HomeMy WebLinkAbout2441 Arbutus Ln - Building
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-CIty OF PORT ANGELES
DEPARTMENT OF COMMUNTIYDEVELOPMENT - BUll..DING DMSION
321 EAST 5TH 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
4/09/04
04-00000104 Date
.976336
2441 ARBUTUS LN
06-30-01-5-5-0080-0009-
RES NEW.' SFR
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
69610
Owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS ST
PORT ANGELES \ WA 983626.710
------ Structure ~nformation
Const.ruction ~yPe
Occupancy TYP';
Other struct info
OWNER
NEW 11.99 .sF SFR W/ATT 524 SF GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL. t LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT. COVERAGE
NUMBER OF UNITS
19.00
V-N
1.00
1.00
9005.00
1723 . 00
1723.00
1.00
------------~~-~~~-~-------------~------~-~-----~------~~------~-~----~---~-
Permit . . . .
Additional cl<asc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
76.00
4/09/04
10/06/04,
Plan Check Fee
Valuation
Qty Urlit Charge Per
Extension
47.00
29.00
BASE FEE
4.00 7.2500 ECH ME-VENT ~AN
Permit . . . .
Additional desc
permi t Fee.
Issue Date
Expiration Date
PLUMBING PERMIT
132.00
4/09/04
10/06/04
Plan Check Fee
Valuation . .
Qty
Unit Charge Per
Extension
47.00
56.00
7.00
15.00
7.00
8.00
1.00
1.00
1.00
:BASE FER
PL- EA. FIXTURE ON ONE TRAP
P,L,:, EA. INSTALL WATER PIPE
PL- EA. l3LDGSEWER
PL- EA. 'lATER HEATER
7.0000 ECH
7.0000 ECH
15.0000 ECH
7.0000 ECH
-------------~------------_._-----------~--~~-------~----------------~------
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Dlj.te
BUILDING PERMIT -RESIDENTIAL
Plan Check Fee
Valuation
807.25
4/09/04
10/06/04
322.90
.69610
Qty Uni~Charge Per
Extension'
667.25
BASE FEE
.00
o
~
..:x..
.;t.
........
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:!1::p
~ :1
~(b-
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~
)-..
.:;
Separate Permit.s,are required for electrical work, SEPA, Shoreline, ESA. utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction orwork Is suspended or abandoned '
for a p~ri(jd .of 189days after the work as commenced, or if required inspections have not been requested within 180 days from the last
InspectlQn; I hereby certify that I have read and examined this application and know the same to be true and correct. AU provisions of
lawS andordimmc~s governing this type of work will be Complied with whethe'r specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
constru . n. .
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\II02.IS (1111412003]
Date
BUILDING PERMITINSPF;CTION RECORD
"
J4.
"
CALL417-4815FOR~mLI>INPi INSPECfIONS. CALL 417-4735 FOR ELECfRlCAL iNSPECTIONS.
I . ,'." , "''', " ,
PLEA~~)~ROVID~AMINIMUM.;l4J!QYR~QtlC~. IT IS UN/4WFUL, ,1'0. caVER, INSl[LAT~,OR CONCEAL ANY waRK BEFaRE
INSPEctED Ift!Pl..tC~~PTED.., POST P~ Il\l A CONSPICUOU~LOCATION.
, , <' KEEPjiERM:IT'CARDAND APPROVED pLANs AT JOB SITE.
INSPECTION TYPE
... DATE ACCEPTED
"" ',',.,' I YEs I NO
0:
COMMENTS
"",;,
J1QUNDAllON:
,0
",
FOOTINGS , . "
WALLS" " " , I.,
, FOUNDATION DRAINAGEJpowN,SPOiirsi . '
ELECpUC.\L;&ICUITDEP'r)ISEPARAni>tRMIT: #
,~IN / '.',' '0'
Pl;l1,~~~ "', .., , I
,tJNI:j~ p@a!sLAB j
I>; . " "
ROlI<JS.IN, ,
I W ATER'LINE,(METERTO BLDG~
GAS LINE '
'.
. "
I 'I ..
"
,
"
..
,
"
I "'.
