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1120 E 2nd St - Building
PREPARED 7/13/10 8 08 46 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES _ INSPECTOR JAMES LIERLY DATE 7/13/10 ADDRESS 1120 E 2ND ST SUBDIV TENANT NBR PETA TERWILLIGER CONTRACTOR MOUNTAIN VIEW BUILDERS INC PHONE (360) 683 2484 OWNER PETA TERWILLIGER PHONE (360) 417 8278 PARCEL 06 30 00 5 4 0405 0000 APPL NUMBER 10 00000399 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS O1 5/13/10 JLL BLDG MONO SLAB TIME 09 00 5/13/10 AP May 12 2010 4 30 11 PM 1pangrle PHILLIP 461 0934 FOUNDATION & STEMWALL MORNING May 14 2010 9 23 23 AM 1pangrle BL3 01 5/19/10 JLL BLDG FRAMING 5/19/10 AP May 19 2010 8 40 46 AM 1pangrle PHIL 461 0964 FLOOR JOIST May 19 2010 4 41 39 PM jlierly BLHD O1 5/26/10 JLL BLDG FRAMING HOLD DOWNS 5/26/10 AP May 26 2010-831 3 -1 -AM 1pangrle PHIL 461 0934 'HOLD DOWNS & STRAPS May 26 2010 3 42 45 PM jlierly BL9 01 5/28/10 JLL BLDG SHEARWALL 5/28/10 DA May 27 2010 1 03 46 PM 1pangrle PHIL 461 0934 SHEARWALL NAILING May 28 2010 3 26 12 PM jlierly sheathing does not extend far enough to meet the mud sill this is common with 9 sht goods provide LTP4 at 2 ft oc Reqd the contractor to contact our office for a site vist on tuesday morning to explan the proceedure in this application jll BL3 02 6/11/10 JLL BLDG FRAMING TIME O1 00 6/11/10 AP June 10 2010 11 44 55 AM 1pangrle PHIL 461 0934 FRAMING AFTERNOON June 11 2010 3 54 24 PM jlierly BLI O1 6/14/10 JLL BLDG INSULATION 6/14/10 AP June 14 2010 8 21 19 AM pbarthol phil 461 0934 June 14 2010 3 50 57 PM jlierly BL99 01 7/13/10 JLL BLDG FINAL TIME 09 00 July 12 2010 1 59 11 PM 1pangrle PHIL 461 0934 BUILDING FINAL 9x10 ADDITION TO LIVING ROOM HE REQUESTED A MORNING INSPECTION COMMENTS AND NOTES PREPARED 6/14/10 9 45 27 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/14/10 ADDRESS 1120 E 2ND ST SUBDIV TENANT NBR PETA TERWILLIGER CONTRACTOR MOUNTAIN VIEW BUILDERS INC PHONE (360) 683 2484 OWNER PETA TERWILLIGER PHONE (360) 417 8278 PARCEL 06 30 00 5 4 0405 0000 APPL NUMBER 10 00000399 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS O1 5/13/10 JLL BLDG MONO SLAB TIME 09 00 5/13/10 AP May 12 2010 4 30 11 PM 1pangrle PHILLIP 461 0934 FOUNDATION & STEMWALL MORNING May 14 2010 9 23 23 AM 1pangrle BL3 01 5/19/10 JLL BLDG FRAMING 5/19/10 AP May 19 2010 8 40 46 AM 1pangrle PHIL 461 0964 FLOOR JOIST May 19 2010 4 41 39 PM jlierly BLHD O1 5/26/10 JLL BLDG FRAMING HOLD DOWNS 5/26/10 AP May 26 2010 8 31 31 AM 1pangrle PHIL 461 0934 HOLD DOWNS & STRAPS May 26 2010 3 42 45 PM jlierly BL9 01 5/28/10 JLL BLDG SHEARWALL 5/28/10 DA May 27 2010 1 03 46 PM 1pangrle PHIL 461 0934 SHEARWALL NAILING May 28 2010 3 26 12 PM jlierly sheathing does not extend far enough to meet the mud sill this is common with 9 sht goods provide LTP4 at 2 ft oc Reqd the contractor to contact our office for a site vist on tuesday morning to explan the proceedure in this application jll BL3 02 6/11/10 JLL BLDG FRAMING TIME O1 00 6/11/10 AP June 10 2010 11 44 55 AM 1pangrle PHIL 461 0934 FRAMING AFTERNOON June 11 2010 3 54 24 PM jlierly BLI O1 6/14/10 JLL BLDG INSULATION June 14 2010 8 21 19 AM pbarthol G( phil 461 0934 COMMENTS AND NOTES PREPARED 6/11/10 8 21 06 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/11/10 ADDRESS 1120 E 2ND ST SUBDIV TENANT NBR PETA TERWILLIGER CONTRACTOR MOUNTAIN VIEW BUILDERS INC PHONE (360) 683 2484 OWNER PETA TERWILLIGER PHONE (360) 417 8278 PARCEL 06 30 00 5 4 0405 0000 APPL NUMBER 10 00000399 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS O1 5/13/10 JLL BLDG MONO SLAB TIME 09 00 5/13/10 AP May 12 2010 4 30 11 PM 1pangrle PHILLIP 461 0934 FOUNDATION & STEMWALL MORNING May 14 2010 9 23 23 AM 1pangrle BL3 01 5/19/10 JLL BLDG FRAMING 5/19/10 AP May 19 2010 8 40 46 AM 1pangrle PHIL 461 0964 FLOOR JOIST May 19 2010 4 41 39 PM jlierly BLHD O1 5/26/10 JLL BLDG FRAMING HOLD DOWNS 5/26/10 AP May 26 2010-831 3-1 AM 1pangrle PHIL 461 0934 'HOLD DOWNS & STRAPS May 26 2010 3 42 45 PM jlierly BL9 01 5/28/10 JLL BLDG SHEARWALL 5/28/10 DA May 27 2010 1 03 46 PM 1pangrle PHIL 461 0934 SHEARWALL NAILING May 28 2010 3 26 12 PM jlierly sheathing does not extend far enough to meet the mud sill this is common with 9 sht goods provide LTP4 at 2 ft oc Reqd the contractor to contact our office for a site vist on tuesday morning to explan the proceedure in this application jll BL3 02 6/11/10 LL BLDG FRAMING TIME 01 00 June 10 2010 11 44 55 AM 1pangrle PHIL 461 0934 FRAMING AFTERNOON COMMENTS AND NOTES �+oe"ORT,"QF ELECTRICAL INSPECTION WIRING REPORT RKS & 417-4735 �b DATE PERMIT p INSPECTOR OWN CON RACTOR -�_F w crjzl L ADDRESS 11 z. x�- Z �,-r- APPROVED DITCH ROUGH IN/COVER SERVICE FINAL CORRECTIONS NEEDED• NOT APPROVED ❑ ❑ /AJC NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 10 00000582 Date 6/09/10 Application pin number 773966 Property Address 1120 E 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0405 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit adding 4 outlets Owner Contractor PETA TERWILLIGER JEFF NELSON ELECTRIC DITCH 1120 E 2ND ST 7062 OLD OLYMPIC HWY PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417 8278 (369) 460 4291 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 167221 Permit Fee 73 50 Plan Check Fee 00 Issue Date 6/09/10 Valuation 0 Expiration Date 12/06/10 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 Grand Total 73 50 73 50 00 00 �H 71,1 /l0 INSPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X RESULTS JINSPECTOR. Date CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P O Box 1150 / Port Angeles Washington, 98362 Ph (360) 417-473 Fax. (360) 417-4711 Date. 1 & 2 Single Family Dwelling Multi -Family or Commercial* _ Commercial Addition / Alteration / Remodel / Repair* * Plan Review May Be Require Please Complete