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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DTVISION
32] 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
08-00001018 Date
021086
709 H ST
06-30-00-0-2-4548-0000-
SIDING
8/19/08
RS7 RESDNTL SINGLE FAMILY
390
Application desc
West side siding - hardi plank
Owner
Contractor
Mark Butler
709 S. H Street
Port Angeles
PORT ANGELES
OWNER
WA 98362
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
SIDING - W SIDE - HARDI PLANK
132464
50.00 plan Check Fee
8/19/08 Valuation
2/15/09
,00
390
Qty Unit Charge Per
BASE FEE
Extension
50.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 54.50 54.50 .00 .00
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I 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
~~~~;r~~~i~~ to give authority to violate or cancel the provisions of any state or local law regulat~/;)onsltruct0r the/Piormance of
'l-/l-oY fYlt1tU- 5v...TU:-fC . ftl(~ L ~
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormslBuilding Oivision18uilding Permit (0511]I08).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE.
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDGi
GAS LINE FINAL DATE ACCEPTED BY.
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT I/'s SEPA:
PARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 4] 7-4807 PW / ENGINEERING
FIRE 4 17-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 q...- q ....Ii~ -rl 1___ BUILDING
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Applicant or Agent ~ ~~
Property Owner - (l) .(" EJ Imki-h ""2:u--n.kL
Property Owner's Address 7rY1 S~ H ST '";pOf.., ~-f:k.5 '-tffi-
Contractor/Eng ineer
Contractor/Engineer's Address
License #
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BUILDING PERMIT APPL!CA TION Print in ink
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CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use Only:
Date Received
Permit # C(f. iO 18
Date Approved
Phone 1-1CC1o
Phone ~/7-9coro
Phone
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Lot Zoning
PROJECT ADDRESS 10<1. "S H.sT ~D(L\ ~'\~les
Parcel Number oto'S 0000 2../fS tfCO
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition 1
.aemodel
o Repair
oRe-roof
o Demolition
o Heat System
Other
)(Residential
o Multi-family 0 Industrial
IUYL u..Mu...- e f-e ~e-
o Commercial
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet sto\(e 0 other
Floor Areas Existinq (sQ. ft.) Proposed (SQ. ft.)
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Basement @$ per sq. ft. ::: $ / "
1 sl Floor
2nd Floor . ...... n_....
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUA nON $
Total footprint of structures sq. ft. Lot size sq. ft. ::: Lot coverage %
Max, height of proposed structures ft. Occupancy group # of bedrooms 3
Will a lawn sprinkler system be installed? ~ Occupant load # of full baths .;z,
Will a fire sprinkler system be installed? ..l:&. Construction type # of half baths ,g
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects. L ') / (
Date <j{--Io-o'f? Print Name m~ 6~ Signature M~ ~J{
T:Forms/Building Division/Bldg Permit Appl.-2006 Code,doc
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Ap~lication valuation
07-00001029 Date
523574
709 H ST
06-30-00-0-2-4548-0000-
MARK A BUTLER
9/05/07
SIDING
RS7 RESDNTL SINGLE FAMILY
950
Owner
Contractor
ELIZABETH & MARK A. BUTLER
PO BOX 106
PORT ANGELES WA 98362
(360) 417-9006
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
. Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
HARDI PLANK SIDING
110387
65.25 Plan Check Fee
9/05/07 Valuation
3/03/08
.00
950
Qty Unit Charge Per
Extension
50.00
15.25
BASE FEE
5.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65.25 65.25 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 69.75 69'.75 .00 ,DO
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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 1'80 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. J 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,ofa p_eCQ1it 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
'-fl1~L QlSJi
Date
Signature of Owner (if owner is builder)
9- ;--07
Date
T:\Policies\lI02_15 building pennit inspection record05,wpd [1/4/2005]
BUILDING PERMIT INSPECTiON RECORD
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CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A IvlINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER,INSULATE OR CONCEAL ANY IVOJU( EEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATJON.
KEEP PERMJT CARD AND APPROVED PLANS AT JOB SlTE.
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INSPECTION TY]'[ DATE ACCEPTED COMMENTS
YES NO
FOUNDA TlON:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TJON DRAlt-:)AGE 1 DOWN Sl'OLJTS
PIERS I I
POST HOLES (POLE BLDGS..\
PLUMBING
UNDER FLOOR 1 SLAB
ROUGI-J-fN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING ,
FRAMING
JOJSTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONt Y)
T-BAR
INSULATION
SLAB ,
WALL 1 FLOOR 1 CEJLING
MECHANICAL
ROUGH-IN
HEATPU~/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CHIMNEY
,
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCYJNG & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMlT #'s SEPA; .