I . '"
"
,
,"
"
.'.
;
,.
",
"
.
BACK FLOW /WATER
AlRS~
WALLS
..,.,,'
"
, ~""
CEILING.; I " , ,
F~G,;, " F " ,,' ",I
JQISTS / ciIRq~ I
SHEAR \vAWHO~DOWNS!
WALLS'/@oFJCEPJNg "
DRY)\' ALL(itITE~OR.I:!MCEI? ~ANEL.oNL Y)
T-BAR ,:,,,.L" "
I
: "
, ,
I
I "
,;
'"
,
,. ,
, ',.,
,
, "
"
"
SEPA:
, ESA: "
,
INSuLATION
SLAB
W ALii FLOOIilcEluNG
MECI:lMIIC.u., Ie
HEAT:JitJMp
G~~ i'
WOOD STOvE!'rEU.ET I~Y' ,
HOODi'DUCTS," ,,' .'
PW V~~tJiSI~'rrEWORKlEri8iriedi~~I?i~~)'SE~fE PERMIT #'5: ,
WATERLINE lM5TER ' '.
'",,' '"''>''~I,' ',' '"
SE~'c&~trtON i
SANITARY '.'"
.,
STORM " : .
PLANNINGI}~. SEPARATEPERMIT#'s
PA~GIlJGIITING
"LANDSCAPING"'"
,', "
'.,
, . ,:": ' " . ,." '''S!l9RELINE: ' '
~,~lr~~~SItEQV~,PRlOR TO~~r;v.Il!~';h:";
"'",~TEYES .' NO, ~~M~ERCJAL
'l ; ie"',,.' "'" '\C'" ..,;;,;;".,;>',
" 'I I " ,,' ",,' r ili';' " ',,'.': ".','
,. · "~Pr'i',
\ \ CONSTRUCTION-RoW.
" PY,t,'!ENGINEERING .
FJRE,DEPT>:: ;\:'\:'
X"
.' "
,
..:
.>.
JWSlp~.AL.
,.
ELECTRICAL~}i~DEri. . ..... I" .' 41?-473'S ,,}.,
+ " ,.", ',' ; ..,
CONSTRUCTION R.. W./ PW/
ENGINEERING
,
" ,
417-4807
FIRE
,
, ,,,,.
..'
..
417-4653
. "
", ,
PLANNINGDEPT'.. .....;,5 417-47S0
BUILDING ., . ""'," '; - ,:,' ,:,:"'" "^4l7-481S'
pWooNq'nEPf.
. 'BUILDING',"
T';'
,.. '-':"
o T:\PLANNING\FORMS\1102.1S [llIf4l2OO3]
ACCEP)'ED
YES? NO
..;, .~
..
tI
~~
, CTIY OF PORT ANGELES
DEPARTMENT OFCOMMUNlTY DEVELOPMENT - BDaDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pin number . . . .
04-001l00104
.976336
Page 2
Date . 4/09/04
Qty Unit Charge Per
20.00 7.0000 THOU ~L-SO.00I-100K (7.00 PER K)
Extension
140.00
745.00
4.50
1025.QO
-----------------~------------------------------------~------------------~-~
Special. Notes and Comments . .
The site is 'located in the Madrona Woods Subdivision. The
residential structure may NOT be finaled.until
infrastructure improvements for the subdivision are
installed and approved.
Electrical load calculations and elctrical permits are
required.
----------------~------------------------------------------------------.---.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee summary Charged Paid Credited Due
----------------- ---.------. ---------- ----.----. ---...,.""----
Permit Fee Total 1015.25 1015.25 .00 .00
Plan Check Total 322.90 322.90 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3112.65 3112.65 . .00 . .00
Separate, Permits are requiredforelectrical work,SEPA, Shoreline,.ESA,utilities,private and public improvements. This pel1'l1it becomes
nulla~~,V,C)ld If WOrk or con~tnJcti9n authorized is not commencedwithin180 days, jf construction or worlds suspended or abandoned
fora periOi;(~f180 dayS after the work as commenced, or if required hn.pectlons have not beEm requestedwithin180 days from the last
Inspection. I hereby certify that I have read and ,examined this application and know the same to be true and correct. All provisions df
laws antlprdinahces governing this type of. work win be complied with whether specified. herein or not. The grahtlng'of a permit does not
presume to give authority to violate or cancel the provisions of any state 'or local law regulating construction or the performance of
construction. .
