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Home My WebLink About2223 W 16th St - Building ~ --~-------- ~i- ~. ~;diif" _. _ .CITY OF PORT ~GELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BtJILDING DIVISION . 321-EAST STH STREET, PORT ANGELES, W A 98362 Application Number Pin number property Address ASSESSOR PARCEL -NUMBER: Application description Subdivision Name . Property Use . . . . Property zoning. .. Application valuation 04-00001052 Date .205044 2223 W16TH ST 06-30-00-1-0-7800-0000- RES NEW SFR 2/04/05 RS9 RESDNTL SINGLE FAMILY 156428 Owner Contractor . OLYMPIC LAND DEVELOPMENT 259403 HWY-101 SEQUIM (360) 457-7222 Structure Information Construction Type Occupancy Type Other struct info . INC. WANT ACTION CONSTRUCTION P. O. BOX 1425 SEQUIM (360) 681-3992 NEW 1388SF SFR W/ATT 450SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER 01" UNITS INC. WA 98382 WA 98382 21.80 V-N 1.00 1.00 9034.00 1974.00 15'74.00 1.00 ~ N \J\I --..-------------------------------------------------------------~-------.-- Permit . . . . Additional desa Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID .00 2/04/05 8/03/0S Plan Check Fee Valuation .00 o Special Notes and Comments Building address sign shall not be less than 6" & not more than.12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14~36~0~0-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. The proposal will result in the construction of a single family residence in the RS-9. zone. Lot coverage and setbacks are good. No land use issues are noted. Electrical ~oad calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. ~ -------------------------------------~-------------------------------------- - ~ S Other Fee$ SEWER SYSTEM DELV CHARGS STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA, Shoreline,ESA, utilities, private and public improvements. This permit bec;omes nuJlJuld..vmi:LItworkor..construdlon.authorized is.no_lc~thIn..18OJ:Iays,Jf CODStructlon.orworkJs suspeoded.orabandoned for a perioQof 180 days after the work as commenced, or if required Inspections have not been requested within 180..daysfrom.the last inspection. I hereby certify that I have read and examined this application and know the same to be true and .correct.A1lpl'()v1sions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a pennltdoes not presume to give authority to violate or cancel the provisions of any state or local laW regulating construction or-th&'peifonnance of construction. JiAAA 1c#'~9-- Signature of Contractor or Autho. d Agent ..' T:\Policies\1102_15 building permit inspection n:cord05.wpd [11412005] . 2-/:PS .'- te Signature of OWner (If owneris builder) Date - ,.,~,,?,.,...,-,. t~-~:..-~?}~';_(f+::i~:-"'?->~1\ ~.'~ .1". ~- lLl ~.. BUILDING PERMIT INSPECI'lON RECORD CALL 417-4815 FOR BUILDING INSPECflONS. CALL 417-4735 FORELECfRlCAL INSPECflONS. . CALL 417-4807 FOR PU~LIC WORKSUTILITJES. .' , PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWiiui to COJlER, iNSULATE ORCOJliCEAt. ANYWOiKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSP~C1::JOUSLOCATIQN: KEEP PERMIT CARD AND APPROVED PLANS ATIOB SITE. INSPECflON TYPE DATE. ACCEPTED C9MMENT8' . .' YES 1 NO , . . , .' FOUNDATION: ;., FOOTINGS WALLS roUNDAttON DRAINAGE 1 DOWN SPOUfS ; - PIERS . . POST HOLES (POLE BLDGS.) . ; i , PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL . WALLS I CEn.ING I 1 ..1 FRAMING . JOISTS' GIRDERS SHEAR WALLIHOlD DOWNS WALLS I ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR . .- INSULATION SLAB . WALL, FLOOR 1 CEILING MECHANICAL . HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE' PELLET, CHIMNEY COMMERCIAL HOOD' DUCTS . 0 . MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOlD DOWNS . SKIRTING . PLANNING DEPT. SEPARATEPERMIT#/'s SEPAl PARKINGILIGHTING ESA: 'LANDSCAPING . ;. , SHORJUJNE: .....; '. - '. , . .FII'f..u.Ii"ISP~ON.~~~ .PRlOR TO OCCUPANCYJUSE' .i ----,- ; .k '\."". '+ /. RESIDENTIAL DATE YES NO .COMMERCIAL DATE ';{~EptE.t>> '; .... ". .., ...:. . .. ,.YES". '. NO, ELECTRICAL - UGHT DEPT. 417-4735 ELECTRIcAL .' ,.- UGHTDEPT , CONSTRUcnON R. W.I PWI CONST.RlJCTION - R. W... ENGINEERING 417-4807 ~ ,ENGINEERING c' \ , FIRE DIifT. . .. FIRE ' 4174653 .... .' . .. '. PLANNING DEPT. 417-4750 '.. PLANNlNGj)EPT, '" ...... 0 BUILDING 417-4815 BUILDING . '.' ,'" '" '. .'. T:\Policies\lI02_15 buildiDg permit inspection m:0rd05.wpd [1/412005) I~'I ');~f:~Y ""'-.- - ',_ C,ITY Of,', ~ORT,A"N G~ES , ...... "~. ",.. ...... DEPARTMENT OF COMMUNfQ.' DEVELOPMENT, - BUll..DING DMSION 321 BAST 51H S1REET, PORT ANGELES, WA 98362 Application Number Pin number ' . . . Permit Fee Total Plan Check Total Other Fee Total Grand TQtal . .. 