HomeMy WebLinkAbout1119 Highland Ave - BuildingNorth Peninsula Electric 928 -9409 p.1
RECENED 4-111
1; •'; Ili' 1
4
CM OF PORT ANGEiM APR 16 0�
Building EMIT �FPLICATlON
�, DhiSiowFlectrical Inspections ,
III Last Fifth Street —P.O. Box 1150 /Port Angeles Washington, tpC�'RIo
Ph: (360) 417 -4735 ]Fax: (360) 417-471A �° 95362 �I�����gQ��
pale: 7 ~I & 2 Singh Family DWdling
* Plan Revitwy Be R i (ease rrlplete Al Reie lnfa o Sheet
Jab AddrEsr
Bulcft Square F aolager
i]esr 4tion of above
Owner 1pfo aii v
NarnL y1
Mailing mss: 1
phones arc
License #1 �cp. _
Item
ServfMReder200 Amp.
ServiceiFeeder201-400 Amp.
Sens mgeader4al -GMAnp
ServicelFeedBr 601 -1000 Amp.
SenriceJFeeder over low Amp.
Branch Cirmid WI Service Feeder
Branch QMU$ WlO Service Feeder
Each Additional i3rarlch Circuit
9ranch Circuits 1.4
Temp. Servicel Feeder 200 Amp.
Tenn. 6ervicelFeeder201 -400 Amp.
Temp. 3erviaejFeeder401 -600 Amp.
Temp. ServlcelFeeder609 -1 MO Amp .
Portal to PC 14 Houdy
8igna) Ormw iiffMad Energy -1 &2 Family Dmeilino
Wnufactured Home Connection
Renewable c3ectrical Energy -50A. System or Less
Thermostat
Mote: 35.00 for each addfo% T -Stet
NEW CONST%iC GN ONLY.
Fits# 1300 TEl care Ft
Each Additional 500 Square R or %rbon of
Each Ou2milding or Detached Garage
Each SW mrning Pco! or Hot Tub
Unft Charge
5120.00
$ 146.00
S 205.00
$26200
$ 373.00
S 5.00
$ 63.00
S 5.00
S T9.00
$ x.00
$190.00
S 149.00
$ 188.00
S 96.00
S 84.00
S120,00
5102.00
S 56.00
5120.00
S 40.00
$ 74.00
SIMOO
Conbartarlr ForrnW n
Name -.
rvl F
aillrrg
C stare
Phi
UcerueltxP.
]{ Total i0tv MuM lied b I wi eCL e
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$�Tata!
owner as defined by RCW.1928181: (1) Ownarwdi occupy the structure for two years after this electrical pernut is finalized. (2) Owner is required
to hire an declrical contractor if above said property is forsale, merit or lease. Permit expires after six months of last inspection.
After reading the above statement, i hereby certify that ! am the owner of the above named property or a liemsed electrical contractor, l am rnaldng
the electrical installation or ait�Won in compliance %A the eieeVcal laws. N.EC., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port
Angeles tt uNcipat Code, and Utility 5pecificadons and PAMC 14.05.050 regarding Electrical Permit
�9 9 Applications.
Signature of o/yJ�' er, electrical contractor or atec ical administrator: ❑ Cash 0 c c
J
���vintct Caryl �'
almirwrz
Application Number . , , , .
Application pin number , . ,
Property Address . , , .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name , . . . .
Property Use
Property For ng . , . . . . .
Application valuation . .
ELECTRICAL PERMIT
CITY Or PORT ANGELES
360- 417 -4735
14- 00000459 Date 4/18/14
213778
1119 HIGHLAND AVE
06-30-14-6-9- 0040 -0000-
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Owner
Contractor
RESULTS:
RALSTON JOHN M /GAIL T
DITCH
NORTH PENINSULA ELECTRIC
PO BOX 1405
761 FRESHWATER PARK
RD
PORT ANGELES
WA 983620259
PORT ANGELES
WA 98363
ROUGH-IN.
(360) 477 -1764
Permit , , , . . .
ELECTRICAL NEW RESIDENTIAL
Additional desc . .
1 FAMILY RES,
COMMENTS:
Permit Fee . , , .
200.00
Plan Check Fee
.00
Issue Date
4/18/14
Valuation . . . ,
0
Expiration Date
10/15/14
Qty Unit Charge
Per
Extension
1,00 120.0000
ECH EL -R -SQFT FIRST 1300
120.00
2.00 40.0000
ECH EL -R -SQFT ADDITIONAL 500
80.00
Fee summary Char
g ed
Paid Credited
Due
- --
Permit Fee 'Total,
200,00
200.00 .00
00
Plan Check Total
00
.00 .00
.00
Grand Total
200,00
200.00 .00
.00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles "
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH-IN.
q zl
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPEC`T'ION
Signature of owner or Electrical Contractor X Date:
G,ICXCHANGEIBUILDING
z
�I
G
CITY OF PORT ANGrus PERMT APPLICATION 4r
Hididing DivisionfE, lectrical I isspeeflous 11 '
321 East Fifth Street — P 0. Rox 1150 / Port Angeles Wn"Ijjngton, 98362
Ph: (360) 417-4735 (360) 417-4711
tale: 11/1412014 -1 & 2 8 Ing le Family Owe] ling
-'Plan Review May Be Required, PlOaSe CompWe Elntrtal Plan Review Information Sheat
jobAddres$- 111G Highland Ave
Owner Infonnatfort
NaMa,. Lynnette Beattle
MaftM&eSS: 1119 Highland Ave
Gj�f _Z-,t Angeles ftj$� LA Zip: _a83-5'227'3'0
ftnEY �6264834544
it ktr
_U&t Charge
Sam'
10*aader 200 At*,
$ 12040
,-ArvicelFeWor 2014W Amp,
$140.00
Amp
$ 206.E
ServicelFoodef 00'x-000,
s2o2,00
sorviceffeeder ova; 1000 AM,
$37100
Nanch Orcvii W/ Su0ne Feeder
.% 6,00
Branch ckwl W10 Service see&r
63.00
Uob AddlUmal Brest Clwt
5'm
Branch Ckuh, 14
$ 7B4O0
Temp, Soilcol Faedaf 2W Amp,
$ 93,00
Temp. SaWlcc0oeder 201 AOO Amp.
