HomeMy WebLinkAbout2311 Jeri Lynn Street - Building fgi
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ELERICAL PERMIT ,_ f•
�5 l.�
CITY OF PORT ANGELES1g
360-417-4735
Application Number 16-00001550 Date 10/13/16 i
Application pin number . . 347400
Property Address 2311 JERI LYNN ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-7-6-0300-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502) *
Application valuation . . . 0
Application desc - • • - i
New home -
Owner Contractor
ACE MICHAELS INC JEDI ELECTRIC
1329 W 10TH ST 1329 W 10TH STREET
PORT ANGELES WA 98362 PORT ANGELES WA 98363 .
(360) 417-9579
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc .
Permit Fee . . . 200.00 Plan Check Fee . . .00 _
Issue Date . . . 10/13/16 Valuation . . . . 0
Expiration Date . 4/11/17
Qty Unit Charge Per Extension
1.00 120.0000 ECH -EL-R-SOFT FIRST 1300 120.00
2.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 ' 80.00 -
Fee summary Charged' Paid Credited Due A'
f
Permit Fee Total 200.00 200.00 .00 .00
Plan Check Total .00 .00 .00 .00 _
Grand Total 200.00 200.00 .00 .00
•
a T 70 74,z45g, dil 10 a,`' 1/
INSPECTION TYPEDATE: RESULTS: INSPECTOR:
DITCH -111"• Z -•• .
1O/ .3 _
SERVICE , /p/)7fri
r
•
ROUGH-IN
FINAL
COMMENTS: j',K
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST 04SPEC'TION
Signature of owner or Electrical Contractor X Date:
G:IEXCHANGENBUILDING
I
CITY OF PORT ANGELES PERMIT APPLICATION moi.— I
Building Division/Electrical Inspections 1 r
11 T
�-�11
321 East Fifth Street— Port Angeles Washington,98362 .�
Ph: (360)417-4735 Fax: (360)417-4711 111111Plr \i'l)
Date: i 0 - \3-(C _1 &2 Single Family Dwelling IIIU
*Plan Review May Be Required, Please complete Electrical Plan Review Information Sheet
Job Address: 0?3 11 <3- % Lye r 5T PA
Building Square Footage: `s n
Description of above J,IJ 6_,,,,..),c c 7---Q,°-- 6-ite-) )4 c)/1A---4—
�A s,-c11 i' -M.t,`i-,.- P:.,-.i-- —
iy,o42, 1 Serlld- 13bx t - . -74414-454- a c.*(S3s o, . j), air I
Owner Information Contractor Information }}
Name: Qct A'1, L k7 'TAC---- Name: ac.- 3 • lc c ci-k C
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone: Fax: Phone: Fax: `i 5 7—0 Li '7
License#/Exp. License#/Exp.
Item Unit Charge Total(Qty Multiplied by Unit Charge)
Service/Feeder 200 Amp. $120.00 _r____ $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp $205.00 $ .
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/Service Feed $ 5.00 $
Branch Circuit W/O Service Feeder $ 63.00 $
Each Additional Branch Circuit $ 5.00 $
Branch Circuits 1-4 Only $ 75.00 $
Temp.Service/Feeder 200 Amp. $ 93.00 $
Temp.Service/Feeder 201-400 Amp. $110.00 $
Temp.Service/Feeder 401-600 Amp. $149.00 $
Temp.Service/Feeder 601-1000 Amp . $168.00 $
Portal to Portal Hourly $ 96.00 $
Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 64.00 $
Manufactured Home Connection $120.00 $
Renewable Electrical Energy-5KVA System or Less $102.00 $
Thermostat $ 56.00 $
Note:$5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY: c7
First 1300 Square Ft. $120.00 I $ _ c7
Each Additional 500 Square Ft.or Portion of $ 40.00 e2 $ "_
Each Outbuilding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $110.00 $
$� otal
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.
Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check
d
�`{I!� /tel /n1 CreditCard# p 1\X CC " ) Dated: /C•- I Q —I G 0210612012
Application Number . . . . . 23-00000971 Date 9/12/23
Application pin number . . . 849689
Property Address . . . . . . 2311 JERI LYNN ST
ASSESSOR PARCEL NUMBER: 06-30-01-7-6-0300-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Car Charger
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ASHLEY AND ROBIN PIETSCHMANN JOHNSON ELECTRIC COMPANY
2311 JERI LYNN ST 3129 S REGENT
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 728-4327
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee . . .00
Issue Date . . . . 9/12/23 Valuation . . . . 0
Expiration Date . . 3/10/24
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 .00 .00 .00
Grand Total 63.00 63.00 .00 .00
1 - 2 SINGLE-FAMILY
ELECTRICAL PERMIT APPLICATION
Pub! ic \Yorks and ULili ties Department
32 l E. 5th Street. Port ;\ngeles. WJ\ 98362
300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us
Project Address:--------------------------------------
Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _
OWNER JNFORMATtON
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRfCAL CONTRACTOR fNFORMATION
Name: ___________________________ License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge)
Service/Feeder 200 Amp. $120.00 $
Service/Feeder 201-400 Amp. $146.00 $
Service/Feeder 401-600 Amp. $205.00 $
Service/Feeder 601-1000 Amp. $262.00 $
Service/Feeder over 1000 Amp. $373.00 $
Branch Circuit W/ Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $63.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $75.00 $
Temp. Service/Feeder 200 Amp. $93.00 $
Temp. Service/Feeder 201-400 Amp. $110.00 $
Temp. Service/Feeder 401-600 Amp. $149.00 $
Temp. Service/Feeder 601-1000 Amp. $168.00 $
Portal to Portal Hourly $96.00 $
Signal CircuiULimited Energy - 1 &2 DU. $64.00 $
Manufactured Home Connection $120.00 $
Ren ewable Elec. Energy: 5KVA System or less $102.00 $
Thermostat (Note: $5 for each additional) $56.00 $
First 1300 Sql;Jare Feet $120.00 $
Each Additional 500 square feet" $40.00 $
Each Outbuilding / Detached Garage $74.00 $
Each Swimming Pool/ Hot Tub $110.00 $
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-
468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
'"'CJ CD
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
9/25/2023 23-971 TAP
OWNER
CONTRACTOR
Johnson Electric
PROJECT ADDRESS
2311 Jeri Lynn
1r
ELECTRICAL PERMIT ;� _ z
CITY OF PORT ANGELES lisl
360-417-4735
' Application Number 17-00000302 Date 3/14/17
Application pin number . . 194116
Property Address 2311 JERI LYNN ST REPORT STATE SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-7-6-0300-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation . . . 0
Application desc
New home .
Owner Contractor
ACE MICHAELS INC BOB'S ELECTRIC INC
1329 W 10TH ST 2243 DEER PARK RD.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 457-6887
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc .
Permit Fee 200.00 Plan Check Fee .00
Issue Date . . . . 3/14/17 Valuation . . . . 0
Expiration Date . . 9/10/17
Qty Unit Charge Per Extension
' 1.00 120.0000 ECH EL-R-SQFT FIRST 1300 120.00
2.00 40.0000 ECH EL-R-SQFT ADDITIONAL 500 80.00
Fee summary Charged Paid Credited Due
Permit Fee Total 200.00 200.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 200.00 200.00 .00 .00
• ra,r..
T.
f Cr 4. 110-155?). FoR_ 3 x- iieL 4 1)i T 114. 6erix=4JS i
' INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
"� SERVICE
- ROUGH-IN 31'13 ía
:11"
FINAL 7/ . .`�
cavi :
. PERMIT*ILL EXPIRE SIX{6)MONTHS'PROM LAST INSPECTION •
Signature of owner'or Electrical Contractor X Date:
1
$rejr ..
