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1023 S Peabody St - Building
Building Permit 1023 S Peabody St 12-983 PREPARED 12/24/12, 14:32:15 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES -- —------------------------------ --------- —------------------------------------- — ---------------------------- — ------------- APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 12 00000983 1023 S PEABODY ST 06-30-00-0-3-3155-0000- 063000033155 000 000 DF3 00 BUILD PERMIT - RES DBL FEE BL99 0001 BLDG FINAL 12/24/12 APPROVED PB REQ COMM: December 24, 2012 11:50:48 AM pbarthol. REQ COMM: Marsha 457-9155 RES COMM: December 24, 2012 2:33:05 PM pbarthol. 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 12/24/12 APPROVED PB REQ COMM: December 24, 2012 11:51:13 AM pbarthol. REQ COMM: Marsha 457-9155 RES COMM: December 24, 2012 2:33:05 PM pbarthol. 000 000 PL 00 PLUMBING PERMIT PL99 0001 PLUMBING FINAL 12/24/12 APPROVED PB REQ COMM: December 24, 2012 11:51:29 AM pbarthol. REQ COMM: Marsha 457-9155 RES COMM: December 24, 2012 2:33:05 PM pbarthol. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . 12-00000983 Date 8/09/12 Application pin number . . . 498513 Property Address . . . . . . 1023 S PEABODY ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -3155 -0000 - Application type description RES REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 48000 ---------------------------------------------------------------------------- Application desc CONVERT UNFINISHED BASEMENT INTO LIVING SPACE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KELLER, MARCIA OWNER 1023 S PEABODY ST PORT ANGELES WA 98362 (360) 457-9155 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc FINISH BASEMENT Permit Fee . . . . 650.05 Plan Check Fee 422.53 Issue Date . . . . 8/09/12 Valuation . . . . 48000 Expiration Date 2/05/13 Qty Unit Charge. Per Extension BASE FEE 417.75 23.00 10.1000 THOU BL -25,001-50K (10.10 PER K) -_--------------------------------------------------------------------------- 232.30 Permit . . . . . . MECHANICAL PERMIT Additional desc . . HEAT PUMP INSTALLATION Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 8/09/12 Valuation . . . . 0 Expiration Date . . 2/05/13 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON ---------------------------------------------------------------------------- 14.80 Permit . . . . PLUMBING PERMIT Additional desc NEW BATHROOM Permit Fee . . . . 85.00 Plan Check Fee .00 Issue Date . . . . 8/09/12 Valuation . . . . 0 Expiration Date 2/05/13 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 7.0000 EA PL -PLUMBING TRAP 21.00 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 7.0000 EA PL -DRAIN VENT PIPING 7.00 --- Special Notes and Comments ---------- August 8, 2012 4:00:26 PM sroberds. REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 9 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 I Date I Accepted By I Comments IFOUNDATION: (Footings I I Stemwall Foundation Drainage / Downspouts Piers I I I Post Holes (Pole Bldgs.) I I PLUMBING: Under Floor / Slab I j Rough -In IWater Line (Meter to Bldg) Line I `Gas Back Flow / Water FINAL Date Accepted by AIR SEAL: Walls I I I (Ceiling I I (FRAMING: `Joists / Girders / Under Floor IShear Wall / Hold Downs Walls / Roof / Ceiling I I IDrywall (Interior Braced Panel Only) I I -Bar INSULATION: (T ISlab I (Wall / Floor / Ceiling I iMECHANICAL: Heat Pump / Furnace / FAU / Ducts I Rouqh-In I (Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab IBlocking & Hold Downs Skirting IPLANNING DEPT. Separate Permit#s SEPA: IParking / Lighting ESA: (Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By Electrical 417-4735 I I Construction - R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 1. i r A SLl. ' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 i`pr 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 Page 2 F Application Number . . . . . 12-00000983 Date 8/09/12 +` ---------------------------------------------------------------------------- Application pin number . . . 498513 Special Notes and Comments The permit is to inspect and permit work originally done without a permit that resulted in remodel of a basement in r•,. ---------------------------------------------------------------------------- the RS -7 zone. No additional sq.ft., no additional lot cov. t, Other Fees . . . . . . . . . DOUBLE PERMIT FEE 650.05 STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- rt Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- r Permit Fee Total 799.85 799.85 .00 .00 Plan Check Total 422.53 422.53 .00 .00 Other Fee Total 654.55 654.55 .00 .00 we • Grand Total 1876.93 1876.93 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 i`pr 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE, Inspection Type IFOUNDATION: (Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) I PLUMBING: Under Floor / Slab Rough -In Water Line (Meter to Bldg) I IGas Line ` Back Flow /Water I IAIR SEAL: (Walls (Ceiling IFRAMING: IJoists / Girders / Under Floor (Shear Wall / Hold Downs +Walls I Roof / Ceilinq !Drywall (Interior Braced Panel Only) IT -Bar INSULATION: Slab { Wall / Floor / Ceiling MECHANICAL: lHeat Pump / Furnace / FAU / Ducts Rough -In 1 IGas Line Wood Stove / Pellet / Chimney I Commercial Hood / Ducts I MANUFACTURED HOMES: IFooting / Slab . Blocking & Hold Downs ISkirting PLANNING DEPT. Separate Permit#s Parking / Lighting Landscaping Date I Accepted By I I � I � I I I I I I I I I I ]FINAL Date I I I FINAL Date I SEPA: ESA: SHORELINE: Comments Accepted by Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE Inspection Type Date I Accepted By Electrical Construction - R.W. PW / Engineering Fire Planning Building 417-4735 I 417-4831 417-4653 417-4750 417-4815 CITY OF NGELES WAS H.1 N G T O N, U.S. 321 East S' Street r Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofpa.us For City Use I Permit # 12- �g 3 W 3 m bate Received: r.�- c FOm c— C 0 \D9 c o Za cz X11 a Approved: �, (�, � o \ I Zr N M Building Permit Application Project Address: Main Contact: , Property Name Owner Mailing Address -LO oZ�) 5 � City 4W Contractor Name u L Mailing Address u>. City Contractor License # Phone # dv '�15 7 - g/�S 9/3/ Email Sassy /,:L4in1w State "� Z11 8 11il�/ICs 10 Phone - - Email State �o Expiration: Project Value:�� Zoning: Tax Parcel # I Lot # $ l 0 g a RS -1-1- �(�(�30 00 0�� ► 5 Type of Residential1. Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair X Reroof (tear off/lay over) ❑ For the following, fill out both pages of permit application: New Construction ❑ Remodel ;K Addition ❑ Tenant Improvement ❑ Mechanical A Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No Project Description— f mSheA u9 tvvou�r per V I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the implication will be considered abandoned, and the fees forfeit. . Date Print Name Signature j Residential Structures w : Area Description (SQ FT) Existing Proposed Minimum $ For Office Use value Basement q o � ✓ r © 4-3100()— v First Floor lll Second Floor Covered Deck/Porch/giitry 1 Deck, Garage Carport Other (describe) Area Totals 4u i O vO Commercial Structures Area Description (SQ Existing Proposed Minimum $ For Office Use value .. �► Structure (s) \ / Addition \ / Tenant Improvement Other (descri6) Area Totals Lot/Site Coverage Calculations 1 Footprint (SQ FT) of all Structures: Lot Size: So % Lot C:�re SQ FT Site coverage (all impervious + g % Site Coverage structures) O. Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Appliance Vent # Heater (Suspended, Floor, Recessed wall) Boiler/Compressor I Size: # Heating/Cooling appliance repair/alteration Evaporative "Cooler (attached, not # Pellet Stove/Wood-burning/Gas portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping # of Outlets: Ventilation Fan, single duct Furnace/Heat Pump'/ Size: P$\240 o # OVNO++� Ventilation System Forced Air Unit Ny a!,�8 �.'�UAA-,� # of Outlets: # of Outlets: # of Outlets: Plumbing Fixtures . Indicate how many of each type of fixture to be installed or relocated' Plumbing Traps # 3 Fuel gas piping, Water Heater # Medical gas piping Water Line # _ r Vent piping Sewer Line # Industrial waste pretreatment interceptor Other (describe): # of Outlets: # of Outlets: # of Outlets: F-- Electrical Permit 1023 S Peabody St 12-450 1� ELECTRICAL PERMIT p CITY OF PORT ANGELES "1 JR 360-417-4735 Q Application Number . . . . . 12-00000450 Date 4/23/12 Application pin number . . . 323400 Property Address . . . . . . 1023 S PEABODY ST SERVICE ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -3155 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . FINAL Property Use . . . . . . . . COMMENTS: Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ------------------------------------=--------------------------------------- Application desc 200 amp service change ---------------------------------------------------------------------------- Owner Contractor ------------------------ KELLER, MARCIA - ------------------------ APS ELECTRIC 1023 S PEABODY ST 546 BENSON RD. PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457-9155 (360) 452-6753 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 120.00 Plan Check Fee .00 Issue Date . . . . 4/23/12 Valuation . . . . 0 Expiration Date . . 10/20/12 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -0-200 SRV FEEDER120.00 ---------------------- Fee summary Charged - Paid Credited . ---------- ---------- Due --------------------------- Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE l /5I1 7— ROUGH-fN ( 2 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X • ' ' , ` Date: G:\EXCHANGE\BUILDING 10 oFVORTgN ELECTRICAL INSPECTION G G �`FN N WIRING REPORT G�`'cwoR-Scy�� 417-4735 DATE I^lIT l PERMIT # INSPECTOR //I[ (� " OWNER/CONTRACTOR ADDRESS /o 2 - APPROVED APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ r CORRECTIONS NEEDED: r �nM l fZ,O� (til t2 Vr�D �O�Z R CUA L- tlJ d 1rL, O 9JK 5 v -I of u. a� o -i i3 rz- Co v PILTz r --D Pr4) o )Z- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381 o,VORT,,,, ELECTRICAL INSPECTION WIRING REPORT R.�� 417-4735 DATE-./� � I PERMIT # I I PECTOR I Z-4it� 1-'*.