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HomeMy WebLinkAbout636 E Lauridsen Blvd - Building w 1 t 1 ELECTRICAL PERMIT O CITY OF PORT ANGELES 1 p 360- 417 -4735 Application Number 11- 00000006 Date 1/05/11 Application pin number 450120 Property Address 636 E LAURIDSEN BLVD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -2- 9030 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1200 sqft addition. Owner Contractor 7C1 AMANDA K SANDERS EVERGREEN ELECTRIC ASSOC LTD V A 636 E LAURIDSEN BLVD P 0 BOX 517 ..0 PORT ANGELES WA 983627956 CARLSBORG WA 98324 (360) 809 -0569 (360) 683 -4193 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc DOUBLE FEE WORK DONE W /OUT PER Permit pin number 179796 Permit Fee 312.60 Plan Check Fee .00 Issue Date 1 /05 /11 Valuation 0 1 1 Expiration Date 7/04/11 OP Qty Unit Charge Per Extension C BASE FEE 156.30 14.00 2.6000 ECH EL- BRANCH CIRCUIT W /FEEDER 36.40 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Special Notes and Comments January 4, 2011 11:02:18 AM Bob Larson 360- 417 -4706. Electrical Engineering approved strike location is on the north wall within Two feet of the NW corner of the building, between one and two feet below the fascia. Fee summary Charged Paid Credited Due Permit Fee Total 312.60 312.60 .00 .00 Plan Check Total .00 .00 .00 .00 �fv Grand Total 312.60 312.60 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE 1 o I 1 L ROUGH -IN 1 I v L PP FINAL /D/26)1l AY' "Iii P COMMENTS: t, are__ 1 t3 1 t J 44F 4WV PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING r 1UR TA A. PORT ANGELES PERMIT APPLICATION RECEMED r Q CITY OF PO Cr Building Division/Electrical Inspections JAN 2 7011 V G` 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98361• 1 4.11111111111111F Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL Date: 11 INSPECTIONS 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet q Job Address: 6 3(0 t. Lau rr`!1S e^ J' von 4- 4 1 c -.4 9 J€C, c,-.4 9 Building Square Footage: 7 60 0 D e s c r i p t i o n of above /2 D n R I Ira w/ NL-i✓ `-e Owner InfoJmation Contractor Information Name: 0 r't .1 Name: eVe j n El.� fiJ /FA) 415 (k. C-T1) Mailin• Address: 6 3 (o E Lct '4dS,P', Htrl Mailin Address: Pa). l;?.0L S I City: Y s 4-/1•... ti2 State: (A/A- Zip: l C340 2 City: ate r State: [.IM %5"1.2-5 Phone: 4 Fax: Phone: 60^ 7 63 Fax: 6.rs 4- 3 S31 License Exp. License Exp. EVFRGF,*o 4• P Rem Unit Charge Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 7/9.9 O 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 73.50 Each Additional Branch Circuit 2.60 /i 3 (o, 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 /56.30 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.C., 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. Signatur of owner, electrical contractor or electrical administrator: Cash Cheeky,/ O C ��Q (Ft t Credit Card Dated: it X V 01/01/2010 n- I n F° tXo r a 1 �-on `Dio0 '000 19(03 ?1� c__Q_ ft, J(). w \[O 4- 5 �c fi )j vt&d•,�o� "A 1/1/1/ 1 I i i I I I; 1 I i i' 013 1 1 1 j ;1' 1: d i 1 i 1 1 1 i V- i 1 t t• it:1! I ii !f.;1 L w r 1'' \I L .1 ..f I e••••••+ i 1 i 1 't 1 i I 7 t i NmiliAMMIMMINIII 4 I i i i 4 11. r...., i I I 1 1!1' I 1.4 I t 1 I 1 i L i;!ii! t 1 i I re 4 r.- 1,..r.../ ri, 1 1 e I..., 1-1,,' l 1 1 I i I 6 il •4, 41 i„ i, ,i w„.,4,,. 