HomeMy WebLinkAbout1127 W 19th St - Building
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CITY OFPORTAN~ELES . . .
DEPARTMENT OF COMMUNITY DE~LQPMENT ~B.UILDINGDMSIQN
321' EAST 5TH STREET, PORT ANGELEs, W A 98362
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I
Applicatipn Number
Pi~/IlwnbE!r . . .. . ..
p. ro..p...e..r.. t.'..y. ~.dd.d dr..es. s.' . .....
ASSE~.SOR.1jARCEL NUMBER:
Application description
Subdivision Name
PropE!rty Use
Property Zoning .
Application valuation
04-00000342 Date
.480242, '
1.127 W 19TH ST
06-30~00~0-4~S46S~0000~
RES NEW SFR
S/13/04
RS7 RESDNTL SINGLE FAMILY
97629
Owner
~nt;'actor
PLUARD, LISA/JOHN
285. B~CKDIAMONDRD
pORT '. ANGELES
{360) 461-4478
Structure Information
Construction. Type
Occupancy,Type
Other structinfo
WA 98363
BLACK DIAMOND BUILDERS
111~~S,ON CREST DR
pORT ANGELES WA 98363
(360) 452-8836
NEW 1302SF SFR. W/!,<TT . 608SF GARAGE
TYI?EV NON"RA:TED
SINGLE FAM & .cONGREGATES
TOTAL tLOT covERAGE
CONSTRUCTIOlf,TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE "
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF uNITS
29.70
\.: ' .
W
~'
tJ.
V,..N
1.00
1.00
7000.00
2080.00
2080.00
'1.00
penuit . . . .
Additional desc
Sub Contractor .
pemi t Fe~ '
Issue Date'
Expi;:at,ion Date
ELECTRICAL NEW RESIDENTIAL
, 1878 SQ FT SFR,ELECT.SERVICE
ELECTRIC SERVICE
116.20 Plan Check Fee
5/13/04 Valuation
11/09/04
.00
o
-""t':'
.
>-J
.;;.J
----~-~~--------~-----,-------~-------~-----~--~-~~~~~-~----------------~----
Qty . unit charge Per
'1.00 .70.8000 ECH EL-R-SQFT F.IRST 1300
2.(l0 22.7000 SC EL-R-SQFT ADDITIONAL 500
Extension
70.90
45.40
~:'
~"
---','~
Special,.. NotesClIld . Co~ents
I?Elrmit.allowsconstruction of a 1302 square foot single
f~Uyresidencewithan attached 576 square foot garage for
a;;~otallotcovera"ge of 2100 square fe,et 0;" 30t. No l.an<i
use,~issuesare noted; . . .....
.Bu:tld,ing.address sign shall not be less than 6".& not more
th,an,12" in height. Numbers colors must cont;rast with wall
color they are mounted on. (Ord.14 .36. OSO-E) .
When.. roof gutters are installed; drainswilll()cated in dry
welis or piped to approved stormdxainlocations.
Electrical load calculations and elctricalpemits are
rE!quired.
~..
..~'.
Vy~
"
Separate Permits are required for electrical work, SEPA, Shorelfne, ES,6.i ~tiIities, ptivate !'lnd publicimprover:n~nts. This permit becomes
ntillandvoJd if workor construction authorized is not comr:nence~nvithin, 180 dayS; if construction or wC)rk Is sU$p,nded or ab~ndoned
fora pElrlCid.'of1~Oday$'afterthElwork as commenced, or Ifrequlredlnspectiol1.s have not been reqLiested:Witniri'.180.days from,the last
Inspectio'rb,~htiereby certifyth~t I have read and examined this apPIi~tion 'and know the same to be tllJe and edITed. . AUprovisions of
laws anilofdiriances'gcivemln~r this type of work will be ccimplied;iNith WhE;!tl1erspecified herein or not. The ~rantlng ofapermlt q()es:oot
presume t9givEl authority to violate or cancel the provi~ions of anY stat!'! or local law regulating construction or the performance of
constructloi-j; . '.' , " .
Other Fees
SEWER SYSTEM' DELV CHARGE
STATE SURCHARGE .
PWWATER SYSTEM USE FEE
745.00
4.50
1025.00'
'/ _ ' _ _r
._-*----~----------------------------------------,---------------------------
Fee sununary Charged paid C:J:'edited Due
Permit Fee Total 116.20 116.20 .00 .00
Signature of Contra~tor Or Authorized Agent .
BUILDING PERMIT INSPECTION RECORD
CALL 4 t 7 -48 t 5 FOR BUILDING" INSPECTIONS. CALL 4 t 7 -4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO'COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE I ACCEPTED' COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS .
FOUNDA nON D~AG~OWNSPO~
ELECTRICAL (LIGHTDEPT) SEPARATEPERMlT:# I ~ :D
ROUGH-IN 1717/ tJt/ I
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
SIfEAR W ALLlHOLD DOWNS
WALLS! ROOF! CEILING
" DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION .
.
SLAB . .
WALL! FLOOR! CEILING ..
..
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE! PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEP ARA TE PERMIT #'5:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO CO~MERCIAL DATE ACCEPTED
- YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 //-#J-~'1 {(Ie: ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.! PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW ! ENGINEERING
FIRE 417-4653 FIRE DEPT.
. .
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 . BUILDING
Ti\PLANNING\FORMS\1102.15 {I 111412003]
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CITY OF POR':r. Al'tGEtES . .... ......
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDINGDMSION
321 EAST 5TH STREET, POE,.T ANGELES, W A 98362
Application Number
pin numbe:tl
Property '~ess . ...
ASSESSOR P CEL NUMBER:
Applicatio description
Subdivision Name
Property' Use
Property Zoning .
Application valuation
04-00000383 Date
.351894-
1127 W l~TH ST
06-30-00-0-4-5465-0000-
ELECTRICAL ONLY
5/08/04
OWner
Contractor
RS7 RESDNTL SINGLE FAMILY
o
PLUARD, LISA/JOHN
285 BLACK DIAMoND RD
PORT ANGELES WA 98363
(360) 461-4478
OWNER
Permit . . . .
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
100A TEMP.
ELECTRIC SERVICE
40.90 Plan Check Fee
5/08/04 Valuation
11/04/04
.00
o
Fee sununary Charged Paid Credited Due
----------------- ---------- - - - - - - - ---- ---------- ----------
Permit Fee Total 40.90 40.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 40.90 40.90 .00 .00
~.,~
.:~.~
~...~.