$110.00
Tamp, Service eadw 40laD Amp,
$ UU0
TemP, Amp,
$ 1"40
PO4 to P0,14 Hwly
$ 96,00
ODOM C4CU1Y UM114d Enemy .1 & 2 Family owding
S 04,00
Manufactured Brno Connedan
$120,00
Reneviablo CheclAal Energy -,5KVA Systein or, Less
$102,00
TNmios4al
$ 660
No*36.00 I% ach WAWA T-Sm
Egg CONSTRRO-01-0.gL'
$ IXOD
Each Addilionof 600 Squwe Fl, W Rdlonof
$ 40,010
Each Outbol&V or Ntached Oaraga
$ 74W
Each 64mmirig Pool ci Not TO
$ 110.05#
contractor Information
118Mq7 . ...... . Protect, VOL r Horne
kftAddresv 3750 PrIarlty Way South Dr
CAr, ind- lanaulis-rAge.,A-Zv;�L624o-
317-564-2547
Total
64110
64,00 Tot$[
Owner as defirre4 by RCW.1128,261. (1) 0"nervWDocwpy the si,ruaure for (�vo Mrs afterthl's elo*lcal permit Is finalized. (2) Om v Is teqWfred
to hire an n[Wrical Contractor If above Wd property is for sale, mat or lease, PeWt expires after * mwths of last Inspection,
After reading ti a above stalement, I horeby cortify Mat I em the owner of the slave "Md PrOPOrty m a Eversed elechical co*adoF, J am making
the elachtal Install0on or alteration in compkirwe Mth tie electrWl laws, MEG,, RC W, CIlVler 19.28, WAQ Chapter 296-468, The City of Port
Angeles MuNdpal Code, and Utility SpedficaNns and PAMC 12460 ,06 regarding Se*fcal Permit Apokagom.
Signature of owner, electrical contractor or electrical administraton, 0 Cuh 0 Cheak
ED crviflt cue 9-
00101Z
11/14/2014
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number . . . , . 14- 00001397 Date 11/17/14
Application pin number . . . 148892
Property Address . . . . . . 111.9 HIGHLAND AVE
ASSESSOR PARCEL NUMBER: 06-30-14-6-9- 0040 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . ,
Property Use
.Property Zoning . , . . , RS7 RESDNTL SINGLE FAMILY
Application valuation . , , . 0
__-_-__--------------------
Application desc
security system
Owner Contractor
THOMAS C AND LYNNETTE R BEATTI PROTECT YQUR HOME
15850 JACKSON DR 3750 PRIORITY WAY SOUTH DRIVE
FONTANA CA 92336 #200
INDINAPOLIS IN 46240
(317) 810 -4720
Permit . . , . , . ELECTRICAL ALTER RESIDENTIAL
Additional desc , ,
Permit Fee 64.00 Plan Check Fee .00
Issue Date 11/17/14 Valuaticin 0
Expiration Date $116115
Qty Unit Charge Per
1100 64,0000 ECH F
-----------------------------
Fee summary Charged
Permit Fee Total 64,00
.Plan Check Total. ,00
Grand Total 64,00
Extension
L- SINGLE CSR LIMITED RES 64.00
Paid 'Credited Due
64.00 .00 .00
.00 .00 .00
64.00 00 .00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
1,
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGEIBUILD1NG
Address:
1119 Highland Avenue
PREPARED 6/10/14, 13:28:34 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/10/14
---------------—----------------------—-------------—---------—--------------------------
ADDRESS . : 1119 HIGHLAND AVE SUBDIV:
CONTRACTOR C ANDERSON HOMES & DEV INC PHONE (425) 770-1477
OWNER RALSTON JOHN M/GAIL T PHONE
PARCEL 06-30-14-6-9-0040-0000-
APPL NUMBER: 14-00000374 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------—-----—---------------—---------—--------
BLFW 01 4/10/14 JLL BLDG FOUND FTG/STEM WALL
4/10/14 AP April 10, 2014 9:00:28 AM pbarthol.
Tommy 477-0778
++++++++++++ Aly +++++++++++++++++
April 10, 2014 3:54:02 PM jlierly.
BLFD 01 4/14/14 JLL BLDG FOUNDATION DRAINAGE
4/14/14 AP April 14, 2014 11:58:24 AM pbarthol.
NICK 477-9949
April 14, 2014 4:21:53 PM jlierly.
DEW 01 4/14/14 JLL BLDG DRYWELL
4/14/14 AP April 14, 2014 11:57:35 AM pbarthol.
NICK 477-9949
April 14, 2014 4:21:53 PM jlierly.
DSD 01 4/14/14 JLL BLDG DOWN SPOUT DRAINS
4/14/14 AP April 14, 2014 11:58:06 AM pbarthol.
NICK 477-9949
April 14, 2014 4:21:53 PM jlierly.
BFF 01 4/16/14 JLL BLDG FLOOR FRAMING
4/16/14 AP April 16, 2014 12:52:00 PM jlierly.
April 16, 2014 3:53:14 PM jlierly.
BL9 01 4/22/14 PB BLDG SHEARWALL
4/29/14 AP April 22, 2014 11:20:43 AM pbarthol.
nick 477-9949
April 29, 2014 11:57:20 AM pbarthol.
