
,l:>oZ,.p.trj
WG)w;r:-
I:"
~
o
Z
o
>-3
OJ
w
'"
I:"
'"
o
o
f-'
o
f-'
0'\ 0'\ Ul U1
..........................................
OON!\.)
wt-J-JO'\
............................................
0000
,t..,t::.,&:>.,l:>.
>0'-<>0:0
'1:IC"ltU<:
I:"
tDtDtIltIllJ:l:E:tIltI:ltIltIl
S~S~S~2;S~S
t'"'nt-tot'"'1-3nt"l()r-'
t:ltI:lt::1tI:10(f)tJ::It:ltIjt1
H H H H H
Z Z Z>-3 Z Z
Gl Gl GlO Gl Gl
(I) l"Ij l'lj'"O I"Ij l"Ij
::r:: ::u OO,.p.O.s::.O
~..5:~~!ii:3~~~
::d -.J H ....,J t:l I t::l I t1
.::E: -.J Z I ~ H 1--'):lI1-':t>'
;:p. G)"""'1-3ZN1-3Nt-3
t"'Il--' NH ,l:>.H,l:>.H
t'"'N:r::M::>O:J::lwOwO
.t:>-OWZI"Ij Z Z
WI:" >-3
t::l t::!tIj ::E: '"r:I
:U:U >0 0
o >0 I:" 0
o HZ t'"' 1-3
~ ~8 Z
(f) GlZ Gl
OJ
>-3
H >-3
3: H
OJ 3:
OJ
f-'
-..) f-'
-..)
o
o 0
o
H
'"
>-3'"
HO
3:(f)
OJ(f)
.. H
'"
f-'I:"
-..)OJ
o
o
'"
H
tv
'"
I:"
f-'
>-3 'tl
~ ~
(f) >-<
o >-l
o
f-'
Il:l
'tl
():U!<l
OOJ
3:0
"'C:O
I:" OJ 0
OJ(f)
>-3>-31l:l
gltl S
~
>-<
:u II:
OJHGl
(f)Z
C:(f)'tl
Si'1:l;
>-<
>-l
:00'
OJ OJ
(f)(f)!<l
c:()t<l
l:":Utn
>-3H>-<
W"'t:l
'O;j~
oo::!
3:Z>-<
~ ~
Z
>-l
(f)
::;::;~8E;
"':uzzo
I:"()OJ>-3:U
OJ:U:OOJ
ZI:" >ow
c: ()(f)
3: . >-l
'" 0
OJ . :u .
:u
oo::r: I--'
,p.,mQ -.J
I I C N
OW{/) .t:>-
00 H
o Z (f)
ooGl
00 0
f-" >0
o,t>.C::: C/)
W I 1-3 .,
..:r:
:u'o
OJO:U
(f)tvH
-..)>-3
ZOo<
OJ,
:>:00
0,"
(f)0
,"O()
:0'1:"
>0
I:"
I:"
5:
()'"
H:U
>-3 OJ
0<'"
>0
o:u
'"OJ
o
'"
Of-'
:Of-'
>-3'-
~~
Glo
OJ"
1:"-
OJ
Wf-'
W
f-'
-..)
o
o
"''''(f)
88[;1
zZtJ
OJOJH
<
H
HZ
Z(f)
(f)'"
"'OJ
OJ()
()>-3
>-3H
00
:UZ
'-<>-3
5::=;
OJ~
(f)OJ
>-3
I:"
I:"
H
OJ
:u
I:"
0<
0'"
>0>0
>-3Gl
OJ OJ
f-'
f-'
'-
f-'
en
, '-
o
, ....