0
.,
.,,NCITY OF PORT ANGELES PERMIT APPLICATION 0,..„. r f�v. r•"-,+.:"""
Building Division/Electrical Inspections 1
321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 p_r•,. \'`�
Ph:(360)417-4735 Fax: (360)417-4711 ri
VSEL° rl;�'+,; `'
Date3/87P? &2 Single Family Dwelling
-Pian Review Revievjaille RAliquired, pte se Comple2e,Electrical Pian Review Information Sheet
': .••l �ate rcc:zas• R 0 ro_ 1st" ,�
'J.i.. rmcfCz..rrP vAthol ea
eivAna+ 9oa'a-/—rery "-, Ae,ier- -edLQ/rte•y
Owner I .rmatlonContract l or
? .,,. ..,..,,Fs. xir O h _ ,d. .-s w _ yt _IL
y tet, E S',5'.e �J4. Z ! 5.7 t S'�:E`• -L u —��
P.c-e �'I.. .. gat Pi-c",,.'i! `ar.
L'L-"Se:=;ExU ;_ce Isef Eire. -. air — 0 Jr' —
item Unit Charge ( Total(Qty Multiplied by Unit Cha
---
St,,,,;:-.3'•. .i....•%V i- i3 l.r';rl. 5'45.0) i --
Se v..e,_ealer 4 1 bC Pro 15,2C _
a ;r 631=C*,Amp $262 Cu —
'= ..ce:=eerie-o.e 1CC:]Amo. 373 Cu u
aie -,City r'.'.1,Sei.,::e`eele• 5 9 C. —_
,P..� :
�C!C� ': .,1.:Se.c 'te:r: L63.:,',3 --_ T _
q "-__--
.-3:e,-'.ch C?c.•'ts _ 75 c.:`, _—._-
ieiro Se;.cc,Fesao-2E3 Arrp S 93.C3 :. --
707,1p Se%. epi eerie-201.4GO Amp S 710 C3 —
E,9'.,:o.�er..-is:4R'fiC3Amp '49'.uJ — —
_
_o ..a'L.c,.re .+er 0511-1C"3 Amp , 95 CO .-- ----
C" C; .3,1 Firs'c.4-1 a 2 ca ,y Live 'J 5 c=CC — w
:.' ,tri~°,;e:i-.me Cc^:•e-.1'c.1 S 123.C3
Re:'.:::ab's cle :a'Energy-5AVA System or Less S 102 CO
Tn'erm:rear. . 5B.CC ----
:e.S3.C3 fc:eacn ad^.:c',- 7 Sty: ---
NEW CONSTRUCTION ONLY;,
•s: ..0 Sc.,a•e= 123.03 ...._t_. : lao,
Er,j'.i-aa•t c7a dCC Balms F, c'Pcrtc:!of 5 ,:C — _ ---400,as
Ec i Ci.'.c r:a.'g c-Cetacheo Garage S 74 03
a:n S:. m hi ".1 P0c:ar HO?T<o C 110 CO $
_
S-200,01 Total
ewner as defined by RC'W.19.28.261:(1)C:,ner wi l occupy the structure for two years atter this eectrica permit is finalized.(2)Owner is reit).;ret
to hire an electrical contractor if above said property is for sale,rent or lease.Permit exoires after six months of last inspecticn
After reading the above statement,I hereby certify that!am the owner of the above named property cr a i!:.ensed e'ectr;car contractor ;am ma c n;
tne electrical installation or alteration in comp:rance with the electrical laws,N.E.C.,RCIV.Chapter 19.2L,V;AC.Chapter 296-46B,'The City of;Dori
i-npe:es:ti;nic'ipal Code.and Utility Specifications and PMC 14.05.050 regarding E!ectecal Permit App!": tons
Signature of owner,electrical contractor or electrical administrator: Cash _ Ch 5
r La
YCreultCard3_p►)'�
6 _—__._._ -_-..._
; 4 — nate i; a l/ /i> — :r.d,.,,,2
Address:
2311 Jeri Lynn Street
PREPARED 6/06/17, 11:47:08 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/06/17
------------------------------------------------------------------------------------------------
ADDRESS . : 2311 JERI LYNN ST SUBDIV:
CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172
OWNER ACE MICHAELS INC PHONE
PARCEL 06-30-01-7-6-0300-0000-
APPI, NUMBER: 16-00001366 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01 10/18/16 JLL BLDG FOUNDATION FOOTING
10/19/16 AP October 18, 2016 9:00:19 AM jlierly.