BAIR 01 4/30/14 JLL BLDG AIR SEAL
4/30/14 AP April 30, 2014 1:34:37 PM pbarthol.
April 14, 2014 4:21:53 PM jlierly.
April 30, 2014 4:15:48 PM jlierly.
May 1, 2014 12:48:48 PM pbarthol.
BL3 01 4/30/14 JLL BLDG FRAMING
4/30/14 AP April 30, 2014 1:34:27 PM pbarthol.
April 30, 2014 4:15:48 PM jlierly.
BLI 01 5/01/14 JLL BLDG INSULATION
5/01/14 AP + OVERRIDE TAKEN BY JLIERLY DATE: 05/01/14 TIME: 16:16:13
May 1, 2014 4:12:29 PM jlierly.
May 1, 2014 4:12:53 PM jlierly.
PW99 01 6/05/14 RV PUBLIC WORKS FINAL
6/06/14 AP June 6, 2014 11:45:57 AM rvess.
June 6, 2014 11:46:29 AM rvess.
BL99 01 6/10/14 BLDG FINAL
June 10, 2014 9:28:20 AM pbarthol.
Nick 477-9949
As late as possible. Please.call 1/2 hr ahead.
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
---------------—------------------ CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 6/10/14, 13:28:34 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/10/14
----- ---- ---
ADDRESS . : 1119 HIGHLAND AVE SUBDIV:
CONTRACTOR C ANDERSON HOMES & DEV INC PHONE (425) 770-1477
OWNER RALSTON JOHN M/GAIL T PHONE
PARCEL 06-30-14-6-9-0040-0000-
APPL NUMBER: 14-00000374 RES NEW SFR
---------------—
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--'- —---- ----------—-------------------------------------------------------------
ME1 01 4/30/14 JLL MECHANICAL ROUGH-IN
4/30/14 AP April 30, 2014 1:34:47 PM pbarthol.
April 14, 2014 4:21:53 PM jlierly.
April 30, 2014 4:15:48 PM jlierly.
May 1, 2014 12:49:01 PM pbarthol.
ME99 01 6/10/14 MECHANICAL FINAL
W_ June 10, 2014 9:29:03 AM pbarthol.
Nick 477-9949
As late as possible. Please call 1/2 hr ahead.
- -------------- -- -----
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------— -------—-------------------—--—---------------
PL6 01 4/14/14 JLL PLUMBING WATER SUPPLY
4/14/14 AP April 14, 2014 11:58:35 AM pbarthol.
NICK 477-9949
April 14, 2014 4:21:53 PM jlierly.
April 30, 2014 4:15:48 PM jlierly.
PL2 01 4/30/14 JLL PLUMBING ROUGH-IN
4/30/14 AP April 30, 2014 1:34:55 PM pbarthol.
April 14, 2014 4:21:53 PM jlierly.
April 30, 2014 4:15:48 PM jlierly.
May 1, 2014 12:49:36 PM pbarthol.
PL99 01 6/10/14J PLUMBING FINAL
June 10, 2014 9:29:13 AM pbarthol.
Nick 477-9949
As late as possible. Please call 1/2 hr ahead.
-------------------------------------- COMMENTS AND NOTES ----
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
=� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000374 Date 4/03/14
Application pin number . . . 156766
AddressProperty AVE
ASSESSOR PARCELNUMBER: 06130-14HIGHLAND0040-0000-
REPORT SALES TAX
Application type description RES NEW SFR
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY s e
Application valuation . . . . 145145 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
2168 SQ FT SINGLE STORY SFR
--------------------------------------------------------------- ------- \
Owner Contractor
------------------------ ------------------------
RALSTON JOHN M/GAIL T C ANDERSON HOMES & DEV INC
PO BOX 1405 1400 W. WASHINGTON ST.
PORT ANGELES WA 983620259 STE. 104-178
SEQUIM WA 98382
(425) 770-1477
----------------------------------------- ---------------------------------
Permit . . . . BUILDING PERMIT-RESIDENTIAL
Additional desc 2168 SQ FT SFR
Permit Fee . . . . 1277.85 Plan Check Fee .00
Issue Date . . . . 4/03/14 . Valuation . . . . 145145
Expiration Date 9/30/14
Qty Unit Charge Per Extension
BASE FEE 1020.25
46.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 257.60
---------------- ----------------- ------- ---- ------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 193.25 Plan Check Fee .00
Issue Date . . . . 4/03/14 Valuation . . . . 0
Expiration Date 9/30/14
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
4.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 29.00
1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65
6.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 88.80
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee 163.00 Plan Check Fee .00
Issue Date . . . . 4/03/14 Valuation . . . . 0
Expiration Date . . 9/30/14
Qty Unit Charge Per Extension
BASE FEE 50.00
8.00 7.0000 EA PL-PLUMBING TRAP 56.00
1.00 7.0000 EA PL-WATER LINE 7.00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have re9d and examined this application and know the same to be true and correct. All provisions
10
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 1// - the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS--
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
-Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Li htin ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 14-00000374 Date 4/03/14
Application pin number . . . 156766
REPORT SALES TAX
Qty Unit Charge Per Extension onour state excise tax form
4.00 7.0000 EA PL-DRAIN VENT PIPING 28.00 Y
1.00 15.0000 EA PL-SEWER LINE 15.00 to the City of Port Angeles
1.00 7.0000 EA PL-WATER HEATER 7.00
_____________ --------------------- (Location Code 0502)
Special Notes and Comments
March 26, 2014 1:48:38 PM pbarthol.
Plans are the same used for permits
13-1472 and 13-1473 and only one plan
check fee is being charged for all lots
using this plan. pb
March 26, 2014 4:48:13 PM tamiot.
ELECTRICAL PERMIT WILL BE REQUIRED.
