HomeMy WebLinkAbout406 E Ahlvers Rd - Building
r--
"'I
-: CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
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
04-00000876 Date
.891596
406 E AHLVERS RD
06-30-15-3-1-9050-0000-
RES NEW SFR
10/15/04
RS9 RESDNTL SINGLE FAMILY
192560
OWner
Contractor
MADISON GUY L
316 W 9TH ST
PORT ANGELES
WA 983627603
NORTH OLYMPIC DEVELOPERS
235 W. 9TH
PORT ANGELES, WA
PORT ANGELES
(360) 452-1242
NEW 2281SF SFR,DETACHED 672SF ~GE
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 UNITS
WA 98362
------ Structure Information
Construction TYPe
Occupancy Type
Other struct info . . . .
9.00
t
V-N
615.22
192560
fl
q.L-
~l :s
J;>,-.~
..t::
o
1)'
1.00
1.00
34009.20
3067.50
3067.50
2.00
----- -- - -:- - - - - - - ---- - - ,-,"';'.:,";'-- .'. -- -..- -:.- - -- - - - - - .,. "';'.-,- - - - --- -- - - ---- - -- - - - - -,------
Permit . . . .
Additional desc
permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
2281SF HOUSE, 672SF GARGAE
1538.05 Plan Check Fee
10/15/04 Valuation
4/14/05
rr,
97.95
10/15/04
4/14/05
Plan Check Fee
Valuation
.00
o
~
.~
'<1
:n70
~ >V'.
Z.'
~
~
U\
J:>
r
-
<
p
<r
V\
Qty unit Charge Per
Extension
1017.25
520.80
BASE FEE
93.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
----------------------~-_._--------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration D.ate
MECHANICAL PERMIT
Qty Unit Charge Per
Extension
47.00
14.70
36;25
BASE FEE
1;00 14.7000ECH ME- INSTALL 100- FAU
5.00 7.2500 ECH ME-VENT FAN
-----------------------~------_._---------------------------------~---.------
Permit
Additional desc
Permit Fee
Issue Date
Expiration.Oate
pr.UMBING PERMIT
. .
153.00
10/15/04
4/14/05
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per-
Extension
47.00
77.00
B;ASE FEE
11.00 7.0000 ECH' PL- EA.FIXTURE ON. ONE TRAP
Separate ~~rmlts are required for electrical work, SEPA, Shoreline, ESA., utilities,. private and public i~pro~~ments.Jhis permit becomes
null and void If work or construction authorized is not commenced within 180 days, If construction or Work Is s'r'sperided or abandoned
for a period of 180 days after the work as commenced, or if required Inspe~lons have not been requested within 180 dayS from the last
Inspection: I hereby certify that I have read ~nd eXa~ined thi~applicationand 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 nolo The grantingofa 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.
~~.
/0 "/5-CJY
Date
SignatUre of Owner (if own~r is builder)
Date
T:\PLANNING\FORMS\II02.IS [1111412003]
~:~,.". 'f.~':,,-. .::,~;:/;:
",- :;-'''''~J>' 'I
"-;;;. 1
BUll.J)ING PERMIT INSPECTION RECORD
,",,- .. ~ -, .:~
CALL 417-4815 FOR: BUILDING INSPECTIONS. CALL 417-4735 FOR ELECfRlCAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE PR CONCEAL4NY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. " ..
KEEP PERMIT CARD AND APPROVED PLANS A TJORSITE.
INSPECTION TYPE DATE ACCEPTED COMMENTSi
YES I NO . .
FOUNDATION:
FOOTINGS I
WALLS I
FOUNDATION DRAINAGEIDOWNSPOUTS
ELECTRICAL (UGIIT DEPT) .... SEPARATE PERMIT: #I
ROUGH-~ I .
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE .'
BACK FLOW I WATER '.
AIR SEAL
WALLS.
CEILING I I I .
FRAMING
JOIS'f.S I. GIRDERS
SHEAR WALLIHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR .'.
INSULATION "'. .
SLAB
WALL I FLOOR I CEILING I T
.
MECHANICAL
HEAT PUMP .
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
HOOD I Ducrs .
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT I#'s:
WATERLINE I METER '.
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. . SEPARATE PERMIT #I's -.' SEPA:
PARKlNGlLIGHTlNG ESA:
LANDSCAPING ,~~ SHORELINE:
'. <' '.IlINAL.INSPECTJONS REQUIRED PRIOR TO OCCUPANCl'/USE .'
. '. -" -^,~, ',_ - " . I, ,,', . , .-. ' ' . ' . .-"
RESIDENTIAL DATE YES NO COMMERCIAL DATE . ACCEPTED
. .... YES. NO
ELECTRICAL - LlGIIT DEPT. 4I7-4~~, ELECTRICAL
UGIIT DEPT .
CONSTRUCTION R. W.I PWI CONSTRUCTION" R. W. '.
ENGINEERING 417-4807 PW I ENGINEERING
417-4653 .'
~ FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT. <
'., --
BUILDING 4174815 BUILDING .
T:\PLANNING\FORMS\1102.1S {I 111412003]
".j'." .
'S
~~
CITY OF PORT ANGELES
DEPARTMENT OF coMMUN1'I'V DEVELOPMENT ~ Bun.DING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number . . . .
. . . . 04-00000876
. .891596
Page 2
Date 10/15/04
. Qty
1.00
1.00
1.00
Unit Charge Per
7.0000 ECH
15.0000 ECH
7.0000 ECH
PL- EA. INSTALL WATER PIPE
PL- EA. BLDG SEWER
PL- EA. WATER HEATER
Extension
7.00
15.00
7.00
------------------------------------~------------------------~--~---------~-
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-El
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Proposal will result in the construction of a new sf
residence with attached and detached garage for lot coverage
of 9%. A Zoning Lot Covenant is required to join the two
lots. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer I s expense. An' easement will be required
the 404 East Aahlvers rd. driveway.
..;;.. Sidewalk to City standards required for school walking
route.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees . . . . . . . .. SEWER SYSTEM DELV CHARGE
STATE' SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1789.00 1789.00 .00 .00
Plan Check Total 615.22 615.22 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 4178.72 4178.72 .00 .00
Separate Permits are required for electrical work, SEP A, Shoreline,' ESA, utilities, private and public improvel11ents. Thispem'!lt becomes
null and void if work or construction authorized is not commencedwithil,1180 days, if construction or workiss..,~",r1~e~~r;lbandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 18,0 daYstrom the last
Inspection. I hereby certify that I have read and examined this application and know the same to be true and corre,ct. AU provisions of
laws and ordinances governing this type of work win be complied with whether specified herein or not The grantingofa 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 Owner (if owner Is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.1S [11/1412003)
I
I
I
I
BUILDING PERMIT INSPECTION RECORD
. ,
,..
CALL 417-4815 FOR BUILDING INSPECI10NS. CALL 417-4735 FOR ELECTRICAL INSPECfIONS.
PLEASE PROVIDE A MINIMUM'24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE.Ol;l. 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 /O~Ij.b~ J,T. -:..,~~ II-s'-Q/ IH J,)."
WALLS O-ll-oJ./ , ~L
FOUNDATION DRAINAGEIDOWN SPOUTS ,. .
ELECTRICAL (UGHTDEP1) SEPARATEPERMIT:#
ROUGH-IN I I
PLUMBING F(VmtJ"(!1 t::twd7/IS/t>.G V/,l.,-
UNDER FLOOR I SLAB
ROUGH-IN 1.1- ?-os- JLL-
'YJ'. TER LINE (METER TO BLOG) a..,.J - be'" I I
GAs LINE ,
BACK FLOW I WATER
AIIrSEAL ..
WALLS 1).1- II -CJ s I _,I,..;.l..
CEILING I I " J
FRAMING
JOISTS I GIRDERS
SHEAR W AUJHOLD DOWNS
WALLS I ROOF I CEILING 'H-I~-DS; LI 'J- k
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
,
INSULATION
SLAB J./-lb-lfJS L\ LL
WALL I FLOOR I CEILING
MECHANICAL fiwJ - llh/f)J <.1Lt.- -Afp.
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
W ATBRLINE I METER
SEWER CONNECTION
SANITARY ,
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGlLIGHTING ESA:
LANDSCAPING SHORELINE:
, , FIN~INSPECTI~,n:QUlRED PRIOR TO OC~u.rA.Jllc.y~~~ , ',"
, ,
RESIDENTIAL DATE YES NO COMMERCIAL DATE AC~D
, YES NO
u ,
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LlGIITDEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION -R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT. "
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 7f, T/Z' BUILDING
T:\PLANNING\FORMS\II02.15 {11/1412003]
PREPARED 7/15/05, 12:19:40
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
2
7/15/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
(360) 452-1242
SUBDIV:
PHONE
PHONE :
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 10/26/04 RV
10/26/04 AP
BL1 02 11/04/04 JLL
11/04/04 DA
BL1 03 11/05/04 JLL
11/05/04 DA
BL1 04 11/08/04 JLL
11/08/04 AP
BI2 01 11/16/04 JLL
11/16/04 AP
BAIR 01 4/11/05 JLL
4/11/05 AP
BL3 01 4/11/05 JLL
4/11/05 DA
BL3 02 4/12/05 JLL
4/12/05 AP
BLI 01 4/13/05 JLL
4/13/05 AP
BIT99 01 7/08/05 JLL
7/08/05 DA
BUILDING FOUNDATION FOOTING
Daune, garage footing
BUILDING FOUNDATION FOOTING
DAUNE FOOTING FOR HOUSE ?
