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1604 McDonald St - Building
PREPARED 2/26/09 9 57 52 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/26/09 ADDRESS 1604 MCDONALD ST SUBDIV TENANT NBR PAMELA DENNY KLEIN CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 OWNER KLEIN DANNY /PAMELA PHONE PARCEL 06 30 00 1 0 9510 0000 APPL NUMBER 08 00000268 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 2/12/09 DA February 13 2009 9 57 52 AM permits bldg final February 13 2009 9 58 33 AM permits hand rail at rear steps /vent kitchen exhaust to exterior /microwave to cooktop clearance reqd to have manufacture dimensions /j11 BL99 02 2/26/09 TIC 1 BLDG FINAL February 26 2009 9 56 07 AM 1pangrle KEVIN 360 457 8247 BLDG FINAL COMMENTS AND NOTES Owner Contractor Approved CITY OF PORT ANGELES 321 E 5TH STREET P 0 BOX 1150 PORT ANGELES WA 98362 C E R T I F I C A T E O F O C C U P A N C Y Issue Date Expiration Date Parcel Number Property Address Subdivision Name Legal Description Property Zoning Application number Description of Work Construction type Occupancy type Flood Zone T E M P O R A R Y 2/13/09 3/13/09 Special conditions February 13, 2009 9 41 hand rail on rear stex to exterior/j11 06-30-00-1-0- 9510 -0000- 1604 MCDONALD ST PORT ANGELES LOT B HYDEN SUBD RS9 RESDNTL SINGLE FAMILY KLEIN, DANNY /PAMELA CLAWSON CONSTRUCTION LLC 360 457 -1473 08- 00000268 000 000 RES NEW SFR 7 AM jlierYy before move/ in WA 98363 VOID UNLESS SIGNED 131. BUILDING OFFICIAL r7 Bdi'n-- Offical rovide e.r aust vent b PREPARED 2/12/09 8 16 54 CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OFNER PARCEL APPL NUMBER REQUESTED INSP TYP /SQ COMPLETED RESULT ME1 01 10/08/08 PB 10/08/08 AP PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 2/12/09 JLL PERMIT TYP /SQ PL1 01 PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 6/28/08 JLL 5/28/08 AP PL2 01 8/14/08 JLL 8/14/08 AP PL99 01 1604 MCDONALD ST SUBDIV PAMELA DENNY KLEIN CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 KLEIN DANNY /PAMELA PHONE 06 30 00 1 0 9510 0000 08 00000268 RES NEW SFR 2/12/09 LL, DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY February 11 2009 3 10 01 PM 1pangrle KEVIN 457 8247 BLDG FINAL AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE MECHANICAL ROUGH IN TIME 10 30 October 8 2008 8 43 18 AM 1pangrle LINDA 452 3366 ROUGH IN MECHANICAL October 8 2008 2 34 12 PM pbarthol MECHANICAL FINAL TIME 01 00 February 11 2009 3 11 17 PM 1pangrle KEVIN 457 8247 MECHANICAL FINAL AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE PLUMBING UNDER SLAB TIME 03 00 May 28 2008 8 49 48 AM 1pangrle JOEL 461 1863 UNDERSLAB PLUMBING PLEASE INSPECT 3 00 PM OR LATER May 28 2008 4 50 56 PM jlierly PLUMBING ROUGH IN August 14 2008 8 45 35 AM pbarthol JOEL 461 1863 August 14 2008 4 02 32 PM jlierly PLUMBING FINAL TIME 01 00 February 11 2009 3 11 47 PM 1pangrle KEVIN 457 8247 PLUMBING FINAL AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PAGE 6 DATE 2/12/09 DAT 2- ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT ^7 lT 15 OWNER/'ONTRACTOR ADDRESS /(0 0 OLYMPIC PRINTERS\ INC. (360) 452 -1381 DO NOT REMOVE INSPE� APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: l /4194 t ►`-E STila Ll --PrrO NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT 8 4 o E ONTRACTOR ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL it AMIN G r 8 'ORKS ag o z— )L ",.7t i t r q9RRECTIONS NEEDED G rc1. ?�����r �►Rz. cc, E. J cP 'T L E c 21008 A 2 was ��T ,r- -1 12,-aces 'Ti rz t ?Az, Aso vim G flT►-- ffl)? Sl r�s VAp-,Q 012_ t, N4-7-- teC''1TI�� 1\11 ia-/ x NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 INSPECT Q €_cE4' rF c CDi -tab 24_1 PREPARED 10/08/08 11 11 15 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/08/08 ADDRESS 1604 MCDONALD ST SUBDIV TENANT NBR PAMELA DENNY KLEIN CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 OWNER KLEIN DANNY /PAMELA PHONE PARCEL 06 30 00 1 0 9510 0000 APPL NUMBER 08 00000268 RES NEW SFR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 08 .TLL MECHANICAL ROUGH IN TIME 10 30 October 8 2008 8 43 18 AM 1pangrle LINDA 452 3366 ROUGH IN MECHANICAL COMMENTS AND NOTES PREPARED 10/06/08 10 23 39 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/06/08 ADDRESS 1604 MCDONALD ST SUBDIV TENANT NBR PAMELA DENNY KLEIN CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE 60) 457 1473 OWNER KLEIN DANNY /PAMELA PHONE PARCEL 06 30 00 1 0 9510 0000 APPL NUMBER 08 00000268 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLRI 01 5/16/08 JLL BLDG REBAR INSPECTION TIME 09 00 5/16/08 AP May 16 2008 8 41 02 AM 1pangrle MIKE 460 5765 REBAR MORNING May 16 2008 2 41 23 PM jlierly BLHD 01 5/22/08 JLL BLDG FRAMING HOLD DOWNS TIME 09 00 5/22/08 AP May 21 2008 4 54 13 PM 1pangrle MIKE 460 5765 HOLD DOWNS MORNING May 22 2008 4 34 8 PM jlierly BLRI 02 5/22/08 JLL BLDG REBAR INSPECTION TIME 09 00 5/22/08 AP May 21 2008 4 53 2 PM 1pangrle MIKE 460 5765 WALL STEEL MORNING WILL POUR IN THE AFTERNOON May 22 2008 4 35 02 PM jlierly BL9 01 7/24/08 JLL BLDG SHEARWALL 7/24/08 AP July 24 2008 8 43 06 AM 1pangrle KEVIN 457 8247 SHEARWALL REQUESTED A MORNING INSPECTION July 24 2008 4 57 14 PM jlierly garage only BL3 01 9/04/08 JLL BLDG FRAMING 9/04/08 DA September 4 2008 8 12 37 AM 1pangrle KEVIN 457 8247 FINAL FRAMING September 4 2008 3 58 14 PM jlierly access panel in garage /complete air seal /missing hold downs and tighten nut on all exisiting hold downs /positive connection at post and beam crawl area /sheet rock nailers at windows /complete gasket at north windows /truss calcs to be onsite /j11 BLI O1 C /OB J BLDG INSULATION October 6 2008 8 42 27 AM 1pangrle KEVIN 457 8247 INSULATION BL3 02 0 /0§ /08 JLL BLDG FRAMING n October 6 2008 8 41 57 AM 1pangrle KEVIN 457 8247 FRAMING MMENTS AND NOTE, PREPARED 9/04/08 8 28 10 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/04/08 ADDRESS 1604 MCDONALD ST SUBDIV TENANT NBR PAMELA DENNY KLEIN CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 OWNER KLEIN DANNY /PAMELA PHONE PARCEL 06 30 00 1 0 9510 0000 APPL NUMBER 08 00000268 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLRI 01 5/16/08 JLL BLDG REBAR INSPECTION TIME 09 00 5/16/08 AP May 16 2008 8 41 02 AM 1pangrle MIKE 460 5765 REBAR MORNING May 16 2008 2 41 23 PM jlierly BLHD 01 5/22/08 JLL BLDG FRAMING HOLD DOWNS TIME 09 00 5/22/08 AP May 21 2008 4 54 13 PM 1pangrle MIKE 460 5765 HOLD DOWNS MORNING May 22 2008 4 34 58 PM jlierly BLRI 02 5/22/08 JLL BLDG REBAR INSPECTION TIME 09 00 5/22/08 AP May 21 2008 4 53 32 PM 1pangrle MIKE 460 5765 'WALL STEEL MORNING WILL POUR IN THE AFTERNOON May 22 008 4 35 02 PM jlierly BL9 01 7/24/08 JLL BLDG SHEARWALL 7/24/08 AP July 24 2008 8 43 06 AM 1pangrle KEVIN 457 8247 SHEARWALL REQUESTED A MORNING INSPECTION July 24 2008 4 57 14 PM jlierly garage only BL3 01 9/04/08 JLL BLDG FRAMING p September 4 2008 8 12 37 AM 1pangrle 1 7 KEVIN 457 8247 Y FINAL FRAMING COMMENTS AND NOTES Application Number 08 00001043 Application pin number 167635 Property Address 1604 MCDONALD ST ASSESSOR PARCEL NUMBER 06 30 00 1 0 9510 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Security system Owner Contractor KLEIN DANNY /PAMELA 1604 MCDONALD ST PORT ANGELES WA 98363 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES (360) 452 2727 Qty Unit Charge Per 1 00 40 0000 EL LOW VOLT SYS =2500 SQFT Fee summary Charged Paid Credited Due Date 8/22/08 WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 132803 Permit Fee 40 00 Plan Check Fee 00 Issue Date 8/22/08 Valuation 0 Expiration Date 2/18/09 Permit Fee Total 40 00 40 00 00 00 Plan Check Total 00 00 00 00 Grand Total 40 00 40 00 00 00 Extension 40 00 .r INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS: ELECTRICAL DATE RESULTS INSPECTOR f?lz5/08 11.4D °Ar FROM HI —TECH ELECTRONICS oH 3 0 Li, !Contractor 0 Owner lair _-U rill Carnival 0 Cwuwicrcittl Ca Rc5iilcutia LI 'Residential hL.titu. 0 �ibus '1'Itci uu,st.r U Lctcw. .rinstallattun di. ;ctiptiou J by 0 1:Icctrici,l Contractor 0 Owner El for a. ne Lice tse uwnbol 14 t. 1 c. S Ers.1R��'r �r i- hTSr.� -TS 9 Imo. v0.t_ rC� N A, L, l Pty. _ihng addr.ss 1. ew R..•' S S1—e, 12 •1'r .ber FA?. number 340 --1 -15 2- 2121 360 45 2 �Cio0 'Pr a is earn.. Ada tttspection 1.4? O `L. t iooP.L.iD S i C tl G KwyP,..a eel-) '57-- €2'4 I b_ fy that 1 am the owner of the above maned property or a licensed dos v:1,7134103' (or the firm aurhori_ed agent) and am making the electrical C1 Credit Card Visa Mastercard Discover ,r :.Iteration in compliance with the electrical law, Chapter 19.28 RCW Card Squ:, r t)i own r, e rerrical contractor or eleetricnl administrator Expirarion Date of card 1 WAILS CEDING THTRMUST tit• SERVICE. .suletion Only. Inst hitiun Only �pUt ret ay D Cover (rover Apptuvoa Bp Da Elec,r. .l,Load Additjons and or suDIractions O V_ CHANGES _w, KW O KW 0 ric Ton LAR KW r.cn .c 211116`) o$ -oe 74 ?e-- 2 NEC EWE Do AUG 2 t2i1013, 4s Ens_p«(ion Appro ed ay Appr n1 ay O Overhead Service O Temp Service L7 underground Service Area, Building or Equipment Inspected Rug. 22 2008 08 06AM P1 LLZ.1j I(. Al 4.)1t .P i'PL1. 