UNDERGROUND ELECTRICAL SERVICE SHALL COME FROM EXISTING
PEDESTAL AT THE SE CORNER.
March 27, 2014 8:16:51 AM rbecker.
Are you installing lawn sprinkler systems on either one of
these residents. If you are you will need to install a
double check valve assembly backflow.
If you have any questions, call Ron Becker at 417-4886,
fax:452-4972 or e-mail:rbecker@cityofpa.us
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.
April 1, 2014 12:57:01 PM sroberds.
The proposal will result in a new sfr in the RS-7 for total
lot cov of 30% and site cov of 39%. No land use issues
anticipated.
Consider applying for the City Green Infrastructure Rebate
of up to $750.00 towards the materials to install rain
garden to control roof and driveway runoff. Also rebates
available for downspout disconnections.Contact Jonathan
Boehme at 360 417-4811
Trench safety per applicable laws. Temp erosion control and
surface restoration responsibility of applicant. Contact
City inspector prior to start of work @ 360 417-4831. No
attachment to sanitary sewer of stormwater roof leaders,
foundation drains, yard drains, or any other CSO
contribution is allowed.
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. Use existing curb drop
opening for driveway. 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 222.00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
.Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footin /Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 3
Application Number . . . . . 14-00000374 Date 4/03/14
Application pin number . . . 156766
-------------- ------------------------------------------------------ REPORT SALES TAX
Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50 on your state excise tax form
PW WATER SYSTEM USE FEE 2260.00 to the City of Port Angeles
--- ----- ----- ----------- --------
Fee summary Charged Paid Credited Due (Location Code 0502)
Permit Fee Total 1634.10 1634.10 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4746.50 4746.50 .00 .00
Grand Total 6380.60 6380.60 .00 .00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Fcrms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
-- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
OF PORT qNC CITY OF PORT ANGELES
.+i®QFC
4 FN
PUBLIC WORKS & UTILITIES
� v
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00000374 Date 4/03/14
Application pin number . . . 156766
Property Address . . . . . . 1119 HIGHLAND AVE
ASSESSOR PARCEL NUMBER: 06-30-14-6-9-0040-0000- REPORT SALES TAX
Application type description RES NEW SFR
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 145145 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
2168 SQ FT SINGLE STORY SFR
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RALSTON JOHN M/GAIL T C ANDERSON HOMES & DEV INC
PO BOX 1405 1400 W. WASHINGTON ST.
PORT ANGELES WA 983620259 STE. 104-178
SEQUIM WA 98382
(425) 770-1477
-----------------------------------------------------------------------------
Permit . . . . . . DRIVEWAY INSTALLATION
Additional desc . . USE EXISTING CURB CUT
Permit Fee . . . . 180.00 Plan Check Fee .00
Issue Date 4/03/14 Valuation . . . . 0
Expiration Date 9/30/14
Qty Unit Charge Per Extension
BASE FEE 180.00
----------------------------------------------------------------------------
Permit . . . . . . PUBLIC WORKS RES WATER SERV
Additional desc . . 5/8" DROP IN METER
Permit Fee . . . . 420.00 Plan Check Fee .00
Issue Date . . . . 4/03/14 Valuation . . . . 145145
Expiration Date 9/30/14
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 . . . . 4/03/14 Valuation . . . . 145145
Expiration Date . . 9/30/14
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
----------------------------------------------------------------------------
Special Notes and Comments
March 26, 2014 1:48:38 PM pbarthol.
Plans are the same used for permits
13-1472 and 13-1473 and only one plan
check fee is being charged for all lots
using this plan, pb
a
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! j
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T:Forms/Building Division/Public Works Permit
PERMIT INSPECTION RECORD
CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
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/ CONSTRUCTION-R.W.
ENGINEERING 4174807 PW/ENGINEERING
FIRE 4174653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 47- BUILDING
4815
T:Forms/Building Division/Public Works Permit
�P°R'"
"eCITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . 14-00000374 Date 4/03/14
Application pin number . . . 156766
----------------------------------- ----- - REPORT SALES TAX
Special Notes and Comments
March 26, 2014 4:48:13 PM tamiot. on your state excise tax form
ELECTRICAL PERMIT WILL BE REQUIRED. to the City of Port Angeles
UNDERGROUND ELECTRICAL SERVICE SHALL COME FROM EXISTING ,/
PEDESTAL AT THE SE CORNER. (Location Code 05
OZ)
March 27, 2014 8:16:51 AM rbecker.
Are you installing lawn sprinkler systems on either one of
these residents. If you are you will need to install a
double check valve assembly backflow.
If you have any questions, call Ron Becker at 417-4886,
fax:452-4972 or e-mail:rbecker@cityofpa.us
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.
April 1, 2014 12:57:01 PM sroberds.
The proposal will result in a new sfr in the RS-7 for total
lot cov of 30% and site cov of 390. No land use issues
anticipated.
Consider applying for the City Green Infrastructure Rebate
of up to $750.00 towards the materials to install rain
garden to control roof and driveway runoff. Also rebates
available for downspout disconnections.Contact Jonathan
Boehme at 360 417-4811
Trench safety per applicable laws. Temp erosion control and
surface restoration responsibility of applicant. Contact
City inspector prior to start of work @ 360 417-4831. No
attachment to sanitary sewer of stormwater roof leaders,
foundation drains, yard drains, or any other CSO
contribution is allowed.
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. Use existing curb drop
opening for driveway. 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 222.00
SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 2260.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 750.00 750.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4746.50 4746.50 .00 .00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work 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
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 INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
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 OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 4174807 PW/ENGINEERING
FIRE 4174653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417- BUILDING
4815
T:Forms/Building Division/Public Works Permit
OF PORI q,`,C
�^FFCITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 3
Application Number . . . . . 14-00000374 Date 4/03/14
Application pin number . . . 156766
Grand Total 5496.50 5496.50 .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
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 INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
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/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 4174653 FIRE DEPT.