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H 1 11 I t i 1 t 1 1 i' II 1 Ili I Till 1 t 1 1 1 ...1) t 1 1 I t I 1 111 1 11 i 1 t 1 1 1 !t i 1 i I .1 1 1 1 i l ,:i 't 'i )1 111 1 1 t 1 i 1 1 ".:',1:• I ...j. 1 I L% H111:11 1 if ii t i 141 11111 i; c). i i I, 1 i 1.1 I 1 1 I 1 gr• fl II !)11..- 1 1 1,------1,------.1 1 I"_ ,Hilitii fti(!iiiIhi lilt: 4 ELECTRICAL PERMIT A 4 CITY OF PORT ANGELES g 360-417-4735 X. 6 Application Number 11- 00000046 Date 1/13/11 Application pin number 157428 REPORT STATE SALES TAX Property Address 636 E LAURIDSEN BLVD on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-10-5-2- 9030 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T -stat Owner Contractor AMANDA K SANDERS ABSOLUTE AIR INC 636 E LAURIDSEN BLVD 2820 E HWY 101 9C1 PORT ANGELES WA 983627956 PORT ANGELES WA 98362 V (360) 809 -0569 (360) 452 -8444 4.4 5 p _C 91f 5- p� Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 180356 Permit Fee 56.00 Plan Check Fee .00 ^p Issue Date 1/13/11 Valuation 0 1 �J` Expiration Date 7/12/11 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 i INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN t/13/11 44i W FINAL /01 y COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Si cnature of owner or Electrical Contractor X Date: .r,,y y Ok 1q PECEVE) CITY OF PORT ANGELES PERMIT APPLICATION a 1 Building Division/Electrical Inspections IN 1 2 2011 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 983 Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL W. INSPECTIONS Date: 2 j 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: b3‘. 1 `+i/4 e,-r glue) Building Square Footage: Description of above Owner InfQLmation Contractor Information Name: 7P.^ kA y Name: A.�So re .9 L Mailing Address: 63 L4,, t'u 8i vpi Mailin Address: R) 0 E H-w City: PA/ State: WA Zip: 53 6z City: roil A^S.elr s State: ,it/' Zip: c gab z Phone: Fax: Phone: 9c) tivt.t Fax: bc,1 u vvr License Exp. License Exp. C c6 f) 85o 1- fl r 5 9 o)iN Item Unit Charge Qty Total (Qty 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 73.50 Each Additional Branch Circuit 2.60 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 1 5 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 51, c9 o 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.C., 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: Cash [P Check Credit Card X Afi,i4) Dated: 1/1 z /fV 01/0112010 CITY OF PORT ANGELES v �1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION f 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00000668 Date 8/27/10 Application pin number 931620 Property Address 636 E LAURIDSEN BLVD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-10-5-2- 9030 -0000- Tenant nbr, name AMANDA K SANDERS on your state excise tax form Application type description RES ADDITION Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 120796 Application desc ADD GREAT ROOM /WORKSHOP/ 3BED /2BATH ABOVE /DORMERS Owner Contractor AMANDA K SANDERS OWNER 636 E LAURIDSEN BLVD PORT ANGELES WA 983627956 (360) 809 -0569 Ad r room 4,.T4 p�s6ed /ZBC.t� Structure Information 000 000 2� OD, 3BB�j�ZB £I� BOVD, ETC Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc GREAT ROOM, WORKSHOP, ETC. Permit pin number 168351 Permit Fee 1137.85 Plan Check Fee 658.61 Issue Date 8/27/10 Valuation 120796 Expiration Date 2/23/11 Qty Unit Charge Per Extension BASE FEE 1020.25 21.00 5.6000 THOU BL-1 00,0 01 -500K (5.60 PER K) 117.60 Permit MECHANICAL PERMIT \(®V Additional desc Permit pin number 168377 Permit Fee 104.45 Plan Check Fee .00 Issue Date 8/27/10 Valuation 0 \Y Expiration Date 2/23/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 4.