1 ION 0 Cash 0 C:lzcc.lt Due Inspection fee Delo Ap rnyc oy J Date Appr ed r y DITCH F RIMER App wed by f u, tr. S. Arvict: Iniormaik. p Voltage Phase 0 1 0 3 Service Size; Feeder Size Ltoclrical Action T:tl:eit cto[ AIP PREPARED 8/14/08 9 18 41 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/14/08 ADDRESS 1604 MCDONALD ST SUBDIV TENANT NBR PAMELA DENNY KLEIN CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 OWNER KLEIN DANNY /PAMELA PHONE PARCEL 06 30 00 1 0 9510 0000 APPL NUMBER 08 00000268 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 5/28/08 JLL PLUMBING UNDER SLAB TIME 03 00 5/28/08 AP May 28 2008 8 49 48 AM 1pangrle JOEL 461 1863 UNDERSLAB PLUMBING PLEASE INSPECT 3 00 PM OR LATER May 28 2008 4 50 56 PM jlierly PL2 01 8/14/08 LL 4 PLUMBING ROUGH IN August 14 2008 8 45 35 AM pbarthol JOEL 461 1863 COMMENTS AND NOTES Application Number 08 00000882 Application pin number 038492 Property Address 1604 MCDONALD ST ASSESSOR PARCEL NUMBER 06 30 00 1 0 9510 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc New Home 2405sgft Owner Contractor KLEIN DANNY /PAMELA 1604 MCDONALD ST PORT ANGELES WA 98363 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 Date 7/25/08 WA 98363 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 130583 Permit Fee 135 00 Plan Check Fee 00 Issue Date 7/25/08 Valuation 0 Expiration Date 1/21/09 Qty Unit Charge Per Extension 1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00 3 00 22 0000 5C EL R SQFT ADDITIONAL 500 66 00 Fee summary Charged Paid Credited Due Permit Fee Total 135 00 135 00 00 00 Plan Check Total 00 00 00 00 Grand Total 135 00 135 00 00 00 nE SPECTIOI} TYPE DITCH SERVICE ROUGH II'� FIIN AL COMMENTS ELECTRICAL DATE RESULTS INSPECTOR 0)(0e. rbt? glzOrg 67=i06. °IAD 2 /11,105 c ,17'61L 17 i T kt 341 7`24g PREPARED 7/24/08 10 17 36 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/24/08 ADDRESS 1604 MCDONALD ST SUBDIV TENANT NBR PAMELA DENNY KLEIN CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 OWNER KLEIN DANNY /PAMELA PHONE PARCEL 06 30 00 1 0 9510 0000 APPL NUMBER 08 00000268 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLRI 01 5/16/08 JLL BLDG REBAR INSPECTION TIME 09 00 5/16/08 AP May 16 2008 8 41 02 AM 1pangrle MIKE 460 5765 REBAR MORNING May 16 2008 2 41 23 PM jlierly BLHD 01 5/22/08 JLL BLDG FRAMING HOLD DOWNS TIME 09 00 5/22/08 AP May 21 2008 4 54 13 PM 1pangrle MIKE 460 5765 HOLD DOWNS MORNING May 22 2008 4 34 58 PM jlierly BLRI 02 5/22/08 JLL BLDG REBAR INSPECTION TIME 09 00 5/22/08 AP May 21 2008 4 53 32 PM 1pangrle MIKE 460 5765 'WALL STEEL MORNING WILL POUR IN THE AFTERNOON May 22 2008 4 35 02 PM jlierly BL9 01 7/24/08 J BLDG SHEARWALL July 24 2008 8 43 06 AM 1pangrle f KEVIN 457 8247 SHEARWALL REQUESTED A MORNING INSPECTION COMMENTS AND NOTES 07/210/2008 10 18 FAX 360 452 3498 Job wired by Electrical oontrootor name Licence number Date Expires 7 eNi /Afiot_ -5- lZL Pweltsi:er' mailing address V 2 47 �U,ore d. /1 Clir� State ZIP Telephone number FAX number '7- y .7 ysZ YEP Pre Ices owner's tun Address of loepectlon /D'/ Al 44,0.7�i.-/ City r r 7 L. .1 r Phone number to schedule inspection. l Load Additions en suhtrectlons O NO LOAD CHANGES O 9aseboard _KW O Furnace _KW O Neat Pump Ton LAR O Fsn•W&I KW SAME DAY INSPECTION. CALL BEFORE ROUGH -IN Da. Approved By FINAL Due Electrical Contractor 0 Owner y`7 -2 5q 7 Olympic Electric Co 4 PA CITY INSPECT 12001/001 Due Approved By Due Inspection Dam 2/72 D l r�► -1 SPi tL 7/� of ('dg Arca, Budding or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION 1 (Installation description 0 ,Commercial W'iesIdentlal aeNew O Overhead Service 0 Temp Service Underground Service 7.00 AM 360 -417 -4735 THERMOSTAT pp Amvdd ay DITQI Approvee By J Owner as defined by AC1E19.28.261: j0) Owner will occupy the structure for two years after this electrical penult is finalized (2) Owner it required to hire an electrical convector if above said property is for colt, rent or leases Att+er leading the above comment, 1 hereby certify that 1 am the owner of the above owned property or a licensed clevtricel contractor. I am mating the electrical Instal- lotion or alteration in compliaacc with the electrical laws, N.E.C. RCW. Chapter 74.28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specification. "Eigoaturs of owner, electrical contractor or electrical administrator Expiration Date X p r y Date: 7 /jz /O `fcard Elects t O Allored/Addlttoa Y& Our Dere ltia! O Cash Cl Check* Credit Card Visa Mastercard Discover Card Voltage Phase 0 3 Servlce Size: Feeder Size: SERVICE Action Taken wooden tee v� Service lnformeVort Approved By ITEDIiR Aop T Eleotrical Inspeotor W;9 07/2/2008 10 18 FAX 360 452 3498 og 088 z Job wined by IA'flectr /cal Contractor electrical contractor name License number Dete expires n .n,e�.c, t f,''L 1Y/� s J/ per Of mailing address Cil State ZIP e Li J 2 Telephone number FAX number E5 7 7— s 3 4 I Z —f Pre lies owner's u9ny Addreu of Ioepectloe /Gp'I City p f .Ir r Phone number to schedule Inspection. Owner al defined by RCW..19.28.2d1 yl) Owner will occupy the structure for two yeas q/ler lids electrical permit It finalized (2) Owner it required to hire an electrical contractor (f akirs said property it for sole, rear or loam ANer tending the above etawment, 1 hereby certify that I em the owner of the above named property Of a Licensed cicctticd contractor. I am Mlles the electrical Inatai- IsSion or alteration m compliance with the electrical laws, N.E.C. RCW. Chapter 19.28. WAC. Chapter 296 -46B, The City or Port Auaeles Municipal Code, and Ull)Ity Speelflcatioos. /81goaturo of owner, electrical contractor or electrical adatlnlstrator �X i!i�Fi ar Date: 7 /2,,C/QG H of card ElectrlcMj..ond Additions and Qlsubtractiong. 0 NO LOAD CHANGES Q Baseboard _KW O Furnace KW 0 Heat Pump _Ton LAR 0 Fan -Wall _KW SAME DAY INSPECTION. CALL BEFORE 7.00 AM 360 -417 -4735 OUCit -IN THERMOSTAT g/27 Inspection Date Dale Approved 'y FINAL Aav�wed'e's 2 6 O Owner q..5 r2g 7 Dole Olympic Electric Co PA CITY INSPECT Ij001 /001 2/7-2- j 1 -re_)-1 14aetellation description O ,Colnmerdai Oriesidential lieVew O Altelred/Addltlos 9Au )4r1-5A O Overhead Setvloe 0 Temp Service O Underground Service App,ovdd fly DITCH ppov y Arca, Duilding or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION O Cash O Check Credit Card Card S Expiration Date off Viso Mastercard Discover Out l SERVICE rwe Inspection tee o� ems Service InformatJcrt Voltage ryy Phase 0 3 Service Size: 2 Feeder Size: Appiovod Of PEER 1 Action Taken AOPOretri Electrical inspector (2) N PREPARED 5/28/08 9 26 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/28/08 ADDRESS 1604 MCDONALD ST TENANT NBR PAMELA DENNY KLEIN CONTRACTOR CLAWSON CONSTRUCTION LLC OWNER PAMELA DENNY KLEIN PARCEL 06 30 99 1 0 9510 0000 APPL NUMBER 08 00000268 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 457 1473 PHONE PL1 01 5/28/08 JLL /1 PLUMBING UNDER SLAB TIME 03 00 May 28 2008 8 49 48 AM 1pangrle JOEL 461 1863 UNDERSLAB PLUMBING PLEASE INSPECT 3 00 PM OR LATER INSPECTION TICKET PAGE 3 COMMENTS AND NOTES PREPARED 5/22/08 8 50 43 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/22/08 ADDRESS 1604 MCDONALD ST SUBDIV TENANT NBR PAMELA DENNY KLEIN CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 OWNER PAMELA DENNY KLEIN PHONE PARCEL 06 30 99 1 0 9510 0000 APPL NUMBER 08 00000268 RES NEW SFR PERMIT NPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLRI 01 BLHD 01 BLRI 02 INSPECTION TICKET PAGE 3 5/16/08 JLL BLDG REBAR INSPECTION TIME 09 00 5/16/08 AP May 16 2008 8 41 02 AM 1pangrle MIKE 460 5765 REBAR MORNING May 16 2008 2 41 23 PM jlierly 5/22/08 J /7 BLDG FRAMING HOLD DOWNS TIME 09 00 May 21 2008 4 54 13 PM 1pangrle MIKE 460 5765 HOLD DOWNS MORNING 5/22/08 BLDG REBAR INSPECTION TIME 09 00 May 21 2008 4 53 32 PM 1pangrle MIKE 460 5765 'WALL STEEL MORNING WILL POUR IN THE AFTERNOON COMMENTS AND NOTES PREPARED 5/16/08 9 00 19 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/16/08 ADDRESS 1604 MCDONALD ST SUBDIV TENANT NBR PAMELA DENNY KLEIN CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473 OWNER PAMELA DENNY KLEIN PHONE PARCEL 06 30 99 1 0 9510 0000 APPL NUMBER 08 00000268 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLRI 01 5/16/08 BLDG REBAR INSPECTION TIME 09 00 May 16 2008 8 41 02 AM 1pangrle MIKE 460 5765 REBAR MORNING COMMENTS AND NOTES PAMELA DENNY KLEIN C/O BOB HYDEN 3005 W 18TH ST PORT ANGELES T•\Policies \1102.15R [1 /05] WA 98363 Signature of Contractor or Authorized Agent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000268 Date 4/24/08 Application pin number 555912 Property Address 1604 MCDONALD S ASSESSOR PARCEL NUMBER 