HomeMy WebLinkAbout1928 Village Cir - BuildingFire Permit
1928 Village Cir
12 -1609
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
NICHOLAS AND NICOLE MERRIGAN
1928 VILLAGE CIR
PORT ANGELES
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5`' Street, Port Angeles, WA 98362
12- 00001609
549199
1928 VILLAGE CIR
06-30-13-5-7- 0230 -0000-
FIRE SPRINKLER SYSTEM
RESIDENTIAL HIGH DENSITY
2200
Contractor
Permit FIRE SPRINKLER RESIDENTIAL
Additional desc RES FIRE SPRINKLER SYSTEM
Permit Fee .00 Plan Check Fee
Issue Date 12/18/12 Valuation
Expiration Date 6/16/13
Charged Paid Credited
.00 .00 .00
.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
0
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 compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the of any state or local law regulating the work specified in the permit.
Signature of Contractor or Au@horized Agent
X1/2,
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
Time initiated
LP -gas final
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
Fire Alarm System
Check all that apply
One addressable loop
One zone
Additional zones
List quantity of additional zones
ettg
FIRE-RELATED PERMIT APPLICATION
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711
pp (42
Applicant CJ�L.
Property Owner j\/; 5 Q
Property Owner's Address
Contractor /A, /Oi/A j EQ 1 /V//CL i' Phone '/s'z
Contractor's Address c /f c, e L L- f a G /9-1-1 4LQ S 9 6 Z
License MiA oiX -_,r o 24 Expires Lo /i2`ia, E -mail
PROJECT ADDRESS Z-S V 17 3 Le 4 23
Project Business Name P-evA �Q o o- .1' ,z a
PROJECT VALUATION (labor materials)
Fire Sprinkler System ,I Residential Multi- family
Check all that apply
Installing backflow protection device(s)?
yes Aio
<2 inch water line (list quantity of devices)
>2 inch water line (list quantity of devices)
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?
yes* no
If yes, a mechanical permit will also be needed.
PROJECT VALUATION (labor materials)
For City Use Only:
Date Received /0/ 2.
Permit
Phone E I S 2 7 SSc9
Phone SL(I— CJS
)Residential Multi- family Commercial Industrial
Briefly d
scribe the project:
Date )21 Print Name V ✓AC f3 41 5_52. Signature
T:Forms /B uilding/Fire- related permit application
Commercial Industrial
Briefly de cribe the a r 9 ject
Residential
Commercial
Multi- family
Industrial
Briefly describe the project:
1 have read and completed this application and know it to be true and correct. l 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 t? workinon projects.
PREPARED 4/01/13, 151019
PROGRAM BP521L
CITY OF PORT ANGELES
APPLICATION PROPERTY ADDRESS
STRUCTR PERMIT
12 00001609
000 000
INSPECTION HISTORY REPORT
0/00/00 THRU 0/00/00
ASSESSOR PARCEL NUMBER ALTERNATE ID
INSPECTION
1928 VILLAGE CIR 06 063013570230
FSPK 00 FIRE SPRINKLER RESIDENTIAL FFNL 0001 FIRE FINAL 3/28/13 APPROVED
REQ COMM: March 28, 2013 103956 AM kdubuc.
RES COMM: March 28, 2013 104013 AM kdubuc.
RES COMM: fire final
PAGE 1
RESULT DATE/STATUS INSPECTOR
KDD
Electrical Permit
1928 Village Cir
12 -1284
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
4
SERVICE
t2- )!$`l2.
7
ROUGH IN
t6 /Y3
FINAL
3 2Z li?�
l'
,4
COMMENTS:
Application Number
Application pin number
Property. Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES
(360) 452 -7631
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
WA 983626710
120.00
10/02/12
3/31/13
120.00
.00
120.00
Signature of owner or Electrical Contractor X
G: \EXCHANGE \BUILDING
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
12- 00001284
692668
1928 VILLAGE CIR
06-30-13-5-7- 0230 -0000-
ELECTRICAL ONLY
RESIDENTIAL HIGH DENSITY
0
120.00
.00
120.00
Contractor
OWL ELECTRIC
PO BOX 536
CARLSBORG
(360) 582 -0833
ELECTRICAL ALTER RESIDENTIAL
Qty Unit Charge Per
1.00 120.0000 ECH EL -R -SQFT FIRST 1300
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Plan Check Fee
Valuation
Paid Credited Due
.00
.00
.00
Date 10/02/12
WA 98324
36b ,13 0E
Extension
120.00
.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:`
Plan Review May B Required, Please Complete Electrical Plan Review Information Sheet
Job Address: ev c�2
Building Square Footage: li a.e.e o O
Description of above
Owner formation
Name: 'QA,c.,cs.r.�v\
fvtail' g Address: d
City' 4
Phone:"
License Exp.
