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HomeMy WebLinkAbout316 N Race St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00001312 Date 12/20/10 Application pin number 292384 Property Address 316 N RACE ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 3705 -0000- Tenant nbr, name CARL HAARSTAD REPORT SALES TAX Application type description COMM ADDITION Subdivision Name on your state excise tax form Property Use to the City of Port Angeles Property Zoning COMMERCIAL OFFICE Application valuation 6900 (Location Code 0502) Application desc ADDING A 230 SQ. FT. SUNROOM Owner Contractor ED CARL HAARSTAD OWNER Exp 316 N RACE ST PORT ANGELES WA 983623516 V I IA/ (360) 452 -0931 i� Structure Information 000 000 ADD A 230 SF SUNROOM Other struct into HARD SURFACE AREA Permit BUILDING PERMIT COMMERCIAL Additional desc ADD A 230 SF SUNROOM Permit pin number 177089 Permit Fee 165.75 Plan Check Fee 107.74 Issue Date 12/20/10 Valuation 6900 Expiration Date 6/18/11 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL- 2001 -25K (14 PER K) 70.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments November 16, 2010 4:32:55 PM sroberds. The proposal will result in enclosure of a porch to an unheated, unoccupied sun room for total lot coverage of 29 No land use issues anticipated. The existing building sewer may be located at the same location of the proposed construction. Any modification or damage to the existing building sewer will require other permits and inspections. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total 107.74 107.74 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 277.99 277.99 .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. i 0 201)0 Pi I-e Sk i) tA 1 1 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 C Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: 01 -2,0 —1 l Pr Footings Stemwall 02.-01- It Foundation Drainage Downspouts Piers Post Holes (Pple,Bldgs.) PLUMBING; Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line r Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: S 'I 12-(o t1 h E 3111r?.Pirs le. tie: Fveunn'ri beioi ih conforrena3lce, Joists Girders Under Floor Shear Wall Hold Downs r t z u m r h 5- )0 It s� Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar Jv INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 TRINt� V Construction R.W. PW Engineering 417-4831 Fire 417 -4653 '31( I1 Planning 417 -4750 Building 417 -4815 3 T:Forms /Building Division /Building Permit CITY OF p ORT NGELES W A S H I N G T O N U. S. A COMMUNITY ECONOMIC DEVELOPMENT July 24, 2012 Carl Haarstad 316 N Race Street Port Angeles, WA 98362 RE: Building Permit #10 -1312 Dear Mr. Haarstad: I am writing this letter as a courtesy to remind you of the status of the above permit. The permit will expire on August 1, 2012. This is the final notification you will receive regarding this permit. If the work is complete, please call to schedule the inspection prior to the expiration date. After the expiration date, a final inspection may be possible by paying a one -time final inspection fee. If you have questions, please do not hesitate to contact us. Sincerely, —a i LtO Heather Catuzo Building Permit Technician 321 E 5 Street Port Angeles, WA 98362 hcatuzo Z cityofpa.us 360 -417 -4817 0 PROJECT STATUS UPDATE Permit 1V 131 a' Date: 3 -13- I I phoned the: Applicant Curt Haa at g52-og 3 Property Owner at Contractor at I (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. I e{ ine5s6y, 11,o,: glal-u5 per;►nr 904/ Atp,t, 1 41/4-4_ 844,4 o i 4 -14,/ t- T:Fonns /Building Division/Project Status Update N H H l O 1 H N J a v W N N Ul M I V Q� o S-I N ......4. w w N O O a) .,Q f..... 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G H Z a s H M= F 0 0 0 H a) C E a) 0 H 0 w Z 2 v) 0 0 g o 0 0 FC 0 Z 1 0 H H 0 2 N m 0T) N T I z E. 0 0 H q H 0 NW E H H H H° 0 N H OHO N i H 2 N M 1 2 i N 0 0 ro H N i Z 0 F cco O >,m FCO 0 M, N 0; 0 ,1000 U o R W1-1.4. q 7 row b a 0 w H H N O O V V b1 w N H 0 i H 00 0 0aa0 0 0 0 7a0w N0 0a .-1 0 tv.. 0 0.N0 a w O ww 0 0 ('.0 m0 m4F0'�vQ m a0 ro m� 0 u mQ 0 w o q q 0; O 7 O. Kc 7 0I 7 U m 4 w m 0 U w I.) H U N N '0 m 2 U w 0104 m H q 0 E1H 01 I-1 N m Q q O o t'' z w w a a s a S j 0 Wu) Z 0: a< 74 7 1-- 0 0 M 4 M H °'W 0 x 00 Han a 2 0 0 D w w H H 0 H 0 0 H H W a 4M0 RIFF HH HH HH H HO 40a (X U) (4 ,2 H< 0 W a 0 H H 0 H H 0 0 0 0 00H 0 NN 00 00 H H a o ifl (M a U a 0 0 0 N 0 d' d' U) 0 2 o w 0! 0 a c W !F a F 01 0 0 0 0 wh Qzzzaa (4 a O N M M (24H wo g WWW a a a a a0 g E-'U004 a F w 0! w CO RECEIVED MAR 15 2012 Carl Haarstad CITY OF PORT ANGELES 316 N. Race Street BUILDING DIVISION Port Angeles, WA 98362 To City of Port Angeles Department of Community and Economic Development: RE: Building Permit #10- 00001312 I would like to apply for an extension of the permit for the construction of a sunroom. I was under the mistaken impression that a period of one year rather than 6 months was allowed between inspections. I will be completing the project this summer as the weather improves. Respectfully, Carl Haarstad Jhah /0, Ao// g /0/ ,5 2_ GeneH.Unge E. Engineering, Inc. 26 April, 2011 Civzl Structural Management 1401 West 7th Street cart Haarstad 0 PortAngeles Washington 98363 316 N. Race ,St o�ry Z ��j Office (360) .452 -2098 Port Angeles, WA 98362 okobvP 18/04,9 N ��c Fax (360) 4172098 F Subject: Inspection of Sun. Room Framing E ma anger a msn coni Permit 10- 0001312 City of Fort Angeles Dear Mr. Haarstad: conducted a framing inspection of your sun room today. This is being constructed under permit 10-00001312 frornthe city of Fort Angeles:' The conditions, I found include: You have used material for most of the framing.: I found it to be ,Dr#1 or better due to growth rings per inch and sparseness of knots which were also small Thus this material will meet the structural requirements: You have also used recycled Glulam beams which you have trimmed off the top and bottom in the center;Iamination of the rafters. These are much stronger than the members called out in the engineering and thus work fine. These laminated members do need four (4) additional 16d common- nail`s spaced at least 3" o. c.' within. the south 16 inches of the rafters. •This Will transfer their capacity to the hanger of the Glulam, The mecha cal connectors used are as called out ic,cthc engineering The ledger• is constructed: and connected as-per the engineering. The rafters are connected to the ledger correctly. The strapping of the rafters to the south glulam headers is as engineered 6_ am therefore certifying With this letter that the framing is in- conformance with the engineering.: Once the windows are in, then you can install the corner braces .-f hich will complete -the, lateral portion of the structure, 1 have enclosed several photograph's -which.show the framing as was found. today._ ,Sincerely; Gene H. Unger, PE gc, 'NASy Inca Photographs he 'a r 1a: 1 44'• F •gyp S IONAL 100521 1 1 1 l if if ..N., .4. 1111 11 k h'i I '''li ve 4 .,-0,1.rif- -2'• ‘1,,, r „,:!',‘.,,,,,,,oi :.,.'.'„,...„...4-,•,,l..._ 7: ,'F i, '1. f,. '.e i 4,, 4b. -44F 0 41#111# IV! I o I I 1 IF iiig I r- A, rer,, i T CD O c m l c 5 5 a co Q N CD 1 S C• C) 0 r a m a m Cr) -t. w m m= c o 1" 0. 0 o 0 N 1 I 0 0 0 4 c SD (1). 7 7 n co O v �1 m o mit O N m Z l A O -4 m 9. 3 v o E Q ff n m O 0 m (D k "P L o m` L I� d a w z C 3 d d c 0 07 Z Fn. l; co o Z O ‘t:',' 1 1 a n o 0 c O. 0 m w s O Z v n 7 CO CD y al J f° C. 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Q �n (/0 0 U 0 cn 0 o N F F N 0041 o (/1(/) to0n 0 CZ 0. 1 0 H m W 0. o o 000 •a z 00 O W W H H 0 0 0 M o W H F H ox a m 0 0 a 0 00,..7 O a to U 0001 O I 7 a N N 00 O F W 0 H H 44 a a 0 0 0 W aL a zo w w q F W a'0 0F .72 E. 0 0 M H 022244P. a 0 a u 04104a, 0 0 0 a H aW CITY OF O tit NGELES W A S H I N G T O N U.S.A. COMMUNITY ECONOMIC DEVELOPMENT DEPARTMENT DATE: November 16, 2010 TO: Mr: Haarstad 316 N. Race Street Port Angeles Wa. 98362 FROM: Jim Lierly: Community Economic Development Department SUBJECT: Plan Review 1- Braced wall panels are not shown on the plans for the seismic and wind zone that are in effect per 2009 IRC. Wind design is 100 MPH category C Seismic design category is D1. Please submit how you intend to meet the design criteria as set forth in the adopted code. 2 The roof system appears to be glass and the plans do not specify if they are tempered or clarify how egress will be accomplished from existing second story windows, in case of an emergency. Glass roof systems may pose additional hazards to the occupants attempting to egress. At a minimum tempered safety glazed glass as per the 2009 IRC will be required. 3 The WSEC shall apply for energy conservation and may need to be considered openings into the main portion of the structure shall remain at all times to prevent this from meeting the energy code requirements. 4- Foundation system shall meet 2009 IRC and if CMU's are to be used they shall be solid filled with #4 bar located vertically at 48" OC Footing shall be at a depth of 12" below undisturbed surface with a min of 6" between final grade and framing material. 