PLANNING DEPT. 4174750 PLANNING DEPT.
BUILDING 47- BUILDING
4815
T:Forms/Building Division/Public Works Pem»t
Tti E
CITY OF y For City Use
W A S H 1 N G T CI N , U . S .
Permit#
Date Received: —�
321 East 511' Street
Port Angeles, WA 98362 Date Approved
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
1119 Highland Avenue, Port Angeles WA 98362
Main Contact: Phone # 360-504-1198
Christopher Anderson
E-Mail:chris@candersonhomes.com
Property Name John M and Gail T Ralston Phone 360-504-1198
Owner Mailing Address Email
495 W. Spruce St., Suite 3 chris@candersonhomes.com
city Sequim, WA 98382 state WA zip 98382
Contractor Name C. Anderson Homes & Development, Inc. Phone 360-504-1198
Mailing Address Email
495 W. Spruce St., Suite 3 chris@candersonhomes.com
City Sequim, WA 98382 state WA Zip 98382
Contractor License # Expiration:
CANEAH943DG March 07, 2014
Project Value: Zoning: Tax Parcel # Lot#
$ x;860-80" t+SLACC� P—RS7 06-30-14-69-0040 6
Type of Residential ® Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following,fill out both pages of permit application:
New Construction ® Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No ® 16' 3 2
Project New Single Family Construction
Description
I have read and completed the application and know it to be true and correct.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan revir v,fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. 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 Print Name ,A 1 i�C� S' nature
3-25-14 Christopher Anderson _
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement 0 0
First Floor 0 1499
Second Floor 0 0
Covered Deck/Porch/Entry 0 130
Deck 0 0
Garage 0 539
Carport 0 0
Other(describe) 0 0
Area Totals 0 21168
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed $$Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ6FgT)of all Structures: Lot Size: 7,142 %Lot Coverage 30
SQ FT Sitecoverage(all impervious+ 7 142 %Site Coverage
structures 25817.5 39
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project
Air Handler Size: # 0 Haz/Non-Haz Piping #of Outlets:
Appliance Vent # 1 Heater(Suspended,Floor,Recessed wall) # 6
Boiler/Compressor Size: # 0 Heating/Cooling appliance # 0
repair/alteration
Evaporative Cooler(attached,not # 0 Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove Gas Cook Stove/Misc. 0
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # 4
Furnace/Heat Pump/ Size: # 1 Ventilation System #
Forced Air Unit Ductless Mini 0
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # g Fuel gas piping #of Outlets: 0
Water Heater # 1 Medical gas piping #of Outlets: 0
Water Line # 1 Vent piping # 4
Sewer Line # 1 Industrial waste pretreatment # 0
interceptor
Other(describe):
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX
64.04' P. L. AL
LOT 6
79165 Sq. Ft.
20.00' S.B. "��ds>
- _ 1
W •
. IV
of to
—� Cn I CA-1499 I cn j F
o I I l o
Cal I °
_ I •
14
• I I II •
N I � v ° • °. I I I
II
20.00' S.B. I �'
• � II
Id
63.9 1 ' P. L.
1119 Highland Ave
._f f Pla•It: DESCRIPTION DATE SCALE:
ANDERSON `
Lot 06,1119 Highland Ave,Port Angeles WA c°°`°"`°°nDowmems vzsna AD
www.CAmrnontiomcc.mm
CA-1499 Speculative Residence
Prescriptive Energy Code Compliance for All Climate Zones in Washington
Project Information Contact Information
Lot 6= 11�9H�ghland�Au�enue��j ' �`� � �C.Anderson Homes
MORE.
�� ;r - nChristopherAnderson �
John M and Gail T Ralston �� z X360 5Q,4 1198 as
v
This project will use the requirements of the Prescriptive Path below and incorporate the
the minimum values listed. In addition, based on the size of the structure,the appropriate
number of additional credits are checked as chosen by the permit applicant.
Authorized Representative Date.
All>:Climate Zones
R-Valuea U-Factora
Fenestration U-Factorb n/a 0.30
Skylight Ll-Factor n/a 0.50
Glazed Fenestration SHGCb.e n/a n/a
Ceiling 44 0.026
Wood Frame Wall,.k,l 21 int 0.056
Mass Wall R-Value' 21/21h 0.056
Floor 309 0.029
Below Grade Wallc,k 10/15/21 int+TB 0.042
Slab R-Value& Depth 10,2 ft n/a
*Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2.
Each dwelling unit in one and two-family dwellings and townhouses,as defined in Section 101.2 of the
International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the
following minimum number of credits:
Ell. Small Dwelling Unit: 0.5 points
Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration
area. Additions to existing building that are less than 750 square feet of heated floor area.
❑2. Medium Dwelling Unit: 1.5 points
All dwelling units that are not included in#1 or#3, including additions over 750 square feet.
73. Large Dwelling Unit: 2.5 points
Dwelling units exceeding 5000 square feet of conditioned floor area.
Table R406.2 Summary
Option Description Credit(s)
1a Efficient Building Envelope 1a 0.5 ❑
1 b Efficient Building Envelope lb 1.0 ❑
1c Efficient Building Envelope 1c 2.0 ❑
2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑
2b Air Leakage Control and Efficient Ventilation 2b 1.0 ❑
2c Air Leakage Control and Efficient Ventilation 2c 1.5 ❑
3a High Efficiency HVAC 3a 0.5 ❑
3b High Efficiency HVAC 3b 1.0 ❑
3c High Efficiency HVAC 3c 2.0 ❑
3d High Efficiency HVAC 3d 1.0 1.0
4 High Efficiency HVAC Distribution System 1.0 ❑
5a Efficient Water Heating 0.5 ❑
5b Efficient Water Heating 1.5 ❑
6 Renewable Electric Energy 0.5 *1200 kwh 0.0
Total Credits 1.00
*Please refer to Table R406.2 for complete option descriptions
http://www.energy.wsu.edu/Documents/2012%20Res%20EnergV.pdf
Table R402.1.1 Footnotes
For SI: 1 foot .= 304.8 mm, ci .= continuous insulation, int .= intermediate framing.
a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is
less than the label or design thickness of the insulation,the compressed R-value of the insulation from
Appendix Table A101.4 shall not be less than the R-value specified in the table.
b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration.