04-00001052 .205044 .00 .00 1774.50 1774.50 Page 2 Date 2/04/05 .00 .00 1774.50 1774.50 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permltsar~ ~ulred for electrical woi-k,SEP~d3~or~line, ESA, utilities, private an~ public Improvements. This p8l'11lltbecomes null and void If work or construction authorized,is not commenced within 180 days, if construction or Work Is suspended orabandoned '"fa penoo'Ofl8lfclayi aftefttieworkas'eommeriCEi(f, orr reqiJliiCflnsj)iCtions naven0f699irrequestecfWiffilif180 ~,ysfromthelaSt Inspe~on. I hereby certify that I have read and examined this application and know the same to be true and col1'Get.J',tijlprovislons of laws and ordinances governing this type of work will be complied with whether specified herein or not Thegran~QQ9f;:lpermlt does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction oL~e performance of construction. ' Signature of Contractor,orAuthorized Agent Date Signature of Owner (if owner Is builder) Date T:\Pollcies\1 102_15 building permit inspectionreconlOS.wpd [11412005] - I -- .. . BUILDING PERMIT INSPECTION RECORD '.... CALL 417-4815 FOR BUILDING INSPECflONS. CALL 417-4735 FORELECI'RICAL INSPECflONS. , CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE: lTIS UNLA.WFlfLTO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTEDAND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS ATJOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTs YES I NO FOUNDATION: . FOOTINGS WALLS FOUNDATION DRAINAGE 'DOWN SPOUTS PIERS . POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR' SLAB ROUGH-IN . WATER LINE (METER TO BLOG) GAS LINE BACK FLOW 'WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS' GIRDERS SHEAR W A.LLIHOLD DOWNS : WALLS' ROOF' CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB ! WALL' FLOOR' CEn.ING I MECHANICAL HEAT PUMP' FURNACE' DUers GAS LINE " WOOD STOVE' PELLET ,CHIMNEY COMMERCIAL HOOD' DUCTS . . ., MANUFACTURED HOMES , FOOTlNG'SLAB I BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING . SHORELINE: .' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE , RESIDENTIAL DATE , YES NO COMMERCIAL ."DATE ACCEPTED' . YES NO . ELECTRiCAL - LIGHT DEPT. 417-4735 . ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.' PW' CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 'ENGINEERING FIRE 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection m:0rd05.wpd [11412005] ;;:,d}.~ " BUILDING PERMIT: 'APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: I - ? <""- 6~ Permit #: Ot.{ - Ie sz. Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: V \ hc.e "-,,f 4-, IS ~ -II~ Phone: L-JE; 2. - 7 S 8-3 Owner: 0 i ~ "Vl-,? ; c.. /""c.. ~ d f)..e If e-I 0 ~~ ,." ~ Phone: Address: )>, 0, &0'<"" SCJ.s City: c..~.,... W. bo V' ..5 Zip: Cj &.'S =2 c../ Architect/Engineer: Phone: Contractor J~,N'tJ vA-~ 2) r./ ~ J; State License #:/M/ov;:.r'tij/)~xp: 8//~Ja~Phone: Ljli,2 -7~3 Address: g) Ale l-V j)a.. II e ...... L", City: P {)". .J.- /J &-tS al W Zip: D; g:s G <- PROJECT ADDRESS: 2- 2 2 3 uJ 1(0-12-. ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # _T)'PE OF WORK: ~ Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZEN ALUATION: SF.@$ /SF.=$ SF.@$ /SF.=$ SF.@$ /SF.=$ TOTAL VALUAT~ON $ 2j.s::::;dC1 F ,\(.e.. Sf1"'h,,, iLJ~ SJ _ -e _ o Stove o Garage o Deck o Other :[ "'l. S ..:J-er JI COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, a that I must obtain such permits prior to work. T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wpd Applicant: Date: ~S- ..~.. ii~O~ SHING" 'Vashington State Energy Code Plan Revie,v Checklist Applicant please Check write in N/ A or fill in value on boxes or lines. Proj ect Address: 2:;2.2-3 LJ. l (p -th st. Lot -#4 Compliance Approach:(check one) 0 Systems analysis o Component perfonnance o Prescriptive path HEATING SYSTEM o Zone Heating ~ Electric FUl1lace DHeat Pump FOUNDATION PHASE o Slab R- _ Exterior dovro to frostline/slab bottom; Interior 24" horizontal or vertical; or, If radiant under entire slab o Below grade exterior wall insulation: R- _ (If interior -see Insulation Phase) FRAIVIING PHASE o Standard 0 Intermediate 0 Advanced L}(Standard air seal: sole plate/sub floor; rinljoist; window & door frames; wires, plumbing, ducts, light fixtures g'Source specific exhaust fans: bath & laundry(50 cfrn) kitchen(lOO cfrn) o Whole house exhaust fan _ cfm intermittent system has manual & auto controls: Outdoor air supply reg. for habitable rooms or o Integrated forced -air system, fan _ cfm, outside an: duct(with motor damper) allowing .35 and .5 ACH INSULATION PHASE LStRd Wall insulation(above grade) o R- _ Wall insulation(below grade): Interior wall insulation ~ R - 3!z Floor insulation t8l R-3~ Ceiling insulation: Including attic hatch o R-_ Vaulted Ceiling insulation ro Vapor retarders: Walls, Ceiling: 0 4 mil poly ~Peml rated paint Dkraft faced batts o Vapor retarders: Floors: 04 mil poly Dkraft faced batts ~ Ground