vertical steel not complete finish and recall/jll
BUILDING FOUNDATION FOOTING
JOHN 461-3220
vertical bar not complete/jll
BUILDING FOUNDATION FOOTING
John 461-3220 footing for house
BUILDING FOUNDATION WALL TIME: 17:00
John 461-3220
BUILDING AIR SEAL
Duane 452-1242
BUILDING FRAMING
Duane 452-1242
beam brace stairs/ledger board supporting rafters strut to a
top plate or lag bolt to blocking/collar tie's on stick
framed ridge and rafters/jll
BUILDING FRAMING
BUILDING INSULATION
BUILDING FINAL TIME: 17:00
07/08/2005 01:22 PM JLIERLY ----------------------------
07/08/2005 04:39 PM JLIERLY ----------------------------
finish plumb fianl before building final
BL99 02 ~ ~ ~~~~~~~~0~IN~~:19 PM JLIERLY ____________________________
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 7/15/05, 12:19:40
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
3
7/15/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
SUBDIV:
PHONE
PHONE :
(360) 452-1242
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL6 01 2/04/05 JLL
2/04/05 AP
PL2 01 4/07/05 JLL
4/07/05 AP
PL99 01 7/08/05 JLL
7/08/05 DA
PLUMBING WATER SUPPLY
duane 460-2943
PLUMBING ROUGH-IN TIME: 17:00
Dave 360-809-0161
PLUMBING FINAL TIME:
07/08/2005 01:24 PM
07/08/2005 04:42 PM
plumb top not complete
PL99 02 ~ ~ PLUMBING FINAL TIME: 17:00
II' '"l~ '-V 07/15/2005 12:19 PM JLIERLY ----------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
TIME: 17: 00
17:00
JLIERLY
JLIERLY
PREPARED 7/08/05, 13:33:30
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
4
7/08/05
PAGE
DATE
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MAD I SON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 71il;r~LL MECHANICAL FINAL
07/08/2005 01:23
---------- - ---------- ---------- CONTINUED ONTO
SUBDIV:
PHONE
PHONE :
(360) 452-1242
TIME: 17: 00
PM JLIERLY ----------------------------
NEXT PAGE -----------------------------------
PREPARED 7/08/05, 13:33:30
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
f~
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
3
7/08/05
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
(360) 452-1242
SUBDIV:
PHONE
PHONE :
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
4/12/05 JLL
4/12/05 AP
4/13/05' JLL
4/13/05 AP
BL99 01 ~O /05 ~ BUILDING FINAL TIME:
~ 07/08/2005 01:22 PM
----------- ----------------------- CONTINUED ONTO NEXT
BL1 01 10/26/04 RV
10/26/04 AP
BL1 02 11/04/04 JLL
11/04/04 DA
BL1 03 11/05/04 JLL
11/05/04 DA
BL1 04 11/08/04 JLL
11/08/04 AP
BI2 01 11/16/04 JLL
11/16/04 AP
BAIR 01 4/11/05 JLL
4/11/05 AP
BL3 01 4/11/05 JLL
4/11/05 DA
BL3
02
BLI
01
BUILDING FOUNDATION FOOTING
Daune, garage footing
BUILDING FOUNDATION FOOTING
DAUNE FOOTING FOR HOUSE ?
vertical steel not complete finish and recall/jll
BUILDING FOUNDATION FOOTING
JOHN 461-3220
vertical bar not complete/jll
BUILDING FOUNDATION FOOTING
John 461-3220 footing for house
BUILDING FOUNDATION WALL TIME: 17:00
John 461-3220
BUILDING AIR SEAL
Duane 452-1242
BUILDING FRAMING
Duane 452-1242
beam brace stairs/ledger board supporting rafters strut to a
top plate or lag bolt to blocking/collar tie's on stick
framed ridge and rafters/jll
BUILDING FRAMING
BUILDING INSULATION
17:00
JLIERLY
PAGE
fc~ (
S tW pI vV'lf)
0-u~s
PREPARED 7/08/05, 13:33:30
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
5
7/08/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MAD I SON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
SUBDIV:
PHONE
PHONE :
(360) 452-1242
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL6 01 2/04/05 JLL PLUMBING WATER SUPPLY TIME: 17:00
2/04/05 AP duane 460-2943
PL2 01 4/07/05 JLL PLUMBING ROUGH-IN TIME: 17:00
4/07/05 AP Dave 360-809-0161
PL99 01 ~7;~t~ ~~ PLUMBING FINAL TIME: 17:00
~ ~ 07/08/2005 01:24 PM JLIERLY ----------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~- - 1
j-IVt'<i
?lv---B
J--r
vi/--
PREPARED 4/13/05, 12:57:01
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
4/13/05
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
(360) 452-1242
SUBDIV:
PHONE
PHONE :
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 10/26/04 RV
10/26/04 AP
BL1 02 11/04/04 JLL
11/04/04 DA
BL1 03 11/05/04 JLL
11/05/04 DA
BL1 04 11/08/04 JLL
11/08/04 AP
BI2 01 11/16/04 JLL
11/16/04 AP
BAIR 01 4/11/05 JLL
4/11/05 AP
BL3 01 4/11/05 JLL
4/11/05 DA
BUILDING FOUNDATION FOOTING
Daune, garage footing
BUILDING FOUNDATION FOOTING
DAUNE FOOTING FOR HOUSE ?
vertical steel not complete finish and recall/jll
BUILDING FOUNDATION FOOTING
JOHN 461-3220
vertical bar not complete/jll
BUILDING FOUNDATION FOOTING
John 461-3220 footing for house
BUILDING FOUNDATION WALL TIME: 17:00
John 461-3220
BUILDING AIR SEAL
Duane 452-1242
BUILDING FRAMING
Duane 452-1242
beam brace stairs/ledger board supporting rafters strut to a
top plate or lag bolt to blocking/collar tie's on stick
framed ridge and rafters/jll
BUILDING FRAMING
4/12/05 JLL
4/12/05 AP
BLI 01 -W3j:;r<~-
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BL3
02
BUILDING INSULATION
PREPARED 4/11/05, 13:20:58
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
BL1 02
BL1 03
BL1 04
BI2 01
BAIR 01
BL3 01
10/26/04
10/26/04
11/04/04
11/04/04
11/05/04
11/05/04
11/08/04
11/08/04
11/16/04
11/16/04
~
~
RV
AP
JLL
DA
JLL
DA
JLL
AP
JLL
M-
---PA-
SUBDIV:
PHONE
PHONE :
(360) 452-1242
PAGE
DATE
BUILDING FOUNDATION FOOTING
Daune, garage footing
BUILDING FOUNDATION FOOTING
DAUNE FOOTING FOR HOUSE ?
vertical steel not complete finish and recall/jll
BUILDING FOUNDATION FOOTING
JOHN 461-3220
vertical bar not complete/jll
BUILDING FOUNDATION FOOTING
John 461-3220 footing for house
BUILDING FOUNDATION WALL TIME: 17:00
John 461-3220
BUILDING AIR SEAL
Duane 452-1242
BUILDING FRAMING
Duane 452-1242
2
4/11/05
-------------------------------------- COMMENTS AND NOTES --------------------------------------
, -..-:'., '''--' ""-":---"- .
- i>___.'.:.:...._:_:,..:. -<,,>, -:': ,_:_
Inspection of your work.re~Y~~I~&tnatihe fOllQwirlg is '.
not in,accorgance w.ithth,~',99d~:~)>g'()yerning thev.,orkin
--t,his_.jurisdiGtion': ,- ~"." .,~
'$""",-.:.;,'<<
BUILDINGI:'QfVISION '
CITY. OI=P()RTt~~,~ElES.'
.;':
',4,'--
*
.*
" '_'-_"0,_'.- ....._ .
" . -.-". .... --'. """.'--.-';'-' '.-' ."'.:.-
'.Co'..re~t'ii)'n'~~t~;':tl:f:i;ee
.. . , '- ~ --~'
'..'Y.":: ;:'_: ,.,,_"':, ;
,-:.,.,':',...-':.... ,
Job Locatecl, at//iJ.(./..........,tiji;,.pI-tLVt ~ }'1S
.';,,;>' ~ .
'!';;".
f:.
,"
,"'.',',\
~>
'~o'
,
~',:.-
r::r!e~IIYl;\J -f I' r~@. .. aJt\ It;N;~,-<
F f7 .-1...."" I t! fit_...rf," I \ S
~("" B.el~""
~. _ -,'_.:C :",,-,:,;,,_, :;.,<. :~.: ,;
.- ..,..:-',':...., .., ",,' ~
Q.~ i',t'
~,'- "
rhese;corrections rnustbe .madei~~rla;;'~i~"'fi6Hto.be"'"
cover~g.'....'LJhtil('r~i.OS pecti()n'..;is.....;rilEid~:,:W5~B'::d8ffe6ti()ri~
have'Qeenmade, please cali . 'tlll;;:'t{r~i:;r;-'. .....
':<":~~;~M"Speetion..' . . ...... ,... ..... .,< '.
.:;,,:,;i"" '. 4-:-..,..' I. u l.o~., . ~
_ _ }r(~~
. ''<""'''- "--: .,..,.:,-:.... ',-'
Inspector for BuiJdingDivlsion
, - . .. ..' --.-.,. ....'..:-.,..... .'
~P.;..O.tti()~>E:.MQ."'eItt.lJS~tA.G,;~ .
