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Home My WebLink About427 Vashon Ave - Building CITY OF PORT ANGELES i Vaal DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION NMI N M I 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000164 Date 3/01/11 Application pin number 455884 Property Address 427 VASHON AVE ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0 -0760 -0000- REPORT SALES TAX Application type description RES REMODEL Subdivision Name on your state excise tax form Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 8000 (Location Code 0502) Application desc REPLACE EXISTING INTERIOR STAIRS Owner Contractor ELDORA H PEDERSON TTE MICHAEL RIVERS CONSTRUCTION 427 VASHON AVE 840 W 6TH ST PORT ANGELES WA 983626312 PORT ANGELES WA 98363 (360) 457 -5637 (360) 808 -7050 Permit BUILDING PERMIT RESIDENTIAL Additional desc REPLACE EXISTING STAIRS Permit pin number 181735 Permit Fee 179.75 Plan Check Fee 116.84 Issue Date 3/01/11. Valuation 8000 Expiration Date 8/28/11 Qty Unit Charge Per Extension BASE FEE 95.75 6.00 14.0000 THOU BL- 2001 -25K (14 PER K) 84.00 Other Fees STATE SURCHARGE 4.50 k 1fr Fee summary Charged Paid Credited Due Permit Fee Total 179.75 179.75 .00 .00 Plan Check Total 116.84 116.84 .00 .00 1' Other Fee Total 4.50 4.50 .00 .00 L) 1 1 Grand Total 301.09 301.09 .00 .00 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 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. /41, 2 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 INSPECT IONS 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 FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: 3 -16-11 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 c\I Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 L-- T:Forms /Building Division /Building Permit N H H d' 01 0 Cal Cal --a W q H F LO C4 wa 04 H ma 0 r H w VI E- F 0 o to F z r v 0 v 0 r Rs 0 o ln wzz m C bl H H a CCa+ E -1 T rt 0 0 0 a O H 0 to CO Q F X a MV m III a a H £oo w H a x x H F F a o z z 0£ 0 o ff w 0 m 0 0 0 00 •0 RCO ••aw w 0 w M x x H o o 0 0 F H s a naa o N o ff :0a Z F F o d' a 0 C H 0 W 0 Z 0 M H a 0 a H w H H 0 1/1 F 0 0 00 0 0 0 z H 0 H E N o. 0 as co o o co0z 0 H H E- 0 H N 0 0 N RC fa r-r O Z PC4I F w O Ooz Na'oo U o Pzan 0H00-$- Fa0OFFA Z H HHF R. W z Z 0 E 4 H'Z. F 0 0 0 .0 4 H lo .0 N Q a U i a PG Ua C9 OZZ0 OU' a$0aw O 00 NV) (1) Q S-.0 F }+0 a0HF 044100 (.1 14 a rtH Co roa va] E E F. o O 0 0 M001.4001 Cn0Z RC Z w F O O 0 w HH n r 0 P9 c a w$ a a CO m l0 1 0 0 CD H W a s '"1 i N zH00 0 Z 0 74 OD 0 PC 0 0 0 G HI 0 a j a 0 0 0 p W 0 (--1 ,i H W 0000 RIFF HH H H C'J r U 0 VI W 2 N H a \0 H 0 1 1) 00 0 CRC C£woH o00 H H 0 0 F w 0 0 0 0 0a a 000 o •a ••w a a 0 a W w a m H H o; O Cn RC aZ F d o 0 a r 0 F wu a 7� 0 a 0 400P, 4 a F 0 0 r ti 0 W F Q W q o r o r0 o r cn m r o in N 0 U1 00 0 0 tr N M G a m a a W 0 H F a H q z z o 0 0 0 Doo �a H U£ N a a o o 0 H Q N 2 Fh w, q H O (1) F N o w w w 0 r 00 Z2 Z N o z ZZ H 0 Z 0 0 0 000 0 0 H F w w 0 ow 0 c o n 0 q -1 U F 0 W o 0 0 0 a !a H [[KKKKK W F F O 0 0 0 W££ W Q cnF oo 2 W E 02 N 00=00 0 0, 1 -l-1 0 >=0 x 4400 <C.1100 2 0 a '0 4 1 1 OHO Z 0 0 0 0 a 00 H m x =00 C1 cn v) a H o a cxoo p00 H W x000 0E 0 0 0 0 0 0 2 N H l0 H O W a 0 v V) Q <r£410. 