06 30 99 -9510 0000 COY r ea PeLr -I 1; rry,beA r Tenant nbr name PAMELA DENNY KLEIN Application type description RES NEW SFR *L O 6 30 O ®ip q Sto Subdivision Name Property Use Property Zoning Application valuation RS9 RESDNTL SINGLE FAMILY 249000 Application desc 2 056 SF SFR 570 SF ATT /GAR 32 SFGABLE PORCH Owner Contractor CLAWSON CONSTRUCTION LLC P 0 BOX 2683 PORT ANGELES WA 98362 (360) 457 1473 Structure Information 000 000 2 056 SF SFR 570 ATT /GAR 32 SF PORCH Other struct info TOTAL LOT COVERAGE 3 90 CONSTRUCTION TYPE V B NUMBER OF STORIES 3 00 LOT SIZE 43560 00 PROPOSED LOT COVERAGE 1706 00 TOTAL LOT COVERAGE 1706 00 NUMBER OF UNITS 1 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 123075 Permit Fee 770 00 Plan Check Fee 00 Issue Date 4/24/08 Valuation 249000 Expiration Date 10/21/08 Qty Unit Charge Per Extension 1 00 770 0000 EA PW W/M 1 SERV 5/8 METER 770 00 Permit RIGHT OF WAY Additional desc DRIVEWAY Permit pin number 123067 Permit Fee 50 00 Plan Check Fee 00 Issue Date 4/24/08 Valuation 249000 Expiration Date 10/21/08 Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background Extension 50 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 Owner (if owner is builder) Date' CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE.A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING, SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T\Policies \1102.15R [.1/05]' PERMIT •INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR .TO OCCUPANCY/USE RESIDENTIAL DATE YES' NO COMMERCIAL DATE' ACCEPTED CONSTRUCTION R.W PW ENGINEERING FIRE DEPT. PLANNING DEPT BUILDING NO Op PORT Page Application Number 08 00000268 Date Application pin number 555912 Special Notes and Comments A residential fire sprinkler system installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm March 10 2008 5 10 00 PM sroberds The proposal is in the RS 9 zone on a 1 acre lot Site lot coverage 3 9% Peak of roof is 32 but average grade is no more than 30 Electrical overhead power is available on west side of McDonald St Electrical heat load calculations and electrical permits are required Customer connection fee of $140 also required March 5 2008 11 44 08 AM gmclain Provide copy of approved septic permit from Clallam County is required prior to issue of building permit Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete EROSION SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK March 7 2008 8 15 16 AM rbecker Do you plan on installing a fire system Open fire systems do not require a backflow assembly Closed fire systems require a DCVA backflow assembly If you are installing a lawn sprinkler system you will need to install a DCVA backflow assembly If you have any questions call Ron Becker at (360)417 4886 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T•\Policies \1102.15R [1/05] Charged 820 00 00 1679 50 2499 50 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RES OVERHEAD SERVICE FEE STATE SURCHARGE PW WATER SYSTEM USE FEE Paid Credited 820 00 00 1679 50 2499 50 00 00 00 00 410 00 4 50 1265 00 Due 4/24/08 00 00 00 00 2 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER; INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE PW UTILITIES (Engineering Division) WATERLINE METER SEWER'CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION'CONTROL PARKING, SIDEWALK:r: CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION ENGINEERING FIRE PLANNING DEPT BUILDING .T•\Policies \1102.15R [1/051 INSPECTION TYPE DATE ACCEPTED YES 1 NO RESIDENTIAL 417 -4807 417 -4653 417 -4750 I 417 -4815 PERMIT INSPECTION RECORD FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE' YES' NO COMMERCIAL DATE= :ACCEPTED' YES NO CONSTRUCTION RW PW ENGINEERING FIRE DEPT. I PLANNING DEPT BUILDING COMMENTS 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 056 SF SFR 570 SF ATT /GAR 32 SFGABLE PORCH Owner PAMELA DENNY KLEIN C/O BOB HYDEN 3005 W 18TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 149 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 4 00 1 00 1 00 ate dP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98363 14 8000 ECH 7 2500 ECH 10 6500 ECH 10 6500 ECH MECHANICAL PERMIT /Z7/n/ Print Name T Forms /Building Division /Building Permit (10 /0I /07).wpd 08 00000268 555912 1604 MCDONALD ST 06 30 99 L-0 -95T Date 4/24/08 00000 Correct- Parcel NuwN..e l 5 PAMELA DENNY KLEIN o 6 0010 .35(o RES NEW SFR p e4- 61u■{- Claim Deed c deb '4(zs /o8 RS9 RESDNTL SINGLE FAMILY 249000 Contractor BUILDING PERMIT RESIDENTIAL 2 056 SF SFR 570 SF ATT /GAR 122168 1854 65 4/24/08 Valuation 10/21/08 CLAWSON CONSTRUCTION LLC P 0 BOX 2683 PORT ANGELES (360) 457 1473 Structure Information 000 000 2 056 SF SFR 570 ATT /GAR, 32 SF PORCH Other struct info TOTAL LOT COVERAGE 3 90 CONSTRUCTION TYPE V B NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Plan Check Fee WA 98362 3 00 43560 00 1706 00 1706 00 1 00 741 86 249000 Unit Charge Per Extension BASE FEE 1020 25 5 6000 THOU BL -100 001 500K (5 60 PER K) 834 40 122184 115 10 Plan Check Fee 00 4/24/08 Valuation 0 10/21/08 Unit Charge Per Extension BASE FEE 50 00 ME INSTALL 100- FAU 14 80 ME VENT FAN 29 00 ME OTHER APPL N/R 10 65 ME -GAS PIPE 1 TO 5 10 65 Separate Perm its 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 constructio Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT /Ps PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I 1 BUILDING 417 -4815 1 T Forms/Building Division/Building Permit (10 /0I /07).wpd BUILDING PERMIT INSPECTION RECORD YES NO FINAL 417 -4735 ELECTRICAL LIGHT DEPT DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE 1 ACCEPTED 1 1 YES 1 NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT 1 BUILDING I I 1 I I I I 1 1 Application Number Application pin number Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background A residential fire sprinkler system installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm March 10 2008 5 10 00 PM sroberds The proposal is in the RS 9 zone on a 1 acre lot Site lot coverage 3 9% Peak of roof is 32 but average grade is no more than 30 Electrical overhead power is available on west side of McDonald St Electrical heat load calculations and electrical permits are required Customer connection fee of $140 also required March 5 2008 11 44 08 AM gmclain Provide copy of approved septic permit from Clallam County is required prior to issue of building permit Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete EROSION SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK March 7 2008 8 15 16 AM rbecker Do you plan on installing a fire system Open fire systems do not require a backflow assembly Closed fire systems require a DCVA backflow assembly If you are installing a lawn sprinkler system you will need to install a DCVA backflow assembly If you have any questions call Ron Becker at (360)417 4886 Other Fees T.Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000268 555912 Page 2 Date 4/24/08 Permit PLUMBING PERMIT Additional desc Permit pin number 122176 Permit Fee 149 00 Plan Check Fee 00 Issue Date 4/24/08 Valuation 0 Expiration Date 10/21/08 Qty Unit Charge Per Extension BASE FEE 50 00 10 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 70 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 RES OVERHEAD SERVICE FEE 410 00 STATE SURCHARGE 4 50 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) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING FIRE PLANNING DEPT RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4653 417 -4750 BUILDING 417 -4815 T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD YES 1 NO 1 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING 1 I 1 FINAL DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. FIRE DEPT PLANNING DEPT BUILDING Application Number Application pin number T.Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000268 555912 Page 3 Date 4/24/08 Other Fees PW WATER SYSTEM USE FEE 1265 00 Fee summary Charged Paid Credited Due Permit Fee Total 2118 75 2118 75 00 00 Plan Check Total 741 86 741 86 00 00 Other Fee Total 1679 50 1679 50 00 00 Grand Total 4540 11 4540 11 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED COMMENTS YES I NO I geba r 5 T ZN -USA i 'cS( -L 1(4,24-6 23-08 I Sc-t— S -l4 -08 l TILL_ FINAL 2-12 0 1 DATE -31-1-- ACCEPTED BY. 1 Plc& nA Cb)&" FINAL 2 12. SEPA. ESA. 