460-6172 Mike
October 19, 2016 12:10:45 PM jlierly.
ufr installed/jll
BL2 01 10/21/16 JLL BLDG FOUNDATION STEM WALL
10/24/16 AP October 21, 2016 8:38:56 AM jlierly.
Mike 460-6172
October 24, 2016 8:52:03 AM jlierly.
DRW 01 10/28/16 JLL BLDG DRYWELL
10/28/16 AP October 28, 2016 12:32:19 PM jlierly.
Mike
October 28, 2016 4:08:20 PM jlierly.
BFF 01 1/10/17 JLL BLDG FLOOR FRAMING
1/10/17 AP January 10, 2017 10:32:27 AM jlierly.
Mike 460-6172
January 10, 2017 5:00:21 PM jlierly.
BEXS 01 2/24/17 JLL BLDG EXTERIOR SHEETING
2/24/17 AP February 24, 2017 9:59:20 AM jlierly.
Mike 460-6172
February 24, 2017 4:58:25 PM jlierly.
BAIR 01 3/24/17 JLL BLDG AIR SEAL
3/24/17 AP March 24, 2017 9:52:46 AM jlierly.
March 24, 2017 4:37:50 PM jlierly.
BL3 01 3/24/17 JLL BLDG FRAMING
3/24/17 AP March 24, 2017 9:51:56 AM jlierly.
Mike 460-6172
March 24 2017 4:37:50 PM jlierly.
BLI 01 3/28/17 JLL BLDG INS�LATION
3/29/17 AP March 28, 2017 8:57:58 AM jlierly.
460-6172
March 29, 2017 8:48:00 AM jlierly.
BL99 01 9./0//17 JLL BLDG FINAL TIME: 17:00
Mike 460-6172
-----------------------------------------------------------------------
PERMIT: ME / 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------ --------------------------------------------------------------------------
ME99 01 JLL MECHANICAL FINAL TIME: 17:00
------------7----------Ar---------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 6/06/17, 11:47:08 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/06/17
------------------------------------------------------------------------------------------------
ADDRESS . ; 2311 JERI LYNN ST SUBDIV:
CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172
OWNER ACE MICHAELS INC PHONE
PARCEL 06-30-01-7-6-0300-0000-
APPI, NUMBER: 16-00001366 RES NEW SFR
------------------------------------------------------------------------------------------------
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL6 01 10/28/16 JLL PLUMBING WATER SUPPLY
10/28/16 AP October 28, 2016 12:31:36 Pm jlierly.
Mike
October 28, 2016 4:08:20 PM jlierly.
PL2 01 2/23/17 JLL PLUMBING ROUGH-IN
3/29/17 AP February 23, 2017 9:19:42 AM jlierly.
Mike 460-6172
March 29, 2017 10:34:24 AM jlierly.
PL99 01 JLL PLUMBING FINAL TIME: 17:00
--------- ---P7------------ COMMENTS AND NOTES --------------------------------------
nk
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 16-00001366 Date 10/12/16
Application pin number . . . � 569198
Property Address . . . . . . 2311 JERI LYNN ST
ASSESSOR PARCEL NUMBER: OG-30-01-7-6-0300-0000- REPORT SALES TAX
Application type description RES NEW SFR
on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 155220 (Location Code 0502)
---------------------------------------------------------------------------
Application desc
new single story with attached garage
----------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ACE MICHAELS INC ACE MICHAELS INC
1329 W 10TH ST 1329 W. 10TH ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360') 460-6172
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
-----Ad_d_i_t_i_o_n_a_1__d_e_s_c_----------------------------------------------------------
Permit Fee . . . . 1333.85 Plan Check Fee . . 867.00
Issue Date . . . . 10/12/16 Valuation . . . . 155220
Expiration Date 4/10./17
Qty Unit Charge Per Extension
BASE FEE 1020.25
56.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 313.60
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 97.20 Plan Check Fee .00
Issue Date . . . . 10/12/16 Valuation . . . . 0
Expiration Date . . 4/10/17
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
3.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 21.75
-1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc
Permit Fee . . . . 177.00 Plan Check Fee .00
Issue Date . . . . 10/12/16 Valuation . . . . 0
Expiration Date 4/10/17
Qty Unit Charge Per Extension
BASE FEE 50.00
10.00 7.0000 EA PL-PLUMBING TRAP 70.00
1.00 7.0000 EA PL-WATER LINE 7.00
4.00 7.0000 EA PL-DRAIN VENT PIPING 28.00
1.00 15.0000 EA PL-SEWER LINE 15.00
N-1
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 has 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.