..~ ~
l~'(l
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Qty unit Charge Per
1.00 40.9000 BCH BL-TEMP SRV - 0-60 SRV FOR
Extension
40.90
Separate permits are required for e.lectrical work, SEPf-. Sh()reUI1El;,es,e., utilities, private and public improvementS. Thispe,nTait.~e,comes
null and yoldif work orconstruction authorized is not (;Clrnmengedwithin18pdays, if construction or work is suspe~~~d,gr,.~~~nd9ned
for a period of180daysafter the work as commenced,orifrequired inspeCtions have not been requested within -180.days fro.m the last
Inspectlo.I'l./I~er~bY.gertifythat I.'have read and.exalTl.il'l~d,thlsapplicationand know, the same to betrue.Eln~ cOl'l"e8!....AII.Pfoyi~ions of
laws and ordinances governing this type of work will be cOmplied with whether specified herein-or not. Thegranting'ofW;~~riri_iJ'~oes not
presume to give authority to violate or cancel the provisions of any state, or. local law regulating constructiono(tI1epedorrnance'of
construction.
Signature of Contractor or Authorized Agent.
Date
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\II02.15 [11/1412003)
BUILDING PERMIT INSPECTION RECORD
i
CALL 417-4815 FOR BUILDING INSPECfIONS. CALL 417-4735 FOR ELECfRlCAL lNSPECfIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAlNAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR! SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE .
BACK-FLOW!WATER
AIR ,SEAL
WALLS
CEILING I I
FRAMING
JOISTS! GIRDERS
SHEAR WALLIHOLD DOWNS
WALLS! ROOF! CEILING
DRYWALL (INTERJOR BRACED PANELONL \')
T-BAR
INSULATION
SLAB
WALL! FLOOR! CEILING I I
.
MECHANICAL
HEAT PVMP
GAS LINE
WOOD STOVE I PELLET I ClDMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGlLIGHTlNG ESA:
. LANDS~PING SHORELINE:
. FINAL INSPECTiONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES ' NO
ELECTRJCAL - LIGHT DEPT. 417-4735 5 h)/)'/ ;fW ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI , , CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
L
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNJNG\FORMS\II02.15 [1111412003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT ~ BUILDING DMSION
321 EAST 5111 STREET,. PORT ANGELES;WA 98362
Application Number
pin number . . . .
Property Address . . .
ASSESSOR ~ARCEL NUMBER:
Applicatioh description
Subdivision Name
Property Use . . . .
Property Zoning .. .
Application valuation
04-00000342. Date
.480242
1.127 W~.9TlI ST
06-30-00-0..4-5465~OOOO-
RES NEW SFR
5/06/04
RS7 RESDNTL SINGLE FAMILY
97629
PLUARD, LISA/JOHN
285 BLACK DIAMOND RD
PORT ANGELES WA 98363
(360) 461-4478
Structure Information
Construction Type
Occupancy Type
Other struct info
BLACK DIAMOND BUILDERS
11.1 . BENSON CREST DR
PORT ANGELES
(360) 452-8836
NEW 1302SF SFRW/ATT608SFGARAGE
TYPE V NON--RATED
SINGLE FAM& CONGREGATES
TOTAL t LOTCOVBRAGE
CONSTRUCTION ..TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LbT.COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98363
OWner
Contractor
. -", - '--. ., -"',
------------------------
29.70
V-N
1.00
1.00
'7000.00
2080.00
2080.00
1.00
-
-
~.
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
83.45 Plan Check Fee
5/06/04 Valuation
1.1/02/04
.00
o
~. "CW)
'~I
~.. ..t.~...
<<'0
t.
Qty Unit Charge Per
BASE FEE
1.00 14.7000 ECH ME- INSTALL 100- FAU
3;00 7.2500 ECH ME- VENT FAN
Extension
47.00
14.70
21.75
....,.
....Q
!
-............................................. -'-........................ ---......... -.............................. _._":................................................... -'-......... -.-......... --......
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
132.00 ..' Plan:'. Check' .Fee
5/06/04 Valuation
11/02/04
.00
o
Qty
Unit Charge Per
8.00
1..00
Loo
1.00
7.0000 ECH
7.0000 ECH
15.0000 ECH
7.0000ECH
BASE FEE
PL- EA. FIXTURE Q~ ONE TRAP
PL- EA. INSTALL . WA'l'ER PIPE.
PL- EA. BLDG'SEWER
PL- EA.WATERHEJ\.TER
Extension
47.00
56.00
7.00
15.00
7.00
.-----------------------------------------------_:...~--------------------~----
Permit . . . .
Additional desc
perlllit Fee'
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
~003.25
5/06/04
1.1/02/04.
Plan ... Check Fee
Valuation
401.30
97629
Qty Unit Charge Per
Extension
Date
Signature of Owner (if owner is builder)
Date
Separate Pe.rmitsare required for electrical work, sEPA;Shoreli[le, ESA, utilities., Mvate and public improvemen~~ ,.hi~R~rml~~~;~}lle$
null an~ v()i~ifwt:)rk orconstructior authorized is notcotnmenc~y.tjt/:li!1180d~~, if construction or work Is suspendeaor~~anCl~ned
for a perlt:)~ .4t189:dCl~after the work as commenced, 9r ifr8(Julred Inspecti()ns have not been requested within 180 d~~~mtt1~JaS,t
InspectJ~r;Lher~by certif}'that I have read and examined this application and know the same to be true and correct.. AUproylsic:msof
laws ariddrdinances governing this type of work will be complied~th whether specified herein or not. The granting of.a permit'do.es not
presume to 'we authority to violate or cancel the provisions of any state or local law regulating construction or theperformarlce:of
con tructi
5 -(p-CJ
T:\PLANNING\FORMS\1102.1S [11/1412003]
BUlLDING.P.ERMITIN~PECI'lON RECORD.
,.
CALL 417-4815 FOR BUILDING INSPECI'I0NS. CA.LL 417-4735 FOR ELECfRICAL INSPECI'IONS.
PLEASE PROVIDE AMINIMUM24,HOUR.-N'OTICE;IT IS UNL4JJlFJfL TO. COVER, INSULATE OR CONCEAL Al'fY.,JfORK BEFORE
INSPECTEl):AND'lCCEPTED.. POSTP~IT INA CQJI{S'pICUOUS LOCATION. ..
. .' ."KEEP PERMIT CARD AND APPROVED PLANS Ai JOB SITE
INSPECTION TYPE DATE I ACCEPTED . . .... COMMENTS '.
I YES L NO '. ..... .
FOUNDATION: .-
FOOTINGS "
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS "
ELECTRICAL (UGHT DEPT) SEPARATE PERMIT: #I ,
ROUGH-IN . .. I , I cc' ,.,'
" ,..
PLUMBING ' ~"
UNDER FLOOR' SLAB
ROUGH.IN ::, .'."
WATER LINE (METER TO BLOG) ..
GAS LINE ~
BACK FLOWI WATER .
',' ."
AIR SEAL . ..
WALLS
CEILING I .. . I ',',..
FRAMING ..' 1',.'",<,:,' " .'.
.' '.
JOISTS' GIIU)ERS .' '...>: .