"'>;,
,:":::--:".,,
"....--.,
Signature of Contractor or Authorized Agent
Date
Signature of Owner (If owner is builger)
Date
T:\PLANNlNG\F()RMS\1102.1S [11/1412003)
"'/' ('T7:o 'i .,' ./'. :'!:'T,,;,r"Ir'!';:::'?' ,..,,- '. . "
:' ".,
BUILDING PERMIT INSPECTiON RECORD c,;. .-
I '"
--
CALL 417-4815 FOR BtJILDING INSPECfIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
j . .. . . ./.
PLEASE PROVIDE A MINIMUMi~JlgYR N9J'1GE. ITIS UNLAWFUL T() COVEjl.INSJl14.'fE:QR COft./fEAL. ANY WORK BEFORE
INSPECTEDAND.ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
j KEEP PERMIT, CARD AND APPROVED PLANS 4.T.JeB', SJlllE.
" INSPECfION TYPE . DATE ACCEPTED {~:t:i COMMENTS
I I YES /1 NO '. .'
FOUNDATION: ! .'
.
FOOTINGS I ~,.,q ,os4 7\1
WALLS I Js"-Al .~ I ~V
FOUNDATION' DIWNAGFJDOWNSPOUTS.. -bU ~ , .It. .
ELECTlucAL (LIqHT DEPT) j SEtARATE PERMIT: # . .. '.
.
.-
ROUGH-IN ; I " I . I
PLUMBING ! . P, J..Ja--J.- J.f-~ '-'OoJJ..J.-. fHJ .....
- .
,. ,.~
~ERFL60RI SLAB . "-
. . .
ROUGH-IN ." . ! il....'n ;'01-/ JL J...
WATER LINE (METER TO BLDG) .
GAS LINE '! .
BACK FLOW I WATER ,
AIR SEAL I .
WALLS . , "2lu J;;"~I \ I , I
~.. . CEILING I '.' f'.,'" ""'7 r" r-' 1 '.'
FRAMING "
,..' .
..; JOISTS I GnujERS ,
i .
SHEAR vlfu:MbtD OO~S ! ...
WALLS/ri..~F'j~ .' IU...1S--ost ~L . ...
. . . i'
DRYWALL (IN1$RIOR,>>RACED PANEL ONLY)' '.
..'
T-BAR. . : .
. .' ,
INSULATION I .) ......... ." .. ;
~ . .
WALL I FLOOR I cEILING 1 . '.. 'I , .
. '. iJZ, Ni#-- J/-'J-O=-Qg oH4-. JfJ/(O
MECHAN'CAL .
HEAT PUMP I "
,
GAS LINE ....
WOOD STOVE I PELLET I CHI~ -;.'."; ;" .
If' HOOD I DUCTS .,.'C" , 'f \
PW UTILITIEs I.SlToE:WORk ':~~p~Di\'iSion) SEP~~,PERMIT#'s: , .
CC" .J':" ..'..",':,:.,.........,'./,
W ATERLnilf7'ME1:ER .
. SEWER CONNEC'l'JQN 1 .
SANITARY I r'
STORM ..... I .'
, .
PLANNING DEPT. "SEPARATE PERMIT #'5 SEPA:
PARKINGlLIGHTING I '. .' . ESA:
. -
LAND~PING '.' i .'. . " ." .' SHORE,l.JtI!E:
':: . ..:.';
I "~4~~t~<>.N~ REQJJ,'~DJ.~Q~!P;~~~a!~$',.'! .
I , .. ..... .'
RESIDEN'l'1AL i /'J' DATE '. YES . NO'. COMP1~~':.". DATE.. ~CCEPT.ED
. ,,".' ,; . ;... ,.' . .' "~en. !.v......,. ,- . :, .'YES NO
E1.ECT1UCAL - UGlITDEYr~ . o' I ., ; " l_".~ ~'j"" .. , '..,_>f.-rvl-~-'\
. 4174735 ELECTRICAL .
'. ,'... " '. UGHT DEPT ".,'..;'
. ."
CONSTRUCTION R. WJ PWI I !;-!K>-Cs- rp CONSTRUcTION- R.W. .
ENGINEERING , 417-4807 .pw I ENGINEERING ,'.
. .. FIRE DEPT. ......,
FIRE : . n' ... " ,.417-4653 : ". .. ,
.' .... ",."....,.. .... . ::'< .
PLANNING DEPT.
BUILDING
T:\PLANNING\FORMS\1102.1S[11I14120?3]
.<".-
PLANNING. DEPT.
BUILDING
s
~~
"CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
. 321 EAST 5TH STREET,PORT ANGELES, WA98362
Application Number
Pin number ..... . . .
property"Mdre~s
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Appiication valua~ion
04-00000104 Date
.976336
2441 ARBUTUS LN
06-30-01~5-5~0080-0000-
RES NEW SFR.
11/17/04
RESIDENTALSP 9000
RS9 RESDlfrL SIN<?LE PAMILY
69610.
Owner
Contractor
HOUSING AUTHORITY OP CLALLAM
2603 S FRANCIS.ST
PORT.ANGELES WA983626710
OWNER
"'I
NEW 1199 SPSFR W/ATT 524 SP GARAGE
TYPE V.NON-RATED
SINGLE FAM &: CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER.OPSTOlUES
EXISTING LOT COVERAGE
LOT SIZE
PR9POSED LOT COvERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
19.00
------ Structure Information
construc.tio:n Type
Occupancy Type
Other st.ruct info. . . .
V-N
~.
1.00
1.00
9005.00
1723.00
1723.00
1.00
.00
11/17/04 "
5/17/05
Plan.Check Fee
Valuation
.00
o
'?
..:t.
J:.
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
FIRE SPRINKLER RESID
-
-----------------------~----------------------------.~----------------------
Special Notes and Comments
The site .is located in the Madrona Woods Subdivision. The
residential structure may NOT be finaled until
infrastructure improvements for the subdivision are
installed and approved.
Electrical load calculations and elctrical permits are
required.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
+:>
'1
0-
C
"f--
~
VI
, ',.,.,..... "'..""""'-'-. "-:',-,-'..
---------~------------------------------------------------~--~~-~----~---~--
)-
::r
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00. .00
Plan Check Total .00 .00 .00 .00
Other Fee<Total 1774.50 1774.50 .00 .00
Grand Total 1774.50 1774.50 .00 .00
Separate Permits are required .for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
n.lJllanc[YR!.c:ilhvork or construction authorized is not commenced within 180 dCiY&, if construction orwork Is suspended or ab.andoned
for a. perlodof 180 days after the work as commenced, or if required inspections have not been requested within 18.0c:iaySfrom the last
Inspection. I hereby certify that I have read and examined thisapplication,andknow the same to be true and correclAllprovisions of
lawsandor~in~.l'lces governing this type of work will ~ complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any 'state or local law regulating construction or the, performance of
construction.
~o;J
FILE
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\fORMS\II02.IS [1111412003]
j
BUILDING PERMIT INSPECTION RECORD
I
CALL 417-4815 FOR BUILDING INSPECfIONS. CALL 417-4735 FOR ELECfRlCAL INSPEcrIONS.
!
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT ISUNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSJ,>>ICUOUS LOCATION.
I KEEP PERMIT CARD AND APPROVED PLANS" AT JOB SITE.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS I
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEP1)SEPARATE PERMIT: #
ROUGH-IN I I
,
PLUMBING ,
UNDER FLOOR I SLAB
ROUGH-IN i
WATER LINE (METER TO BLDG)
GAS LINE i
BACK FLOW I WATER
AIR SEAL I
WALLS I
CEILING , I I
FRAMING
JOISTS I GIRDERS i
SHEAR W ALUHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION I
SLAB T I
WALL I FLOOR I CEILING ! T I I
MECHANICAL
HEAT PUMP ." i
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUcts
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION i
SANITARY
STORM i"
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTlNG " i ESA:
LANDSCAPING SHORELINE:
. i """ FINAL INSPE<:TIONS REQUIRED PRIOR TO "OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W./ PWI I CONSTRUCTION - R. W.
ENGINEERING " 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUDDING 417-4815 BUILDING "
T:\PLANNlNG\FORMS\II02.15 [11/1412003]
PREPARED 4/25/05, 13:22:51
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
2441 ARBUTUS LN
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
HOUSING AUTHORITY OF CLALLAM
06-30-01-5-5-0080-0000-
04-00000104 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
5/18/04
5/18/04
5/21/04
5/21/04
5/27/04
5/27/04
11/15/04
11/16/04
11/15/04
11/16/04
BL99 01 4/~t/05
~t..5\t-6
----------------------------------- CONTINUED ONTO
BL1
01
BI2
01
DSD
01
BAIR 01
BL3
01
---
L
RV
AP
RV
AP
JLL
AP
JLL
AP
JLL
AP
-*-
PAGE
DATE
SUSDIV:
PHONE
PHONE :
BUILDING FOUNDATION FOOTING
BRUCE 477-1243
BUILDING FOUNDATION WALL
BRUCE 477-1213
BUILDING DOWN SPOUT DRAINS
BRUCE 477-1243
BUILDING AIR SEAL TIME: 17:00
Bruce - 477-1243
BUILDING FRAMING
Bruce - 477-1243
BUILDING FINAL TIME: 17:00
04/25/2005 01:01 PM JLIERLY
TIME: 17:00
22
4/25/05
NEXT PAGE -----------------------------------
PREPARED 4/25/05, 13:22:51
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
23
4/25/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
2441 ARBUTUS LN
SUBDIV:
PHONE
PHONE :
HOUSING AUTHORITY OF CLALLAM
06-30-01-5-5-0080-0000-
04-00000104 RES NEW SFR
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 IfY}~s,- ~ MECHANICAL FINAL TIME: 17:00
~ ._ I 04/25/2005 01:02 PM JLIERLY ----------------------------
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
......
PREPARED 4/25/05. 13:22:51
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
24
4/25/05
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
2441 ARBUTUS LN
SUBDIV:
PHONE
PHONE :
HOUSING AUTHORITY OF CLALLAM
06-30-01-5-5-0080-0000-
04-00000104 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL2 01 10/08/04 JLL PLUMBING ROUGH-IN TIME: 17:00
10/08/04 AP
PL99 01 ~ ~ PLUMBING FINAL TIME: 17:00
-------------------------------------- COMMENTS AND NOTES -----------------------------------___
PREPARED 11/15/04, 13:17:00
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
11/15/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
2441 ARBUTUS LN
SUBDIV:
PHONE
PHONE :
HOUSING AUTHORITY OF CLALLAM
06-30-01-5-5-0080-0000-
04-00000104 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
DSD
5/18/04 RV BUILDING FOUNDATION FOOTING
5/18/04 AP BRUCE 477-1243
5/21/04 RV BUILDING FOUNDATION WALL
5/21/04 AP BRUCE 477-1213
5/27/04 JLL BUILDING DOWN SPOUT DRAINS
5/27/04 AP BRUCE 477-1243
II!. 5/ 4~ JLL ~ BUILDING AIR SEAL TIME: 17:00
.r~ Bruce - 477-1243
BL3 01 11 7 4 JLL BUILDING FRAMING TIME: 17:00
_____________________~___::~::_-C:::::::3AND NOTES ______________________________________
01
BL1
01
BI2
01
BAIR 01
PREPARED 10/08/04, 12:21:29
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
10/08/04
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
2441 ARBUTUS LN
SUBDIV:
PHONE
PHONE :
HOUSING AUTHORITY OF CLALLAM
06-30-01-5-5-0080-0000-
04-00000104 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 ~ ~ PLUMBING ROUGH-IN TIME: 17:00
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 5/27/04. 12:23:43
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
5/27/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
2441 ARBUTUS LN
SUBDIV:
PHONE
PHONE :
HOUSING AUTHORITY OF CLALLAM
06-30-01-5-5-0080-0000-
04-00000104 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 5/18/04 RV BUILDING FOUNDATION FOOTING
5/18/04 AP BRUCE 477-1243
BI2 01 5/21/04 RV BUILDING FOUNDATION WALL
5/21/04 AP BRUCE 477-1213
"'"__O:__~~___::~2:'N:'::-.:::':::,:::::,______________________________________
PREPARED 5/18/04, 13:24:32
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR ROGER VESS
PAGE
DATE
1
5/18/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
2441 ARBUTUS LN
SUEDIV:
PHONE
PHONE :
HOUSING AUTHORITY OF CLALLAM
06-30-01-5-5-0080-0000-
04-00000104 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01 A5~8/04 R~\ J BUILDING FOUNDATION FOOTING
.F ~ BRUCE 477-1243
-------------------------------------- COMMENTS AND NOTES ---------------------------------_____
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
DateRec.:'2.- '3 -oy .'