cover: 6 mil Black polyethylene, 12" lap at joints & extending to foundation wall T:\ROGER\BLDG_FORMS-BROCHURES\ENERGYPLANREVIEW Over: Fill in back side also. ,(!::~ WINDOW GLAZING Please fill out window information, inclued skylights, glass doors, and all other glazing on this form. Use rough opening area for calculations. ." SIZE QUANTITY AREA U-VALUE & MANUFACTURER ( /J 04 (J f ^~ Vl'l V { c, a.rd ({J () c::;:, h I ~ () . i? ?CoSh ') ~(p \ 5050 ( :LS '\ 20tfb 2- Iv J L{oL(o l lLP I k, I f6S otoo r \ lD '5( de G't; ~ts 2 k ".. "; Total glazing area: Total conditioned floor area: Percentage of glazing: /55 (3S;~ l( 0;0 DOORS List doors by type(solid core, insulated, Etc.)quantity, U-value, and Manufacture. SIZE QUANTITY AREA U-VALUE & MANUFACTURER T:\ROGER\BLDG-FORMS-BROCHURES\ENERGYPLANREVIEW-2 .'. I PORT ANGELES FIRE DEPARTMENT 102 East Fifth StJ,"eet, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private residence Address: 2223 West 16th Installer: Innovated Fire Installer Telephone: 452-7583 Type of System: Open 130 13RO 13DIZI Date: 1.25.05 P AFD Permit #: 05-03 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All controlling valves shall be provided with tamper supervision. (13D systems are exempt) All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all13R and 13D systems. Before final acceptance of the system, an inspection and hydrostatic test will be conducted to ensure that the installation complies with the applicable NFPA Standard. (13D systems do not require a hydrostatic test.) f~ Contractor Reviewed by: ~&G.d).Q Date: l .2S . Ql~ o ~ o Building Department Fire Department "iI ~(8 ~ , Cpy OF PORT ANGELES DEPARTMENf OF COMMUNITY DEVELOPMENT - BUll.DING DMSION 321 EAST 5TH STREET, PORT ANGELES,WA 98.36~ OLYMPIC LAND DEVELOPMENT 259403 molY 101 SEQUIM (360) 457-7222 ------ Structure Information Construction Type Occupancy Type Other struct info Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation OWner 04-00001052 Date i1/17/04 .205044 2223 W 16T1i ST 06-30- 00- 1 -,0:'7800-0000- RES NEW SFR RS9 RESDNTL SINGLE. FAMILY . 156428 Contractor -~'---------------------- INC. WANT ACTION CONSTRUCTION INC. p. O. BOX 1425 SEQUIM (360),681-3992 NEW 1388SF SFR W/ATT 450SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL ,t LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE , LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT, COVERAGE NUMBER OF UNrTS WA 98382 WA 983812 21. 80 V,.N 1. 00 1. 00 9034.00 1974.00 1974.00 1.00 BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 4.00 7.2500 ECH ME-VENT FAN Extension 47.00 14.70 29.00 " Not " {~(1 Dc. ~ ..... , ' ()'- ~ -t ~ .s ~ ~ "'~ ~ 9 ? 0J ---------~------------------------------------------------------------------ Permit . . . . 'Additional desc Permit Fee Issue Date 'Expiration Date MECHANICAL PERMIT 90.70 Plan Check Fee 11/17/04, Valuation . . 5/17/05 00 o Qty Unit Charge Per .......... --.. ---...... ---............ -................ --.. -- --.................. ---...... --........ -........ --........ --......-- Permit . . . . Addi tional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 146.00 11/17/04 5/17/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per 10.<<;10 1.00 1.00 1.00 permit . . . . Additional desc Permit Fee .. Issue Date Expiration Date 7.0000 ECH 7.0000 ECH 15.0000 ECH 7.0000 ECH BASE FEE PL- BA.FIXTURB ON ONE TRAP pL- EA. INSTALL WATER PIPE pL- EA. BLDG SEWER pL- EA. WATER HEATER Extension 47.00 70.00 7,00 15.00 7.00 BUILDING PERMIT -RESIDENTIAL 1388SF SFR W/ATT4S0SF GARAGE 1336.45. plan Check Fee 11/17/04 Valuation 5/17/05 .00 156428 Qty Unit Charge Per Extension S,eRa~.tQPel'l1lits are r~ulr~dfotelectri(;alwoJt"S,E~~,.S!l,o.reUne.. ESA, utilities, pr:ivalaandpubUc Improvel11en~,";;~s p!irrnltbec()mes null and void If work or construction authorized Is not commenced within 180 days, If construction or work Is suspended or abandoned for a peHod of 180 days after the ~9rt< asC()l'Ilm.en.~ft;_o!rr~fI.9uJre~_ Inspectl~rlts haY~_I:t()t been i'equestedYlithl(i1~[4aysf1:ol'll the las,t Inspection. I hereby certify that I have read and eXalTlil)ed 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 ,constru . n. ~ ' , W 1~o~ Date Signature of Owner (if owner Is builder) Date T:\PLANN]NG\FOlUdS\1102.1S [11I14J2903] ~:;:; I ~{ ~;t'''''''-,::-r<" ;,'?"'<'::'~r'i"":?-;' :td!-:'; "';fr., :C:f>-:~;';.~?t~r'!'1'~:' .~<::S-::;-~:~/"." 1>::._,:,;!,..__' BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FQRBUlLDING INSPECTIONS; CALL 417-4735 FOR ELECfRlCAL INSPECTIONS. PLEASEt-ROVlDE AMINIMUM2.J-HOUR NOTICE. IT lSl/N-LAWFULTOCOVER.lNSULATE OR.CONCEAL ANY WORK BEFORE lNSPECTED",f/VIJ4CCBPTED.. POSTPERMITIN A fON'~~IgIOtJSL<>pATION. KBEP'PERMrr ,CARD AND APPROVED Pi.ANSAt'JOB SITE.; '. INSPECTION TYPE .