State. Zip:
Fax:
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 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 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
Note: $5.00 for each additional T-Stat
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
awitit
Dated:
1 2 Single Family Dwelling
itq
01j1- a
1 'f
ELECTRICAL
INSPECTIONS
0110112012
Contractor I OW ELECTRIC
Name: p0 BOX 536
Mailing Addres
City: CARLSBORG, WA 98324
Phone: PH: 360 582 -0833 FAX: 360 582 -0833
License Exj LICENSE /EXP. OWL *9060C
Total (Qtv Multiplied by
Unit Chargel
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 -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 Er-Check )&vba,0
44- Credit Card
Building Permit
1928 Village Cir
12 -256
Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000256
Application pin number 431104
Property Address 1928 VILLAGE CIR
ASSESSOR PARCEL NUMBER: 06-30-13-5-7- 0230 -0000-
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 103474
Application desc
1483 SF SFR W /ATTACHED GARAGE
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
.00 5.6000
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
4.00
1.00
.00
1.00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty
6.00
1.00
3.00
7.2500 EA
10.6500 EA
10.6500 EA
14.8000 EA
Unit Charge Per
7.0000 EA
7.0000 EA
7.0000 EA
T:Forms /Building Division /Building Permit
WA 983626710
BUILDING PERMIT RESIDENTIAL
1483 SF SFR W /ATTACHED GARAGE
1042.65 Plan Check Fee
8/16/12 Valuation
2/12/13
Per
BASE FEE
THOU BL- 100,001 -500K (5.60
MECHANICAL PERMIT
Per
Contractor
OWNER
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
PER K)
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.
Date 8/16/12
A
Print Name Signature of Contractor or Authorized Agent
677.72
103474
Extension
1042.65
.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)
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 Bldq)
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:
Accepted by
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
FINAL Date
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
SERA:
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
SERA:
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.
o
4.
r•
Application Number
Application pin number
Qty
1.00
1.00
Special Notes and Comments
March 9, 2012 11:02:15 AM tamiot.
Electrical service will be from pedestal at northeast corner
of property.
March 16, 2012 8:49:17 AM rbecker.
Open or closed 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 1:07:10 PM sroberds.
The proposal will result in new sfr w /att garage in the RHD
for total lot coverage of 30% and site coverage of 39'. 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
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T:Forms /Bullding Division /Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Unit Charge Per
15.0000 EA
7.0000 EA
Page
12-00000256 Date
431104
PL -SEWER LINE
PL -WATER HEATER
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Charged Paid Credited
1289.10 1289.10 .00
677.72 677.72 .00
5294.50 5294.50 .00
7261.32 7261.32 .00
770.00
2260.00
4.50
2260.00
Due
2
8/16/12
Extension
15.00
7.00
.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•Iaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
rot presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
9 onstruction,
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
et 4- p-
?C-L
Stemwall
CI •5' t
i
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)
9i IL_
0 Ls
Gas Line
Back Flow Water
FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
FF w
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
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.
N
Application desc
1483 SF SFR W /ATTACHED GARAGE
Owner
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES
(360) 452 -7631
Qty Unit Charge Per
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
T:Forms /Building Division /Public Works Permit
WA 983626710
BASE FEE
SANITARY SEWER HOOK UP
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000256
Application pin number 431104
Property Address 1928 VILLAGE CIR
ASSESSOR PARCEL NUMBER: 06-30-13-5-7- 0230 -0000-
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RESIDENTIAL HIGH DENSITY
Application valuation 103474
Contractor
OWNER
Permit DRIVEWAY INSTALLATION
Additional desc DRIVEWAY INSPECTION
Permit Fee 55.00 Plan Check Fee
Issue Date 8/16/12 Valuation
Expiration Date 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
Date 8/16/12
.00
0
Extension
55.00
.00
103474
Qty Unit Charge Per Extension
1.00 420.0000 EA PW WATER METER DROP IN 420.00
Permit PUBLIC WORKS STORMWATER
Additional desc
Permit Fee 135.00 Plan Check Fee .00
Issue Date 8/16/12 Valuation 103474
Expiration Date 2/12/13
Qty Unit Charge Per Extension
1.00 135.0000 EA SAN SEW STM CON OTHER 135.00
150.00 Plan Check Fee .00
8/16/12 Valuation 103474
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.