Electrical Plan Review Information Sheet � Job Address: //o?U E Building Square Footage: /11 Description of above X/ /Spv e� x .a G lr40/7 - J Owner Informatio Contractor Information,�, �vG�Sr�yr Name: a%19 Mailing Address: %/ )6 e Z>hd Name: __kj Mailing Address: cis 5-�./� 7ot� i /dam City. 3DA State: & zip: 4� 3l0 �— city. City' Se Q�osyc State: A/A zip. Phone: 4i 7 7$ Fax: Phone:�Do 4 Z9/ Fax: 148/ yLS Y License # / Exp. License # / Exp. -tky RP Item Unit Charge QtV Total (Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $ 204.60 $ Service/Feeder 601 1000 Amp. $ 262.20 $ Service/Feeder over 1000 Amp. $ 372.50 $ Branch Circuit W/ Service Feeder $ 2.60 $ Branch Circuit W/O Service Feeder $ /3.bu $ `73•SO Each Additional Branch Circuit $ 250 $ Temp. Service/ Feeder 200 Amp. $ 92.70 $ Temp. Service/Feeder 201-400 Amp. $110.30 $ Temp. Service/Feeder 401-600 Amp. $148.70 $ Temp. Service/Feeder 601 1000 Amp $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/ Limited Energy / First 1500 sf — Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 & 2 Family Dwelling $ 63.90 $ Signal Circuit/ Limited Energy Multi -Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy 5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY. First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft. or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $ Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N E.0 RCW Chapter 19.28, WAC Chapter 296-46B The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator, x �..�//"'' Dated: ❑ Cash ❑ Check y 1 Credit Card # �,�= �i412?�INF 1-4-b PREPARED 5/28/10 8 41 19 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1120 E 2ND ST SUBDIV TENANT NBR PETA TERWILLIGER CONTRACTOR MOUNTAIN VIEW BUILDERS INC PHONE (360) 683 2484 OWNER PETA TERWILLIGER PHONE (360) 417 8278 PARCEL 06 30 00 5 4 0405 0000 APPL NUMBER 10 00000399 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS 01 5/13/10 JLL BLDG MONO SLAB TIME 09 00 5/13/10 AP May 12 2010 4 30 11 PM 1pangrle PHILLIP 461 0934 FOUNDATION & STEMWALL MORNING May 14 2010 9 23 23 AM 1pangrle BL3 01 5/19/10 JLL BLDG FRAMING 5/19/10 AP May 19 2010 8 40 46 AM 1pangrle PHIL 461 0964 FLOOR JOIST May 19 2010 4 41 39 PM jlierly BLHD 01 5/26/10 JLL BLDG FRAMING HOLD DOWNS 5/26/10 AP Mav 26, 2010 8 31 31 AM 1pangrle PHIL 461 0934 'HOLD DOWNS & STRAPS May 26 2010 3 42 45 PM jlierly BL9 01 5/28/10 7,c%,lL BLDG SHEARWALL .`p May 27 2010 1 03 46 PM 1pangrle vl PHIL 461 0934 SHEARWALL NAILING COMMENTS AND NOTES PAGE 2 DATE 5/28/10 c�` ro_L- PREPARED 5/26/10 8 32 44 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1120 E 2ND ST SUBDIV TENANT NBR PETA TERWILLIGER CONTRACTOR MOUNTAIN VIEW BUILDERS INC PHONE (360) 683 2484 OWNER PETA TERWILLIGER PHONE (360) 417 8278 PARCEL 06 30 00 5 4 0405 0000 APPL NUMBER 10 00000399 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS 01 5/13/10 JLL BLDG MONO SLAB TIME 09 00 5/13/10 AP May 12 2010 4 30 11 PM 1pangrle PHILLIP 461 0934 FOUNDATION & STEMWALL MORNING May 14 2010 9 23 23 AM 1pangrle BL3 01 5/19/10 JLL BLDG FRAMING 5/19/10 AP May 19 2010 8 40 46 AM 1pangrle PHIL 461 0964 FLOOR JOIST May 19 2010 4 41 39 PM jlierly BLHD 01 5/26/10 BLDG FRAMING HOLD DOWNS - — ----;ay-2-6--2010-8- 3-1- 3-1—AM 1pangr-le PHIL 461 0934 'HOLD DOWNS & STRAPS COMMENTS AND NOTES PAGE 1 DATE 5/26/10 PREPARED 5/19/10 8 43 02 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/19/10 ADDRESS 1120 E 2ND ST SUBDIV TENANT NBR PETA TERWILLIGER CONTRACTOR MOUNTAIN VIEW BUILDERS INC PHONE (360) 683 2484 OWNER PETA TERWILLIGER PHONE (360) 417 8278 PARCEL 06 30 00 5 4 0405 0000 APPL NUMBER 10 00000399 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS 01 5/13/10 JLL BLDG MONO SLAB TIME 09 00 5/13/10 AP May 12 2010 4 30 11 PM 1pangrle PHILLIP 461 0934 FOUNDATION & STEMWALL MORNING May 14 2010 9 23 23 AM 1pangrle BL3 01 5/19/10 J BLDG FRAMING May 19 2010 8 40 46 AM 1pangrle PHIL 461 0964 FLOOR JOIST COMMENTS AND NOTES PREPARED 5/13/10 8 28 05 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1120 E 2ND ST SUBDIV TENANT NBR PETA TERWILLIGER CONTRACTOR MOUNTAIN VIEW BUILDERS INC PHONE (360) 683 2484 OWNER PETA TERWILLIGER PHONE (360) 417 8278 PARCEL 06 30 00 5 4 0405 0000 APPL NUMBER 10 00000399 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS O1 5/13/10 JLL BLDG MONO SLAB TIME 09 00 / n n May 12 2010 4 30 11 PM 1pangrle 1)13 /jJ�,i�-7 PHILLIP 461 0934 FOUNDATION & STEMWALL MORNING COMMENTS AND NOTES PAGE 9 DATE 5/13/10 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 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 9x10 ADDITION TO LIVING ROOM Owner 10 00000399 Date 5/12/10 3799417 1120 E 2ND ST 06 30-00 5 4 0405 0000 PE TA TERWILLIGER RES AbDITION RS7 kESDNTL SINGLE FAMILY 9000 Contractor PETA TERWILLIGER MOUNTAIN VIEW BUILDERS INC 1120 E 2ND ST P O BOX 754 PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 417 8278 (360) 683 2484 Permit BUILDING PERMIT RESIDENTIAL Additional desc 90SQ FT LVNG ROOM ADDITION Permit pin number 164210 Permit Fee 193 75 Plan Check Fee 125 94 Issue Date 5/12/10 Valuation 9000 Expiration Date 11/08/10 Qty Unit Charge Per Extension BASE FEE 95 75 7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments May 6 2010 12 20 28 PM sroberds The proposal will result in a 90 sq ft addition to a living area for total of coverage of 27t in the RS 7 zone No land use issues anticipated May 10 2010 8 55 23 AM Bob Larson 360 417 4706 Electrical permits required if any electrical wiring is + / involved Verify sewer lateral prior to construction building sewer lateral connection is located to main on 2nd Street Other Fees STATE SURCHARGE 4 50 I 1-13-10 Fee summary Charged Paid Credited Due Permit Fee Total 193 75 193 75 00 00 Plan Check Total 125 94 125 94 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 324 19 324 19 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 commended 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 pemh does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of conofrucVfon. 