~ . DATE I I ACCEPTED . YES I NO '" . ,,' COMMENTS' . . FOUNDATION: FOOTINGS WALLS FOUNDATION ELECTRICAL ROUaH-IN ..' PLUMBING. , ..' DRAINAGEIDOwNsOOUTs: .~. :.,....,-".,.,',.-..,., ~"'" ,.,," ..-. (UGHT DEP1) SEPARATE'l'BRMlT:." '. ..,'i.......... (.. '" ..... '. . I I UNDER FLOOR/ SLAB ROUGH-IN WATERLINE (METER TOBLOO) .'. GAS Ln!IE BACK FLOW / WATER .. . . CEILING .. till J ;~ XI.A '. L ./1 I.. JOISTS/ GIRDERS" ' , .~ SHEARWALL/HoLD ~ ts ,. , WALL81R()()F~ .... '.. DRYWALL (INTERlOR BRACED PANEL ONLY) I' T-BAR .,.... '" - -. " AIR SEAL WALLS , FRAMING " I~',. '. - INSULATION SLAB". WALL / FLOOlt/ CEn.ING MECHANIGAl. 'i> REA T PtJM..P .. r I r .. . . . GAS LINE, ';;.:.. WOOD STOW/ PElLET / CHiMNEY -c'._ HOOD / otictS' c-:c . . PW um.lT,I~'1sriE ~ORK (EIIgi~1 iJi~risEfA4TEPBRMrr #i~ ......'...--. . .. ,'- - ,'..---1".. '-"; . ,'- WATERLINE/METER .... " i k .. " , ,,~ SEWER CONNECTION SANITARY STORM . . . . " --;- b' "c. ,,' , . PLANNING DEPT. SEPARATEPERMIT#'s PARKlNGlLIGHTING , LAND~~~JNG " .,;., ')"'........ f' " RESIDENTIAL SEPA: . ' .. .':, ,. :. ". ESA: .., '~.. "".-, "", l';~;_!. 'f'l.c', ..1. L."::''/'' :.'. ..","i' ~~~'ti' " ..,- --',ii,.. ~h I'UfAJj~P~Q~~~~RlORWOCC~Ar.1HyJqSEJ;. ,;'. '., '.... (,=j1H'J)XTE "P F,~rm'" ,i NO '."COMMERCW;"',DATIi-"-.; ','" . c' '. ','.. .i ",-,'. . ..., . ,.,'.' '. i' . jA{,".~!,:;y .i . . '''r~<;~P.fEo.' ~..." yES''''' ';iNt5 .' i'. ..; . . . .". ELECTRICAD~UGHT'DEPT. . ',,417.:.473S;, , ELEGTIuCAD, 'UGHTDEPT " . ". CONsTRUCTION R.W./ PW/ ENGlNEmpNG ...... '.. FIRE~' '.. "-,i.' .. PLANNING DEPT.,. BUILDING' 4174807 '",. .i ,.,.,., 41.,~~; i,".... 4174750 : . ".. 4174815 .< , CONSTRUCTION - R.W. t . '. pw,tENGINEERlNG, ..' FlREDEY-t.---. .' I >, .d PLANNING DEPT. -; ".C: ",' BUIJ:.DING . .[,: , '. ...., .. . " ~; i{.',f T.\PLANNING\FORMS\1102.15 [11/1412003J I', j," I ! '::',,':; "\i.'->, .-' .'-8 ~" ; : "':"",'"f'--,," .,' 'CITY OF PORT ANGELES DEPAR'fMENT Ol"'GQ~ D~~LOPMENT - BUILDING DMSION . "311EAS'tSTH STREET. .rORl' ANGELES. W A 98362. . . ':,~: -'~:<;~";\"'::' ':"~'.\'$I Qty unit Charge Per Ap~licatio~ Number Pin . number . .. . . 'Page 2 Date 11/17/04 BASE FEE 57.00 5.6000 THOU BL-100,001-5$l.OK (5.60PER K) EXtension 1017.25 319.20 Special Notes.: and Comments Buildingaddies~sign shall not be less tha1;i 6ft,&: not more than 12" inheighl::. NUmbers colors must contrast with wall colortheya:re'mounted on. lOrd. 14. 36.050-E) When roof gu,tte:i:;s are installed, drains:wi;Ll )9cated in <fry wells .or ,piped 'to . approved , storm drain locatiBns. . " New subdivision outside the fourminute'res~nsetime shall . be eqUippe'd:,~ith' a residential sprinkle~ system that is installed and maintain'ed in accordancewfth', Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. The propOsal will result in the construct'ion"cf, a single family residence in the RS-,9 zone. Lot co~erageand setbacks are good,.,' NO land use issues are noted. . Electrical load calculations and.elctrical permits are required" . . ,...., Sanitary sewer connection inspection is r!'!quired'by Public Works prior to back fill of ditch. . ' - - , --,-- - -------.,. - ----- - - -...... -- ----'. - --- - -------- -.. --... ~~ ---- ------------ - - - -... - -- -...... - -- .:.... ...:.'..:.._~ .'.-.";' - ;.--..;. -...... ';"". -... - - ...-- - -... - - - -- ------ -,,- ----_.;;..,.~-~~- -.. --- --- ------... ---,--- - -- Other Fees. SEWER SYSTEM:PJ;:LV' CHARGE STATBl3miCHARGE' PW. WATER.SYS~BM USE FEE. 745.00 4.50 1025.00 Fee sUmmary Charged Paid Credited Due ----------------- ----....-..-...- ---------- ---------- ---------- PeX1llitFee Total 1573 .15 1573.15 .00 .00 Plan.CbeckTotal ..00 .00 .00 .00 Other.Fee~otal 1774.50 1774.50 ~OO .00 .. Grand Total 3347.65 3347.65 .00 .00 T:\PLANN1NG\FORMS\1l02.1S [WI4l2003] . ' ,,] - - BUll.iDINGPERMITINSPECTIONRECORD . ?'$~'f.';~:;:;; '",;r,,' . ... .:" ~ , '. '!,.., ,. ", ' _ ,';:j, " CALL 411-4815 FOR BUILDING INSPECTIONS. <;ALL411-413S FOR ELECTRICAL INSPECTI()NS. ~ Ii PLEASE PROVIDE AMINlMUM.24 HOURNOTICE.ITISUNL/fffFUL 'fO C.OVEJ.l.lN$PLA1:EJ!llq01tCEA~ANl'Jf'QRidflJ10RE' lNSPECTEJ) AJr{DAqCEP.7'ED.'OST}J)?RMIT IN A CONS~IGYOU~LOCATlON. .., KEEPPERMITCARD~D APPROVED PLANS:'/\'PiJOB'SITE' '. . FOUNDATION:, .f001JNGS, 'J .) ~;,~ . I ." " " : : I' ACCEPTED ,il YES 1 NO ''','>.' ~, i ~.~~' t... .' l; ..c: " '" (I - ~~.:,' WALtS., '.~~;; ~~I ~ L FO~nON DllAU'lAGFJDOWNSI'OUTS If A t:.8~ . I . ~gAi <ii!CJirJ.'DEPT)' SEPARAiE'i>ERMlT:# =" I ROUOR-IN' . 1 . I . .". PLUrfI~_q. S. ' . . tiND~fLOOR/.SLAB ROUGR~.~ WATER LINE (METER TO BLDOl GAS LINE BACK FLow I WATER AIR SEAL INSPEctION TYPE, . .' DATE j' , . . . - COMMENTS <. 'I . . . . . , - - , .' , .. . ... I ~~..;' s,()~J~i:Y'f)LJ .;J'~' ~I urn b. ptMl ~; bit !otj</U AfJ I: I: . "2. -z.-o$"'. JL.,L...;- .' : Fo.- ;r:'o Ii f ( I } , ; !! .' .. .' ,- < .. (t ,';'; '.j . .