PREPARED 4/12/05, 16:32:50
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
4/12/05
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
(360) 452-1242
SUBDIV:
PHONE
PHONE :
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 10/26/04 RV
10/26/04 AP
BL1 02 11/04/04 JLL
11/04/04 DA
BL1 03 11/05/04 JLL
11/05/04 DA
BL1 04 11/08/04 JLL
11/08/04 AP
BI2 01 11/16/04 JLL
11/16/04 AP
BAIR 01 4/11/05 JLL
4/11/05 AP
BL3 01 4/11/05 JLL
4/11/05 DA
BUILDING FOUNDATION FOOTING
Daune, garage footing
BUILDING FOUNDATION FOOTING
DAUNE FOOTING FOR HOUSE ?
vertical steel not complete finish and recall/jll
BUILDING FOUNDATION FOOTING
JOHN 461-3220
vertical bar not complete/jll
BUILDING FOUNDATION FOOTING
John 461-3220 footing for house
BUILDING FOUNDATION WALL TIME: 17:00
John 461-3220
BUILDING AIR SEAL
Duane 452-1242
BUILDING FRAMING
Duane 452-1242
beam brace stairs/ledger board supporting rafters strut to a
top plate or lag bolt to blocking/collar tie's on stick
framed ridge and rafters/jll
BL3 02 ~L BUILDING FRAMING
---------------------~--------- COMMENTS AND NOTES --------------------------------------
PREPARED 4/07/05, 12:56:11
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MAD I SON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
SUBDIV:
PHONE
PHONE :
(360) 452-1242
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
2/04/05 JLL PLUMBING WATER SUPPLY
2/04/05 AP duane 460-2943
PL2 01 I t1~7/;:~~ PLUMBING ROUGH-IN TIME:
~ Dave 360-809-0161
------------------------- ------------ COMMENTS AND NOTES
PL6
01
TIME: 17:00
17:00
PAGE
DATE
1
4/07/05
PREPARED 2/04/05, 12:33:21
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
2/04/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
SuaDIV:
PHONE
PHONE :
(360) 452-1242
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL6 01 ..~/~t~ t{);;J PLUMBING WATER SUPPLY
~ ~ duane 460-2943
-------------------------------------- COMMENTS AND NOTES -----------------------------------___
TIME: 17:00
PREPARED 11/16/04. 13:03:27
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
11
11/16/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
SUBDIV:
PHONE
PHONE :
(360) 452-1242
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
10/26/04
10/26/04
11/04/04
11/04/04
RV
AP
JLL
DA
BUILDING FOUNDATION FOOTING
Daune, garage footing
BUILDING FOUNDATION FOOTING
DAUNE FOOTING FOR HOUSE ?
vertical steel not complete finish and reca11/j11
BUILDING FOUNDATION FOOTING
JOHN 461-3220
vertical bar not comp1ete/j11
11/08/04 JLL BUILDING FOUNDATION FOOTING
~11/08/04 AP John 461-3220 footing for house
BI2 01 11 16/ 4 I ~L BUILDING FOUNDATION WALL TIME: 17: 00
John 461-3220
------------ -- - ----- ------------- COMMENTS AND NOTES --------------------------------------
BL1
02
03
11/05/04
11/05/04
JLL
DA
BL1
BL1
04
PREPARED 11/08/04, 12:37:52
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
9
11/08/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MAD I SON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
SUBDIV:
PHONE
PHONE :
(360) 452-1242
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
10/26/04
10/26/04
11/04/04
11/04/04
RV
AP
JLL
DA
BUILDING FOUNDATION FOOTING
Daune, garage footing
BUILDING FOUNDATION FOOTING
DAUNE FOOTING FOR HOUSE ?
vertical steel not complete finish and recall/jll
11/05/04 JLL BUILDING FOUNDATION FOOTING
11/05/04 DA JOHN 461-3220
~ vertical bar not complete/jll
BL1 04 II 08 04 ~__ BUILDING FOUNDATION FOOTING
~ John 461-3220 footing for house
------------ -- -- ------------------- COMMENTS AND NOTES --------------------------------------
BL1
02
BL1
03
~ORTANGELES
<c~i'
WAS H I N G TON, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
March 31, 2005
Michelle & Guy Madison
2513 Edgewood Drive
Port Angeles, W A. 98363
Subject: 406. East Ahlvers Road-New Service
Job# 9869
Dear Mr. & Mrs. Madison:
Th~'estimatedcost of labor and materials supplied by the City to provide
electrical service toyolJr property is $240.00. This estimate was based on the
data you provided and is subject to review. This quote is good for 180 days:
The City will be responsible for' the following:
1) Providing and installing the overhead service wire.
2) Providing and installing the transformer.
3) Providing and installing the 120/240v meter.
. The owner/contractor will be responsible for the following: .. ,
1) Providing, installing and future maintenance of the service riser on the .
pole. (Ref: Underground Service-Secondary Riser CR 5 01)
2) Providing, installing and future maintenance of the underground
service wires in conduit from the power pole to the house and/or meter
base. (Ref: Trenching Specifications UM 001-S)
3) All Required Permits (Building, Electrical, etc). .
4) Payment of $240.00 (Please use the enclosed payment form).
5) Electric Service Connect ion Fee of $410.00. Due atthe timeofthe
Permanent Service Application. (See enclosed letter)
321 EAST FI FTH STREET · P. O. BOX 1 150 · PORT ANGELES, WA 98362-0217
PHON E: 360-417-4805 · F.AX: 360-417-4542 · TTY: 360-417-4645
E-MAIL: publicworks@cityofpa.us
. .~.~.
..,......:
~
~
~
ttI
Q>
S-
-
'-
(\)
V;
?\J
.<2-
I-
I
f<9J ([j) ~
.If the actual cost of construction exceeds the estimated amount, there will bel}o
further billing. Jf the actual cost is less than the estimate, the difference will be
refunded to you. .
Payment of the estimated amount will authorize the City to schedule the work.
.' ,. ~ -.
If you have any questions or concerns, feel free to contact me.
.' Sincerely,
. J n G. Heoner
Electrical Engineering Specialist
ihebnerC1l!citvofpa.us.
360.417.4706
Cc: James Harper, Electrical Engineering Manager
AI Oman, Electrical Inspector
.RogerN.fss,:~ermit.:r.e:ch::r
Attachments: 6 .
Ref: WF29531/01
g
Vi!
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~2'1 EAST 5TH STREET. PORT ANGELES. WA 98~(12
,
F' ' I>>
'.
Application Number
pin number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000876 Date
.891596
406 E AHLVERS RD
06-30-15-3-1-9050-0000-
RES NEW SFR
4/07/05
RS9 RESDNTL SINGLE FAMILY
192560
Owner
Contractor
MADISON GUY L
316 W 9TH ST
PORT ANGELES
WA 983627603
NORTH OLYMPIC DEVELOPERS
235 W. 9TH
PORT ANGELES,WA
PORT ANGELES
(360) 452-1242
NEW 2281SF SFR,DETACHED 672SF 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
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
9.00
~
'\:S
'S'\
V-N
1.00
1. 00
34009.20
3067.50
3067.50
2.00
~
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
NEW RES 200 A SVC.
143.20
4/07/05
10/04/05
Plan Check Fee
Valuation
.00
o
~
~
Qty
1. 00
3.00
Unit Charge Per
73.0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
70.20
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.
Proposal will result in the construction of a new sf
residence with attached and detached garage for lot coverage
of 9%. A Zoning Lot Covenant is required to join the two
lots. No land use issues 'are noted.
Electrical load calculations and elctrical permits are
required.
An7 modifications to the City's electrical facilities will
be at the customer's expense. An easement will be required
the 404 East Aahlvers rd. driveway.
Sidewalk to City standards required for school walking
route. .
Sanitary sewer connection inspection is required by
Public Works prior to back fill,of ditch.
~
Other Fees
RES OVERHEAD SERVICE FEE
410.00
COMMENTS! ACTION NEEDED
/'"
ELECTRICAL PERMIT INSPEQ'JON RECORD
~I . "
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
, COMMENTS
NO
GENERAL COMMENTS:
PW-II02.I5I4I96J
S
~r~
CITY OF PORT ANGEJ,.ES
PUBLIC WORKS . ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA98362
, \
~ ~'
~
Application Number . . . . . 04-00000876
pin number . . .891596
Page 2
Date 4/07/05
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 143.20 143.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184,50 .00 .00
Grand" Total 2327.70 2327.70 .00 .00
J
.,
COMMENTSI ACTION NEEDED
~
,
'.') ,
ELECfRlCAL PERMIT INSPEqI'JON RECORD
"
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASEPROVIJ)EA MINIMUM 24 HOUR NOTICE. IT IS UNLA WFULrO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE " ACCEPTED
YES I' NO
.
COMM1tNTS
IUIl:H
Wllllnl-l-IN I \,;UV.t,K
'''',K V II'~ , '
I
I
.
I
GENERAL COMMENTS:
PW-II02.1's (4196)
fl..
~,
. .. ' CITY OFPORT ANGELES ,
DEPARTMENT OF COMMUNTIY DEVELOPMENT .-BUILDING DMSION
321 EAST SUi STREET, PORT ANGELES,WA98362
Application Number
Pin number
Property Address
ASSESSOR. PARCEL NUMBER:
Application description
Subdivision Name.
Property Use . . . .
Property Zoning . .' .
Application valuation
04-00000876 Date
.891596
406 E AHLVERS RD
06-30-15-3-1-9050-0000-
RES NEW SFR
10/28/04
OWner
Contractor
{:---..\G'.
. ~.
\
, ~.