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE 3c� DATE o Tr 3 --L ACCEPTED BY. ACCEPTED YES NO O cQ 0 ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING n I FIRE 417 -4653 I 1 I I FIRE DEPT I PLANNING DEPT 417 -4750 I q 1 1 1 PLANNING DEPT I I 1 BUILDING 417 -4815 12 -26 -69 1 731..1._ 1 1 BUILDING I I T Forms /Building Division /Building Permit (10/0I/07).wpd n? C c )13/e4 3 2-LL When recorded return to Dennis R. Klein and Pamela R. Klein 10601 Hatch Dr NW Albuquerque, NM 87114 Filed for Record at Request of Clallam Title Company Escrow Number 103952CK Grantor Robert G. Hyden and Patricia M. Hyden Grantee: Dennis R. Klein and Pamela R. Klein Abbreviated Legal: B, SHP 07 -05 Hyden (33sp/26) THE GRANTOR ROBERT G. HYDEN AND PATRICIA M. HYDEN, HUSBAND AND WIFE for and in consideration of GIFT conveys and quit claims to DENNIS R. KLEIN AND PAMELA R. KLEIN, HUSBAND AND WIFE the following described real estate, situated in the County of Clallam State of Washington, together with all after acquired title of the grantor(s) herein. Situate in the County of Clallam, State of Washington. Tax Parcel Number(s) 063000 109510 Dated April 23, 2008 —16-24 e o ert G. Ili STATE OF Washington COUNTY OF Clallam I certify that I know or have satisfactory evidence that Robert G Hyden and Patricia M. Hyden are the person(s) who appeared before me, and said person(s) acknowledged that they signed this instrument and acknowledge it to be their free and voluntary act for the uses and purposes mentioned in this instrument. Cassie KOnopka Dated. Lot B of the SHP 07 -05 Hyden SP, as per Plat recorded in Volume 33 of Short Plats, page 26 records of Clallam County, Washington. /z_s QUIT CLAIM DEED Streamline Deed Quit Claim (LPB 12) Rev 8/16/2007 SS. eg Patricia M. Hyden Notary Public in and for the State ,o Residing at:y My appointment expires. LPB -12 BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 yd 64/1 (360) 417 -4815 fax (360) 417 -4711 Cio 3 W Igo s-t- 983G3 Applicant or Agen 4:6 fs� /,C-.. Property Owner p Y Property Owner's Address ifre,i 4/ O Contractor /Engineer e c Jer Co.i 1 Contractor /Engineer's Address PO 6 (he Z.(v&3 PA License g63 2 t Wj7 PROJECT ADDRESS /6v V Ai eacm/h,.,) s7 Parcel Number LL L !vq Lot Project Type Brief Description. ¥Residential Check all that apply New Construction Sim, /6' 1-0",/f GDb /-10,,4. w 7 47-7 �c=� Addition Remodel Repair Re -roof Demolition Sign 16 Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other SQbmi 4 3(3`O& APPLICATION Print in inS bmt For City Use Only. 3.-"8 Date Received Permit O 2 Date Approved A Flay w,o nlei PhcLyfe 36 4-/_r7 o ,8 Phone ,30-,4 )S09 Phone 31 Expires Ptivn #Q 3o9 10 9 5 1 0 )39 1 --/d9 9 6jb 2 ezy 2_foe Z c4/L_ Zoning Commercial Multi- family Industrial 44.9 L projecting freestanding awning other SCI ft. Maximum allowed sign area sa ft. Heat pump wood burning stove gas fireplace pellet stove other wall- mounted Total sign area Existing (sq. ft) Total footprint of structures Z t 1C b q ft. T Lot size Max. height of proposed structures 31'37 ft. Will a lawn sprinkler system be installed? Na Will a fire sprinkler system be installed? N0 Posed (sq. ft) 6 a per sq. ft. ib No O' 31 2. iU g SeLF� SO(c 00 Occupancy group Occupant load Construction type X8 Gable Porch 32 SO.FF 96 Sam 12Xg encl 611..e yaay TOTAL VALUATION 13sC,0 sq. ft. 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, )ermits prior to working on projects./ 2 Print Name /CVi^) /Zulu Signature T.Forms /Building Division /Bldg Permit Appl. -2006 Code.doc 2/i, 3 Y et.o Lot coverage of bedrooms 3 of full baths of half baths u CUSTOMER: DEALER: THE ORIGINAL 7 Lincoln Logs MODEL. SIZE. P.O Box 135 5 Riverside Drive Chestertown, NY 12317 LOG STYLE. PITCH: 800-833-2461 www.lincolnloes.com info@lincolnlogsteom 7 I t ;IIII **1 3 I DATE. I L 1 I 1 I 11_ I L 1 1 0 1 `'!;1`,;itit t ti• t1111-,ttlit SCALE. 1/8" 1' 1 1 14 I I i I i !--I I LI 1 i I.: 1 I.;■1 I i i i_ 1,11:ii 1 1 i .4-_-.- t I 0 0 „,...-0 1 '111 1J- 0 1 1 1 1 t i I 1 1 1 ri 1: 11 11 t iri HI_ i I 1 I 1 i i 1 1 1 1 4 1 T 1 ITT1 1 1 L TT I i 40' 40' 1 3 I Po rh 40' 40' NOTE 1 524 93' 5.34 93' 18TH STREET S 565 E 574 93' S 7" :ONTROL POINT 07313680 S., V 56 P 94) N 56'45'51' W 0191. L T SET REBAR MONUMENTS ON THE WEST AND SOUTH PROP LINES OFFSET 1 00' FROM THE SOUTHWEST PARCEL CORNER. 8 300' 524 98' EDGE OF LANDSCAPING FROM CLAYTON PARCEL N 56'45'56' W 198.71' COI 1 W I 1 25' LOT 'B' c I 0.95 ACRES I 1 N (in 604 1 z I 25' O 3 1 198.71 N56'45'58'W I` 18` 1 I D 9610 LOT 'A' 1 7 54 ACRES t p 3005) 1 1n .f 10' 1— 5 �v 1 3 °°6 1 1 N EXJ ST1NG 1 25' 25' L HO Ui 18` 1 27' 9 1 �U I In P I 35.00' NOTE 2 I L_ S 56' SOL OF DED CIT1 FOR PER 160. III PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information Building Department Use Only. Lot: Permit 0 -24 2, Address. /40y iv"Do, 44_1) Y7 Notes. City 7 44thi''Ic State 1 Zip 9,13 Contact: /t■//^" Phone 36 o 7'5 5'2 y 7 Phone 2 ?G 0 YG PAW A:4,4 ur) FAX Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) h eai- Q u n1r roc ke j h w A;;., Glazin Glazing ,U Factor o or} Vaulted Interior ;Exterior.'-;, ;'Slab ,o e Option Area of Vertical Overhead' U= Ceiling Ceilin Above 'gelow Below Floo r ;Concrete Floor Factor G rade G d G d t ra a ra' e;....... Unlimited Group R -3 0 40 0 58 0.20 R 38 R 30 R 21 R -21 R 10 R 30 R 10 Occupancy Only This Project complies with the following: The project is a single family residence or duplex. 1f The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed in Table 6 -1 Option III. The project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards allowed. Location of the door taking this exception. 602.6 Exception 2. Doors with a U- Factor of 0 40 allowed without calculations, Option III only Location of the door(s) taking exception. Type of Heat Source: 41-, a Please complete and return to Public Works Engineering Department Applicant Information Permanent service. Name and address of party responsible for permanent service billing? Site contact: Contractor Electrician Excavator' Single- family residence Commercial Overhead service Underground service Street address lot number Nearest cross street: Desired connection -:date Electrical Load Total square footage Voltage Check all that apply Applicant's Signature Name. 1/97 Street: City State ZIP• Daytime Phone. Contact. Information (if other than above) Name: /4. v/A/ /lvjuc7/ 'Daytime Phone: Ali 0 Vs 7 32 V 7 'Name iGe■/ Daytime Phone. 3(0 L/ 7 e-2 'Name. et At).774,•✓ 'Daytime Phone: 310 0 Vr 7 3 Name. /C L 7 3,Z Daytime Phone: Sv VS 2 9 _sq ft. 120/240 1ph 0120/240 3ph Electrical Service Information Form Home Phone: Title 6 C Project Type ID Multi-family residence of units El Subdivision, of lots ❑General service Other ay e /S -41 i7 e Nt •,JcwiaL;> i (3 ..57,41-7 v/ G/1 (ovin i2. 70 C `'/d R 7C- Main disconnect size 0120/208 3ph 0480 3W 3ph Please provide a copy of the following *Detailed plot plan (dwg or dxf format mandatory for subdivisions) *Electrical one -line drawing showing the service entrance panel and location *Connected load data *Size and locked rotor amps of all motors over 50hp Public Works Engineering Department (360) 417 -4700 Company' (74- 4",')c'i) Company OL y"4 P1 c zi r"z 7a i Company' HaA/ J e5CC47 cro amps ❑277/480 3ph ['Other' Standard residential loads (Lighting, refrigerator dishwasher washer) A/C FLA) Range /Oven Hot Tub Clothes Dryer Heating Pumps Hp) Water Heater Elevator Hp) Other Supporting Date 2 3 493 MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360- 417 -4709 EMAIL gmclain©cityofpa us (west half of city) Information form rlarson©cityofpa us (east half of city) WS i LEGAL OWNER OF RE9ORD NAME. Robert Hyden ADDRESS. 3005 West 18 St. CITY STATE, ZIP Port Angeles, WA. 98362 PROPERTY ADDRESS. Same CITY STATE, ZIP DIRECTIONS TO SITE. BAFFLES: INLET MISSING/REPAIR? CCN•4 Lit iY- OUTLET MISSING/REPAIR? C, OUTLET SCREEN? WAS SCREEN CLEANED? ENVIRONMENTAL HEALTH FOLLOW UP- PUMPER RECIEPT NEEDED REPAIR PERMIT NEEDED REPAIR RECEIPT NEEDED LINE LOCATE NEEDED WATER SAMPLE NEEDED ACTION REQUIRED EHS INITIALS ON SITE SEWAGE DISPOSAL SYSTEM EVALUATION <i 140`( CU S; OMER 2008 -009 DATA RECD SURVEY 1-0q co4) 13 PERSON OR ORGANIZATION REQUESTING REPORT NAME. 'Kevin Russell Clawson Const. ADDRESS. P O Box 2683 ADDRESS. CITY STATE, ZIP Port Angeles, WA. 98362 PHONE. 360-457-8247 WATER SUPPLY City of P.A. FINDINGS THIS REPORT DOES NOT CONSTITUTE A GUARANTEE, WHETHER EXPRESSED OR IMPLIED THAT THE SEPTIC SYSTEM WILL CONTINUE TO FUNCION PROPERLY THIS REPORT CONSTITUTES ONLY A SUMMARY OF FINDINGS ON THE DATE OF INSPECTION. PERMIT ON FILE? I(YES NO SEP# B -v APPROXIMATE DATE OF INSTALLATION- 9 3 NUMBER OF BEDROOMS. (EXISTING) `L (DESIGN)3 PROPERTY CURRENTLY OCCUPIED? (.DYES NO LENGTH OF TIME VACANT (MONTHS) (YEARS) SEPTIC TANK. PqSENCE OF ODOR WITHIN 10 FT CO NONE MILD STRONG VOLUME. (1 000 1250 OTFER NUMBER OF COMPARTMENTS: 1 IV 2 MATE CONCRETE PLASTIC FIBERGLASS NEEDS REPLACEMENT REPAIR? YES NO ACCESS: INLET EI RISERS ON TANK? LIDS SECURED? CENTER (YES NO BYES NO DYES ❑YES YES YES 2d1 _yo O NO NO TANK LEVELS: I( SCUM DEPTH. '3 2nd Compartment: 0 SLUDGE DEPTH. 0 2nd C mpartment: DATE TANK LAST PUMPED- O 11 l A UNKNO PUMPING OF TANK REQUIRED YES Ly NO COMMENTS AND RECOMMENDATIONS. REASON FOOD ESTABLISHMENT INSPECTION LOAN CERTIFICATION BUILDING PERMIT X Land Division PARCEL NUMBER. 