57-1-Z -10 PPIL4,1F' CO Lr✓ "-S 4--7e--- Date XeiDate Print Name Signature of C41trAtor or Authorized Agent Signature of Owner (if owner is builder) T:Forns/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD ' W — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By I Comments FOUNDATION: Footings T:Forms/Building Division/Building Permit Foundation Drainage /Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor / Slab I Rough -In I Water Line (Meter to Bldg) I Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING -3L1.— (q (�—�O �( t— F}—Olyv► tJ Joists / Girders / Under Floor Shear Wall,Hold Downs) Walls / Roof /Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab I I N Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney I , /� Commercial Hood / Ducts 1 FINAL Date Accepted by v , MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs I Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting ESA. Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By \ Electrical 417-4735 Construction R W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 S' T:Forms/Building Division/Building Permit BUILDING PERMIT CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417-4815 fax (360) 417-4711 APPLICATION Print in ink For City Use Only - Date Received Applicant MT, F-0U*05 Property Owner M7A- -Tf_F_\mjjj_Ll&k:'jL Property Owner's Address ljzoIE. 2Nd SI 'P A \kA Contractor W BVILDE12S Contractor's Address Po t3;,x -154 Slm V,/4 9353 -2 -- License # iUoukmV 6 9%Z 64— Expires MZ—!a E-mail PROJECT ADDRESS 112,o IS7 Parcel Number Ck:::>3SOOO 154<:40 S Proiect Type & Brief Descrivtion. (Residential Check all that apply E:i New Construction P 'A Lot 'S Zoning JZ —_7 E:i Multi -family m Commercial o Industrial XAddition 9Y(0 AMi7Tl&,J -To LlWkV,— IZIL4 U-Sj&(C— a • Remodel ejCjS-PAC>2_ \KA!LA• • Repair • Demolition • Re -roof o House o garage o other Ej tear off & re -roof ci lay over one layer • Heat System o Heat pump o wood -burning stove o gas fireplace o pellet stove o other • Other A- FPr G)�)W(IA 1%142AQ!; �4ew �ke4- ex- Peri 51-111,1 Floor Areas Existing (sq. ft.) Proposed (sq. k.) Basement Permit # U0_lsol 15` Floor Date Approved. C—R-1 C/ _R1, he 446 109 3 4 - PV one 41-7 &Z -)S C113 3 Phone 16109:34 Contractor's Address Po t3;,x -154 Slm V,/4 9353 -2 -- License # iUoukmV 6 9%Z 64— Expires MZ—!a E-mail PROJECT ADDRESS 112,o IS7 Parcel Number Ck:::>3SOOO 154<:40 S Proiect Type & Brief Descrivtion. (Residential Check all that apply E:i New Construction P 'A Lot 'S Zoning JZ —_7 E:i Multi -family m Commercial o Industrial XAddition 9Y(0 AMi7Tl&,J -To LlWkV,— IZIL4 U-Sj&(C— a • Remodel ejCjS-PAC>2_ \KA!LA• • Repair • Demolition • Re -roof o House o garage o other Ej tear off & re -roof ci lay over one layer • Heat System o Heat pump o wood -burning stove o gas fireplace o pellet stove o other • Other A- FPr G)�)W(IA 1%142AQ!; �4ew �ke4- ex- Peri 51-111,1 Floor Areas Existing (sq. ft.) Proposed (sq. k.) Basement 15` Floor hog I go 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Iq ii @ $ per sq $ , C> C) 0.' TOTAL VALUATION $ ,006 2-7 Total footprint of structures 16 2j�j sq coverage % !sq ft. Lot size 6 915 4 )� = Lot Site Coverage = the amouriT of impervious surface on a parcel including structures paved driveways sidewalks, patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage 31 % ,44,9L-10 -,f + I q I q = .2, 1 % Ot --%. 6115=- -2,1 % Max. height of proposed structures %/-6 A' 1 ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? I No Occupant load # of full baths Z. Will a fire sprinkler system be installed? Nc> Construction type wcaOD # of half baths _011 have read and completed this application and know it to be true and correct. / amita zepo--apply for this permit and understand that it is my responsibility to determine what permits! are required, and to obtain perm t Wwo on projects. Date4-zl- 10 Print Name N 11-Ld F 60 U I A,15 Signature T Forms/Building DivisionlBldg Permit.doc a 4 NOTES Permit# t -�qj LP - -T- 1e- 4- i M S5 --V6 r Ilk vr) © W -v) PA- +r) ca vy\- e- IN�'1e-AJAI ()y>,-� S� �� Vrrn yy,\ I o I'Forms/Building Division/Notes i CITY 4.OVERNMENT PRESCRIPTIVE APPROACH -SIMPLE FORINT For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information. Lot: S Address i tZo it Zoo S7 City- ibZ11- A iJb-U WS State v A Zip 9s3("6 - Contact. 3 6"6- Contact. PP i G GO LLbhl5 Phone 4o oq34, Phone 2 FAX. Building Department Use Only Permit# iU -391 Notes Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) " `Glazing _Glazin_gU=Factor 3�. 'Dogr<: Gau It -Wall ,a ilriteriiir Wall:. � �Ezterior b n Option ,Area "/o of U= 'Ceiling " 'Ceiling ng :Above e16w. . Floor: ' Conc �" Below ete -? :Floor ;' Vertical- : °:Overhead _ - (:''Factor Grade.G rad e_ Grad ` e" Unlimited Group R 3 IV and R-4 0.35 0.58 0.20 R 38 R 30 R 21 R 21 R 10 R 30 R 10 Occupancies Only This Project complies with the following - The project is a single family residence or duplex. 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 above 11 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 2. One unlabeled or untested exterior swinging door 24 sq ft. or less, may be installed per unit for ornamental, security or architectural purposes. Location of the door taking this exception ❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U factor listed above Location of the door(s) taking exception Type of Heat Source. T Forms/Building Division/Prescriptive Approach -Simple Form MA 6� loele- rsattT!-1LA N 1� Q { p2v AaSS :� � QDDITwrI �Y � JZ�-6+ -^.a E.X I5'illJlr DVUE u.INir' i O "L 14!