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Home My WebLink About1906 Village Cir - BuildingFire Permit 1906 Village Cir 12 -1625 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc RESIDENTIAL FIRE SPRINKLER SYSTEM Owner HAIRE, ALEXIS M 2301 W 18TH ST #D18 PORT ANGELES WA 98363 Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total .00 .00 .00 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5`' Street, Port Angeles, WA 98362 12- 00001625 314125 1906 VILLAGE CIR 06-30-13-5-7- 0150 -0000- FIRE SPRINKLER SYSTEM RESIDENTIAL HIGH DENSITY 2250 Contractor FIRE SPRINKLER RESIDENTIAL RESIDENTIAL FIRE SPRINKLER .00 Plan Check Fee 12/18/12 Valuation 6/16/13 Paid Credited .00 .00 .00 .00 .00 .00 Date 12/18/12 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES (360) 452 -7583 WA 98362 Due .00 .00 .00 .00 2250 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit d /L-:, .8 i,/ 'X 12/ 042 Signature of Contractor or A horized Agent Date Signature of Owner (if Owner is builder) Date Inspection Type Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Completed by Contractor: Test #1 Piping pressure test psi Underground piping inspection/pressure test Above ground piping inspection/pressure test Time initiated Tank (container) inspection Test #2 Piping pressure test psi Appliance inspection LP -gas final Time initiated UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final FIRE PERMIT INSPECTION RECORD Call 360- 417 -4655 for fire 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 GENERAL COMMENTS: 2/15/00 moo' pokr q t er ItZ40 °tz PROJECT ADDRESS Project Business Name Fire Alarm System Check all that apply Fire Sprinkler System Check all that apply Installing backflow protection device(s)? yes Arm <2 inch water line (list quantity of devices) >2 inch water line (list quantity of devices) v 0/ e)c) 30 FIRE-RELATED PERMIT APPLICATION PROJECT VALUATION (labor materials) Hood Duct Fire Suppression System Check all that apply Will only the fire suppression system be installed or altered? yes no Will a hood and /or ductwork be installed or altered? o yes* no If yes, a mechanical permit will also be needed. PROJECT VALUATION (labor materials) Residential Commercial CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received AZ 321 E. Fifth St., Port Angeles, WA 98362 Permit 0--/e..-7_<-- (360) 417 -4815 fax (360) 417 -4711 Applicant V OvNr —Q.- as2 Property Owner Property Owner's Address Contractor /It/A( CJV 9-i Ea F i eiE SMZ ,Amt as Phone yes a -7 a Contractor's Address a h i Qj /f c,.,vt L L Pe,--1 4 .PL(2-,/' t t .4 963 6 2 License /A/A/ 0 if _..J' o bj' p it Expires Ji /j E- mail" Phone e06— 3 o 1�� c� c1-e. L cA iS o Residential Multi- family Commercial Industrial Briefly describe the project: t One addressable loop One zone o Additional zones List quantity of additional zones PROJECT VALUATION (labor materials) 2, 2_� O G C� esidential Multi family Commercial Industrial B de cribe the project: 1.- h- t rte S ,n ri k I e Multi- family o Industrial Briefly describe the project: I have read and completed this application and know it to be true and correct. 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. Date I Z Print Name VI v4 C 1� 2 R Signature V2y -QtTI2-■ T: Forms /Building /Fire related permit application t PREPARED 4/01/13, 150312 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT INSPECTION HISTORY REPORT 0/00/00 THRU 0/00/00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION 12 00001625 1906 VILLAGE CIR 06 30 13 5 7 0150-0000- 063013570150 000 000 FSPK 00 FIRE SPRINKLER RESIDENTIAL FFNL 0001 FIRE FINAL 3/28/13 APPROVED REQ COMM: March 28, 2013 1010:55 AM kdubuc. RES COMM: March 28, 2013 1011:11 AM kdubuc. PAGE RESULT DATE/STATUS INSPECTOR KDD Electrical Permit 1906 Village Cir 12 -1321 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH )OJio J 12— SERVICE 1 19 2 ROUGH -IN l 1 r. 7 7 FINAL z f27/'r7 COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc New Home Owner HAIRE, ALEXIS M 2301 W 18TH ST #D18 PORT ANGELES WA 98363 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 120.0000 