.... . I
SHEAR WALLIHQLD DOWNS .
WALLS' ROOF' CEILrNG --...-
DRYWALL (IN.TERlOR BRACED PANEL ONl,Y) ,
"
T.BAR ,e ,:, .,' r.
INSULATION :A .. ..... 1-':;. <.. ..
.
SLAB '. I I
.'
WALL' FLOOR' CEILING I.,. I , .
MECHANICAL ,:' .
,
HEAT PUMP .
.
GAS UNE
WOOD STOVE' PELLET' CHIMNEy....... I... .'. ..., I..
HOOD' DUCTS .' . "
., .
(Engineering Divisiori) SEPARATE PERMIT ".s: " " '. '., .
PW UTILITIES' SITE WORK ;'
WATERLINE'METER ',. ,,' ..
SEWER CONNEcTION . .'
SANITARY . . ,',
,
STORM
PLANNING DEPT. SEPARATE PERMIT ".s :. SEPA:
PARKINGlLIGHTlNG ESA:
LANDS~PI!'lG ,. ; ,-, .'T'" ..,. ',~~QR.!l~~:"" .."
. . ..... . . ," " ..
. , .,. FI!"~IJIl~PECpR~~U~P~ORTOOf=C;U,~~9:~.i:ti:;... ".'
RESIDENTIAL "DATE.... . YES ',1'10 1': COMMERCIAl:; DATE , ACCEPTED
.>.".: '.' YES .. "NO
, !. , . ; . .'. . -.; ,"_~' .<"~'i:~:,~: ;- l' ,',' ,
ELECTRICAL - LIGHT DEPT. 417,4735, ELECTRICAL
, UGHTDEPT .. '. '.'
,
CONSTRUCTION R. W.' PW' CONSTRUCTION. R. W.
ENGINEERING 417-4807 PW 'ENGINEERING .'
FIRE 417~3 . .' FIRE DEPT. ,,'
.'
.' . . , . ,
PLANNING DEPT. 417-4750 PLANNING DEPT.
... '.. . .... . .., ..
BUILDING '417-4815 BUILDING .
T:\PLANNING\FORMS\1102.15 [11/1412003]
D::\,:,::";,-d~,Q-4i!~1::~~;,::~-\~
.~
. of'ORT~
-e
'. OITYOF PORT ANGELES
DEPARTMENT OF coMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORTANGELES; WA 98362
Se. pal'...a.. .~. :.:P.....e.r. mlts. are requ. ired for electrical work, SEP. A..".Shoreiine,E. SA, utilities, private and.' public improvemen...ts,. T. ....h....i.s. p..G.r. m....l.tb.... .e. co. m. .es
"',,>,'. _" '_,'.. '_'_'__;" __'_"":' '_,' - ,,' " ,",,,', ' ,-" " ." ,. - "\ _", '"u, ,,,.:' ,_'_:,
null~hdVoid If work or construction authorized is not'commenged within 180 days, ifconstruction or work Is suspended'oralSandoned
for aperiodof180daysafter the work as commenced, orifrequlred'inspections have not beei... requestedwithin18~d~~tronrthe last
inspection~Jherebycertify that J have read and examinedtllisapplication and know the same to be true andcorrecfAlI provisions of
laws and ordinances governing this type of work will' be complied with whether specified herein or not... The grantingot.a.permitdoes not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
ApplioationNumber
Pin. number . ..
Page 2
Date 5/06/04
. . . . 04-00000342'
. .480242
Qty Unit Charge Per
Extension
667.25
336.00
BASE.. FEE
48.00 7.0000 THOU BL-50,001-100K 17.00 PERK)
------------------,---------------_.~---------------------
speoialNotes and,Comments
Permit allows construction of a 1302. square foot single
family residence with an attached 576 squarE! foot garage for
a total lot coverage of 2100 square feet. or 30%. No land~
use issues are noted.
Building address .sign shall not be less than 6" & not more
than 12" in height..Nwnberscolors must contrast with wall
color they are mounted on. lOrd. J.4. 36 .0507E)
When roof gutters are installed, drains will located. in dry
wells or piped to approved storm drain looations.
Electrical ~oadcaloulations andelctrical permits are
required. .
----------------~---~-_.~~--~-,~~~-~--------------~---------~------_._-'--~--~
Other Fees
SEWER .S~STEM DELV CHARGE
STATE SURCHARGE
PWWATER SYSTEM USE FEE
745.00
4.50
1025.00
Credited. Due
----------~----~~ -------.--
-------~~- ----.-----
Permit>Fee Total
Plan. Check Total
Other Fee Total
Grand Total
.QO
.00
.00
.00
.00.
,00
;.00
.00
Date
Signature of Owner (if owner is builder)
"~'. T:\PLANNING\FORMS\1102.15 [1111412003]
".,\ "/i';',.""
~?;:':':~~:~-,
Date
Bun..DING PERMIT: INSPECTION RECORD
CALL
FOR BUILDING INSPECfIONS.CALL 417-4735 FOR ELECTRICAL INSPEcrioNs.
!_,' .,<;:'.';c.. '
PLEAsE PROVIDE A MINIMUM 24 HOUR NOTICE. IT ISUNLA.WFULTOCOVERjlNSULATE ORCQNCEALANY.WORKBEFORE
INSPECTED ANlJ.4PCEPTED. POST J.>>ERMIT IN ACONSPICPPUS LOCATION.
KEEP PERMlTCARD AND APPROVED PL.ANS>Al'JOBSITE.
INSPECTION TYPE DATE I ACCEPTED ..... COMMENTS .
. I YES ....1 NO .
. FOUNDATION: ". .'
..
FOOTINGS 1A"'-7....~l- .J ..1.. I :'
.............. .
WALLS l~I(J-O.1I J,l)
. ."
FOUNDA'OON.. DRAINAGEIDOWN SPOUTS . 'l7_l_",J J.)..- '..
ELEC11UCAL .. -c- . . .
(UOHT DEPT) SEPARATE PERMIT: #
ROUGH~Il'ol. I I .... '. . .... '.
PLUMBING' '" I ". .'
'.
UNDERn.ooRI SLAB ...
..
ROUGH~IN ,i:]~ 1fJ.-l!>JI J.t.
WATER LINE (METER TO BLDG)
'. GAS LINE " '.' ,;'
BAcKFLOW/WATER .' .
AIR SEAL .
.
WALLS II2L...6N T1 '.:. I .
CEILING I' . I .". I
.
FRAMING
JOISTS /GIRDERS . . ,.
SHEAR. WALUHOLD ])()WNS . " ;;.... .'.
.
WALLS / ROOF / CEILING I?~_/)J./ J .L, . i..; k.
. '\'~;i.,;:(;;
DRyW ALL(INTERIOR BRACED PANEI..ONL Y) I
T-BAR
. .