, ~
<J".,
RS9 RESDNTL SINGLE FAMILY
192560
MADISON GUY L
316 W 9'J'!1 ST
PORT ANGELES
WA 983627603
NORTH OLYMPIC DEVELOPERS
235 W. 9TH
PORT ANGELES, WA
PORT ANGELES
(360) 452-1242
NEW 2281SF SIi'R, DETACHED 672SF GARAGE.
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL' % . LOT COVERAGE
CO~STRUCTION TYPE
NUMBER OF STORIES
EXIS'l'ING LoT COVERAGE'
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE.
NUMBER OF UNITS
WA98362
Structure Information
CQnstruction Type
occupancy Type
Otller struct info
~
9.00
,=\
1.00
1.00
34009;20
3067.50
3067.50
2.00
"
l
~.....
~.,..
'rf\.
V-N
---._~--.~~-~-~-~----------------~--~~-~---~~------------~-----~-----~--~---
permit . . . .
. Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date .
ELECTRICAL TEMPORARY SERVICE
TEMPSVC
SHAMP.ELECTRICAL CONTRACTING
42.20 plan Check Fee
10/28/04 Valuation
4/27/05
.00
o
~
\
"""
\
Qty Unit Charge Per,
1. 00 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extens,ion.
42.20
~
~
~-----------.-----------------------------------------------------------~---
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12nin 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.
proposal will result. in th~,construction of a new sf
residence with attached anddetached.garage for lot coverage
of 9%. A Zoning Lot Covenant, is. required ~o join tlle'two
lots. No land. use issues are , noted.
Electrioal 10ad calculations and elctrical permits are
required.
Any modifications to the City's,electrical facilities will
beat the customer's expense. An easement will be required
the 404 East Aahlvers rd..' driV'~w<J.Y'
Sidewalk to City standardeirequireCl for school walking
route. '
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
~
Other Fees
SEWER SYSTEM DELV CHARGE
745.00
Separate i?ermits are required forelectrica,lwork,S,!:RA;Shoreline, ESA, utiliUes, private ~f!dp~,~licimpr()xem~!1~'cT,'" rijit~'~me~
null an~ yoicl.l1:~prk orconstrugiol'l~!J!?()~Elcj,I~Jlot c;()mmenced Y.'lthin180 da}lS"ifcOn,l;b}!~on o~ \,/()~~,is s,~~e~, "~~!incl~~'ed
for a period of,180 days after the workascomme.Jl.~d,or if required inspections have not bi3en requestedwithJn1 . ,frr9rn'utelast
inspection.lherebycertifythatl have read and examined this application and know the same to be, true and c9 ..,..:~IIProvisionl; of
laws and Qrdlnancesgovemingthistype of work wUI be complied with whether specified herein'orJ'olTheigrantin~:ofa'pt:lrmitdoes not
presume to give authority to violate,orcancelthej>rovisions of any'state or locallavqegulatingconstructiolior the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of OWner (if ()Wner.ls builder)
Date
T:\PLANNlNG\FORMS-'1102.IS [1111412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECfIONS. CALL 417-4735 FOR ELECTRICAL INSPBCI'lONS.
PLEASE PROVIDE A MINIMUM 24 HOURNotTcB/JjIS:UNLAWiULTffCOvEii.;/NSUUTE ORcoNCEALAN1FWoIiKBEFORE
INSPECTED AND ACCEfTED"POST PERMIT Il'{A C()l'lSPICUOUS LOCATION.
KEEP PERMITCARDAND APPROVED PLANS AT JOB SITE.
DATE
COMMENTS
..'
INSPECTION TYPE
FOUNDATION:
FOOTINGS
WALLS
ACCEPTED
1 YES 1 NO
.
f)
SEPARATE PERMIT: # j /1 _
.111_ '-riv'::- JI-
.
ELECTRICAL
(liGHT DEPT)
FOUNDATION DRAINAGEIDOWN SPOUTS
,
ROUGH.IN
PLUMBING
UNDER FLOOR! SLAB
ROUGH.IN
WATER LINE (METER TO BLDO) .
GAS LINE
BACK FLOW ! WATER
AIR SEAL .
WALLS
CEILING
FRAl\iING .
JOISTS I GIRDERS
SHEAR WALLIHOLD DOWNS
I
/::: ~C" ,~,Y)J_ ~ ~
I I'
....
.'.
,
.
..
,
I
I
I
I
,
WALLS I ROOF {CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY) ....
T-BAR
INSULATION ."
SLAB
W ALl.! FLOOR! CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOO'STOvE !PELLET! CHIMNEY
HoODl DUCTS
PW trriLrrlES !SITE' WORK
WATERLINE! METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s
PARKlNGlLIGHTING
LANDSCAPING. '
'..."....'
RESIDENTIAL
ELECTRICAL. LIGHT DEPT.
.
CONStRUCTION R. W.I PW!
ENGINEERING '. '.' ','
FIRE ,,:.
PLANNING,DEPT.
BUILDING
",
,
I
I '
I
,.::'
I
,
,
,
,
(Engineering Division) SEPARATE PERMIT #'s:
,"'.
..
".
,
,
,
,
SEPA:
,
',' ~'" SHORELINE:
FINAL INSPECTIONS REQUlREDPRIORTQOCCUPANCYIUSE
DATE YES NO " COMMERCIAL
/J
417-4735 I/I~I.. 04 II(/,(
.
","', ,
,,' DATE :
ACCEPTED "
YEs NO
:
ELECTRICAL
LIGHT DEPT '
"
CONSTRUCTION. R. W.
PW ! ENGINEERING
FIRE DEPT.
PLANNING DEPT.
BUll.DING
"
,
"
",.,'.' 417-4807
417-4653
417-4750
417-4815
"
,
T:\PLANNING\F0RMS\1102.15 (11/1412003)
.'
'Vashington State Energy Code
Plan Revie,v Checklist
Applicant please Check. write in N/ A. or fill in value on boxes or lines.
Project Address: L.()i- :l 4- ~ PlA-fl&( - 6~9
Ah I U LI{5o f?.D,
Compliance Approach:(check one) 0 Systems analysis
o Component perfonnance
j(J Prescriptive path
HEATING SYSTEM
o Zone Heating 0 Electric Fumace )(JHeat Pump
FOUNDATION PHASE
o Slab R- _ Exterior down to frostline/slab bottom; Interior 24" horizontal()r veliical; or,If radiant under entire
o Below grade exterior wall insulation: R- _ (If interior -see Insulation Phase)
FRAMING PHASE
!(Standard 0 Intermediate 0 Advanced
~tandard air seal: sole plate/sub floor; rinljoist; window & door frames; wires, plumbing, ducts, light fixtures
Rsource specific exhaust fans:J>ath & laundry(50 cfrn) kitchen(lOO cfrn)
~ Whole house exhaust fan L cfrn intermittent system has manual & auto controls: Outdoor air supply reg, for habitable rooms
or 4P
o Integrated forced -air system, fan _ cfm, outside air duct(wifu motor damper) allowing .35 and ,5 ACH
INSULA TJON PHASE
o R-1..1..- Wall insulation(above grade)
o R-..L1- Wall insulation(below grade): Interior wall insulation
o R-22. Floor insulation
o R~~ Ceiling insulation: Including attic hatch
o R- f!~Vau1ted Ceiling il1Sulation
o . Vapor retarders: Walls, Ceiling: 0 4 mil poly ~emlrated paint Dkraft faced batts
o Vapor retarders: Floors: Oit 4 mil poly Dkraft faced batts
o Ground cover: 6 mil Black polyethylene, 12" lap at joints & extending to foundation wall
T:\ROGERIBLDG_FORMS-BROCHURESIENERGVPLANREVIEW
Over: Fill in back side also.
A
WINDOW GLAZING
Please fill out window information, incJued skylights, glass doors, and all other glazing on this form. Use rough opening area for calculations.
SIZE QUANTITY AREA U-VALUE & MANUFACTURER
Cf-o X 4-{; ~ 3.6 Rfi/f~n )> . 3S:-
6-ox $- t:, I 33--, '"
'J_c) X ~/v6 ;).... .IS ,
. ,_,' i
4 -0.( h-6 ~ '~.fi4 J
30 )( 5;;-0 J IS; /
Lj-oxS- 0 I 2.0 )' /
4-0 X l.6 I 'l~ (
1-0 ~ 3.-6 I 'U ~,
i .\
2-6 X $;"- 0 2 EdS \
1-6 1><.. SO 2. 16S )
4-0 ~S:o I '20,0 /
~'-6 x:3o"":'~ '2.. d.7 ,/
~_o >( ~-(') '3 ')...7 '\V
. C> b~ 2- LjC>
3 )<....
-
,.
Total glazing area:
Total conditioned floor area:
Percentage of glazing:
3CfCZ OJ'
~2 Vi
--1>:,3'
DOORS
List doors by type(solid core, insulated, Etc.)quantity, U-value, and Manufacture.
SIZE QUANTITY AREA U-VALUE & MANUFACTURER
3-0 )(, I> -- g- I , "26 /....~ 2n
' , J -
- ;' " ."". -.. .~.._-
,,:~'"i , "
""1-0 (; - 'iI i :~2. 0 6' ,.. . . t2.. Oc :.(..