~'. :."" I ., . i'" .... ii Ii I: !: I: ii -.'~ " i' I: j. I!, . " '~.- ...... .' ~.;, ," WALLS . CEILING .... FRAMING JOISTS I GIRDERS SREAR WALI.JaOLD DOWNS . . WALLS i ROOF I CEILING .,' j.. . DRYWALL (INTERIOR BRAcED PANEL ONLY) T-BAR '. " . , In J\..- ,--' J L" - ~ -<!)~ ' ! . ' 'I .. 1 ..' . . ~""~-os--iJ .L -;lJ!II-:iJS- ..ll-t- .r '. '.. > '- .- ,-..' -;", ! PW UTILITIEs/ SITE WORK (EDginecring Divisioll) SEPARATE p~ #'s: WA~lMETBR '" ....., , . mSULATION SLAB '. ! 1 ... ! lQ-J.,I;"~ ~ ~J- I MECHANICAL HEATPtmP GAS LINE! WOODSTOW,/ PELLET I CHIMNBY HOOD IlDUCTS !. ". ,:,'iJ';' " ~:RM(- (;,~(, tb~~';JIA,/-Aff '. WALLl FLOORl CEILING . . , .. SEWER~NNEcnON SANITARY . '. , . . - . STORM ........ PLANNINGDEPT, SEPARATE PERMIT #'s ; . P~NQlLIGHTING LANJ)SC:4:P~G . .):~.-:'~ v ',.;-Vi' ,.. .... SEPA: ". . 'ESA: '.' '. ., . . . " I.:'; .' .. SHORELINE: ;' ..., _.~. . .,;1l!If,*;I!'I$P;~O~SREQUIREDPlU9it1'(rOCCu~~t~IV~E:~i;~::::,~ . ..' " '.,"",' "." . DATE.. I YES _ NO .,~,,~OM~~:~IAL'J:<: ?,:::~~~~:. .,:,~:~~:?:~:; 411-4735, .', .~tAi' " ,>';,' ':"." .... '.' 1>,:, : UGHFDEPV ". ..' , ." ..' , ; CONSTRUCTION:"R.W.-' ."..'! , . PW I ~GINEE.RIN6: . ; FIREDEIli....;~..:.....:",::; .'... .' '....... -. ,,;~. . 'I ". :.... .... PLANNINGDEPT:' . . .,:. '. . SUitDING::''':C'':'.: ;"~ -- .', I. . . " ([W'" . ., ,..... .' ,.......... .' , .';: RESIDENTIAL . ./,. . . .. ". ","" '. " . EL.ECT~C~:; UGHT DEPT. .; CONSTRUcnON Ii. W.I Pwl ENGINEERING 417-4S07 F1~",. ." . 417-4653" PLANNING,DEPt. . 417-4750. BUlLDn:i&::'" .. 411-481$; 'fJ.lr,1fJ!5 . , T:\PLANNlNG\FORMs\II02.15 (1111412003] . " .. :...... , . . ,j'. '." . i..: > BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site Pl.~n ~UST B~ C01\lI)LETE to be accepted for review. It you have any qu~tions. call PERMITS (360) 417-4815 FAX(360)417-4711 . FOR OFFICIAL USE ONLY: Date Rcc.: /D-2D-64 Permit#: D'l-/OS2. Date Approved: If /.17/0 if Date hsued: Applicant or Agent.: f-.ea..h KJOCidJ~ Owner: 0 I Y f11 pi L { (;l. r1 d tJ f lIel 0 fie YYlP rJ t Address:P.O G<)K SqS City: lCi--rJsborj Phone: (J/'ir'/-3QQ""'L Phone: $tI.z"-it7t? P,lof- ~S7-7")'';'-< W A . Zip: 9 f 3:J. 'I Architect/Engineer: Phone: :3.<D 0 RoCJ. 0 'ftfS ; LA' (wls+rt..d,()"I LvANTAc.J:,qQ2t33 . I J 1'_., Contractor.IA)P It T ch Ot"l State License #: Exp: d)... If oS Phone: (f/ K '~3 '1 '12 Address: p.O. Box 1'/2 S City: Set!jlLlm uA. . Zip: cr 638'<.. PROJECT ADDRESS:22'2S W ~ 'f-h St ZONING: R S '7 LEGAL DESCRIPTION: Lot: {t tI/1J Block: Subdivision: 0 I ~ V>1 p/c. N ~l? ht CLALLAM COUNTY PARCEL NUMBER: 0 c".. S o6C 1(:)7 <d 600CC)O Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: ~ Residential 19 New Constr. 0 Re-roof o Multi-family 0 Addition CJ Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJE~T: o l ,/ VVt P iL l'-t ~'&:)~K COMMERCIALlRESIDENTIAL: Occupancy Group: No. of Stories: L Lot Size: qU"3~ Existing Sq. Pt. 05 Total lot coverage '2.. J,B City: MC # Exp. Date: o Stove o Garage o Deck o Other V\ etA) SIZEN ALUATION: 138'~ SF.@$ 1I2.1o/SF. =$/'S~ 4~g. 00 't SD SF. @ $ ISF. = $ , 'fz. SF. @ $ /SF. = $ , ~pTAL VALUATION $ ~ "-rl4/f' t-e. VL-t./ ( ~ l n:- S I ct.<-e VI (' b , '1"'7 Occupant Load: Construction Type: & Proposed Sq. Ft. l q 1lf = TOTAL Sq. Pt. 19 '7 if % PLANNING USE ONL Y: ce at fIJ - APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ - , - A- ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICA nON SUBMITTAL: The Building,Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due, it must be submitted at the time the building permit application and construction plans are submitted. All other pemrit fees are due at the time ofpemrit issuance. EXPIR<\TION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3 ,2 of the International BuildingIResidentiaI Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that must obtain such permits prior to work. Datel6!2-a! tx/ Applicant: T:\RVESS\BLDG.forms-bTochur~s\2003.Buildingpermit.wpd PREPARED 6/06/05, 13:00:47 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 7 6/06/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457 -7222 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL5 01 12/08/04 12/08/04 JLL CA PLUMBING BUILDING SEWER brian 460-6026 public works to inspect sewer 1ine/jl1 PLUMBING WATER SUPPLY TIME: 17:00 BRIAN 460-6026 PLUMBING ROUGH-IN 460-9014 PLUMBING FINAL TIME: 17:00 06/06/2005 12:42 PM DYASUMUR --------------------------- TIME: 17: 00 PL6 12/08/04 12/08/04 2/02/05 2/02/05 ~06/05 ~\o1l~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- 01 JLL AP JLL AP JLL ~ TIME: 17:00 PL2 01 PL99 01 PREPARED 6/06/05, 13:00:47 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR: JAMES L LIERLY 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 I f/06/05 JLL ~l\GS" -f1L- ----------------------------------- CONTINUED