'0 >-l '0 ::;;g~8E; n'O
I:" 0< ~ H:U
IV '0 'O:UZZO >-lOJ
"- I:"nOJ>-l:U 0<'0
Ul H tI:I:::O::OtI1 :<<
0 0 >-l ZI:" :<<Ul O:U
H ~. nUl '0 OJ
>-l 0
'd to 0 '0
t:" OJ. ",. 0
n:u :u "''''
OOJ >-l"-
3:0 IV
'OCO oo~ H ~~
I:"OJO ,,"",0 -.J
OJUl , , C IV G)o
>-l>-l'd OWUl "" OJ""
OJOJt:" 00 H 1:"-
OO~ 0 , Z UJ OJ
ooG) UlH
00 0 IV
HJ H H , :<<
:u Z o""C Ul ""
, I:" OJHG) W , >-l >-l '"
, I:" UlZ ""~
, CUl'd '" , 0 W
~'tj~ OJo", '"
, UlIVH
, -.J>-l
, H Zoo<
>-l OJ ,
, :>;00
, to '0 :UO 0'0
, "'I:" OJ OJ Ulo
, ~~ UlUl 'Oon
, cn '" , I:"
, OJ to 1:"'" :<<
, H >-lH I:"
""Z UJ'O I:"
n -.JG) "->-l ~
0 -.J nH H
3: , :u 00 HZ
3: HO , 3:Z ZUl
OJ IVC 3: Ul'O
Z ,,"G) OJ '0 OJ
>-l w~ , Z OJn
Ul , >-l n>-l
Z Ul >-lH
~ 00
, :UZ
0 ,
, '-<>-l
Z >-l , ~n
0 H , 'O'OUl
>-l 3: , ~~c OJ 7'
OJ OJ , OOto UlOJ
Ul .. , Zzo >-l
, OJOJH I:"
H , <:
-.J , I:"
.. , H
0 , OJ
0 :u
, I:"
, 0<
,
,
,
,
,
,
,
,
0'0
:<<:<<
, >-lG)
, OJ OJ
'"
"-
IV
CD
"-
0
,,"H
tJJ tJJ tJJ
I t"' t"l t-t
I 1.D::r: ~
, tI tI
,
100 0
I I-' I--' I-'
,
,
~: t!N55
___ I-' C7'I en
'- '- '-
00
~""""""
~' "-<~"-<)>"-<
t-t t"l'1:lt-t
, t"
,
,
,
,
,
o 0
r" r"
mmUlUl
.........................................
o 0 tv N
WN-JO\
......................................
0000
.t::>ff::>.t:>.~
)>"-<)>,,
'1:It"l"'O<:1
t"
tI:ltJ:ltDtdtI:l:Etx:ltIltIlttl
S~S~S~~S~S
t"'nt"fnt"ll-:3nt-lnt"'
t:1tI:1t:ltI:lt:!ffitI:lt:ltDt:l
H H H H H
Z Z Z>-l Z Z
G:l G)1G)OI(j")IC}
{f} 'lj l'tjI"Q 'lj 'lj
::r: ::0 OO,p..Oot>-O
~",,~::;~~:i~:i~
::O...J H....J tl I t:1 I t::l
:E-.JZI ;t::<HI-':t::>'I--')::>
:t>' I G1I-'I-3ZN......;JNl-3
t"'1-' NH ,l>.HPH
r-'N::r::,p..O~WOWO
,t>.QWZl"Ij Z Z
Wt" >-l
tI tlO1 :E: "'
"" )> 0
tI)> t" 0
o HZ t"' 1-3
~ ~g Z
m GlZ Gl
01
o
o
3:
3:
01
Z
0-]
m
~
tI
Z
o
0-]
01
m
H
"'
0-]'0
HO
3:m
O1m
.. H
tJJ
r"t"
-..J01
o
o
tJJ tJJ
H t"
N r"
>-l "d
~ ~
m H
o >-l
Il:!
"d
O"i'O
001
3:0
'OC::O
t"010
O1m
>-l>-lll:!
gltJ S
e;
H
" z:
O1HGl
mZ
c::m"d
~'1:1~
H
>-l
"tI,
0101
mmi'O
C::Ot>l
1:""00
o-]HH
m'OtI
?l::l~
oo::l
3:ZH
~ ~
Z
0-]
m
)>'000)>
'O)>:E:Otl
'O"ZZtI
t"0010-]"
01""01
Zt" )>m
c:: om
3: . >-l
tJJ 0
01 . " .