T:\ROGER\BLDG-FORMS-BROCHURES\ENERGYPLANREVIEW_2
2000 EDITION
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 on
% of Floor Vertical Overhead'1 U-Factor Ceiling3 Grade Below Below Grade
Grade Grade
I. 10% 0.46 0.58 0.40 R-38 R-30 R-21 R-21 R-lO R-30 R-lO
II. 12% 0.43 0.58 0.20 R-38 R-30 R-19 R-19 R-lO R-30 R-lO
III. 12% 0.40 0.58 0.40 R-38 R-30' R-21 R-21 R-lO R-30 R-10
IV.. 15% 0.40 0.58 0.20 R-38 R-30 R-19 R-19 R-lO R-30 'R-lO
V. 18% 0.39 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-lO
VI. 21% 0.36 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-10
VII.' 25% 0.327 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-10
+ R-58
VIII.7 30% 0.297 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-lO
+R-58
* Reference Case
** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1.
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 exceptsingIe 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 of R~ 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 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 V-factors from Table 10-6C.
10. Where a maximum 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 V-factor of V=OAO or less is not
included in glazing area limitations.
11. Overhead glazing shall have V-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5.
Effective 7/01/01
37
WASHINGTON STATE ENERGY CODE
.,.
TABLE 6-2
PRESCRIPTIVE REQUIREMENTS FOR ~:' n n.-' wANCY
CLlMA TE ZONE 1 . HEATING B't1 OTHER F'UELS ~
HV ACs Glazing Glazing U-Factor Door '0 Vaulted Wall Wall- Wall- SIab6
Option Equip. Area": 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 0.40 R-30 R-30 R-15 R-15 R-10 R-19 R-lO
II. Med. 12% 0.65 0.68 0.40 R-30 R-30 R-15 R-15 R-lO R-19 R-lO
Ill. High 21.-% 0.75 0.68 0.40 R-30 R-30 R-19 R-19 R-lO R-19 R-lO
~ IV.* Med. 21%- 0.65,.. 0.6& o .40. R-~O R)O R-19 R~19 R:lO R,-19 R-lO
-" V. Low 21 % 0.60 0.68 0.40 R-30 R-30 R-19 R-19 R-lO R-19 R-lO
VI.7 Med. 25% 0.457 0.68 0.40 R-38 R-30 R-19 R-19 R-lO R-25 R-lO
VII. 7 Med. 30% 0.407 0.68 0.40 R-30 R-30 R-19 R-19 R-lO R-25 R-lO
VIII. Med. unlimited 0.25 0.40 0.40 R-30 R-30 R-19 R-19 R-lO R-25 R-lO
1 * *
* Reference Case
** Nominal R-values are for wood frame assemblies only or .assemblies built in accordance with Section 60. 1.1.
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 optionabove 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-1o., 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 nianufactui-er's specifications. 'See Section 60.2.2.
- .
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 60.2.4.
7. The following options shall be applicable to buildings less than three stories: 0..50. maximum for glazing areas of 25% or
less; 0..45 maximum' for glazing areas of 30.% or less.
8. Reserved.
9. Minimum HV AC 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 of 6.35. '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 1G-6C.
11. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as apercent of gross
conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor ofU=o..4G or less is not
included in glazing area limitations.
12. Overhead glazing shall have U-factors determined in accordance with NFRC 10.0. or as specified in Section 50.2.1.5.
38
7/0.1/0.1
,----
I
________________~~~TIY~~~~rJllJUWtiJH-~--------
...
>
it!
Q
-l
...
.>
~
t:l
,...
e.
I~~
I 2;
\'" g
. "
r-."C
:<t"
_.0
10
I:..~
z.....
'"
I~
I~
i~
b
,...
N
r'
,...
."<1:
o
:..
z
,-
EXISTING PAVED STREET
_ _ _ _ _ _ _ """'PRQPERTY"LiNE 15'ii.'93'- -587"53'13'~ - - - - - - - - --t" - - -.
I
I
I
I
I
1
I
I
LOT i
(not to scols)
I I
I 1
-1 ~t2lI_d'J":
__~-_-.l.
I :
I. n 1
I
I
I
I
I
I
I
llol
1:Z
1::1
I~
1(.)
::;
llol It;;
1:Z I en
1::1 II-
II- 1:Z
1i5 Ill!
1::1 I'"
lib! l:z
I~ :2
I I"
I I~
I I I
~ I I -----
ROUN !Q.V!ENl!N.J,--------------- ---
'-(M) W~tER U.!l~1 -----------------
r--Ci :?t1J..t1J1 '11/
l) WM-R METE I / ---
'-" : //
I /
I I /
: ://
:/1
r
I
I
1
\
I
I
I
\
llol
1:Z
1::1
I~
1(.)
:e
:en
I!Z
ill!
I'"
l:z
::i
lin
IN
I I
=========t=j==DIT~t~~J~~[~~~=========
I ~---------------------------
?~I_m" I ~
_ _ _""" - - - - - PROPERTY UNE178.93
PROPERTY LINE 158.94" 587"53'13"E
- - iX'iSiiNG-GRASS - - - - - - - - - --
_ (~It! 1>!P~ _YMD_ ~FJl!~Cl<-IJI!E
(N) GRAVEL DRIVE
EXISTING GRASS
'.
I I
I I
I II
I I;
I I'
i I,
I Ii
____C!!) SEWER UNE __ _ : d
------ r ~------J1,
I I I'
I I I
I I I
I I I
I I I
I I I
I I
~~-L1NE 16~.94' : 58-T53"3"~--.l
(to bs dssolved) loll I I
:z I I I
::I I I I
~I 1 :
(.)\ I... I
:;1 l:z I
t;;::::I I
en I II- I
DO; I 1i5 :
~I I~ I
DO; 1 I~ I
=: li::l I
::II Ie :
_ I IN I
~I I I
I I 1
I I I
I I I
I I I
\ I 1
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
I I I
:: I
I I I
I I I
I I I
~~t~ ~~~~~~~~~;~~~~~fv~~~~~~l~~~~~~~~-!=~=======i
- . \ :
--sB7'5ro"l:------- = -\._--1
I I
I I
I \
I I
I I
I I
I I
I :
~
....".A
. .
.' .
..;~. ~ -
/
I
~
r-
LOT
3
^
LOT
4
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
FOR OFFICIAL USE ONLY:
Date Rec.: q - 22 -0 cj
permit#:04~el
Date Approved: I '1.
Date Issued:
BUILDING PERMIT - APPLICATION
Applicant or Agent: G lA \! +- \'Y\ I (....k~\ l (.... fV\ 6\::c:\ ; <;:. 0 n
f
Owner: S~Y\'\e 61... StAb 00/ e.- Phone: So-."'" e.-
Address:3j Ie, ()J I q ~ City: 'P-\-. A-\" 3.(jxs \ WA-
Architect/Engineer: t"'('QW\Vl~ Boa.ord - 'D a~ ~<xv; cl\OcJV\ Phone:
N ~ f\ OlAo.-.....e. G-e+-c.h~'" q Lf D-z.-
Contractor. O,fttDJYM()16 v~velo~State License #: NDRrHoD q Exp: Phone: 4S'd -I 'J 42-
~:::~=~:Ii~~~t ~~~~~q~~~;zom:;,: <15~?/
LEGAL DESCRIPTION: L~:~ "3 -t-4 Block:
CLALLAM COUNTY PARCEL NUMBER: '114)( 1-D
Phone: 4 S- J.... - ~ 2- 7 S:.
;1 ((I.IJ.
Zip: q g ~ fa 2-
4/1 - /2.57
Subdivision:
Credit Card Holder Name: G-lIL V) L.
Billing Address: 5 1 lei I/.J 0 q Y4<
Credit CardType VISA X MC #
TYPE OF WORK: '
1Si Residential ~ 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:
M ced " <;6,j
City: pnv+- ~q (~.5
o Stove
~ Garage
o Deck
o Other
S\~
Exp. Date:
SIZEN ALUATION: 0
:1-2-8'1 SF.@$ -::gOlO /SF.=$ /~[)..,1-1:g{)~~
G 77- SF. @ $ / S-- /SF. = $ I 0 . 0 <s () .00
I
SF. @ $ /SF. = $
TOTAL V ALUA TION $
L- (" k:.; - Lt. e..-
COMMERCIAL~ENT~ Occupancy Group:
No. of Stories: ~ Lot Size: .s>400Cj .'2.. Existing Sq. Ft. ~
Total lot coverage ., d a
Occupant Load: Construction Type:
& Proposed Sq. Ft..30~ 7, S = TOTAL Sq. Ft. sex; 7, ":>-
%
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
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 mus ed 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. AU Qther permit fees are d:ue atthe time of permit issuaIlce..
EXPIRATION OF PliAN 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 107.4 of
the Uniform Building Code, current edition). 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 I must obtain such permits prior to work.
T:\FORMS\APPS\Buildingperrnit.wpd APPlicantxff~ .r ~ Date: 9 - 2/ - 0 'I'
".t(Nf!JS\TRUCTION5::~OR WORKING DRAWINGS: ELEVATIONS
~ .. . .;.;
Elevations show roughly what the exterior of
the building will look like when finished. You
should submit elevations to show the house from
. , all four directions: east, west, north, and south.
l..~'\j"} '~ "~.<."..,'V"W""
The elevations should include:
- Position and height of windows and doors.
- Roof slope.
- Relationship of an addition (if applicable) to
the rest of the building.
I'-D- MIN. AlOI( ANY /tOfT .1HIN
Iff-o- HalJltIlTALL'I rF t:HJI/NC'I
.
~
12
JI
.
~
.1
IC
..
I
FIN. FI.DDR
--
I I I I
-l-----___~_-____~----~---JL
~----~--~-~------------~--------
WEST ELEVA nON
(EXAMPLE - NOT TO SCALE)
HHlD
.