000 H 0 0 F W O M r) W' a 0U 0 0 W W a 0 w '0 0 F W w 0 U 0 H =0 0 M 1 E 0 0 a a F W Ua X cn la E. 0 O g a ri a U 0 0 0 a cL a F w Q BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES t For City Use Only: Is._ ag Attn: Building Permit Technician Date Received 2- Z-'( 1 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Permit i tw Date Approved d Applicant D& SG�-4 U g�- Ph 2 —D Zco Property Owner EL-'D 9gp ?EDE(L Phone 54 3 Property Owner's Address 1+2.7 E. `1, tat• 7 Contractor /1;l 1 CN ikEt. (Lk V Ea-S Phone Contractor's Address (G -+1. S; Po•-16-6 3 License Expires E -mail PROJECT ADDRESS 47-7 E. UM.S{+(ot1 Parcel Number Lot Zoning Project Type Brief Description: yResidential Multi family Commercial Industrial Check all that apply Met 4) p^ New Construction p WOE OE L— Y-I ST 1(06 A T 1 (L Addition );Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 1,00- Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 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 obtain permits prio t working on projQcts Date Z- .7% 1( Print Name 1)0P P Signature Vtet-fil-e7 T:Forms /Building Division /Building permit application Clallam County Assessor Treasurer Property Details 64927 ELDORA H PEDERSO... Page 1 of 4 Menem County Assessor Treasurer Property Search Results 64927 ELDORA H PEDERSON TTE for Year 2011 2012 Property Account Property ID: 64927 Legal Description: PUGET SOUND CO- OP COLONY 2 ADD LOT17BL7 Geographic ID: 0630105007600000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 427 E VASHON AVE Masco: PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 2 Neighborhood CD: 10955130 Owner Name: ELDORA H PEDERSON TTE Owner ID: 45554 I. Mailing Address: 427 VASHON ST Ownership: 100.0000000000% PORT ANGELES, WA 98362 -6312 Exemptions: A, i Taxes and Assessment Details rr Property Tax Information as of 02/22/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and f click RECALCULATE to obtain the correct total amount due. First Second Half Half Base Base Year Statement ID Taxing Jurisdiction :Amt. Amt. Penalty Interest: Base Paid Amount Due 2011 158902 ST SCH STATE SCHOOL $261.94 $261.94 $0.00 $0.00 $0.00 $523.88 2011 158902 CC -GEN COUNTY CLALLAM $144.61 $144.59 $0.00 $0.00 $0.00 $289.20 2011 158902 SD #121 SCHOOL DISTRICT #121 $342.41 $342.39 $0.00 $0.00 $0.00 $684.80 2011 158902 CITY PORT ANG- CITY OF PORT ANGELES $333.83 $333.81 $0.00 $0.00 $0.00 $667.64 2011 158902 PORT PORT OF PORT ANGELES $20.35 $20.35 $0.00 $0.00 $0.00 $40.70 2011 158902 NTH OLY LIB NORTH OLYMPIC LIBRARY $60.65 $60.64 $0.00 $0.00 $0.00 $121.29 2011 158902 HOSP #2 HOSPITAL #2 $59.36 $59.36 $0.00 $0.00 $0.00 $118.72 2011 158902 WSMET PK DIST WILLIAM SHORE MET PARK DIST $18.04 $18.04 $0.00 $0.00 $0.00 $36.08 2011 158902 CITY STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $0.00 $72.00 2011 158902 