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE . YES NO COMMERCIAL DATE ACCEPTED
YES NO
E],.ECTRlCAL - LIGHT DEPT. , 4]7-4735 ELECTJUCAL
LIGHT DEPT
CONSTRUCTION RW. IPWI CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW 1 ENGINEERING -
FIRE 4] 7-4653 FIRE DEPT.
-
PLANNING DEFT. 417-4750 PLANNING DEPT. ~
BU1LD1NG 417-4815 ~-'<8-0J -:\ i.L- BUILDING
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T:IPoliciesl] 102 15 building penmt JJ1spectJol1 record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 W' x 11" site plan MUST BE COMPLETE to be
accepted for review. (360) 417-4815 FAX (360) 417-4711
FOR OFFICIAL USE ONLY:
Date Rec.:...3. -5 - 07
Permit#: Oc - IDZ-q
Date Approved: q-5 -0 '7
Date Issued: \ I
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Applicant or Agent A
Owner (VIN<:c ~ ~UTZ-~
Owner's Address 0 'S ' oed
Phone . '//7 - '1 DDG::.
Phone
:P~T AN~Lk~ UJA.
ContractorfEngineer State License #
ContractorfEngineer's Address
PROJECT ADDRESS: lO l' S. H 5~+
Expires
Phone
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK
o Residential 0 New Constr, 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o . Commercial 0 Remodel 0 Demolition 0 Deck
,0 Repair 0 Sign 0 Other S il) (ktf,
:~IEF DESCRIPTION OF THE PROJECT: . /
kglA-c.e... fulhe. LAP $t.DlN~ c.t" )JW'Tt;t $lf)~ HcM..'i-e.. t=;~ (J{L fMOtLL W l'~
-1.1vf1Jt.. Sll>//Ub
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft.
1 st floor Sq. Ft. & 1 st floor Sq. Ft.
2nd floor Sq. Ft. & 2nd floor Sq. Ft.
3,d floor Sq. Ft. & 3,d floor Sq. Ft.
Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft.
Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft.
TOTAL of existing & proposed structures Sq. Ft.
Maximum Height of Proposed Structure(s) Ft.
SIZEN ALVA TlON
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL V ALUA nON $
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Are you planning to install a lawn sprinkler system?
(Divide Total Structure(s) Sq, Ft. Footprint by Lot Size Sq. Ft.)
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be
reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815
for assistance.
PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building.
official is authorized to grant one or more extensions oftime for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRe/IBC 2006 105.3.2)
I hereby certify that I have read and.examinedthis application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required, and that I must obtain
such permits prior to work. . "- /I j) r ':).,Q /
Date 9-S-67 Applicant~~;L a ~
T:\FORMS\BUILDING DIVISION\BldgPermitAppL-2006 CODE - backup.wpd
~ ~ORT ~
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. CITY OF PORT ANGELES.
. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
.Property Zoning . . .
Application valuation
07-00000174 Date
604864
709 H ST
06-30-00-0-2-4548-0000-
RE-ROOF
2/21/07.
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RS7 RESDNTL SINGLE FAMILY
4715
Owner
Contractor
CHADWICK FAMILYLP
7249 SE 27TH ST
MERCER ISLAND
WA 980402601
LARRY'S ROOFING
352 AVIS ST.
PORT ANGELES
PORT ANGELES
(360) 452-2215
WA 98362
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
. Expiration Date
BUILDING PERMIT - NO PR FEE
TEAR-OFF, FELT, COMP
95737
137.75 Plan Check Fee
2/21/07 Valuation
8/20/07
.00
4715
Qty Unit Charge Per
Extension
95.75
42.00
BASE FEE
3.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
....;:)
~
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Fee summary Charged Paid Credi ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 137.75 137.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 142.25 142.25 .00 .00
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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 gover.' this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to giv authority t 'olate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
vi
c,....V-Ol
Date
Signature of Owner (if owner is builder)
Date
Agent
T:\Policies\l102_15 building pennit inspection record05.wpd [1/4/2005]
\
BUll.,DING PERMIT INSPECTION RECORD
CALL 417-48]5 FOR BUILD]NG INSPECTlONS. CALL 4] 7-473,5170R ELECTR]CAL INSPECTJONS.
CALL 4] 7 -4807 FOR PUBLI C WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,INSULATE OR CONCEAL ANY fVORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE I>ATE ACCEPTED COMMENTS
I
YES NO
FOUNDA TlON:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TlON DRAfNAGE / DOWN SPOUTS
PIERS I I
POST HOLES (POLE BLDGS.) , I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
,
WALLS
CEILING
,
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR .
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN I
HEATPUNry/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES. NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
0 LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4] 7-4750 , PLANNING DEPT.
BUlLDING 417-4815 Qlfl/ol "ALL- BUlLDTNG
lieiesll102 15 buildin ' ermit ins ection reeord05.w d I /4~2005
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