"
00:1:
"""'0
, , c::
owm
OOH
o'Z
ooGl
00
r"')>
o""c::
w'>-l
"":1:
" , 0
010"
mNH
-..J>-l
ZO><
01'
:E:00
0",
mo
",00
,,'t"
)>
t"
t"
~
,
,
,
,
,
,
,
,
,
r"
-..J
N'
"",
m'
,
,
0'0
H"
0-]01
><'0
)>
0"
"'01
tI
o
'0
o
,,'"
0-]'-
N
~~
Glo
01""
t"-
01
mr"
N
m
>-l
r"
o
N
W
'0 'Om
g;g;1iJ
ZZtI
O101H
<
H
HZ
Zm
m'O
'001
010
00-]
>-lH
00
"Z
"-<0-]
)>H
3:0
01?:
mOl
0-]
t"
t"
H
01
"
t"
><
tI'd
)>)>
O-]Gl
0101
'"
'-
N
r"
'-
o
""N
OJ OJ OJ >el 'tl P"OClP Cl"
" H " e< ~ "P"OO H:U
"' "-' I-' " ,,:uZZO >elM
0 '- t-tntJ1t-3::d e<"
UJ H tI:I:::d::utrj P
0 0 0 10 >-l Z" PUJ O:u
I-' I-' I-' ~. ClUJ ",M
>el 0
tJJ OJ 0 'tl
'tl M' :U. 0
Cl:Ui<l :u :u'"
CJ\O'IUlUl OM >el'-
........................................... 3:10 I-'
OOl\Jt\J "CO 00:': I-' ~~
Wt'V....,JCJ\ "OJo "''''0 -.J
............................................ OJUJ , , , C "-' Glo
0000 >el>eltJJ OWUJ '" OJ'"
~.t:>,j:::..!::>o OJOJC:: 00 H ,,-
OOH 0 , Z UJ M
E; ooGl UJI-'
.~ 00 0 '"
H I-' , P
pc,p:u :u 2i o"'C UJ '"
1"OL'1"c;I~ MHQ w , >-l >-l , -.J
, " " UJZ "':':
, CUJ'tl :u , 0 en
""t'l OJo:u '"
, >-l ~ UJ"-'H
, -.J>-l
, H Zoe<
>-l M ,
"00
totIl:::Etototrlto :u0 , 0",
~S~2:S~S OJ OJ UJO
gj~~ ",ocl
nL't-3()t-tot-l :u , "
trlt:!(f]trjt:1tI:1t:1 ":uen P
Z>-l H H >-lHH "
Z Z UJ"tl "
cl , GlO , Gl Gl '->-l~ P
0 ClH 3: H
3: " "' "' 00 HZ
3: i"I]O.t:>O.t:>O 3:ZH ZUJ
OJ ::;O~:j~:j~ 3: ~ UJ"
Z -...J ~ I t:l I t:l OJ 'tlOJ
>-l Z MCl
UJ It::lHI-':t:>'I-':t:' >-l Cl>-l
I-'PZNt-3N>-3 UJ >-lH
~ "'>-l tf>.Htf>.H 00
tf>.H;1:>wawO :uZ
0 wo", Z Z
Z>-l c,>-l
Z OJ " "' ~8
0 O:u P 0 ,,'tlUJ
>-l :u " 0 :'::':C OJ~
OJ PZ " >-l OOOJ UJOJ
UJ HO Z ZZO , >el
ZO OJOJH "
PZ Gl <
Gl "
OJH H
"' OJ
:u
" "
>-l0 ><
HUJ
3:UJ
OJH
.. OJ
"
I-'OJ
-.J
0
0
0"
PP
>elGl
OJ OJ
'"
'-
I-'
'"
'-
o
"''''
tJ:l
H
IV
,
,
,
,
,
,
,
,
,
:j"''''
I .............................
I otvN
I tu.....JO"I
I ................................
I 000
I ~~~
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
o
H
11 ;p :u
t"'U<
t"
()
o
3:
3:
t<l
Z
>-3
Ul
:O:tJ:ltJ:ltJ:ltJ:l
;P:UC:UC
ZC:HC:H
>-3()t"()t"
Ult<lOt<lO
~ Z Z
o I C1 I G:l
g:;
o
Z
o
>-3
t<l
Ul
'U .." .."
O~O.::::-O
fiJ:3~:3~
1010
Ht-';t:ll-'>,!
Ztul-3!\J.,
.s:::.HtJ::>.H
):>IwowO
.." Z Z
>-3
t<l :>:
:u ;p
t"
Z t"
o
o
Z
H
.."
'U
o
(J)
(J)
H
tJ:l
t"
t<l
tJ:l
t"
H
>-3 '"
~ ~
Ul >-<
o >-l
o
H
Il:I
'"
():u:o;
Ot<l
3:0
'UCO
t"t<lo
t<l(J)
>-3>-31l:1
tltlS
r;
H
:u 12:
OlHGl
(J)Z
C(J)'U
~~~
>-<
>-l
:UO,
t<lt<l
gj~~
t":Ut/l
>-3HH
(J)'Utl
;;-~~
00:::1
3:ZH
Eli ~
Z
>-3
Ul
.."
o
o
>-3
H
Z
Gl
:;;~i;8E;
'U:<1ZZ0
t"()t<l>-3:<1
t<l:<1:Ut<l
Zt" ;P(J)
C ()(J)
3:. >-3
1Il 0
t<l . :u .