� OWNER mIALC A A CONTRACTOR ADDRESS 102-3 APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ............... ❑ `7 .................... SERVICE ................... ❑ ❑ .....................FINAL.................... ❑' CORRECTIONS NEEDED: 4,lsnC I f2,O N r, 7C_ CON . /g /lle y 2Aa:*37 vS-2 _ 17--75 A,n1i) -* !j - !w/e,9-ALL lt*.r 11b --j NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — FROM : A.P.S. ELECTRICAL CONTRACTOR FAX NO. : 360 452 6753 Apr. 19 2012,x 09: 51PM P3 '0FDO APR 2 0 2u, :L CITY OF PORT ANGI,LES PERMIT APPLICATION ` Building I)ivision/Electrical Inspections ELECTRICAL V 321 Fast Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 INSPECTIONS Ph: (360) 417-4735 Tax: (360) 417-4711 �o 1 & 2 Single Family Dwelling Plan Review May Be Requirg d, Please Complete Electrical Plan Review Information Sheet Job Address: roa 3 � i�e_ct. t,50c@ t� Building Square Footage: Descriptionof above �`1Q n P,I t C�. l c P „� o.,�—?- - A4 o1 a *r) 11'1�P.'f A,Uk) K Owner Information , 1J Name: a1' �t 1��I�'� Contra for,(nformati Name: 7' •S_ /2c P ss: t o . Apet � n k Mailing Address: Can City: V .1% City: State: Zip: : Phan tom,2 R f 5s Fax: City: Site: �Zip: License # / Exp. Phone: Fax: , 4 o License # / Exp. ftern Service/Feeder 200 Amp. Unit Charae $120.00 Oty Total Wx Multiolied by Unit Chame) Service/Feeder 201 -90 Amp. $146.00 $ Service/Feeder 401.600 Amp $ 205.00 $ SprvicelFeeder 601.1000 Amp. $ 262.00 r $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuits 1.4 Branch Circuit W/ Service Feeder $ 75.00 $ 5.00 $ $ Branch Circuit W/O Service Feeder Each Additional Branch Circuit $ 63.00 $ 5,00 $ $ Temp. Service/ Feeder 200 Amp. $ 93.00 lq/ Temp. Service/Feeder 201.400 Amp. $110.00 $ - Temp. Service/Feeder 401-600 Amp, $149.00 $ Temp. ServiceTeeder 601.1000 Amp . $168.00 $ Portal to Portal Hourly S 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ NEW CQNVRUCTION ONLY: First 1300 Square Ft, $120.00 $ Each Additional 500 Square Ft, or Portion of $ 40.00 $ Each Outbuilding or Detached Garage Each Swimming Pool $ 74.00 $ or Hot Tub $110.00 $ $� °G Total 2Z�� 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., RC W. Chapter 19.28, WAC. Chapter 296466, 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: 0 cosh O check l Credit Card 00 h�- ��. `a� x _ Oated; 0110112012 me CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 0 321 EAST 5TH STREET, PORT ANGELES, WA 98362 L••1 r' Application Number . . . . . 12-00000918 Date 7/25/12 C0 Application pin number . . . 247090 Property Address . . . . . . 1023 S PEABODY ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-3155-0000- C.7" Application type description RES ADDITION IV Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 3000 ---------------------------------------------------------------------------- Application desc M 4" 2ND FLOOR DECK -------------------------------------------------------------------------- (^ 4 Owner Contractor t ..: ------------------------ ------------------------ KELLER, MARCIA OWNER 1023 S PEABODY ST PORT ANGELES WA 98362 (360) 457-9155 ---------------------------------------------------------------------------- Other struct info . . . . . HARD SURFACE AREA Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . 2ND FLOOR DECK Permit Fee . . . . 109.75 Plan Check Fee 71.34 Issue Date . . . . 7/25/12 valuation . . . . 3000 Expiration Date . . 1/21/13 Qty Unit Charge Per Extension BASE FEE 95.75 ---------------------------------------------------------------------------- 1.00 14.0000 THOU BL -2001-25K (14 PER K) 14.00 Special Notes and Comments July 20, 2012 3:17:05 PM tamiot. electrical service already changed, no issues July 24, 2012 3:58:23 PM sroberds. Proposal will result in a second floor uncovered deck for total lot coverage of 26%. No land use issues anticipated. Public Works Utility Engineering has no requirements for this plan review. -------------------------------------------------------- ---------------------------------------------------------------------------- p Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due --------------------------- ------------------------------ Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total 71.34 71.34 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 185.59 185.59 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 PtI not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Ra ve,c 4. k�, Ile- 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 4174735 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 7 Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water AIR SEAL: Walls Ceiling FRAMING:I Joists / Girders / Under Floor Shear Wall hHold Downs Walls / Roof I/ Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall / Floor /, Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rouqh-In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting Date I Accepted By I Comments II IFINAL Date Accepted by I � �•2t��la sur I I j FINAL Date Accepted by PLANNING DEPT. Separate Permit #s Parking I Lighting Landscaping i SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T•Pnrmc/Ridlriinn nivisinn/Riflldino Permit � •Zca • � a- � u- PREPARED 7/26/12, 8:39:36 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/26/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 1023 S PEABODY ST SUBDIV: CONTRACTOR : PHONE OWNER KELLER, MARCIA PHONE (360) 457-9155 PARCEL 06-30-00-0-3-3155-0000- APPL NUMBER: 12-00000918 RES ADDITION ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------- -- BL3 01 7/26/12 BLDG FRAMING ,/ July 26, 2012 8:30:59 AM hcatuzo. MARCIA 457-9155 BL99 01 7/26/12 JLL BLDG FINAL i ------ -------------- COMMENTS AND NOTES i 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 Applicant A"_', Property Owner;���e,�, Property Owner's Address Contractor Contractor's Address License # Expires APPLICATION Print in ink ( For City Use Only: I Date Received if '20 12 Permit # d ®Date Approved P149f 10- Q74 Phone E-mail PROJECT ADDRESS WdAk" 3� Parcel Number Lot Zoning Project Tvpe & Brief Description: , Resldential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply, XNew Construction _ second -h ©or vn covered dem R E_C E I V D ❑ Addition '— ❑ Remodel N JUL TO M17 o Repair ❑ Demolition CITY OF PORT AN :S ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re-rooF-e ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other XP ther Floor Areas Existina (sa. ft.) 'Proposed (sa. ft.) Basement @ per sq, ft. _ $ 1s' Floor . 2nd Floor 3`d Floor Garage -957-1-P Carport Covered Porch Sffe Other TOTAL VALUATION $ 3� DOD Total footprint of structures rft. - Lot size (Off Dff / sq. ft. = Lot coverage ::;?V% 7G ' T Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, b and other 1ious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage v e . % T02. -r- r ssv 3332. Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths i have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are requirod, and to obtain permits prior to working on projects. Date Print Name Pii� Signature T:FormslBullding Division/building permit application a F P y� x a� 4R. Ya . l k c�� raa»'w. t 1 • "•i s a� r• ,. fir s e•'r'A d." w p • y a �r ",bY,. .• 'iy<.. a ".&��•nP" ..g rti.,�`r• Sd.a h3.i.t•�*'J 7 r` nF i. 203".-Q , .J s i�`' 4 ... , 0.x. 'iYw„. g.,A• .,4-^E"t•�". 2pt'nW,w�,9,.y "`. t„^ 0.9 1 ' t :,"�•,,R til. ",i,,,«- •.y:•.: .? hisa° •.aw lot r � f� AA t" - }' of ! , ila.• 4 W`4 A t. « ^�, Z.. 1,t a'3 d,' �a; eG �E '-tr :'� eC„'' "%«pi` � 1•�R'xvv`•r`J,e;!Rw•.,��''I`Y'..'M�\+i";hvy�,p.Y:1,,"n�5. �, d:,j J. 9 r E 9i ;�i•'' r a� • ;'t` •,�: ," . ' a® ''iaS;"r, �;'at.°',:: a:%T 5 , :.„z,�, + :.YW ` �.. :,�, �'' `'sem <:i�'?�,.`-.•"' .�'r;,� � ,.r, ,J, "-yea- ;,1�s, .\ • ,'..�»";; �; 4,+a,, „^'�,. ,'4'9- wr,i" �.a, .t ,+,�".,"l, w'x' + { ti y',•; - ' ,.., " , ::9,. Ci':w"•m 'N✓ 2 "i'.`�w.•d ,,aa..,, r' r+S'�, ,&�, ,'�', ^ ,s�•3',"^ .„,a�. „'tL' r'. icwo . .`e".y.i 'T:^rai�'"a p'R e d a ^(t4: �t a' ,q�aE• S , R' w ! a..� ,Y••, .. 'wd ,',� '_:,}^,f.a,^y..:, M"pv,.. R•'a ''�W,+, ' 1av VQ ` A ah 't'a 'f,.,.� ,>b: +,.q.. t•M'", A. i, ri\. «'i"�i+;'>e\`T�$ zero, �p1 , a� tt t 'a 1x x. " i I ,y " t' ,'d h 9'v E, k. .d y'Y'':. .gid;•Q ? ' y V ( n 'a' p s-, r 6 is i' " e 1".1y „ E i aa„ d�t' a% h R r�� hY ��•r. t q die b� 9 •Y x K %v."••ay rp�Q� Y" Pot,'M ,.f "Him �'fx, p 'n'hT"" °�'e'y�tr.• , " „i . W M". �t��? +�jEir. .;,•;.f .�•�;'l COW ?`. ,; r J" •�a"�. w �I °X "•`R" L. s i'; i, s , �Y 'S, v CCtown Yr f ( K\ ".S -k.4 <% � a moi. `.'-a•. ..P;"M" 'il,;>':, ,. �,xY�,,,, 7 sr.' �w st • a frv. r„ a ,q. w, s Y�. x .i:m r:�.'., ". fir,• s'� •�� " •*� t# ti y��,{ r ' '=iT � 1 ' i . 1• exK S •d M. 3'. •$Y �'�'ne ";'y , .;�'�iih'sA. N••:`},.,. nottot ;?,^«� a:g� �� •,r".' 'fit p.. «,,��r:'. �'a `"� ... •'t A,k . NA '. ,t. w7, "tx #d:v i< Y a k' • fi iii T, x' w,, `%`, • 5 ^:,Y *$Q�. ,.. . `c, . i:,y r :.fir'•",' <�•' wa` X>s ,t iyt s'' R.av +y `t Aei -• s•"". pp,, ^ �, = rya'`•,, ^�.''�'� :.r" �••', "t p y.C•t ba 1.' A� `2 xa, a 4 e4 AN. 'aT'r \n k ^xy : " .t-':.a•,.�".k'`a�ay..:e'.,,: w>uw.:"it x»,v,r:aa,:,, 4a"s..,.., ..aye„�.!. a;.,. 't'.. €„.. ... ._. "..... .. ... .. ..... ..,"u.av:.:"".',... ..• �,::,., .,,,^�.. ,. «, .,, . s'"S. ,, ... -. ..".._.a,„+•:.r•k�' i '� I T-4 r QU-N00 33/ CIVED JUL 2.0.2012 CITYU� D NG DIVISIONF PORT ES WIN CITY OF PORT ANGELES — Constrtaction 1113ns The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter rehiring the correction of errors in said plans, specification and other data, or from, preventing building operations being carried on thereunder when in violation of all codes and otdiaances of this jurisdiction. . � `�sE£�I6#3B3(�l • rttturtt itaihte�Ct��.) �� , jr'" � "'�� Approval Date By , �a7 t �+ -a C�- m I CITY OF PORT ANGELES l DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000302 Date 3/27/12 Application pin number . . . 477538 Property Address . . . . . . 