HomeMy WebLinkAbout723 Evans Ave - Building
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
2/15/05
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements., This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
05-00000072 Date
.124288
723 EVANS AVE
06-30-00-8-5-0215-0000-
RES NEW SFR
p/lIAifit:J
!o/rll<~b
RS7 RESDNTL SINGLE FAMILY
102765
Owner
Contractor
COZI HOMES CONSTRUCTION
324 EAST 9TH ST
PORT ANGELES
(360) 452-9906
Structure Information
Construction Type
occupancy Type
Other struct info
COZI HOMES CONSTRUCTION
324 E 9TH ST
PORT ANGELES
(360) 452-9906
NEW 1581SF SFR W/ATT 477SF 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
29.90
INC.
INC
WA 98362
WA 98362
V-N
1. 00
1. 00
7000.00
2098.00
2098.00
1. 00
Permit BUILDING PERMIT -RESIDENTIAL ~~
Additional desc
Permit Fee 1034.05 Plan Check Fee 413.62
Issue Date 2/15/05 Valuation 102765
Expiration Date 8/14/05 ~
Qty Unit Charge Per Extension
BASE FEE 1017.25
3.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 16.80
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 101.35 Plan Check Fee .00
Issue Date 2/15/05 Valuation 0
Expiration Date 8/14/05
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
4.00 7.2500 ECH ME-VENT FAN 29.00
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
Plan Check Fee
Valuation
153.00
2/15/05
8/14/05
.00
o
Qty
Unit Charge Per
Extension
47.00
77.00
11. 00
BASE FEE
7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
Signature of Contractor or Authorized Agent
Date
d
2 -1$-'- c.s-
Date
builder)
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -48] 5 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN ':77"1-1/0[; ji.,i/
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS -q/;q It,!(j 1M",
CEILING I
FRAMING t ,~
.,.... t7l~Jkrj ,:Ji,v
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEIUlfJ
DRYW ALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB hk.lo~- 'JU.
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE fj)r1!()0 Ju.
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspectIOn record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
05-00000072
.124288
Page
Date
2
2/15/05
Qty
1. 00
1. 00
1. 00
Unit Charge
7.0000
15.0000
7.0000
Per
ECH
ECH
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-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Builder option to install a residential sprinkler system
that is installed and maintained in accordance with Uniform
Fire Code(UFC} and National Fire Protection
Association (NFPA) standards.
The proposal will result in the construction of a new s.f.
res in the RS-7 for total lot coverage of 30%. No land use
issues are noted.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1288.40 1288.40 .00 .00
plan Check Total 413.62 413 .62 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1706.52 1706.52 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\PoJicies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD 05- 7 'do
CALL 417-48 I 5 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7 -4807 FOR PUBLIC WORKS UTILITIES
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 TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS [:.15"-".( J !-. L-
WALLS If) -1l1.....LK""" J I-}~
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING J:i Yl-ct- J to ~J ?-oS At' J I-\.
UNDER FLOOR 1 SLAB
ROUGH-IN 1J:\-.2?-&~ Id J-L.
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS Il:":-~ 1-(l:)~1 _) 1-1.--
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS S-,tt .....0 )" ilL-
WALLS 1 ROOF 1 CEILING I..()~ ~J -n." .J ).. L.
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING l/.::' -~'7~S- d J..V
MECHANICAL fl "C4.-1 10 -1']-<95 I).-'f JJ.J..
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 J O~ 11/ -(~fi d ~1- BUILDING
. .
T:\Policies\1102_15 bUlldmg pennll mspectlOn record05.wpd [1/4/2005]
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, II'
I I
Fill out COMPLETELY and in INK. Your application and site plan MUST 'E. l..
COMPLETE to be accepted for review. If you have any questions, call (). !'