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 29.00 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 Permit PLUMBING PERMIT Additional desc Permit pin number 168385 Permit Fee 163.00 Plan Check Fee .00 Issue Date 8/27/10 Valuation 0 Expiration Date 2/23/11 Qty Unit Charge Per Extension 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. 4"1 LC) t iNeso•akvviik,c.A. 4/44.(24,41 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: 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 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 10- 00000668 Date 8/27/10 Application pin number 931620 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form BASE FEE 50.00 12.00 7.0000 EA PL- PLUMBING TRAP 84.00 to the City of Port Angeles 1.00 7.0000 EA PL -WATER LINE 7.00 (Location Code 0502) 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments August 26, 2010 5:36:03 PM sroberds. The revised application will result in 13W lot coverage and 13$ site coverage in the RS -7 with site access off Eunice Street. No land use issues anticipated. July 12, 2010 3:42:31 PM Bob Larson 360 417 -4706. Recommend relocating electric meter and electric supply strike point to northwest corner of new garage to reduce voltage drop and flicker factor. Electrical load calculations and electrical permits are required. MAINTAIN NESC CLEARANCES FROM SERVICE WIRES A separate Right of Way Construction application shall be completed by the contractor working in the right of way. The permit is to be approved by Public Works Engineering prior the start of work. "Any and all contractor(s) and subcontractor(s) doing work under this permit in the City Right of Way is required to provide written documentation that the City has been named as an additional insured" Construct /replace driveway along Eunice to City Standards. Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 1405.30 1405.30 .00 .00 Plan Check Total 658.61 658.61 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2068.41 2068.41 .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) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD C, 6" PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 0 Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVEIR, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: fberfilly reb 1(ci tO rB Footings 1 Stemwall —15 l0 Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In _;Z, 2..0 10 Water Line (Meter to Bldg) Gas Line Tj Back Flow Water FINAL Date 10 Accepted by J t- AIR SEAL: t I t-- 1 Wali Ceiling v FRAMING: t..L� YrA V� I h Z K to r1L_ Io �7— to Joists Girders Under Floor &Yf Vi5 U l —t t_ u( 3 Shear Wall Hold Downs J Walls Roof Ceiling Drywall (Interior Braced Panel Only) 01- 1 t T -Bar INSULATION: 01— 1 3 Slab C Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney ii Commercial Hood Ducts FINAL Date Accepted b y MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: n Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Vv Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 CiS Building 417 -4815 1 1 J T:Forms /Building Division /Building Permit Li CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00000668 Date 10/07/10 Application pin number 931620 Property Address 636 E LAURIDSEN BLVD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-10-5-2- 