06- 30- 00- 1095002001 LOT- SURVEY S P /SUBDIV c VOLUME. PAGE. la F TYPE OF DRAINFIELD PARALLEL TRENCH E BED OTHER CONDITIONS AT DRAINFIELD SITE. ODOR. MNONE O MILD STRONG SIGNS QF SURFACING EFFLUENT OR GROUND SATURATION? VEGETATION APPROPRIATE? EXCESSIVE VEGETATION GROWTH VEGETATION MAINTAINED? TSJR.MUTION DEVICE. D -BOX HEADER D TEE ACCESSIBLE? DYES NO INTACT PROVIDING EQUAL DISTRIBUTION? U" YES O REQUIRES MAINTENANCE REPAIR? YES Lft" NO LATERAL TREN52 H BED PONDING? LE YES Q' NO SURFACING EFFLUENT INSPECTION PORTS PRESENT? INSPECTION PORTS INTACT? SWITCHING VALVE PRESENT? REPAIR REPLACEMENT AREA. ADEQUATE LIMITED SEVERELY LIMITED This septic system consists of a 1000 gallon, two- compartment septic tank, a distribution -box and two 65ft long by 3ft wide drainfield trenches. The septic tank appears to be in good condition and both baffles are in place. The tank is equipped with risers and has just been pumped -out (01/17/08). The d -box also appears to be in good condition and has just been equipped with a nser and flow levelers. The d -box has also been pumped -out and cleaned. The drainfield area looks OK, there are no signs of ground saturation or surfacing effluent. I dug several holes in the drainfield trench exposing the drain -rock. Trench #1 (the upper trench) was dry and the drain -rock was clean. Trench #2 (the lower trench) was ponded and the drain -rock was covered with a thick biomat. It's obvious that trench #2 has been receiving all of the wastewater flow I have adjusted the flow levelers within the d -box to shut off the flow to trench #2 to allow that trench time to dry out (this may take several years). Trench #1 will now receive all of the flow Although the system is functioning properly water conservation practices within the home should be implemented to reduce the amount of wastewater generated. Water conservation will help assure e remaining drainfield trench will properly treat and dispose of the household waste until trench #2 has had time to dry-out 0 g of, 7 1 dr 1 A ir .1 1 1 Poi j s rao 11 RRY L JAS 1BS 1 1( FNSFTI flFSiCINFQ GRAVITY DRAINFIELD S (NO YES O YES NO DYES NO ISEPTHT t1 Z. YES Q NO YES DI NO YES NO YES NO LET YES YES YES 01/17/08 INSPECTION DATE JERRY L. JACOBS WSWTS 5100126 On -Site Services Vig DATE NO O E2 NO CLALLAM COUNTY ENVIRONMENTAL HEAT TH RF.PRFCFNTATTVF BY SIGNING THIS REPORT THE ENVIRONMENTAL HEALTH DIVISION IS CERTIFYING THAT THE PERSON PERFORMING THIS EVALUATION IS A CERTIFIED DESIGNER OR SYSTEM EVALUATOR IN CLALLAM COUNTY EVALUATIONS OF SYSTEMS ARE TO BE PERFORMED IN ACCORDANCE WITH POLICY NUMBER 540.2 OF THE CLALLAM COUNTY HEALTH DIVISION. Property Owner Klein Parcel 06- 30- 00- 109500 Date 01/17/08 i• zgo 29 loe6s 9 cry E_ i 2 t�, 1 4 8T ft ti ll I if 1 r -J ti FEB -5 2008 (ITV OF PORT ANGELES Dept- of Community Development 2 0 r I ELECTRICAL INSPECTION WIRING REPORT 417-4735 APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 ~ . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: ~$\ ~~\,"'t ~ . , NOTIFY INSPECTOR WHEN CORRECTIONS .. ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ~ ....... .. . Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000874 Date 594574 1604 MCDONALD ST 06-30-00-1-0-9510-0000- ELECTRICAL ONLY 7/24/08 RS9 RESDNTL SINGLE FAMILY o Application desc T-stat Owner Contractor KLEIN, DANNY/PAMELA 1604 MCDONALD ST PORT ANGELES WA 98363 DAVE'S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452-0939 Pe rmi t ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 130476 Permit Fee 35.00 Plan Check Fee Issue Date 7/24/08 Valuation Expiration Date 1/20/09 Qty Unit Charge Per 1. 00 35.0000 EC EL-LOW VOLTAGE .00 o --- S -t. Extension 35.00 3 o ~ () L :p ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 V\ 1 ~ ""... '. , SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN 7/~~ FINAL OMMENTS: ..a ~~j .' (i~:::'~:" . " vt-'f ~.., ELECTRICAL WORK PERMIT APPLICATION DOwner Installation description a Commercial ~esidential ~ew CJ Altered/Addition Pur haser's mailing addre . Q (!,DX Lf/3 CitpOr'"1- ~~.k, Telephone number '-fS,;L.o 13q Pr~ises owner:s name Pl' . J)e n i'\ \ 5 <i-- _ (A vy\....e.. '" K \ -e. \ Y\ Adtlrcss o( inspection [ J ~ Dtf (V\ c... Don 0.. ~ Q S'fr-e.-e..-t- ~fo r k A.,\~lR..,s Phone namber to sc!l.edule IDSp cllOn: . /) II hD - 5 D k.ev ;". A;:.L.-(.S.=2-1. Owner as defined by RCWI9.28.261:(J) Owner will occupy lire -'/rllcrure for t-.vo years after this elec/rir:D1 permit is finalized. (2) Owner is required to Irire ar. electrical cen/raclor if above !laid property is for .ale. rent or lease. Aflcr reading the above statement, I hereby certify that r am the owner of the above named property or a licensed electrical conlTac1or. I am making the electrical instal- lation or alteration in compliance with tbe electriC:l1 laws. N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of POlt An~eles Municipal Code, and Utility Specifications. Signature of owner, electric:!1 contractor or electrical administnt r O~J?a State ZIP cuA /o~ Va (t<?..~~rl'(I0..3-hxk Wi r-e Q Q() I () ():> ~ E1 g3 b.;;t FAX number o Cash 0 Check # ~CreditCard @ Mastercard Discover Card# ____-____________ a Load Additions an subtractions a NO OAD CHANGES a Baseboard KW ~Fumace /5KW (3""Heat Pump 3 Ton 7 J LAR (J Fan-Wall KW Date: -; Inspection fee s35f.:S Service Information ... a Overhead Service CJ Temp Service a Underground Service Voltage Phase ::J 1 a :3 Service Size: Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 [~UGH-~ "\ /' TIlERMOSfAT ( SERVICE " r 7, ;!. ~B> ~ '-.. Dolle Approved Uy '-.. D;llc A_ovcd 8y ~ ~ FINAL "'\ /' " FEEDER "'\ I DITCH f ~ h~ltft !!!ty ~ "- Dale Apprc""" By :; '-.. OOlfc Aprrovcd B y ~ [nspection Area, Building or Equipmenl Inspected Action Taken Electrical Dale Inspector ! . ~ "'~bL(7 . ---" . ~--g&'2. -- ~'d 686Q-GSv-098 5U!I008 '!? 5u!le8H S,8AeO eLt7:g0 gO GG Inr II!: , ,. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000576 Date 541312 1604 MCDONALD ST 06-30-99-1-0-9510-0000- ELECTRICAL ONLY 5/15/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor KLEIN, DANNY/PAMELA '1604 MCDONALD ST PORT ANGELES WA 98363 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY OLY. EL./ 200 TEMP 126615 OLYMPIC ELECTRIC 58.00 5/15/08 11/11/08 SERVICE - Plan Check Fee Valuation .00 o 0-- o ~ Qty Unit Charge Per 1.00 58.0000 ECH EL-TEMP SRV - 101-200 SRV FDR Extension 58.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 3 () CJ o ~ r \) ~ , . INSPECTION ELECTRICAL TYPE DATE: RESUL TS: INSPECTOR: DITCH SERVICE - -' . .' . - . ~ ROUGH - IN ,-/J'- ()8 A,4,A;tov ~o ~. FINAL COMMENTS: - - "" '-'..'-. ........"'-.-..... j '.( .".1 '1, :"1' , ':., :'. ' ,,'j. ::',~ :."! .1 'I 05/12/2008 11:25 3604523498 OLYMPIC ELECTRIC PAGE 01 '-' CP \ ELECTRICAL WORKI"ERMlT APPLICATION V\ -.....\ 6"' .' ~: fj. i, ~ " , ! nlectrlcal Coatr8ClOr ....., hllllllltlon cltlllDriPliOn~ Job ",ired by lJ Owuer a .Commerdol Ild.attal Elecrrical ootUraClOf n8me L.lcense number DOleSli:piretl aNew a I\Iter.d1Addllloa O(J.,~'~ c7.....,d'n-/.: /7L.Y/I1PE-CAJ'r;-OI ~ . maOln~ addnlu .UON'r - .:i?-v/r- r- '12.J CJ rC/~u/~ r.6/1 /"'P eil Slate ZIP ffi.--r ~r?./' V:7 7EJ6''z Te~~.~7:"'~_{''''> ., FAX n~,?bet '?Vj~ V,7- 7- .P'~U OWDl!T'. b.m~ ~ /<JIJ(~ )(,.-//7 O~f/ V./')C Mdz or I.."..U.. ~ Y ~V\t.q~ I. CJ if #,. v?.7 C1t1J?prr ~r".t-..r phon Dumber ta Icbcdulc IIIo'peetloa: 1/) 7~ ...,,/ 7 . -n~'" Owll" tu df./Jllld by RCW.J9.'8.16J:(I) Owner will OCCtlPJ' tht lI",crUff lor two yetJI':f oftu' 111;., ,'"",i= IM"uJI tJ flnQU:d (2) Ow,," Is ffl/uind to hilT an tl<<""cal ~onU'lU:tDr If oboW' wid J1"OPrlrt;y Is ftJr ,,,Je. relff eJr ltrCUe. IJ Qlsh IJ Check # ^fter teadiit, the: ebovt '~lemenr. 1 her'l!lby cenify that I am tile owner or the lbove NllnW property or . liCtftaed electrical con(n1C(cr. r em- ITIlIklng dM eleetrictllnstaJ. IJ Cn:dil Card VISlI MllStcn:ard Discover Illion or alten.tion 1n oom'p1fln~" with tbe ~lectrical 'IWI,. N.B,C" acw. Chapter C8rd1l - . . 19.21. WAC. Chap.er 296-46il. The CIl1 of Pon An,el.. MunJclpal Code. and UliIlt)' ,SpeC:ificBtioDS. -------------'----:- Slclllture of aner.' electrlcll untnctor or electric:.) admlnlsnator Bxpil'ation Date (;rp?g:e ~ xW/- ..,4".n'- Date: of card "- Servtee Information a NO ~OAO CHANGES L: a Baseboard _ KW a Furnace _ KW Ovamo.cI S.rvlce 0' Hoal Pump _ Ton _ LAR C Tomp Service C F."..Wan _ KW a Undorground $o",lce SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT Vollage zy;;J Ph"""Ul C 3 50"""" Slzo:_ F...CIOrSlzo: SERVICE .... _0, 0.. ^PI-nd >>)1 ApprOVed 8)1 0., ;;- . Dn'CH FEEDER ~AL~ D.~ "'8, gNO A ,c4B7 " Electrica. . Jnsp'~toT .. Area, Building 0' EquipmCOllnspeclcd Aelion ru.. .j . '~' ~ ELECTRICAL INSPECTION WIRIN& REPORT 417-4735 /VIe! ~~ A"t--lJ APPROVED NOT APPROVED o .................... DITCH. . . . . . .. . . . . . . . . . . . . . 0 D. . . . ~ . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . /.~. . . . . . SERVICE. . . . . . . . . . . . . . . . . . ~ D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEED{;i:J t1I t7, e. ff~ rPw1 /h ~PxJ."- b~ /PI fI:~ ---- ---- l~ :Ne- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - - r ...,.', OLYMPIC PRINTERS, INC. (360) 452-1381 - r:fPDRl~ t::-"'~~ ,(j~", ,,~ ~ ~- '-'<;oi<" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 OS-2b8 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type de8cription Subdivision Name Property Use Property Zoning Application valuation 08-00000268 . Date 555912 1604 MCDONALD.ST 06-30-99-1-0-9510-0000- PAMELA / DENNY KLEIN RES NEW SFR 4/24/08 RS9 RESDNTL SINGLE FAMILY 249000 D kj~ /{jOf(fl~? Application desc 2,056 SF SFR, 570 SF ATT/GAR, 32 SFGABLE PORCH Owner Contractor PAMELA / DENNY KLEIN C/O BOB HYDEN 3005 W 18TH ST PORT ANGELES WA 98363 CLAWSON CONSTRUCTION LLC P. O. BOX 2683 PORT ANGELES WA 98362 (360) 457-1473 Structure Information 000 000 2,056 SF SFR, 570 ATT/GAR, 32 SF PORCH Other struct info TOTAL \" LOT COVERAGE 3.90 CONSTRUCTION TYPE V-B NUMBER OF STORIES 3.00 LOT SIZE 43560.00 PROPOSED LOT COVERAGE 1706.00 TOTAL LOT COVERAGE 1706.00 NUMBER OF UNITS 1.00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 123075 770.00 4/24/08 10/21/08 plan Check Fee valuation .00 249000 Qty Unit Charge Per ~xte . 1.00 770.0000 EA PW W/M 1" SERV 5/8" METER 770.00 ------------------------------------------------------------------------ - permi t RIGHT OF WAY Additional desc DRIVEWAY Permit pin number 123067 Permit Fee 50.00 Plan Check Fee .00 Issue Date 4/24/08 Valuation 249000 Expiration Date 10/21/08 Qty Unit Charge Per ~xtensio . 1.00 50.0000 ECH RIGHT OF WAY PERMIT 0.00 ----------------------------------------------------------------- --------- Special Notes and Comments Address numbers shall be plainly visible fro~ the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 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 locai law reguiating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02.15R [1/05] rlPORr..... ~..~~~ '<>~.-....:'" ..~ . -- ""<- CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT I,NGELES, WA 98362 Application Number Application pin number 08-00000268 555912 Page Date 2 4/24/08 Special Notes and Comments A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" March 10, 2008 5:10:00 PM sroberds. The proposal is in the RS-9 zone on a 1 acre lot. Site lot coverage 3.9%. Peak of roof is 32' but average grade is no more than 30' . Electrical overhead power is available on west side of McDonald St. Electrical heat load calculations and electrical permits are required. Customer connection fee of $140 also required. March 5, 2008 11:44:08 AM gmclain. Provide copy of approved septic permit from Clallam County ~ is required prior to issue of building permit. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public works Engineering is required prior to pouring concrete. EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK. March 7, 2008 8:15:16 AM rbecker. Do you plan on installing a fire system. Open fire systems do not require a backflow assembly. Closed fire systems require a DCVA backflow assembly. If you are installing a lawn sprinkler system, you will need to install a DCVA backflow assembly. If you have any questions call Ron Becker at {360)417-4886. Other Fees RES OVERHEAD SERVICE FEE 410.00 STATE SURCHARGE 4.50 PW' WATER SYSTEM USE FEE C1265.UU ------------------------------------------------------------- -- Fee summary Charged Paid Credited Due :?- Permit Fee Total Plan Check Total Other Fee Total Grand Total 820.00 .00 1679.50 2499.50 820.00 .00 1679.50 2499.50 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, ShoreHne, ESA, utilities, private and publi~ improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T;\Policies\1 ] 02.] 5R [1/05] '1'!I„ 1 :';IIII1 :1•fill 1, I I i; E! CUSTOI\'IE R. DEALER. 1 1 I' s i I! 1 i I ,i I I 1 f 1 I 4 i 1 1 t4y j.. I t I 1 1 i 4 I THE ORI Jt Z— /V �i6 r 1'' S i 7 I j I i f i I It i j Lincoln Logs •IODEL. SIZE. 1 S I I i 1 1 i; j l i l! 1 i l j I i► i l P.O Box 135 5 Riverside Drive 1 1 I e I I i l33 1 1 1 i 1 11 j i I! I I' I 4 t. 1 N Y LOG STYLE. PITCH: ii'' i: I I i 1 I I i 1 1 i I I 1 800-833-2461 t? t i i I; 1 i; 1 t DATE. SCALE. i 1 i i 's t! i i 1 I! I Aw.lincolnioes.com 1 i nfo @Iincolnloes.com 1/8 1' i i i t i' i f t 1 t f i i f I i i'i i i l F I C? I I{ I 1 I i 1 S i 11l I i i I! I i 1 i I t 1 t i 1 1 1 1 6 I I C7✓ t i i i 1 4 t t I i i,.,.l i z 4 1 1 1 I! 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ILLLL I i 1 lii Si 1 i I i F I It l t i 1 it s! i 11 1 t 1 4 O9-'2- e`b Rn.4.IeA 0 Z 26 n4 1'(4/28/2()()8) _Libdal'~ngrlii: perr1}~ #0~~268 _ . _== P~gDJI , \ From: To: Date: Su bject: Trenia Funston Linda Pangrle 4/28/2008 10:07 AM permit # 08-268 Linda, would you provide me a copy of the County septic approval. 1504 McDonald Street. Thanks, TF 1 ~" '~,,'" ''''if '" ,,"',,'iir ~.~~ ON SITE SEWAGE DISPOSAL SYSTEM EVALUATION PERSON OR ORGANlZA TION REQUESTING REPORT, NAAfE: Kevin Russell / Clawson Const. ADDRESS: P.O. Box 1683 ADDRESS: CITY, STATE, ZIP: Port Angeles, WA. 98362 PHONE: 360-457-8247 LEGAL OWNER OF ~ORD NA1\..1E: Robert Hyden ADDRESS: 3005 West 18th. St. CITY, STATE, ZIP: Port Angdes, W A. 98362 PROPERTY ADDRESS: Sarnt: CITY, STATE, ZIP, DIRECTIONS TO SITE: r:=-'t"'-"';-:-~---'.--::-'1 II', ,c,_ :;'j \,1.\IO<{ CUSTOMER # 2008-009 ~'::.----DAPEREC'D H'Ii-Og SURVEY# ZD~_~ REASON, o FOOD ESTABUSHMENT INSPECTION o LOAN CERTIHCA nON o BUILDING PERMIT X Land Division PARCEL NUMBER 06~30-00-109500200 I LOT, -<' / LJt-'lsc<"/tI SURVEY I S P iSUBDIV: J vL? ~ - VOLUME, PAGK ?, L 1. A- WATER SUPPLY, CityofP.A. FD'.'DINGS. THIS REPORT DOES NOT CONSTITUTE A GUARANTEE. WHETHER EXPRESSED OR ftl,tFLIED THAT TIlE SEPTIC SYSTEM WILL CUNTINUE TO FUNCION PROPERLY THlS REPORT CONSITruTES ONLY A Sli},l}..lARY OF fI}lDiNGS ON TIlE DATE OF l}./SPECllON T.\~K LEVELS: SCUM DEPTII: (:, 2nd Compartment: 0 SLLDGE DEPTH; 0 2nd C9mpamnent; 0 DATE TANK LAST PUMPED: 01/17/00 0 UNKNOI,1,t}J Pl.:!vlPD'JG OF TANK REQUlRED 0 YES C3"NO COMMENTS AND RECOMMENDATIONS, This septic syst<;;m consists of a lOOO-gallon, tw"o-(;ompartment septic tank, a distributioD+box and two 65ft long by 3ft wide drainfield trenches. The septic tank appc:ar-s to be in good condition and both baffles an: in place. Tbe tank is equipped with ri:sers and bas just been pumped-out (01/17/08). The d-box also appears to be in good condition and has just been equipped with a riser and flow levelotrs. The d-hox has also been pumped-out and cleaned. The drainfidd area looks OK; there are no signs of ground saturation or surf4Cing effluent. I dug several holes in the drainfield trench exposing the drain-rock. Trench #1 (the upper trench) was dry and the drain~rock was clean. Trench #2 (the lower trench) was ponded and the: drain-rock. was coven.::d with a thick hiomat. It's obvious that trench #2 has been receiving all of the wastewater flow. 1 have adjusted the flow levelers within the d-box to shut off the flow to trench #2 to allow that trench time to dry out (this may take: .1everal years). Trench #1 will now re:ceive all of the now. Although the system is functioning properly water couservation practices within the home should be implemented to reduce the amount of wastewater generated. Water conservation will help assure e remaining drainfidd trench will properly treat and dispose of the household waste until trdnch #2 has had time to dry.out Olln{DS PI::.R..\1IT ON Fll..E? YES 0 NO SEP # 8:> - cre,J APPROXP.\'lATE DATE OF INSTALLATION t ~ g.3 NUMBER OF BEDROOMS: (EXISTING) 'Z.. (DESIGN)~ PROPER TV CllRRENTL Y OCCUPIED? G2(" YES 0 NO LENGrn OF TU\[E VACANT (/'.fONTIIS) (YEARS) SEPTIC T AXK: PR.!, SE}.jCE OF ODOR WITHIN 10 FL g NONE 0 tvnLD 0 STRONG VOLUl\lE: MIOOO 0 1250 DOntER NL},[BER OF CO/l.1PARThfENTS: 0 I lB'" 2 MA TERlAIy @" CONCRETE 0 PLASTIC 0 FIBERGLASS NEEDS REPLACE1\..fENT I REPAIR? 0 YES 0 NO ACCESS: B'" n-.'LET ~L TLET RISERS ON TANK? LIDS SECURED? o CENTER 0YES D NO G'YES D NO BAFFLES: INLET l\.1lSSINGIREPAffi.? CCN W'-E-iT- OL "TLET i<.l!SSINGREPAlR.? r 11 L Ot iTlET SCREEN? WAS SCREEN CLEANED? t-J / fr I'J YES DYES DYES DYES ~O ~~ o NO ENvlRON1IE.I''HAL HEALTH FOllOW UP: o PlIMPERRECIEPTNEEDED Q REPAIRPElUvUTNEEDED o REPAIR RECEIPT NEEDED a LINE LOCATE NEEDED o WATERSAAIPLENEEDED o ACTION REQUIRED ERS INITIALS GRAVITY DRAINFIELD TYPEOFDRA~E~ PARALLEL TRENCH lEI BEDD o OTHER CONDITIQNfl AT DRAINFLELD SITE: ODOR: lD'NONE 0 MILD 0 STRONG SIGNS OF SURFACING EFFLUENT OR GROl.,'ND SATlJRATION? D.:YEs VEGETATION APPROPRlATE? crus EXCESSIVE VEGETATION GROWTH 0 YES VEGETATION MAINTAINED? E:l YES BNO g,,'IO l'1 NO o NO DI~UTION DEVICE: @' D-BOX 0 HEADER LI TEE ..,-// ACCESSIBLE? ~ YES 0 NO INTACT, PROVIDlNG EQUAl. DISTRIBUTION? Qf"YES 0;4"0 REQUIRES MAINTENANCE / REPAIR? 0 YES [IT" NO -m.::...::...