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.00 $1.63 2011 158902 TOTAL: $1278.01 $1277.93 $0.00 $0.00 $0.00 $2555.94' 2010 47199 ST SCH STATE SCHOOL $259.32 $259.31 $0.00 $0.00 $518.63 $0.00 1 2010 47199 CC GEN COUNTY CLALLAM $137.99 $138.01 $0.00 $0 00 $276.00 $0.00 2010 47199 SD #121 SCHOOL DISTRICT #121 $335.89 $335.88 $0.00 $0.00 $671.77 $0.00 2010 47199 CITY PORT ANG CITY OF PORT ANGELES $319.52 $319.52 $0.00 $0.00 $639.04 $0.00 2010 47199 PORT PORT OF PORT ANGELES $19.40 $19.39 $0.00 $0.00 $38.79 $0.00 2010 47199 NTH OLY LIB NORTH OLYMPIC LIBRARY $40.10 $40.10 $0.00 $0.00 $80.20 $0.00 2010 47199 HOSP #2 #2 $56.61 $56.61 $0.00 $0.00 $113.22 $0.00, 2010 47199 WSMET PK DIST WILLIAM SHORE MET PARK DIST $18.02 $18.01 $0.00 $0.00 $36.03 $0.00 2010 47199 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $72.00 $0.00 2010 47199 WEED CONTROL.- WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2010 47199 TOTAL: $1223.67 $1223.64 $0.00 $0.00 $2447.31 $0.00 Values Improvement Homesite Value: N/A Improvement Non Homesite Value. N/A Land Homesite Value: N/A Land Non Homesite Value: N/A Ag Timber Use Value Curr Use (HS): N/A N/A Curr Use (NHS): N/A N/A http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year 2011 &prop_id =64927 2/22/2011 .X,l1'I1 W,6s1-L 2'- II r 7.: 1`- NEW w,a..- m ErEJIO�i I 1 Via. uaNdrlL- 36" A6 f 1oltyCv i o v% kl o it A m Is/OPINED Oz, EKIST'& i 14-4- 'C r N J 1 NtAIN ?IN N J (1 •J I iiiro 111 644 i 1111 'Zr. A a cts c___ v 4 rL 7:,\ e nr [,Pf�blNCo m mot 2 l2 �Jf{2-I t-q., LOw>✓R Low E riTY OF PORT ANGELES Construction flats �,V/l�� ""s 1�� S The issuance of this permit based upon these plans, specifi- ��G cations and other data shall not prevent the building official i from thereafter requiring the correction of errors in said ec AA plz. specifications and other data, or from preventing Wes- C� ��'(4 OV C a., b;ilr ng operations being carried on thereunder when in p 1- P N a of ail codes and this of ordinances ts jurisdic on. l e., 1 V I Y fikl,■ b(ME1■+ l04 4 ct7f 7TPrI42 GT .1 4 ay JC. I/2" 1'- o r' ./A wntik- DRAWN: FEB 2011 FEDORA PEDERSON 427 E. VASHON PORT ANGELES, WA 98362 457 -5637 DON SCHUBA 452 -0207 :f r 1 U( L- MAI 1.00( Fl-0O( �XthT'� Top P-tst fa- 11111 o 3 7,4„ I N05lNC w/ 1/10" HI ((zaDIU5 2-4 or /z" t71&. 4&Mbaal UrrE Tfr I 4 Ye," (-'4" st M/ I✓)< I 'Co ToP v A BK.I 41 Zq N (Nk NOTE vE1 A stok.) oo1.lblr(OWS IN a. P1L1 -7 L_ 7W 2- sT71 12- 1/2_ I'- J~ NEW I2-e 1=t4 MAN r T/ 4 wrn r ELDORA PEDERSON DRAWN: BA 2011 427 E. VASHON PORT ANGELES, WA 98362 457 5637 DON SCHUBA 452 020 CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 6/01/2000 PERMIT NO: 11971 OWNER/APPLICANT PROPERTY LOCATION 427 VASHON ELDORA PETERSON 427 VASHON Lot: 17 Port Angeles, WA 98362 Block: 7 [] Long Legal 360/457-5637 Subdivision: PSCC 2NDADDN. T: S: Parcel No: CONTRACTOR ARCHITECT GREAT NORTHWEST ENTERPRISES N/A PO BOX 2963 Port Angeles, WA 98362 ' , 98360-0000 206/452-9518 360/000-0000 PROJECT INFO Project Value: $2,860.