- 134- A 4`- 134A Electricati Information Form w Public Works & Utilities Department (360) 417-4700 tis . City Electrical Inspector (360) 417-4735 Please complete and return to Public Works & Utilities Department Permanent service. Name Pe -TA- 7-r_R I1A, I �-��— Name and address of party I Street: 11W E 7i 0 5-T responsible for permanent ICity / State / ZIP 'P,) ?I- AN&C-L4� service billing? IDaytime Phone 44 -)f -,7-7S Home Phone • (if other than above) Site contact: Name PC --1A- ' t Title 44.„vrt7 ;, V.•.JL 4- I Daytime ce.IDaytime Phone 446(091)4- (Contractor, (Name PHIL, C'VuwNS IDaytime Phone 461 0C12--,�- I Electrician (Name JEFP mei'150ti IDaytime Phone 461 0'32,c) Excavator Name Daytime Phone Company- AAr VI -W f3o It.,Df)an.S Company- Nt-{,S0I\� C-LEXO 1Z.1C�, Company- ,ProExisting ❑ New ZSingle-family residence ❑Multi -family residence # of units ❑ Commercial ❑Subdivision # of lots ❑ Overhead service ❑General service ❑ Underground service ED Other - ,Project Description of work: (LOOM ADD 1710 013 Street address / lot number, I azo C- wqP `a'T � �Nearest cross street: (Desired connection date (Electrical transformer serving property is )<On a pole ❑ on the ground EllectricalLoad Total square footage sq ft. Main disconnect size amps ( Voltage E1120/240 1ph ❑120/208 3ph ❑277/480 3ph 0120/240 3ph ❑480 3W 3ph ❑ Other ❑ Standard residential loads (Lighting refrigerator dishwasher washer) Check all that apply ❑ A/C (_ ton) ❑ Range/Oven ❑ Hot Tub ❑ Clothes Dryer ❑ Heating ❑ Pumps (_Hp) XNo Load Change ❑ Water Heater ❑ Elevator (_Hp) ❑ Other • • • o • 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 amp, ooff% otgi-s over 50hp (Applicant's Signature 'j� )) Date 4 Til to �] v MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360-417-4711 WS WF Information form.xls N\PWK,3.l-IGHT,ENGP.':#Originals•Intorrnatiort form Revised 1 '15-09 P40 71 I Mvl -5CAL& 1/4 4O -A5 121 CE X,5 Pic jZ ceVAV- LAP F I P41154Ae�> GG Lo o ZX12 CftAR PAc4pr 112 �bAR �Ao�4, r Jv + IAAZ 4,AA9 D T"� NOZT4 VLEYAT V4P= x .+ ►_ Fit E PC4-^ Cz>o= P -0 - CITY OF PORT ANGELES — Construction Puns The issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plars specifications and other data, or from preventing building operations being carried on thereunder when in violation of ail codes and ordinances of this jurisdiction. •`{SE6F48#,< � e.} �,�}Cv M��'--rte.. Approval Date By zqJb PREPARED 1/15/10 8 53 17 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/15/10 ADDRESS 1120 E 2ND ST SUBDIV TENANT NBR PETA TERWILLGER CONTRACTOR DAVE S HTG & COOLING SRVC -NC PHONE (360) 452 0939 OWNER PETA TERWILLIGER PHONE (360) 417 8278 PARCEL 06 30 00 5 4 0405 0000 APPL NUMBER 10 00000031 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 1/ 3/10 JLL MECHANICAL FINAL TIME 01 00 1/13/10 DA January 12 2010 9 23 28 AM 1pangrle DAVE 452 0939 MECHANICAL FINAL ELECTRIC FURNACE AFTERNOON 'anuary 3 2010 4 05 20 PM jlierly no answer a, door left message/jll ME99 02 1/rl JLL MECHANICAL FINAL TIME O1 00 4 f2 January 15 2010 8 50 15 AM 1pangrle JEANNIE 452 0939 MECHANICAL FINAL ELECTRIC FURNACE THE HOMEOWNER WILL BE HOME IN THE AFTERNOON THE FURNACE IS IN THE CRAWLSPACE OUTSIDE COMMENTS AND NOTES FNS ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 10 00000032 Date 1/13/10 Application pin number 366144 Property Address 1120 E 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0405 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc No load change furnace replacment Owner Contractor PETA TERWILLIGER DAVE S HTG & COOLING SRVC INC 1120 E 2ND ST PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417 8278 (360) 452 0939 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 159384 Permit Fee 56 00 Plan Check Fee 06 Issue Date 1/13/10 Valuation 0 Expiration Date 7/12/10 Qty Unit Charge Per Extension 1 00 56 0000 ECH EL-LVT THERMOSTAT 56 00 Fee summary Charged Paid Credited Due Permit Fee Total 56 00 56 00 00 00 Plan Check Total 00 00 00 00 Grand Total 56 00 56 00 00 00 S INSPECTION TYPE DATE. I RESULTS INSPECTOR. DITCH SERVICE ROUGH IN % I !S A FINAL h4S-/j D COMMENTS j{ Signature of owner or Electrical Contractor X Date N 9 PREPARED 1/13/10 8 48 35 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1120 E 2ND ST SUBDIV TENANT NBR PETA TERWILLGER CONTRACTOR DAVE S HTG & COOLING SRVC INC PHONE (360) 452 0939 OWNER PETA TERWILLIGER PHONE (360) 417 8278 PARCEL 06 30 00 5 4 0405 0000 APPL NUMBER 10 00000031 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 1/13/10MECHANICAL FINAL TIME O1 00 January 12 2010 9 23 28 AM 1pangrle DAVE 452 0939 MECHANICAL FINAL ELECTRIC FURNACE AFTERNOON COMMENTS AND NOTES PAGE 4 DATE 1/13/10 / Lwv vko&"r"6& ". CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION W 321 EAST 5TH STREET PORT ANGELES, WA 98362 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 INSTALL AN ELECTRIC FURNACE Owner PETA TERWILLIGER 1120 E 2ND ST PORT ANGELES WA 98362 (360) 417 8278 10 00000031 Date 1/12/10 168231 1120 E 2ND ST 06 30 00 5 4 0405 0000 PETA TERWILLGER MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 2060 Contractor DAVE S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Permit MECHANICAL PERMIT Additional desc INSTALL AN ELECTRIC FURNACE Permit pin number 159376 Permit Fee 64 80 Plan Check Fee Issue Date 1/12/10 Valuation Expiration Date 7/11/10 Qty Unit Charge Per 1 00 Fee summary BASE FEE 14 8000 EA ME FURN/HP/FAU < OR = 5 TON Permit Fee Total Plan Check Total Grand Total Charged Paid 64 80 64 80 00 00 64 80 64 80 Credited 00 00 00 00 0 Extension 50 00 14 80 Due 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 o..r,local law regulating construction or the performance onstru ion. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnsBuilding Division/Building Penni[ BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs ) PLUMBING Under Floor/ Slab Rouqh-In Water Line (Meter to Bldg) Gas Line Back Flow/ Water AIR SEAL. Walls Ceiling FRAMING Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES. Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking / Lighting Landscaping Date I Accepted By Comments 1 1 I I ]FINAL Date Accepted by C W a I 1 � FINAL Date �' Accepted by e '� SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit �P R L Jan 11 10 04 10p Dave s Heating & Cooling 3604520939 P1 City of Part Angeles Permit Application Building DivislonlElectrical Inspections 321 East Fifth Street-P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417.4735 Fax: (360) 417-4711 Date: � 1 lit � SO 1 & 2 Single Family Dwelling _ Multi -Family or Commerdal' _ Commercial Addition ! Alteration ! Remodel I Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information heel Job Address. I (:;1 O E Building Square Footage: RECEIVED JAN 12 2009 ELECTRICAL INSPECTIONS Description of above e- G rrn a crz . �f-p �io� l a cn .� .tris -F -I :coy+ � o �1-tni C .-•�-tt, v �ci c o OwrterinforrRtion 1 V Contractor ;nformjlion Name: Y2 f a� T� rw1 1 ► r e -Ir Name...TjG t/6 1-5 r1 a 1 1nqw Mai' ddress _I 1 of o Q 5� a�_K Si rw p-� Mailin ddress /� a 1c!3 City o r tate: C zs4 io: �'1 �3� City o tater Zip: Sim a- Phone- Fax: Phone: Fax License;t !Exp. License 41 P.* . •E Unit Charge ON Total (C 1v Mufliolied by Unit Charnel $119.911 $ ServicelFeeder 200 Amp. $145.50 $ Service/Feeder 201-400 Amp, $ 204.60 $ Service/Feeder 401-600 Amp. S 262.20 $ Service/Feeder 601-1000 Amp. $ 372.5D $ Service/Feeder cver 1000 Amp. $ 2AD S Branch Circuit WI Service Feeder $ 733D $ Branch Circuit W10 Service Feeder $ 2.60 $ Each Addi5onal Branch Circuit S 92.70 $ Temp. Servicef Feeder 200 Amp. S 110.30 S Temp_ ServicelFeeder 201400 Amp. $14670 $ Temp_ SenricelFeedor 401-600 Amp. $167.90 $ Temp. SenricelFeeder 601-1000 Amp. $ 95.90 $ Portal to Portal Hourly $ 88.20 $ Sign/Oulline Lighting S 95.90 $ Signal Circuit/ limited Energy - Commercial. Addtiona11500 $5.00 S 63.90 $ Signal Circuit/ Limited Energy 1 & 2 Fanrily Dwelling $ 63.90 $ Signal CifcuiV Limited Energy Multi -Family Dwelling S 119.9D $ Manufactured Home Connection $102.30 S Renewable Electrical Energy 5KVA System or less $110.3D $ First 1300 Square Fl. S,35.20 S Each Additional 500 Square FL or Patton of $ 73.50 S Each OuOuild ng or Detacned Garage 5110.30 S Each Swimming Pool or Hot Tub $ 56.00 S 5 (a. UO Thermostat $ Total no 10AS ck„ante'5 Owneras dermed by RCYY.%28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner Is required to hire an electrical contractor if above said property Is for sate, rent orlease. Permit expires after sbr months of last inspection. After reading the above statement. I hereby certify that I am the owner of the above named property or a licensed electrical contractor lam making the electrical installation or alteration in compliance with the electrical laws, NEC. RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and lltifily Specifications. Signature of owner, electrical contractor or electrical administrator O Check X Date: I I 1 xCredit Card I O Cash Jan 11 1004-04p Dave s Heating & Cooling 3604520939 P1 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only- Attn: nlyAttn: Building Permit Technician Date Received I - ) I =1 0 321 E. Fifth St. Port Angeles,'.WA 98362 Permit # 1el - 31 (360) 417-4815 fax (360) 417-4711 Date Approved Applicant b4 ve 1-5 4e- -41 � p` Phone 4(S a- o 9 39 Property Owner P,,, -,+c, T� V_ w IT l 4 �r Phone 9 1-7 -1$ Property Owner's Address r i a b E a a Po c-+ A -o 19- s Contractor D a u �� s Ke -a -*1 a 'Phone ` 55 _'0 -13 R Contractor's AddressP.D. $o X �FY 3 � %�6r-1- License # TA tib S K �-9 9 1 k c- Expires t_1:0&I, E-mail do.v�s I�s,a�n i w( V_e1C_ 10 .Goy PROJECT ADDRESSParcel Number Number Lot Zoninq Prosect Tv{e & Brief Description: n Residential o Multi -family ❑ Commercial ❑ Industrial Check all that apply o New Construction o Addition ❑ Remodel o Repair o Demolition ❑ Re -roof c House ❑ garage ❑ other o tear off & re -roof D lay over one layer ,Heat System o Heat pump o wood -burning stove ❑ gas fireplace ❑ pellet stove fi(other e Le- c4-rl C_ o Other Floor Areas Existing tsa• ft) Proposed (sa.10 Basement @ $ per sq. ft. _ $ 1 a Floor 2nd Floor and Floor Garage Carport Covered Porch Deck Shed Other / TOTAL VALUATION $ Ob Total footprint of structures sq. ft. - Lot size sq. ft. = Lot coverage. % Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage % Ma)L height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths WiD a fire sprinkler system be installed? Construction type # of half baths i have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is m ►esponsiti y to determine whatperrmits are required, and to obtain permits prior worfjng on projects. Date I ! 0 Print Name ����ha•r�, D Signature X� T:Fortns/B Iding DivisioNBldg Petmil.doc Clallam County Assessor & Treasurer - Property Details 61966 PETA TERWILLGER f Page 1 of 4 Clallam County Assessor & Treasurer Property Search Results > 61966 PETA TERWILLGER for Year 2010 2011 Property Account Property ID- 61966 Legal Description. BAKERS EC SUBD OF LOT 19LOT 5BL111 Geographic ID- 0630005404050000 Agent Code. Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code Open Space N DFL Historic Property- N Remodel Property Multi -Family Redevelopment: N Location Address. Neighborhood - Neighborhood CD - Owner Name Mailing Address. 