<+ j::t.. ( ,.J,.:. DEPTH]: ficO(" /L ~/ ~12 > DYES. NO D YES I!'J NO ,elk:; D YES D '0 COYES 0:--10 LATERALTRE~H/BED PONDING? lH YES [ff NO, SURFACING EFFLUENT INSPECTION PORTS PRESENT? mSPECTION PORTS INTACT? S\VlTCHING V At VE PRESEl-;T'! REPAIR/ REPLACEMENT A.RE.A: ADEQUATE LIMITED SEVERELY lI!\lITED ['( YES DYES DYES ~NO 8{~ 01/17/08 INSPECTION DATE JERRY L. JACOBS WS\VTS 5100126 On-Site Services ---tf!}j'~~_______ DATE Property w'ller: Klein Parcel # 06-30-00-109500. Date: 01/17108 I- F- i':" "\,"; "" ~ .,:. lb'; I FEB-5 2~ . N E Communit Devil 0 ment ?~fG5IO ~ LtriE.. , I;' Z50 ! IV -- lfilGA ----------1-eJ p, ,it- \ /"'~ ,,/'":0_ "'" -0 -~ ~~lf'J;-""cF Q 0 7_ -zo _ _ - 0-: ~ ~ 0 0 c, ..------ ,g' " V-PO>, <h I / ./ /./ ./'> ~Dc\)t.- I I I I \ ,<'J 18'" 51. ~.: . I...O~ ~~ 'l';;J~ ....~'^. '\. APPUCATIO:\' FOR \\~.\.TER c8. -2-- Y, 0 ~ City Water Di\ision. PJ1 Angeles, WA ,.2, _1~7(7/C,f.;"; ~-')-o<{ 8 Issued dat~-=- Installed by & date: Penn it " 28 -z(P r hereby apply for water to be furnished in 3ccordincc with rates J.nd rules of the Ci:y for the followmg premises: " ., VJ.., CL,4if-'5cn ('enS! -1>. . / . x. v. ..-/ -157-B:?41 Applicant Name & Phone r{j/r7fl1a~ ~,t/t'/Y7'j /ll!?l;] 7C Site Address /ftlO<1,/J1d-PC!/7.ttftJ5/mrhlaIilng Address /V 8r) '/ /"50'7 ;::>.4. Blk ,rn~: E Add5%.fe-;;05 Parcel' Oc,'7091/(;Ci,,-/D S\C:ON(2 Meter#'sC F IfU,7b96kw/o#: 'j,;I<('e"C!D7 S\C SLze I~ ~' Fees;-nO~/?/.75c:E- SIgnature: 0 __ .'O/"Z Remarks: RestoratIon Required: ~ -e ~ _ (/x 8' I . N :r .... \... 'l .. <: ~~ ~ ~ w ~"Ik E I '?f/l'1 s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 2 -q~ oq Time Received by J~V (phone. person) Location of Work to be inspected /6 0 t...{ /VI G dot141d. '5 t- Name of person requesting inspection k€-v"'",, R \~ ,<,<:;'~ \ Address of person requesting inspection Phone No. Type of Inspection (circle appropiiat6 one): Permit No. 6P,-- 262, Sewer Foundation Framing Chimney Plumbing ~sewer Excav. Other INSPECTION NOTES: Inspected: Date :2- - ~ - 0 9 Remarks: DN'. seo1,'<;:... /) I I I r,Je-Wa..y 3;-0.\/ e Time By KV 0(<'" RESTORATION REQUIRED . . . . .. YES NO 'I. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE IContinue on reverse side if necessary} STRI;I;.T_~IID~AIN:T:l:ldna::...:r. InA~r\ , ,~ '.' !~ .:~ i;>l ~ =~ L ~~ ::IE ~ >~ ~~ );1;;, ~ ii;! i..ijo-= 9:;,~ i!ljij I~ , I __---l I +" N56"5~- WOFl;t- " -, ,--- ~ .. I I I I I I I 1 I I I I I I I I LI'I 'of) [ I I I I I I V.5II.P,fI<l I roR ADaT/(WAL ~~fF(llfloo' .,1IJ. 1ljfCD/rtRl../NCDFI41l<ST/ftTTHASOCCH ,,'ro.cr'-Ira IICSlrRtY TO THe IHfO'lE"llI:At a;HIERUNf Of" .0" S1'RUT HAS BUN mlfllSCCTlON MIIM '0' smrrr IN OIIDCR fST.Io8LISHfOAT90'rF!OlITl/fCfHf[RL/HE: rODfF1N[IHCNORIH~OfSUBURBAN ~A;:~Sp~[~~~~rr=O~~ ~~o~i ~T':~ ~~ IN ll'l(OCr..rrHfOVNDlIONVUo.rsusrn 10 PARCNTHCSlS All( IHHWfllC"l. DCFINlr"rnSIllfrr.~CD/TroSU9_ H~'.S'.r.. f7"'"~'~ - - -(",,,,.--i"'!'~ - - -:7\1 _ r ~~~~:-II-:~-;----~-fd:~~------------~~~ ! ~- I Of SUB. Lor If! .... ur .. 125.125'1 NOTES REGARDING CONfflOLLING CORNER POSmONS I [,1ST UHf DF SUIlUR!IAN lOrs ~ A'if) 9S I! AND FOUND ItIONUUENTS. I HAS8QNrsr~DATfO"f1f(M1'NC I ! }~ ~~..~ c:.8~/=I/~A~~~ R} NOn: I: IR THC vile BfTllt"fN fWllD lII)NUOKHTS 1/1 18TH R ~g~~~ '::i.r/'~(:/~T ~i ::sc~~~;~n:ClrY I..... APH D6JOOo:l10/l61~ ST1ICH, ADJ,o,CCIH 10 SUB lOrs 95 A/IV lffi).~ I smaT AJi() "0" smrrrs. : ~::C:~~?EN CH"":RtO:~E,~ ~., . l'lo'oor" I "Of[ 1.. '0' .AN fCWNO(9j1J1)2"8RASSOCME:IIYCONCRErE,IIYRCMDSl.JRFACE Iii OFHTHtllY1rRSCCnlJNOFltlIllSrRU:rAHDMIlCS1O'lY r ~ ,. .56'~~'~I" W _ ~~9S' _ 1!! WARaN OF WcOOHAl.D SlI!Ur. I := ::..~rr::~= I f1J1 I ~""(9/ll1) 1" !lRASS DISK W_tO "H1l Jm," IN RCMD SlIIlf"ACE,ArMINItRSCCIlOOOFltlIll51RttTAlODlIll.w..o.Ul(tt I N ~6'~~'.56" ,,---1 : II llR!l.F. (SCt //OS 1'Ol. ~. PC JJ.) I 1f1~ 19.'1.11' l " I HOTr .. I FOOI'fD (~jIJ') 2")(2" BWASS PlAit llIfH f'rH. I~t OF flltOW I SI.IIlfAct"OF C/1OUHOAT IlICINrr//SCClIOIoIOF IHI<AHD"P" w I 12~'! I I STRfHS, (SEE //O,S, V, 41, p, J.) : ~ ~ I ~~~CRr I ! I : ~~~! :::;;d~. ""=" " ~ .~~,- w . I I : ' I I I"" 1 I II L J' c I l!:::: :-,;::~:-: .: I~ I J 1":1'1 ~ LOT """ I l I I ';;';" I !~ i : I ....ur.. 'i~;1 I 1 ~!;,- J .",. 111 " / I : ,J /: I "C,:;,~';'.C;':,;'" /.<f/ 1 1 I VlOS. V. J<,P fUI / tf/ I .Hi' =-~""-'" =. / ff/ / OF PAItfJ;,PAIICnIS / ~ / I " >- I Ofl/ICoIIrt>/H m- TO /HE: ..tl "I f~r~~cfll'Ar / ./ / : I /Pf://llIIsSMOI1t........r. / 7 / I . I / / VSCrI1[9ARWONtiNtNTSlJNMOE:SfAN!! 1 I / SOOTHf'P(p.\.INfS(}ff5f;rf.OO'~1l<( '1,'25' / / SOOlllll['SrPAl1mct:l'lNElf. ! I / 40'S' ~------ . / / '" S2UJ' 1 L_--./ I L____ ~.9J. 78TH STREET S !>e:'H'SS. t ./ -----s;s..5'56~---~ ~ Norrl- 160,11. -~J-~---- / ---------------~ UTHSTREET V ...orr" 1119.1" ~ , ~I , I , wi; ~ '~ Ji ,~ I , I LECOID: (lIMLSS OJ1-l[//",SE 1NOCA1rt>) ,.tJlTrRlCJAIIOIJN(lARYOFPAROIr..,,/1CEl. .f/alN(JARYOFlIYlERl(JRLOf ,..SU8IJRSANlOrBCllNClART ,."IJJOI/;JNCPAffCfiSOVNDAltY - - _nCDITUWNCOFSTREtTRlGHrOFII'At - _ _ _m/.NIJSOF STRaJRlGtlrOF...y - - _n.9lJll.DoHCSEIBACKUHt r:::::__::__:::: ;::':J 'n1:~/'&"~~'f1 TO CITY FOR STRar 0, ClTYSTRurwCJHu.II(Nr(sec,.OI'tSASOl.F) . n.ser 1/l"I1[JJAl/ 1II1HI'I.ASIlC eN> sr-UiPE0'ZItAI'I.S28071" ~,..ST1?fHA!JI)I1[SSMN8E:R ,. -----'Q NOI'[$ SHORT PLAT SHP 07-05 HYDEN PARCEL NO. 06 JO 00 109500 SUBURBAN LOT 95, TOMVSIT[ OF PORT ANGELES CITY or PORT ANGELES. ClALLAM COUNTY. WASHINGTON --~ ROBERT & PA TRICIA HYDEN LEGAL DESCRIPTION; PARENT PARCEL SUBDIVIDED BY THIS SHORT PLA T: SUBURBAN LOT 95, rOI'fNSaf or PORT ANGELES. SlTUATf IN THE COUNTY or ClALLAIof, STATf Of WASHINGTON (PER SUBDIVISION GUARANTEE 1030B9470 Issum $(PTfUOCR 2 2OQ7 BY 01. Tl.IPfC P[HINSULA nTI.E COMPANY OF PORT ANGEl[ WASHINGTON.) BASIS OF BEARINGS: WASHINGTON STATE COORDINAtE srs1rJ./. NORm ZONE. (NAD 83/91) AND NA\.{J 88, AS OE1rRIJINm FROM FlEW MEASUREMENrs MADE ro CONTROl. IofQNUI.lENTS WfTHIN THE CLAUAl.l COUNTY GEOMETRIC FRAMEWORK (rNClUOE:S CITY OF PORT ANGELES' GEOOEnC CONTROL). DISTANCES SHO..,. HEREON ARE REDUCED TO SAIO GRlO BY A COIofBINfD SCALE FACTOR or O.9999J484 PROCEDURES: THIS RECORD OF SURVE"Y IS BASED ON A GROUND SURIlEY UnLlZING CON\lENnONAL TRAVERSE I.lETHOOS, THIS SUR'vr:Y MEETS OR EXCETDS 1'I-/E STANDARDS CONTAINED IN WAC J32-lJO-09a EOUlPMEN T: TRll.lBLEe IoI00EL S6 J" R080nc TorAL SrAnQN DA T[ OF SURV[Y: JANUARY, 2008 / r - - - - - - AuDITOR'S CERnnCAII:: . FILm FOR RECORD THIS _JL~ DA Y Of _.aP.______ 200a AT.:{~, IN VOLUME _~3- or SHORT PlATS. AT PAGE _~_. SURV[YOR'S CERTlFICA TE THIS MAP CORRECfLY REPRESENTS A SUR\'fY CONDUC1rD BY WE OR UNDER MY $UPER'IIS/ON IN CONFORMANCe: "HH THE REOVIRCMENTS Of" mE PM/C. AND THE STA TE SURIoE"Y RECORDING ACT. nn.r 58 RCW, T.P,A SEcnON r (PROTRACTfD) is A T mE RfOUEST OF lfNDvrc .t ASSOOA 1r5, INe ~ r:l1Il,;jiL.~J,1\s 18071 //.-r;4~ " , , 1 , L~ . 1Vl, f ~J~ """'''''5 mE """"''' ;?i)o&-IZlloog/ ~laI' Scole: '" ," - 80' ,," ZENOVIC& ASSOCIATES I,.CORPQllATED 'w JOlE.S1Xl11ST..SfLI PORT.o.NC(LtS.WAIlale2 ,,"OO(,(:SaO).170$01 FAX; (.lS0) "11-()$14 SHEET 1 OF 2 DAT(:tj09/0B VOI,,33 __P..'12(., ~ ~ - ~ ~ d C> :J ..100'07235 , i. I . NOTE ,,"OIlOWA Y AND SIDEWALK Ij,lPROVEMENTS TO MCDONALD STREET SHALL Bt REoolRED UPON ANY FUR THER PLA TTlNG OF LOT "8"; AND ROADWAY AND SIDEWALK IMPROVEMENTS TO WEST 18TH AND .0" STREETS $HALL BE REOUIRED UPON FURTHER DIVISION or LOT "A" SEE NON PROTEST AGREE/,IENT RECORDED UNDER AUDITOR'S FILE NO. 2.0o~ -/2.. { en 0&2 DECLARA nON AND DEDICA T/ON: we THE UNDE.R5IGNm. OWNERS OF THE LAND HEREBY PLATTE:D. HEREBr DECLARE THIS PLAT AND OEDrCArE: TO THE CITY OF PORT ANGELES THOSE PORTiONS OF SAiD LAND SO INDICATED HERtON, FOR THf: PURPOSES SO INDICA TED. AND FURTHER H[RE{lY ACCEPT ALL RESPONSlBJUTY FOR ALL CLAiMS AND DAMAGES WHICH /,fAY BE OCCASIONED TO ANY OTHER LAND OR PERSONS BY ACnONS OF SAID PLATTORS AUTHOR/2ED BY THE CITY IN RELATION TO THIS SUBDIVISION IIlO H(RESY CONSENT TO THiS PLA T. v?nkJf 2f/ ROBERT G, HYDEN 4L- / ~L "" (j;;='- PATRICIA M. H F:N STATE OF WASHINGTON SS COUNTY OF CLALLA/J :gEIffSl~Eg~R:F:OJ'::: ~BLr::!.S P;;~:'ALLY f~;f~f/:O';~~"'c~'LYDfN AND pA~?!fi. ~~Ff:RJf~: Tr;~E KNOWN TO BE THE PERSONS M-f0 EXECUTED THE FOREGOING INSTRUMENT AND ACKNOWl[DGED ro ME THAT THEY SIGNED AS THEIR FRU AND VOLUNTARY ACT FOR THE USES AND PURPOSES HERDN MENTIONED ~TNESS MY HAND AND OfFICIAL SfAL ON THE DAY AND YEAR FIRST ASOVE 'M?ITTEN CITY APPROVALS: PLANNING MANAGER rXAMI$PPROVED TflIS ~ BY , . "'tfL .-1_ F'VJVNING/JANAGl.ff SHORT PLA T SHP 07-05 HYDEN PMfCfLND, oti Jaoo 109500 SUBURBAN LOT 95, TOWNSITE OF PORT ANGELES CITY or: PORT ANGELES, CLALLAA/ COUNTY, WASH!NGTON ~fPIl8EDF()fI ROBERT & PA TRICIA HYDEN DAYOFl..~l.."""" I DIRECTOR OF PUBLIC WORKS /tD UTlLlTlES__ fXAMINWANDAPPROVEOZi //- DAYOF /,~.gfZt--tlZ.Y ~1 r> wI BY.- <' -_.......,. ., . DlRfCrr:Jl1 FIRE CHIEF ::A~INU:::R~I'!"~ THIS~ OAYOF r:,...,...o.)Q,..y FlRCCH!t.F TREASURER'S CERTlFlCA TE .2008 . 