1(0
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
ISkirting I
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighti g ESA:
Landscaping JSHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction - R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2 -
Application Number . . . . . 16-00001366 Date 10/12/16
Application pin number . . . 569198
REPORT SALES TAX
Qty Unit Charge Per Extension on your state excise tax form
1.00 7.0000 EA PL-WATER HEATER 7.00
--------------------------------------------------------------------------- to the City of Pod Angeles
Special Notes and Comments
September 13, 2016 2:39:41 PM rbecker. (Location Code 0502)
If you are installing a closed fire system, you will need to
install a double check valve assembly. If you are installing
an open fire system, you do not need to install a backflow.
If you are installing a lawn sprinkler system, you will need
to install a double check valve assembly.
If you have any question, call Ron Becker ay 417-4886,
fax:360-452-4972, or E-mail rbecker@cityofpa.us
September 15, 2016 3:59:33 PM msanders.
13D residential sprinkler system required
September 22, 2016 2:27:57 PM pbarthol.
Project will result in a single story 3bed 2bath SFR.
1650sf lvg. 176sf covered porch/deck. 400sf attached garage.
lot coverage 25%. Site coverage 33%.
No land use problems anticipated.
Electrical load calculations and electrical permits are
required.
1. Establishing Construction Access.
2. Install sediment controls BMPs.
3. Stabilize exposed soils.
4. Protect slopes from erosion.
5. Protect drain inlets.
6. Control pollutants including but not limited to spills,
concrete wash out, exposed aggregate processes, concrete
. grinding and saw cut waste water.
7. Maintain temporary and permanent erosion control BMPS
during project.
All disturbed area's on site not covered by new improvements
should meet the attached soil quality and depth standard.
Consider applying for the City Green Infrastructure Rebate
of up to $750.00 towards the materials to install rain
garden to control roof and driveway runoff. Also rebates
available- for downspout disconnections.Contact Jonathan
Boehme at 360 417-4811
All construction work within the City right of way requires
a separate Right of Way Construction application to be
completed by the contractor and approved by Public Works
Engineering prior to the start of work. A pedestrian or
traffic control plan is to be submitted for approval with
the application as necessary.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417-4831
Trench safety per applicable laws. Temp erosion control and
surface restoration responsibility of applicant. Contact
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 has 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspec tion Type Date Accepted By Comments
FOUNDATION:
Tootings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line(Meter to Bldg)
Gas Line
Back Flow/Wate
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction - R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 3
Application Number . . . . . 16-00001366 Date 10/12/lG
Application pin number . . . 5G9198
--------------------------------------------------------------------------- REPORT SALES TAX
Special Notes and Comments on your state excise tax form
City inspector prior to start of work @ 360 417-4831. No
attachment to sanitary sewer of stormwater roof leaders, to the City of Port Angeles
foundation drains, yard drains, or any other CSO
contribution is allowed. (Location Code 0502)
The contractor making the connection to an existing water
meter is responsible to adjust water meter depth so that
there is a minimum of 4 to 6 inches of clearance between the
bottom of the meter box lid and the top of the meter at
finish grade.