1120 E SECOND ST Mapsco PORT ANGELES f Cycle 5 Res Map ID - 10955130 D 10955130 �\� \ OGUM%+ PETA TERWILLGER 1 VeAl— Owner ID- 55734 1120 E SECOND ST % Ownership- 100 0000000000% PORT ANGELES WA 98362 11 N N It cmf�a r ` Exemptions. Taxes and Assessments Due Property Tax Information as of 01/11/2010 Amount Due if Paid on. ,..p, . First Second Half Half Statement Base Base Base Amount Year ID Taxing JurisdictionY Due Due Penalty Interest Paid Due — 2009 619662008 ST SCH STATE SCHOOL $18249 $182.49 $000 $000 $364 98 $000 2009 619662008 CC -GEN COUNTY $92.35 $92.37 $000 $000 $18472 $000 2009 619662008 PORT PORT $1308 $1308 $000 $000 $26 16 $000 2009 619662008 PORT ANG PORT ANGELES $202.58 $20257 $000 $000 $405 15 $000 2009 619662008 SD #121 SCHOOL DISTRICT #121 $22567 $22567 $000 $000 $451 34 $000 2009 619662008 NTH OLY LIB NORTH OLYMPIC LIBRARY $2684 $2683 $000 $000 $5367 $000 2009 619662008 HOSP #2 HOSPITAL #2 $3788 $3787 $000 $000 $7575 $000 2009 619662008 CITY—STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $72.00 $000 2009 619662008 WEED—CONTROL WEED CONTROL $081 $082 $000 $000 $1 63 $000 2009 619662008 TOTAL. _ $81770 $817_70 $0.00 $1635.40 $0.00 2008 619662007 ST SCH STATE SCHOOL $19379 $19379 $000 $000 $38758 $000 20_08 619662007 CC -GEN COUNTY $9378 $9376 $000 $000 $18754 $000 2008 619662007 PORT PORT $1370 $1369 $000 $000 $2739 $000 2008 619662007 PORT ANG PORT ANGELES $201 93 $201 93 $000 $000 $40386 $000 2008 619662007 SD #121 SCHOOL DISTRICT #121 $22603 $22603 $000 $000 $45206 $000 2008 619662007 NTH OLY LIB NORTH OLYMPIC LIBRARY $2725 $27.24 $000 $000 $5449 $000 2008 619662007 HOSP #2 HOSPITAL #2 $931 $931 $000 $000 $1862 $000 2008 619662007 CITY—STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $7200 $000 2008 619662007 WEED—CONTROL WEED CONTROL $082 $081 $000 $000 $1 63 $000 http.//vpn.clallam.net.8084/propertyaccess/Property aspx?cid=0&year=2010&prop_id=61 1/11/2010 PREPARED 7/27/07 10 53 32 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS/COMMENTS 7/27/07 L MECHANICAL GAS LINE 07/26/2007 03 52 PM MIKE 457 4406 GAS LINE 1120 E 2ND ST JURLEN RIDDLE PELLET HEAT CO JURLEN RIDDLE 06 30 00 5 4 0405 0000 07 00000878 MECHANICAL APPL PERMIT PERMIT TYP/SQ ME6 01 SUBDIV PHONE (360) 457 4406 PHONE LPANGRLE COMMENTS AND NOTES PAGE 9 DATE 7/27/07 CITY OF PORT ANGELES 4i�1�N DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000878 Date 7/26/07 Application pin number 583424 Property Address 1120 E 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0405 0000 Tenant nbr name JURLEN RIDDLE Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2500 Owner Contractor JURLEN RIDDLE PELLET HEAT CO 1120 E 2ND ST 230 EAST 1ST SUITE C PORT ANGELES WA 983624304 PORT ANGELES WA 98362 (360) 457 4406 Permit MECHANICAL PERMIT Additional desc Permit pin number 107847 Permit Fee 71 30 Plan Check Fee 00 Issue Date 7/26/07 Valuation 0 Expiration Date 1/22/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 ECH ME OTHER APPL N/R 10 65 1 00 10 6500 ECH ME GAS PIPE 1 TO 5 10 65 Fee summary Charged Paid Credited Due Permit Fee Total 71 30 71 30 00 00 Plan Check Total 00 00 00 00 Grand Total 71 30 71 30 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 N 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 Contra ar-or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies\I 102_15 building permit inspection record05 wpd [1/4/2005] BIDING PERMIT INSPECTION RE, COLD c CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES 1 PLEASE PRO'dIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAN FUL TO COVER, INSULATE Olt CONCEAL ANI JFOP.%GEFOPE Cp INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION � KEEP PERMIT CARD AND APPROVED PLANS AT.IOB SITE. INSPECTION TYPEI , O DATE i ACCEPTED i COMMENTS ES FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATIOM DRAINAGE/ DOWN SPOUTS PIERS 1 POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACs: FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING IDRYWALL (rNTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB 1 WALL/ FLOOR/ CEILING MECHANICAL ROUGH -IN HEAT PUMP/FURNACE/DUCTS GAS LINE I �' I 7 c) 21 d L WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #' PARKING/LIGHTING LANDSCAPING RESIDENTIAL 1 FINAL FINAL I I I I I I s I SEPA. ESA. ---� SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417-4735 CONSTRUCTION R.W /PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT 417-4750 BUILDING 417-4815 I r `Xr% i lo. _._. T-\Policies\l 102 15 building permit inspection recordO5.wpd [ 1/4/20* i ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW /ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE DATE DATE ACCEPTED BY. ACCEPTED BY ACCEPTED YES I NO M T 'R - L=: `\d poal tI, FOR OFFICIAL USE ONi v BUILDING PERMIT - APPLICATION DateRec. 0%-Z(o-07 11111=.z Fill fill out COMPLETELY and in I.NK. Your application and site plan MUST BE Date Approvxt: n-7 -2-Co-07 COMPLETE to be accepted for review If you have any questions, call Date tasucl: 1i (360)417-4815 Applicant or Agent: Pe-�l�1- /-f" t �e Phone: �„C' 7 y do 6 Owner- Tt,-_r Le -,.j R-deJ I*— Phone: Address: 12OE S�ea.�3- City. P ti a e'S Zip: f 3 `z Architect/Engtncer• Phone: Contractor �„+ C PEt L E #Caro M br �, State License # Exp: q.-/7-01 Phone•_s' 7-V'ro b Address.__2=3p e _ FrrSf S4. City- Po,4 K1344 -f Zip. --I83 6 z PROJECT ADDRESS: 1/2-0 C ZONING. LEGAL DESCRIPTION Lot: Bloch ) I 1 Subdivision. J{jIcL•-s_..1= L S�. •,, [oi CLALLAM COUNTY PARCEL NUMBER. ® 6 3 60 0 5-3 3 0 00 1 CzMA4M -�j A -d 007 J 0 3 o 4, i1J tyV �.►� c /. r1.r. !sro n. Sean►s►w Credit Card Holder Name: Billing Addrta. City - Credit CardType VISA___MC p Exp. Date: TYPE OF WORK. SIZFJVALUATION- 3tr llmidmLial ❑ New Constr. ❑ Re -roof Stove SF @$ /SF -S 0 Multi -family ❑ Addition O ]dove O Garage SF @$ /SF = 3 -3 Commercial ❑ Remodel ❑ Demolition 0 Deck SF @$ /SF = $ 0 Repair 7 Sign ❑ Other TOTAL VALUATIG.s $ Z.16o BRIEF DESCRIPTION OF THE PROJECT A !t e-- A S JC 1tf= i /A es` t Ga- s J Do, [� T t-la,.