9030 -0000- Tenant nbr, name AMANDA K SANDERS on your state excise tax form Application type description RES ADDITION to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 120796 Application desc ADD GREAT ROOM /WORKSHOP/ 3BED /2BATH ABOVE /DORMERS Owner Contractor AMANDA K SANDERS OWNER 636 E LAURIDSEN BLVD PORT ANGELES WA 983627956 (360) 809 -0569 Structure Information 000 000 ADD GREAT ROOM /WRKSHP /3BED /2BATH Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc (ALTERED PERMIT FOR REFUND Permit pin number 174557 Permit Fee 985.00 Plan Check Fee .00 Issue Date 10/07/10 Valuation 120796 Expiration Date 4/05/11 Qty Unit .Charge Per Extension BASE FEE 867.40 21.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 117.60 Special Notes and Comments The Fire Department has reviewed the project application and has no comments August 26, 2010 5:36:03 PM sroberds. The revised application will result in 130 lot coverage and 13% site coverage in the RS -7 with site access off Eunice Street. No land use issues anticipated. July 12, 2010 3:42:31 PM Bob Larson 360 -417 -4706. Recommend relocating electric meter and electric supply strike point to northwest corner of new garage to reduce voltage drop and flicker factor. Electrical load calculations and electrical permits are required. MAINTAIN NESC CLEARANCES FROM SERVICE WIRES A separate Right of Way Construction application shall be completed by the contractor working in the right of way. The permit is to be approved by Public Works Engineering prior the start of work. Any and all contractor(s) and subcontractor(s) doing work under this permit in the City Right of Way is required to 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) T: Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVE:R, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type C Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling 'FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: 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 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 10- 00000668 Date 10/07/10 Application pin number 931620 REPORT SALES TAX Special Notes and Comments on your state excise tax form provide written documentation that the City has been named to the City of Port Angeles as an additional insured" y g Construct /replace driveway along Eunice to City Standards. (Location Code 0502) Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 985.00 985.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 989.50 989.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: L Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: 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 T:Forms /Building Division /Building Permit 1 M H H SD 1 0 O H W W 0 E 0 0 0,0 01 V) in 0 01 a) 0 0 a) H O a) m 0 0 .0 H 1 0 ID Yi 0) 0 0 01 o G 01 10 0 10 0 0. .0 N N 1 m Ni H IN a a 1 0 0 H a 1 0 W 1 0 00 H 1 HZ r1 FC0Z a w IH w o4: F 0 z 2 01 0 0 (n W M 1 M 0 0 N m MOW W N 00 M F 0 2 1 0 a s E 01 I 0 H: 1 H H 0 dl W rl 0) 0 1 E-. 0 E 0 0) c0 H 0 Oa l zo 00 FC H 0 1 CO a 0 a m H H Z0 H F F FC H 5C E 1 o H 0 H u) UU Z H O Z z ON W N.]o a E W1)1 w N w 0 0 rC N a z as E w mw 0) z -0 -z 0 0 w M M z 0 m Z2 0 0 H a H H m H 0) zz oo amnia oo 0N00Nwln0w 0) H u HH 4:00 Hu N O Z 0 F\ U 100 E\ C.a m z 0 00 U a(1) H Sa01 H 0 001) Z w0H wz s+01z0 H p zz w 0 z 7 1 1 1 1 H ,qq m H w o HI Z. 