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL NEW RESIDENTIAL 120.00 10/09/12 4/07/13 120.00 .00 120.00 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 12- 00001321 621861 1906 VILLAGE CIR 06-30-13-5-7- 0150 -0000- ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 EL -R -SQFT FIRST 1300 120.00 .00 120.00 Contractor PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION OWL ELECTRIC PO BOX 536 CARLSBORG WA 98324 (360) 582 -0833 AD 582- oZ31 Plan Check Fee Valuation Paid Credited Due .00 .00 .00 Date 10/09/12 Extension 120.00 .00 .00 .00 .0 0 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: yg 9w to/ e--- /8, 2 Single Family Dwelling Plan Review a Be Requir p, Please Complete Electrical Plan Review Information Sheet Job Address: C 0 4 (I 1 tit Building Square Footage: /2i�d Description of above fV P /1/ Si rr, Alai /+y- ()CI /he% Owner ligormation 1 a Name: P eiYf t HPut 9 r I dgs/ N R 4a I l kifr h1 tvlailing A dress: Z 6d3 S Pva f City: f State: t' Zip: 'Za f ife G Phone: Fax: License Exp. Signature of owner Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp Portal to Portal Hourly i Signal Circuit/ Limited Energy -1 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy.- 5KVA System or Less Thermostat Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge 120.00 146.00 205.00 262.00 373.00 5.00 63.00 5.00 75.00 93.00 110.00 149.00 168.00 96.00 64.00 120.00 102.00 56.00 120.00 40.00 74.00 110.00 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 t 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. trical contr ctor or electrical administrator: Dated: COT 0 u /,Ir ELECTRICAL INSPECTIONS 1 111 ,'4 �p tr o Contracto Infor ati• Name: Mailing Addrefs City: C'.iP (i6b9f State: td iF Zip: Y32 Phone: ,S' Z °2) 7 T Fax: 3` se ,17 License Exp. tf tto G 51 f 2' a/ 9 Glq Total (Qty Multiplied by Unit Charge) t izo Total Cash Check Credit Card 0110112012 Electrical Permit 1906 Village Cir 12 -592 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE f 1 g /`Z— 0 ROUGH -IN FINAL fg/( l COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Temp pole Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES (360) 452 -7631 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 93.0000 ECH EL -TEMP SRV 0 -200 SRV FDR Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983626710 12- 00000592 858944 1906 VILLAGE CIR 06-30-13-5-7- 0150 -0000- ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 93.00 5/15/12 11/11/12 93.00 .00 93.00. Contractor ELECTRICAL TEMPORARY SERVICE 93.00 .00 93.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 0 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 OLYMPIC WIRING INC 9601 PROVOST ROAD NW. SILVERDALE WA 98383 (360) 692 -0134 Plan Check Fee Valuation Paid Credited Due .00 .00 .00 Date 5/16/12 .00 0 Extension 93.00. .00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: 0 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Temp pole Owner PENINSULA HOUSING AUTHORITY 2603 S 'FRANCIS ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 98362 12- 00000592 858944 1005 GOLF 06 -30 EL RICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor ELECTRICAL TEMPORARY SERVICE 93.00 5/15/12 11/11/12 Qty Unit Charge Per 1.00 93.0000 ECH EL -TEMP SRV 0 -200 SRV FDR 93.00 .00 93.00 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Paid Credited 93.00 .00 93.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 5/15/12 URSE RD I 5 -7- 0160- 0000 7 Plan Check Fee Valuation .00 .00 .00 VI LL~• OLYMPIC WIRING INC 9601 PROVOST ROAD NW. SILVERDALE WA 98383 (360) 692 -0134 36b L Z '3E$O Due Extension 93.00 .00 .00 .00 .0 0 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: MAY -14 -2012 01:14P FROM:OLYMPIC WIRING (360)692 -3680 CITY OF PORT ANGELES PERMIT APPLICATION Builtling.Division /Electrical inspections 321 'East fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417- 4711 Date: 5 14 12. 1 2 Single Family Dwelling 1//Z.444-0 Plan Review May Be Re uired Please Complete Electrical Job Address: e Budding Square Footage: Description of above._ 5 t v►.1 t._ ti_ site_ A -r Owner Information Name: Perin%In 5 LA..(al„ I-}nu st ti 4t/. Mailing Address Z1.0 So, F1/ C•15 Sf. City: PeAri- A eteJes Slate: W Zip: etg'31o2- Phone( 31.0) g12.-ooZ9 CBFiuGE License Exp. Plan Review Information Sheet o.^4 A n e eS TO:13604174711 r A ELECTZIC A (NSPECTIO:! :i LO T Pewinsr/AA-- V iU.c.c,t Contractor Information Name: 0 L.N1 r C. W t e_t N G Mailing Address: 9 £.e 1 P tr ovo s RA 1. J -W City: 6t L Jete_DALE Slate: W A Zip: R R' R3 Phone Lo Z -0134 Fax: 36o log 2 -3 toTtO License 1 Exp. ot P 31n R Item Unit Charge, Qty 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 Circuit W/ Service Feeder 5,00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5,00 Branch Circuits 1.4 75.00 J 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 Note: $5.00 for each additional T -Slat 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 93.00 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 taws, N.E.C., RCW. Chapter 19.28, WAG. 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: 0 Cash 0 Check 0 Credit Card b Dated: 3- 12. 01101/2012 70 1,04T.1.1, C i J P.3/4 Total (Qty Multiplied by Unit Charge) q :.aa 11 SA Building Permit 1906 Village Cir 12 -257 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1120 SF SFR W /ATTACHED GARAGE Owner HAIRE, ALEXIS M 2301 W 18TH ST #D18 PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty .00 Permit Additional desc Permit Fee Issue Date Expiration Date 4.00 1.00 .00 1.00 Permit Additional Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Qty Unit Charge desc 7.2500 EA 10.6500 EA 10.6500 EA 14.8000 EA WA 98363 Unit Charge Per BASE FEE 5.6000 THOU BL- 100,001 -500K (5.60 PER K) Per Qty Unit Charge Per 6.00 1.00 3.00 7.0000 EA 7.0000 EA 7.0000 EA T:Forms /Building Division /Building Permit MECHANICAL PERMIT 12- 00000257 526538 1906 VILLAGE CIR 06-30-13-5-7- 0150 -0000- RES NEW SFR RESIDENTIAL HIGH DENSITY 115612 Contractor OWNER BUILDING PERMIT RESIDENTIAL 1120 SF SFR W /ATTACHED GARAGE 1109.85 Plan Check Fee 721.40 8/16/12 Valuation 115612 2/12/13 104.45 Plan Check Fee 8/16/12 Valuation 2/12/13 BASE FEE ME -VENT FAN (SINGLE DUCT) ME- HOOD /DUCT -MECH. EXHAUST ME- STOVE /FIREPLACE /MISC. APP. ME- HEATER(SUSP /WALL /FLOOR -MTD) PLUMBING PERMIT 142.00 Plan Check Fee 8/16/12 Valuation 2/12/13 BASE FEE PL- PLUMBING TRAP PL -WATER LINE PL -DRAIN VENT PIPING Date 8/16/12 Extension 1109.85 .00 .00 0 Extension 50.00 29.00 10.65 .00 14.80 .00 0 Extension 50.00 42.00 7.00 21.00 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 goveming 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) Inspection Type Date Accepted By Comments FOUNDATION: Accepted By Footings 417 -4735 Stemwall Construction R.W. Foundation Drainage Downspouts 417 -4831 Piers Fire 417 -4653 Post Holes (Pole Bldgs.) Planning PLUMBING: 417 -4750 Under Floor Slab Building Rough -In 417 -4815 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 Fumace 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. Other Fees rf r Application Number CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application pin number Qty Unit Charge Per 1.00 15.0000 EA PL -SEWER LINE 1.00 7.0000 EA PL -WATER HEATER Special Notes and Comments March 9, 2012 11:00:45 AM tamiot. Electrical service will be from pedestal at southeast corner of property. March 16, 2012 8:47:32 AM rbecker. Open or closed fire system? Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International'Fire Code (IFC) and National Fire Protection Association (NFPA). March 14, 2012 1:02:16 PM sroberds. The proposal will result in a new sfr w /att garage in the RED for total lot coverage of 221 and site coverage of 291 on an exterior lot. No land use issues anticipated. All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover. Notice will be given 48 hours in advance of commencing work. Public Works Inspection request line 417 -4831 Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417 -4831 Construct driveway 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. Public Works inspection request line 417 -4831 Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand T:FormsfBullding Division/Building Permit Page 12- 00000257 Date 526538 RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Paid Credited 1356.30 1356.30 .00 721.40 721.40 .00 5294.50 5294.50 .00 7372.20 7372.20 .00 2 8/16/12 Extension 15.00 7.00 770.00 2260.00 4.50 2260.00 Due .00 .00 .