PERMITS (360) 417-4815 FAX(360)417-4711 V
Date Rec.: /-2...8'-('JO:;-
Pennit#: '~~~
Date Approved:
Date Issued:
Applicant or Agent: C02 i tl o~ s
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Phone:
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Owner:
Phone:
Address:
City:
fl1
Zip: / <;;,]b2-
Address:
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Phone:
~[ -L-
Ale
Architect/Engineer:
Contractor
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
CJiL> .:s~ S" 5" o:i ,/5 0 Q:::jQ
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC
TYPE OF WORK:
~Residential )XC' New Constr. D Re-roof
D Multi-family D Addition D Move
D Commercial D Remodel D Demolition
D Repair D Sign
BRIEF DESCRIPTION OF THE PROJECT:
f( r A+ ? \.A.lI1^p
COMMERCIALIRESIDENTlAL: Occupancy Group: . Occupant Load: Construction Type:
No. of Stories: ~ Lot Size: 7D')( f()o Existing Sq. Ft. -;:;:)1. '4 _ & Proposed Sq. Ft.,.;2 C 9)(_ TOTAL Sq. Ft. do~8
Total lot coverage ~ %
City:
#
Exp. Date:
SI7.FJV A~UATlON:
D Stove l-l~'y 15></_ SF. @ ~ /SF. = $
D Garage ~, . 3Jl :- SF. @. _ ~c; /SF. = $
D 96ckrlr.:.h. _lfO_SF.,(a)$) /SF. =$
D Other TOTA:L\riLUATJON $
C::J" rob. J-< F!J'7Vli!5 R-< s. / S{)"f;' u Ie lLf
ID:J76L"
I . D
d~---I e Ii<<..
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetland(s): D Yes~No SEPA Checklist required? DYes D No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: 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 WTitten request by the applicant (see Section R105.3.2
ofthe International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not th City's, and that I must obtain such permits prior to work.
T:\RVESS\BLDG-forms-brochures\2004-Buildingpennit.wpd Applicant: ,I f':-y( ,- --) e. '" ~ Date: /- ;J f;~. t1.5'
<
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
Building Department Use Only
Lot:
,25' . b-v~- ..; A lie
L . /LJ kit lrru j
Po ~+ n- lU@...A- !-e ~
v0-ft Zip: Cf (: ? b :;.-
1< ~ oJ 2-.
y5;)- Q10b
Permit#:
tJ5 - 7"2...-
Address:
Notes:
City:
State:
Contact:
Phone 2:
Phone:
Fax:
Un Imlte azmg )J tlOn ny
Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4
Option Area !O U- Ceiling2 Vaulted Above Int4 Ext4 Floor5 On
% of Floor Vertical Overhead 11 factor Ceiling3 Grade Below Below Grade
Grade Grade
ill Unlimited ~
Group R-3 0.40 0.58 0.20 R-30 R-21 R-21 R-10 R-30 R-IO
Occupancy V
Only
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
r . d GI . O' 0 I )
See the code text for footnote references
This project complies with the following:
./" The project is a single family residence or duplex.
./" The project is wood frame OR all of the insulation is interior or exterior of the framing.
./" All building components meet the requirements listed in Table 6-1, Option III.
./" The project will meet all other provisions of the WSEC and VIAQ.
The project will take advantage of the following exceptions to the prescriptive option: N~
o 602.6 Exception 1. One door, that is 24 ft.' or less, that does not meet the standards i: al~wed._ . tf--
Location of the door taking this exception .,Q . L ~) P 1.1'1 ~ - a L ~u..J ~. 0 .""
~2.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only.
Location of the door(s) taking this exception
CJ/~
Copyright 2002, WSUCEEP02-056
Copied by permission from the Washington State University Extension Energy Program
?"1-
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Prescriptive - Simple Form - Climate Zone 1
7/26/2004
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Area Map
This map is not intended /0 be used as a legal description.
This map/drawing is produced by the Ci~v ~f Port Angeles/or its own use and purposes.
Any other use of this map/drawing shall not be the responsibility of the Ci~l'.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
, 321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
05-00000072 Date
124288
723 EVANS AVE
06-30-00-8-5-0215-0000-
RES NEW SFR
6/08/05
RS7 RESDNTL SINGLE FAMILY
102765
Owner
Contractor
COZI HOMES CONSTRUCTION INC.
324 EAST 9TH ST
PORT ANGELES
(360) 452-9906
Structure Information 000
Construction Type
Occupancy Type
Other struct info
WA 98362
COZI HOMES CONSTRUCTION INC
324 E 9TH ST
PORT ANGELES
(360) 452-9906
000 NEW 1581SF SFR W/ATT 477SF 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
50096
INNOVATED FIRE
.00
6/08/05
12/05/05
SPRINKLERS
Plan Check Fee
Valuation
.00 oe>
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29.90
V-N
1. 00
1. 00
7000.00
2098.00
2098.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
FIRE SPRINKLER RESID
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.
Builder option to install a residential sprinkler system
that is installed and maintained in accordance with Uniform
Fire Code(UFC} and National Fire Protection
Association (NFPA) standards.
The proposal will result in the construction of a new s.f.
res in the RS-7 for total lot coverage of 30%. No land use
issues are noted.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way.
Other Fees . . . . . . . . . RES OVERHEAD SERVICE FEE
SEWER SYSTEM DELV CHARGE
410.00
745.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
J~ J AJ!~ 1I!!a (L.
Signature of Contractor or Authoriz Agent
~ Jg /oS'
/ Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1 102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES
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 LOCi\. nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION: ,
FOOTINGS
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILI1'!9.....~
DRYW ALL (INTERJOjt ~RAtE ANEL ONLY)
T-BAR 1
INSULATION
SLAB
W ALL I FLOOR I CEILING
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT 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:\Policies\1 102_15 building permit InspectIon record05,wpd [1/4/2005]
~f'OR ~
t~O~~~
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CITY OF PORT ANGELES
.DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
32] EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000072
Application pin number 124288
Pag~ 2
Date 6/08/05
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184.50 .00 .00
Grand Total 2184.50 2184.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RE~ORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES
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 TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
,
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS,)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILING
,
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T.BAR
INSULATION
SLAB
W ALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SK1RTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW I ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspectIOn record05.wpd [114/2005]
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
DateRec.>-jfJ -~S-
Pennit #: 8 ,~- - 72-
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any qllestions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplicantoT Agent V; nee. V1. ~d. IR e,~~v-
Owner: CO Z-I /-J-())'1 CO/\/.S - t
Address: ::J e-. '( E- 71- ~ City: PC'1V'-f A.....-L:J et~
Ii IPI- ~rt'~,s
Phone: QS2 - 7S'21J
Phone: <-fS2. - 7/ () b'
Zip: CZ8~6 2-
Architect/Engineer: Phone:
Contractor IIVAt(jj)/j-7r.n p/ R-E. State License #:IIWOVS~CJt./'f&f: ~!JzlaG Phone: l../S2 -"?S8:Y
. I
Address:8/ /'V.e.,,-"-, J.JOtt/i..~ L--, City: P~rf~':J..Q(LJ Zip: CJeJ'6 z
PROJECT ADDRESS: 72-3 f:..u/fAlS Jt-/)~ ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
~ Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
p.t/'<Z....
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $_
SF. @ $ /SF. = $
TOTAL VALUAT}:ON $ .2IcJd. dO
Sfi)V";~kJ~- S,?S" ~
,
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Pelmit 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 pemrit application and construction plans are
submitted. All other pemrit fees are due at the tinle of pennit issuance.
EXPIRATION OF PLAN REVIEW: If no pennit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to det mine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T:\Policies\BL-1I02_13.wpd Applicant: Date: .....)) o/tJS
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
Project Name: Private Residence Address: 723 Evans
Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583
- ~#,."'" .O"X_'-'-<<>>>>>>>>>>>>>>>__w..,,,,_,.:.om
Type of System: Open 130 13RO 13D[g]
Date: 5.25.2005 PAFD Permit #: 05-14
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all 13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFP A Standard. This 13 D system will require a
measured flow test.
Contractor
Reviewed by: ,O,::J..:GQ
Date: ':). 2..~ . oS
o
~
o
Building Department
Fire Department
I DATE:<S-)1/01
~
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~
o
o
o
o
FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
o ENERGY
o ENGINEERING
POLICE DEPARTMENT
"
ADMINISTRATION
o CITY CLERK
o
RlSK MANAGEMENT
I FROM: PUBLIC WORKSIBUILDING DIVISION I
RE: ADDRESS: 7 tJ-:3 i=- I/O vL$
NAME/CONTACT: tJ, V} C-e. /7i.e f~rr
PHONE: H6-j)--7Se3
PERMIT NUMBER: c9c<;- 7 'd-
PROJECT DESCRlPTION: /~ I V (: S r/) r 111 Jc.. / e y Stt s .!'-P w J
~ NEW CONSTRUCTION
. 0 ADDITION/ALTERNATION
COMMENTS/CONDITIONS:
;Q REVIEWIRETURN
o FILE
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98~62
,
;
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000072 Date
124288
723 EVANS AVE
06-30-00-8-5-0215-0000-
RES NEW SFR
6/10/05
RS7 RESDNTL SINGLE FAMILY
102765
Owner
Contractor
COZI HOMES CONSTRUCTION INC.
324 EAST 9TH ST
PORT ANGELES
(360) 452-9906
Structure Information 000
Construction Type
Occupancy Type
Other struct info
WA 98362
..COZI HOMES CONSTRUCTION INC
324 E 9TH ST
PORT ANGELES
(360) 452-9906
000 NEW 1581SF SFR W/ATT 477SF 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
29.90
~
~
V-N
1. 00
1. 00
7000.00
2098.00
2098.00
1. 00
~
~
~
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
DAVE'S HEATING/ T-STAT
49692
DAVE'S HEATING
36.40
6/10/05
12/07/05
& COOLING
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
36.4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
~
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Builder option to install a residential sprinkler system
that is installed and maintained in accordance with Uniform
Fire Code (UFC) and National Fire Protection
Association (NFPA) standards.
The proposal will result in the construction of a new s.f.
res in the RS-7 for total lot coverage of 30%. No land use
issues are noted.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works priDr to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way.
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPE~nON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINJMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED -c- COMMENTS
YES NO
I)IT( :H
lUll T{~H_lN I COVER
~hK V lCh
'RTN AT I I
GENERAL COMMENTS:
PW.lI02.JS 14I96l
d'OI"~.
Jfi~
De
"" r ......."
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 l-:AST 5TH STREET. PORT ANGELES. WA 91l~62
~
Application Number . . . . . 05-00000072
Application pin number 124288
Page 2
Date 6/10/05
Other Fees
RES OVERHEAD SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
410.00
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.40 36.40 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184..50 .00 .00
Grand Total 2220.90 2220.90 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEglON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.1~ (4196)
d'QtI'~
'(I
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:12\ EAST 5TH STREET. PORT ANGELES. WA 9R~62
COZI HOMES CONSTRUCTION INC
'.324 E 9TH ST
PORT ANGELES
(360) 452-9906
000 NEW 1581SF SFR W/ATT 477SF 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
Appllcatlon Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000072 Date
124288
723 EVANS AVE
06-30-00-8-5-0215-0000-
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
102765
Owner
Contractor
COZI HOMES CONSTRUCTION INC.
324 EAST 9TH ST
PORT ANGELES
(360) 452-9906
Structure Information 000
Construction Type
Occupancy Type
Other struct info
WA 98362
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
EL. SVC./2058 SQFT. SFR.
49122
ELECTRIC SERVICE
119.80
6/10/05
12/07/05
Plan Check Fee
Valuation
Qty
1. 00
2.00
Unit Charge Per
73.0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
6/10/05
WA 98362
29.90
V-N
1. 00
1. 00
7000.00
2098.00
2098.00
1. 00
~
U
.00
o
~
~
~
Extension
73.00
46.80
t
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.
Builder option to install a residential sprinkler system
that is installed and maintained in accordance with Uniform
Fire Code (UFC) and National Fire Protection
Association(NFPA) standards.
The proposal will result in the construction of a new s.f.
res in the RS-7 for total lot coverage of 30%. No land use
i96ues are noted.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate allowed in the City
COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPEg.JON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPIt DATE ACCEPTED COMMENTS
VES NO
IUn:H I
RuuGH-IN I COVER
~b.K. v 1 Cb
J<TN AT I I
GENERAL COMMENTS:
PW-II 02.1~ [40'96)
d''''''~.
J(i~
D8
""..;~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.'21 EAST 5TH STREET. PORT ANGELES. WA 9R~62
Application Number . . . . . 05-00000072
Application pin number 124288
Page
Date
2
6/10/05
Special Notes and Comments
road right of way.
Other Fees
RES OVERHEAD SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
410.00
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 119.80 119.80 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2184.50 2184.50 .00 .00
Grand Total 2304.30 2304.30 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPE~nON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE no IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.I~ (4196)
~
II)
~
~
~
(.u
'"
~
I
C'()
'\
~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
o :)-4-S/
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenantnbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
6/09/05
05-00000451 Date
092067
~o PARCEL NUMBER
99-
QWEST
PUBLIC W9RKS UTI LITES
CENTRAL BUSINESS DISTRICT
o
Owner
Contractor
CITY OF PORT ANGELES
PO BOX 1150
PORT ANGELES WA 983620217
OWNER
Permit RIGHT OF WAY
Additional desc BURIED CABLE 723/727 EVANS A VB
Permit pin number 51540
Permit Fee .00 Plan Check Fee .00
Issue Date 6/09/05 Valuation 0
Expiration Date 12/06/05
Fee sununary Charged Paid Credited Due
----------~------ ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
Signa1ure of Contractor or Authorized Agent
Date
T:\Policies\1102.15R [1/05J
P,02
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Sewer Department - SUperintendent ....;,: ..
The estimated lime for'complelion of the above work i.ID 'DAVS A"FT'E:R.. ~. ..'~;?~j:,
;,:.<~~~:
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JUN 01 2005 12:02 FR TRAFTON B
253 471 1324 TO 13604174709
~~ cqfVed ~~
w00502759/452C
I'I..IIlUOWOItUI
Permit To Perform Work In Street Rieht-<lf-Way
APPLICATION is hereby m.de [0 the municipality of PORI' AfJ.'lVT,l"O:;
nOTed hercon and ~s shown on allache.d drawing;
TO perform work as
PLEASE.
5:e.c
A1\ AcHe: b
..51C.ETi: \+#
Place 150' of Buried Service Wire in ROW to provide telephone service at
723 & 727 Evans Ave,
Approved:
Water Department - Superintendent
Date
June 1
'1.0 05
By
Dona Thaut
P~NE # 253/597-5136
tAX 253/471-1324
Contractor Owner
OWE-51 /Aifil~ ;B6w
THE ABOVE APPLICATION IS HEREBY GRAl'trEO SUBJEeI' TO APPl.ICANT'S:
Complying with all Municipal Ordinance.;
Notifying the Street S\lpcrint~ndent or the time the work will star:, and when ir will finish;
Prosecl.ltlnll the work ",,;rh dilillCnce and with due relpeC'l to all prol.erty, contncrs, penons'
rig,hu and rhe inrereSts and convenience or the public;
Date
Saving thc Municipality harmleufrom any and all damagu which ruy accr..c to any penon
or propeny because of this inllallation or the maintenance thereor;
Complyinlt wilh followinl special condidons;
~/?J/z;~ '
,
City at PORr ANGELES
"ltMutt ~.
BY
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JUN 01 2005 12:01 FR TRRFTON B
253 471 1324 TO 13604174709
78S013 S. T",ftoo
Tlicoma, VolA 98409
To: City of Port Angoles Fax, 360.417-4709
From: Qwest Communications Dale: 5/3112005
Re: Pages:
cc: Don. Th"ut 2535975136
o Urgent
o For Re_
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OPle"""~
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** TOTRL PAGE,03 **
253 471
1324 TO
13604174709
Qwest Job #
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Section:
ownshi
Ran e:
This request for permit is for the placement of underground telephone
our customer at the following address:
') d~ $
This work will require:
Trenching in the R/W (total footage)
service wire to'
l~l
2- VO---r-- ;3
QuE:-
150
..e-
Push or bore 2 inch PVC Or SIP undet roadway (total footage)
Push or bore 2 inch PVC or EIP under driveway (total footage)
o
Push or bore 2 inch PVC or BIP under multiple driveways (total footage)
o
P.03
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
05-00000072 Date
.124288
723 EVANS AVE
06-30-00-8-5-0215-0000-
RES NEW SFR
2/15/05
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning .
Application valuation
RS7 RESDNTL SINGLE FAMILY
102765
Owner
Contractor
C02I HOMES CONSTRUCTION
324 EAST 9TH ST
PORT ANGELES
(360) 452-9906
Structure Information
Construction Type
Occupancy Type
Other struct info
INC.
COZI HOMES CONSTRUCTION
324 E 9TH ST
PORT ANGELES
(360) 452-9906
NEW 1581SF SFR WiATT 477SF GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % tOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC
WA 98362
WA 98362
29.90
V-N
1. 00
1. 00
7000.00
2098.00
2098.00
1. 00
S;; V\~
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
1034.05
2/15/05
8/14/05
Plan Check Fee
Valuation
413.62
102765
Qty Unit Charge Per
Extension
1017.25
16.80
BASE FEE
3.00 5.6000 THOU BL-I00,OOI-500K (5.60 PER K)
Permit MECHANI CAL PERMIT
Additional desc
Permit Fee 101.35 Plan Check Fee .00
Issue Date 2/15/05 valuation 0
Expiration Date 8/14/05
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
4.00 7.2500 ECH ME-VENT FAN 29.00
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
'1LY?
./
lOP
Permit
Additional desc
Permi t Fee
Issue Date
Expiration Date
PLUMBING PERMIT
Plan Check Fee
Valuation
153.00
2/15/05
8/14/05
.00
o
Qty
Unit Charge Per
Extension
47.00
77.00
11.00
BASE FEE
7.0000 ECH PL- EA. FIXTURE ON ONE TRAP
-J
N
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a'period on SO-dayS 'aftertneworl< as-commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law reguiating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
2 -/S",- oS--
Date
T:\Policies\1102_15 building penuit inspection record05.wpd [114/2005]
,/
<
-~~
,,'i1'!!iii
'- ~.-
'liic"'"
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
/
Application Number
pin number
05-00000072
.124288
page
Date
2
2/15/05
Qty
1. 00
1. 00
1. 00
Unit Charge
7.0000
15.0000
7.0000
Per
ECH
ECH
ECH
PL-
PL-
PL-
EA. INSTALL WATER
EA. BLDG SEWER
EA.WATER HEATER
PIPE
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. 14.36.0S0-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Builder option to install a residential sprinkler system
that is installed and maintained in accordance with Uniform
Fire Code(UFC) and National Fire Protection
Association (NFPA) standards.
The. proposal will result in the construction of a new s.f.
res in the RS-7 for total lot coverage of 30%. No land use
issues are noted.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way.
----------------------------------------------------------------------------
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1288.40 1288.40 .00 .00
Plan Check Total 413.62 413.62 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 1706.52 1706.52 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. i hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance 'of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T'\J>nli~i..~\ 11m lli hllilr1im' nennit in~nection record05.\Vnd fl/4120051
.
ICash Adjustment
Cashier info
Payment Type C:. K
Check # i'-fC;o'f
?.-)5~cS-
Receipt #
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Application #
Amount Paid
Refund Amount
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Signature
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723 ~VCULS Ave..
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o Electrical Contractor
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ELECTRICAL WORK PERMIT APPLICATION
,
I:l Request Inspeetion
o AnnQsl Permit 0 Alarm 0 Carnival Q CommercIal 0 ResidenCial D RcsideDtial.MAlnt. 0 Signs 0 Thermostllt 0 Teleeom.
Installation description
Job wired by
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. at contra.ct~r na~. _
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p""hase~rliotJ~~ l) u L~ 'f<4
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Tclcphont number FAX number
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City
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I hereby certify that I am the owner of the above named property Or a licensed
electrical comracfor (or the firm's authorized agenl) and am making the electrical
Ulstallari.on or <11tcnstion in compliance with the electrical law, Chapter 19.28 RCW,
x
WALLS
Insulation Oldy
CEILING
rnslIlation Only
Dllt Appmv<>48y
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YD~~ . Approved By
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
CJ Ba.seboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
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Card II
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Expiration nate
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THERMOSTAT
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/' FEEDER '"
Date Approved By
DITCH
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Service Information
o Overhead Service
. 0 Temp Service
p:i::Ynderground Service
Voltage
PhaseO,03
Service Size:
Feeder Size:
Inspection
Date
Area, BUilding or Equipmemlnspected
ft:CC?
5//b. tl5
10 39\1d
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.
tlectric:al
Inspector
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417-4735
("e2S" - :zz)
PER~~. -::;J INSPECTOR
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ADDRESS
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APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER. ... .. .. . . . . .. 0
o .................. SERVICE .................. 0
o .......... O' . . . . . FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED: Z5 A .n7,&}>? ~u -<~ ~
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PAINTERS, INC. (360) 452-1381
FROM :Dave's Heating &. Cooling Srvc
FAX NO. :13504520333
~la~. 20 2005 10: 38AM Pi
.