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When orrec tions have been made please call .f 7 W for inspection. Date Inspector for Building Division DO NOT REMOVE THIS TAG r- 0 H 0r H 0 CA 0 as a n 0 0 10 0 0 N o H m N Y-1 H 0 (0 0 C o 0 Z s, n.0 C H N 01 0 b 0 a (0 Z H 0) 0 H a H a H W 0££ Ck 1 0 Z E 0 z z o a 0 a o r cn W rn al O O 0 H W x 0) 5 x 0 a N H H H(0 V 0 0 a s O H a 10 0 0 0 a M z F 0 0 0 10 W 10 0 O a 0 0 0 cr H 0 H 0 C.i) F H H F E F 0 cn 0 0 m U U Z 0 a H N H a s O N O H N O 00 W V7 fn z O z r/l a z o rl E H Z z 0 0 V1 H' H lfl X H H H 0 r- o x z r 0 0 Z 0 0400 (0 /0, X 0 0 0100)1000 H H H 0) u1 0 H 2 N G+ ..Q O z 2 Z V10 a .000!x.0 EOHa 0 (1 0 0 C/1 o 0 0) o 0 N 0 0) off w vlm 00 (00H+./0 u0FCE o ff 0)w a 0 0 0 0) 0 a 0) 0 0) R OH 1 00 00E-"000 Etu a 0 0 E a1 0 rc H za 040 E F o 0) w w m w ra a a 00 00 1 a 0 0 C' H a N 0 U' H W a s a N (0 U1 V1 N 1 Z a' 0 04 0 i ,0 H w x 0 0 5 v1 H O 0 W 0 000 0 W W 00 0 0 W zz N O 4 H H H H H H 0 .0 4 V1 W z M£ /00 0004 r r d 104 0/0L 00 0004 00 H H 0 F ('1 0 0 0 N N a' IX a 0 a U H H H 0 0 (0 (0 W W Z z0 w w 00 c aZ E 0 o 0 0) F gzzzaa a a In M P4 u F 0 0 (0 a 0 Cr) l w 0 0 H r- 41 w U F a q 0 0 0 0 0 N 0 o Cr. 2 rd X o C H a a w w H F Q 00 00 0 W 10 W o o o w x w 0 x x 0 0 a F UQ m as off a 0 F 0 w 0, 0 (0 O a H O 1 H O C/1 F U U 2 00 a F a s H z£ Z o (0 Z N H 0 Z 0 0 Z HU (0 1 0 0 .0 0 al [n 0 -,0 0 U H H F W v o F 2 2 (0 AwcnM o� 0cnc 0000(0 00 X00 w0H =a a Q F (0 o j H V1 [n 1 r W W W m 2 a r N z N a a z U11 A rsip r O H 10 H N (0 fn 10 0 a f] 0 n m 0 oo ^H] 00 al o o p 0 0 O W z M O ;OFF H 1oi H (0 (0(0 o 00 0 r ooO 00 0.7a c o�' 0 0 o a a a a 010 O H o 0 0 C 1 a a z o w w a o ccr) E O aZ F a o a> r.1 0 F oo w O 0 w 0 2220 2 a N, a 0 0(0U0a0 0 ((0 10 V y I y d 0 H 0 H Ca U'F a m o 0 0 0 o 0 o) N rn H z 0 0 .-1 0 N 0 oo o 1, L o 0 H rn H C F G m 0 ril a W U 0 o 0 .0 rts a 0o a w a w H z 0 H a F H H F KC 0 H 0 0 0 CO z F 0 z Z A.0 0 0 0 u7 ZW 0 00 C7 H, 4 H 0 F HX 0 as 00 o z 0 0 Z F0 F ov£m 0 m H w 0 0 z o E 0 =1E- Z 00 ao o C/1H a' a' d H 0 VI 0 H 0 0 1-1 F F Z. ozcv cn 0 0 a Z 0 0 a 0 0 w< F as 0 F m F F 0 Hfn0 a 0 E HZ£ r.0 ointy m‹ ,--1 w Z 2 1 0 0 0 00 0 0 0 1 H 0 H 0 Z N 1 Z m 0 F� 0 00 /0 v0 0000 0 Ca a [n 0.0oo Z 000Slo 0 H H F a E d' H Z E a 00/10010 2 00=1 N F H N N w 0H Imm 0aa00 aq 0a0� of WW Nw00 0=) Ulwa W 0 00 100 0 0ulWU) o 0 E W o r.0 0 0) (f] 0 0 a0 000 a En a 0z KC KC 1 0 N m C7 Z ol MI 0 II H 01 [n [n rn Z a a Q h MI 0 i a 0 m 1 a x o o 9 m 7 0 0 a 410 0 0 0 0 w w w w o 0 0 041 300 W F F 0 0 H 0 C7 ,o u] w u 00 00 a 00 0 H a£ F w 0 m m m mx a 01 0010 0 w 01 w a I-14 2 w w a0 (/E-, LL rpc az F 0 0 0 w F 0 Z Z Z Z a a 0 a 0 N I:1-1 0 w E 00 /0 a F 01 a H 0 H 0 0 0 C H 0 0 a 0 0 0 0 0 v o 0,--1 0 o 0 o 0 N 0 a 0• a w a 0 H EH-1 4 H 0 0 00 it O0 0 0 00 0 0 0 U E 00 0 as 2rl 0 H 4 H 0 Z E H O m 2 0 0 O a o H O CO H EH H 20 co UL) Z 00 a E zz 0 0 0 W 00 0 H H H U 2 I 0 000 0.A020 u 2 CI pI� Ut aa w Q) HH 00 acntn 0aa0a o f w w a v w w O 0 I0a 00 E 2 •w F 0 Dry H 2 a a 0 0 a E 00 00 000 wa 0 0 0 0• a 200 0z z zz N 20 a O 20 0al.0 OHO b 7 l0 H 0 FC0 0 00 0 v] 7 H 0 0 0 o W 00 zz 0 0 0 0 z 00 0 O o H 0 V) 0 W N1 0 o Or a Q, 0\ 4 lo g o 0 000 o 0 0 0 0a ..a aa8 m 0 •wa •w a a 2 0 0 0 O E 02 0. 0 0 H 00 cnH. a2 F 0 0 W E 0 2PC 222212 w 2 0 aU FU0 0KC ra+ H m BUILDING PERMIT APPLICATION Print in ink c if t A CITY OF PORT ANGELES W Attn: Building Permit Technician S For City Use Only: 321 E. Fifth St., Port Angeles, WA 98362 :)�1� Date Received �YIC 4 (360) 417 -4815' fax (360) 417 -4711 Permit tO c6 VDate Approved_.,, it 0 Applicant AvvIGv\c(e., Sct„c e M c u ■s 1 c l C 3L0-809-0s1-,9 Property Owner 1 A C v ,i� v S Phone 31x, bv 05 Property Owner's Address E 1�,,,v,c( til,rc\ P0,• t ree l, wA Sb3 Z Contractor (:),.