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: ' 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES ~'~ TEAR OFF/REPLACE WITH METAL ROOFING FEES ASSESSMENT Building Permit: $83.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $87.75 Plumbing: $0.00 AMOUNT PAID: $87.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or construction auto.ed 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 e~amined this application and know the same to be t~ue and correct. All provisions of ~ 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 ~.o~ons of any state or local law regulating construc~on or the performance of construction. S~l~re of Contractor or Authorized A~]ent Date Si~lnature i~f Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-~815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSUL4 TE OR CONCEAL ANY F/ORK BEFORE INSPECTED AND ACC~. POST PERMIT IN A CONSPICUOUS LOCATION. K~P pERMIT CARD AND APPROVED PLANS AT JOB SITE ~sP~c~os TYPE ] OATS I ACC~'~'r~n) COMME~rrs cJ flORT ~Q ,,4,~~~ ~h!a~ ~ -- ~lC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001112 Date 11/09/05 511776 427 VASHON AVE 06-30-10-5-0-0760-0000- MECHANICAL APPL. PERMIT RS7 RESDNTL SINGLE FAMILY 2000 Owner Contractor PEDERSON, TTE ELDORA H 427 VASHON ST PORT ANGELES WA 983626312 PA SWIMMING HOLE & FIREPLACE S 518 W 8TH ST PORT ANGELES WA 98362 (360) 565-1163 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc PROPANE INSERT Permit pin number 65110 Permit Fee 57.65 Plan Check Fee .00 Issue Date 11/09/05 Valuation 0 Expiration Date 5/08/06 Qty Unit Charge Per Extension BASE FEE 47.00 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 ~ ~ .....:) n :i~ ~ ~ r ~ ~ 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 construct" n. J Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD t!/6 - /1 / :J-. 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 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUNW 1 FURNACE 1 DUCTS GAS LINE II-IO-Of) ...l L \.. WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 - PLANNING DEPT. BUILDING 417-4815 J /-f1.'" -- ~ BUILDING T:\Policiesll 102_15 buildmg permit mspectlOn record05.wpd [1/4/2005] ~ .,......., ~ <--- , 3: 3: 3: t>1 t>1 t>1 "' "' "' "' "' "' 0 0 0 W IV f-' f-' f-'f-' f-'f-' f-' f-'f-' f-' f-' "- "-"- "-"- IV f-'f-' f-'f-' IV oooo "'''' , "- "-"- "-"- ',,", 0 00 00 :~ Ul UlUl UlUl i ' c., tlc., tlc., . t-< :Pt-< :Pt-< , t-< t-< t-< \ I \ I ' \: ' , \ ~\ >-l ' (/) X~~.W~OO~X~~~~X~~~3 M~~~~~~~C~~~M~H~M n'rooo'~'nm'~'n'Z'n :I:rvrt ~OI-'::r:I--'t-' I I-'::r:f-'t:lo::r: ~~~~~~~~n~~~~~~~~ H~l--'mN NHCNWNHN~NH nOIDl--'o Onrto~ono On ~O~I--'O o~ 0 o~o o~ ~~, ~ ~~3~ ~~~ ~~ LJ. 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'0 t-<f-'to Hf-':p t>1"'>:) >:)W>-l t-< :z: ><: 0 t-< 3: t>1 '" o f-' f-'f-' f-' f-' "-"- f-'f-' 00 "-"- 00 UlUl ~ n>:) 0t>1 3:10 'OCo t't>1o t>1(/) t;J;a tltJ~ >:) ... thzCl C(/)!:< t-<'O >-l "" ~ ... :<1tJ>-i t>1t>1 (/)(/) C() t':<1 >-lH (/)'0 "->-J ()H 00 3:Z 3: t>1 Z >-l (/) :Pc., 'Ot' t' Gl o:p IV(/) >-l "" ~ ~ (/) ... 