Use existing driveway opening and construct driveway to City
Standards. Concrete with exposed aggregate or other
non-standard finishes(including colors or dyes)are not
allowed in the City road right of way. Broom finish only. An
inspection by Public Works Engineering is required prior to
pouring concrete. Public Works-inspection request line
417-4831
----------------------------------------------------------------------------
Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00
SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 2260.00
-------------------------------------7--------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1608.OS 1608.05 .00 .00
Plan Check Total 867.00 867.00 .00 .00
Other Fee Total 5294.50 5294.50 .00 .00
Grand Total 7769.55 7769.55 .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 has 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
ISkirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction - R.W. PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
THE For City Use
CITY OF
Permit#
-P� P
W A S H I N G T 0 N , U . S. Date Received: �_ /P —J
321 E 51h Street Date Approved 114
Port Angeles,WA 9836 1_50r.-
P:360-417-4817 F:360-417-4711
Email:permitsOci"oa.us PI
BUILDING PERMI PLICATION
Project Address:
Phone7
Primary Contact: C_ [Email:
Name,,
Phone
Property -Mailing Address Email
Owner C3
City State T Lip
Name Phone
Contractor Address Email
Information city Stat zip
Contractor License# r? rExp.Date:
Legal Description: Zoning: T Parcel# Project Value: (rnatq�N* ls and labor)
� s
Residential Commercial Industrial Public 0
Permit Demolition 11 Fire El Repair 0 Reroof(tear off/lay over)
Classification For the following,fill out both pages of permit application:
(check New Construction Or Exterior Remodel 0 Addition 11 Tenant improvement 11
app.ropriate) I Mechanical 11 Plumbing 11 Other El
Fire Sprinkler System Proposed p�sed 7orProposed Bathrooms Pr osed Bedrooms
Irrigation System Pro o 0
:1
or Existing? Yes 0 No 13 Existing?, Yes 0 No 3
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwateragwmftl�w
Project Description G��601'4_
V'wr
V U
Is project in a Flood Zone: Yes 13 NoE3 Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the application and know it 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 and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within IL8o days of submittal,the application
will be considered abandoned and the fees will be forfeited..
Date Print Name LL Signature
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value Rew_area
Basement
First Floor 0,150
Second Floor
Covered Deck/Porch/Entry 72 Yp :5 a C)
Deck(over 30"or 2 nd floor)
Garage 0 Q3
Carport
Other(describe)
,Area Totals
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size(sq ft) Lot Coverage(sq ft)foot print of %Lot Co rage(Total lot cov lot size) Max Bldg Height
all structuresj,;�L 3 6: sq ft,
Site Covera (S Ft of all imp-erviolis)— %&f Si e Co erag (total site cov-- lot size)
.2, -9 a (n ---3 R
MechanicaR rixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handier Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
# Heating/Cooling appliance #
Boiler/Compresso repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-buming/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Fur yeReat Pumpb Size: # Ventilation System
nac ''um I I
Forced Mt—-' I 's
Plumbing Fixtures
Indicate how many of each type of fixtu e to be installed or relocated
Plumbing Traps # Water Heater #
Plumbing Vent piping # Medical gas piping #of Outlets:
Water Line Fuel gas piping #of Outlets:
Sewer Line # Industrial waste pretreatment
interceptor(Grease Trap) Size
Other(describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx
deline St
a
Prescriptive Energy Code Compliance for All Climate Zones in Washington
Project Information Contact Information
KIN- 4 k)Ck,.A 0 0'\ lk�V'- Cf,.j I I
I Tl-krl t�c Lq4 A Pil- VJ X 'Lit
This project will use the requirements of the Prescriptive Path below and incorporate the
the minimum values listed. In addition,based on the size of the structure,the appropriate
number of additional credits are checked as chosen by the permit applicant.
Authorized Representative Date 0
All Climate Zones
R-Valuea U-Factora
Fenestration U-Factor b n/a 0.30
Skylight U-Factor n/a 0.50
Glazed Fenestration SHGCb,, n/a n/a
Ceiling 44 0.026
Wood Frame Wal Ig,k,l 21 int 0.056
Mass Wall R-Valuel 21/21' 0.056
Floor 309 0.029
Below Grade WaII1,k 10/15/21 int+TB 0.042
Slab d R-Value&Depth 10,2 ft n/a
*Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2.