-v --N '.c.,..� Phone 313v- 3c 9- ,.,;-8 Contractor's Address uvin-C e i', .151 LC\ P u ,,A 5 1 License Expires E -mail 4-1„ev 5 y r,^-1 PROJECT ADDRESS L -A E c, y ,Lir,akcr. in Z1 u w SP.) 3,6 2 Parcel Number Lot Zoning RS 7 Project Type Brief Description: esidential Multi family Commercial A Industrial Check all that apply di irl5 et. Giv RejoiMIt,uso'ir'1�s3 110p a` EX' F or �dhai'✓15 iSi-G,1 )(New Construction w L lu I ttlC S f A .Addition Ai3 /.l% (3.r32. 1 Z biac) ALCM A btN "rtnl© DoR -kla2f; remodel To i✓xiSi 1tJC -t ST RoG rup_: o Repair 11/v- 0,4,i t r s Fr,. o l;4` .Cr--tin-L( a.:,,d ■1 t t- ear:i-ic; L,,( 1-t) Demolition e e n f\r G., k ,,r o Re -roof House o garage 1 other tear off re -roof lay over one layer .;Heat System o Heat pump wood- burning stove gas fireplace o pellet stove "other i o(.c,e) At Other 41‘x '3i n 11 6-• ex °ov- tiear lending N St 4,1 rs Floor Areas Existing (sq. ft.) Proposed (sa. ft.) p` ana 3 ei" bc�4in+rzom5 Basement Z3 5 1 per sq. ft. 1 Floor SZ f i'n 6 C Cad' 0 1 `3 iO 2nd Fioor 352- 030 5, 00 'OS 50 3 Floor Garage iiiiiii glii 2 .4 KshcP_ 3c -00 7TLc Carport C�' f oi Covered Porc 10 eKt si-41 Deck .•/.0. i d1n5 Mr GO .211(6 Shed Other A ln�et e Deisirne.4-$ L- •+i 1 S S'7+ 496 +229•+ S TOTAL VALUATION 12c r1% Total footprint of structures I sq. if T Lot size (2) 64 sq. ft. Lot coverage 2-9 /o Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks. patios, °S and other impervious.surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 1,.3.,E 1,01 Max. height of proposed structures 719 ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? no Occupant load of full baths _Lk Will afire sprinkler system be installed? 0 0 Construction type of half baths 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 nor i. working on prrects. c�(� a Date f Print Name C� 1/1�- '�'v'S Signature- 1'� A T:Forms /Building Division /Building permit application it 4 4 A 1 1- 1, b f'.'i Si 1 NOTES Permit 10' 71 11/0 e 1 ;e140 1— 7 ova t A bkt 114 4 49 6 pia 1 Lea. 0 \lID P '1 q TIP 1\9LA0 C T:Forms /Building Division/Notes ://7/ i LL L L 1 C LirL t p er... tt rt L W b 1 r 6 co L'LQ ehltihk:,' 1 i P. i u- t a 1 y N 4, w i C By S,' Q C N MrT7 dam t"' /f a 0 j h as s ,,,,i....,.:-4:-',*,f., F�,d r T A r 3 a. a is sfl {p w d; A awtt�Jr4. f a� ��'Pti'� waw a '^m a.>N t iY x k4' l'''' A 7e:, 5, I t j N 4" f7Y 4 4. S qq t43 amt C a ra x vN a n M1° a r�tl Tw 'C a wx^ rt>,a ut P „z i.. a s rc aaa g z3:SLiPA` ii 4t t 7 .+a l Y N atE`� w.- n..,..„„„««..,,,a. ,„vm«.. -,..r vwwm«- RECEIVED AUG172010 CITY OF PORT ANGELES BUILDING DIVISION L-4j P/ BLVID e5Q40( i c-a 1 1_____ v 1 1 4, %1 L ,III, 14 \___fj/ 1 1 b-i- MI E94--/ipi, 7 I P AA i .6-12 TX m Pow' Ems,L, z v r Q Cp -30 -Iv 521 030 1 -01 C6-iFt =12 °41 12(32. 8o,40 I J 00,ORLIA, BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Us_e On Attn: Building Permit Technician D ate Rec eived Z --J 321 E. Fifth St., Port Angeles, WA 98362 Permit 10 (360) 417 -4815 fax (360) 417 -4711 J j Date Approved 7 1 0 Applicant 1�vvcy t vlc(e). Sow\Ac �S cv, (I s �cl�'ho e 36c) 809 vS- Property Owner S Phone 3 We „s6g Property Owner's Address E la.ut„c(s, ,l,, ?o,,� *.S, wA •£3 1 2-- Contractor ,ov,, V.c.A. Phone 31„o- 36 0 s Contractor's Address L, vioi ,A 9$ -1 License Expires E -mail k\„0,.,,, _ke Ca L PROJECT ADDRESS 6A, E (c v\ 'Ruc i 9830.