� 0 w N 4-A- COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load: Construction Type:_ No. of Stories: _ Lot Size: Existing Sy. Ft. & Proposed Sq. Ft. = TOTAL Sq.Ft. Existing lot coverage % & Proposed lot co••erage 'Yo - Total lot coverage % i APPROVALS. i PLAPN1 iG USE ONLY P"N . BLDG. DPWU l:R. A,'W-tland(s)• C3Yes G No SEPA Checklist required? ❑ Yes 13FIRE._ __ No Other- OTHER. Ri Ill MYNG PERMIT APPLICATION SUBNII-ITAL. The Building Division can provide yuu wilt infornatior, on the application and phan submittal requirements if you have questions. V AI.UA'IION OF CONSTRUCTION In all cases. a valuation atnotmt mutt be entered by the applicant. This figure will be reviewed and -mi be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-481 i for assistance PLA -N CHECK FEE. IF a p;an check fee is due it roust be submitted at the time the building permit application and cunstnictinn pians are subrrutted. All other permit fees are due at the tirne of permit issuance. A EXPTRTIOIV OF PLAN REVIEW If no permit is issued within 180 days of the dale of application, the application will expire. The Su:ldiag Official can extend the time for action by the applicant up to 180 days upon written request by the applicant. (see Section 107 a of the Uniform Building Code, current edition). No application can be extended more than once. hereby certify that 1 have read and examb-ad this application and know the same to be true and cormct. 1 am authorized to apply for this permit and .inderstand that Vs my responsibility to determ),ine wh6t pemtits are required ,not the Cgy''s, and that t t obtain such permits prior to work T FCIRMMA PPti\Ruildmgpemruwpd Applicant: �7-��Y""' r ;V Date- 71-Z4, -e-7 °`PwFN CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION i —� 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000852 Date 7/19/07 Application pin number 959316 Property Address 1120 E 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0405 0000 Tenant nbr name JG RIDDLE / KEITH WILLIS Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 4471 Owner Contractor J G RIDDLE AFFORDABLE SERVICES 1120 E 2ND ST 258663 HI WAY 101 PORT ANGELES WA 983624304 SEQUIM WA 98382 (360) 670 3044 (360) 683 9619 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF AND RE ROOF Permit pin number 107474 Permit Fee 137 75 Plan Check Fee 00 Issue Date 7/19/07 Valuation 4471 Expiration Date 1/15/08 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL 2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 (� Fee summary Charged Paid Credited 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 rn /0 Separate Permits are required forelectrical 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 S nat of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T -\Policies\ 1 102_ 15 building permit inspection record05 wpd [1/4/2005] BU LDING PERMIT INSPECTION RECOI.D 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 4N1' R'ORKEEF0RE LNSPECTED 4ND ACCEPTED. POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD 4ND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE I , ACCEPTED i COMMENTS ES FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) I PLUMBING UNDERFLOOR/SLAB ROUGH -IN I WATER LINE (METER TO BLDG) GAS LINE I I I I FINAL BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS III WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH -IN HEAT PUMP/FURNACE/DUCTS GAS LINE I FINAL WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES I FOOTING / SLAB BLOCKING &HOLD DOWNS I i SKIRTING PLANNING DEPT SEPARATE PERMIT #'s I SEPA. PARKING/LIGHTING I I ESA. LANDSCAPING I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/LSE RESIDENTIAL DATE YES 1 NO COMMERCIAL ELECTRICAL LIGHTDEPT 417-4735 I ELECTRICAL J LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 I PW /ENGINEERING FIRE 417-4653 I I I I FIRE DEPT PLANNING DEPT 417-4750 I I / PLANNING DEPT ,BUILDING BUILDING 417-4815 Y' t)11 I(J' 1 Q T \Policies\1102 15 building permit inspection Trcord05 wpd [1/4/200] DATE DATE DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES NO L L)t.roaT-44.. FOR OFFICIAL USE ONLY _ BUILDING PERMIT - APPLICATION DateRm 7 19 —07 Permit#• (-j%— C�7Z V_- tee'^-- "' Fill out COMPLETELY and in INK. Your application and site plan MUST BE / Date Approved: % — 19-0 1 COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Issued. ,New O Cil r\e Applicant or Agent: (,t Y' {l S / Phone. Owner* V r Phone. Address l L � City. , P S (",-A Zip _ L - & 7, Architect/Engmeer• v Phone ContractorAF tom)-d/t[X e I)rf eS'. State License #A0La Phone: Address. Z SA(ao'� � 1C�ity•��� r W )Pr Zip O 74 PROJECT ADDRESS 1 12,0 7i "' cf t' L •!�& ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SUM/VALUATION M—Residential ❑ New Constr. W -Re -roof ❑ Stove SF @ $ /SF = $ ❑ Multi -family ❑ Addition ❑ Move ❑ Garage SF @ $ /SF =$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @ $ /SF = $ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ (Z4' /, 0c) BRIEF DESCRIPTION OF THE PROJECT T,-_ k-Cr-P�f— r / leayh e � COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load. Construction Type: No of Stories: _ Lot Size: Existing Sq Ft. & Proposed Sq Ft. =TOTAL Sq Ft. Total lot coverage % PLANNING USE ONLY APPROVALS PLAN BLDG- DPWU FIRE. ESAAVetland(s) ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER. VALUATION OF CONSTRUCTION• In all cases, a valuation amount must be -entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE. IF a plan check fee -is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that l have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T-Tolicies\BL 1102_13.wpd Applicant: Date: Jul 15 07 02:31p Juden & Susan Riddle 051 2u;1bb r i� 5r dbY7�l3:C�C7ly - AFFORDADiE ROOFING 258663 Hwy 101 West i Setluim, WA (360)683-9619 8007657512 p,2 carr r�nuwrx..t rHt7G VZ_ (360) 385-2724 (360) 452-0840 Name t T i S i! I I� Phone *1 Address , 4X`_ $% Phone #2 CY1rt t A W -Q_�l .4_ State 1iflq Zip Code Tarp house perimdter to protect Iatydscaping __,.f .