2008 , 2008. i, RUTH M. GfROON. TREASURER OF CLALLAM COUNTY, WASHINGTON, HEREBY CERnrr mAT ALL TAXES LEVIED AGAiNST THIS PROPERTY FOR THE '(fAR 2()()lj HAl'!" BEEN OULY PAID. ~M 4tkH ~J01at. ~du.: COUNTY mEASURER ~ ZENOVIC& JQ1LSlXTllST.STE.1 POllT ,\NGElES, WI; 911362 ASSOCI A TES PHON!:; (360) ~lHl~l INCORPORATED FAX: (:360) ~11~ll514 VOl 33 ~ 2(P / , . \ " , SH[Ef 2 OF 2 DATE:lj09j08 JOBI072.J5 ~ ~) ~ C:::::~ \ ;;-~ ~ \ 10 (j ;;- j 00"'''"' OO",'","G m lfjE....M~C~ OF A LOCAL IMPROVEM,E7T DISTRIC\\ '--- The undersigned, owners in fee simple of the real propert~'~~r~ln describdd)co~sent to the formation of a Local Improvement District (LID) In the CITY OF PORT ANGE~ES~~lJit\Jl1on, including said property, for~ the purpose of installing' street and sidewalk imorovements to McDon~d Street, West 18" Street. and/or "Q" '..\" Street, abuttino Sub Lot 95, to City design standar<!,s, including which are improvements as authorized by \(If' RCW 35.43.040 as now or hereafter amended, af1~a~e binding on the owners, their heirs, assigns and successors in interest. "', ~ By signing this Covenant, the undersigned, t~~~~~a~i~ and successors, shall be deemed to have signed a petition initiating an LID including said propefty:...~e5 RCW 35.43.120 as nowor hereafter amended, and shall be precluded from having t~ sign~tYres cbun!ect-as part of a protest to divest the City's jurisdiction to proceed with an LID including said pr~e~, u~ 35.43.180 as now or hereafter amended. This Covenant authorizes the formatfonC1f ~~ than one Locallmprovemenl District. After completion of the LID, the City shall deliver {Signed rele<('se,of this Covenant to the owners, their heirs, assigns and successors. />0 ^' \~)) ThiS Covenant shall be r~c r'ded'~il'<l.eemed'to run With LOTS A AND B OF SHORT PLAT 07-05 HYDEN ~ ~,,- for a penod of tl"7e at IV< c~ te~) years from the date of execution of this covenant. ,')" tV '_ ~ ~ ftI. (ownervc',\\ V STATE OF WAh~ N9~):js COUNr~t:tAM-/) . , .r (?n )h~ day personally ap~a~e~ before me~y-\p'~ ').~-\.~ >\ ~c. ~'t^eY".... to me known to be the individual{s) de~ChO~d In and w.Q.o executed the ~!rw.ment and acknowledged that ~9. signed the same as ~t( free and ~OJun~\ ad and deM/for the ~\mH'p~r ~),I_erein mentioned. _ \ G n under my h#ai'l/ olt;~ ,,"..llf6s.~ day of "e.~<"r "1 200lL. ~ :::; "'-.Q '~-"" '"'( '" ~~.... ....<~ ::: 0.- 01AIf,.... 0:::- (~ ~:+ \ ~ " '-., I ~ ! ecp.0&01-09 i z g ('''''' PWV.4Vl j4 (3/97) ~ ~ \ "UB\.\Ci I 12 ~ ......" ~ ~"'.~'.(?J~ 'v ~)'o. ~~ ~ ~ .).~~ '0 %/1. 0" w,.s~ ~# ~IIIII""IIIIII\\\\~ 2008-1216082 Page 1 of 1 Protct Covenant Port Angeles City Of CIallam County Washington 02111'200802,32:00 PM 1111 MI'Io~I~~~,~,~lollj,~II\'N',1'IlT 1~~,I..~'lIlr,~liI 11III FILEO AT THE REQUEST OF: City of Port Angeles Public Works Department P.O Box 1150 Port Angeles, WA 98362 (Owner) 44-.---- , } {pO 4 fY\ Ci-Do na.2vt 51 r 2008-1216082 Page 1 of 1 Protct Covenant Port Angeles City Of Clallam County Washington 02/11/2008 02:32:00 PM IIII WI"'!. ~~~~IVl,~-IlI~~'il~ ,llwll,~~',Iw.~T ~~~,I",':J ~'T,~'1I11111 FILED AT THE REQUEST OF: City of Port Angeles Public Works Department P.O. Box 1150 Port Angeles, W A 98362 COVENANT CONSENTING TO THE FORMATION OF A LOCAL IMPROVEMENT DISTRICT The undersigned, owners in fee simple of the real property herein described, consent to the formation of a Local Improvement District (LID) in the CITY OF PORT ANGELES, Washington, including said property, for the purpose of installing' street and sidewalk improvements to McDonald Street. West 18" Street. and/or '~" Q /(jl~ Street, abuttinq Sub Lot 95, to City design standards, including which are improvements as authorized by '([.((p RCW 35.43.040 as now or hereafter amended, and shall be binding on the owners, their heirs, assigns and successors in interest. By signing this Covenant, the undersigned, their heirs, assigns and successors, shall be deemed to have signed a petition initiating an LID including said property, under RCW 35.43.120 as now or hereafter amended, and shall be precluded from having their signatures counted as part of a protest to divest the City's jurisdiction to proceed with an LID including said property, under RCW 35.43.180 as now or hereafter amended. This Covenant authorizes the formation of no more than one Local Improvement District. After completion of the LID, the City shall deliver a signed release of this Covenant to the owners, their heirs, assigns and successors. This Covenant shall be recorded and deemed to run with LOTS AAND B OF SHORT PLAT 07-05 HYDEN for a period of time not to exceed ten (10) years from the date of execution of this covenant. 1I:t~ /~ Y~j0. tI-~ (Owner) STATE OF WASHINGTON ) )55. COUNTY OF CLALLAM ) , On this day personally appeared before me~~p,~ ..,,~\~ ~ \:c. \-\.'1r\e'C""- to me known to be the individual(s) described in and who executed the '<<tUlifl~~mJment and acknowledged that ~Q. signed the same as ~i. ( free and voluntary act and deed for the ~\WiH p~r 6!f~)}_erein mentioned. _ \ Given under my h#a~ cJt;c~ ~Alf<f$.~ day of \""e.'<':,(,.r <'; 2aaL. ~~Q ......... .......<. ":;,.0: ~~.... ....<~ .:::- 0 .. OTAFlt--. ';::0 == 1+ r ~ :: -. 9'- == : exp. 08-01-0 : Z :: PW-411_14 [3/97J ::: C1l ~ : 0 =: \ ~ .--\ -- ~UB\.\O .. I... ~ ~ "Y.)l. --. -- 0' ~ ~ ~ ........../ ~ ~ %//. Of:W",S~~\\~ ~IIIJIJI"II\I\I\\\\~ ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 15- 00000646 Date 6/48/15 Application pin number . . . 434552 Property Address . , , . 1604 MCDONALD ST ASSESSOR PARCEL NUMBER; 06-30-00-1--0- 9510 - 0000 -- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use Property zoning . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . , . 0 Application desc Outside and outbuilding circuits ---------------------------------------------------------------------------- Qwner Contractor ----- -- ----- ------ - -- --- ------------------------ KLEIN, ]DANNY /PAMELA APS ELECTRIC 1604 MCDONALD ST 546 3ENSON RD, PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 452 -6753 Permit . . , . , . ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75,00 Plan Check Fee .00 Issue Date . . . 6/08/15 Valuation . . . . 0 Expiration Date . 12/05/15 Qty Unit Charge Per Extension BASE FEE 75.00 Fee summary Charged Paid Ciedited bue PermiC Fee Total 75,00 75.00 ,00 ,00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 t 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS; INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPM-E SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGETUILDING FROM : A.P.S. ELECTRICAL- CONTRACTOR FAX NO. : 360 452 6753 Tun. 05 2015 11:39AM RECEIVED CIITy aF PoRT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 Emit Fifth Street — .P.O. Sox 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date-, t 1 & 2 Single Family Dwelling AW, 6, 2015 lkQ(C. 4ticy PORr P1 " Plan Review 1Magr B Required. lOSO QI0 plat lectrical Plan Review Information Sheet Job Address: f! Building Square Footage: cy o Desorlptlhn of above t N 1 Owner nfarntatinn Contmdor Intonation Name efi i 1 I Name: — .F' , 5 , � 1 e e - Maling Address i� m� ' — Mailing Address: City: — State Ri Cdy: State:. Zip: Phone- _ _ Fax: Phone: ° - 7 aft: License 9l Exp, License # 1 Exp. Unit Clta� 9�C io 1(City Multdolied by Unit Chase) ServicelFeeder 200 Amp. $120.00 ServioelFeeder 201.400 Amp, $ ,00 00 �.� $-- ServicelFeeder401.600 Amp $ 2 20505, ServicelFeeder $01.1000 Amp, $ 262.00 -- SorvicelFeMorover 1000 Amp. $ 373.00 Branch circuit W1 Service Feeder $ 5,00 $ Branch Clroud W10 Ser4ciFeeder $ 63,00 $� Each Additional Branch Circuit $ 500 $ Branch Circuits 1-4 $ 75.00 0:2 - Temp. Service! Feeder 200 Amp. $ 93.00 $--- -�-- -- Temp• Wvice)Feeder 201400 Amp_ $110.00 Tamp. ServicelFeeder 401.600 Amp. $149.00, Temp. ServioeFeeder 609.1000 Amp . $168,00 $ Portal to Portal Hourly $ 96.00 Signal Circu4l Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120,00 Renewable Electrical Energy -5KVA System or Less $ 902.00 $ Theramtst $ 56.00 $- -- ----�- Noto:'$5,00 for each addllional "tat N ON ION 0 Y: First 1300 Square Ft, $120.00 - $� Each Addltlonal 500 Square Ft. or Pardon of $ 40,00 � $ leach outbui4rig or Detached Garage $ 74.04 Each Swimming Pool or Hot Tub $190.00 $ Total Owner as defined by RCW.19,28.261: (1) Owner will arxttpy the strudure for two years after this electrical permit is finalized. (2) Owner is required to hire an alacbtical contractor If above said property is for sale, rent or lease, Permit expires after six months of last inspection. After reading itte above statement, I hereby certify that I am the owner of the above nerved properly or a licensed electrical contractor. i am making the electrical installation or alteration in compliance with the electrical laws, N.F_C -, RCW, Chapter 19,28, WAC. Chapter 296468, The 0)( of Port Angeles Munidpal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 0 Canh 0 CtWk 2 "C KCardA _ xd j otrntrz67z