:u
oo;:X:: I-'
oJ::oQ'lO -..J
I I c::: N
OW(/) ,po
OOH
o I Z C/}
00G)
00 0
H , ;p
Oo/::loC::: (J)
WI 1-3 1-3
<>0:
:<1'0
t<l0:U
(J)IVH
--'>-3
ZOo<
t<l
:0:00
0""
(J)O
.."O()
:u , t"
;p
t"
t"
;p
3:
()'U
H:U
>-3t<l
O<'U
;p
O:U
.."t<l
o
'U
o
:U'"
>-3'-
~~
G)o
t<l<>
t"-
t<l
(J)H
IV
OJ
<>
'"
o
'U'UUl
ssliJ
ZZO
t<lt<lH
<:
H
HZ
Z(J)
(J)'U
'Ut<l
t<lO
()>-3
>-3H
00
:UZ
<.,>-3
s:;:;
t<l~
(J)t<l
>-3
t"
t"
H
t<l
:u
t"
0<
O'U
;p;p
>-3G)
t<lt<l
'"
'-
o
IV
'-
o
<>00
'" >-3 'd ~~~8E; ()'d
I:' ><: ; H:>:>
H '0 'O:>:>ZZt:J >-301
'- I:'() 01 >-3:>:> ><:'0
CIl H 01:>:>:>:>01 ;J>
0 0 >-l ZI:' ;J>CIl 0:>:>
H ~. ()CIl ",01
>-3 t:J
tD '" 0 '0
, ~~ 'd 01, :>:>. 0
, ():>:>:oo :>:> :>:>en
001 >-3'-
, 3:0 '"
, 'OC:O 00;X: H ~~
, 1:'010 """'0 -..J
, OlCll , , c: '" Qo
, >-3>-3tD OWCIl "" 01,,"
0l0lC: 00 H 1:'-
, t:Jt:JH 0' Z CIl 01
E; ooQ CIlH
00 0 W
~" H H , ;J>
:00 IZI ~';~ CIl '"
, <: OlHQ >-3 '"
, CIlZ "";x:
, C:CIl'd :>:>, 0 ""
, Sire; 010:>:> H
, CIl"'H
-..J>-3
, H ZO><:
, >-l 01'
, ";00
, "'''' :>:>t:J, 0",
, :>:>c: 0101 CIlO
C:H gj~~ "'O()
, ()I:' :>:> , I:'
, 0lt:J 1:':>:> en ;J>
Z >-3HH I:'
CIl'Otl I:'
() Q '->-3~ s:
0 ()H H
3: "' 00 HZ
3: ""0 3:ZH ZCIl
01 ~~ 3: ~ CIl'O
Z 01 '001
>-3 Z Ol()
CIl H;J> >-3 ()>-3
"'>-3 CIl >-3H
~ ,,"H 00
wO :>:>Z
t:J Z
:>:>>-3
Z "' OH
0 0 'O'OCIl Q()
>-3 0 66:ii 01'"
01 >-3 :>:>01
en Z zZt:J >-3
OlOlH <:
Q <: 01
CIl
CIl
t:J'O
;J>;J>
>-3Q
0101
en
'-
'"
'"
'-
o
""'"
...)>.~:",.......,.
.~......'~'
(~)
\~~~-:-~7
.........._H._~ .~
:tt'1 'f 'Z.l <C
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. Hyou have any questions, call
(360) 417-4815
FOR OFFICIAL USE ONLY:
Date Rec.: 2. - ? - O'-{
'""",,,,c.'i - I ~ r
Date Approved: d ~
Date Issued: I
Cl-41-L~ .
Applicant or Agent: 110 LIS IN 6-. A V'f /+O~ 'T'(, Co..uAJry. P_hone: If.r ;)., - 7 t 3/ . u.,.,- '1/,
Owner: )/(/u5IIV6- AU'Tlf6etT/!cOUNfY orC)Ij/--J.-/])ovJ Un/{}lflti:1--JS ~ ~.Phone: <; J-:J -7(')/
I " ~
Address: ,} t () '3 So. r:((.:/1T1/i!f_~ 5'/ City: iLK! Iflvd: Z:1--<i-s.' Zip: P ,'Y,3(,' :l
ArchitectlEngineer: /./rlD8UG A!leHp,f:ers. Phone: Y.f J. - C lIt
Contractor 114-e <!.- State License #: Exp: Phone: '7 f 3- - "/ t, 31
Address: JJb3 50. P~A-NC(> $'1'"- City: PoRv /n1I6'~ Zip: fG'3G;.(,
PROJEer ADDRESS: 17:Jc; :)(~U'11t Icf "Srl('f.z..,- ('aRt /17V& ~~~ ZONING: R.s- 7
LEGAL DESCRIPTION: Lot: ,Jl t).. 7 Block: 0 ~U- Subdivision: ~L tS .LA I ((
CLALLAM COUNTY PARCEL NUMBER: Ob3~:}cO 4 (/ ^"P COQo
Credit Carll Holder Name:
BiWnI Address: City:
Credit CardType VISA Me # Exp. ~.te:
~O~ewCoos". 0 Ro-roof 0 Stove ~f-u~-r:~~: '1,/ ~ tSF.-S .('-;.75':5
o Multi-family 0 Addition .0 Move ,.L\r"Garage . SF. @ $. ~o 2.~ ISF. = $ I : J? .:zr
o Commercial 0 Remodel, 0 Demolition 0 Deck SF.@$ . ./SF. =$
o Repair 0 S' 0 Other TOTAL VALUATION $ "/ b 10
BRIEF DESCRIPTION OF nmPRo~cr: Nf:w'.51 rJ (f-I-t.. Pt1f:h IJ.. '1 ,R. t:S ; Dz:.nICCi "'"
. o/llf.. 5TOI!.t U J-rJJ .,q-rl'/1CflCl) :A eN( ~,Ml~t:
COMMERCIAURESIDENTIAL: OccUpancy Group: OccuPant !.bad: .' Corls1Iliction Type:
No. of Stories: L Lot Size: '7900 Existing Sq. Ft. 0 & Proposed Sq. Ft. /7 ~ 3 = TOTAL Sq.Ft. / 7,;13
Existing lot coverage ~ % & Proposed lot coverage _% = Total lot coverage 2. Z . q %
. APPROfj!:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetIand(s): 0 Yes. 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMI1TAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions. ___
VALUATION OF CONSTRUCTION: In aD 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 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 107.4 of
the Uniform Building 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 peTTTlit and
=::=~:--:::~~'.W~~~mM~M ~~~7~;4'r; ......
'?)-Jrp.~,;f;,'~~...~~#A:~-~6~: . :.:i'~Xi<~f;:i_~.~~.-:. ;)~'t\~::~(?:" . ,..;,:>" .~"::"~ ~k"~ :'"~~ ':'::::r::~:-::""_:-'_'i~;:~.
00 _ ;"0;:"";;1."
h
w
~
V}
-
~
~
.......
t11/CHAf-'L/S
~
--~
- - - - [Mh >>P-AiN~"fV f..tMlJ- - ~~ ~
- ______ _ SC)t..~ G0l14l, Ax.JtII.D..qT'o~ _ _
(' I ::;<V4LE P,(.4-''''I9-''' ,,_ T I
.,---~
--. ~/,:~~,,~:~~:;,~,'~-":,,~,.--=-~_.-~~:::-~~~~:-:.;.Z:;-...- I
"- _1- - _ 254 __ _ _ J _ _ _
- ,- - -r- ~AINAGE_~SEMENT=f - -,- --=--=-
: lO --1-1
I ..--- ------... _ I
A ---"""""'256 - - ------- : I
/ : BUILDING SETBACK :
I I
I I t
I I
I I
i f S""'t
.. P::J..061l. :J. to
:>-
~
~~
--:;, -- ~
"
~
~
8'-1
I
'0 ~..
tol )...f3, .r 0
----
1199R
~'
i-10
~
I
I
I
I
:/
----.:.-.:",d
/
/
u
in <l:
N g?
W
(/)
t
I
I
I
I
I
I
~
ti~O
"'/'""
_2~8-
o
o S-rtt.~z:..,
-~-- -
30
TITlE:EAGLES LAIR SUBDIVISION
SCALE:
1" = 20'
JOB NO:
02030
FILE:
LOT27.DWG
DATE:
11-25-03
lOl21
CUENT:
HOUSING AUTHROITY OF THE COUNTY OF CALL AM
2603 S. FRANCIS STREET
PORT ANGELES, WA 98362
~a'''.!Il!j:'r: .;. .~~- -
~ VORT ~
$~O~~~
ha
-- ~
~
'l.tii:,,~
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
04-00000977 Date
.873901
1724 S 0 ST
06-30-00-4-4-0270-0000-
ELECTRICAL ONLY
10/26/04
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc NEW RESIDENCE
Permit Fee 96 .40 Plan Check Fee
Issue Date 10/26/04 Valuation
II Expiration Date 4/25/05
.00
o
Qty
1. 00
1. 00
Unit Charge Per
73.0000 ECH EL-R-SQFT FIRST 1300
23.4000 5C EL-R-SQFT ADDITIONAL 500
Extension
73.00
23.40
'-...
~
~\ \..;
1'. ,l'-
\\. ,.
~(A
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 96.40 96.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.40 96.40 .00 .00
,
~
( C)
~ '
('I<
I
It)
"....1
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:IPLANNINGIFORMSII102.15 [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, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT; # /(,,_ ~7",G'f o K <..'AI-'V M'\.CI'j
ROUGH-IN I
PLUMBING ~rlC<- D,A-. .:>~ ~jJQlC{
UNDER FLOOR / SLAB (t-. C, ~ ~'I #<fl
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARK1NG/LIGHT1NG 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 /z,zk~ !/cO ELECTRICAL
LIGHT DEPT
J J CONSTRUCTION - R.W.
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T;\PLANNINGIFORMS\1102.15 [11/14/2003]
\
~ "ORT ~
~~O~<<;.
a,.~
L -=->IF
~
"l.,\~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
Appl~cation Number
P~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application descr~ption
Subd~v~s~on Name
Property Use
Property zoning . . .
Application valuation
04-00000103 Date
.813102
1724 S 0 ST
06-30-00-4-4-0270-0000-
RES NEW SFR
11/17/04
Lasere,
CEO
RS9 RESDNTL SINGLE FAMILY
69610
Owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES WA 983626710
OWNER
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 1199 SF SFR W/ATT 524 SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
GARAGE
22.90
V-N
Xl
I
1. 00
1. 00
7500.00
1723.00
1723.00
1. 00
Permit FIRE SPRINKLER RESID
Additional desc
Permit Fee .00 Plan Check Fee .00
Issue Date 11/17/04 Valuation 0
Expiration Date 5/17/05
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
~ ...::j
~
~ ..:t:.
~
,...
-
<0
"":
Special Notes and Comments
The site is within the Madrona Woods Subdivis~on. The
residential structure may NOT be finaled until
infrastructure improvements for the subdivision are
installed and approved.
Electrical load calculations and elctrical permits are
required.
Electrical load calculat~ons and elctrical permits are
required.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1774.50 1774.50 .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.
(
(0 j)( j::: / 1.-1::::.
,
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T IPLANNING\FORMS\1102 15 [11/14/2003]
, BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE P OVIDE 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
FOUNDATIO~:
FOOTINGS :
WALLS
FOUNDA TI )N DRAINAGE/DOWN SPOUTS
ELECTRICA . (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDERFL OR 1 SLAB
ROUGH-IN
WATERLn E (METER TO BLDG)
GAS LINE
BACK FLO . IWATER
AIR SEAL :
WALLS
CEILING
FRAMING
JOISTS 1 G RDERS
SHEAR W A L/HOLD DO~
< .
WALLS/R OF 1 CpU:ING e"#' .-
DRYWALL (INTER!Q,~ ~~CED PANEL ONLY)
T-BAR - ~
INSULATIDr
SLAB
WALL/FL OR 1 CEILING
MECHANIC 'L
HEAT PUM
GAS LINE
WOOD ST( VE 1 PELLET 1 CHIMNEY
HOOD 1 D1 PS
PW UTILlTI S 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
,
W A TERLI1' E 1 METER
SEWER CO mECTION
SANIT AR
STORM
PLANNING ,DEPT SEPARATE PERMIT #'s SEPA.
PARKINGI IGHTING ESA:
LANDSCA ING SHORELINE'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICA . - LIGHT DEPT. 417-4735 1;/ -j)1J--f)5 fkD ELECTRICAL
LIGHT DEPT
CONSTR~~ ION R. W. 1 PWI CONSTRUCTION - R.W.
ENGINEE G 417-4807 PW 1 ENGINEERING
,
FIRE 417-4653 FIRE DEPT.
PLANNING I "PT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T.\PLANNING ORMS\1102 15 [11/14/2003]