�".�,t'_ Ra Remove old roofing and haul to landfill A Ajc__ r Install Install Plywood Roofing, felt OSB Install Install 'Pipe Flashing Install Install Exhaust Vents Install r Install Ridge Vents _ Install �Instelt Attic Vents Cut In Install Sun Tube Q Install Install; Skylights ''' Install Install Install Install Install Drip Edge Metal Metal W -Valleys Roof to Wall Flashing Roof to Wall Step Flashin,.e Chimney Counter,Flashing Chimney Stcp Flashing Skylight l✓lasbinR. Secure f I ocate Septic r Drain Field Locatio '�MPtice Includes Building Permit` Of -, Customer to Secur,; Building Permit D-escnption 7Ltan� � .,'��l�t ������'ii�'x..� S ttit C�� Payment in full upon cornpletion of prnjeetr unless rather arrangements accepted. SUBTOTAL We propose hereby to furnish miatenai and labor, SALES T � co-nplete in accordance with the above specifications. TOTAL v materia! s guarwittxd to be as specified. All work to bo �pct�d•in a pmressiorol No to. this peoposat may bo withdrawn by us itnol rnanner u=Ming to standwil prioJect. Arty operation or deviatton ftem the abovo accepted within 30 days. sxs ficin*na Involving extra costs will be executed only upon written ordartt and will xeatne an Cara charge over w4 above the astim aic, All atteemenu coruingcm upon strikes. acoddcins, or delays beyond our comrol iAtmer w carry fire, temadn, and other necessary insurance, oar workers ane billy covered by Worker s Compwisatiori Insurance. Acceptance o, Proposal the above prieos, speciflcations and conditions $rand A v-w%V— e.'. Id- -re _re satisfactory and zero hereby accepted. You are authorized to do the Color ,� f��o►itmanship: work as specige4, Payment will be made.,as outlined -above. 10 Year Warranty Lifetime Warranty AFordable Raping s Represantative: Date �r Customer's Signature orAcctpttmce_ Date: See attached Warranty Statement. 1 flS e_ °F°wFN CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000759 Date 6/27/07 Application pin number 119421 Property Address 1120 E 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 5 4 0405 0000 Tenant nbr name JURLEN & SUSAN RIDDLE Application type description PLUMBING REPAIR Subdivision Name Property Use Additional desc 60 GAL WATER HEATER Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 600 Owner Contractor JURLEN & SUSAN RIDDLE OWNER null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned 1120 E 2ND ST 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 PORT ANGELES WA 983624304 laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not (360) 417 5260 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of Permit PLUMBING PERMIT Additional desc 60 GAL WATER HEATER Permit pin number 105643 Permit Fee 57 00 Plan Check Fee 00 Issue Date 6/27/07 Valuation 0 Expiration Date 12/24/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned O 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 T \Policies\I 10215 building permit inspection record05 wpd [1/4/2005] c.r�k�-CI�'7L Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4SID FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 AOUR NOTICE. IT IS UNLAWFUL TO COKER, INSULATE OR CONCEAL ANF WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE ACCEPTED I COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS/ WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE I I FINAL DATE ACCEPTED BY. BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS 1 W 4LLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR I I I INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH -IN Ij HEAT PUMP/FURNACE/DUCTS GAS LINE I I I FINAL DATE ACCEPTED BY. WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCY.ING & HOLD DOWNS SIORTING PLANNING DEPT SEPARATE PERMIT #1's I SEPA. PARKING/LIGHTING I I ( ESA. LANDSCAPING I I I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIALI DATE YES I NO COMMERCIAL DATE I ACCEPTED I YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PWl CONSTRUCTIONW ENGINEERING 411-4807 l W/ENGINEERING l FIRE 417-4653 J I I J FIRE DEPT DEPT I � I DEPT I ��4 � BUIL��G 417 48150 � IIUIL�MNG T \Policies\l 102 15 building permit inspection recordO5 wpd [1/4/2041 01 FOR OFFICIAL USE ONL% BUILDING PERMIT - APPLICATION DatE Rcc. Fill out COMPLETELY and in INK. Nour application and site plan MUST BE Date Approved: -7-7 COMPLETE to be accepted for review If you have any questions, call Date Issued: (P 11 * -07 PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent:-- Phone: Ada, A Owner- '"q^fe Phone. Address:,//,;?Z) Architect/Engineer- Contractor C J/ ity- State License #' Address: City - e. PROJECT ADDRESS //Rd e;5�,49 LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. Phone: Exp Subdivision. Zip '9494� Zip ZONING IATE OF WORK. SIZE/VALUATION • Residential 0 New Constr o Re -roof 0 Stove SF @ $ /SF • Multi -family E3 Addition r, Move 0 Garage SF /SF 13 Commercial 0 Remodel E) Demolition 13 Deck SF /SF 0 Repair 13 Sign Ei Other TOTAL-, VALUATION , S 6 C() BRIEF DESCRIPTION OF THE PROJECT-/"/-=/,) JA AIZArMso - Ae'o Z OVYA—(no 6al (5am&. GX440n S� COMMERCIA,L[RESIDENTLA.L. Occupancy Group No of Stories. Lot Sim, txistmg Sq Ft. Total lot coverage % PLANNING USE ONLY Occupant Load, Construction Type, R. Proposed Sq Ft. =TOTAL Sq Ft. ESA/Wetland(s) 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other* APPROVALS PLAN BLDG DPW U FIRE OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. Tlus figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and CODStrUCtIOD plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. / hereby certify that / have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that must obtain such permits prior to work. TAF0RMS\B1dgPermitfon-n.wpd Applican'�Z�20 Date: