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Home My WebLink About3109 Grants View Ln - BuildingElectical Permit 3109 Grants View Ln 12 -1634 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE --2- s 1 AP AC—D ROUGH -IN 1 7 2 17.. AP A G. t, FINAL i 1 i 3 COMMENTS: b 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 ACE MICHAELS INC 1329 W 10TH ST PORT ANGELES (360) 460 -6172 Permit Additional desc Permit Fee Issue Date Expiration Date WA 98363 Fee summary Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL NEW RESIDENTIAL 160.00 12/18/12 6/16/13 160.00 .00 160.00 Qty Unit Charge Per 1.00 120.0000 ECH EL -R -SQFT FIRST 1300 1.00 40.0000 ECH EL -R -SQFT ADDITIONAL 500 Signature of owner or Electrical Contractor X G: \EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 12- 00001634 Date 12/18/12 992806 3109 GRANTS VIEW LN 06-30-15-5-1- 2803 -0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 160.00 .00 160.00 Contractor PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION JEDI ELECTRIC 331 FORS RD. PORT ANGELES WA 98362 (360) 460-0556 6' XI& Plan Check Fee .00 Valuation Paid Credited Due .00 .00 .00 Extension 120.00 40.00 .00 .00 .00 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 0 f? 1 a 1& 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 310 �(AT:S (2i ecu, Building Square Footage: I'S 4 Description of above /Syo Sy .20c 0 _f'cr(1( ELECTalCA INSPECTIONS Owner Informn tion A c Contrac I Name: M r �n V�PX r t N ame: .E61- ec i G_ Mailing Address: Mailing ,Address: fte 331 r is PO- City: State: Zip: City: N Ar State: r.0 Zip: W- 3G 3 Phone: Fax: Phone: '160 --osS6 Fax: 41 SCS -ll7k License /Exp. License /Exp. .Srrsit r 9S7 GZ Item Unit Charge Total (Qty Multiplied by Unit Chargel 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 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 -Stat NEW CONSTRUCTION ONLY: d o First 1300 Square Ft. 120.00 t 1,2..0 Each Additional 500 Square Ft. or Portion of 40.00 `'f 0 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 16 .o 0 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of ow. electrical contractor or electrical administrator: Cash XCEheck Credit Card Dated: I/ 0110112012 Building Permit 3109 Grants View Ln 12 -1339 t Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1882 SQ FT SFR Owner ACE MICHAELS INC 1329 W 10TH ST PORT ANGELES (360) 460 -6172 Permit Additional desc Permit Fee Issue Date Expiration Date Qty 37.00 Permit Additional desc Permit Fee Issue Date Expiration Date Qty 3.00 1.00 1.00 Qty 11.00 1.00 5.00 1.00 7.2500 EA 10.6500 EA 14.8000 EA T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 98363 BUILDING PERMIT 1882 SQ FT SFR 1227.45 10/29/12 4/27/13 MECHANICAL PERMIT 97.20 10/29/12 4/27/13 12- 00001339 091772 3109 GRANTS VIEW LN 06-30-15-5-1- 2803 -0000- RES'NEW SFR RS9 RESDNTL SINGLE FAMILY 136410 Contractor ACE MICHAELS INC 1329 W. 10TH ST. PORT ANGELES (360) 460 -6172 RESIDENTIAL Unit Charge Per BASE FEE 7.0000 EA PL- PLUMBING. TRAP 7.0000 EA PL -WATER LINE 7.0000 EA PL -DRAIN VENT PIPING 15.0000 EA PL -SEWER LINE Date 10/29/12 WA 98363 Plan Check Fee 797.84 Valuation 136410 Unit Charge Per BASE FEE 5.6000 THOU BL- 100,001 -500K (5.60 PER K) Plan Check Fee Valuation Unit -Charge Per BASE FEE ME -VENT FAN (SINGLE DUCT) ME -HOOD /DUCT -MECH. EXHAUST ME- HEATER(SUSP /WALL /FLOOR -MTD) Permit PLUMBING PERMIT Additional desc NEW SFR Permit Fee 191.00 Plan Check Fee Issue Date 10/29/12 Valuation Expiration Date 4/27/13 Extension 1020.25 207.20 .00 0 Extension 50.00 21.75 10.65 14.80 00 0 Extension 50.00 77.00 7.00 35.00 15.00 REPORT SALES TAX on your state excise tax form 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 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. Oik a'aq _G VOL CAAN-L p' Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: FINAL Date Accepted by Heat Pump Fumace 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. T Cnrmc /R��ilrlinn Ilh,i.inn /R.�ilrlinn Darrnit Page 2 12- 00001339 Date 10/29/12 Application pin number 091772 Application Number Qty Unit Charge Per 1.00 7.0000 EA PL-WATER HEATER Special Notes and Comments October 15, 2012 1:27:10 PM jpatters. Must have address numbers plainly visible. Six inches high in contrasting color October 15, 2012 1:21:11 PM tamiot.. Electrical permit required for all electrical work. Service is to be underground from existing electrical pedestal at the south west corner of the property. if any questions regarding electrical service contact Tim 360 912 -2265 October 26, 2012 11:26:55 AM sroberds. The proposal will result in a new sfr in the RS -7 for total lot coverage of 29% and site coverage of 44 No land use issues, 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. 