-'" 64 -lOW
DatcApproved:~/~CI
Datc luucd:
Fill oat COMPLETELY and In INK. Your applie.tion and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, eaII
(360) 417-4815
Applicant or Agent: I/OvSI/V.G-j'V1'HOnrrt (XJ"NTy oFCJ-/JUNJ1. Phone: lISJ.-7t.3/ ~~, l!/
Owner: 110 lJSI,J~fJy:flfj2-'2.(rri~,! o,r(]j~ (CIt(fISr~frJ )Phone: ~:J - ~.L -S)
Address: J..to..3 S 6. EfCMel..{ sr. . Ci.~ (JD!:.({ M ~C4-€.S . lv'-d- Zip: 7 8' ~, .2.
, ,
ArcbitectlBogineec: 1-1"'0 IbZll.G FllleHfrE.~$" Phone: '7~2 - tIlt
Contractor II A-C c.. State License #: Exp: Phone:
Address: ~to3 SO. Af.MC/5 Sf. City: f'oR.q- /W,r:.u.~S 4/4- Zip: ?<S3G~
PROJECfADDRESS: ~'1<{1 fI.tl6u'TVS VrNE. ZoNING: ~.s- r
LEGAL DESCRIPTION: Lot: 11;.:!? . Block: fflt3 v 'fV S Subdivision: JI1ASJ)I&r/ IJ- w 0 at> S
CLALLAMCOUNlYPARCELNUMBER= 0(.3 0015s'- 0090
Credit Card Holder Name:
BJIIiD& Address: ~
Credit CardType VISA Me t# Exp. ~
TYPEOFWORK:. ~;UAnON:. "
~Resideotial KNewConsfr. tJ Rc-roof c Stove SFJ@$. "'1'1 ~ ISF.=$ 53. 7t?S-
c Mu1ti-Dmily C Addition, '0 Move.)rGaragc :1'1 SF.@S' .3o..asa /SF.==$ IS'": t{;J..r
c.CO....."""..1al C Remodel "., C,Demolition o Deck. SF.@S -, . "./SF.=S .
C Repair. '. . q Sign : C Other . TOTAL VALUATlQN $ h ~ ~/O
BRIEFDESCRIP110NOFmE'PR~: NE.w '\'SltlG-~'f., FA7t7JJ..Y !<.'Z6/D'U-/<!..& - '
'bAt. 3rOI<y W}17f':'Hr~'1/U) '.:2-e.4(l ~E.~ . :'
COMMm~EN1:'.I:AL:: OcCUpaucy'Group: Occu}5antl.d8df" t'. :; ~. .'. eonStnictimi Type:
No.ofStOrles:-'- LotSizc: 100.5' ~~Sq.Ft. . 0 &;ProposcdSq.Ft 17;13 '=TOTALSq.Ft 1>;;..:3
Bxistiog lot cowrage (t::) % &; Proposcdlot coverage .J.L.% = To1allot ~ /9 %
- . . . .
APPR~
PLANNING USE ONLY: .. PLAN:
BLDG
DPWU.
ESAlWetJand(s): DYes D No SEPA Checldist required? C Yes C No Other: FIRE:
OTBER.:_
..