- Parcel Number Lot Zoning RS -7 Project Type Brief Description: `residential Multi family Commercial Industrial Check all.that apply XNew Construction M' l N.161 `11A10 CA 6612 -AC-ie W1 L 1V l MC S PACer .Addition AI oki.c (3t2 t Z aA) AL-St. AD1Nf; 11/vO DoZU'4r12-g; 'Remodel TD i✓ X EST11`.i 6.1 S t ll- ocru2t. Repair if IlAc rx44 t e,-1 r s 00" -C w- i t L. a.A..rDP LA t 11 19r a. trie-� -c 7( 4 Demolition +k.^ L••■ ■1._ Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning s e gas fireplace pellet stove mother FoR J Aix. Other Fioor Areas Existing (sq. ft.) Pr. osed (sq. ft.) Basement 430 N per sq. ft. 1 Floor '&2<o 50 i,au C E3 S 00 6 R 0 n 2 Floor 352- g30 $5, cep ost Gi 3 Floor Garage .0 -3 o 30. 00 1 '?giao Carport Covered Porch Q.' Deck o_. Zirl Shed J N 7 Other /\r a 2 TOTAL VALUATION qg 256 Total footprint of s ctures i sq. ft. T Lot size (2� g sq. ft. Lot coverage 1 Z °'o Site Coverage e amount of impervious surface on a parcel, including structures, paved driveways, sidewalks._natios, and other imp rvious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Z. (7r7_ 6.16 r 1623 2,2_3614- 12, b42 17.7 Max. heigr of proposed structures 2Tv ft. Occupancy group of bedrooms 4 Will a la n sprinkler system be installed? Ao Occupant load of full baths Will a e sprinkler system be installed? 0 Construction type of half baths 1 1 n,: ve read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand it ot it is my responsibility to determine what permits are required, and to obtain permits prior• working on prects. I Date 7 Print Name V Signatu .-e 6_/ 0 i .j T:Forms /Building Division /Building permit application �I 1 p/ t 0. vp 6040' i per, gb y ti �-az i/ y 1 1 ei2 1 .L.. I T la I' R)6 4?7--9, 74 4) 1 i dirAtA a T A: R- 9) N i t-P 4 IIIP V s S -.A. ex i4,,, a______„ .-7 0 v� 1. �0, c6, A tA --1 701 PoP-T F L4,L,,- Z.. i, -50 -to 52'1 0o LOT" COki f 5- 12°0) 12(f2. r 8°,40 j 1 'Pp. »1":rf}nuq`i1ry {0r,TOS; t x a 7` a t, a.,. iV Vi i File Edit Commands Hetp t. &N Al PUt3UC SECTfl ®Boat n 10 UOOOOP property Information Application Information Contactorescrow r Address: 536 8""LALIRIDSEN BLVD, Applicatlon de'sc A GREAT ROOM/WORKSHOP -38C ■I. ve •Fees PORT ANGELES WA 98362 Appl status PLAY REVIEW i 'Global balance du Location ID :104724 Status Data 6129/201.0 l Inspection history Oener name AMANDA K SABER., Application type RES ADDITION Mt Mi cellaneo 5 PARCEL 08085 05 310 0 522'-9030-0000-,, I Application date 6/29/2010 Names ALTERNATE ID 8 063010529030 Tenant name /number AMANDA k SANDERS Permits a I4 ^:wa l, a 1, ,7_ ■j 1 :1:11 II t i I Plan tracking it Ed Receipts Contractor Information �r Outstanding Inspections° ®'Square footage c a: Structures Contractor Name. 'r i �Insp cNchedule Con- firmation "It RI Valuation calculatic Contractor Number': 1 Type 30 Data Nun i. Type E 1 Co Status I 7d Noloutstand lnspectiens ;exist I ntr ac Co r equ R i r ements Doc Number x yrr i 1 q� 1 r x TM's€ -De cri lion :Trans a mouritdue a Amount 6486 .L4truct Permit' In e7- PLAN CHECK FEES 658.61 00 .00 000000 888 00 i Y,ERNIIT; =FEES .tai. 1I37 85 "a "1`13.7 85 .00 000000.'51 A' 00. PERMIT FEES 104.45 104.45 .00 0130000 ME 00 TT II. .1, PERINIT.