dy4
Signature of Contractor r uthorized 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
Page
Application Number 12- 00000256 Date
Application pin number 431104
Qty Unit Charge Per
1.00 150.0000 EA SAN SEWER HOOKUP
Special Notes and Comments
March 9, 2012 11:02:15 AM tamiot.
Electrical service will be from pedestal at northeast corner
of property.
March 16, 2012 8:49:17 AM rbecker.
Open or closed 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 1:07:10 PM sroberds.
The proposal will result in new sfr w /att garage in the RHD
for total lot coverage of 30% and site coverage of 39 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
T:Forms /Building Division/Public Works Permit
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
2
8/16/12
Extension
150.00
RES UNDERGRND SERVICE FEE 770.00
SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 2260.00
Charged 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
.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
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 F'ERMIT CARD AND APPROVED PLANS AT JOB SITE
T:Forms /Building Division /Public Works Permit
BUILDING PERMIT APP CATION 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
Applicant B EN NS L 6 CCD US IN L.. ALCM OR1TY Ph 0 4S 0 763
Property Owner i C‘ctc i- A r CP iii tAtf r i ck,r■. Pho
Property Owner's Address Q S *3 P02.T f rtc+► t LO A g8 6
Contractor p wt i€9,,I %u,kup elk S Eup tie L f Phone
Contractor's Address
License
Expires
PROJECT ADDRESS lqag i�i> E CtRc.�E �o r �ncn,6l. 3 104 983(0
Lot a 3 Zoning R
Parcel Number Db 3 O -13 Snit.
Project Type Brief Description: Residential Multi family in Commercial Industrial
Check all that apply
New Construction C pp[STRuca(btl Gs. Si NoteS"IDriL.`( 0NIE RS-MI REttoe1
Addition
Remodel
wl S N to C-err R-Nbri tzk£-O Cr. tl' P ChE
o Repair
o Demolition
Re -roof
-Heat System
A.aouse ,o garage other tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace pellet stove other
o Other Pl G p' W I% -•er" t tE(Z
Floor Areas
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
MAR 5 2012
CITY OF PORT ANGELES
Existing (so. ft.) Proposed (sq. ft.)
Max. height of proposed structures 1 ft.
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Occupancy group
Occupant load
Construction type
3
i s
E -mail
For City U se Only:
Date Received -1Z
ermit
ate Approved
per sq. ft.
TOTAL VALUATION 4`7 T
sq. ft. Lot size 4 1q9 sq. ft, Lot coverage 9 7
Total footprint of structures t4 %3
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, pati s,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
43,/bO
3
I have read and completed this application and know it to be true and correct t 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.
Dateol. a3 1k Print Namp C. NIW Ire_ Sign
T:Forms /Buiidin RseeirEeFkkE
ealsmila
S'o
NINO
MEM
cs
'S
4, (F s"ZO 4• G
86q a X,„
I cii--
.ds
virr-J-11-1-4=1d
Q OLS cl
1"I )1.-hino
Ocl
Di 10M1/.\ G7ick
)\1
CITY GOVER
PRESCRIPTIVE APPROACH-SIMPLE FORM
For the Washington State Energy Code (2006 Edition)
Climate Zone 1
dt Site Information:
Lot:. :3 p F,n/ pil s ot4 V
Address: Y 2 V1,1_1 -E
City: I
State: Zip: 7 S3 C 2
Contact: CoNs -r- 5 tvz.q, v ave c f p, e C' ,pec
Phone: 360- 4/77_ /,9Zy93
Phone2: 3‘a /a dco
FAX: 36 O 4 /(9. 7'/
Type of Heat Source: Fo2C£J /4/ cLje7 /4/441_ Jlie i1-
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:
'4 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.
'I The project will meet all other provisions of the WSEC and VIAQ.
The Project will take advantage of the following exceptions to the prescriptive option.
602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be
installed per unit for ornamental, security, or architectural purposes.
Location of the door taking this exception:
602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical
glazing U- factor listed above.