BUILDING PERMIT APPUCA1l0N SUBMl1TAL: Thc BuDding Division can provide you with iDformation on the application and
plan submiUal requirements ifyouhavc questions. . " . _ .
V ALUA1l0N OF CONSTRUCTION: In aU eases, a valuation amount must be entered by the applicant. This figure Will be reviewed
and maybe revisccfbylhc BuildiDg Division tacomplywithcurrentfcc schedules. ContacUhcPCDDitCoordioat'orat417-481S for~.
PLAN CBECKFEE: IF a plan chcck fee is due it JDQSt be submitted at the time the building pcnnit application and constmction plans arc
submitted. All other pennit fees are due at the time ofpcrmit issuance. .
EXPIRAnON OF PLAN REVIEW: Ifno permit is issued within 180 days ofthc ,date of application, the application wiD apfre. The
Building Official can extend thc timC for action l>y the applicant up to 180 days upon writteniequest by the applicant (see Section 107.4 of
the Uiliform Building ~de, cum:nt edition). No application can be extendedmorc than oupe.
. .
./ hereby cettifythat / h~ I98d and e~ this application and know the same to be true and ~ct../ am authorized to apply for this penn'f'and
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SCALE:
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30
r T1TLE:MADRONA WOODS SUBDIVISION SCALE: ""
C Itll f S '(fAt ^' 5~,.j LotH 1" = 20'
JOB NO:
02030
CLIENT: FILE:
HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT8.DWG
2603 S. FRANCIS STREET DATE:
\.. PORT ANGELES, WA 98362 11-25-03~
S
"lttC~
. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DMSION
321 EAST 51H 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
04-00000979 Date 10/26/04
.025127
2441 ARBUTUS LN
06-30-01-5-5-0080-0000-
ELECTRICAL ONLY
RESIDENTAL SF 9000
RS9 RESDNTL SINGLE FAMILY
o
owner
Contractor
HOUSING AUTHORITY OF CLALLAM
2603 S'FRANCIS ST
PORT AN~ELES WA 983626710
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
--------------------------------------------~-----._------------..----------
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
NEW RESIDENCE
96.40 Plan Check Fee
10/26/04 Valuation
4/25/05
.00
o
Qty Unit Charge Per
1.00 73.0000 ECH EL-R-SQFT FIRST 1300
1.00 23.4000 5C EL-R-SQFT ADDITIONAL 500
Extension
73.00
23.40
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------.
Permit Fee Total 96.40 96.40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.40 96.40 .00 .00
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Separate Permits are requlredfor electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and 'fold if.work or construction authorized Is not commenced within 180 days, if construction or work Is suspended or abandoned
for a period'of 180'days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. . I hereby certify that I have read and eXamined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting ofapermitdoes not
presume to give authority to violate or cancel the provisions of any state or 10C<:l1.{awregulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder) .
Date
)
T:\PLANNlNG\FORMS\II02.IS [1111412003]
,("
BUllJ)ING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
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~_.__,__.___~_m _._ ______
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPJ!: DATE ACCEPTED COMMENTS
YES I NO .
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (UGHT DEPT) SEPARATE PERMIT: tI IO",~7-d{ !>~:{! ~'1.-' ~- ~ ~
--I
ROUGH-IN I I
PWMBING 5yC. #; k-e> /2" ". D~
UNDER FLOOR I SLAB
ROUGH-IN
WATER UNE (METER TO BLOG)
GAs UNE '"""
BACK FLOW I WATER "
AlR'S~ -
WALLS I
CElUNG I I
FRAMING"
JOISTS I GIRDERS
'SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I
W ALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
GAS UNE
.-
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILmES I SITE WORK (Engineering Division) SEPARATE PERMIT /1'5:
W ATERUNE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATEPERMIT/I's SEPA:
PARKlNGfLIGHTING ESA:
LANDSCAPING SHOREUNE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 r /u../O-$ AcO ELECfRICAL
UGHT DEPT
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 BUILDING
.
,
t;
&
T:\PLANNING\FORMS\1102.1S [11/1412003]
~~-,
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FROM
FAX NO.