Each dwelling unit in one and two-family dwellings and townhouses,as defined in Section 101.2 of the
International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the
following minimum number of credits:
El 1. Small Dwelling Unit: 0.5 points
Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of
fenestration area. Additions to existing building that are less than 750 square feet of heated floor area.
El 2. Medium Dwelling Unit: 1.5 points
All dwelling units that are not included in#1 or#3, including additions over 750 square feet.
0 3. Large Dwelling Unit: 2.5 points
Dwelling units exceeding 5000 square feet of conditioned floor area.
Table R406.2 Summary
Option Description Credit(s)
1 a Efficient Building Envelope 1 a 0.5
1 b Efficie nt Building Envelope 1 b 1.0
1c Efficient Building Envelope 1c 2.0
2a Air Leakage Control and Efficient Ventilation 2a 0.5 E]
2b Air Leakage Control and Efficient Ventilation 2b 1.0
2c Air Leakage Control and Efficient Ventilation 2c 1.5 El
3a High Efficiency HVAC 3a 0.5 El
3b High Efficiency HVAC 3b 1.0
3c High Efficiency HVAC 3c 2.0
3d High Efficiency HVAC 3d 1.0
4 High Efficiency HVAC Distribution System 1.0 El
5a Efficient Water Heating 0.5 El
5b Efficient Water Heating 1.5 J El
6 Renewable Electric Energy 0.5 *1200 kwh 0.0
Total Credits 0.00
*Please refer to Table R406.2 for complete option descriptions
http://www.energy.wsu.edu/Documents/2012�/`2ORes�/�2OEnergy.pd
Table.R402.1.1 Footnotes
For SI: I foot.=304.8 mm,ci .=continuous insulation, int .= intermediate framing.
a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is
less than the label or design thickness of the insulation,the compressed R-value of the insulation from
Appendix Table A101.4 shall not be less than the R-value specified in the table.
b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration.
Exception:Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1
through 3 where the SHGC for such skylights does not exceed 0.30.
C 1110/15/21.+TB" means R-10 continuous insulation on the exterior of the wall,or R-15 on the continuous
insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the
basement wall at the interior of the basement wall. "10/15/21.+TB"shall be permitted to be met with R-13
cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or
exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R-
13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and
basement wall.
d R-10 continuous insulation is required under heated slab on grade floors.See R402.2.9.1.
e There are no SHGC requirements in the Marine Zone.
f Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table
R301.1.
g Reserved.
h First value is cavity insulation,second is continuous insulation or insulated siding,so "13.+5" means R-13
cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent
or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3
in the locations where structural sheathing is used to maintain a consistent total sheathing thickness.
The second R-value applies when more than half the insulation is on the interior of the mass wall.
For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38.
k Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a
minimum of R-10 insulation.
Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation
requirement.
Table R402.1.3 Footnote
a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as
specified in Section R402.1.3.
6 C., 7
c23 1-Y Af\
or
41
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1-0
P RT NGELES
--Q -A, !
W A S H I N G T 0 N, U. S. A.
2015 1 Code Transition
The City of Port Angeles will adopt the 2015 International Codes effective July 1, 2016,to replace the 2012
International Codes.
The City of Port Angeles realizes that there are projects which have been in the development phase for
several months prior to July 1, 2016. In some instances there may be a question whether a redesign wou.Id
be required.To eliminate uncertainty and avoid creating a hardship for the owner/applicant, until October
1, 2016 the City of Port Angeles will allow projects designed under the 2012 Codes to be vested to the 2012
Codes.
During this transition period between July 1, 2016 and October 1, 2016 the applicant shall complete this
form stating the code under which they want the plans to be vested to,the 2012 or 2015 Codes.The choice
will apply to all codes, building, mechanical, plumbing, and energy codes referenced during the plan review.
You will not be able to switch between code years for different trades. Once you choose the code year,the
project will be regulated by that code edition through completion of the project, or expiration,whichever
comes first.
�hoose to
1, applicant/agent for building application#
have mMlans reviewed under the:
(2 0:1 27C o d�es
2015 Codes
Signature of owner/agent Date