Exception: Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1
through 3 where the SHGC for such skylights does not exceed 0.30.
`1110/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous
insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the
basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13
cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or
exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R-
13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and
basement wall.
d R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1.
e There are no SHGC requirements in the Marine Zone.
f Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table
R301.1.
' Reserved.
h First value is cavity insulation, second is continuous insulation or insulated siding, so "13.+5" means R-13
cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent
or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3 in
the locations where structural sheathing is used to maintain a consistent total sheathing thickness.
The second R-value applies when more than half the insulation is on the interior of the mass wall.
For single rafter-or joist-vaulted ceilings, the insulation may be reduced to R-38.
k Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a
minimum of R-10 insulation.
Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation
requirement.
Table R402.1.3 Footnote
a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as
specified in Section R402.1.3.
Glazing Schedule
Project Information Contact Information
Lot 6-1119 Highland Avenue C.Anderson Homes
Port Angeles,WA 98362Christopher Anderson
John M and Gail T Ralston 360-504-1198
R402.3.3 Exception(15 sq.ft.max.)0
Vertical Glazing(Windows and glazed doors)
Plan Component Glazing Width Height Glazing
ID Description Ref. U-factor Qt. Feet Inch Feet Inch
Area UA
Master Bedroom. _ ,.. .,E o'2$ - 5 i4 20.0 5.60
Bedroom#•1 a .} 0;28, 1;;:. 4 ,s. - 4 16.0 4.48
�.. . >..
Bedroom#2 ��,
Q .� 0.28 1?' 54re20.0 5.60
Great or&*'� 28 . � 2' 5 Y ° � 5 50.0 14.00
y 2
6a, 34.2 9.57o . °1&'O nRom 0
.. -Kitchen028,.... 1 2 4 z 11.0 3.08
' 0.0 0.00
0.0 0.00
z
�:. e4d ��M,m� �, ,. �` ,..- 0.0 0.00
- '' -...: 0.0 0.00
11M, a� 0.0 0.00
�
0.01 0.00
,. .. w .. ,,,..., 0.0 0.00
` I Aft � 0.0 0.00
F » 0.0 0.00
.; 0.0 0.00
0.0 0.00
0.0 0.00
0.0 0.00
A& 0.0 0.00
<� ` - ' 0.0 0.00
1117, MM,612,114 0.0 0.00
t 0.0 0.00
KIN
0.0 0.00
Ic
0.0 0.00
z >. ... . <, 0.0 0.00
�. a J.0 0.00
` .. v s $ 0.0 0.00
e .. f; 0.0 0.00
;t. 0.0 0.00
0.0 0.00
0.0 0.00
. ..
> MMM
0.0 0.00
0.0 0.00
0.0 0.00
0.0 0.00
0.0 0.00
Al i _ 0.0 0.00
<_ .; � ..-- r y 0.0 0.00
,.
31,
3 0.0 0.00
0.0 0.00
�•"s ? r „' ;" ...F 0.0 0.00
Sum of Area and UA 1 151.21 42.33
Area Weighted U=UA/Area j 0.28
Simple Heating System Size: Washington State
This heating system sizing calculator is based on the Prescriptive Requirements of the 2a.1<:Washington State Energy Code(WSEC)and ACCA
Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling systems should be used to determine cooling
loads.
The glazing(window)and door portion of this calculator assumes the installed glazing and door products have an area weighted average U-factor of
0.30. The incorporated insulation requirements are the minimum prescriptive amounts specified by the 2012 WSEC.
Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section,
some values will be calculated for you.If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension
Program at(360)956-2042 for assistance.
Project Information Contact Information
L'ot 6�1119 Higkland Avenue' ..., x- F,„ , C=QndfeVo Homes
PortRngeles WA,98362 -' ',. ChnstopherAnderson ,,,,e, "Q,,
K_ ..
3PnMfand,6ail7mftalston � " i r 36D 5041198 >-
Heating System Type: *11 Other systems QHeat Pump
To see detailed instructions for each section,place your cursor on the word'Instructions".
Design Temperature
Instructions Design Temperature Difference(AT) 42
:f Port Angeles
AT=Indoor(70 degrees)-Outdoor Design Temp
Area of Building
Conditioned Floor Area
Instructions Conditioned Floor Area(sq ft) 1�g99
Average Ceiling Height Conditioned Volume
Instructions Average Ceiling Height(ft) ,a,BQ 11,992
Glazing and Doors U-Factor X Area = UA
Instructions
0.30 1,51 'Nv 45.36
Skylights U-Factor X Area = UA
instructions 0.50 0_ ---
Insulation
Attic U-Factor X Area = UA
Instruc:ticns ..Y: w
0.026 1=;,499" 38.97
Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA
Instru<Y"sons No Vaulted Ceilings in this project u
Above Grade Walls(see Figure+) U-Factor X Area UA
Instructions0.056 1 428a 79.97
R 21 Intermediate . �-
Floors U-Factor X Area UA
Instructions R-30 0.029 99 >"j 43.47
Below Grade Walls(see Figure+) U-Factor X Area UA
Instructions No Below Grade Walls in this project . --- ---
Slab Below Grade(see Figure+) ... F-Factor XLe� UA
.• v .