Jr IIfM c:w.w.u. 111H 1i1lRl/EDlA 1E'
/lAU SDACS.,\'O lHAT Nt DBECT ,,- ,
CNi NOT 'ASS JHROUtM.(Il(r:JUIRED ,.
~- DIt IIDRE MOlt fi1Wit.)
Page 8
-'"
..
~.,.:o;~
{i
CITY OF PORT ANGELES
DEP ARmENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . .. 04-00000876
Pin number . . . . . . .891596
Page 2
Date 10/15/04
--------------------------------------~-------------------------------------
Special Notes and Comments
color they are mounted on. lOrd. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
proposal will result in the construction of a new sf
residence with attached and detached garage for lot coverage
of 9%. A Zoning Lot Covenant is required to join the two
lots. NO land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense. An easement. will be required
the 404 East Aahlvers rd. driveway.
Sidewalk to City standards required for school walking
route.
Sanitary sewer connection inspection is required by
Public works prior to back fill of ditch.
--------.-------------------------------------------
tOther Fees . . . . . . . .. SEWER SYSTEM DEL~-~~~-----;~~~~~-----
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1025.00
Fee summary Charged paid Credited Due
----------------- ---------- ---------- .-.----.--- ----------
permi t Fee Total 780.00 780.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2554.50 2554.50 .00 .00
Separate Permits are required for electrical work,SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes.
null and void it work orconstructiory authorized is not commenced within 180 days,lfconstruction or work Is suspended or abandoned
for a period of180 days after the work as commenced. or it required inspections have not been requested within ,180 days from the last
inspection. I hereby .certifythat I have read ~nd examined this application and know the same tobe true and,correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified hereln()r 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 Owner (if owner Is builder)
Date
Signature of Contractor or Authorized. Agent
Date
T:\PLANNlNG\FORMS\1102.IS [11I1412oo3J
BUlLDlNG PERMIT INSPECTION RECORD
... ..
":-
.CALL417481"5 FOR BUILDING INSPECfIONS. CALL 417-4735 FOR ELECfRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOURNOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
. .. .... ". I YES I NO .
FOUNDATION: .' .
.
FOOTINGS ..
..... ...
WALLS ..
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEP1) SEPARATE PERMIT: #
ROUGH-IN T I .'
PLUMBING , .. .
.
UNDERFLOOR/SLAB ". .
,
ROUGH-IN .
WATERLINE (METER TO BLOG) .'.
GAS LINE ". .
BACK FLOW /WATER . ..
AIR SEAL .' .'
. .
WALLS ..' I I .
CEILING I , '.
FRAMING --
.'
JOISTS / GIRDERS '.
SHEAR W ALUHOLD DOWNS
WALLS I ROOF / CEILING . .
DRYWALL (JNTERfORBRA<:ED PANEL ONLY) .
T~AR . .'.
T., .' .u .
INSULATION
SLAB .
WALL / FLOOR I CEILING I .
MECHANICAL . "'.
- "
HEAT PUMP .....
...
GAS. LINE
WOOD STOVE / PELLET I CHIMNEY .
HOOD / DUCTS ,
PW UTILITIES / SITE .wORK (Engineering Division) SBPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY .'
STORM
PLANNING DEPT. SEPARATE PERMIT ii's . SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE: .....
"
FINAL' INSPECTIONS REQUlRED'PRlORTO OCCUPANCYIUSE ..;'"...... -. . .
. .
RESIDENTIAL DATE YES NO COMMERCIAL ,,' DATE >_AC~EPTED .
, ., ". - ~YES, .... NO
. ELEcnuCAL ......... ,
ELECTRICAL - UGHT DEPT. 417-4735 .. ."
.. UGHT DEPT , ........ .
CONSTRUCTION R. W./ PWI .. -c-
CONSTRUCTION - R.W. .'
ENGINEERING '. 417-4807 PW / ENGINEERING '-
FIRE 417-4653 FIRE DBPT. -. '. ....
PLANNING DBPT. 411-4150 .- P1:ANNING DEPT. .., ". "
.'
BUILDING 417-4815 '.i 'BUILDING '- ;Li . i-. '.'
T:\PLANNING\FORMS\I 102.15 11 111412003]
1---
c}!...<."..;; ,
1
'" t
BUILDING PERMIT INSPECTION RECORD
'~.,.
CALL 417-4815 FOR BUILDING INSPECTIOl'lS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
A MINIMUM 24 HOUR NOTICE. ITISUNLA WFUL TOCOVER,[NSULATEOR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN ~,CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE " ACCEPTED , COMMENTS
, YES I NO
,"... '< . 7
FOUNDATION: , .
FOOTINGS \; .. ,.
"
." WALLS ....
"
FOUNDATION DRAINAGEIDOWN SPOUTS . .' .
ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: # .
'... ROUGH-IN " I
I,
" ., , " .'.
PLUMBING .'. ,
UNDER FLOOR' SLAB 1 .",
.. ROUGH-IN ......
~"'TER LINE (METER TO BLDG) '.
'. I .
GAS LINE "
BACK FLOW' WATER .', .,' '. .'
AIR1SEAL . . ....
WALLS . "
, .
CEILING I I ,
',. " .' .
FRAMING '. .
JOISTS' GIRDERS.
SHEARW ALUHOLD DOWNS
WALLS' ROOF' CEILING ..
.. ..
DRYWALL (INTERIOR BRACED PANEL ONLY) -:
T-BAR .' .. .
INSULATION ,> .
SLAB , "
."
WALL I FLOOR' CEILING . I I .'. '.
MECHANICAL '
HEAT PUMP .... ,
GAS LINE
WOOD STOVE' PELLET' CHIMNEY .'
HOOD ,. DUCTS ,
PW UTILITIES' SITE WORK SEPARATEPE~TII's: " -,,-
(Engineering Division)
WATERLINE'METER
SEWER CONNECfION " .,'
f
SANITARY .,' .' , '.
STORM '.
.'
, PLANNING DEPT. SEPARATE PERMIT #'s .', SEPAl
PARKINGlLIGHTING . ESA: ..'
':,
LANDSCAPING ." .... ",f""
.. . SHORELINE:
". -: " FINAL INSPECTIONS REQ1!IRED PRl.O~!J'P,OCCU~.,\NCYIUSE :,
;..' I>i> RESIDENTIAL DATE YES I NO ;', COMMERCIAL DATE ACCEPTED
.. , ;,' YES NO.
; .... ..
ELECTRICAL - LIGHT DEPT. 417-4735 1 ELECTRICAL ;'."
LIGHT DEPT
CONSTRUCTION R. W. 'PW' CONSTRUCTION - R. W.
ENGINEERING ;.. 417-4807 , p'W , ENGINEERING
FIRE ". 417-4653 .. . ",', FIRE DEPT.
....
PLANNING DEPT. ; 417-4750 . PLANNING DEPT.
BUILDING " 417-4815 BUILDING ."
T:\PLANNING\FORMS\II02.15 [11I14J2oo3]
.:;:;
PREPARED 10/26/04, 11:37:39
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
10/26/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
SUBDIV:
PHONE
PHONE :
(360) 452-1242
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
;~~__~~___~~~____;~j!___~~~~~~~~:~~~~~~~~~~~~~;~~~_------c-----------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
L_
PREPARED 11/04/04, 13:16:36
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
SUBDIV:
PHONE
PHONE :
(360) 452-1242
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
10/26/04
10/26/04
BL1 02 ~ __
---------------------l)-~------------ COMMENTS AND NOTES
BL1
RV
AP
BUILDING FOUNDATION FOOTING
Daune, garage footing
BUILDING FOUNDATION FOOTING
DAUNE FOOTING FOR HOUSE ?
01
\/r;aJ-:~..., \
=*~e \
(2..EQ.J.)
--: (
(-" LOC: ~ \-t
('
~ ~u..l(
PAGE
DATE
3
11/04/04
-\-v
k
+: '=:"0
.l-o
l-t~~
e!-tc(
BUILDING FOUNDATION FOOTING
Daune, garage footing
BUILDING FOUNDATION FOOTING
DAUNE FOOTING FOR HOUSE ?
vertical steel not complete finish and recall/jll
BL1 03 ~1/0 /0 ~L BUILDING FOUNDATION FOOTING
~~ JOHN 461-3220
------------------ ------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 11/05/04, 12:24:34
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
406 E AHLVERS RD
NORTH OLYMPIC DEVELOPERS
MADISON GUY L
06-30-15-3-1-9050-0000-
04-00000876 RES NEW SFR
SUBDIV:
PHONE
PHONE :
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
10/26/04
10/26/04
11/04/04
11/04/04
RV
AP
JLL
DA
BL1
02
v~s ~b ~
~\(9~e ~
PAGE
DATE
(360) 452-1242
6
11/05/04
fILED FOR RECORe. !. J THf. f:LOUEST
(.IF-1JrJ .d. !~).~Cl.-_..
<ECOROEO Hi ':,;,': ,"" .\' I.!.~; ,:0')
200~ SEP 21 AH 9: 50
:So ;-I N Fe c e.j
...,-/-1
:;J/? tAl q
. ~.I{T IIN~c([S t:jgsb;:<
CD
2004
1141738
Clallam
County
ZONING LOT COVENANT
IIWE the undersigned owner(s) of the following described property:
(Insert legal description here)
P leer 79 -6.-9
o Co?o is? (90 liD
o 03 (j / s- "3 I Lj 0 ':;-0
do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032
"Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may oitly
be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port
Angeles short subdivision regulations (Ordinance No. 2222, as amended).
Lo k 's + 4-
'Tf4l( If) ~
o,v7d
This covenant shall'be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and
shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s),
heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and loca
land use and building regulations. This covenant may be enforced by injunction or other lawful procedure
and covenant by the recovery of any damages resulting from non compliance.
DATED this
2/
day of
VpT.
, 6J
,20_.
/tf?:? /P/~
(Owner)
T ?-vl/'c~<- ~1~~
(Owner)
(Owner)
(Owner)
STATE OF WASHINGTON)
COUNTY OF CLALLAM )
~ -;, ., D~, Notary Public in and for the State ofWashingto
that on ~~~ . 20a::! personall appeared before m
un t:V:// ./l ../rv"--- and =- .
to me own to be the individual(s) desribed in and who executed the within instrument and acknowledged that
signed and sealed the same as ~ free and voluntary act and deed for the purposes herein
mention d. a .. A.. I ,
GIVEN UNDER MY HAND AND OFFICIAL SEAL this d:? t day of ~ 20Q!/
ss
AUDITOR'S CERTIFICATE
F Hod ~r ~'j'd at the request of
~l11bey
~ ,QGJed
NOT AR Y PUBLIC in and for the State of
\ - ..H-. - a--. _-_
Washington residing at Port Angeles.
-I
I
,.'
n thisQ day of
CL~/7UNT9.Y UDZ R~
By: 1.l.L...: M ~
' ' C
J
-.
~
. ~
mlectrical Contract6r 0 Owner ......""
I
o A.oDual Permit Q Alarm 0 CUDiva] 0 Commercial 0 Residential 0 Residential Malnt. 0 Signs ~ Thermostat 0 Telecom.
,
ELECTRICAL WORK PERMIT APPLICATION
"l:JReQuest Inspection
Job wired by
(;I Owner
Installation description
'1a':tJectricaJ Contractor
I
Electrical comraCIor naml:'
St\Atn1l R R";f\'l-10L ("lJ,.,
Purchaser's mailing addres.'i!
+>0 ro)l. -m ~
:?,'Y i
'l5'e:IANiW10>
Telephone number '
, I
.
License number
,).t\111Y\ p EC 012> 0
.
Stale ZIP
lA..t!\ '9 R ,,;,,;2.
FAX: number
'tlm. ..:.....
ttDV(V,
~~-
'2-200
0,
,Premises Owner'/; narnel
ffiA--D15ol-J ,
J''UU or ~nspet:tIOn :
0(" i::: _ A" \V'l"r'S
flY I
~rJl 'IX h..ch~J 0Av-v.1~
'l...
I hereby certify [bat T :!m 1 the owner of the above named property or a licensed
electrical contracror (or the fintJ.'~ auth(lrized agent) and am matins the electrical
in$taUation or alteration in hompliance with the electrical law, Chapter 19.28 RCW.
:
re of owner, eleCtrical
,
I
(;I Cash (;I Check #
o Crcdi t Card V\S3. .. Mastercard Discover r
Card# _.m...1i:-L_-____-____ t'
o
*
\
Expiration Date
of card
~
~
(J
. WALLS I
In'UI'dO"~Y:.
If- 7- OS K:..
D~le APPiaved By
Cover
,
D~l~ ^pp~v~d By
\. I
,
"
Ilalc
....pp"'''~d By
SERVICE
~ Aac
0.. A~lmlvall By
FEEDER
Omlc ....pprovcd By
CEILING
In,ulution.~(
-OS r:../
Dl.l~ .4.ppl~vt~ By
Cover
TIlERMOST AT
DOle
Approv<;tj B)'
DrrCH
/k,O
,l,11ll"'lVedBy
ElectrIcal Load Additio~s: and or subtractions
o NO WAD CHANGES '
o 8as.boarO KW
o Furnace \5 KW
o Heat PumR3a&"p' on ~ LA!;
o Fan-Wall _ 'Kw :
Servfce Information
o OVQrhsad Service
o Temp Service
CJ Underground Service
Voltage
Phase 0 , 0 3
Service Siie: _
Feeder S;Zg;
Inspection
,Dat;
Area. Building or Equipment Inspected
Action Taken
Electrical
Inspector
(i,'J
~e{ fCe.e
4 et
~
~./
,
hN~
4P
tftO
LOO/Lool2J
4 4- o~
X~" 80: L L <;ooGlpolPo r-:;jj
. .
ElECTRf.CAlINSPECTION
WIRING REPORT
417-4735
PERMIT #
INSPECTOR
~
~
ADDRESS
ytJC L. dAZ
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D.. . . .. . . . . . .. . . . ROUGH IN/COVER. . ... . . . ... . . . . 0
D. . . . . . . . . . . . . . .. . . .. SERVICE. . . . . . .. . . . . .. . . . ..0
D. . . . . . . . . . . . . . ... . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
7"-
CORRECTIONS NEEDED(L.) A? .$ ~
S~5
~
./.-I"f7:,
'r'
~
,,4l p-L4f /
//~(J4:J
19/V r:'~,/,<;;;
@
//)lS /Pfh..L
d<;>v..,e~<::
/?;vCJ
/7?~ A4<;,F'
,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
IElIECllRl~CAIL ~ff\lISIPlIE(c1U)ff\lI
W~IRl~NG REIPlO!Rnr
417-4735
s...~. . Y--1
AODR~
9't1t L /fA/~t/A5,c S
APPROVED NOT APPROVED
ft1' . . . . . . . . . . . . . . . . ... DITCH ................... 0
o .............. ROUGH IN ICOVER .............. 0
o .................. SERVICE .................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED:
. ~I
,..../ ~n.AI ~E'. l E~t'L.
.d':n!4 Eo H""-LA?..J " )
,/
{J2
L./~
@
n
ed:C71UC/fZ....
5.t< ~/?.:> l-;j;cP
r'~/ r-
...v~-Os
ph
.5,r-E. /V~
t.J/ ,is r;
/
~~.c/2""-C~L-
//'IpU-
t:'.~
OLYMPIC PRINTERS, INC. (~) 452-1381
Paymenllnqulry
l1um';; ~"',I ~'Jh_u"w 5lJ._rJI1
Lll,~i! H1I11'
Operator ID:
Post date:
Tender:
Check number:
\/MOROZ
4105105
CREDiT CARD
Date:
4/05105 Number.
01 Receipt number:
33870
2004
'"
lJlo.oO!isp
4/05/05 12:50:07::
SHAMP ELfCTRIC
.
Total payment:
Total tender:
410.00
410,00
lU/~((~UU4 l:.:l::l t-AX
14J 001/0,.
,
"
:1
(f\P
ELECTRICAL PERMIT APPLICATION
~~)'>
C
.......
!-OK \)!'FIl, lAL I.tSF QN.L Y
!)^,.'k.~ ___.._.
1'.","111
The Electrical Permit ApplicatiDn must be filled out completelY.
DJI.^f.fl'o~c,i ._v__
D~l: I:.~ud
Please type or reprint in in~, If you have any questionlii, please call (.360) 417-4735
Fax number; (J60) 417-4711
Owner or Clec. Contr8ctor Agent .9rlA-mP ! LEF'/R }("\( ('OtJTc.:tCTl Ai!- jUt. Phone: 452.. It 8ij
Propeny Owner: -ID:<<-\&G"l
Address:~s_ !\\,hJGvC;:
Electric~1 ContRlctor:c..)th1Tf'\"' C1 If'';.'::KI( l)J_J,:t.u:r:f'j"( ll:0t
Fax: .~\c?rll (.
)
Phone:
c;,yl6i0 AW~">.I__ L/J.:A.
. L)H'~It;Pc.CC1jO' ,
I \.J(' , License #: Exp: I -"1..) ':: y.
ZIp,
"1 &'i; 1.
Phorll2: I':','t: -l' :;;",
-, '~I
Address: L\' 'r~r. ';(. .,:::~,:;,)
. City; -PCQ'l' {\-:>~ hF,U:;:' L';~.
ZIP: 1:) :.,3 ~"L.
INSTAllATION WIRED BY: r.: OWNER J(ElECTRICAl CONTRACTOR
Credit Card Holder Name: j\;LYRk ','.I )WflTl'l!'
Billing Address:_:]!..!." \,'j ,!,'.' "il)"r(.f I.
Credit Card Number:
'-
VISA: 'X MC:
~
...(
\
~
..J
G"
o Sigr
PROJECT ADDRESS: L.\t:j(o :t:. -AV\IVOA... '7t-.
TYPE OF WORK: Check Q)! that apply: j(New
o Alleralion/Addit;on
)<t Residenlial [] Multi-family
[J Commercial 0 Mobile Home
Sq. Ft
I..J Remote Meter 0 Detached garage [] Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage [] Telecom.
Number of Circuits added or altered: .,.~~~, ......_
DESCRIPT;ON OF THE EL..ECTRICAL.. PROJECT: '-r:f ~r
J;~1!ctrical Heat Load Additions and or Subtractions
Service Information
C""I Baseboard
r I Furnace
rl Heat Pump
1.1 Fan-Wall
_KW
KW
TON_lRA
KW
o Overhead Service
[J Temp Service
n Underground Service
Voltage:
Phase: 'Li ,.-- Li--:J-
Service SizG:
Feeder Size'
I hereby certify that I flave read and examined this application and know that same to be true and correct, and I arT;
authorized 10 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 and to obtain such.