-FEES F ,4 163.00 ._'T_ _,153.00 �:o =s ..'00 OOD000'PL 00 d _._...1 i w--- f- STATE, SURCHARGE 4.50 4.50 .00 r d �M 4.?..Refresh, g¢ Lard Irgwry Documents __I c ).k- r v N. c d) 1,\Q,u'- \i\,5 4 -tr re) 2 Li e N 0 5 ltppli a im Jriquiry- 0 2001001s szus File P Edit Comm Iry, r iixg fi i,U.B.L C sECRDRt e I I�� g flf ti- Application'1 -00000 Property Information ...1 l Ell Bonds h P Y, i APPlicetion Information Contactcirescrow Address.' 636 Li ILIRID5EN'BLVD 1 Application de c ADD 2 -CAP GARAGE, 3 6ED ZBATN ,J Pees PORT ANGELES. WI 98362 Appltication status PLAN RFVIE6 Global balance dua Locetlori ID 104724 Status Date 6/29/2010 i till inspection fi sto Owner name AMANDA K SANDERS AppllcatTOn typ RES ADDITION Miscellaneous info� ASSES PARCEL NUMBER 0 e -30,10 -5- f -9 3 9 „SAND -0000 i Application date 6/29/2010” t ALTERNATE ID 063010 0 Tenant name /number AMANDA K SANDERS i 0 Names I Permits 1 K N r 1 i r r Ran trac king Receipts 1' Informs,. Cont ractor tion Outstanding Inepecno i ®lquaie footage ca l€ Structures Con Name S6ANER 1 Insp Schedule Confirms #ion) 1 Valuationcalculatid C- ontractor Numbe Type ID Date `Number Ii Type Status NO'outstandlnq inspectaons ;exist ements Doc Number ,na Cantractor Regmr t a t l.e j,.; .Ge tion t ie r ,s =Transact Aa Amount bille St P Inn PLAN CHECK FEES 655 61 00 00 0000 EPR D0� PT+RMIT-'9995 a '1013 101 2S�' .00 000000 999 li PERMIT-FEES. 97 20 9.23 000000 ME 00 j 1 i 1 FHRMIT 9665 -i 192.00 'Ld2 _OD' :00' 000000 PL QO re: a^u4a. s STATE. SURCHARG 4.50 4.50 .'.0 Pnnt T o t a l .a 1915 56 '12 .tt0 56 8f r E R�dhTMi�a4+k A61R^r'b a 4z, Refre ah A i i ry x &&34 t, t L i ya i Documerde t 1 1.`. ;;A.4, ✓,a. 711 r'. R m1` za. t tv1tP, 4,1\ \0 r, 5' er Jr\z1/4-5 c i 2.,2A.„,/,...... C '")1,0, c 6,,,,,,k, ,@-2Q-, ..i)),„,,, h Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation KENNETH W DORIS BRYSON TRUST 280 W SAHUARO DR QUEEN VALLEY Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Signature of Contractor CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Per 14 0000 THOU 04 00000923 883304 636 E LAURIDSEN BLVD 06 30 10 5 2 9030 0000 RE ROOF T \1102.15 [11/14/2003] AZ 852199781 Charged Paid 106 75 00 4 50 111 25 RS7 RESDNTL SINGLE FAMILY 3000 Owner Contractor BASE FEE BL -2001 25K OWNER (14 PER K) STATE SURCHARGE 106 75 00 4 50 111 25 Credited /a r--o 00 00 00 00 Date 10/08/04 BUILDING PERMIT NO PR FEE TEAR OFF COMP 106 75 Plan Check Fee 00 10/08/04 Valuation 3000 4/07/05 Extension 92 75 14 00 4 50 Due 00 00 00 00 ,e4 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. 1 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 uthorized Agent J Date Signature of Owner (if owner is builder) Date RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS 1 FOUNDATION DRAINAGE/DOWN SPOUTS I I I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN I I PLUMBING UNDER FLOOR SLAB I ROUGH -IN I WATER LINE (METER TO BLDG) 1 GAS LINE 1 BACK FLOW WATER AIR SEAL WALLS CEILING I FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) 1 T -BAR INSULATION SLAB y I I WALL FLOOR CEILING I MECHANICAL HEAT PUMP I GAS LINE I WOOD STOVE PELLET CHIMNEY 1 HOOD DUCTS I I PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER 1 I SEWER CONNECTION 1 I SANITARY I I STORM 1 I PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING 1 LANDSCAPING 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 1 j�p /J I PLANNING DEPT BUILDING 417 -4815 I I BUILDING T \1102.15 [11/14/2003] SEPA. ESA. SHORELINE. I I 1 I I I I I