5 A 6mil black poly vapor barrier shall be required under the slab on grade that was specified on the plans. 6- Verify the type of pipe support and connections for the beam shown on the plans. An Engineer will be required to design this project as submitted for lateral and vertical loads. Jim Lierly Building Inspector 360 808 -0534 jlierly@cityofpa.us l "fit:% v°"` BUILDING PERMIT APPLIA TION Print in ink ir�o. CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician �7�� 321 E. Fifth St., Port Angeles, WA 98362 Date Received 1--5—in (360) 417 -4815 fax (360) 417 -4711 DatmA 10— 1 Approved mg IA Applicant or Agent //1L_ 141 J ..4* 4 Date A Pho le A /r 1 3/ Owner C ,4 1 7 14 44> Phoje t Owner's Address 84- 7 i Phone t I Contractor /Engineer's Address 6 ,,,,.,f_ g-, License Expires PROJECT ADDRESS 31 6 A) °�-c� S./- Parcel Number 06-30 .-00 -6 3 ?c„�- O000 Lot Zoning Project Type Brief Description: Residential ommercial Multi- family Industrial Check all that apply New Construction r dition I~. L 4i A A Remodel Ili Repair Re -roof Demolition Sign wall- mounted projecting freestanding awning other Total sign area sq. ft. Maximum allowed sign area sq. ft. Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per s ft. F 1 Floor t IT E!1` ,00- 6, 15l)Q 2 Floor t ,�j, 3 Floor 1, 2 4 2 .11- Garage �2 j® t "Ez'" Carport Covered Porch ,in ,2li q .0 ,yv.,14 56 C. Shed wo.W.1;13 SurFwR Other 7 G4-1- 50 f 13o TOTAL VALUATION j 90 Total footprint of structures e sq. ft. Lot size 7 000 s if Lot age 1 01i k2)-ti-36 t -36 =Ze5t SiFe c over (I v 2 3 Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to •stain per its prior working on projects. Date Print Name A A `I 41 l Signature T :Forms /Building Division /Bldg Permit Appl. -2006 Code.doc ti NOTES Permit t312— 15 I I S Pal ./(v r SE-it i5afr c" 444 ®S6• 1 m 0 I to 112 at 6, °Cir,11- -7 T:Forms /Building Division/Notes a qu k ci,�� x �i� r 2 r P SaFy {ir &x k 9 k 9 3 k 11 YY e ,":"414 ',C/V0/ 4 "11411'1 44'4'1 7 Oa 0 9 k*, w tot z y r 1 F kk ,,,,,N,,,7 E d ,I `ror, ,t w,, 4 tVt r x 3P Y f A 0 f 5z.illst,- 7 d n ]"•'A 7 rk nb 4md'N "ice w ens ;'r r �'"alktta n a. y t k3,1 i fir N� i N A y /bEs, :w i fx ra: 1- r..,....„. 1 ,,,)1 ,,7-,.==. 1 14. 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C_ Approval Date ii BY J1L O Ylt( 1 I 1 .1.'9 a 4 ...v._ e4 .._i so 0 1 4 \I J en irjpj Elc,,\1 S 1 AL ectAz_L 41,--4,>4- I C i U I -e.W -C t. r0 r jp wfl A 111,01 I C •..1.3 cll'i rTh 7 I c•- ja 4v I 11 1>--------- 1 V 1 St-ex/ rDo-c• F I 1 14L.4e 1 I 1 7$ 3 1 il a i f si■I■MiM 1 0, 1 ,1 li L li[t 1 1 1 I I k t i i G 'po x0x 5 Ii1, 4 11 I I 10' I 1 II i „I I i. ,00vfs I: 0.0,-t ic-• 1 1 6 isi to x0X !I 6 1 I II 3 \IC4A 1 1 i ■falun 1 H i i 3" 1 A/ _.61a-ks ill ,b 4,•b t r u iv, +..x. c q- cr, v i 1, ,A.. I /V t TC:-.1. ''',..■.1Z 1 1 f I E 1 1 1 I E 1 t 1 1 &Let ui.R.,..) ,'i'' i P 1 \ta\Ple 1 V R...4 ''t 11 i I S 1 1 .4 1 i 4 i 2 ?4e r A -P4- 6..e2f vlet* 4)1 i I SKAJ 1 in7i'l i I I 1 .,,41,vrattAiiq" il :,..,.6>riz !",16 g x a....m...........mrai ig v- b'o+-1.w• 1 tock) ;QUA 1 pl l'9.6° sk'iiirA 1 1 00g co T I 1 1 111111 3 cz.is,, s"xe"rie"bl,tie I= L._ 10 ,-I 70 1 L to cALkk- vv■ 0 vi,/, dal., )3 ii u CiA I Gtm 1 1 1 f ii.) 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G. -PLACE BOLTS -WITHIN 12" OF r CH PLATE END L 052 3'9;3'9:1/4" SC,L WASHERS UNDEF'NLITS PRESSURE TREATED PLATES 1I-11 HDRI7DNTAL•'c014FORCEMENT PLACED WITHIN 12" DFTOP OF WALL I FINISH GR' i E REINFORCEMENT SCHEDULE ANCHOR, ,f( G' MI IJ. TO H IGHT U_F.TICAL HORIZONTAL 7" i 1• I •4 UIJ- TP.EATE 1 EMBEDMENT MATERIAL' IN FEET 1 REINFORCEMENT REINFORCEMENT CRAWL SP_.CE r *2' i #4 48" O. C. 1 (1) #4 TOP EAR ...fi"" -at+ MIN. FOOTING VERTICAL REINFORCEMENT 1 ..-7a,. ai DEPTH 2 I 4 r#4 40" O. C., #4 ?4" O. C. BEND =122 BAP. DIP.., t N !L. BELOW 1.. Gc 44 BAP. E" BEND w GRADE I WT0 TO L_�5 -'4 0 24" 0. C. 6 {p #4 1E" O. C. UNDISTURBED THEN 6' 1 'p SOIL 1.-`— L. 1T 12' 1.5TORY 1 TO E' 1 #4 g O. C. 1 #4 16' O. C. I s�_ "r- .1B STORY •LYSIS WITH J., CLEARANCE j r�a ENGINEERS �jl' I;: >6 STAMPED SIG PLAN SQUIRED IR- `VERTICAL REINFORCEMENT MUST BE BENT E. TD DTING RHNFORCEMENT. BENTVERTICALREINFORCEMENT REINFORCEMENT SHALL 55 GRADE Eo--HYDR.AULIC 552 LY. TIEDIN PLACE TOHORIZONTAL REINFDRCEMENi #4 PEINFORC =MINT 2-P1ECE.S CON 1INUDU TOOTING WIDTH ;DOTING THICKNESS 12" 1 -STORY 1-STORY 5T 15" 2- STORY 2- DR 23" 3 -STORY 3- STORY 8 112" NI DNOL1TH1C CONCRETE•FOUNDATION DET,All NO SCALP i1 /2 fJCHLO B.OL_ I a\f;ME AS ABOVE) PRESSURE TREATED SILL PLATES #4 REINFORCEMENT 1 -PIECE CONTINUOUS -...1 S J I l •e •ANGHD B MIN. TD 3 1 /2 17" "N. 1PI UN TREATED 1 "EMBEDMEN MATERIAL• k" 1 �11l FINISH GRADE I 11ii 1 I 1( III L__ 1 TI -i II 111 MIN. FOOTING 1 1111 I 11 DEPTH BW I I GRADE IIJTD ELD II UNDISTURBED SOIL r I i 12 "1 -STDRY 11 111" 2 STORY •••1 1 �j j 3" CLEARANCE 1:11 I 1 _31 1— 0)111^ ji FOOTING WIDTH Ad r4REORCEMENT -2 PIECES CONTINUDUS 12" 1-STORY 15 "2•STORY 23" 3 -5 TORY 14-61/1rri7 OUMADJA ai (510 Ge 2,1111 CERT7I UPANCY cit Ang e ision This certificate is issued iirsuan_t to the requirements of Section 174Yofthe 2 9 International Building Code certifying that atythelitneeofissuance this structure was in compliance with the various ordinances 1, of the City regulatinkibUildikkeonStiftWimpOl.me,for the folloWitik i Business name t if,* t 1 Tho International Vottett( Owner Cali;jtlaarstad) ,_,„,..aI: r Business addressrt. Property owner k Carl Haar,Urf Property owner si:gelaitos 316 N Race St.., Po rt 01gele;MM9862 Automatic fire spinkleiiLsystem. Notfkbildirect Use occupancy6lciAlfieation. Reillialirar'" v Building permit nu her 1 0 146.6 4 -W- 77 24.7: Occupant load. Type of construction. Post on the premises in a conspicuous place. ot be removed except by the Building Official. PREPARED 12/27/10 8 22 01 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/27/10 ADDRESS 316 N RACE ST SUBDIV TENANT NBR CARL HAARSTAD CONTRACTOR PHONE OWNER CARL HAARSTAD PHONE (360) 452 0931 PARCEL 06 30 00 5 1 3705 0000 APPL NUMBER 10 00001283 COMM REMODEL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 02 12/2 V PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS December 17 2010 4 05 51 PM jlierly Provide 3 parking spaces for off street parking per city of pa municiple code/ Complete electrical final and obtain approval before building final can be requested /jll MECHANICAL FINAL December 27 2010 8 20 29 AM 1pangrle MECHANICAL FINAL? PL2 01 11/29/10 JLL PLUMBING ROUGH IN TIME 01 00 11/30/10 DA November 23 2010 4 39 24 PM 1pangrle CARL 452 0931 ROUGH IN PLUMBING AFTERNOON November 30 2010 9 24 24 AM jlierly Some fixtures are ok such as W/H and plumbing under 2nd story kitchen sink area Item not accessable already covered up) are the DWV for that additional bathroom on 2nd floor jll PL2 02 12/07/10 JLL PLUMBING ROUGH IN 12/07/10 AP December 16 2010 10 31 56 AM 1pangrle December 16 2010 10 32 29 AM 1pangrle PL99 01 12/17/10 JLL PLUMBING FINAL TIME 09 00 12/17/10 DA December 17 2010 8 17 31 AM 1pangrle NATHAN W REQUESTED THIS MORNING INSPECTION PLUMBING FINAL MORNING December 17 2010 4 05 51 PM jlierly Provide 3 parking spaces for off street parking per city of pa municiple code/ Complete electrical final and obtain approval before building final can be requested /jll PL99 02 12/27/10 j L PLUMBING FINAL December 27 2010 8 21 05 AM 1pangrle i PLUMBING FINAL COMMENTS AND NOTES PREPARED 12/27/10 8 22 01 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 316 N RACE ST TENANT NBR CARL HAARSTAD CONTRACTOR OWNER CARL HAARSTAD PARCEL 06 30 00 5 1 3705 0000 APPL NUMBER 10 00001283 COMM REMODEL PERMIT DF2 00 BUILD PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BL3 01 12/07/10 JLL 12/07/10 AP BL3 02 12/14/10 JLL 12/14/10 AP BL99 01 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 12/17/10 JLL 12/17/10 DA BL99 02 12/27/10 ME1 01 11/29/10 JLL 11/30/10 AP ME99 01 12/17/10 JLL 12/17/10 DA COM DBL FEE DESCRIPTION RESULTS /COMMENTS SUBDIV CONTINUED ONTO NEXT PAGE PHONE PHONE (360) 452 0931 PAGE 5 DATE 12/27/10 BLDG FRAMING December 6 2010 9 44 28 AM 1pangrle CARL 452 0931 FRAMING (PARTIAL INSP BANNISTER RAIL) December 7 2010 4 08 21 PM jlierly BLDG FRAMING TIME 01 00 December 14 2010 8 15 24 AM 1pangrle CARL 452 0931 HE WANTS AN INSPECTION ON HIS HANDRAIL AND A TEMPORARY C OF 0 AFTERNOON December 14 2010 4 05 18 PM jlierly Stair well ok provide parking for three spaces and an I writen plabn for clearing and removal of debris and illegal storage with dates and times of expected progress jll BLDG FINAL TIME 09 00 December 17 2010 8 15 59 AM 1pangrle NATHAN W REQUESTED THIS MORNING INSPECTION BUILDING FINAL MORNING December 17 2010 4 05 51 PM jlierly Provide 3 parking spaces for off street parking per city of pa municiple code/ Complete electrical final and obtain approval before building final can be requested /j11 BLDG FINAL December 27 2010 8 19 37 AM 1pangrle CARL 452 0931 PARKING STRIP BUILDING FINAL' MECHANICAL ROUGH IN TIME 01 00 November 23 2010 4 38 44 PM 1pangrle CARL 452 0931 ROUGH IN MECHANICAL AFTERNOON November 30 2010 9 24 16 AM jlierly MECHANICAL FINAL TIME 09 00 December 17 2010 8 16 54 AM 1pangrle NATHAN W REQUESTED THIS MORNING INSPECTION MECHANICAL FINAL MORNING PLEASE PRINT IN INK Check one. New business in P.A. Change of ownership only? Moving location from within P.A.? Zoning Co BUSINESS NAME i hoop. l b w In I I n ±evv k c.h� o vt a l b -F0i7Q Phone number 2— 09'S/ Opening date (G/ &006Days hours of operation 7 24— Business owner's name Cn.v, 1 (4ctq_o.c- -Ad 4-5Z— O 3 /U. JeA .ry Business address 3/c, A) iling address Business owner's address Brief description of business Property owner's name 1 17 aAA. +a Property owner's address /contact 3 6 1V BUILDING DEPARTMENT phone 417 -4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways rmps bathrooms electrical, heating /cooling /ventilation systems etc) Work planned JJ /vO FIRE DEPARTMENT phone 417 -4653 Fire approval by Changes to a fire sprinkler system or fire alarm system? Yes NoX Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? (q 0D PBIA notified on Is business moving within the PBIA? Yes No5( CITY CLERK phone 417 -4634 CERTIFICATE OF OCCUPANCY APPLICATION Permit# LO tIAf06 5 ��2�� FEES 10-1Z$3 V' $5fd Certificate Inspection 00 Parking Business Improvement Area (PBIA) fee charged for Downtown locations CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Will there be dancing at this business? Yes No Second -hand dealer /pawnbroker business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 Contact phone Contact phone c FS7— C3g3 I ST City Clerk approval by on on COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750 Number of off street parking spaces available for employees and customers? 7 (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned m i O I All �la M I 1H J N 7 ':111.-Z4 "--72. n O. PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. DI ICI If' U/r1DlfC r1C0 AOTA/ICAIT CAInIAICCOIAI%` h.... A.17 AfA'i ._..vuv Nuvuc 7 I TU IL Is site work planned (new or re- located sewer or water service excavation grading or filling work in City right -of -way new driveway openings site drainage, parking lots downspouts irrigation system backflow devices, etc.) Yes No Work planned PUBLIC WORKS WASTEWATER phone 417 4845 T \Forms\Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 Date 1 i $rint Name CAA I 14-a.&v.. +a c Signatur CED approval by on Sue a avQ h -R V ai ofehlvva1 oIA 0 1 -2l -il PWE approval by PWW approval by Please sign up for utility services at the cashiers' counter on on Will waste other than domestic household waste be discharged into the sewer system? Yes No If yes what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 I hereby apply for a Certificate of Occupancy I acknowledge that l have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. e DATE CORRECTIONS NEEDED: ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTOR dGl -�Z22 OWN ERICONTRACTOR ADDRESS 4 Q.,"- 5'D GJR y R��°f APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL `F- GOV r_R 1Z L. Pc "rz_4 -779YL Pi L mss. 1)4 STALL— �i�fe _2/LLS '1 szarG tf5T 44* IDYL. L b 2_ F57...0 f-� Y4 6 4-L 1 V 1, T7 L V &_..1 L r z Pfd.[ (2 b hl 2,a r.L V s -i 1f- —L-S NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE PREPARED 12/17/10 8 19 51 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/17/10 ADDRESS 316 N RACE ST SUBDIV TENANT NBR CARL HAARSTAD CONTRACTOR PHONE OWNER CARL HAARSTAD PHONE (360) 452 0931 PARCEL 06 30 00 5 1 3705 0000 APPL NUMBER 10 00001283 COMM REMODEL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS AFTERNOON November 30 2010 9 24 24 AM jlierly Some fixtures are ok such as W/H and plumbing under 2nd story kitchen sink area Item not accessable already covered up) are the DWV for that additional bathroom on 2nd floor jll PL2 02 12/07/10 JLL PLUMBING ROUGH IN 12/07/10 AP December 16 2010 10 31 56 AM 1pangrle December 16 2010 10 32 29 AM 1pangrle PL99 01 12/17/10 JLL PLUMBING FINAL TIME 09 00 December 17 2010 8 17 31 AM 1pangrle NATHAN W REQUESTED THIS MORNING INSPECTION PLUMBING FINAL MORNING COMMENTS AND NOTES o Ro �r CERTIFICATE OF OCCUPANCY 1 Fs r lkas Nizarr CITY CLERK phone 417 -4634 CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one New business ssrl in P.A. Change of ownership only? Moving location from within P.A.? Zoning CO BUSINESS NAME aIo 7' W IA .1 VI fell' V1 c( +r o Vl 1 Uorie l Business address .3 /G, N R..‘..c.p S-1— fling address r__ A Phone number 2— 0ci 1 Opening date Days hours of operation '7 z4 Business owner's name (L vl I I4 aav'.ci-ad Contact phone 4 4 52 04 3 Business owner's address 3 i G. /U, I€.u°cry Brief description of business U-r, c4_,) Property owner's name (L 1 f,Aek Contact phone ¥c7— d 9 I Property owner's address /contact 6 /V, BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways, r mps bathrooms electrical heating /cooling /ventilation systems etc) Work planned f Vnr FIRE DEPARTMENT phone 417 -4653 Changes to a fire sprinkler system or fire alarm system? Yes NoX Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? 00 PBIA notified on Is business moving within the PBIA? Yes No3( Second -hand dealer /pawnbroker business? Yes N Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 APPLICATION Permit 1.0 `I 6G. a ,,N2e.— Ste- FEES 4 $5fd Certificate Inspection 00 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by on Fire approval by on City Clerk approval by on COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for employees and customers? 7 (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning, A -frame etc Signs planned. ,O46irriA Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 T1Forms\Suilding Division\Certificate of Occupancy Application (2010).doc CED approval by PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT FNG!N ER!Nv phc.sno 417-4812' Is site work planned (new or re- located sewer or water service, excavation grading or filling work in City right -of -way new driveway openings, site drainage parking lots downspouts, irrigation system backflow devices, etc.) Yes No on i PWE approval by k on 12 —J 7- /0 /06 PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes No_k If yes what will be discharged' Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that l have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. f 61 II a,, A—CR Si natur �l Date �nnt Name�f] 1 t'�Q, v.� 9 _f? Page 2 of 2 c�R �f CITY OF PORT ANGELES Job Located at Correction Notice BUILDING DIVISION DO NOT REMOVE THIS TAG Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction These corrections must be made and are not to be covered until reinspection is mad When porrections have been made, please call for inspection Date /P,.17 Inspector for Building Division PREPARED 12/17/10 8 19 51 CITY OF PORT ANGELES ADDRESS 316 N RACE ST TENANT NBR CARL HAARSTAD CONTRACTOR OWNER CARL HAARSTAD PARCEL 06 30 00 5 1 3705 0000 APPL NUMBER 10 00001283 COMM REMODEL PERMIT DF2 00 BUILD PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BL3 01 12/07/10 JLL 12/07/10 AP BL3 02 12/14/10 JLL 12/14/10 AP BL99 01 1.117/10 JLL PL2 01 11/29/10 JLL 11/30/10 DA COM DBL FEE DESCRIPTION RESULTS /COMMENTS PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE (360) 452 0931 PAGE 3 DATE 12/17/10 BLDG FRAMING December 6 2010 9 44 28 AM 1pangrle CARL 452 0931 FRAMING (PARTIAL INSP BANNISTER RAIL) December 7 2010 4 08 21 PM jlierly BLDG FRAMING TIME 01 00 December 14 2010 8 15 24 AM 1pangrle CARL 452 0931 HE WANTS AN INSPECTION ON HIS HANDRAIL AND A TEMPORARY C OF 0 AFTERNOON December 14 2010 4 05 18 PM jlierly Stair well ok provide parking for three spaces and an I writen plabn for clearing and removal of debris and illegal storage with dates and times of expected progress jll BLDG FINAL TIME 09 00 December 17 2010 8 15 59 AM 1pangrle NATHAN W REQUESTED +THIS MORNING INSPECTION BUILDING FINAL MORNING ME1 01 11/29/10 JLL MECHANICAL ROUGH IN TIME 01 00 11/30/10 AP November 23 2010 4 38 44 PM 1pangrle CARL 452 0931 ROUGH IN MECHANICAL AFTERNOON November 30 2010 9 24 16 AM jlierly ME99 01 12/17/10 DecembIrA1 FI1 TI6E 09 00 20 December 17 2010 8 16 54 AM 1pangrle NATHAN W REQUESTED THIS MORNING INSPECTION MECHANICAL FINAL MORNING PLUMBING ROUGH IN TIME 01 00 November 23 2010 4 39 24 PM 1pangrle CARL 452 0931 ROUGH IN PLUMBING CONTINUED ONTO NEXT PAGE ,5 c'' ?i3A-Le t-- 41 icAce)O. CERTIFICATE OF OCCUPANCY APPLICATION Permit# t0 I 1/4,01 -∎v V- v\Vf CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one. New busm P.A. Change of ownership only? Moving location from within P.A.? Zoning CO ss BUSINESS NAME 1 YI &to 7 0 W In I IA ±ZV /4 cch o Vl al l N of e Business address 3 /t A) /Lc, S f iling address S'gt Phone number 4 2- 09.3/ Opening date ays hours of operation '7 24— Business owner's name C."i v% 1 1- ct.tn.-fa ,t Contact phone 452- oq 3 Business owner's address f G. /U, ke c Brief description of business LI /9 (4....,1 BUILDING DEPARTMENT phone 417 -4815 FIRE DEPARTMENT phone 417 -4653 CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes N Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel- Motel, Fireworks, Ambulance and Tattoo Businesses. Changes to a fire sprinkler system or fire alarm system? Yes NoX Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? ROO Is business moving within the PBIA? Yes No\ Page 1 of 2 See- FEES 10 Certificate Inspection 00 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Property owner's name I l. 1 14-k aA ,l?xt1 Contact phone ¢S7— 093 I Property owner's address /contact 3 6 /t), le S+ 4-o Bldg approval by 'ML L v on 1 2- 27— lel) Is the business a restaurant or bar that will seat 50 or more people? Yes No— Construction changes planned (moving walls adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways r mps bathrooms electrical heating /cooling /ventilation systems etc) i Work planned 1 Fire approval by K)Q on I Z _1-1- I Q PBIA notified on City Clerk approval by_7 on L COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by S R on 0 Number of off- street parking spaces available for employees and customers? 7 (A parking plan may be required Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned eetivt Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 T \Forms \Building Division \Certificate of Occupancy Application (2010).doc 2" x 4' PUBLIC WORKS DEPARTMENT ENGINEERING -phone 417 -4812' Is site work planned (new or re- located sewer or water service, excavation grading or filling work in City right -of -way new driveway openings site drainage parking lots downspouts irrigation system backflow devices, etc) Yes NoX PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by V on PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? No Noy( If yes what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. [LAN' &c p Date 4 i ?rint Namef i1w 1 .S Signatur Page 2 of 2 1` PREPARED 12/14/10 8 24 40 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 316 N RACE ST TENANT NBR CARL HAARSTAD CONTRACTOR OWNER CARL HAARSTAD PARCEL 06 30 00 5 1 3705 0000 APPL NUMBER 10 00001283 COMM REMODEL PERMIT DF2 00 BUILD PERMIT COM DBL FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV COMMENTS AND NOTES PHONE PHONE (360) 45� 0931 BL3 01 12/07/10 JLL BLDG FRAMING 12/07/10 AP December 6 2010 9 44 28 AM 1pangrle CARL 452 0931 FRAMING (PARTIAL INSP BANNISTER RAIL) December 7 2010 4 08 21 PM jlierly BL3 02 12/14/10 LL BLDG FRAMING TIME 01 00 v/ December 14 2010 8 15 24 AM 1pangrle 11 CARL 452 0931 HE WANTS AN INSPECTION ON HIS HANDRAIL AND A TEMPORARY C OF 0 AFTERNOON PAGE 10 DATE 12/14/10 J s °12 woo Doc QO7\i\ 6- F F311 C FA-y JcLC 5 (Z6-fryp114 v r JL� PREPARED 12/07/10 8 13 19 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/07/10 ADDRESS 316 N RACE ST SUBDIV TENANT NBR CARL HAARSTAD CONTRACTOR PHONE OWNER CARL HAARSTAD PHONE (360) 452 0931 PARCEL 06 30 00 5 1 3705 0000 APPL NUMBER 10 00001283 COMM REMODEL PERMIT DF2 00 BUILD PERMIT COM DBL FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 12/07/10 0 BLDG FRAMING December 6 2010 9 44 28 AM ipangrle CARL 452 0931 FRAMING (PARTIAL INSP BANNISTER RAIL) COMMENTS AND NOTES 'No Poiv, PREPARED 11/29/10 8 22 00 CITY OF PORT ANGELES ADDRESS 316 N RACE ST TENANT NBR CARL HAARSTAD CONTRACTOR OWNER CARL HAARSTAD PARCEL 06 30 00 5 1 3705 0000 APPL NUMBER 10 00001283 COMM REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 11/29/10 1A PL2 01 11/29/10 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV COMMENTS AND NOTES PHONE PHONE (360) 452 0931 MECHANICAL ROUGH IN TIME 01 00 November 23 2010 4 38 44 PM 1pangrle CARL 452 0931 ROUGH IN MECHANICAL AFTERNOON PLUMBING ROUGH IN TIME 01 00 November 23 2010 4 39 24 PM 1pangrle CARL 452 0931 ROUGH IN PLUMBING AFTERNOON w e Ort i, t PAGE 8 DATE 11/29/10 Jul) pIft4h f f 12,97012C Docv�S �/1CV1 r L o 6 ife e 611)3 4 LtAD tf;4 5 J S 4-4 e A-1 SP Jam SbulL ,0 g. PORT 44, I O)k ,4. (T o OAKS S� DE /fAT� �l J r/i OW ER ACTOR 1�xT2�R ADDRESS 31I APPROVED 0 0. 0 CORRECTIONS NEEDED* ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT M INSPECTOR NI nt _PAc_I ABOVE 6.12.Ph7 DITCH ROUGH IN /COVER SERVICE FINAL 1 s- r I417 "5 6. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE NOT APPROVED 0 Application Number 09 00001222 Application pin number 063844 Property Address 316 N RACE ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3705 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 0 Application desc 200 amp service sub panel and 10 circuit remodel Owner Contractor HAARSTAD CARL 316 N RACE ST PORT ANGELES WA 983623516 54J-- "152 0931 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Date 11/24/09 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 157099 Permit Fee 207 50 Plan Check Fee 00 Issue Date 11/24/09 Valuation 0 Expiration Date 5/23/10 Qty Unit Charge Per Extension 10 00 2 0000 ECH EL BRANCH CIRCUIT W /FEEDER 20 00 2 00 93 7500 ECH EL -0 200 SRV FEEDER 187 50 Fee summary Charged Paid Credited Due Permit Fee Total 207 50 207 50 00 00 Plan Check Total 00 00 00 00 Grand Total 207 50 207 50 00 00 STz-_ 't2_U 12. b 2116110 SOB YIN- ►L_ (314-12-> -GC._ INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH )i 124 /65 t4P SERVICE a 7 o ROUGH IN o L FINAL a,"s /iS /a� //n AO COMMENTS /2 I I 1 tt,dA e 9110 Signature of owner or Electrical Contractor X Date wsY CITY OF PORT ANGELES OFFICE OF THE ELECTRICAL INSPECTOR 321 EAST FIFTH ST. P.O. BOX 1150 PORT ANGELES, WASHINGTON 98362 PHONE (206) 457 0411, EXT 224 a 158 PROGRESSIVE INSPECTION REPORT DO NOT CONCEAL OR DESTROY Job Name Permit No. CA L- Hl40 X' IZZZ Owner Electrical Contractor Location 3 1 to n( ,P-.la C Inspection Area, Building or Equipment Inspected Action Taken Electrical Dote Inspector 2 h0 ktii;)-/rrg wAU.s f4,.,�.L L114 /.4 NlRl.t_S AIE1LIAI L. f j G} 1LEC. hArtwJ et_ofL uJ ni 4 cEdLm1.4. s b irrx 4- t sA rz s wig L, Li Na 7 T»rc.i 6 )12 7 r-Jn'f!, Pp...4as- 60k/Z4C. 7 'M3 RrrJLrI rtR lkCrw l 5 L aff- o 4 ik?" h/A t_ 12 /r /I0 r- ka Le-RSiAcZS (CASpc ASP ACiCt 1 1- NOV -23 -2009 02 57 PM E JANSSEN Signature of finer. electrical contractor ur Mnotrrcel administrator a. Clay of Port Angeles Permit Application Building DivlelenlElectrical Inepeetiontr 921 East Fifth Street P.O. Box 1150 Pod Angeles Washington, 96362 Ph: (380)417.4738 Fax:(860)417.4711 Date: 1 3 3 -(27 1 2 Single Family Dwelling NMtili- Family or CommerclaI Commercial Addition I Alteration Remodel 1 Repair' Plan Review May Be Required; Please Crim lets Electrical Plan Review information Sheet Job Address: flri .t o VyleE r Building Square Footage: RECEIVED NOV 2 4 2009 ELECTRICAL INSPECTIONS 360 452 2982 a Qharq gt� Total lam! Multiplied by Unit Charq 1 93.75 g 3 Service/Feeder 200 Amp. $113.75 5 Service/Feeder 201-400 Amp. $160.00 5 Service/Feeder 401 -800 Amp, $205.00 S_. Service/Feeder 601 -1000 Amp. $291.25 3 Service/Feeder over 1000 Amp. 2,00 _T .1 O p' Branch Circuit W/ Service Feeder 57.50 Branch Circuit W/O Service Feeder 2,00 Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp 66.25 Temp. Servtce/Feeder 201 -400 Amp. $116.25 Temp. Servlce/Feeder 401.600 Amp, $131.25 Temp. Service/Feeder 601-1000 Amp. S 75.00 Portal to Portal Hourly S 69.00 Sign /Outline Ugheng S 75.00 Signal Circuit/ Limited Energy Commercial S 60.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling .5, 50.00 Signal Circuit/ Limited Energy Multi Family Dwelling 93.75 Manufactured Home Connection S 60.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1900 Square Ft. 27.50 Each AdtItionel 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage S 96. 25 S Each Swimming Pool or Not Tub 43,75 5 Thermostat Total 207 6 50 P 01 Description of above I r`) e v_ 1 cc 0 k at 7 e.!?. g- Ito n 1 Santa t<� r doL. SA 6 pa ct/ G� Owner Information Contractor Information Name: awl t4. r 1 Name: i. KT RPF Wt t t.E rE c M A• i< I tckK tcui. Mailing_ Address: 31 (c n) 1, 1.. -g 5 T' Mailing Address: 4 tit r.L 72 Pr-e sT City: State.., r_�. Zip: ct ce 3e, 7 City: NAL 1- reties State: Zip: q g y1,2_ Phone: c/�.? a9 Phone: 34.Q: 5 Aa a. :06 i41_11111 license Exp. License I Exp. ExTRA Airco RC. 11. t /r4x 5r S'7 -85 Owner es defined by RC W.19.20.261. (1) Owner wfll occupy the snit u►e for two years after this electrical permit is finalised. (2) Owner is required to hire an electrical contractor If shove said property Is for sate, rent or lease. After reading Oa above statement I hereby certify that l am the owner of the above named property or a licensed electrical contactor. lam making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 1928, WAC Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Owner CARL HAARSTAD 316 N RACE ST PORT ANGELES (360) 452 0931 Structure Information Construction Type Occupancy Type Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 1 00 1 00 5 00 T'Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00001283 Application pin number 392477 Property Address 316 N RACE ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3705 0000 Tenant nbr name CARL HAARSTAD Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 6000 Application desc REMODEL 3 BEDROOMS INTO 5 ADD A BATHROOM ETC Qty Unit Charge Per 7 2500 EA 10 6500 EA 14 8000 EA WA 983623516 Contractor OWNER 000 000 B TYPE V NON RATED RESIDENTIAL Permit BUILDING PERMIT COMMERCIAL Additional desc DOUBLE FEE PERMIT Permit pin number 176685 Permit Fee 151 75 Issue Date 11/16/10 Expiration Date 5/15/11 Qty Unit Charge Per BASE FEE 4 00 14 0000 THOU BL -2001 25K (14 PER K) MECHANICAL PERMIT 176727 141 90 11/16/10 5/15/11 l I( /6k‘7ic) CAYlLI144egQA Date 11/16/10 Plan Check Fee 98 64 Valuation 6000 Extension 95 75 56 00 Plan Check Fee 00 Valuation 0 BASE FEE ME VENT FAN (SINGLE DUCT) ME HOOD /DUCT MECH EXHAUST ME HEATER(SUSP /WALL /FLOOR MTD) Extension 50 00 7 25 10 65 74 00 Permit PLUMBING PERMIT Additional desc Permit pin number 176719 Permit Fee 121 00 Plan Check Fee 00 Issue Date 11/16/10 Valuation 0 Expiration Date 5/15/11 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. REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION. Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Roush -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments t O iZ -1� iI -li ID PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T:Forms /Building Division /Building Permit FINAL Date Accepted by 31 v !FINAL Date 1 Accented by 7L� FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE I Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 O Planning 417 -4750 Building 417 -4815 17, 10 ---XL-- CITY OF PORT ANGELES VIA DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Qty Unit Charge Per 6 00 1 00 1 00 1 00 Other Fees Fee summary 7 0000 EA 7 0000 EA 15 0000 EA 7 0000 EA T:Forms /Building Division /Building Permit 10 00001283 392477 BASE FEE PL- PLUMBING TRAP PL WATER LINE PL -SEWER LINE PL -WATER HEATER Special Notes and Comments November 8 2010 1 39 25 PM sroberds The proposal will result in remodel and improvement to a structure in the CO zone No increase in site or lot coverage is allowed by this permit DOUBLE PERMIT FEE 151 75 STATE SURCHARGE 4 50 Charged Paid Credited Due Page 2 Date 11/16/10 Permit Fee Total 414 65 414 65 00 00 Plan Check Total 98 64 98 64 00 00 Other Fee Total 156 25 156 25 00 00 Grand Total 669 54 669 54 00 00 Extension 50 00 42 00 7 00 15 00 7 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Applicant 0, Property ()Vier Property Owner's, Contractor Contractor's Address License PROJECT ADDRESS Parcel Number Og ?r),00-5;-, -3 o 7 &.'i l Lot Project Type Brief Description. Check all that apply New Construction Ad ion emodel Repair Demolition Re -roof Heat System Other AttA a BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 9836 (360) 417 -4815 fax (360) 417 -471 L c LOOKLP dress k N, Y42 a Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Expires Occupancy group Occupant load Construction type rnl ttO Phone Phone Signature Phone E -mail Residential Multi- family g oe i Ccinrnercial ,Atenor ktii+r5 For City Use Only Date Received I i -Z- 10 Permit #___)(1.- ate Approved Zoning At ;hanaI�vt 3-?5 Ded+omrnS -eve, I../ ;4c,.A c..., ,PIN dove ID Hou e r■ garage o oth -r o e -r >ff a" re-roof lay over one la Heat pump wood burning stove gas fireplace pellet stove other ex wjs-1- het:AAverr+- vPsia.i rs in -HhP'rcomvylov, ivn- ?v\ S,nK. 1•, +);P`(e.o►,,,mn+n r..51-y+ mow)`' A 0. s6naie Floor Areas �plko.n+ Existing (sq. ft.) Proposed (sq. ft.) Baseme i her $vent i$. *0 Vent 4 a °vex' per sq ft. 1 Floor Re cZ cW }er V■e- &-ke.r (in 2cV-4- teL- I�,(5u +0. rormit) 3 Floor n a'n ups{YU 4,.( -n ry (wo (lone in 24350 2 Floor rno ved -ta: Lai w `t6,o;.t;- peirmi� Garage pt a sh�r Carport s.- i.► 5 be4r6,1r.n< Covered Porch Deck _t- i1 -9 )0 Shed Other 6, oco -0-0 TOTAL VALUATION Total footprint of structures sq ft. T Lot size 7000 sq ft. Lot coverage 71) Site Coverage the amount of p rvious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths Industrial I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to Viking on project Date/b /5//2 nt Name l /4.4h1 2,4 T Forms /Building Division /Building permit application 1 b Permit I b- 7 3 'PP..Iri im R ©u o ye. 5'm in;Vks va,1va-(-ib r^ .S h oo Idl bay bas .ems —6+ c I-1 e, 11 -1-e, (1 me.. tole a-t- -Nke ua,1.v644-.);n should, be-_ St, It -9-10 T Forms /Building Division/Notes NOTES Clallam County Assessor Treasurer Property Details 61623 CARL HAARSTAD for Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 61623 CARL HAARSTAD for Year 2010 2011 Property Account Property ID Geographic ID Type Tax Area. Open Space. Historic Property Multi Family Redevelopment: Township Range Location Address. Neighborhood: Neighborhood CD Owner Name. Mailing Address. Taxes and Assessment Details Amount Due if Paid on. 61623 0630005137050000 Real 0010 N N N PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property 316 N RACE ST PORT ANGELES WA 98362 Cycle 5 Comm 20953140 CARL HAARSTAD 316 N RACE ST PORT ANGELES WA 98362 3516 Property Tax Information as of 11/02/2010 NOTE If you plan to submit payment on a click RECALCULATE to obtain the correct Year Statement ID I Taxing Jurisdiction Amt. 2010 44326 ST SCH STATE SCHOOL 2010 44326 CC -GEN COUNTY 2010 44326 PORT PORT 2010 44326 PORT ANG PORT ANGELES 1 2010 mm 44326 SD #121 SCHOOL DISTRICT #121 12010 44326 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 44326 HOSP #2 HOSPITAL #2 2010 44326 WSMET PK DIST WILLIAM SHORE MET PARK DIST $12 54 (2010 44326 CITY_STORMWATER CITY STORMWATER 2010 44326 WEED_CONTROL WEED CONTROL 2010 44326 TOTAL. 2009 616232008 ST SCH STATE SCHOOL E2009 616232008 CC -GEN COUNTY 2009 616232008 PORT PORT 2009 616232008 PORT ANG PORT ANGELES 2009 616232008 SD #121 SCHOOL DISTRICT #121 Legal Description. Agent Code Section Mapsco Map ID Owner ID Ownership Exemptions. First Half Base S2 LTS 1 &2 BL 37 NORMAN R SMITH 11 N N 2 28265 100 0000000000% future date, make sure you enter the total amount due. iSecond Half Base I Amt. Penalty l Interest Base Paid A $18056 $180 55 $0 00 $0 00 $361 11 $96 08 $96 08 $0 00 $0 00 $192.16 $13 50 $13 51 $0 00 $0 00 $27 01 $222.48 $222.46 $0 $0 00 $444 94 $233 88 $233.86 $0 00 $0 00 $467 74 $27 92 $27 92 $0 00 $0 00 $55 84 $39 42 $39 41 $0 00 $0 00 $78.83 $12 54 $0 00 $0 00 $25 08 $36 00 $36 00 $0 00 $0 00 $72.00 $0 82 $0 81 $0 00 $0 00 $1 63 $863.20 $863.14 $0.00 $0.00 $1726.34 $210 71 $210 71 $0 00 $0 00 $421 42 $106 64 $106 65 $0 00 $0 00 $213.29 $15 11 $15 10 $0 00 $0 00 $30.21 $233 91 $233 89 $0 00 $0 00 $467 80 $260 57 $260 58 $0 00 $0 00 $521 15 http. /vpn. clallam. net. 8084 /propertyaccess/Property. aspx ?cid =0 &year= 2010 &prop_id =61 11/2/2010 CITY OFPOFTA'd The Issuance of I irs p 3r cations and othe date from thereafter equi plans, specificat ons building operatic ns violation of all god Approval Date MI ,-o f t 6 P9 V v w K h zvs, G LES Construction Plans IT it based upon these plans, specifi- sh dl not prevent the building official the correction of errors in said other data, or from prever ing carried on thereunder whei in i1 ordinances of this jurisdic lot ?may —1—II CDC bh Cr4\r'— ro 6a ravv,_ 7 FO-C 6 4FC0 z— 3` x�`W��a�WS� I tj 1 k /Q-) OC) t9„, co 0 poo 10 I I 1^ -4k (2 .b, K4g ;D riN �f vrAft a'Z S rl D 9AftWIA 'Effective'Date" I,ocati.On of Work Name of Perrnit Holder Address of:Per It Raider Perm:158ton to c 44'.* ,Ze-• 4 44. Posted-By inue construction, aJte'ratn., mainte, 'repair work any loricifs hereby revoked or croes not exist until conditions set forth in the ordinances and building codes of th,e City of 0 are com,plied with WARNING., CONTINUATION OF 'WORK' CiR REMOVAL' OF THIS NOTICE IS A. MISDEMEANOR AND 1S PUNISHABLE BY STATE -LAW t NOTICE. TO §F REMOVED ONLY BY BUILDING SECTION r PERSONNEL DEPARTMENT OF COMMVN[lY.D.E.VELOPME,NT BuklingAyision_, OF PORT ANGELES '4 't „4. ,k. Tme 1 0 5.-b -4 PerMit No ,,IN .t0.0, i 4 1 -2 0 r i t.404,y, Vt) `O'S 4117=4-8,1 5. Rif further In formoon °L.N" a. 6' f~ORT~ l'O~~~ ~. "-~ ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o ....J 07-00000810 Date 8:t7 53 0 316 N RACE ST 06-30-00-5-1-3705-0000- CARL HAARSTAD RE-ROOF 7/09/07 , 00 - o Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation COMMERCIAL OFFICE 1450 Owner Contractor HAARSTAD CARL 316 N RACE ST PORT ANGELES OWNER WA 983623516 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . BUILDING PERMIT - NO PR FEE METAL ROOF ON HOUSE 106567 80.50 Plan Check Fee 7/09/07 Valuation 1/05/08 .00 1450 Qty Unit Charge Per Extension 50.00 30.50 BASE FEE 10.00 3.0500 HND BL-501-2K (3.05 PER C) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80.50 80.50 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 85.00 85.00 .00 .00 ~ / ?L ~'- ~ 'l "- Odl ~ ()' z 70 P. ~ ~ V1 -+- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction r-the""performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\1102_15 building pennil inspection record05.wpd [1/4/2005] 74/rr-; Date ~ ) ~ ~ Buu,DING PERMIT INSPECTION RECORD CALL 417-48]5 FOR BUILDING INSPECT]ONS. CALL 4] 7-4735 FOR ELECTR]CAL INSPECTIONS. CALL 4] 7 -4807 FOR PUBLI C WORKS UTILITIES PLEASE PROVIDE A IvlINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT Il'\ A CONSPICUOUS LOCA TJON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNIJA nON: FOOTINGS SHEAR WALLS / WALLS FOUNDA T10N DRAINAGE / DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR Vi ALUHOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (fNTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEAT PUMP /FURNACE / DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHTDEPT CONSTRUCTION R.W. /PW/ CONSTRUCTION - RW. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING \L-II-f)~ 'J"U- T:\Policies\1102 15 buildmg penTIlI mspectlOn record05.wpd [1/4/2005] .-<00 o '- .-< .-< '- N .-< r>lr>l C9E-< <1;<1; "'Q , ., , r< , ... , 01 , <: , '" , 0. >< , r< ..:I , ~ , r>l , .. ~ H , > ..:I , H r>lr>l E-< , Q ZZ LIl W r>lW , gJ 00 OM r>l ~r>l , ;.:;.: 0"" E-< 8~ W "'''' .. LIl 0 '-<N Z E-<':l o .. "- 00 0 Q Z .. 0 ~ O~ r>loo ~ HO W :>:0 , E-<E-< E-< HO r>l W UU Z E-<N ~ E-< r>lr>l r>l .-< Z 0.'" :>: -M r>l ww ~Z:>: .-<'" :>: ZZ ~OO ....:l~OH :>: H H r>.HU <1; '<1;Z 0 E-<'- Z"'NZO U t>:"'W HQJlflHQ "'HE-< "-{l"'''-~ ~..:I , OU::O C9.,..:IC9r>l 0 :>:WW QU~QE-< 0 r>lr>l ..:1.,<1;..:1"- 0 , Q~ o:lQUo:l<1; 0"- '0 E-< LIlO H O~ ~"'~ a- r- , 00 Mr>l .-< &;~ ..:I 't>: "'W ~.-< ZW M E-< <1; '0 C9Hr>l .,. r>lW ULIl.-< :>: ~ U~ '00 H ~::; ~OO ~ W 00 r>l ;.: E-< '0 HQQ It -..:I Z WOO ::>r>lr>l oor>l ..:I ~MO alE-<E-< 0C9 \D~ ::; , , Wr>l ::<~ .-<<1; \Dr- Or>l..:l MU ;':00 0::0'" .-< 0:>: '-E-< "'r>l0 N~ ~ ~ O~U '-<0 "o:l ~ "r>l ~ 0. ZO o:l Q E-< "?5 r>l"- W -U .-< ~O C/JE-<<1; ..:IZ E-< 0 0 <1; ~~~&ltl..:l .... C/J "'>< ~ '- '" r>lE-< QZZZ~'" 0. '" ~H ~r>l0~<1;'" >< ..:I o.U E-< UO 0.<1; '" E-< o:l ,'~ 0\ :..,:.~.. ""!\'G(; '-;.. f,~~.jf,'illjj~~\:. (.f' ...t:i/f':"'~..". ~) l~_ ~:..::i1'! ~ . ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: Oi-Ol1.-o] I Permit#: Q(- ~ 10 Date Approved: 0"1- DC} -D 7 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 PERMITS (360) 417-4815 FA..X(360)417-4711 -- Address: City: p+ Phone: _1-S 2- 093/ Phone: 152-0 95/ /--;L1- /2/J?/ ~fl- Zip: 7 v~? Applicant or Agent: l'l1-!2.L- t.l4A.~ 740 C 4te t- r../IJ-~;e {.lI112 g 16 A;. t4.a $:I Owner: Architect/Engineer: Contractor Phone: State License #: Exp: Phone: Address: City: 316 ;V, ~4' ~ Zip: ZONING: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: SIZEN ALUATION: SF. @$ /SF. = $ SF. @$ /SF. = $ SF.@$ /SF.=$ TOTAL V,ALUATION0 $~/q.5D- o{) TYPE OF WORK: o Residential D New Constr. ~e-roof D Stove D Multi-family D Addition 0 MoveD Garage o Commercial D Remodel 0 Demolition 0 Deck o Repair D Sign 0 Other BRlEF DESCRIPTION OF THE PROJECT: - - ~ COMMERCIALIRESIDENTlAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. Existing Sq. Ft. No. of Stories: Lot Size: Total lot coverage % PLANNING USE ONLY: APPROVALS: . PLAN: : BLDG: DPWU: ESAlWetland(s): DYes 0 No SEP A Checklist required? 0 Yes 0 No Other: FIRE: OTHER: - VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPmATION OF PLAN REVIEW: lfno 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 RI05.3.2 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. J am auth06zed to apply for this permit and understand that it is my responsibility to det ine what permits are required ,not the City's, and that I must obtain such permits prior to work. ) T:\FORMS\BldgPennitform.wpd Applicant: Date: ~7h!rr; - rJ ,ORT ~G l~~"" ,.~ ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o -I -J .J: ,J:) Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000749 Date 6/25/07 600129 316 N RACE ST 06-30-00-5-1-3705-0000- PUBLIC WORKS UTILITES COMMERCIAL OFFICE o Owner Contractor HAARSTAD CARL 316 N RACE ST PORT ANGELES OWNER WA 983623516 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY PLANTING GARDEN UNDER 30" HT 105544 .00 6/25/07 12/22/07 Plan Check Fee Valuation .00 o Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 vJ - 0- 2. .. /J 9 '" (\) ~ , Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork Is suspended or abandoned for a period of 180 -cayS after the work as commenced, or if required Inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1I02.1SR [1/051 PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I 'IJI FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] ~ i ~ \- '~ UJ~ \-LJ ~ r-..} ~ ~~ ~-~ V) L.L~ o <C" aL Q a \- \/) .., " <J 94- ~~ I 1 '" : Hi ,f' ~ I OJ ~ ~~~ I~ Vl I I .k "", '. -' "1 ' ", ""'" "'-''- /' -Cl "<'", )' ~ "-~- - '-~'-r ~ + O ~~ , ~ 3!: ~ I , 'N ~ { ~ ~ he; J'~-4J o ~ ct-~ '- <:J ,........~.... V.J ~ ' N <5 x.. In -, -:i co? "1 ., Jt.. o So. <:J- \ .\ ". ~'\ ~ .3 - -..D "- + ~ ~ -i cP r ~ >z. <:J -/-. C/) ~ <::< ~ +- ':... <::> =< ~ --... ~ ..s oC) 2 + v ~ , ~ CP .e '-.0 1 -=.s ." s: ~ :$ ~ c ~ ~ ~ -~ ~ tSc:> ~ Qj c+ 4 ~ 0 1 i C) <.-. 0 -+ ..0 ~ c::.t, (/) "J t) D -'/ ./ RIGHT OF WAY USE PERMIT fJ(~ ~ 0, - 'I i..J q DATE 1-//3/2tJo7 PA WA QS31,2- 3/b JVO~~ ~ Sf. DESCRIPTION OF REQUEST (include drawings required for clarity): [If street closure is requested, please state the name of the street and limits of closure, together with the duration of closure.] I:') PiC\"-'t ~Jt 8~x 2J3/. ~IUWolA a.,-J ~ ;ru.<::, j(lAJ.~"1 '-V.~ 'rOI.-....& '-<.U<J. Jt;~ <;fY '^ti - f"'~~ ~ ~ Z) T I~ f:.1.r -. ')c "1 . c!)11 pa, i/ j'. h 0,' ciu.. t^~, b,\.s, SIfojJ i IS THE USE TEMPORARY OR PERMANENT? P€.V' Jov\ a L..I~ r HOW LONG WILL THE OBSTRUCTION BE IN PLACE? WHAT ARE THE HOURS OF OPERATION? HOW IT WILL BE LIGHTED? EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING STRIP. ARE THERE ALTERNATE AREAS THAT COULD BE USED? HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles MunJcipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of WaY,lJse Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned (or himself and for his successors in interest, hereby agrees to indemnify, hold harmless, and defend the City of Port Angeles 'against any claims or lawsuits for personal injury or property damage arising out of, or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, plantin strip, or rig f way . """11'",,,, DA1i:D thO day of 'ft ,,,, ~R S ~'~"" / r ~~",,".1 ..~.~.... I ~. e~' ~"'~OTARl' ...~ : Se.al ~ I : DEC3,2008:1 .. . .~e . _e. PUB \,.\G .e 1 ''''X. . ! - ~~-O. ....... L ~~~ ~. F:' w~S o. j ""'u..n ".. ,2007 [OFFICE USE ONL Y] J ..." II /I ~ Ajo Fee.- - U,1u-f:..V.,/0 Date application received ..,,/ / (:) ,. OJ Fee paid $ Receipt # Date Certificate of Insurance per PAMC 11.12.140(B) received Agreement to Remove Encroachment signed and on N/A and recorded on N/A r--- ~- Application reviewed and recommendation by City Engineer ~ is to deny or ap:rove and with the following conditions: -- ---- -f I ~,.r I1q -rO eE" U llbEZ.. 3d/,7-.I N E/6~ T Date V(/~/o=r Applicati enied by the Director of Public Wor Date Approved copies to: Applicant 0 Fire 0 Police 0 Street 0 Other 0 Address file 0 N:IPWKSIENGINEERIUrban Standards - Revised\2006 VersionlCh11ROW Use Permit.doc RUP# D7-1? (' BUILDING PERMIT APPLICA TION 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 CcAV I fJ1CiA~..d I, 3/ b Ajov-ft.. ~ Sf' For City Use Only: Date Received \ 2- \0 -6 Permit # ~ Date Approved Phone Phone fJAwt4 Qe?,62- Phone Applicant or Agent Property Owner Property Owner's Address Contractor/Engineer Contractor/Engineer's Address -. License # Expires E-mail PROJECT ADDRESS 5/6 Parcel Number Lot Zonin Proiect Tvpe & Brief Description: 0 Residential 0 Commercial 0 Multi-family 0 Industrial Check all that apply o New Construction o Addition o Remodel o Repair oRe-roof ~emolition (/If, o Heat System 0 Heat pump 0 woo -burning stove 0 gas fireplace 0 pellet stove 0 other o Other Floor Areas Basement 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Dp.r.k ~FlC.(1 ExistinQ (SQ. ftJ Proposed (SQ. ft.) @$ per sq. ft. = $ f1- 2.1' 132- ~$O , Other 6ZoJ Total footprint of structures i7Sb TOTAL VALUATION $ 7 {}()D sq. ft. = Lot coverage ~ I % sq. ft. + Lot size Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type # 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 permits prior to working on projects. C /J / Date ,-z;,ol'ZQIfJ Print Name Ca ...1 ~~ 'f(/J S7.g ature . D~ ~ tt~fl- tu~o~ No r~l1- ~.o ~;t Fop-h~ 4J ~ "I t> oJ-- p~ 17SG 0 ~ 9j2.~~ oJ...k ~"" ~ Il.. De c- k- . c.. C>\J f) \NIL--- - OQ31 ~ lfJ - ~ z: " 70 ~ ~ ~ ~ BUILDING PERMIT APPLICA TION 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 CQ.V I IJCUWf:fr~j It 3/0 A)tJv*fl, ~ S1" Applicant or Agent Property Owner Property Owner's Address Contractor/Engineer Contractor/Engineer's Address -- License # For City Use Oni:{ Date Received \2.- \()-03 Permit # ~ Date Approved O'J31 ~ Phone Phone IJAWA QtJs62- Phone Expires PROJECT ADDRESS 5/6 Parcel Number E-mail Lot Zonin Proiect Tvpe & Brief Description: o Residential o Commercial o Multi-family o Industrial Check all that apply o New Construction o Addition o Remodel o Repair oRe-roof ~emolition Po ~"t~ A j r ,/'0 ""T( ell o Heat System o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other .' o Other ." Floor Areas " Basement 1 sl Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck e Flea - Other ExistinQ (SQ. ft.) Proposed (SQ. ft.) @$- 13 2- =:; f1Zf Total footprint of structures 17 Sb TOi sq. ft. -:- Lot size 700D Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type ~c-"'~ \>-Se>r ru ~ ~S ~6-5J ~ ~ ~ X y 1,(<\) f'S0 6\ ~ Q) \\V'-C!/.. C, \A~~ ~Uf'~ \'"~,f/' V CD~ \lPJ\ #o(half oaths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. C- Oate l2/io/~ Print Name Ca,," I I-t~ rff~ S79 alure _ _d lI~ft ~L\~\)~ No r~l1- ~1) -t-'tc'(. Fop-h~ ~ jCv J\lo +- ib~ '\JS~ 0 ~ Ii- 'S*~l/~ oJ-ltejL '4-\-t~ ~ be c- \L. ( ~ a C!.. C>\J b1l- f) \J1,\IL- ~) I , I ~ I . . . IT If/&', I '1 I '< I . I I I I I I I I I I I : I I ; I I ! I I I I I I i I I I I I I I I I -- I I I I I I I I I , .~ .' I . a'f-( S1--fl ~~-{ I I I I I I I I I I I ()..~ CcVWQ I IJ~~ t~Jc I I I I I I I I i ;zp.r , , I [I ~l : ,! , i I I : I . I i I I I - I I I i I I I I 1 I I 'I I I ~ <;./'0111(: 9{:~ . I _ I I I ' I I I ",. '. I I I I I I I I - ; -/ I I I / 717 +0 I .Q,.ow't f~~ \ \11\.(.1 ~S+, I --~I I i I I j I I I , I I ~ . I I ~~ I 1< ~ I ... - I I I I c..L" I (, I ~ I v- I L I I . I I I I " I I I ? I ~ . I I I 0 I I 1 r I I ~ ~ I I t< : )oj ~ 0 I I (" t r V' ~ ~ ~ I -... N.1 --- I~ ~ I f ~ I - f 0 I ~ I I I ~ I I v- I I I I I . I I I j -I I CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date g~ 21-0) \ Time 7A60 Received by D~tH" IS E (phone. person) Location of Work to be inspected 31'" No, Ro....c.~ Name of person requesting inspection O-e '" "- 'S ,c. Address of person requesting inspection c.c, r{J Vo.rd 174 B Phone No. <{"It -484"1 a . Type of Inspection (circle appropriate one): Permit No. - ~ Sewer Foundation Framing Chimney Plumbing. Final Sewer Excav. OtherC lJ~ +e or INSPECTION NOTES: Inspected: Date &' - 2 I - 0 ~ Remarks: ;2"oe.. (.~ 5-ervl <:..e. . f VvtIOV\ . Time { ('''l.<-- / 0 11 tvt By 5/1" Co,t1pe,..; , f 0e.",~r5 wdt.. ~ , C-ot'><-(JV"~>",O'" ( t;:. RESTORATION REQUIRED . . . . .. YES X NO ~ 'Y ~ ~ Cc..ro I:~ T ~ ~ 6' g {c, tJc. ~u.. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel 0X~ }(AsPhalt 0 PCC 0 Other Work Order # 30'3 'I '-o(P'l o COMPLETE o INCOMPLETE o Repaired by City o Repaired by Permittee o No Damage Found J;9wef2 :I/~d{)5 FF (Continue on reverse side if necessary' rJ "ORT~ ~~ ~<. V&rGii~ ~ -- ~.,~ 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 descr~pt~on Subdivision Name Property Use Property Zon~ng . . . Application valuation 05-00000157 Date .396025 316 N RACE ST 06~30-00-5-1-3705-0000- RES DETACHED GARAGE 3/15/05 COMMERCIAL OFFICE 1500 ~AR:eo I/zt/O[, Owner Contractor HAARSTAD CARL 316 N RACE ST PORT ANGELES OWNER WA 983623516 Structure Information Construction Type Occu.pancy Type Other struct info ADD BATH TO GARAGE, AND 160SF TYPE V NON-RATED GARAGES, CARPORTS, SHEDS TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ADDNT 23.10 V-N 1. 00 1456.00 7000.00 160.00 ]616.00 1. 00 54.00 3/15/05 9/11/05 Plan Check Fee Valuation .00 o "" ........ ~ Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT Qty Unit Charge Per Extension 47.00 7.00 ~ BASE FEE 1.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Permit Additional desc Permi t Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL GARAGE ADDNT & BATHROOM 77.50 plan Check Fee 3/15/05 Valuation 9/11/05 .00 1500 ~ R ('I t ~ Qty Unit Charge Per Extension 47.00 30.50 BASE FEE 10.00 3.0500 HND BL-501-2K (3.05 PER C) Special Notes and Comments THIS PERMIT REPLACES EXPIRED PERMITS #12733 AND #04-278 When roof ?utters are installed, drains will located in dry wells or p~ped to approved storm drain locations. This permit replaces previous expired and approved permits #12733 & 04-278 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Cred~ted Due 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!l;le: erformance of construction. I (' /' Signature of Contractor or AuthOrized Agent Date -J. T:\Pohcies\1102_15 bUlldmg permIt mspectIon record05 wpd [1/4/2005]~ Of pORT ~ ~Ra "--~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000157 pin number . . .396025 Page 2 Date 3/15/05 Permit Fee Total Plan Check Total Other Fee Total Grand 'rotal 131.50 .00 4.50 136.00 131.50 .00 4.50 136.00 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction 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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T \Pohcles\1102_15 bUlldmg permIt mspectlOn record05 wpd [l/4/2005J BUILDING PERMIT INSPECTION RECORD " ,~ CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS /.s I (i b J..J-IJrt9S -.\ }"i. . WALLS . FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ~. - - J I.-L -/~-n, ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS r/'V,r /OS (ILL SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CIDMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T:\Pohcles\1102_15 buildmg penmt mspectlOn record05.wpd [1/4/2005] PREPARED 7/25/05, 13 24 04 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 316 N RACE ST SUBDIV PHONE PHONE HAARSTAD CARL 06-30-00-5-1-3705-0000- 05-00000157 RES DETACHED GARAGE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS 01 4/13/05 JLL 4/13/05 AP ,~/~5~~ JLL ~fiJ DYASUMUR -------------------------------------- COMMENTS AND NOTES -------------------------------------- BL3 01 BUILDING FOOT /SLAB Carl 452-0931 BUILDING FRAMING 07/25/2005 08 40 AM CARL 452-0931 2 7/25/05 PREPARED 4/13/05, 12 57 01 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 4/13/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 316 N RACE ST SUBDIV PHONE PHONE , HAARSTAD CARL 06-30-00-5-1-3705-0000- 05-00000157 RES DETACHED GARAGE PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS 01 $13/05 ~L BUILDING FOOT /SLAB Carl 452-0931 ----------- --- -------- ------------ COMMENTS AND NOTES -------------------------------------- PREPARED 3/15/05, 13 00 35 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 316 N RACE ST HAARSTAD CARL 06-30-00-5-1-3705-0000- 05-00000157 RES DETACHED GARAGE PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS ~~:__::__~~_~~_____::~~:N:O:::::SS::: SUBDIV PHONE PHONE - TIME 17-00 7 3/15/05 NOTES -------------------------------------- BUILDING PERMIT - APPLICATION Dale Approved ate Issued LJ Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 I Apphcant or Agent: c.. A e. L /-t4 f}- k s T AD Owner: ~ ~ Address: 3/ ~ ~ Archltect/Engmeer: S-e..e.+ ~ CIty: PROJECT ADDRESS: .3 (b;O, ~ S1 LEGAL DESCRIPTION: Lot: 52 It /4 Block: ~ 7 CLALLAM COUNTY PARCEL NUMBER: 0 63 ODD 5 J-3 Phone: 4S-0Q-g) Phone: CIty: POI/'+ )4vr~ Phone: - ZIp: OfSS62 Contractor State LIcense #: Exp: Phone: Address: Zip: ZONING: C () SubdIVISIon: IV I( S n-f -Ih 705 ODD Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: o ReSidential ~ew Const!f: 0 Re-roof 0 Stove SF @ $ /SF = $ o MultI-fannly AdditlOn 0 Move )Ie. Garage SF @ $ /SF = $ o Commercial Remodel 0 DemolItion 0 Deck SF. @ $ /SF. = $ o RepaIr 0 Sign L'" OJl>cr t". TOTA],. \\J\LUATION $ / ~ BRIEF DESCRIPTION OF THE PROJECT' _QU .5~ _oT ~I-tOe,..., fo ~ ~_ IV\5hW&~ ~ ~bcdhV'OD~ I~ tl-t.. ~/k11'7J ~Vt?lIj~ V , COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: ' No. of Stories: Lot SlZe: '}DDb EXistmg Sq. Ft. ~ & Proposed Sq. Ft. I bO = TOTA~ Sq. Ft. I hI b Total lot coverage 2..3..1 % ESAlWetland(s)' 0 Yes 0 No SEPA ChecklIst required? 0 Yes 0 No Other. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. Tills figure WIll be revIewed and may be revised by the BUIldmg DIViSion to comply With current fee schedules. Contact tlle Pernnt Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE' IF a plan check fee IS due It must be subrmtted at the tune the bUIldmg pernnt applIcatIOn and constIuction plans are submItted. All other pernnt fees are due at the tune of pernnt Issuance. EXPIRATION OF PLAN REVIEW: If no pernnt IS issued Withm 180 days of the date of applIcatIOn, the application will expire. The BUIldmg Official can extend the tune for achon by the applicant up to 180 days upon wntten request by the applIcant (see SectIOn RI05.3.2 of the InternatIOnal BUIldmglResIdenhal Code, 2003). No applIcatlOn 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 permil and understand that If IS my responslbJ/ity to determine what permits are required ,not the City's, a d that I mus am s ch permits prior to work ApplIcant: &vi Date L~/4/ 20)6 . T \RVESS\BLDG-forms-brochures\2004-BllIIdmgpenmt wpd ~ '""< ',< ", 70 ThiS map is not tntended to be used as a legal descriptIOn This map/drawmg is produced by the elfy of Port Angeles {OJ Its own use and purposes Any other use of this map/drawmg shall not be the responslbIlitv of the elfy Feet ... Carl Haarstad 316 North Race Street Port Angeles, W A 98362 (360) 452-0931 Application for a 10' X 16'garage addition to be used as a laundry and storage room Installation of a bathroom containing a toilet, sink and shower in the existing garage This is a reapplication for a project already permitted, but that was not begun before expiration of the permit ~t>as. ~. CITY OF PORT ANGELES - Construction Plane 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 oper.:tions being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. t8l&llaIl3e'j("'~~GQ4.) ~ Approval Date .3, By fiLE ~ '\ ~h.s s ~ t-,- ~ II>.~ : ~ G2 ~ 1 ~ ~~ Q ~ :p - - a1 ~..... pt t ~,c{. C;:;, -1... I ; ~ o --7i " ~~ ~cp(} '8~~ v. ~ " ,/ ,.' t :W~AAfl\.ffr~ f< act- S+~ " ~ ~ 't <;:) \S) - ~~ I , lJy~ tfJ VYr'I<t\ o ~ /QI '/ v\.. " ~ \J' J; ~~ N ); l'o" ~ ~ ' /9Z : i"" ~ 1 ~1'<?-l - ~ ~ "~ i ~ ~ ~ ~ (:) -- ~ C) -. .{ o ~ ~ $ LA e~ o - ~ ~ - + t;:) u:: -!) -$ V) ~ ~ __ ::-- "'S tj l _1) . ~ ..Q \ ~ ? ~: ~ I () .j) 11ffi J ::> '-.:.J ~ ~ :r - ~ ~. , ) 1 i ) \ , I \ \ \ \ 1-1 "'~~ \ \ q.~~1 \ \, Of 1/ '2 "1JI>>\JY.J ' . _____ . ".0. \ .. v'\Ol:lll " , pdcln ) 1~ '"'"?t fJI b v <'+ , ,~ " ~ 2 O""f JI b 1-- -- - -_ " >, " ~ - _J --- - , -- _._~\.. vrM~S o \. --- )19 )/ b' 1f\, QJr . & :)\"'\ \ ':> ..NQIJJI. ~ "t OqA '1 ~~ t ~ (\ I ~ 6f~~'5- ~ _ 11,7 - - -- - ~ ) ~ <;.~ 9.'M'I\ I & ~ 1 Q ~ -~ \ - .~ ....n ~ - .~ ~ - .0 tA 3 ~ ~ -- a... 1 ~ , ~ . ~ -~ -- \.,. - cU d .J- '^ Y- ~ i~ - =+- ...0 ~ -::s: ~ ~ ~-.D ~ N ~ N .. , - -e .J . (i. ~ d) _t ~ ~ ~ 0 ~ cJ ~~ * .2 ~~ ~~ ~ VORT ~ l.O~l!(~ r'Eii lL -=..r ---=- ~IC~ 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 04-00000278 Date .518000 316 N RACE ST 06-30-00-5-1-3705-0000- RES DETACHED GARAGE 6/09/04 COMMERCIAL OFFICE 150 Owner Contractor HAARSTAD CARL 316 N RACE ST PORT ANGELES OWNER WA 983623516 Structure Information Construction Type Occupancy Type Other struct info 240 SF SHED ADDNT. TO EXISTING GARAGE TYPE V NON-RATED GARAGES, CARPORTS, SHEDS TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 24.20 c- o ~.:)/j cf I. e '9 'CJs ~ ......... ~ V-N 1. 00 1456.00 7000.00 240.00 1696.00 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 47.00 6/09/04 12/06/04 Plan Check Fee Valuation .00 150 BASE FEE Extension 47.00 ~ Qty Unit Charge Per Other Fees STATE SURCHARGE 4.50 :?0 ~ (\ ~ kj Special Notes and Comments The location as shown is 10' from rear line even though garage is nonconforming. This is okay and no other land use issues are noted. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51.50 51.50 .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. 7 ~J. ~j / ~~ b!!i( hJ Signature of Contractor or Authorized Agent Date Date T:\PLANNING\FORMS\1102.15 [11114/2003] 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN 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 FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION , SLAB WALL / FLOOR / CEILING I I 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. 'I ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 12>< Pi r e.c.t PLANNING DEPT. BUILDING 417-4815 't-q--os BUILDING T:\PLANNING\FORMS\1102.15 [11114/2003] - , 7' - ,....rl.~ ,", ; - ,::, .! J ,':' ?6K OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION 1~)/" I - [~~' Rec ~_ . Jerp11t #: ...... Fill out COMPLETELY and in INK. Your application and site plan MUST ~~/ -6:ili Approved' COMPLETE to be accepted for review. If you have any questions,~ I (360) 417-4815 ,/ -." Phone: _4-52-0Q 3 J City: , I Zip: q 83b2 Phone: State License #: Exp: Phone: Address: PROJECT ADDRESS: '3 J & City: ill RCL~e Zip: ZONING: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: D Residential D New Constr. D Re-roof D Multi-family D Addition D Move D Commercial D Remodel D Demolition D Repair D Sign BRIEF DESCRIPTION OF THE PROJECT: r r City: Exp. Date: SIZENALUATION: D Stove 2.'tD SF. @$ /SF. = $ D Garage SF. @ $ /SF. = $ D Deck f' SF. @ $ /SF. = $ ~Other ~~ S~AL VALUATION $ ! 5D!5!- Occupancy Group: Occupant Load: No. of Stories: Lot Size: 7 BDC Existing Sq. Ft. Il.l 5' ~ & Proposed Sq. Ft. 2'-10 Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage '2 Y j 'z- PLANNING USE ONLY: .,. APPROVALS: PLAN: BLDG: DPWU: FlRE: OTIIER:_ ESAlWetland(s): DYes DNa SEPA Chec1dist required? DYes D No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information 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 applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinatm 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: 1fno 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 permit and understand that it is my responsibility to determme what permits ~re requirnot the ,CitY'S:, and that I mus lain such permits prior to work. 4Fil~:rldmgp;~pl,("...+ <J~;;+~:J CZi2e S/~:;t' h7Y~ tcuSliLvC--J;OIL-) A~kt-u ~ ~.~.~l;,j +0 I 1" 6t.~Avs t2 e. Phone:~52-0q S I BUILDING PERMIT - APPLICATION 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 " , I Zip: q 83b2 Phone: State License #: Exp: Phone: Address: PROJECT ADDRESS: :5 J & LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: City: III Racl? Zip: ZONING: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # 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: r r City: Exp. Date: SIZEN ALUATION: o Stove 2.'10 SF. @$ ISF. = $ o Garage SF. @ $ ISF. = $ o Deck f' . SF. @ $ ISF. = $ ~Other ~~ S~AL VALUATION $ 15-o!5!- Occupancy Group: Occupant Load: No. of Stories: Lot Size: 7 SDC Existing Sq. Ft. fl.} S '=> & Proposed Sq. Ft. 2 4 () . Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage '2 i..J iZ- PLANNING USE ONLY: .~. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information 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 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 permit and understand that it is my responsibility to determine what permits are required at the City's, and that I mus tain such permits prior to work. / Date: 3/1 q lot Applicant: T:\FORMS\APPS\B uildingpermil. wpd ~J ~ -I .-:;s \ ~..:2. ~ j~ - ~ ~ -& ~ "~ <"" "- ".) ~ "" ~ ..... ~ ::::-~ ~-" ~ \..~\ ) < 0...: ~ <'. ,-" ".:>S\ 3 ,~ ><.. .~ ?~ ~ .~ ~ . .~ .~ .<:..:, S" .--Q , '- ~ ~ ~ ~..>. ) ~.$ ~ ~ -:; ,,"'l ",;J tiO" plll\"lS co"st~\.lC 'r NGE\..\':.S - lal1S. Sileo,'> e\\'! Of fOf\~P."e(\ni\ based Il\lOI1\\~~:eb~i\OiM.. 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De l--~ 1 ~CJ~ lN~ ~ s, 0 - v' ~ l.uv' ~ ---- FILE o 61"~1~ ~~g;~~'c-- .>:.: . .",' ._,.,...~.!f:"'?"'r .r.... :'_ r" .,' ,', .':"n.""l ~ - ,': - -, .-, ", .--' DfVv'- Co j~ ~ __-.-~kj ~~ . ?\ \A ~c=" w I 'I 01""-" I - "^ \. _ 1. ~ I;k::{\.-- o\2-ro r<- +c::. "bb \ T Lob~ ,:v. . . "; :,'.;;;,;:: :;;j:,; u~.. :"'+ :.' :1'" ,:<.",,' UII' jU"lsuldroll. -=+ .J V - -__ . r:.\V - . t- bO +-, -t..r 'J - " ~---oO A-l-l '\. /..-l lSu,tl. 1"2.0 I Lf · oJ..& ~...J ?J\Jl;.l2- CITY OFPORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUE~T: . Date 8; 21 -0') Time 7 AWl Received by U-C",Vt ':., E (phone, perse Location of Work to be inspected 3(Cc No, Ro....c..~ Name of person requesting inspection O-e. "t"" S ,c-. /74-B Address of person requesting inspection ~ rtJ Vo...rd o . Type of Inspection (circle appropriate one): . Permit No. _ ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other(W4..+e.v Phone No. L(/7 -q 8 tJ<] INSPECTION NOTES: Inspected: Date f? - Z I - 0"':) Time Remarks: .rVI c..e. (t" UvtIOV\ . Onc>\:-~\\erl,,)\'\-~ ClIJ'n.Jd . \ O-e..1-1. /;[ (' 5 t.Jdt... ^- c. La..... ff'(..So . . '~:" RESTORA TION REQUIRED . . . . .. YES X NO Cc...ro Il'~ ~ ~ ~ 1 ~ 6"' 6" S a;. ~D. ~(L 0X,," ~SPhalt 0 pcc 0 Other Work Order # 303'-f'-O~<{. _0 0' COMPLETE ~I'm. t-~~ \ r-~ o INCOMPLETE \.0\ tl1.\-\o \" }v\ \ ..; SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Repaired by City o Repaired by Permittee o No Damage Found ....,. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date g~ 21 -0') , Time 7 A 0-1. location of Work to be inspected 31c:' No, ROo-c-(/... Name of person requesting inspection O-t "111.' S ,c. /74-8 Received by D-t-hl4. '5 E (phone, person) Phone No. '1-/7 -Q8L/'1 Address of person requesting inspection Co r(J Vo..rd a Type of Inspection (circle appropriate one): Permit No. ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. OtherC~<<..+ev INSPECTION NOTES: (7 2 I _ 0<- Inspected: Date " - J Remarks: !Z"Oc.. I'r 5-e "v, c..e. . I UV!.IO V\ . Time {/~- I 0 11 W--t By 3/4" Co,t! fie., . 'I ./ {)et,-,l-tr5 Wi +t.. ^- , Lo.....(Jvd<;/o. , r-- t. . RESTORATION REQUIRED . . . . .. YES X NO ~ 9- ~ ~ cc..ro Il'~ T '$ 6' €'> . g {(:" tJo. t'<.,.u. SURFACE RESTORATION:G xG:, SURFACE TYPE: 0 Unimproved OGravel )(AsPhalt OPCC OOther o Repaired by City Work Order # 503'-1(.-0",4 [] Repaired by Permittee 0 COMPLETE ~,et../ ('€feLl V~ o No Damage Found 0 INCOMPLETE UJiHt J.I.oT IY/l t- ./!"/ C( 0 ~jJ L t J W/O ~/OS-- r;-~-o5 J..Q-:JYli ~ %/Zr;- / () '5 IF " City of Port Angeles Public Works Department Water Distribution Repair Report IWorkOrderNo: 30?4(., ~o"'-I ICrew: 7t $" - 7tCo - 7 17 DATE REPORTED: ?J r Z 0 r oS- CONDITION: EMERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT )l(. LEAKAGE SURVEY 0 OTHER 0 TYPE OF MAIN: TIME: (0 3; ( (, N b. R<LC-e.. / (, SIZE: I<:> ~.M. OP.M. DATE OF REPAIR: g - zt -DS REPAIR LOCATION: ADDRESS: DEPTH OF MAIN: A-L 3' CLOSEST VALVE DEPTH: z COMPONENT REPAIRED: MAIN: JOINT 0 CIR. BREAK 0 SPLIT BELL 0 LONG BREAK 0 HOLE 0 CLAMP 0 OTHER SERVICE: TAP 0 CORP. STOP 0 PIPE f( CURB STOP 0 FITTING '0 METER SETTER 0 METER 0 . LINE VALVE: FLANGE NUTSIBOLTS 0 STEM 0 BONNET 0 HYDRANT: BRANCH 0 VALVE 0 BARREL 0 OTHER: COMPONENTS OF REPAIR: CLAMPO DRESSERO OTHER 3t1:.t.. Cc",,~. U '\"0 V\. . I SITE CONDITION: GRAVEL 0 ASPHALT X SIDEWALK 0 CURB 0 TOP SOIL AREA 0 SOIL TYPE CUTS: ASPHALT CUT0xkFT. CURB CUT _FT. SIDEWALK _FT. DRIVEWAY CUT _FT. MAIN CONDITION: INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0 EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0 CHLORINE RESIDUAL SAMPLE $-P.P.M. WATER OFF: FROM ?J A M. TO q : >6AM. FROM M. TO M. APPARENT CAUSE OF LEAK: t; (e CTrO I is ,'s