10 >-i ::;~~8E; 'O:<1ZZtJ t'nt>1>-l:<1 t>1:<1:<1OJ Zt-< :p(/) C ()(/) 3:. >-l to 0 tJj. . :U. :<1 n'O H:<1 >-lOJ ><:'0 :P 0:<1 "'OJ tJ '0 Of-' >:)f-' >-l"- IV ~~ Glo OJUl t'- OJ (/)f-' W OO'1:l'"Oot>. UlO'\tI:l);:lN I I t:l -...J owtIj(f) OO~:i:< OI(J)H;:e. OI-'03:w I-'OZ:s:::r: I-' I .. H 0 I-'Vl ZZ IV I ~ G:l O>-l :P 3;1tt:l:r::<: tI:la OM ()...Jtzjt-t ::r:0'\t-1tt:l ~~g~ HO:<1 no)::;1"tj ;Po H t'o::r:~ , OJ ;p '0 '0 t' '0 :P t' () OJ '0 (/) OJ :<1 3: H >-l W Ul o "" zz (/)(/) '0'0 t>1t>1 n() >-l>-l OH :<10 .. Z c.,>-l ~;:; OJ:>: (/)OJ >-J 'O'O(/) 88~ ZZtJ OJOJH < t' W '" o t' H OJ :<1 t' ><: Ul '" Ul f-' f-' '" W tJ'O :P:P >-lGl OJ OJ f-' f-' "- IV IV "- o , Ulf-' BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: JI-Cf-t!>S Permit # (3) S - III g... 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 FAX(360)417-4711 Date Approved Date Issued: Owner: Phone: City: U7f At/titlh} . 1~14 Zip: (J)J6~ , / ' ArchItect/Engineer: Phone: . Contractor fJ1- fLy 1111 min' !liLt.. State License #Jl/fuJ/JllZJl!ttJxp};J/" j; 7 Address-'-- 5/$ tt4"~#t "Str.ftt City prrf 4nyitJ; uJ1 PROJECT ADDRESS: If ~? 6 tJ Ct.-5 h () Y1 ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: Address: Phone: 57P/5 - Ilh?; Zip: t}l~&;;( , /2$-7 CLALLAM COUNTY PARCEL NUMBER: ORe-roof o Move o Demolition SIZENALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ ,D.P.!hfJIJ . TOTAL VAUIATION $ (' J?~p~lJ.tO 1/1fraJ/lu hUll 1/711 it 1l!fff(al1L ~j ~iiII!} -- )(. Stove o Garage o Deck COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tinle the building pernnt application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPIRATION OF PLAN REVIEW: !fno pernnt 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 R1 05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. 3: >-J 'tl i;;~~8lj n'O 01 >< ~ H'" '" '0 'O"'ZZO >-J01 --.... t"n01>-J'" ><'0 [j) H tr:l:::O::OtIj :>> 0 0 >-J Zt" :>>[j) 0'" H ~. n[j) "'01 >-J 0 ~ tJj 0 '0 fj 01, "'. 01-' n", '" "'H 001 >-J--.... 3:0 I-' 'OC::O OO"tl't1>f::>, ~~ t"010 UlO'\tr:l~f'U 01[j) , , 0 -.) G'Jo t;i;a owt!jW O1Ul oo::o~<: t"- OO~ 0' [j)H:>> 01 l OI--'O:s;W [j)1-' I-'OZ3:~ H I-' , - HO '" H HUl ZZ Ul O1H~ t\.) 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H 0 1-'U1 ZZ tv I 1-3 G1 0'" )> 3:1tI:l::r:<: tI:lo OtrJ (J-.JtI:lt'" ::r:0'\t"ltr:l 1::~g., HO" ()O;Pl-tj :>>0 H t"'o:r::::d , 01 )> '0 '0 t" '0 :>> t" () 01 '0 [f) 01 " 3: H .., W -..J o ..... H H ZZ [f)[f) '0'0 0101 ()() ..,.., OH "0 .. Z ,-<.., ~8 01;>: [f)M .., t" t" H 01 " t" >< 'U'O[f) g;g;~ ZZO MMH <: w '" o '" '" '" , f-' ..... '" W 0'0 )>:>> ..,G) 0101 ..... f-' , f-' ro , Of-' "'''' CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt? 16839 r- ..., /''7 Port Angeles. Washlngton....__...............L...................__................ 19,.(.__... In accordance with the City Ordinance to regulate the instaIlation. extension, or repair of elec- trical equipment in, on. or about any building or other structure in the City of Port Angeles. per- mission is hereby granted to do electrical work as listed below. Address .....1...f!..'2.