Instructions ( i No Slab Below Grade in this project. ---
Slab on Grade(see Figure 1) F-Factor X Length UA
Instructions "
No Slab on Grade in this prgect
.rte .--... .....
Location of Ducts
Instructions — Duct Leakage Coefficient
Unconditioned Space . V
1.10
Sum of UA 207.77
Envelope Heat Load 8,726 Btu/Hour
Figure 1. Sumof UAXAT
Air Leakage Heat Load 5,440 Btu/Hour
VolumeX 0.6XATX.018
Above Grade Building Design Heat Load 14,166 Btu/HourAir Leakage+Envelope Heat Loss
Building and Duct Heat Load 15,583 Btu/Hour
Ducts in unconditioned space:Sum of Building Heat Loss X 1.10
Ducts in conditioned space:Sum of Building Heat Loss X 1
Maximum Heat Equipment Output 21,816 Btu/Hour
Building and Duct Heat Loss X 1.40 for Forced Air Furnace
Building and Duct Heat Loss X 1.25 for Heat Pump
(07/01/13)
64004'
POLO
LOT 6
7, 165 Sq . Ft.
lz. 20.00' S. B. (II aids )
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c" :_ . Z`1 finen these plans,specifi-
cations and other o� :h-11 not Px+ It the building official
from thereafter regi:r~g the correc°i,Ia of errors in said
Plans, specifications and other data, Or from preventing
building operations b;ing carried on tlfereunder when in
■ 9l ■ ■ violation of ail codes a d ordinances of this jurisdiction.
(9-4,4pi
Approval Date �By e n
1119 Highland Ave
Plan#: DESCRIPTION DATE SCALE:
f
onstruction Documents 3/25/14
CNDERSON sD2 Lot 06, ll 19 Highland Ave, Port Angeles WA C - AO
*HOMES&DEVELOPMENT INC - ` A_i�// Speculative Residence
www.CAndersonHomes.com
VLLLIn—log_Orr
Akk MITSUBISHI
Mir.SUMC.)
Split-ductless A/C and Heat Pumps
SUBMITTAL DATA: MSZ-FE12NA & MUZ-FE12NA 12,000 BTU/H WALL-MOUNTED HEAT PUMP SYSTEM
Job Name: 1131 Highland Avenue Location: Port Angeles, WA Date: 12-20-13
Purchaser: C. Anderson Homes Engineer: Absolute Air
Submitted to: City Of Port Angeles For ❑Reference ❑Approval *Construction
Unit Designation: Great Room Schedule No.:
GENERAL FEATURES
•Highly energy-efficient system that features 92%heating capacity 191 OEM 101
at 5°F,75%at-4°F,and 58%at-13°F
•Updated sleek,compact indoor unit design
•Includes Standard,Platinum Deodorizing,and Anti-allergy Enzyme
filters for a complete air purifying system —_-
•"Powerful Mode"function permits system to temporarily run at In
a lower/higher temperature with an increased fan speed,which Indoor Unit:MSZ-FE12NA
quickly brings the room to the optimum comfort level
•Integrated i-see Sensor automatically adjusts the unit's operation
according to temperature differences detected between the floor
and the intake air,ensuring optimum comfort and energy usage I
•Wireless remote controller Wireless Remote
•Base heater is available as an option controller
a
•Limited warranty:five years on parts and defects and seven years on 4
compressors Outdoor Unit:MUZ-FE12NA
OPTIONAL ACCESSORIES Unit
Indoor
Outdoor Unit MCA r Unit . . . . . . . . . . .
•Base Heater(MAC-640BH-U)
Drain Socket(MAC-851 DS) Fan Motor . . . . . . . . . . . . . 0.76 F.L.A.
•
Airflow
Indoor Unit Cooling(Lo-Med-Hi-Powerful) ....162-226-381 -410 Dry CFM
•M-NET Control Adapter(MAC-3991F) 144-202-350-367 Wet CFM
•MA Contact Terminal Interface(MAC-3971F) Heating(Lo-Med-Hi-Powerful) ....166-240-399-420 Dry CFM
•Wired Remote Controller(PAR-21 MAA;Requires MAC-3971 F) Sound Pressure Level
•Condensate Pump(SI3100-230;230V) Cooling(Lo-Med-Hi-Powerful). . . . . . .22-33-43-45 dB(A)
•Replacement Platinum Deodorizing Filter(MAC-308FT) Heating(Lo-Med-Hi-Powerful). . . . . . .22-33-43-44 d6(A)
•Replacement Anti-allergy Enzyme Filter(MAC-418FT;MERV 8)
Cooling* DIMENSIONS UNIT INCHES/MM
Rated Capacity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12,000 Btu/h W 31-7/16/799
Minimum Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2,800 Btu/h D 10-1/8/257
SEER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23.0 Btu/h/W H 11-5/8/295
Total Input. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .930 W
Heating at 47°F* Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 lbs. / 12 kg
Rated Capacity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13,600 Btu/h External Finish . . . . . . . . . . . . . . . . . . . ..Munsell No. 1.OY 9.2 /0.2
Minimum Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3,000 Btu/h Field Drainpipe Size O.D.. . . . . . . . . . . . . . . . . . . . 5/8" / 15.88 mm
HSPF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..10.6 Btu/h/W Remote Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Wireless
Total Input. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .950 W
Heating at 17°F* Outdoor Unit
Rated Capacity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,300 Btu/h Compressor . . . . . . . . . . . . . . . . . . DC Inverter-driven Twin Rotary
Rated Total Input . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800 W MCA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....12 A
Maximum Capacity. . . . . . . . . . . . . . . . . .. .. . . . . . . .13,600 Btu/h Fan Motor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.56 F.L.A.