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 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) Inspection Type Date Accepted By Comments FOUNDATION: -O`Cs— Footings L441 rk.ft. I`�tt aufinw'r Stemwall Foundation Drainage Downspouts' Piers Construction R.W. PW Engineering 417 -4831 Post Holes (Pole Bldgs.) Fire PLUMBING: 417 -4653 Under Floor Slab Planning Rough -In 417 -4750 Water Line (Meter to Bldg) /0— /7-11— •.-3 Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: r c V, 1 igevg J Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1120 SF SFR W /ATTACHED GARAGE Owner HAIRE, ALEXIS M 2301 W 18TH ST #D18 PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per, BASE FEE Qty Unit Charge Per Permit Additional Permit Fee Issue Date Expiration Date 1.00 desc WA 98363 Qty Unit Charge Per T: Forms /Building Division /Public Works Permit CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 12- 00000257 526538 1906 VILLAGE CIR 06-30-13-5-7- 0150 -0000- RES NEW SFR RESIDENTIAL HIGH DENSITY 115612 Contractor OWNER DRIVEWAY INSTALLATION DRIVEWAY INSPECTION 55.00 Plan Check Fee 8/16/12 Valuation 2/12/13 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4" DROP IN METER Permit Fee 420.00 Plan Check Fee Issue Date 8/16/12 Valuation Expiration Date 2/12/13 1.00 420.0000 EA PW WATER METER DROP IN PUBLIC WORKS STORMWATER Qty Unit Charge Per 135.0000 EA SAN SEW STM CON OTHER Date 8/16/12 .00 0 Extension 55.00 .00 115612 Extension 420.00 135.00 Plan Check Fee .00 8/16/12 Valuation 115612 2/12/13 Extension 135.00 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 150.00 Plan Check Fee .00 Issue Date 8/16/12 Valuation 115612 Expiration Date 2/12/13 Extension 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 as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or orized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB R. GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417- 4815 BUILDING CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Number Application pin number Qty Unit Charge Per 1.00 150.0000 EA SAN SEWER HOOKUP Special Notes and Comments March 9, 2012 11:00:45 AM tamiot. Electrical service will be from pedestal at southeast corner of property. March 16, 2012 8:47:32 AM rbecker. Open or closed fire system? Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). March 14, 2012 1:02:16 PM sroberds. The proposal will result in a new sfr w /att garage in the RHD for total lot coverage of 22% and site coverage of 29% on an exterior lot. No land use issues anticipated. All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover. Notice will be given 48 hours in advance of commencing.work. Public Works Inspection request line 417 -4831 Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417 -4831 Construct driveway 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. Public Works inspection request line 417 -4831 Other Fees Fee summary ,Charged T:Forms /Building Division/Public Works Permit CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 12- 00000257 Date 526538 RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 2260.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 2260.00 Paid Credited Permit Fee Total 760.00 760.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 Grand Total 6054.50 6054.50 .00 Due 2 8/16/12 Extension 150.00 .00 .00 .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 as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW'/ ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417- 4815 BUILDING CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T:Forms /Building Division /Public Works Permit rOk likuVa NNW Applicant 2E■ 4DtASINIG, Property Owner ,tic r—l? v C Property Owner's Address i OR 4 er Contractor Contractor's Address License PROJECT ADDRESS b(p u tu.,Igt Pp fur AlutE -ass, 10 A- Q '341 o, Parcel Number Ob 30 -13 Sr 20 l SO Lot /..5 Zoning R I D o Commercial Industrial Project Type Brief Description: AResidential o Multi- family Check all that apply II&New Construction CDt■1STRuCTzel1.