ONTO MECHANICAL FINAL 06/06/2005 12:42 TIME: 17:00 PM DYASUMUR --------------------------- SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457-7222 PAGE DATE 6 6/06/05 NEXT PAGE ----------------------------------- PREPARED 6/06/05, 13:00:47 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 5 6/06/05 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 11/17/04 JLL 11/17/04 AP BI2 01 11/30/04 JLL 11/30/04 AP DSD 01 12/08/04 JLL 12/08/04 AP BAIR 01 2/25/05 JLL 2/25/05 AP BL3 01 2/25/05 JLL 2/25/05 AP BLI 01 3/04/05 JLL 3/04/05 AP BLDR 01 3/24/05 JLL 3/25/05 AP BUILDING FOUNDATION FOOTING 20' ground rod in footing # 4 bar ok/jll BUILDING FOUNDATION WALL ALLEN FOUNDATION BUILDING DOWN SPOUT DRAINS TIME: 17:00 BRIAN 460-6026 BUILDING AIR SEAL BUILDING FRAMING BUILDING INSULATION TIME: 17:00 Allen 360-809-0445 BUILDING DRYWALL IBWP Dan 461-3204 Brace panels nailing exposed, taping remaining sheetrock. BUILDING FINAL TIME: 17:00 06/06/2005 12:41 PM DYASUMUR --------------------------- BL99 01 ~/06/05 ~JLL \ \1\0.:)' \ \ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 3/24/05, 12:53:20 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 11/17/04 JLL 11/17/04 AP BI2 01 11/30/04 JLL 11/30/04 AP DSD 01 12/08/04 JLL 12/08/04 AP BAIR 01 2/25/05 JLL 2/25/05 AP BL3 01 2/25/05 JLL 2/25/05 AP BLI 01 3/04/05 JLL 3/04/05 AP BLDR 01 ~~ BUILDING FOUNDATION FOOTING 20' ground rod in footing # 4 bar ok/jll BUILDING FOUNDATION WALL ALLEN FOUNDATION BUILDING DOWN SPOUT DRAINS TIME: 17:00 BRIAN 460-6026 BUILDING AIR SEAL BUILDING FRAMING BUILDING INSULATION TIME: 17:00 Allen 360-809-0445 BUILDING DRYWALL IBWP Dan 461-3204 Brace panels nailing exposed, taping remaining sheetrock. 5 3/24/05 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/04/05, 13:22:55 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 3/04/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS DSD 11/17/04 JLL 11/17/04 AP 11/30/04 JLL 11/30/04 AP 12/08/04 JLL 12/08/04 AP 2/25/05 JLL 2/25/05 AP 2/25/05 JLL 2/25/05 AP BLI 01 ~~~jI~~ ~ BUILDING INSULATION TIME: 17:00 ~ Allen 360-809-0445 ------------------------ ------------- COMMENTS AND NOTES -------------------------------------- 01 TIME: 17:00 BL1 01 BUILDING FOUNDATION FOOTING 20' ground rod in footing # BUILDING FOUNDATION WALL ALLEN FOUNDATION BUILDING DOWN SPOUT DRAINS BRIAN 460-6026 BUILDING AIR SEAL 4 bar ok/j 11 BI2 01 BAIR 01 BL3 01 BUILDING FRAMING PREPARED 2/25/05. 12:27:02 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 11/17/04 JLL BUILDING FOUNDATION FOOTING 11/17/04 AP 20' ground rod in footing # 4 bar ok/j 11 BI2 01 11/30/04 JLL BUILDING FOUNDATION WALL 11/30/04 AP ALLEN FOUNDATION DSD 01 12/08/04 JLL BUILDING DOWN SPOUT DRAINS TIME: 17:00 12/08/04 AP BRIAN 460-6026 BAIR 01 2 25/ 5 ~ BUILDING AIR SEAL "'Z. BL3 01 2 JL BUILDING FRAMING ".~ PAGE DATE 4 2/25/05 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/02/05, 13:03:55 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL5 12/08/04 12/08/04 PLUMBING BUILDING SEWER brian 460-6026 public works to inspect PLUMBING WATER SUPPLY BRIAN 460-6026 PLUMBING ROUGH-IN 460-9014 01 JLL CA 12/08/04 JLL 12/08/04 AP PL2 01 ~ Af- -------------------------------------- COMMENTS PL6 01 SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457-7222 TIME: 17: 00 sewer 1ine/jll TIME: 17:00 TIME: 17:00 PAGE DATE 5 2/02/05 AND NOTES -------------------------------------- I PREPARED 11/30/04, 13:08:38 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 11/30/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 11/17/04 JLL BUILDING FOUNDATION FOOTING 11/17/04 AP 20' ground rod in footing # 4 bar ok/j11 BI2 01 ~1 30/04 ~ BUILDING FOUNDATION WALL ~ ALLEN FOUNDATION ------------------ ------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/08/04, 13:42:15 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 12/08/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-3992 (360) 457-7222 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 11/17/04 JLL BUILDING FOUNDATION FOOTING 11/17/04 AP 20' ground rod in footing # 4 bar ok/jll BI2 01 11/30/04 JLL BUILDING FOUNDATION WALL 11/30/04 AP ALLEN FOUNDATION DSO__"'__~_~~_____:~:~~::'::::-:::::':::'::G' ".,'_"_".________________________ :, ~* J~; ~. ~ PREPARED 12/08/04, 13:42:15 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457-7222 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PAGE DATE 7 12/08/04 BUILDING SEWER 460-6026 WATER SUPPLY 460-6026 TIME: 17:00 PL5 01 .'O( ~~ PL6 01 1 0 04 JLL PLUMBING ---------------------~---:~:~- COMMENTS AND NOTES -------------------------------------- PLUMBING brian TIME: 17:00 .:. - <;. t:.'vJ b'L X'J.