Maximum Total Input . . . .. . . . . . . . . . . . . . . . . . . . . . . . . 1,780 W Sound Pressure Level
Rating Conditions(Cooling)-Indoor:80°F(27°C)DB,67°F(19°C)WB;Outdoor:95°F Cooling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48 dB(A)
(35°C)DB,75°F(24°C)WB. Heating . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49 dB(A)
(Heating at 470F)-Indoor.70°F(210C)DB,60°F(160C)V B;Outdoor 47°F(8°C)DB,43°F(6°C)VVB.
(Heating at 17°F)-Indoor:70°F(21°C)DB,60°F(16°C)WB;Outdoor 17°F(-8°C)DB,15°F(-90C)V11B.
Heating at 5*F DIMENSIONS INCHES/MM
Maximum Capacity. . . . . . . . . . . . . . . . . . . . . . . . . . . .12,507 Btu/h W 31-1/2/800
D 11-1/4/286
Electrical Requirements H 21-5/8/549
Power Supply. . . . . . . . . . . . . . . . . . . .208/230V, 1-Phase,60 Hz
Breaker Size. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..15 A Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80 lbs. / 36 kg
External Finish . . . . . . . . . . . . . . . . . . . ..Munsell No. 3.OY 7.8/ 1.1
Voltage Refrigerant Type. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . R41 OA
Refrigerant Pipe Size O.D.
Indoor-Outdoor S1-S2 . . . . . . . . . . . . . . . . . . . . . .AC 208/230V Gas Side . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3/8"/9.52 mm
Indoor-Outdoor S2-S3 . . . . . . . . . . . . . . . . . . . . . . . . .DC 12-24V Liquid Side. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1/4"/6.35 mm
Wireless Remote Controller. . . . . . . . . . . . . . . . . . . . . . . . . . . . DC Max.Refrigerant Pipe Length. . . . . . . . . . . . . . . . . . . . . .65' / 20 m
OPERATING RANGE Max.Refrigerant Pipe Height Difference . . . . . . . . . . . . .40' / 12 m
Connection Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Flared
Indoor Intake Air Temp. Outdoor Intake Air Temp.
EHeatMaximum 90°F(32°C)DB,73°F(23°C)WB 1150F(460C)DB
ing
Minimum 67°F(19°C)DB,57°F(14°C)WB 14°F(-10°C)DB
Maximum 80°F(27°C)DB,67°F(19°C)WB 75°F(24°C)DB,65°F(18°C)WB
Minimum 70°F(21°C)DB,60°F(16°C)WB -13°F(-25°C)DB,-15°F(-26°C)WB'• r y E1
"System cuts out at-18°F(-28°C)to avoid thermistor error,but recovers from cutout
operation and automatically restarts at-13°F(-25°C).
DIMENSIONS: :
MSZ-FE12NA
Unit: inch
31-3/8 7/16 X 1 Oblong hole 7/16 X 13/16 Oblong hole
30-7/8 1/2
2-1/2 8-7/8 8-7/8 �o
Installation plate 2-12�`
I
r
2-1/8 13-9/16 13 2-11/16
� r unit
Co 7
Air in Wall hole o2-9/16
�Vy 10-1/ 1/4 Installation late
8
2-3/16 27-1/16 2-3/16 Piping
1-11 1
2-5L161—I� 3/4Tr
--N -
V
1-11/16 Drain hose
m Insulation 01-3/8 O.D 3-3/8
a Li uid line o1/4 19-11/16(Flared connection o1/4) Air out 3-13/16
CL Gas line o3/8 16-15/16 Flared connection o3/8
Drain hose linsulation o1-1/8 O.D Connected part o5/8 O.D
MUZ-FE12NA Unit: inch
15-314 Drain hole 01-5/8
Air in REQUIRED SPACE Basically open 4 inch or more
without any obstruction in front
v
and on both sides of the unit.
M �
r
Air in {>
N \ ote
A Ln of m
47n or
more
�Air out 1-9/16
7/8� r4
2-3/8 x 13/16 Oval hole
— 9VN of mote i or 0/16
hand le// 29/32 11-1/4
Open two sides of left,
EO-
right,or rear side.
N
N
c+�
\ N
AL tIS
Liquid pipe :1/4(flared)
M 11-29/32 Gas pipe :3/8(flared)
`O1511 19-11/16
31-1/2 2-23/32 6-23/32
MITSUBISHI
ELECTRIC
l� Unitary Small HP PARTNE191 HVAC Advanced Products Division
AHRI Standard 21W40 3400 Lawrenceville Suwanee Rd
n/ST Suwanee,GA 30024
Tele:678-376-2900•Fax:800-889-9904
Toll Free:800-4334822(#3)
www.mehvac.com
C SD-MSZ-FE12NA/MUZ-FE12NA-200908 0 MITSUBISHI ELECTRIC/HVAC 2009 Specifications are subject to change without notice.
5 —
5
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1131
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1137
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��. ^•� � �i..,, Highland Aye
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1126
1138 1144
1132
Application Number . . . . . 22-00001186 Date 9/28/22
Application pin number . . . 155230
Property Address . . . . . . 1119 HIGHLAND AVE
ASSESSOR PARCEL NUMBER: 06-30-14-6-9-0040-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Heat pump
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
THOMAS C AND LYNNETTE R BEATTI BLACK DIAMOND ELECTRICAL CONTR
15850 JACKSON DR 502 BLACK DIAMOND RD
FONTANA CA 92336 PORT ANGELES WA 98363
(360) 565-1035
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 9/28/22 Valuation . . . . 0
Expiration Date . . 3/27/23
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 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x 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 $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ 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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
PREPARED 9/21/22, 7:26:54 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00001186 1119 HIGHLAND AVE
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 63.00
TOTAL DUE 63.00
Please present reciept to the cashier with full payment