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 Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 1515.65 1515.65 .00 797.84 797.84 .00 5294.50 5294.50 .00 7607.99 7607.99 .00 Due Extension 7.00 770.00 2260.00 4.50 2260.00 .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 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: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: FINAL Date Accepted by Heat Pump Fumace 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 INSPECT IONS 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. T.Cr.rmc /Dr rilrlinn riIrlinn Porn,i4 �I 1 0 Application Number 12- 00001339 Application pin number 091772 Property Address 3109 GRANTS VIEW LN ASSESSOR PARCEL NUMBER: 06-30-15-5-1- 2803 -0000- Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 136410 Application desc 1882 SQ FT SFR Owner ACE MICHAELS INC 1329 W 10TH ST PORT ANGELES (360) 460 -6172 Permit Additional desc Permit Fee Issue Date Expiration Date WA 98363 Qty Unit Charge Per DRIVEWAY INSTALLATION 180.00 10/29/12 4/27/13 BASE. FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Contractor ACE MICHAELS INC 132.9 W. 10TH ST. PORT ANGELES (360) 460 -6172 Plan Check Fee .00 Valuation 0 Permit PUBLIC WORKS RES WATER SERV Additional desc 5/8" DROP IN METER Permit Fee 420.00 Plan Check Fee Issue Date 10/29/12 Valuation Expiration Date 4/27/13 Special Notes and Comments October 15, 2012 1:27:10 PM jpatters. Must have address numbers plainly visible. Six inches high in contrasting color October 15, 2012 1:21:11 PM tamiot. Electrical permit required for all electrical work. Service is to be underground from existing electrical T:Forms /Building Division/Public Works Permit Date 10/29/12 WA 98363 Extension 180.00 00 136410 Qty Unit Charge Per Extension 1.00 420.0000 EA PW WATER METER DROP IN 420.00 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 150.00 Plan Check Fee .00 Issue Date 10/29/12 Valuation 136410 Expiration Date 4/27/13 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 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. -d g fa C Q LLo Date ignature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) 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 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 T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Application Number Application pin number 091772 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 12- 00001339 Date 10/29/12 Special Notes and Comments pedestal at the south west corner of the property. if any questions regarding electrical service contact Tim 360 912 -2265 October 26, 2012 11:26:55 AM sroberds. The proposal will result in a new sfr in the RS -7 for total lot coverage of 29% and site coverage of 44%. No land use issues, 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. 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 RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 2260.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 2260.00 Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Public Works Permit Charged Paid Credited 750.00 750.00 .00 .00 .00 .00 5294.50 5294.50 .00 6044.50 6044.50 .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 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 I 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. T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Project Address: 1 C7 1 S V e .vJ 1— -3) PI vJ Main Contact: C lko 11- C,. C P one 3° 3) Y kp (0 a Property Owner "a me &cC �1 �1c- Phone (el 1 ?a Mailing Address 3 0? 1 ViaS 1 Email ric Ice_ Li. M,c u A><LS Incat City State t Zip l8 3(,,� Contractor Nagle Q AL U,c `il SAC Phone Mailing Address l 13 a 4 k. 4r- s Email Ci P� State S Vs Zip R '(3 Contractor License At cf_ vv.. X 1.. i 2/ itp Expiration: 1e l Project Value: to 3 L-/ O Zoning: 2- 7 Tax Parcel 063 n 155" I a 0� Lot Bio0c06 ,la■I Add' I-, or\ Type of Permit Residential Commercial Industrial Public Demolition Fire Repair Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction jit Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Yes No 10 Maximum height of structure jS Proposed Bedrooms 3 Proposed Bathrooms d Description Description \cl 1 Q-- LL) S A le Vim. f 4 1 r W i `t ti's -k L-d 8 a.4--& re 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 application will be considered abandoned, and the fees forfeit. Date 1 0 G Print Name \42 C