( op NEW -Si sine„c pet& I REs1iO' -NcE up SlNC,&E C M 44e0 GOOLIVAL o Addition o Remodel o Repair Demolition o Re -roof sel seat System ix-House $.garage o other o tear off re -roof o lay over one layer Heat pump o wood burning stove o gas fireplace o pellet stove other .Other e c. A WA-1 HATER Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION I r 5 lc, a Total footprint of structures I a b sq. ft. T Lot size sot q sq. ft, Lot coverage 91. 1 Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, 2atios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage ac Max. height of proposed structures a 3 Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? T:Forms /Building BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Existing (sg. ft.) Proposed (sq. ft.) MAR 5 2012 CITY OF PORT ANGELES Buimin nivisinI ft. N Y 6, 88 Sa O 336 Expires Occupancy group Occupant load Construction type Dater2.I l i MA) lrte Signatu For City Use Only: Date Rece'ved Permit gate Approved 1A E -mail 30 is Phon 360-'lS ?43/ /,04 9836 P r*017 per sq. ft. S9, 1 %a q TOO O 10,0$0 of bedrooms 3 of full baths of half baths 1 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. agisiO Cb c�J 2 TV s D p 51 .2 D 1 5F1 °lo'2c 421 UCv ill 6' C Gou L 13 5 �5O F -4 1 L.a: uI .or 1 PP70.Poip I22�5� 23,2 fI0J07D 1225135 U Li T CRY GOVERNMENT PRESCRIPTIVE APPROACH- SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information: Lot:.' /j 1// Address: /fo ro lit LL,4-C E e /2CLL City: /°0122 47/6 State: G/4-- Zip: '3 C a, Contact: 4OAI5T ,4' \J E meevae v Phone: 7 7 /9 Phone2: 366 or:)? FAX: 3 t 0 7 4 7 1 43 Building Department Use Only: Permit Notes: Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Unlimited Group R -3 and R-4 Occupancies Only This Project complies with the following: The project is a single- family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above. 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. 02.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U- factor listed above. Location of the door(s) taking exception: Type of Ileat Source: g0 ,'91 2�F 2/e t j, i_ o U N r ?/0W N ..otierrs T:Forms /Building Division /Prescriptive Approach Simple Form Option Glazing Area of Floor Glazin g U- Factor 9 Door U- Factor Ceiling Vaulted 3 Ceiling Wall' Above Grade Wall- int Below Grade Wall- ext Below Grade Floor Slab on Grade Vertical Overhead l Super Efficient Building Envelope 3 4a Air Leakage Control and Efficient Ventilation 4b Additional Air Leakage Control and Efficient Ventilation R-49 or Efficient Water Heating R -21 R -21 6 Small Dwelling Unit R -10 O I 13% 0.34 0.50 0.20 R -38 R -38 Int.' TB R -10 R -30 2' Adv. R-49 or R -21 R -21 R -10 0 II 25% 0.32 0.50 0.20 R -38 R -38 Int TB R -10 R -30 2' Adv. R-49 or R -21 R -21 R -10 O III Unlimited 0.30 0.50 0.20 R -38 Adv. R -38 Int TB R -10 R -30 2' la High Efficiency HVAC Equipment 1 1 b High Efficiency HVAC Equipment 2 lc High Efficiency HVAC Equipment 3 2 High Efficiency HVAC Distribution System 3a Efficient Building Envelope 1 3b Efficient Building Envelope 2 3c Super Efficient Building Envelope 3 4a Air Leakage Control and Efficient Ventilation 4b Additional Air Leakage Control and Efficient Ventilation 5a Efficient Water Heating 5b High Effieciency Water Heating 6 Small Dwelling Unit 7 Large Dwelling Unit 8 Renewable Electric Energy Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact Information Peninsula Village Birchwood Plan Lot /5 This set of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located in Climate Zone 1. The following forms provide much of the required documentation for plan review. The details noted here must also be shown on the drawings (WSEC 104.2). This form is not a substitute for the energy code itself. To obtain a copy of the energy code, go to the following web, address. http: //www.energy.wsu.edu /code See WSEC table 6-1 for footnotes Glazing Schedule Attached to Document El Total Credits Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option