Location of the door(s) taking exception:
T:Forms /Building Division /Prescriptive Approach- Simp!e Form
Option
Glazing
Area
of Floor
Glazing U- Factor
Door 9
U- Factor
2
Ceiling
Vaulted
3
Ceiling
WaIl
Above
Grade
Wall. int
Below
Grade
Wa11• ext
Below
Grade
Floor
Slab
on
Grade
Vertical
Overhead"
i
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
13%
0.34
0.50
0.20
R -38
Adv.
R -38
Int.'
TB
R -10
R -30
2'
R-49 or
R -21
R -21
R -10
0 1
25%
0.32
0.50
0.20
R -38
Adv.
R -38
TB
R -10
R
R -30
2'
R-49 or
R -21
R -21
R -10
O m
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
Pnacriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1
Project Infom►ation Contact Information
Peninsula Village
Hickory 1096 Plan
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
Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option III. All glazing and
doors meet maximum U- factor. Alternate heating size method submitted.
El
Option 1 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
Oa t. Opt. Descri ption
Total Credits
WSEC Prescriptive Worksheet (2010 edition) Zone 1
HACC Kay Kassinger
2603 South Francis Street
Port Angeles, WA 98362
*1200 kwh
1.0
o
0
1.00
WSUEEP10-010 Copyright 2010
Glazing Schedule
Project Information
eninsula Village
H ickory 1096 Plan
I.of
Exterior Doors
Plan
ID
Conditioned Floor Area
Sum of All Glazing Areas From Below
Glazing to Floor Area Ratio
Component
Description
1096
132
12.04%
4x4 Horizontal Slider
4x3 Horizontal Slider
6x4 Horizontal Slider
0.340
0.340
0.340
WSEC Prescriptive Worksheet (2010 Edition)
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
ID Description Ref. U- factor
Width Height
Qt. Feet Inch Feet inch
6
1
1
4
4
6
4
3
4
Sum of Area and UA
Area Weighted U UA/Area
I 52.9
1 1
Door Percent Width Height Glazing Door Door
Ref. U- factor Glazed Qt. Feet inch Feet Area Area Area UA
1 20.0
1 40.0
4.0
0.20
8.0
Glazing
Area UA
96.0
12.0
24.0
32.64
4.08
8.16
1 132.0
44.88
0.34
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
eninsula Village
H ickory 1096 Plan
I.of
Exterior Doors
Plan
ID
Conditioned Floor Area
Sum of All Glazing Areas From Below
Glazing to Floor Area Ratio
Component
Description
1096
132
12.04%
4x4 Horizontal Slider
4x3 Horizontal Slider
6x4 Horizontal Slider
0.340
0.340
0.340
WSEC Prescriptive Worksheet (2010 Edition)
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
ID Description Ref. U- factor
Width Height
Qt. Feet Inch Feet inch
6
1
1
4
4
6
4
3
4
Sum of Area and UA
Area Weighted U UA/Area
I 52.9
1 1
Door Percent Width Height Glazing Door Door
Ref. U- factor Glazed Qt. Feet inch Feet Area Area Area UA
1 20.0
1 40.0
4.0
0.20
8.0
Glazing
Area UA
96.0
12.0
24.0
32.64
4.08
8.16
1 132.0
44.88
0.34
WSUEEP10-010 Copyright 2010
Skople Heating System Size: Climate Zone 1
Project Information
Peninsula Village
Hickory 1096 Plan
1Mf 23
Indoor Design Temperature
Outdoor Design Temperature
Design Temperature Difference (AT)
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
R-49
R -38 Advanced
Above Grade Walls
R -21
R -30
Below Grade Walls
2' Depth
3.5' Depth
7' Depth
Slab on Grade
0.029
Slab Below Grade
2' Depth
3.5' Depth
7' Depth
U- Factor X
Walls 0.042
Walls 0.041
Walls 0.037
F- Factor X
0.59
0.64
0.57
F- Factor X
R -10 2' perimeter 0.54
R -10 Full Heated 0.55
70
1 281
42
1096
8768
531
1096
Single Rafter or Joist Vaulted Ceilings
U- Factor X Area
R -38 Vented 0.027
Area UA
28.5
UA
UA
66.3
UA
31.8
Area UA
U- Factor X Area
0.056
1184
Floors U- Factor X Area
1096
Length
Len
th
g
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
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