INSULATION
SLAB . '. I ",
WALL/ FLOOR I CEILING f/--J;:?--erJlI~ '1.7. ....
MECHANICAL ...... ,
HEAT PUMP 7 to. -I-o'ij I. I; .
GAS UNE ,
WOOD STOVE / PELLET / CHIMNEY . \
HOODI DUCTS .' .. ".
PW UTILITIES I SITE WORK (Engineering DiVisiol1) SEPARATE PERMIT #'s: / I.'
WATERLINE / METER I....
SEWER CONNECTION
.
SANITARY ... .
STORM .
SEPARATE PERMIT #'s ...... I"
PLANNING DEPT. SEPA:
PARKlNGILIGHTING ESA: .............. [;
.
LANDSCAPING ,. ,'fe, . .r. .... <',. I' ,.< SHO~INE; . ., ..,. "
'.' i (, FINAlHNSPEC1:IPNSREQUIRED PRIOR TO cx.:~"~f:XP~E;;;" ,. .... ,7 , ....>7 .... .
. .
.. RESIDENTIAL ., , , DATE " ,.. :'m NO' ''':-:' COMMERCIAL ',,' DATE'" ". ACCEPTED'
, ,~''': " I
. .' . . I YES., "'NO
, . c. ~ "
ELECTRICAL ~ LIGHT DEPT. 417"'1735, I ' ELEGTRlCAL I
, LIGHTDEPT ..'
~NSTRUCTlON R. W./ PW/ - CONSTRuCriol.f;R. W.
GrNEERING ..... ... '. 417-4807 PW /ENGINEERING
FIRE 41i-4653 .' FIRE DEPT:
.. .' .... ..
PLANNING DEPT, . 417-4750 PLANNING DEPT.
.' .
BUILDING 4174815 I ,Q-I-t6)J.l J",L BUILDING " ... .'- ............ .
Ie-
,''T:\PLANNlNG\FORMS\II02.15. (1111412003)
PREPARED 12/01/04, 12:10:51
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1127 W 19TH ST
BLACK DIAMOND BUILDERS
PLUARD, LISA/JOHN
06-30-00-0-4-5465-0000-
04-00000342 RES NEW SFR
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
12/01/04
SUBDIV:
PHONE (360) 452-8836
PHONE : (360) 461-4478
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
5/10/04 JLL
5/10/04 AP
7/06/04 JLL
7/06/04 AP
7/06/04 JLL
7/06/04 AP
7/06/04 JLL
7/06/04 AP
7/13/04 JLL
7/14/04 AP
'"""' ~ Pf-
----------------------------------- CONTINUED ONTO NEXT
BI2
01
BAIR 01
BL3
01
BLPD 01
BLI
01
BUILDING
JOHN
BUILDING
JOHN
BUILDING
john
BUILDING
JOHN
BUILDING
FOUNDATION
461-4478
AIR SEAL
460-1514
FRAMING
460-1514
PERIMETER
460-1514
INSULATION
WALL
DRAIN
TIME: 17:00
BUILDING FINAL
KEN 452-7467
CALL BEFORE INSPECTION SO HE CAN UNLOCK THE DOOR, ABOUT TEN
MINUTES AWAY FROM SITE.
PAGE -----------------------------------
PREPARED 12/01/04, 12:10:51
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1127 W 19TH ST
BLACK DIAMOND BUILDERS
PLUARD, LISA/JOHN
06-30-00-0-4-5465-0000-
04-00000342 RES NEW SFR
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
MEF 01 \?y,1~~_ ~ MECHANICAL FURNACE
Dan 477-9059
--------------- --------- ----------- COMMENTS AND
SUEDIV:
PHONE (360) 452-8836
PHONE : (360) 461-4478
TIME: 17:00
PAGE
DATE
3
12/01/04
NOTES --------------------------------------
PREPARED 7/13/04, 12:54:11
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
7/13/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1127 W 19TH ST
BLACK DIAMOND BUILDERS
PLUARD, LISA/JOHN
06-30-00-0-4-5465-0000-
04-00000342 RES NEW SFR
SUBDIV:
PHONE (360) 452-8836
PHONE : (360) 461-4478
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
5/10/04 JLL
5/10/04 AP
7/06/04 JLL
7/06/04 AP
7/06/04 JLL
7/06/04 AP
7/06/04 JLL
7/06/04 AP
BLI 01 ~~ ~_________ COMMENTS AND NOTES ______________________________________
---------------------
BI2
01
BUILDING
JOHN
BUILDING
JOHN
BUILDING
john
BUILDING
JOHN
BUILDING
FOUNDATION WALL
461-4478
AIR SEAL
460-1514
FRAMING
460-1514
PERIMETER DRAIN
460-1514
INSULATION
TIME: 17:00
BAIR 01
BL3
01
BLPD 01
r .
"'~,~. ..~'>.,. _._...._~...'"..,~.,-....--,.,J'I./" __'''''__--''",."'', ....~ '" .'.._.....;."'.'... ,.O..~,p
BUILDI-NG DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
"
Job Located at ~ itJ 19}4 ~+--
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~sJ.- b~ Vi
S J- Q~
~~~/;-l ~J L.c>A.) T2~o 1
() 1~ -}-o T0so f:81 e
_F"\L~e 'O\-L
~\(L s~~l b lL-
?- !JRI~h;LL.s 1ic }C
\
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call I ~ l/ --
for Ins~ection. : ). t)
Dat;J-lP - b C/ '. /'1.- ./~
f
DO NOT REMOVE THIS TAG
PREPARED 7/06/04, 13:44:35
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
7/06/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1127 W 19TH ST
BLACK DIAMOND BUILDERS
PLUARD, LISA/JOHN
06-30-00-0-4-5465-0000-
04-00000342 RES NEW SFR
SUBDIV:
PHONE (360) 452-8836
PHONE : (360) 461-4478
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 ~(~6/~t JLL
~D~
-------------------------------------- COMMENTS AND NOTES --------------------------------------
S~ 6~
~~ ~j f o~-J
L\~~ I
PLUMBING ROUGH-IN
JOHN 460-1514
TIME: 17 :00
.
.
PREPARED 7/06/04, 13:44:35
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1127 W 19TH ST
BLACK DIAMOND BUILDERS
PLUARD, LISA/JOHN
06-30-00-0-4-5465-0000-
04-00000342 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BI2 01 JLL BUILDING FOUNDATION
ir JOHN 461-4478
BAIR 01 BUILDING AIR SEAL
JOHN 460-1514
BL3 01 BUILDING FRAMING
~ john 460-1514
BLPD 01 BUILDING PERIMETER
JOHN 460-1514
SUBDIV:
PHONE : (360) 452-8836
PHONE : (360) 461-4478
WALL
DRAIN
TIME: 17:00
PAGE
DATE
1
7/06/04
NEXT PAGE -----------------------------------
.
PREPARED 7/12/04, 12:37:49
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1127 W 19TH ST
BLACK DIAMOND BUILDERS
PLUARD, LISA/JOHN
06-30-00-0-4-5465-0000-
04-00000342 RES NEW SFR
SUBDIV:
PHONE (360) 452-8836
PHONE : (360) 461-4478
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
7/06/04
7/06/04
TIME: 17:00
pressure on water line test and recall/jll
TIME: 17:00
01
JLL
DA
PLUMBING ROUGH-IN
JOHN 460-1514
water test dwv/no
PLUMBING ROUGH-IN
JOHN
PL2 02 ~ JLL
---------~---------~-~--------- COMMENTS
PAGE
DATE
3
7/12/04
AND NOTES --------------------------------------
r\JSU\~-"J ~(J~
~~
~';~
PREPARED 5/10/04, 12:35:00
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
5/10/04
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1127 W 19TH ST
BLACK DIAMOND BUILDERS
PLUARD, LISA/JOHN
06-30-00-0-4-5465-0000-
04-00000342 RES NEW SFR
SuaDIV:
PHONE (360) 452-8836
PHONE : (360) 461-4478
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BI2 01 ~!.10/.04 if:rJ BUILDING FOUNDATION WALL
~ JOHN 461-4478
------------------- ------------------ COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . ... . . . . .
REQUEST:
Date ~- - 7- 0-1 Time;t, m . Received b
location of Work to be inspected 1/.9-7
Name of person requesting inspection ) I 5 Q
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewe Foundation Framing Chimney Plumbing
---
/-C9C9n It '
fA.; 19 fI1 cST
Phone No. J.} y:J-- JYY?-
Permit No. 01/ - J 19-
Final Sewer Excav. Other
Inspected: Date
Remarks:
Time.
By
RESTORATION REQUIRED . . . . .. YES NO
f3{J
SURFACE RESTORATION:
SURFACETYPE: [] Unimproved . 0 Gravel 0 Asphalt. OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Contractor
Address: / /
Phone: '152 - 8e~G
IP: qt':?t??
1<7
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC
TYPE OF WORK: ./
o Residential llYNew 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:
l)JM) 'Sf'~ CiJ~dzo-n)
COMMERCIALIRESIDENTIAL: Occupancy Group:
No. of Stories: L Lot Size: --,()(;t) 5Y Existing Sq. Ft. . %
Total lot coverage_2 9 '- 7
City:
#
Exp. Date:
SIZEN ALUATION: ,O~
o Stove loo()..-t SF. @$ k6,D12. /SF. = $ e.a~
o Garage gev" {p~ <'{ SF. @ $ ~/SF. = $ la
o Deck flord1 J 70 SF. @$ /SF. = $ t_
o Other TOTAL VALUATION $' q 7~'Z q 00
._--/
Occupant Load: Construction Type: V-IV'
& Proposed Sq. Fi .-:'. _ _ = TOTAL Sq. Ft. "2.CSQ
%
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 questlons.
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 at417 -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 pemlit fees are due at the time of permit issuance.
EXPIRATION OF PlJAN REVIEW: If no pemrit is issued within 180 days of the date of application, theapplication 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 107.4 of
the Uniform Building Code, cunent edition). No application can be extended more than once.
J hereby certify that J 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 respon 'bi/ity t e!ermine wha ermits are re . ed ,not the City's, an,9ihat I must obtain such permitsprior to work.
nFORMSIAPPSIB<rildio_cwpd ~. ~1te~5.7d--t>f
./ /fJWfjlfd' {;rrnn~m U(JJ/Q/J r
r -
I
Payment Receipt
Page 1 of 1
CONSTRUCTION
CONTRACTOR
Application
Receipt of Payment
Receipt Date: 05/0312004
Valid Until: 06i0212004
Receipt#: 92161
Receipt Total: $103.20
Status: ACTIVE
UBI: 602 387 385
Structure: PARTNERSHIP
Specialty: 01 GENERAL
li' :"!i:g['m;r!;li~h~,t39~tu.;:]
Keep this page as your proof of payment.
This is a receipt for your construction contractor application and
payment. You will receive your new registration card and wall certificate
within 2 to 4 weeks.
-Cicense NL:imber: Bt'ACKDB965KC
~
License Name: Black Diamond Builders
Address: 111 Benson Crest Dr
City, State: PORT ANGELES, W A
Zip Code: 98363
TypE Payer Detail Trans. Id Amount EndorsE Validat.
Check Doc.
CHEC KENNETH 12236 100473465 $103.20 R~grinl I;:grfn,~; I
MCKNIGHT ,....~.'.',c-,'J'j,',_.j.,,",,'-:'...~:::.
L:pfi!n!~h~2:J;]
h:.@~[!nt.!3_~"9~!R!;.:!:._",]
tluickCards
5/3/2004 3=56=26 AM
Lie Id;BLACKI1B965KG
Trans Id=iCN473465
$1 03.20
http://quickcards.apps.1ni. wa.gov/PaymentIPayReceipt.asp?G={E7DD7725- AEE4-4E61-A 7... 5/3/2004
~
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.s~",\Q.
WASHINGTON STATE ENERGY CODE
TABLE 6-2 ~
PRESCRIPTIVE REQUIREMENTS'** FOR GROUP R OCCUPANCY .
CLIMATE ZONE 1 . HEATING BY OTHER FUELS
. I
HV AC9 Glazing Glazing U-Factor Door 10 Vaulted Wall Wall- Wall- SIab6
Option Equip. Area1': Overhead' U-Factor Ceiling2 Ceiling3 Above int4 ext4 Floors on
Effie. % of Vertical Grade Below Below Grade
2
Floor Grade Grade
I. Med. 10% 0.70 0.68 0040 R-30 R-30 R-15 R-15 R-lO R-19 . R-lO
m_ .-Mw.. ~fM;1 !!!:m~ , R'!e.. 18R- . .1Im1~. 1l'~~,Ql""J ,
III. 21 % ~O . . ~1lJ" '
H1gn U./) 0.68 0040 H.-30 R-19 R-19 R-lQ R-19
IV.* Med. 21% 0.65 0.68 0040 R-30 R-30 R-19 R-19 R-lQ R-19 R-lO
V. Low 21 % 0.60 0.68 0040 R-30 R-30 R-19 R-19 R-lQ R-19 R-lO
VI.7 Med. 25% 00457 0.68 0040 R-38 R-30 R-19 R-19 R-lQ R-25 R-lO
VII. 7 Med. 30% 00407 0.68 0040 R-30 R-30 R-19 R-19 R-lQ R-25 R-lO
VIII. Med. unlimited 0.25 0040 0040 R-30 R-30 R-19 R-19 R-lQ R-25 R-lO
~
* Reference Case
I ** Nominal R-values are for wood frame ass~niblies only or assemblies- built in accordance with Section 601.1.
1. Minimum requirements for each option listed. For tiample, if a proposed design has a glazing ratio to the conditioned
floor area of 19%, it shall comply with all of the requirements of the 21% glazing option (or higher). Proposed designs
which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this
Code.
2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling.
3. Requirement applicable only to single rafter or joist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level ofR-10, or on the interior to the same level
as walls above grade. Exterior insulation. installed on below grade walls shall be a water resistant material,manufactured for
. its intended use, and installed according to the manufacturer's specifications. 'See Section 602.2~ .
. .
5. Floors.over crawl spaces or exposed, to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed
according to manufacturer's specifications. See SectiOli 602.4.
7. The following options shall be applicable to buildings less than three stories: 0.50 maximum for glazing areas of25% or
less; 0.45 maximum' for glazing areas of 30% or less.
8. Reserved.
9. Minimum HVAC equipment efficiency requirement. 'Low' denotes an AFUE of 0.74. 'Med.' denotes an AFUE of 0.78.
'High' denotes an AFUE of 0.88. Minimum HV AC equipment efficiency requirement for heat pumps. 'Low' denotes an
HSPF of6.35. 'Med.' denotes an HSPF of 6.8. 'High' an HSPF of7.7. Water and ground source heat pumps shall be
considered as medium efficiency and have a minimum COP as required in Table 5-7.
10. Doors, including all fire doors, shall be assigned default U-factors from Table 10-6C.
11. Where a maxim~m glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross
conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor ofU=0.40 or less is not
included in glazing area limitations.
12. Overhead glazing shall have V-factors d~tci-mined in accordance with NFRC 100 or as specified in Section 502.1.5.
38
7/01/01
1
I
l
/
I
-----,-
2000 EDITION
el~ic. ~I'~C€...- TABLE 6-1
PRESCRIPTIVE REQUIREMENTS 1 * * FOR GROUP R OCCUPANCY
CLIMATE ZONE 1 . HEATING BY ELECTRIC RESISTANCE
.
Glazing Glazing U-Factor Wall Wall- Wall- SIab4
Option Area 10: Door 9 Ceiling2 Vaulted Above int4 ext4 Floor5
U-Factor Ceiling3 Below Below on
% of Floor Vertical Overhead 11 Grade Grade
Grade Grade
I. ,:,10%;, ,f!. 0.46,'i/;; .1 ;"0.58" ;t 0.40 R-38 'R-30~ ,;,.. ~',;;:R-21 4.R~21" , :\~R~IM.1 ')':R830,~;1 7C~Rt 10
II. 12% 0.43 0.58 0.20 R-38 R-30 R-19 "R-19 R-1O R-30 R-I0
III. 12% 0.40 0.58 0.40 R-38 R-30' R-21 R-21 R-1O R-30 R-IO
IV.* 15% 0.40 0.58 0.20 R-38 R-30 R-19 R-19 R-lO R-30 . R-IO
V. 18% 0.39 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-I0
VI. 21% 0.36 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-I0
VII.' 25% 0.32' 0.58 0.20 R-38 R-30 R-19 R-21 R-I0 R-30 R-lQ
+ R-Ss
VIII.? 30% 0.29' 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-lQ
+ R-5s
* Reference Case
** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1.
I
1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned
floor area of 19 %, it shall comply with all of the requirements of the 21 % glazing option (or higher). Proposed designs
which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this
"'Code.
2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv'.denotes Advanced Framed
Ceiling.
3. Requirement ~pp1icable only to-single ,rafter orjoist vaulted ceilings. ,,'
, , ,
4. Below grade walls shalfbe Ins111ated 'either on the exterior to a mininium .levei of R~l cr, :or iOn the interior to the same
level as walls above grade; 'Exter-iorinsulati,on installed on belOW gra-de'Walls shall be 'in vater- resistant material.
manufactured for its inte~ded use, and installed according to the manufactuFcr'sspecifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed
according to manufacturer's specifications. See Section 602.4.
7. The following options shall be applicable to buildings less than three stories: 0.35 maximum for glazing areas of 25 % or
less; 0.32 maximum for glazing areas of 30% or less.
8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing.
9. Doors, including all fire doors, shall be assigned default U-factors from Table 1O-6C.
,..19,. =}\'l1er~)tm~~~mll:mi~l~il!.g~~!~.~j~Ji~~.E.!- the .!<?!.aLgl~ziI}K,~.r~a {(;~~~~~d v~r1i.~!l!J!h.1S9v~rI:l~a_c!L ~~!l. p~Tf:~n!Qfgx:Q~ m,
conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor of U =0.40 or less is not
included in glazing area limitations.
11. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5.
~~-J
~
~i~
~~~.
if
Effective 7/01/01
!
37
...L...
I
Appendix E: Sample Checklists & Worksheets
I
l..
~
CODE
FR::XRtW1
Attactn80t C
Plans Examiner and Inspector Checklist
Pormtt No.
Address
Pian. Examiner:
In.pector:
Check, write in NlA. Of fill in value on shaded boxes.
Chad< off boxes at left as items are found.to comply.
Compliance approlch: (ch&ck one) 0 Systems analysis
o Compo~m performanoe
o Prescriptive path
Hot.: Some specifics on this form may not apply if
A) compliance approach.is systems analysis or component performance; .
8) compliance lo minimum ventilation criteria is demonstrated through engineering calculations or performance testing.
FOUNDATION PHASS
o Slab: R- ! Exterior down to lrostJInGllllab bottom; or Intgrk>f 24- horizontal or vertical; 'or. H radlanl undor entire slab
o Below grade exterior wallln.ulatlon: R- I (H Intonor _ 900 Insulatfon PhasCl)
o Radon mltlgatlon: i i If locally required, or oawlspaCCl venting <1ft1300tt2 01 oawl, or vents InclL.de an oporablo dampor
FRAMING PHASE
o FramIng: l;i:;:;Z:~::~~~StaOOsrd h:i,ii,k:;;qInt8OTlQdlate . kiIAiJMij ~
o 8td .ir Mal: ~Gpt'aubClr; r!n)stlmud all; window & door frms; pgoutratlon-wirg. plurriJ, dUd, par1ltIon studs, nlHl, light nxtll'ClS
O. Source apectftc exhauat fans: SlzlI reqlArement - bath, laundry (SOcfm); kitchen (100dm)
o Who4. hOUM exhauat fan I ."::: of;;( lnIermfttent system has manual & auto c:ontrols; Outdoor air supply req. lor habitable rTns.
or
o Int~rated fo~lr ayatem c==J out.sk1e air dUd (~ damper) aI1ow1ng bGtween .35 and .5 ACH
. IHStlAmH PHASE
o ~ '9
o
o
o
o
o
o
!
.j
)
I
I
wan Insul.uon (above grade)
wan Insulation (below grme): IntoOor waJlln3ulBtloo
Roor Insulation
c.(lIng Insulation: ndudlng attlc hatch
V 1IUtt.d c.4l1ng 'maulatf 00
A-
R- }q
R- 38
8-
Vapor ret.rden: walla, tIoonI. culling
HM1tng ~m type: I.. .
.'.,:. ..:/ For~. bt 1ItuI, HSPF,'and COP I...:~;j:... ".:,. .
FIW. PHASE
.J~~'
.I
o Radon monItor on alte: wI1h Instructloos IUld ~ Information
o l1Mnno.tat: hMl r~, 55-75; AC range, 7'O-e5; both, 5S-6S. Backup I1ea1 controb prevent IlmlAtaneoua operation of pOmary :lys.
o SoUd fuel app{IaOON: utass or rJ1G{aj door!I; direct comb. ah' 1ICXJft)g. or.c- dla.... ~ed.lnclred IIOUl'Oe lor LI'lOOOd. arGaS
o AreplaoH; {j c:ornbu!Uoo.Jr auppty duct wlde.mper dlfect to r.-8bo~ tig1t llttlng giau or rne(a/ doora.
o DHW tMa1.ra: NAECA label; a.epllIH18 f'XJWef or Qa.:l ~-otr; on R-10 ped H el.ctr1c and In \I'lCOl"d. ar.. orll on concrete
o tMchanlcel venttlaUon ducb lntIul.t.c:t to ~: el<hau:s1 ducu In t.ncondttlOO4ld areeslaupply cIucU In c:oodItloo.d &leu
o fI.. ::. .:.:.:....:... ::.:...::] HV AC d~.num lnautaUon: dtx:ts In ~ arMJI are ~led and Jolnta are MaJ.d
o ptp.lneulaUon: A-3 Jar hot and ootd WIl18f P4Xng In ~ ar.u (If ~ or r-ciroMtlng.... Table 5-12)
o Grou nd cov.r: 6 rrll b(a~ po/y8thy1 enG/approved .quaJ lawod 1 2'" a:l fOOrts and . xtWldlng to fooodatlon wall
E-52
Slze Qua nttty Area U- V alue/Manuiacturer Iv.rtfled
=:2. e 7<-S 0 8 \ O~ ~ ~t; \
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Ap~ndlX E: sample Checkllsta & WorkahH'ts
GI.AZIIG
Plan! Examfner _ fill ou1this gLafinQ MCtion Of 1l1tlId'l . window ~l4llo this checklist. InspectOf - verify window ll"l-
!ormation during fi4tld inspections. Indude skyiights. glass doors and all other glazing on this lann. Use rough opening
area lor c:ak:uldonS.
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........ ....... .....
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Togl condttJoned arM: I 30Z .'
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Peroent.llge gl&%ing:
9
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DOORS
1~ '.'~". /.~
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Plans Examiner _ rlSl. op&qJe doors by type (soGd core, mutated. etc.), q.mntity. U-value.1IOd ~~.
\nsp9Clor - Y8rify dOor infOCTll8lion ckJring fiekj ~ . .... ..
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Type/Quantity - U-Value/Manufacturer Vertned
:
S4gnatun of Butldlng otnctal:
Date of Anallnlpection:
12~;; 169$6
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,
ELECTRICAL PERMIT APPLICATION
pml. OFPIC"..,L t,lsa ONLY , .
In.tt'J1tr~'
renrit/l-' -~-_._-
D'lr"ppfO~-'~------
t'J,alC IlJu~ ___~--==--=
The Electrical Pennit Applioation must be tlUdd oul CDrtlDIet.elv.
Ple.setype or reprint in Ink. If)!ou heve eny questions, pleue cen (360) 41704135
. . _. '._ .. Fax number: (360) 41704711 -
~ - ..- .- ..- - ~ - ',- _.. _~ n__." _._. "h .
oy- 383
Owner or Elsc:. Conlractor Agent: "11. .
Q\ . ..... - fI..- ~~ Ph"",,; 45 -:l~(LJ4"2,*,ax: J.t5 "J..~Lf'":J.~
PrllPertyO..ner: U ...~ lJ,o.........-c.-l Q.....:\~;: --
n._ t'\ II ~ Phone: "'(,,0 -1~'<I
Addr9SS:_I)2. ~S""" Q.-s.,- V- aly:"" rt>->rJ4 - ~
--~ ....~,~;.. w.-I" fL" < ,."" ""..m;... -'3/ "L D~ =- '15 ';.~ ""-
Addr..s: &'2.. O...-"-p.-t\"" Va kr ~City;_PII....+ Itntfl-L,.l. WA- Zip: q 1<"] "..,
INSTA~~ATION WIRED av:
DOWNER
o ELECTRICAL CONTRACTOR
-~ ft~
Credit Card Holder Name:
CredIt Card Number:
Exp. Date:
ZIp:
VISA:_ Me:
Blllfng Address:
1/'27
PROJECT ADDRESS: .\-rM-
W Iq~
v..J \ ct-.k..
t..-o-r
llj
?
.
TK: Check all that apply: 0 New
esldentlal 0 Multl.family 0 Commercial
o Alteration/Addition
o Mobile Home
Sq.!"t
i:l Remote Meter 0 Deteched garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number 01 Circuits add.d or alIBred:
[J Low Voltage 0 Telecom. I:l Sigr
----
\ ~f' ~.
r
DESCRIPTION OF THE ELECTRICAL PROJECT:
elec;trical Heat Load Additions and or Sub!ractlons
ServIce Information
o Baseboard
o Fumace
o Heet Pump
o F~n.Wall
_KW
KW
TON LRA
_KW--
R2"erhoad Service
~.',emp Service
o Underground Service
Voltage: 2</0 !iz.1J
Phese: /It 1 '0 3 -
Service Size: c,oA
Feeder Size: .~--
.I hereby certify that I have read and examined this application and know thaI same to be Irue and correct, and I am
authorized to apply for this permit. I understand it is nol the City's legal responsibility to determine what permits
ara required; it remains the applicants responsibility to determine what permits ara required end to obtain such.
-et: ~ '-: . <,\b~' \C~d" c... ""..... ..."."'~, ~ Jl 1fY....tj DO<.~
)'~~~). Owner or Elec. Conl Si9nature:~' Date: r-l a
-1,'\ '.
, 5.5"-0" / J'() , aD
( PERMIT FEE: $ 7L _ /
~ :/ELECTR.ICAl P~R.MIT APPLICATION
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~ORTANGELES
.
WAS H I N G TON, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
DATE:
April 27, 2003
To:
Roger Vess - Permit Counter
FROM:
Gail McLain - Electrical Engineering
SUBJECT:
Building Application Review
1. 6127W 19th St. - new SFR wi attached garage
Electric permit required
Electrical heat load cales. required
After load cales. are provided, a cost estimate for upgrading the transformer will be prepared.