III. All glazing and doors meet maximum U- factor. Alternate heating size method submitted. Option I or II, Glazing to floor area limit (WSEC 602.7.2) Area weighted window, skylight or door U- factor (WSEC 602.7.2) As part of the heating system sizing calculation (IRC M1401.3 WSEC 503.2.2) Radiant slab: R -10 foam insulation, continuous with thermal break (WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Required Opt. Opt. Description WSEC Prescriptive Worksheet (2010 edition) Zone 1 HACC Kay Kassinger 2603 South Francis Street Port Angeles, WA 98362 *1200 kwh 1.0 CI 1.00 WSUEEP10-010 Copyright 2010 Glazing Schedule Project Information Peninsula Village Birchwood Plan Lct I5 i°V Exterior Doors Plan Conditioned Floor Area Sum of All Glazing Areas From Below Glazing to Floor Area Ratio Component WSEC Prescriptive Worksheet (2010 Edition) 1228 216 17.55% 4x4 Horizontal Slider 4x3 Horizontal Slider 3x1.5 Horizontal Slider Sliding Glass Door 2x4 Fixed Window 3x5 Single Hung 2.5x2.5 Single Hung 0.320 0.320 0.320 0.320 0.320 0.320 0.320 Contact Information HACC Kay Kassinger 2603 South Francis Street Port Angeles, WA 98362 Sum of UA for Heating System Sizing 602.7.2 Exception Ratio (not to exceed 1 Sum of Glazing Area, Door Area, and UA (do not include exempt door) Area Weighted U UA/Area Sum of Area and UA for Heating system size only (include exempt door) Vertical Glazing (Windows, Glazed doors using Exception 602.6 #1) Plan Component Glazing Width Height ID Description Ref. U- factor Qt. Feet Inch Feet Inch 3 1 1 1 2 6 2 4 4 3 5 2 3 2 5 4 3 1 6 4 5 2 6 8 5 Sum of Area and UA Area Weighted U UA/Area I 77.0 Door Percent Width Height Glazing Door. Door f. U- factor Glazed Qt. Feet Inch Feet inch Area Area UA 20.0 1 40.0 4.0 0.20 8.0 Glazing Area UA 48.0 12.0 4.5 33.3 16.0 90.0 11.7 15.36 3.84 1.44 10.67 5.12 28.80 3.74 215.5 68.96 0.32 WSUEEP10-010 Copyright 2010 Garage Door 0.200 1 3 6 8 20.0 4.0 One Exempt Swinging Door 24 Square Feet 0.200 1 3 6 8 20.0 4.0 Glazing Schedule Project Information Peninsula Village Birchwood Plan Lct I5 i°V Exterior Doors Plan Conditioned Floor Area Sum of All Glazing Areas From Below Glazing to Floor Area Ratio Component WSEC Prescriptive Worksheet (2010 Edition) 1228 216 17.55% 4x4 Horizontal Slider 4x3 Horizontal Slider 3x1.5 Horizontal Slider Sliding Glass Door 2x4 Fixed Window 3x5 Single Hung 2.5x2.5 Single Hung 0.320 0.320 0.320 0.320 0.320 0.320 0.320 Contact Information HACC Kay Kassinger 2603 South Francis Street Port Angeles, WA 98362 Sum of UA for Heating System Sizing 602.7.2 Exception Ratio (not to exceed 1 Sum of Glazing Area, Door Area, and UA (do not include exempt door) Area Weighted U UA/Area Sum of Area and UA for Heating system size only (include exempt door) Vertical Glazing (Windows, Glazed doors using Exception 602.6 #1) Plan Component Glazing Width Height ID Description Ref. U- factor Qt. Feet Inch Feet Inch 3 1 1 1 2 6 2 4 4 3 5 2 3 2 5 4 3 1 6 4 5 2 6 8 5 Sum of Area and UA Area Weighted U UA/Area I 77.0 Door Percent Width Height Glazing Door. Door f. U- factor Glazed Qt. Feet Inch Feet inch Area Area UA 20.0 1 40.0 4.0 0.20 8.0 Glazing Area UA 48.0 12.0 4.5 33.3 16.0 90.0 11.7 15.36 3.84 1.44 10.67 5.12 28.80 3.74 215.5 68.96 0.32 WSUEEP10-010 Copyright 2010 Simple Heating System Size: Climate Zone 1 Project Information Peninsula Village Birchwood Plan Lx-1 15 Indoor Design Temperature Outdoor Design Temperature Design Temperature Difference (DT) AT Indoor Outdoor Design Temp Conditioned Floor Area Conditioned Volume Glazing Copy Sum of UA from Glazing Schedule Attic U- Factor X 0.027 0.026 Floors 1 R-49 R -38 Advanced Above Grade Walls R -21 1 Single Rafter or Joist Vaulted Ceilings U- Factor X Area 0.027 R -38 Vented 1 1 R -30 Below Grade Walls 2' Depth 3.5' Depth 7' Depth 1 Slab Below Grade 2' Depth 3.5' Depth 7' Depth Slab on Grade R -10 2' perimeter R -10 Full Heated U- Factor X 0.056 U- Factor X Walls 0.042 Walls 0.041 Walls 0.037 1 1 F- Factor X 0.59 0.64 0.57 1 1 F- Factor X 0.54 0.55 1 Sum of UA Envelope Heat Load Sum of UA X AT Air Leakage Heat Load ((Volume X 0.6),X AT) X .018)) Building