1023 S PEABODY ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -3155 -0000 - Application type description RES ACCESSORY BUILDING Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 17443 ---------------------------------------------------------------------------- Application desc DETACHED GARAGE -576 SF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KELLER, MARCIA OWNER 1023 S PEABODY ST PORT ANGELES WA 98362 (360) 457-9155 --- Structure Information 000 000 DETACHED GARAGE Other struct info . . . . . HARD SURFACE AREA ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT -RESIDENTIAL Additional desc DETACHED GARAGE -576 SF Permit Fee . . . . 319.75 Plan Check Fee 207.84 Issue Date . . . . 3/27/12 Valuation . . . . 17443 Expiration Date . . 9/23/12 Qty Unit Charge Per Extension BASE FEE 95.75 16.00 14.0000 THOU BL -2001-25K (14 PER K) 224.00 ---------------------------------------------------------------------------- Special Notes and Comments March 21, 2012 9:02:06 AM tamiot. Electrical will require a separate permit and a utility easement or installation of a service pole will be required if electrical service location changes. The cost for the service pole would be an additional cost to the owner. The Fire Department has reviewed the project application and has no comments March 22, 2012 2:58:39 PM sroberds. The proposal will result in a detached garage in the RS -7 zone. No land use issues anticipated. 240 lot cov; 50% site cov. The existing building sewer may be located at the same location of the proposed construction. Any modification or damage to the existing building sewer will require other permits and inspections. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 319.75 319.75 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) ,` vw Lt. -Z'�5.17 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 I Date I Accepted By Comments FOUNDATION: Footings I Stemwall I Foundation Drainage / Downspouts Piers I I I Post Holes (Pole Bldgs.) PLUMBING: Under Floor/ Slab I Rough -In I Water Line (Meter to Bldg) I I Gas Line I Back Flow / Water I 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) I T -Bar I INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump /Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney I Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting i (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 T-Pnrmc/Rioilriinn nivicinn/Ri61riinn Parmit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 1F'"¢ w # Application Number . . . . . 12-00000302 Application pin number . . . 477538 Plan Check Total 207.84 207.84 Other Fee Total 4.50 4.50 Grand Total 532.09 532.09 Page 2 Date 3/27/12 00 .00 REPORT SALES TAX 00 .00 on your state excise tax form 00 .00 to the City of Port Angeles (Location Code 0502) 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 has commenced, or if required inspections have not been requested within 180 days from the e, 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 tconstruction. K Date Print Name T:Forms/Building Division/Building Permit u Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 I Date I Accepted By I Comments FOUNDATION: 417-4653 Planning Footings 'r U Building 417-4815 Stemwall Imo. �j 1� I _� U., I Foundation Drainage / Downspouts 1 Piers I I Post Holes (Pole Bldgs.) I PLUMBING: Under Floor / Slab Rouqh-In I Water Line (Meter to Bldg) I Gas Line I Back Flow / Water I FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joistsirders / Under Floor _ <' Hold Downs Lk- II?12' "J LV Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) I T -Bar I INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In I Gas Line Wood Stove / Pellet / Chimney I Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit ft SEPA: Parking / Lighting I ESA: Landscaping I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T-Gnrmc/Ri iilriinn hivicinn/Ri iilriinn Parmit PREPARED 4/23/12, 9:03:10 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/23/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 1023 S PEABODY ST SUBDIV: CONTRACTOR : PHONE : OWNER KELLER, MARCIA PHONE : (360) 457-9155 PARCEL 06-30-00-0-3-3155-0000- APPL NUMBER: 12-00000302 RES ACCESSORY BUILDING PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------- — -- --------- ------------ — - —------------- -- BLRI 01 3/30/12 JLL BLDG REBAR INSPECTION 3/30/12 AP March 30, 2012 8:38:03 AM hcatuzo. Keeble Concrete --460-8591 March 30, 2012 3:50:33 PM jlierly. BL2 01 4/03/12 JLL BLDG FOUNDATION STEM WALL 4/03/12 AP April 3, 2012 9:22:52 AM hcatuzo. Keith 460-8591 April 3, 2012 4:37:36 PM jlierly. BL9 01 4/12/12 JLL BLDG SHEARWALL 4/13/12 AP April 12, 2012 9:31:00 AM hcatuzo. 