//)/~4--- Credit Card Holder's Signature: /7,/Z'1--1.-- .7......-- Date:JD}~_
eel - ownerorElec.Cont.signature:.;;::7~~/,,: Dato:*_._
~ ~~~
N \\ ' I..... ~ I PI....
/VeeP-. tJrv-, i.-Ac:)::';-f.\'~'1 A:,C4t.><;1 (<404 A' "~f>l41\..Je.WAr'7
-MA, ((J
INSPECTION TYPE
DITCH
SERVICE '
ROUGH -IN
FINAL
CON04ENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTW FROM LAST INSPECTION
INSPECTOR:
Signature of owner or Eteedc4 tor X Date:
ELECTRICAL PERMIT,:
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000988 Date 6/29/18
Application pin number . . . 240728
Property Address . . . . . . 406 E AHLVERS RD
REPORT STATE- .SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -15 -3 -1 -9040 -0000 -
Application type description ELECTRICAL ONLY
on your eXokw f rlm
Subdivision Name
to ft Cif ftf AflWeS
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
(LOCO Co de 002)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Hot tub outlet
Owner Contractor
MADISON -GUY L EXTRA MILE TECH & ELECT., LLC
316 W 9TH ST 418 N. RACE ST.
PORT ANGELES WA 983627603 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 6/29/18 Valuation 0
Expiration Date 12/26/18
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .06 00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE '
ROUGH -IN
FINAL
CON04ENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTW FROM LAST INSPECTION
INSPECTOR:
Signature of owner or Eteedc4 tor X Date:
I - 2 SINGLE-FAMILY` P"- �,1;�-
ELECTRIC...PERMIT APPLIcATjcW"
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 F�'T'J 'Aj
1—F.,
360A17.4735 I wwwxityof��us I e1ectricalperrnitsWhyofpaus
Project Address: -11"0&
P—J-4 D ,... A) -.e .)
Residential
1 20 V (f (ye C-ul +,'art. Awk -6ak
0 Duplex/ARU Builft Square *xAage:
Name:
?AalkV Address:
Pt...
0i q
Nares Ex4-L& -r-S-tt+ d
e,t_tkw.Ac_^-1
Umm LC5(±j&j_dE'T7SP_0
WKNAfteW 76.;tcW -Stn-r
?4 Itts 67-
Expiration Date:
Emal: _rAA%&&t*1e (a oty ",a MS */67-
Phone:
PROJECT DETAILS
1111110111
Unit Charge Q=ft
3"(QmAWxUs*Change)
Servio&T,eeder 200 Amp.
$120.00
3
Service/Feeder2014WArnp.
$146.00
$
ServkwT"do4W-600A#np_
$205.00
$
ServiceiTeaderW14000Arnp.
$252.00
$
Service/Feeder over 1000 Amp.
$373.W
$
Branch Cffcult W Service Feeder
S&OO
$
Branch Circuit WWO Service Feeder
583.00 i
s 1,3,—
Each Additional Branch Ormalt
$5.00
$
Branch Ckwft 1.4
$75.00
$
Temp. SwAxff"der 200 Amp.
$93-00
$
Temp. Service/Feeder201-" Amp.
$110.00
$
Temp. SovioWfFaeder401-W0AfW
$149.00
$
Twn;L SwAca1T;aeder8014000Arnp.
$168.00
$
Portal to Portal Hot*
$W.W
$
Signal Cka*AAYMd Energy -182 OU.
$54.00
$
Manufacbmed Home Connection
$120.00
$
Renewable Elem EnerW 5KVA Sydon or less
$102.W
$
Thermostat (Nokr $5 for each addroonal)
$55-00
$
First 1300 Squire Feet
$120-W
$
recd AMM" 500squarsfeet"
$40110
$
Each Oubdft I DeNdod Garage
$74.00
$
a4t,46 Swimming Aw I t" Tub
$11too
$
TOTAL $ 61 ;. -.7
Owner esdefined by RCK1928.=: (1) Ownerwill acmipy the SUL10" lbrtAo years aftertin electrund permit afinalized. (2) Owners
required to hire an electrical coraraaor #above said properly is for sale. rotor lease Penni epees atter sk.nonif of last i napectimL
Altar reading the above staferneK I hereby certify that I am the owner of the above named property or a licensed electrical cantractor I
arn making the electrical installation cralfwation in compliance with the electrical lawa, N -E -Q. RCI. Chapter '19211 WAC. Chapbr295-
468, The Oily of P4xtAngeles AudcodCode. aid Udity and PAMC 14.05.050 regarding Ekxftk:id PennitApplicalform
Date Print+ Narne Skjnature (0 Owner "Cwcal Contractor I Administrator)
(Electrical Permit Apples may be submitted to City Hal or electficalpennitseckyollpaus or faxed to 360.417.4711]
0161
I
INSPECTION TYPE
DITCH
SERVICE '
ROUGH -IN
FINAL
CON04ENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTW FROM LAST INSPECTION
INSPECTOR:
Signature of owner or Eteedc4 tor X Date:
ELECTRICAL PERMIT,:
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000988 Date 6/29/18
Application pin number . . . 240728
Property Address . . . . . . 406 E AHLVERS RD
REPORT STATE- .SALES TAX
ASSESSOR PARCEL NUMBER: 06 -30 -15 -3 -1 -9040 -0000 -
Application type description ELECTRICAL ONLY
on your eXokw f rlm
Subdivision Name
to ft Cif ftf AflWeS
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
(LOCO Co de 002)
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Hot tub outlet
Owner Contractor
MADISON -GUY L EXTRA MILE TECH & ELECT., LLC
316 W 9TH ST 418 N. RACE ST.
PORT ANGELES WA 983627603 PORT ANGELES WA 98362
(360) 457-5222
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc .
Permit Fee . . . . 63.00 Plan Check Fee .00
Issue Date . . . . 6/29/18 Valuation 0
Expiration Date 12/26/18
Qty Unit Charge Per Extension
1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 63.00 63.00 .00 .00
Plan Check Total .00 .06 00 .00
Grand Total 63.00 63.00 .00 .00
INSPECTION TYPE
DITCH
SERVICE '
ROUGH -IN
FINAL
CON04ENTS:
DATE: RESULTS:
PERMIT WILL EXPIRE SIX (6) MONTW FROM LAST INSPECTION
INSPECTOR:
Signature of owner or Eteedc4 tor X Date:
I - 2 SINGLE-FAMILY` P"- �,1;�-
ELECTRIC...PERMIT APPLIcATjcW"
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 F�'T'J 'Aj
1—F.,
360A17.4735 I wwwxityof��us I e1ectricalperrnitsWhyofpaus
Project Address: -11"0&
P—J-4 D ,... A) -.e .)
Residential
1 20 V (f (ye C-ul +,'art. Awk -6ak
0 Duplex/ARU Builft Square *xAage:
Name:
?AalkV Address:
Pt...
0i q
Nares Ex4-L& -r-S-tt+ d
e,t_tkw.Ac_^-1
Umm LC5(±j&j_dE'T7SP_0
WKNAfteW 76.;tcW -Stn-r
?4 Itts 67-
Expiration Date:
Emal: _rAA%&&t*1e (a oty ",a MS */67-
Phone:
PROJECT DETAILS
1111110111
Unit Charge Q=ft
3"(QmAWxUs*Change)
Servio&T,eeder 200 Amp.
$120.00
3
Service/Feeder2014WArnp.
$146.00
$
ServkwT"do4W-600A#np_
$205.00
$
ServiceiTeaderW14000Arnp.
$252.00
$
Service/Feeder over 1000 Amp.
$373.W
$
Branch Cffcult W Service Feeder
S&OO
$
Branch Circuit WWO Service Feeder
583.00 i
s 1,3,—
Each Additional Branch Ormalt
$5.00
$
Branch Ckwft 1.4
$75.00
$
Temp. SwAxff"der 200 Amp.
$93-00
$
Temp. Service/Feeder201-" Amp.
$110.00
$
Temp. SovioWfFaeder401-W0AfW
$149.00
$
Twn;L SwAca1T;aeder8014000Arnp.
$168.00
$
Portal to Portal Hot*
$W.W
$
Signal Cka*AAYMd Energy -182 OU.
$54.00
$
Manufacbmed Home Connection
$120.00
$
Renewable Elem EnerW 5KVA Sydon or less
$102.W
$
Thermostat (Nokr $5 for each addroonal)
$55-00
$
First 1300 Squire Feet
$120-W
$
recd AMM" 500squarsfeet"
$40110
$
Each Oubdft I DeNdod Garage
$74.00
$
a4t,46 Swimming Aw I t" Tub
$11too
$
TOTAL $ 61 ;. -.7
Owner esdefined by RCK1928.=: (1) Ownerwill acmipy the SUL10" lbrtAo years aftertin electrund permit afinalized. (2) Owners
required to hire an electrical coraraaor #above said properly is for sale. rotor lease Penni epees atter sk.nonif of last i napectimL
Altar reading the above staferneK I hereby certify that I am the owner of the above named property or a licensed electrical cantractor I
arn making the electrical installation cralfwation in compliance with the electrical lawa, N -E -Q. RCI. Chapter '19211 WAC. Chapbr295-
468, The Oily of P4xtAngeles AudcodCode. aid Udity and PAMC 14.05.050 regarding Ekxftk:id PennitApplicalform
Date Print+ Narne Skjnature (0 Owner "Cwcal Contractor I Administrator)
(Electrical Permit Apples may be submitted to City Hal or electficalpennitseckyollpaus or faxed to 360.417.4711]
0161
I