Design Heat Load Air Leakage Envelope Heat Loss Building and Duct Heat Load Maximum Heat Equipment Output Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet (2010 Edition) 281 Area Area U- Factor X Area 0.029 Area 70 42 1228 9824 771 1228 1736 1228 Length 11 150% If ducts are located in unconditioned space: Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space: Sum of Building Heat Loss X 1 Contact Information HACC Kay Kassinger 2603 South Francis Street Port Angeles, WA 98362 UA 31.9 UA UA UA 97.2 UA 35.6 UA UA 242 101521 4456) 1 146081 1 146081 1 219131 Btu Hour Btu Hour Btu Hour Btu /Hour Btu Hour WSUEEPI 0 -010 Copyright 2010 May 14, 2012 Nathan A. West AICP Director Community and Economic Development City of Port Angeles P.O. Box 1150 Port Angeles, WA 98362 Subject: Permit Application Refund Request Dear Nathan; Peninsula Housing Authority Serving Clallam and Jefferson Counties 2603 S. Francis Street, Port Angeles WA 98362 (360) 452 -7631 Ext 41 (360) 452 -9468 Fax Email: kkassinger(a�peninsulapha.orq 10 -676 1906 Village Circle Building Permit Fee $1,109.85 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System Delv Charge $1,980.00 PW Water System Use Fee $1,980.00 $6,124:90 10 -678 1005 Golf Course Road Building Permit Fee $1,042.65 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System Delv Charge $1,980.00 $3,657.70 Lot 15 ECEOVE MAY 15 2012 Lot 16 C TY OF PORT ANGELES LDept. of Community Development The Peninsula Housing Authority requests a refund of the following fees paid for the Peninsula Village III building permit applications: EQUAL HOUSING OPPORTUNITY BARRIER FREE 111 1 10 -679 1015 Golf Course Road Lot 19 Building Permit Fee $1,042.65 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System DeIv Charge $1980.00 PW Water System Use Fee $1,980.00 $5,637.70 10 -680 1920 Village Circle Building Permit Fee $1,065.05 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System DeIv Charge $1,980.00 PW Water System Use Fee $1,980.00 $6,080.10 10 -681 1924 Village Circle Building Permit Fee $1,042.65 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 10 -682 Sewer System DeIv Charge $1,980.00 PW Water System Use Fee S1.980.00 6,057.70 1928 Village Circle Building Permit Fee Mechanical Permit Fee Plumbing Permit Fee P W Res Water Sery Fee Sanitary Sewer Hook up Fee Public Works Stormwater Fee Sewer System DeIv Charge PW Water System Use Fee $1,042.65 $208.05 $142.00 $420.00 $150.00 $135.00 $1,980.00 $1,980.00 $6,057.70 Lot 21 Lot 22 Lot 23 EQUAL HOUSING OPPORTUNITY BARRIER FREE 10 -683 1932 Village Circle Building Permit Fee $1,065.05 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System DeIv Charge $1,980.00 PW Water System Use Fee $1,980.00 $6,080.10 10 -684 1936 Village Circle Building Permit Fee $1,065.05 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System DeIv Charge $1,980.00 PW Water System Use Fee $1,980.00 $6,080.10 Driveway installation fees are not included in the request as they were not charged. I am not certain if this is due to the drives accessing private streets or not. I have attached a copy of the City receipts for each permit application used to calculate the request. Thank you for your assistance and if you need any additional information, please do not hesitate to contact me. Regards, Direc Cc Annette Dotlich assinger or of Acquisiti s and Development Lot 24 Lot 25 EQUAL HOUSING OPPORTUNITY BARRIER FREE PREPARED 10/19/10, 16:49:41 CITY OF PORT ANGELES APPLICATION NUMBER: 10- 00000676 1906 VILLAGE CIR LOT �5 FEE DESCRIPTION AMOUNT DUE PLAN CHECK FEES 721.40 BUILDING PERMIT RESIDENTIAL 1109.85 v MECHANICAL PERMIT 208.05 v PLUMBING PERMIT 142.00 1PUBLIC WORKS RES WATER SERV 420.00 PUBLIC WORKS STORMWATER 135.00 SANITARY SEWER HOOK UP 150.00 f SEWER SYSTEM DELV CHARGE 1980.00 STATE 4.50 y/PW WATER SYSTEM OSE FEE 15 TOTAL DUE 6850.80 1/ PAYMENTS DUE RECEIPT PROGRAM BP820L Please present this receipt to the cashier with full payment. PREPARED 4/01/13, 11:47:31 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT 12 00000257 000 000 1906 VILLAGE CIR 06-30 BPR 00 BUILDING PERMIT RESIDENTIAL BL1 0 REQ COMM: REQ COMM: RES COMM: September 10 RES COMM: ufr ok 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL2 0 REQ COMM: REQ COMM: REQ COMM: RES COMM: September 12 INSPECTION HISTORY REPORT PAGE 1 0 /00 /00 THRU 0 /00 /00 ASSESSOR PARCEL NUMBER INSPECTION ALTERNATE ID RESULT DATE /STATUS 13 -5 -7- 0150 -0000- 063013570150 001 BLDG FOUNDATION FOOTING 9/10/12 APPROVED September 10, 2012 9:31:24 AM pbarthol. bruce 912 -0079 2012 4:22:32 PM jlierly. 