If Electrical Contractor
(J Annual Permit 0 Alarm 0 Carnival 0 Commercial
.
(i
Q Owner ~....j'
ELECTRICAL WORK PERMIT APPLICATION,
o Request Inspection
~ Residential 0 Residential MaiDt, 0. Signs lW"Tbermostat Cl Telecom,
Job wired by
il1"Electrical Contractor
Q Owner
Installation description
-H..eI""",OS+a-r (..c)"~
"'\
Electrical contractor name License number
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Premises owner's name
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!JOY.\- /mQ.~les
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I hereby cenify that 1 am the owner of the above named properly or a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
Q Cash Q Check #
~Credit Card <S Mastercard Discover
Card# St:.
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Sign
tu; :f :w:er~ele/)i'~aC::'j;,......or ele:;ic::al administrator
,
Expiration Date
(t~t~:40
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Electrical Load Additions and or subtractions
o NO LOAD CHANGES
[J Baseboard KW
Cl Fumace KW
l:J Heat Pump _ Ton _ LAR
l:J Fan-Wall KW
Dale Approved By
sh;/f,<cove'4d/
/ D;tle Approved By
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Approved By
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Approved By
D.le:
ApPfovc:d By
Service Information
Cl Overhead Service
o Temp Service
o Underground Service
Voltage
Phase [J 1 [J 3
Service Size:
Feeder Size:
Inspection
Date
Area. Building or Equipment Inspected
Action Taken
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Figure 1
SYMETAICAL ABOUT t
OF WATER MAIN
~.
f,
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:-:,' IN THIS
,,~;' AREA
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.-
,.,'jWATER
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~-.2-~PIPE
MATERIAL
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STANDARD
seWER
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MATERIAL
./
Detail 2.4
PARALLEL CONSTRUCTION
Table 1
WATER MAIN STANDARD PIPE MATERIAL
TYPE OF PIPE
PIPE
AWWA (ASTM) STANDARD
JOINT FITTINGS
Ductile Iron
C 151 & C 104
C 111
C 110
Asbestos-Cement
Polyvinyl-Chloride
Concrete Cylinder
C 400 (Type II)
Class 200
(0 1869)
C 110
C 900
(0 3139 &
F 477)
ClIO
C 303
-32-
Application Number . . . . . 24-00000966 Date 10/03/24
Application pin number . . . 942298
Property Address . . . . . . 723 EVANS AVE
ASSESSOR PARCEL NUMBER: 06-30-00-8-5-0215-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Range Circuit
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
COZI HOMES CONSTRUCTION INC. JOHNSON ELECTRIC COMPANY
324 EAST 9TH ST 3129 S REGENT
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-9906 (360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 95.10 Plan Check Fee . . .00
Issue Date . . . . 9/19/24 Valuation . . . . 0
Expiration Date . . 3/18/25
Qty Unit Charge Per Extension
1.00 95.1000 ECH EL-R- BRANCH CIR 1-4 95.10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95.10 95.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.10 95.10 .00 .00
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us
EL1-2 SF 1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Project Address:
Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage:
OWNER INFORMATION
Name: Email:
Mailing Address: Phone:
ELECTRICAL CONTRACTOR INFORMATION
Name: License:
Mailing Address: Expiration Date:
Email: Phone:
PROJECT DETAILS
Unit Charge Quantity Total (Quantity x Unit Charge)
$190.20 $
$190.20 $
$285.30 $
$380.40 $
$475.50 $
$5.30 $
$95.10 $
$47.55 $
$95.10 $
$95.10 $
$190.20 $
$285.30 $
$380.40 $
$95.10 $
$95.10 $
$190.20 $
$190.20 $
Item
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuit/Limited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5.30 for each additional)$95.10 $
First 1300 Square Feet $190.20 $
Each Additional 500 square feet``$47.55 $
Each Outbuilding / Detached Garage $95.10 $
Each Swimming Pool / Hot Tub $190.20 $
TOTAL $
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (□Owner □Electrical Contractor / Administrator)
Pe
r
m
i
t
#
:
New
Construction
Only
[Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711]
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN / COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
10/21/2024 24-966 TMC
OWNER
Contractor
Johnson Electric Company
ADDRESS
723 South Evans Ave