Oct. 25 2004 07:27AM P4
ELECTRiCAL PERMIT APPLICATION
9>
:J
r ~Oic W<).'C'J41. v.'u; Clt-llX
lJMC,'It,_-. ...u.....h_ ..._._~_.
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Pal' kt....! ....~.,._.___.__
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The i:lectricaJ Permh Ap~hCBlion rt\ust be fi'led oue co"'~III\'_
Pllla5. typw Of reprint in ink. It you M..... eft)' ltuestiOfte:, pi.... "" (360) 417-4735
Fp number. ()1IO)417~"1
own.ro'E'ec.conu'c\o<"~l:~~~"")('" .~_l'''' ~:~Fa.: &.f~':4,...""f~'
PrOP."YO~TIBr:_.c~~ 1 ~ ~ Pnone:_ 'lS....."'l<l> "31
Addrs..: 'Lt.. b", S ~.,,-.c 'I. t"" ':I City: 2lD:_q'?s~_
E'Bclr1r:.a1 CCl/lvaclor . Li_tr: 'T!if{~f::.tXf>::J/~{~ "hone:!:J~J.'lf~
Addr...: ~':L ~.,.. \iN/I.T '...f2J-c,tr:_ylt. · ___Zip: <1"~c..":2..
INS':'ALLATIO>l WIREO BY:
:;JOW>leR
c:; e~ECTRlCAL CONTRACl'OR
Credit Card Holder NII",e:
Billing Addreas:
C"'dh Cord Number:
o-n
~
~:~
ZIp;
VISA: . Me:
-... - -
~
PROJECT IltiDRESS~ALl""
me OF WORt{: Check all that apply: 0 New
~8ntlill :J Multi.rllmily ::l Commercial
o Alteration/AdditiOn
:J Mobile Home
Sq. FI
~C>'O
~
..-J
-.s:
o Sign
o Remote Meter 0 Detached garega 0 Hol Tub 0 Swim Pool 0 SeptiC Pump
Number of CircullD added 0' alterad:
w Low Volteg8 0 Telecom.
c;+
h
C
I
~_ 2. ~
DESCRIPTION OF THE El.ECTRICAL PROJECT:
Electrical Heal Load Additions and or Subtractions
Service Informatlo~
Q Overhead Setvice
;;l Temp Service
C iJnd....ground SetvIee
Volt"lla:
Phase: Q1 03
Service Size:
Feeder Size:
.1
::; Baseboard
:J Fumaoo
:JH8at.Purrip
pHTr-Well
_KW
KW
TON lRA
CKW-
I herabycartify thilt I have read and elCaminea this application and know that same to be true and correct, and 18m
iuthorized to apply for tt/is permit. I understand ;r is not the City's legal responsibility to determine what permits
3re required; it remains the applicants responsibility to determine what permits are required and to obtain &uch.
Credit Cerd Holder's S1vnatllre:~~ JfjJ,..,J Data:
Owmor or Elec. Cont. Signature: fl?,e~t 7J[jj> LJ. II Date:
::/ELECTRICAl..PERMIT APPLlCA TJON
PERMIT FEE: $_
.. -
IEllEtC1l"IRWCAl ~NSl?lEtCliON
W~~iINlG IRllEI?OlRll
417-4735
PERMIT .
~:;
NER
~G
ADDRESS
;;J. ~L./ I
tY/- '779-
..5bW/CL
/'1/!PaTus
APPROVED . NOT APPROVED
D ............,.,.... DITCH ........,........,. D
D .............. ROUGH IN/COVER........ .. .... D
D ...,......".,.... SERVICE .,....,..,.,.,.... D
D .....,.... wIfE FINAL ... ,.,....,.." ... ..)(f
CORRECTIONS NEEDED: /N~ N/JL:TH r>t?~ /./6"7-
@6tfAJ,lU ~p ~~] /N '/C.J7T'~"I.,1
OfWo /bZH7// ~t7~7Z-CJ /
@ 1JJfr't-.......,d'U'C. B~;'ha~<::1Z> h?R7?A
S o,-#':/)", /..1-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360)452-1381