-l <;. f ~ (14 ~I pvJ y~O) JLI PREPARED 11/17/04, 16:10:15 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 11/17/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2223 W 16TH ST WANT ACTION CONSTRUCTION INC. OLYMPIC LAND DEVELOPMENT INC. 06-30-00-1-0-7800-0000- 04-00001052 RES NEW SFR SUBDIV: PHONE (360) 681-3992 PHONE : (360) 457-7222 ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 ~{4 BUILDING FOUNDATION FOOTING -------------------------------------- COMMENTS AND NOTES -------------------------------------- ,- .. S ~r~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 t. Appli~ation Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . App~cation valuation 2/15/05 RS9 RESDNTL SINGLE FAMILY 156428 Owner Contractor * " OLYMPIC LAND DEVELOPMENT 259403 HWY 101 SEQUIM (360) 457-7222 Structure Information Construction Type Occupancy Type Other struct info INC. WANT ACTION CONSTRUCTION P; O. BOX 1425 SEQUIM (360) 681-3992 NEW 1388SF SFR W/ATT 450SF GARAGE TYPE V NON-RATED SINGLE ~AM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC. WA 98382 WA 98382 21.80 V-N 1. 00 1. 00 9034.00 1974.00 1974.00 1. 00 ~ Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1800 SQ FT SFR JARMUTH ELECTRIC 96 .40 12/17/04 8/14/05 Plan Check Fee Valuation .00 o ~ lJ )J \.AI Qty 1.00 1. 00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 , 23.40 (. Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36. 050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. New subdivision outside the, four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. The_proposal will result in the construction of a single family residence in the RS-9 zone. Lot coverage and setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. ...... G" (~ Other Fees SEWER SYSTEM DELV CHARGE 745.00 COMMENTS/ACTION NEEDED ~" ELECTRICAL PERMIT INSPE~.lON RECORD .,IIr ," .",": CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MJNIt4l'M 24 HOUR NOTICE; IT IS INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE . INSPECTION TYPIt GENERAL COMMENTS: PW.II02.IS (4196) . S "I4lr~ CITV.OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET. PORT ANGELES. WA98362 . Application Number . . . . . 04-00001052 pin number . . .205044 Page 2 Date 2/15/05 Other Fees STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.40 96.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.~0 .00 .00 Grand Total 1870.90 1870.90 .00 .00 COMMENTS/ACTION NEEDED _J , <J ELECfRlCAL PERMIT INSPE~JON RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PRovIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.ll02.1S (4196] :2 c rq --I ':L (f\ n ;2> (' C'. Q l-J ll\ I i .---' ! E;-! =i! C{l I--\) (Ii I ~ :--, I I . ------..[- /6/. 5 !.,_..__".__,___.__..~.._ ~ ....- .. ". ..-- -.. -~-"..." --_.~ .. I I I r- I I ~ I I L UJ -t:>- (jI ,., '"' :10- '-' ({' (Il (11 .() "1 -( )"S. :r:. o c II> en w ~ "" (Cl fJ ~ I~ , -L_~ -~ - >~ ~;J Z- ..- ~"'w''''S-(~''- '-'''''' ( 6 { . .. I I r I I I I I. Q Li' r r ~ 10 -<. -I ~ (T\ -:if -0-0 iliir;hH r .~. C-' ~ _. 5: :2 ;1!:... o C rt\ .::: f'1) G "'0 ,1\ :s :E :.; <i;' 00 ..i) c1pO'Ir"",o ....l~/}'-':. "Gi ..... -- ....."'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00001052 .205044 2223 W 16TH ST 06-30-00~1-0-7800~0000- RES NEW SFR Date 11/17/04 04-/00~ ?:;,~"3 IN/& 1h OLYMPIC LAND DEVELOPMENT 259403 HWY 101 SEQUIM (360) 457-7222 Structure Information Construction Type Occupancy Type Other struct info INC. WANT ACTION CONSTRUCTION P. O. BOX 1425 SEQUIM (360) 681-3992 NEW 1388SF SFR W/ATT 450SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC. (I)~ WfJo;v< 5U-l- ~W RS9 RESDNTL SINGLE FAMILY 156428 Owner Contractor WA 98382 WA 98382 21.80 V-N 1. 00 1. 00 9034.00 1974.00 1974.00 1.00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 670.00 plan Check Fee .00 Issue Date 11/17/04 valuation 156428 Expiration Date 5/17/05 ________'~~~___~n'~:~~~~~~_~::__~~_~~~_:~R_3/::________________~~:;~~i~~ Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 11/17/04 5/17/05 Plan Check Fee valuation .00 156428 .Qty Unit Charge Per Exten~;nn 1.00 45.0000 ECH RIGHT OF WAY PERMIT ~45.0~ ------------------------~~~~------------------------------------ ------ Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95.00 Plan Check Fee .00 Issue Date 11/17/04 Valuation 156428 Expiration Date 5/17/05 --------=~~~---~~~::~~~~~~-~::__:~_:~~~~-~~~~---------------~~;~ Special Notes and Comments Building address sign shall not he less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) 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:\PLANNING\FORMS\II02.15 {I 1/14/2003] <Jl"JRr~ , ..~~~.. ....<J~_O# it~ -- -- """""" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 04-00001052 pin number . . .205044 Page 2 Date 11/17/04 Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. The proposal will result in the construction of a single family residence in the RS-9 zone. Lot coverage and setbacks are good. No land use issues are noted. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch.. -----~~~;~-;~~;--~-~-~-~-~-~-~-~-~--~;~;~-~~~~;~-~;~;-~~~~-~~~~~~- STATE SURCHARGE. _4--.~ PW WATER SYSTEM USE FEE~ 1025.0~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 810.00 810.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2584.50 2584.50 .00 .00 I. 11 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;\PLANNING\FORM$\1102.15 (11I14noo3J CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date /~ -/frO/J . 7 Time Received by (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No, Type of Inspection (circle appropriate one): Permit No. 07'- /OS,;;2. -Sewer--Foundation-Framing- Chimney- PIUmbing--Final-e::wer::Ex~--Other------------------- ~~2.3 LU/b<< INSPECTION NOTES: Inspected: Date I;;' -17-0 q Remarks: Time By ~ """"'Y A ",,~PP:" RESTORATION REQUiRED...... YES NO ~~DGj I c-'li'~ \ ~. l-l..CA.\.l / T DO, V ~ 1."1' '" , -r:' ,-\' (::>" \>'h\ I , I I , SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE fZ-~ \Xo~-IN WO-4-1~705-01lf APPLICATION FOR WATER City Water Division "- Port Angeles. Washington H - II . 20SJ!:/ I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: 'S14 ~ It n nR L.O r ./01. rJ.....- 4!S7-i'Z.Z'Z- Name of APp'icant~h1fl1J ~ ueU. ~j;~~z1 Address; Zz.'Z ~ \II} ~_ Renewal 0 New Service ~Ik.:r:::- Lot -4- Add t)!y,.,..,pu... /It"~ /11 ~ 1/ t:)~ 1078, Size of Service . Meter N~er "~ Service Left On 0 Service I,.eft ~ Signed .~ j~AI vtlrl- F-O'lJ~1)eJ'" ~ Installed by <. - €ley ~ e1- ~ ,..., 'tJr~t'rl?J er v Remarks: re r WI I rH 01-/06 Z- ""':'. S; ym k/er IIP?oq:. -f-" /tJ2S!:3 ~~w@J ~~e N 212J,lb1"-- w I ~t" E " Ilf 8 pI ~ "" ~ s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . . . . REQUEST:, I ! / Date (f I 0':'> Time Received by Location of Work to be inspected ~Z~?;; L/u) iLftt'\ Name of person requesting inspection DatI i o~ DJ If---' Address of person requesting inspection I Phone No. Type of Inspection (circle appropriate one): Permit No. D4 -JDS2. Sewer Foundation Framing Chimney PIUmbingeeWerExcav. Other ip~~ INSPECTION NOTES: I (~---- Inspected: Date ft '7 ~ Time !f:.'POPIM. By R V Remarks: iJI.....l.k ~'^~ , "",{it I ^1- /.... Co,,-r ,1 /c')<n1-t'c-,,-{ IF- (phone, person) RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt D PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 12/16/2004 11:09 360-681-7272 JARMUTH ELECTRIC PAGE 01 ~1ectrIc.1 CODtl'1lelllr CI OWner . CJ AIm.1lI Permit CJ Alarm l Carnival CJ Commordlll ELECTRICAL WORK PERMIT APPUCATION ut"Reauelt IIJIP,ctloD . D,'~ CJ 1le,ld..UaI CJ Rnldeallat MalDt. CJ SIpa CJ TIlarmOltlt CJ T"'-m. /rnltalladOll deleriptiMt JJ E::;~:::~; o.me:~1 ~ri~'lco:trad:;; ;;~ B U J8XJ ~ / I- ~!;/~~ ~qmlil~J.J4,.;; I -..1:- S4- C1lYt? . . (j s.... ZIP _. . ~t4""'- 1.11t- 1!Jrt!,'!r"2.... Toleph,~b~I//)(.1 FAX~"";.~ 7272 .r~"te. ow...,', aal!le r rJl,' _~ 1 A fJ. ' ~~....l- , ",~ 9f Addr~ .r 11"."0"" -~"I..b II\J CII, ~J. ( ~ ,/ J Q Casb Q Check II I hereby eertifY lhat ) am lIIe wner of the above _ed property or a li.eo...s ~ electrical con....tor (or the flm . au1lloriml agent) aod lID makin, lIIe ....lrical Q Credit Card ~ Mealercard Dlaeovor _n,lion or ai_lion in.omp (""CO with tho electrlcallaw. Chapter 19,28 RCW, Card /I _ ~-E i~ _ _ _-_ _ __ 'SllnatUft ~r owaer, I!Jletrtc 1 contr.ttor or eleetrlca. admlalllrato, X lUd -. ... I WALLS Inlulatl.on Only Expiration Date of card \. (~)alJ>"c~n Jee ,,. S'fL..LtD ,,- cmJNG lnsuladon Onl)' ~UEKMOSTAT .; <f ~ ;1c.i2 D a, ,,- ,,- SERVICE 01" ........ , 1>... ~ay Cove" Dt.1 ........" \. tr 1'1lnJU( ........ .. ""\ 1>... -., Covor DII'CII j.,/-z..o/t.,-j' kD ~-V I \,- r .... .... Afpnl..... I .. i:I NO LOAD CHANGES CJ _rd _KW i:I Furnace _KW i:I Hul Pump _ Ton _ AR i:I Fan-WeD KW .. odD' _lnfD'.....IDn CJ Ovortwad SolIVleo CJ ,;ror;;p Service ~ UnclorglOOncI SeIVIe. VoIlIge Ph_CJ1CJ3 Sol..... Slzo: _ F.- Slae: Inspection Date Area. Building or Equipment [n.pected Action Tlten Electrical Inspector t:JA- '., Aft' AD . .rr~ dd2 ,()4 $Q # /fCO ../.../ " '''1./ '" j.;15IP~ ,?!J5/ ~,(' '6/; In~ , ,. J:), rut p,~ J?iJUk/'/- /H - ..5rPt/i~ .-.., '" /l 171 S/6,,</-i-c4D,.cox. " ._.A ,P/P.4e.-/ ~r-< ,.N b"""""'''" P.4'N) o ~ CA?:$. Lcr. 6;/CI Ios , nNri"t., t4 ;:;>,b iii _ /j <Jrr--{/ oK.... - ~ \()H 1 I?/i? / /lU - 'I t/(-? v , ! .~ "- _/ ELECTRICAL INSPECTION WIRING REPORT 417-4735 ~A:ne4 C- ADDRESS JtZ.3 ~--r4 r APPROVEc(~37 $M<-/.7//yc' -r ~~if~vpJ o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . _ _ . . . . . 0 D. . . . . . . . . . .. . . . . . . . . SERVICE. . . . . . . . .. . . . . . .. . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 ((/>J-S/ff-"J 1P CORRECTIONS NEEDED: Uvc:1.ut:. ~/,,;;f ?/C ~ 7' cz; E.;,~,., hSr- rAIN ....., 6'An,- LLn7--. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381