______~'!!:_:_.f!..b:f::1../.________...n..__n_______________. Occupancyn....-:t..L.__':>!._._____.n_.__....___.__ Owner '~:t (1/ '}I-~T ______..__.~.n.__.....__ TenanL...____............___....___.....m...._______...___..m__........__ Wiring ~.~~~~~fo;:=:~..~::.eJi~~~.....nnnn... By..____...mn......_____.....mm.n......m..nn_______.......__ Light out1etBm.-2.~.m.m....m._u_u... Service. volts .).<?.9./..,P...y'!"e:.:. Type of Wiring: -S--O ..3 ,t / Receptacle Outlets......__m..._..............__ No. wires --...-VJ:;;..~.~;.;/.... Dryer, KW.._..h._?!:..n......__....____n_n_____ Size wires....;.:;;._..._....._..._...__.,...._.. Range, KW hnn/.~mmunm Main fuse u'JJ.t?u~/1.Plf Water Heater: _____ Enclosure .....6-..-..--...---..---....--... Kw..m.....?':(...i.p.n.~uu. u'u. Heat: Kw!}.;)~uP...Q..fv:::u m.m . Motors: size. volts and ph se: ~~= Type of wiring: Entrance Cable __..n........____..__ Rigid Conduit ........_.....___..__ Metallic Tubing m.... Current transformers: No. & Size.......__....__......._.__........._._. Ser. No..__.........___________._..________.......... Ser. No. ...n........_...........____________......__ SeT. No....__...._..___......_______.______...____.___ Armored Cable ................__n.......... Non.MetaJHc ........_n____...............__. Knob & Tubem.um.mmh...m.um. Rigid Conduit 'hummm'um.mum. MetalUc Tubing h__............_._.__..... C irc:::.e::;~~:~~~:~~~~~~~~~~~~~~~~~~~~~~=~~~= Utlllty,~c;;,uh"ii.mm.mh.mm ::::n::~~~:.~;:::::.::.....:::..:::::: Motor ..._...._._....________............._....... ."") ~r:r:~~:-~~~~~~~~-.:~..~~~~:::..~,~~~~.......~~~~~~:~:~. Total Load_........___.._.........__... Ser. No. ..____h.................__.___..._______un Total _.~.:6..............__..._..... . ~/1 . Remarks: --n__...nm.___740..:R...(...4.~::::___n___.c:..f:;-::?1.~.~!------.---..---..........n.-.---------..---...___....____._____ ." _nu.nn..n_._._n__n__nnn_nn_ndn._n_._n.hd.Uhh_.Uhn_.Un.u._n.hn.._n_nn_.n__.h_u..nn_.___u._-4__~__u._____u.____u____u.___un':~_nu ;~.~3L:2~.______...._______ ::~~.~:..:~.~:~~:.....m By ___:9t;Z/[~~::~.!;;:~,,-~ ,.. v NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION J ELECTRICAL PERMIT N? 16839 A1dress'::...................................................................__..._.__.._._._._______d._______________._______.________...____Date________________...._.........._......_...~.__._._____. \ Owner.......l.__.........._d..........._.........._......_.....________..............__..__......._______________..._____._..__Tenant___..___u_.__________.____.____.._..__..._......................... j , )/ ".iringContractor.....................................___.______.__..._....................___......__.______.__________._u__...___.__n_.BY______..__...____...____d................................._.. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work 1s to be con. -. cealed due noUce must be given the Inspector so that work may be inspected before concealment. . ,... 1M \. Olympic Printers, Inc. '.