Maximum Heat Equipment Output
Building and Duct Heat Loss X 1.50
WSEC Prescriptive Worksheet (2010 Edition)
1 1
Contact Information
HACC Kay Kassinger
2603 South Francis Street
Port Angeles, WA 98362
UA
UA
179
75371
39771
115151
Btu Hour
Btu Hour
Btu Hour
Btu Hour
150% 1 172721Btu Hour
WSUEEP10-010 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 anpeninsulapha.org
Q
EC MEDI
MAY 1 b 2012
C TY OF PORT ANGELES
Dept. of Community Development
The Peninsula Housing Authority requests a refund of the following fees paid for the Peninsula
Village III building permit applications:
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
Lot 15
1005 Golf Course Road Lot 16
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
EQUAL HOUSING OPPORTUNITY BARRIER FREE
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 $1,980.00
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
Sewer System DeIv Charge $1,980.00
PW Water System Use Fee 51,980.00
$6,057.70
10 -682 1928 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
Sewer System DeIv Charge $1,980.00
PW Water System Use Fee $1,980.00
$6,057.70
Lot 21
Lot 22
Lot 23
EQUAL HOUSING OPPORTUNITY BARRIER FREE
Di
10 -683
10 -684
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,
1932 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 Delv Charge
PW Water System Use Fee
1936 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 Delv Charge
PW Water System Use Fee
assinger
or of Acquisiti
Cc Annette Dotlich
s and Development
$1,065.05
$208.05
$142.00
$420.00
$150.00
$135.00
$1,980.00
$1,980.00
$6,080.10
$1,065.05
$208.05
$142.00
$420.00
$150.00
$135.00
$1,980.00
$1,980.00
$6,080.10
Lot 24
Lot 25
EQUAL HOUSING OPPORTUNITY BARRIER FREE
PREPARED 10/19/10, 15:55:41 PAYMENTS DUE RECEIPT
CITY OF PORT ANGELES PROGRAM BP820L
APPLICATION NUMBER: 10- 00000682 1928 VILLAGE CIR Lv T 2
FEE DESCRIPTION AMOUNT DUE
PLAN CHECK FEES 677.72
yBUILDING PERMIT RESIDENTIAL 1042.65
,,MECHANICAL PERMIT 208.05
„PLUMBING PERMIT 142.00
',PUBLIC WORKS RES WATER SERV 420.00
',PUBLIC WORKS STORMWATER 135.00
,,SANITARY SEWER HOOK UP 150.00
'SEWER SYSTEM DELV CHARGE 1980.00
STATE SURCHARGE 4.50
PW WATE t' SYSrEg IJS E" -FEE 1980.00
TOTAL DUE 6739.92
Please present this receipt to the cashier with full payment.
ld (c47i
r
PREPARED 4/01/13, 11:47:17
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
PAGE 1
RESULT DATE /STATUS INSPECTOR
12 00000256 1928 VILLAGE CIR 06- 30- 13 -5 -7- 0230 -0000- 063013570230
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL1 0001 BLDG FOUNDATION FOOTING 9/04/12 APPROVED JLL
REQ COMM: September 4, 2012 8:52:17 AM hcatuzo.
REQ COMM: EARLY AM. BRUCE 912 -0079
RES COMM: September 4, 2012 3:52:34 PM jlierly.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL2 0001 BLDG FOUNDATION STEM WALL 9/05/12 APPROVED JLL
REQ COMM: September 5, 2012 8:34:35 AM hcatuzo.
REQ COMM: AFTERNOON. ADAM. 460 -7097
RES COMM: September 5, 2012 4:37:38 PM jlierly.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BFF 0001 BLDG FLOOR FRAMING 10/04/12 APPROVED JLL
REQ COMM: October 4, 2012 8:34:47 AM pbarthol.
REQ COMM: Bruce 912 -0079
RES COMM: October 4, 2012 3:54:28 PM jlierly.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL9 0001 BLDG SHEARWALL 11/07/12 DISAPPROVED JLL
REQ COMM: November 7, 2012 8:56:10 AM pbarthol.
REQ COMM: Bruce 912 -0079
RES COMM: November 7, 2012 3:52:39 PM jlierly.
RES COMM: Over driven nails in sheathing/ Re -nail and call when
RES COMM: ready/j11
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL9 0002 BLDG SHEARWALL 11/14/12 APPROVED JLL
REQ COMM: November 14, 2012 10:06:55 AM pbarthol.