A \t\L& Signature rlvtA 4_ THE CITY OF ORTANGELES W A S H I N G T O N U.S. 321 East 5th Street Port Angeles, WA 98362 P: 360- 417 -4817 F: 360-417-4711 hcatuzo @cityofpa.us Building Permit Application For City Use Permit (2 /3 4I Date Received: 6 ate Approved: PO/all,- Mechanical Fixtures Residential Structures Area Description (SQ FT) Existing Proposed Minimum value For Office Use Basement f Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Siz e: First Floor Heating /Cooling appliance repair /alteration g 3 1 Q 5 1 Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Second Floor Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Covered Deck /Porch7Entry Ventilation System 2i/ `11 PO Deck Garage 1 1 0 C7 la 0 CO Carport Other (describe) Area Totals 8 ea 3(1, 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 of Outlets: Appliance Vent f Heater (Suspended, Floor, Recessed wall) Water Line Boiler /Compressor Siz e: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not portable) Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Plumbing Fixtures Commercial Structures Area Description (S l Existing Proposed Minimum value For Office Use Structure (s) Water Line V Vent piping e� Addition Industrial waste pretreatment interceptor Other (describe): Tenant Improvement Other (describe) Area Totals Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps l Fuel gas piping of Outlets: Water Heater Medical gas piping of. Outlets: Water Line V Vent piping e� Sewer Line Industrial waste pretreatment interceptor Other (describe): Lot /Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Covers e SQ FT Site coverage (all impervious structures) R 8 O� 5 �0 Site Coverage Lie/ C ter, -s Ace k0 0 L .6 3 CITY Cr4VERNMENT Type of Heat Source: PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (WSEC) 2009 Edition Climate Zone 1 Site Information: Lot: q� Address: 1 U r �d,� CfS V /e;� Ai City: State: Zip: 9e3 6D Contact: 1■0/4 C J t Phone: 3LG f 4 O E,1 207 Phone 2: FAX: 7- 02 z/7 This Project complies with the following: T: Forms /Building Division /Prescriptive Approach Simple Form Building Department Use Only: Permit Notes: WSEC Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE FAMILY RESIDENTIAL OR DUPLEX CLIMATE ZONE 1 (Unlimited Glazing Option Only) III Unlimited azin ertical 0.30 Overhea 0.50 0.20 R -49 or R -38 adv R -38 R -21 int Wall; Interior Below Graded;,. R -21 TB Wall Exterior Below Grade R -10 R -30 U =0.029 Slab on Concrete R -10 2' 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. .4 All building components meet the requirements listed above. 4 The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. ,602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: j L 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: PREPARED 4/26/13, 11 :48:46 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS INSPECTION HISTORY REPORT 0 /00 /00 THRU 0 /00 /00 ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR 12 00001339 3109 GRANTS VIEW LN 06- 30- 15 -5 -1- 2803 -0000- 063015512803 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL1 0001 BLDG FOUNDATION FOOTING 11/02/12 APPROVED REQ COMM: November 2, 2012 8:59:11 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: November 2, 2012 3:46:45 PM jlierly. RES COMM: ufr insptalled /jll PAGE 1 JLL 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL2 0001 BLDG FOUNDATION STEM WALL 11/07/12 APPROVED JLL REQ COMM: November 7, 2012 8:54:37 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: November 7, 2012 3:53:34 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL9 0001 BLDG SHEARWALL 12/11/12 APPROVED JLL REQ COMM: December 11, 2012 8:28:01 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: December 11, 2012 4:48:24 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL3 0001 BLDG FRAMING 12/20/12 APPROVED JLL REQ COMM: December 20, 2012 8:22:55 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: December 20, 2012 4:44:18 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BAIR 0001 BLDG AIR SEAL 12/20/12 APPROVED JLL REQ COMM: December 20, 2012 8:23 :11 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: December 20, 2012 4:44:18 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLI 0001 BLDG INSULATION 1/03/13 APPROVED JLL REQ COMM: January 3, 2013 9:55:10 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: January 3, 2013 4 :33:49 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL PW99 0001 PUBLIC WORKS FINAL 4/10/13 APPROVED RV REQ COMM: April 11, 2013 7:08:45 AM rvess. RES COMM: April 11, 2013 7:09:06 AM rvess. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0001 BLDG FINAL 4/12/13 APPROVED JLL REQ COMM: April 12, 2013 8:25:42 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: April 12, 2013 4:31:14 PM jlierly. 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 4/12/13 APPROVED JLL REQ COMM: April 12, 2013 8:26:07 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: April 12, 2013 4:31 :14 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL2 0001 PLUMBING ROUGH -IN 12/18/12 APPROVED JLL REQ COMM: December 18, 2012 8:43:54 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: December 18, 2012 4:00:37 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL6 0001 PLUMBING WATER SUPPLY 1/03/13 APPROVED JLL PREPARED 4/26/13, 11:48:46 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR 12 00001339 CONTINUED INSPECTION HISTORY REPORT 0 /00 /00 THRU 0/00/00 REQ COMM: January 3, 2013 9:54:48 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: January 3, 2013 4:33:49 PM jlierly. PAGE 2 000 000 PL 00 PLUMBING PERMIT PL99 0001 PLUMBING FINAL 4/12/13 APPROVED JLL REQ COMM: April 12, 2013 8:26:26 AM pbarthol. REQ COMM: Mike 460 -6172 RES COMM: April 12, 2013 4:31:14 PM jlierly. 000 000 SSHU 00 SANITARY SEWER HOOK UP PW4 0001 PUBLIC WORKS STORM 10/23/12 APPROVED RV REQ COMM: October 30, 2012 7:19:04 AM rvess. RES COMM: October 30, 2012 7 :19:34 AM rvess. 000 000 SSHU 00 SANITARY SEWER HOOK UP PW2 0001 PUBLIC WORKS SEWER CONNEC 3/19/13 APPROVED EW REQ COMM: RES COMM: ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 15- 00001032 Date 8/14/15 Application pin number 456760 INSPECTOR: Property Addreas . .. . 3109 GRANTS VIEW LN ASSESSO.R PARCEL NUMBER; 06 -30 I5 5 -1- 2803 0000 on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . , . . , ROUGH -IN Property Use Property Zoning , . . . , . . R59 RESDNTL SINGLE FAMILY Application valuation 0 COMMENTS: -------------------------------------------------------------------------- Application desc Ductless heat pump Owner Contractor Betty Manning BLACK DIAMOND ELECTRICAL CONTR 3109 Grants View Lane $02 BLACK DIAMOND RD PORT ANGELES WA 98.363 PORT ANGELES WA 98363 (360) 452 -3763 (360) 565 -1035 Permit , . , , , . ELECTRICAL ALTER RESIDENTIAL, Additional desc . . Permit Fee 63,00 Plan Check Fee DO Issue Date . , . 8/14/15 valuation 0 Expiration Date . 2/10/16 Qty Unit Charge Per Extension 1.00 63.0000 ECH *EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged ---- -- - - -- Paid Credited ---- - - - - -- ---- -- - - -- - --- Due - - - - -- ----------------- Permit Fee Total 63.00 63.00 00 .00 Plan Check Total .00 .00 .00 ,00 Grand Total 63.00 63,00 Op .00 INSPECTION TYPE DATE: d INSPECTOR: W REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location code 0502) ROUGH -IN INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN r FINAL COMMENTS: PERMIT WILL EXPIRE SIX (G) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: IEXCEIANGE.IB UILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 417 -4711 Date, f�—/ 3 - / r- _ 1 & 2 Single Family Dwelling AUG 132 ELECTRICAL WHOM �` Qcrer�;vc. .i6 * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address, ✓ Building Square Footage: Description of above Owner Information Contractor Information�'D� Name: Ir 014- ri" _ _ Name: _ Malling Address' 3109-- 64t-,Py l- 11144— 4-P-0 Mailing Address; City: State: Zip: City: State: Zip Phones -'T Fax: Phone: Fax: License #! Exp, License #! Exp Item Unit Charge t r Total (Qty Multiplied by Unit Charge) ServlcelFeeder 200 Amp. $120.00 $ Service /Feeder 201 -400 Amp, $146.00 $ Service /Feeder 401 -500 Amp $ 205.00 $ Service /Feeder 601.1000 Amp. $ 262,D0 Service /Feeder over 100D Amp, $ 373.D0 Branch Circuit W! Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 75.00 $ Temp. Service! Feeder 200 Amp, $ 93.00 $ Temp. Service /Feeder 201 -400 Amp $110.00 $ Temp, ServioelFeeder401- 60D Amp $14900 $ Temp, Service /Feeder 601 -1 ODD Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit! Limited Energy -1 & 2 Fami #y 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 -Scat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Porticn of $ 40,00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ 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 laws, N,E.C., RCW, Chapter 19.28, WAC, Chapter 296.46B, The City of Port Angeles Municipal Coda, and Utility Specifications and PAINC 14.05,050 regarding Electrical Permit Applications, Signature o er lec �c I contractor or electrical administrator: ❑ Cash ❑ Credit Card# V na +Pd• 0710112012 .4'j