001 BLDG FOUNDATION STEM WALL 9/12/12 APPROVED PB September 12, 2012 8:45:02 AM pbarthol. Robert 670 -5030 Am 2012 3:48:12 PM pbarthol. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BFF 0001 BLDG FLOOR FRAMING 9/27/12 APPROVED REQ COMM: September 27, 2012 8:59:05 AM pbarthol. REQ COMM: bruce 912 -0079 RES COMM: September 27, 2012 4:15:40 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL9 0001 BLDG SHEARWALL 12/20/12 APPROVED REQ COMM: December 20, 2012 8:24:27 AM pbarthol. REQ COMM: Bruce 912 -0079 RES COMM: December 20, 2012 4:44:18 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL3 0001 BLDG FRAMING 1/17/13 APPROVED REQ COMM: January 17, 2013 9:44:24 AM pbarthol. REQ COMM: Bruce 912 -0079 RES COMM: January 17, 2013 4:06:08 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BAIR 0001 BLDG AIR SEAL 1/17/13 APPROVED REQ COMM: January 17, 2013 9:44:40 AM pbarthol. REQ COMM: Bruce 912 -0079 RES COMM: January 17, 2013 4:06:08 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLI 0001 BLDG INSULATION 1/22/13 APPROVED REQ COMM: January 22, 2013 8:41:54 AM pbarthol. REQ COMM: Bruce 912 -0079 RES COMM: January 22, 2013 4:33:48 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLDR 0001 BLDG DRYWALL IBWP 1/31/13 APPROVED REQ COMM: January 31, 2013 8:50:39 AM pbarthol. REQ COMM: Bruce 912 -0079 RES COMM: January 31, 2013 4:22:56 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL PW99 0001 PUBLIC WORKS FINAL 3/22/13 APPROVED REQ COMM: March 22, 2013 11:56:49 AM rvess. RES COMM: March 22, 2013 11:57:18 AM rvess. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0001 BLDG FINAL 3/28/13 APPROVED REQ COMM: March 28, 2013 9:12:08 AM pbarthol. REQ COMM: Bruce 912 -0079 RES COMM: March 28, 2013 4:26:14 PM jlierly. INSPECTOR JLL JLL JLL JLL JLL JLL JLL RV JLL PREPARED 4/01/13, 11:47:31 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT 000 000 DWY 00 DRIVEWAY INSTALLATION REQ COMM: RES COMM: March 000 000 ME 00 MECHANICAL PERMIT 000 000 PL 00 PLUMBING PERMIT 000 000 PL 00 PLUMBING PERMIT 000 000 PL 00 PLUMBING PERMIT REQ COMM: REQ COMM: RES COMM: REQ COMM: REQ COMM: REQ COMM: RES COMM: REQ COMM: REQ COMM: RES COMM: INSPECTION HISTORY REPORT 0 /00 /00 THRU 0 /00 /00 ASSESSOR PARCEL NUMBER INSPECTION 12 00000257 CONTINUED 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL FFNL 0001 FIRE FINAL REQ COMM: March 28, 2013 RES COMM: March 28, 2013 10:17:43 AM kdubuc RES COMM: fire final PW6 0001 PUBLIC WORKS DRIVEWAY 3/22/13 APPROVED March 22, 2013 11:57:03 AM rvess. 22, 2013 11:57:28 AM rvess. ME99 0001 MECHANICAL FINAL March 28, 2013 9:12:23 AM pbarthol. Bruce 912 -0079 March 28, 2013 4:26:14 PM jlierly. PL6 0001 PLUMBING WATER SUPPLY 10/11/12 APPROVED October 11, 2012 8:53:34 AM pbarthol. John 460 -6902 Bruce requested as early as possible (AM October 11, 2012 4:45:48 PM jlierly. PL2 0001 PLUMBING ROUGH -IN December 28, 2012 9: John 460 -6902 January 3, 2013 9:59:50 AM pbarthol. PL99 0001 PLUMBING FINAL REQ COMM: March 28, 2013 9:12: REQ COMM: Bruce 912 -0079 RES COMM: March 22, 2013 11:54:03 AM rvess. RES COMM: March 28, 2013 4:26:32 PM jlierly. ALTERNATE ID RESULT DATE /STATUS 3/28/13 APPROVED 10:17:24 AM kdubuc. 3/28/13 APPROVED 1/03/13 APPROVED 31:25 AM pbarthol. 3/28/13 APPROVED 33 AM pbarthol. 000 000 PWSW 00 PUBLIC WORKS STORMWATER PW4 0001 PUBLIC WORKS STORM REQ COMM: October 11, 2012 12:38:46 PM rvess. RES COMM: October 11, 2012 12:39:12 PM rvess. 10/10/12 APPROVED 000 000 SSHU 00 SANITARY SEWER HOOK UP PW2 0001 PUBLIC WORKS SEWER CONNEC 10/11/12 APPROVED REQ COMM: October 11, 2012 12:37:59 PM rvess. RES COMM: October 11, 2012 12:39:22 PM rvess. PAGE 2 INSPECTOR KDD RV JLL JLL PB JLL RV RV