REQ COMM: Bruce 912 -0079
RES COMM: November 14, 2012 4:21:00 PM jlierly.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL3 0001 BLDG FRAMING 1/03/13 APPROVED JLL
REQ COMM: January 3, 2013 9:57:17 AM pbarthol.
REQ COMM: Bruce 912 -0079
RES COMM: January 3, 2013 4:33:36 PM jlierly.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BAIR 0001 BLDG AIR SEAL 1/03/13 APPROVED JLL
REQ COMM: January 3, 2013 9:57:45 AM pbarthol.
REQ COMM: Bruce 912 -0079
RES COMM: January 3, 2013 4:33:36 PM jlierly.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLI 0001 BLDG INSULATION 1/08/13 APPROVED JLL
REQ COMM: January 8, 2013 10:29:44 AM pbarthol.
REQ COMM: Bruce 912 -0079
RES COMM: January 8, 2013 4:20:21 PM jlierly.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLDR 0001 BLDG DRYWALL IBWP 1/17/13 APPROVED JLL
RES COMM: January 17, 2013 4:06:08 PM jlierly.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL PW99 0001 PUBLIC WORKS FINAL 3/22/13 APPROVED RV
REQ COMM: March 22, 2013 11:55:03 AM rvess.
RES COMM: March 22, 2013 11:55:31 AM rvess.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0001 BLDG FINAL 3/28/13 APPROVED JLL
REQ COMM: March 28, 2013 9:16:32 AM pbarthol.
s i
PREPARED 4/01/13, 11:47:17
PROGRAM BP521L
CITY OF PORT ANGELES
APPLICATION PROPERTY ADDRESS
INSPECTION HISTORY REPORT
0 /00 /00 THRU 0 /00 /00
PAGE 2
ASSESSOR PARCEL NUMBER ALTERNATE ID
STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR
12 00000256 CONTINUED
REQ COMM: Bruce 912 -00792
RES COMM: March 28, 2013 4:26:14 PM jlierly.
000 000 BPR 00 BUILDING PERMIT RESIDENTIAL FFNL 0001 FIRE FINAL 3/28/13 APPROVED KDD
REQ COMM: March 28, 2013 10:40:46 AM kdubuc.
RES COMM: March 28, 2013 10:41:03 AM kdubuc.
RES COMM: fire final
000 000 DWY 00 DRIVEWAY INSTALLATION PW6 0001 PUBLIC WORKS DRIVEWAY 3/22/13 APPROVED RV
REQ COMM: March 22, 2013 11:55:17 AM rvess.
RES COMM: March 22, 2013 11:55:43 AM rvess.
000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 3/28/13 APPROVED JLL
REQ COMM: March 28, 2013 9:16:56 AM pbarthol.
REQ COMM: Bruce 912 -0079
RES COMM: March 28, 2013 4:26:14 PM jlierly.
000 000 PL 00 PLUMBING PERMIT PL6 0001 PLUMBING WATER SUPPLY 9/25/12 APPROVED JLL
REQ COMM: September 25, 2012 9:02:07 AM pbarthol.
REQ COMM: JOHN 460 -6902
RES COMM: September 25, 2012 12:53:26 PM jlierly.
000 000 PL 00 PLUMBING PERMIT PL2 0001 PLUMBING ROUGH -IN 11/14/12 APPROVED JLL
REQ COMM: November 14, 2012 4:26:01 PM jlierly.
RES COMM: November 14, 2012 4:26:17 PM jlierly.
000 000 PL 00 PLUMBING PERMIT PL99 0001 PLUMBING FINAL 3/28/13 APPROVED JLL
REQ COMM: March 28, 2013 9:17:06 AM pbarthol.
REQ COMM: Bruce 912 -0079
RES COMM: March 28, 2013 4:26:14 PM jlierly.
000 000 PWSW 00 PUBLIC WORKS STORMWATER PW4 0001 PUBLIC WORKS STORM 9/24/12 APPROVED RV
REQ COMM:
RES COMM:
000 000 SSHU 00 SANITARY SEWER HOOK UP PW2 0001 PUBLIC WORKS SEWER CONNEC 9/27/12 APPROVED JMP
REQ COMM: September 27, 2012 3:39:59 PM jpozerni.
RES COMM: September 27, 2012 3:40:21 PM jpozerni.