461-2775 April 13, 2012 8:03:56 AM jlierly. BL99 01 4/23/12 BLDG FINAL April 23, 2012 8:31:55 AM hcatuzo. WILL NOT BE HOME BETWEEN 2 AND 3 PM --------------------- ----- ----- ---- COMMENTS AND NOTES -------------------------------------- PREPARED 4/12/12, 9:42:03 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/12/12 '---'- -------------- — -------------------------- ADDRESS . : 1023 S PEABODY ST SUBDIV: CONTRACTOR : PHONE : OWNER KELLER, MARCIA PHONE : (360) 457-9155 PARCEL : 06-30-00-0-3-3155-0000- APPL NUMBER: 12-00000302 RES ACCESSORY BUILDING ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTTAT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS " -- --- --- —----------------------------- —-------------- BLRI O1 3/30/12 JLL BLDG REBAR INSPECTION 3/30/12 AP March 30, 2012 8:38:03 AM hcatuzo. Keeble Concrete --460-8591 March 30, 2012 3:50:33 PM jlierly. BL2 01 4/03/12 JLL BLDG FOUNDATION STEM WALL 4/03/12 AP April 3, 2012 9:22:52 AM hcatuzo. Keith 460-8591 April 3, 2012 4:37:36 PM jlierly. BL9 01 4/12/12 BLDG SHEARWALL April 12, 2012 9:31:00 AM hcatuzo- 461-2775 ------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/03/12, 9:30:01 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/03/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 1023 S PEABODY ST SUBDIV: CONTRACTOR : PHONE : OWNER KELLER, MARCIA PHONE : (360) 457-9155 PARCEL 06-30-00-0-3-3155-0000- APPL NUMBER: 12-00000302 RES ACCESSORY BUILDING ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- ------------------ - --- BLRI O1 3/30/12 JLL BLDG REBAR INSPECTION 3/30/12 AP March 30, 2012 8:38:03 AM hcatuzo. Keeble Concrete --460-8591 March 30, 2012 3:50:33 PM jlierly. BL2 01 4/03/12 JL BLDG FOUNDATION STEM WALL April 3, 2012 9:22:52 AM hcatuzo. Keith 460-8591 --------------------- --- -------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/30/12, 9:02:03 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/30/12 -------------- — --- — --------- —------------------------------------------------ — ------ — ---- ADDRESS . : 1023 S PEABODY ST SUBDIV: CONTRACTOR : PHONE : OWNER KELLER, MARCIA PHONE : (360) 457-9155 PARCEL 06-30-00-0-3-3155-0000- APPL NUMBER: 12-00000302 RES ACCESSORY BUILDING ------------------------------------------------------------------------------------------------ PERMIT_ BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------------------------------------------------------- BLRI O1 3/30/12 J BLDG REBAR INSPECTION March 30, 2012 8:38:03 AM hcatuzo. Keeble Concrete --460-8591 -------------------------------------- COMMENTS AND NOTES ----------------------------- I' -KD (� .61� t� I, vx BUILDING/ PLUMBING/ MECHANICAL PERMIT APPLICATION -LONG FORM (To be Used for projects that require plan review.,) Date Received- 3rl L, •I Permit*J2 City of Port Angeles Please print in ink. Date Approved Dro Atte: Building Permit Technician Approved by 0 321 E. 5t" St., Port Angeles, WA 98362 360-417-4815 fax: 360-417-4711 Credit card payments are accepted +Aon ri -5 pm (no American Express) Hours: Mon through Fri 8 –'5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8:30-12:30 pm Contact person: e Ue-,41' Phone: 4r2T- q I ILA Property owner: M F G e- I Le Phone:�k4p zl-4-/7 Property owner's maili address, Kn, CU I D I, e Contractor's business name: Phone: (or property owner's name if he/she is doing/overseeing the work) I p Contractor's mailing address: Contractor's L&I license number: Expiration date. - Project Address: Peo,_boa� S -f - Project Type: )< Residential LD Commercial r7 Industrial La Multi -family Project Business Name: Zoning: (for commercial, industrial, or multi -family projects) Parcel #Lot 01,P 130 00 0 313 15715 Complete only the portions of this permit that are relevant to your project. Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Projects submit: Two sets of plane (including engineering calcs, geotech reports, etc. if applicable) 17 Prescriptive Approach – Simple Form (confirming conformance to the Energy. Code) Commercial Proj,Qcs S — b T i t . sets o f p la n s * (including e e r i n g c a lc s , g e ot ech reports, etc. if a pp licable) 010 (✓) Paperwor firming co once to the Energy Code Forlarge projec re -construction meeting with various City department personnel is h' y reco nd d. To schedule a pre -construction meeting, contact the PIannManager at (360 50. Addit' a1 information may need to be s itted Including,,, n scape PIan, parking plan (including AD es, ramps, etc.), utilities (exisfing& proposed), curbs, sidewalks, storm water.plan, etc. 45,3201 For Additions & New Structures also submit, toy CC-. ( ✓) V"e Site plan (8 1/2'1 11 ") showing all structures (existing & proposed), setbacks, & new driveways *-If an arch . itect or engineer drew the plans or calculations, include at least one `'wet-stamlped" set of FE. .E -11 V E D and/or calculations. MAR 16 2012 T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application – Long Form (Revised 2011) Page I of 4 dITY OF PORT'ANIVISIGELES' BUILDING DON Repair / SO . PaIs / Miscellaneous: (explain the project) \ Project Valuation $ Remodel: i`explain the oroieA includinq how the building space is currently being used and what the new, remodeled u will bel Project Valuation. $ (✓) If the space will change from commercial to residential, submit: ' "Checklist - Converting Commercial Space into Residential Space" HC1QiiiOn: xpiain the witui and curnJlele a jdbiilit uaya 3) a� '11, Maxi m heig f the new addition feet Project Valuation $ 3_ _ - New Structure: (explain the oroiect and complete & submit page 3) p LL T�t=�2n Maximum height of the new structure feet Project Valuation $ PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check o e: Nol Yes (✓) If yes, complete & submit page 4 "Plumbing Changes" MECHANICAL PERMIT: Check one: No Yes Will there be ANY mechanical changes (items moved, added, replaced, or altered) (✓) If yes, complete & submit page 4 "Mechanical Changes" Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths swwb Will a fire sprinkler system be installed? Construction type #bf half baths 0 -*Homeowner: If you will be doing / overseeing the work, then the project valuation will be determined by doubling the �1 cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 = Project Valuation $ I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, . and to obtain permits prior to working on projects. Qate I'. r f � Page 2 of 4r ;. . Signature Print Name Floor Areas Existincy sauare New sauare Price per new footage footag sauare foot Basement X = $ 1't Floor 2'd Floor 3 Id Floor Garage \r\ - Carport Covefed Porch Deck (> 30" high)* Deck (:5 30" high)*'' Shed Other Other Remodel project valuation Z+Y, 24' TOTAL VALUATION $ Walking surface of the deck above ground For residential building projects the minimum square foot valuation we accept is: Dwelling $85.00 per sq. ft, garage/utility/misc. structure $30.00 per sq, ft. porch/deck/carport $12.00 per sq. ft. LOT COVERAGE & SITE COVERAGE Lot coverage is the amount or percent of ground area on which buildings are located. It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer than 30 -inches, uncovered decks or porches having walking surfaces higher than 30 -inches off the ground, etc. Total footprint of structures ft, lot size (0 sq.ft. = Lot coverage % Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see Fort Angeles Municipal Code I T94.135 for exemptions) Does the project include a new driveway? oyes �< no ?lot, If yes, what will the driveway be made of? ii cement o asphalt o gravel m other (NOTE. 18 feet is the recommended minimum driveway length for residential projects) Does this project include a new parking pad? 0 yes ;\</no If yes, what will the parking pad be made of? L7 cement o asphalt o gravel o other Total footprint of structuressq. ft. (existing & new) b) Total concrete, asphalt, & other impervious surfaces sq. ft. (existing & new)* c) Add lines "a" & "b" above to get the total impervious Zk,"o 0 sq. ft. (existing & new) Total impervious 900 sq: ft. lot size sq, ft. = Site coverage % Page 3 of 4 PLUMBING CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Type Plumbing Chanpes (Moved, Added, Replaced, Check "No" or "Yes" (and enter quantities) for each line item. or Altered) Sink (hand, mop, floor etc.) No Yes Quantity Toilet No Yes Quantity Bathtub No Yes Quantity Shower No Yes Quantity Washing Machine No Yes Quantity Hot Water Heater No Yes Quantity Water Line (meter to structure) 'No Yes Quantity Re -plumb the structure No Yes Quantity Sewer Line No Yes Quantity Backflow Prevention Device Types: Yes Quantity Pellet stove Beverage Machine No Yes Quantity I nnricrana W:gferinn 1;v -,tem No Yes Quantity Fire Sprinkler System <_ 2 inch line No Yes Quantity Fire Sprinkler System > 2 Inch line No Yes Quantity Please list all other planned plumbing changes or additions that aren't listed above. Please list all other planned mechanical changes or additions that aren't listed above. Page 4 of 4 MECHANICAL CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Type Mechanical Changes (Moved, Added, Replaced, Furnace, heat pump, or or Altered) forced air unit < 5 tons No Yes Quantity Furnace, heat pump, or forced air unit > 5 tons No Yes Quantity Ductless heat pump No Yes Quantity Wall (recessed) heater No Yes Quantity Baseboard heater No Yes Quantity Steffes room heater No Yes Quantity Wood -burning stove No Yes Quantity Pellet stove No Yes Quantity Radiant floor heat No Yes Quantity Gas fireplace or freestanding stove No Yes _ Quantity Gas cooking stove No Yes Quantity Propane tank set No Yes Quantity Gas line No Yes Quantity Boiler No Yes . Quantity Clothes Dryer No Yes Quantity Ventilation fan (single duct) No Yes Quantity Hood &duct mechanical exhaust No Yes Quantity Ventilation system (not part of a heating or air conditioning system) No Yes Quantity Air handler No Yes Quantity,..... . Evaporative cooler (non-portable) No Yes Quantity Please list all other planned mechanical changes or additions that aren't listed above. Page 4 of 4 PRESCRIPTIVE APPROACH -SIMPLE FORM For the Washington State Energy Code (WSEC) 2009 Edition Climate Zone I CITY GOVERNMENT Site Information: Lot: Address: in 9,-3 -S City: VO4 (-► 3 `S A State: )ln - Zip: Contact: MAh �- `�Itev- Phone: 560 4-5A-9-1-5-5 Phone 21e 4-g1 l it i s FAX: Building Department Use Only: Permit # - Notes: WSEC Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE-FAMILY RESIDENTIAL OR DUPLEX CLIMATE ZONE I (Unlimited Glazing Option Only) mall Wall Iazin'9,U-,Factbr 'Door azing� Opon`Aea`%':�f,'VaUlted- ., Wa anterior x enor, Slab on Ceilng,,, ng'Above FIobr tCelli B61ow,Below ConcreeF or 'overhead.;; =Factor::._ Grade :Grade Gr�tcle: R-49 ICI Unlimited .0,30 0.50 0.20 or R-38 R-21 R-21 R-10 R-30 R-10 R-38 int TB U=0.029 2' adv This Project complies with the following: The project is a single-family residence or duplex. The project Is a wood frame OR all ofthe insulation is interior or exterior of the framing. All building components meet the requirements listed above. 