Any upgrading of City electrical facilities will be at the customers expense.
2. 1619 Butler St. - Lot 8 of Eagles Lair
Electrical permit required
Electrical load calcs. required.
Electrical point of service will be from the pole near the northwest property corner.
Underground service wire in conduit installed and maintained by customer from t~e pole to the
meter base. Riser provided by customer, first 10 feet installed by customer per City Engineering
Specification CR 5 01 .
PW-0101.05 [REV. 7/5/2000]
,
ELECTRICAL PERMIT APPLICATION
FOR (lJ'nC1AL !J~E ()~IL Y
DaldRn ___~____.__n___.~
h:nou\ " ._ ______ _____~___
DalcAl'I'IO"cJ ___
Oal. 15~U"U ______,_~_~..~
The Electrical Permit Application must be filled out completelY.
0~~
Owner or Elec. Contractor Agent [; Ie ~1-12~ 5Rfj~ 5- Phone Fax
propertyQwnerVOh}1 PIlJ.>>-e f(pliLZ1Ji/J W1(1~l:n/5'1J- Phone'f,;2-7r67
Addressd-~5 13'O\('k1)IQ~ CltY{arrl41!..eIPl u..h.. ziP9,F'f1S:r
Electrical contractor,f;/edr/L $eVlII\U:'S, . €;Jr,~7.:r 1$010rj PhfJ$iJ.- b'-/a..L.j
Address ~d... :Pro-p.f'~ I'?di, City_~r-t \A V"l)-e\l"S:, \No... Zip ~3 6 a.
Please type or reprint in ink. If you have any questions, please call (360) 4174735
Fax number: (360) 417-4711
01.. 37'Z
INSTALLATION WIRED BY:
DOWNER
~ECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA: MC:
PROJECT ADDRESS:
112.. 7
w
I q'f'-1
TYPE OF WORK:
Check ;ill that apply:
~ew
Yh ,'J ' l'3.o1<P """'-"""-Se. S7("~
o Alteralion/Addition ,0(.\.,,<0- ( ~. ,
'. " i~7B 52;f1' -->
o Mobile Home Sq, Ft ;;"0 ~:) ;r; J(. ~,..q ,) ,e...
~eSidential 0 Multi-family
o Remote Meter 0 Detached garage
D Commercial
o Hot Tub 0 Swim Pool
o Septic Pump
o Low Voltage 0 Telecom.
DSign
Number of Circuits added or altered:
{/oNsr".ea CT/~"/
DESCRIPTION OF THE ELECTRICAL PROJECT: AI ~lA./
Electrical Heat Load Additions and or Subtractions
Service Information
:::I Baseboard _ KW
)(FuJllace 1/L KW I A
1X'leat Pump ~ TON~ LRA ~
::J Fan-Wall KW '
. -eie.olriU,<L;'\ . 'Nf.-d.5 +0 .\; II u.f
/ 'J./'
B'6verhead Service '61 TP f-,
o Temp Service
D Underground Service
Voltage:
Phase: ~ 1 D 3
Service Size: ?(]X:'#Cb<f
Feeder SIze:
, hereby certify that / have read and examined this application and know that same to be true and correct, and / am
3uthorized to apply for this permit. I understand it is not the City's /egal responsibility to determine what permits
3re required; it remains the applicants responsibility to determine what permits are required and to obtain such,
~~ "
'I Ur:-.- ' . Credit Card Holder's Signature: I . Date:
)ji 'J (n J Owner or Elec. Cd;,t:Signature:~A-<Ad~~r I~ Datey4~7'"
{ '"Ill V I . '. .' ,
. ~ ~
- , f\J1~ PERMIT FEE: $ lit:" .J-D
::lELECTRICALPERMITAPPlICATION ~ '1..9~ \\'\J~
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FROM
FAX NO.
.
Jun. 282004 07:riRM Pi
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ELECTRICAL PERMIT APPLICATION
PO"OFrll::U..L USn ONLy
Dalrlll.eC'
........
C,urAJt"IVVN:
~\clnuora
'.\
The Electrical Permit A,pp.lication must be ruled out cDm~le~lv.
Plaase type or reprint in ink. If you have arry questions. pteiN call (360) 411'-4735
Fox number: (3&0) 417-4711
t)'i- 3'1Z- - 0/
~ - .-. - . -.. -.. - - - _....... -..--.--.
Owner or Slac. Conuactor Agent_
~.D.
Phone: /.is :).(H-,-1!+"", ""5 'J.....v't"2.Lf .
Pn"".: 41.' ~ ....'"f!:J
Zip: 9.n'7
q /1'1105' PhonoIi5'2- ~'2J
WA: Zip: q f? "3 G,'"2
Property Owner:
Addre..: ~ 11.:, . W .1 '\""'- . . City. ~ e
EJectrical Cont"'clor~~l(...o WvIQ \l~<- Ueen...: Ei:~I~C2l1>YfxP:
Addt""": 8'2.. ()r:~pA.~ Va It.r ~Cily:-'pI\....+ A:.nif\..L.Io
INSTALLATION WI~ED BV;
DOWNER
o ELECTRICAL CONTRACTOR
Credit Cerd Holder Name:
o~
Billing Address:
Credit Card Number:
&p. Dele:
Zip:
VISA: Me:
- -
PROJECT ADDRESS: 1/;27 tV /7.tJ~..;-
:;;;:-W'ORK: Check all that apply: . ew 0 Alteration/Addition
esldentlel 0 Multi-family 0 Commercial 0 Mobile Home Sq. Ft /'9/tJ oS Q F""
CJ Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added or altered:
o Low Voltage I:l Telecom. 0 Sign
DESCRIPTION OF THE ELECTRICAl. PROJECT:
-\ ~w .,
~
Electric_I Meat Load Additions and or Subtractions
Service Information
o Qyerhead Service
u Temp Service
o Underground Service
. * r:9 i(J 1-- j X FIIfJ!2.- r!J:JPM I T'1 IS 0- /C- ,);~.{J 0lgd( \ Of
.I hereby certify that I have reed end examined this applicatiOn and know that same to be true and correct. and I am
authorized to apply for this permit I understand it is not the City's legal responsibility to determine what permits
are required: it remains the applicants responsibility to determine what permits are required end to obtain such.
, Credit Card Holder's SI9nature:~ ~t!:in<JJ Date: 6121-
Owner or Etec. ConI. Signature: Date: i,~
o Baseboard
o Furnace
o Heat Pump
o Fan.Wall
_KW
-il?KW
TON_
KW
LRA
Vanage: ~()
Phase: 0 3
Service SIZ.: ~a
Feeder Size: l.( 0
:::/ELECTRICALPERMiT APPLICATION
PERMIT FEE: $ 1/ (P , ,;J..O
;1tJO C:./-z.-~/O.(