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. k, El 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: El 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vert I ical glazing U -factor listed above. Location of the door(s) taking exception: Type of Heat Source: TForms/Building Division/Prescriptive Approach -Simple Form , " � Pe ... + LOT i .NIS", .�.; y i w�F'` .n., . " ,a „, :., 7s„„•.�'"t•.;gC.k`a- 'a 7,.t• -,:i• " a, " M "�•` `YF LEA .i..• 4M,�• •^ «C...4xx, 4Ch'." G. P ""�� 't •�u=3;'"µ, e44'� J.'.:. .r`e' ems•+ b;y g.„, �'�^n'fAp, . ""v"'.. .. .. 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Page 1 of 1 ♦ A I Property Search Results > 59344 MARCIA J KELLER for Year 2011 - 2012 Property Account Property ID: 59344 Legal Description: LOT 10 BL 331 TPA Geographic ID: 0630000331550000 Agent Code: Type: Real Tax Area: 0010 - PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi -Family Redevelopment: N Township: Section: Range: Location Address: 1023 S PEABODY ST Ma sco: PORT ANGELES, WA 98362 Neighborhood: PA East Res Map ID: 2 Neighborhood CD: 5001000 Owner Name: MARCIA J KELLER Owner ID: 209883 Mailing Address: 2222 NORTH 68TH ST % Ownership: 100.0000000000% KANSAS CITY, KS 66109 Website version: 9.0.32.2200 Database last updated on: 3/16/2012 3:48 © 2012 True Automation, Inc. All Rights AM Reserved. Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=59344 3/16/2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000354 Date 3/29/112 Application pin number . . . 978086 Property Address . . . . . . 1023 S PEABODY ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -3155 -0000 - y Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 u ------------------ ------------------------------------------------------ Application desc Detached garage ----------------------------------- ----------- ----- - --- Owner Contractor ------------------------- KELLER, MARCIA ------------------------ APS ELECTRIC 1023 S PEABODY ST 546 BENSON RD. PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 457-9155 (360) 452-6753 ---------------------------- Permit . . . . . . ELECTRICAL ---------------------------- ALTER RESIDENTIAL --Ili--- Additional desc . Permit Fee . . . . 74.00 Plan Check Fee.. X100 Issue Date . . . . 3/29/12 Valuation . . . . 0 Expiration Date 9/25/12 I Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-R-OUTBD/DTCH GAR IN/SEP 74:'00 ------------------------------------------------------------------------ Fee summary Charged ---------- Paid Credited ------------------------------ Due ----------------- Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 q INSPECTION TYPE DATE: RESULTS DITCH SERVICE ROUGH -IN 14 FINAL A' �' Z COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR: QMW Date: FROM A.P.S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 Mar. 27 2012 05:16PM P1 $120.00 Service/Feeder 201-400 Amp. $146.00 Service/Feeder 401.600 Amp $ 205.00 Service/Feeder 601-1000 Amp. $ 262.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuits 1.4 MAR 2 201, 1 r Branch Circuit W/ Service Feeder CITY OF PORT ANGELES .PERMIT APPLICA"1'ION ELECTRICAt Building Division/Electrical Inspections INSPECTIONS 321 East Fifth Street - P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 ON v 1 Date: 3 Temp. Service/ Feeder 200 Amp, $ 93.00 Temp. Service/Feeder 201 400 Amp. u 1 & 2 Single Family Dwelling Temp, Service/Feeder 401-600 Amp. $149.00 Temp. Service/Feeder 601-1000 Amp. "Plan Review May Be Required, Plea Co%plee ElectricI Plan Review Information Sheet Job Address: ii a 15c3. a M Building Square Footage: Description of above,ca�•QG,o Owner Informations '/ Contractor Information t / Name: i� n P �. t Q t� Q I I'Q r - Name: A . -P Mailing Address: o a -A So Ped to14 Mailing Address: 0#A City: P -A State; Zip: J City: State: IZip: Phone:_40 - q r 55 Fax: Phone-, Fax: f1p License is / Exp, License # I Exp, Item Unit Charge Service/Feeder 200 Amp. $120.00 Service/Feeder 201-400 Amp. $146.00 Service/Feeder 401.600 Amp $ 205.00 Service/Feeder 601-1000 Amp. $ 262.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuits 1.4 $ 75.00 Branch Circuit W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Temp. Service/ Feeder 200 Amp, $ 93.00 Temp. Service/Feeder 201 400 Amp. $110.00 Temp, Service/Feeder 401-600 Amp. $149.00 Temp. Service/Feeder 601-1000 Amp. $168.00 Portal to Portal Hourly $ 96.00 Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy . 5KVA System or Less $102.00 Thermostat $ 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 Qjt Total (Otv Multiolied by Unit Charael S S . $ $ $ $ $ $ 3 -- $ $ $ $-7 `r- 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 ora 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 296.466, 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 O Check X 61tC9- Dated: 3 Cmdlt card # ex A- - " 0110112012