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Home My WebLink About2432 Arbutus Ln - Building fPORl'~ a-4~~~~ ~ 1!:.-- 'lole w;liP' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 3/09/06 05-00000312 Date 662936 2432 ARBUTUS LN 06-30-01-5-5-0180-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 82980 .... Owner Contractor ~d g/~~ '" KIMBERLY WICKERSHAM 2432 ARBUTUS LN PORT ANGELES WA 98363 OWNER Structure Information 000 Other struct info . . 000 1372 SQ. FT. SFR W/ 528 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ATTACHED GARAGE 21. 90 1. 00 9006.00 1978.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 1372SF SFR W/ATT 528SF GARAGE 51250 898.25 plan Check Fee 7/26/05 Valuation 1/22/06 .00 82980 Qty Unit Charge Per Extension 667.25 231. 00 BASE FEE 33.00 7.0000 THOU BL-50,OOl-100K (7.00 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 51268 68.75 Plan Check Fee 7/26/05 Valuation 1/22/06 .00 o Qty Unit Charge Per Extension 47.00 21.75 BASE FEE 3.00 7.2500 ECH ME-VENT FAN ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 51276 132.00 7/26/05 1/22/06 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE 8.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA.WATER HEATER Extension 47.00 56.00 7.00 15.00 7.00 ---------------------------------------------------------------------------- SeparaaHermit.J ar<tie€lWrOOif~eleGtlli(talwor~E6ItPil\j SOOneI~l'l, ESAl=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 ,'f1ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any st or loc regulating 'on or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\1102_IS building permit inspection record05.wpd [1/412005] ~ \ I ~ ~ ~ I / ~ ~ ~ Date \" BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 "'..~ - .. .. . " WALLS FOUNDATION DRAINAGE I DOwtN SPOUTs'. PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS WALLS I ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING T MECHANICAL HEAT PUMP 1 FURNACE I DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINALlNSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] . . . / .' '. . - . . " ." f pORT ~ J~O~~~ na ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000312 Application pin number 662936 Page Date 2 3/09/06 Special Notes and Comments 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 location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 05/12/2005 02:56 PM SROBERDS --------------------------- Lot coverage will be 22%. No land use issues are noted. Ditches and culverts wi~l be ,installed to City Stanards. See Public Works Engineering for ,:>~andards. Sanitary sewer ~onnectlon~i~$Eection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks 'to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. ".', ,... .' .~ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- . -: - - - - - -:. -,.. '":' ..~ ., Permit Fee Total 1099.00 1099.00 .00 : .-00. . , Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2873.50 2873.50 .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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] .\ ..... . .,...~:... ... BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 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 YES NO COMMENTS FOUNDATION: FOOTINGS k... Ftr . WALLS FOUNDATION DRAINAGE / DOWN SPOUTS 2> ILb [Ofp JW ;h-f/./O~ Jt-(; I '- -1/.., 11ft.. p4?J 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 SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING t'1/1& (,h()/tJc, I ,. FINAL~o)l) DATE ~ ACCEPTED BY: - (fl,t,- 1/11/~b I . I a.[z/7 /O~ 7/17/()&? 17t..- ~ , I 7/~/~ I VW .. , FINAL e /~~DATE ~ACCEPTED BY: , , PLANNING DEPT. SEPARATE PERMIT #'s SEPA: ESA: SHORELINE: FINALINSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE DATE YES NO COMMERCIAL DATE ACCEPTED P ARKING/LIGHTING LANDSCAPING RESIDENTIAL YES ELECTRICAL - LIGHT DEPT. 417-4735 fd/:2s7o!:' fi<JJ , ELECTRICAL LIGHT DEPT CONSTRUCTION - R. w. PW / ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING CONSTRUCTION R. W. / PW/ ENGINEERING FIRE 417-4807 417-4653 PLANNING DEPT. 417-4750 ~ , BUILDING 417-4815 C/ / T:\Policies\1102_15 building permit inspection record05.wpd V14/200~ I ,..... , .n/ i \711./ t\J ,~ -.-\}J !I\J \f\~ 1'\)S l\lr \;\ G \[) ~ NO '~ !~ ~~ , fl'oi:r~ cY-40~~~ ,. "-~ ~ ~"'~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 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 05-00000312 Date 662936 2432 ARBUTUS LN 06-30-01-5-5-0180-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 82980 3/09/06 Owner Contractor KIMBERLY WICKERSHAM 2432 ARBUTUS LN PORT ANGELES WA 98363 OWNER Structure Information 000 Other struct info . . 000 1372 SQ. FT. SFR w/ 528 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ATTACHED GARAGE 21.90 1. 00 9006.00 1978.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 5/8" DROP IN WATER METERR Permit pin number 51292 Permit Fee 195.00 Plan Check Fee Issue Date 7/26/05 Valuation Expiration Date 1/22/06 .00 82980 Qty Unit Charge Per BASE FEE Extension 195.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 51300 50.00 7/26/05 1/22/06 Plan Check Fee Valuation .00 82980 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 51284 110.00 7/26/05 1/22/06 Plan Check Fee Valuation .00 82980 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 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. lOrd. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No 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 spec"fied herein or not. The granting of a permit does not p",sume to give autho,jly to violate or cancel the provisions of any or ca W ",gulating con~J 0' the penonnance of construction. / ......- ;t{iU~ Signature of Contractor or Authorized Agent Date Date T:\Policies\l102.15R [1/05] \~ PERMIT INSPECTION RECORD . ~. CALL 417-4807 FOR UTILITY INSPECTIONS. 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 I YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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\1102.15R [1105] r -- .,' . of .oil'r ""'0 rS~ ~~<t. ,. 1\::.-- ~IC~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000312 Application pin number 662936 Page Date 2 3/09/06 Special Notes and Comments pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 05/12/2005 02:56 PM SROBERDS --------------------------- Lot coverage will be 22%. No land use issues are noted. Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 355.00 355.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2129.50 2129.50 .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. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102.15R [1/05] \~ PERMIT INSPECTION RECORD -) CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT lOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANIT AR Y STORM S[TE DRAINAGE SITE EROS[ON CONTROL PARKING SlDEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEV[CE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. 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'" >< E-o .-< o .-< o N o .-< o .-< o N o ... o P: H <( ill M ..:I ill P: H <( ill o ul o 0\ ..:I ill ... ..:I III ... ..:I ill ul ~ E-o o Z ~ ul E-o Z ~ ~ o U N o M ..:I ~ CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East Slh Street, Port Angeles, W A 98362 ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000761 Date 7/18/06 033584 2432 ARBUTUS LN 06-30-01-5-5-0180-0000- HOUSING AUTHORITY FIRE SPRINKLER SYSTEM MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY o Owner Contractor ~ , ~ -....... KIMBERLY WICKERSHAM 2432 ARBUTUS LN PORT ANGELES WA 98363 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID 82487 .00 7/18/06 1/14/07 Plan Check Fee Valuation .00 o Special Notes and Comments 07/18/2006 10:19 AM KDUBUC -----------------------------Plans have been reviewed and approved. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 ~ ~ This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel thrrrovisions of any state or local law regulating the work specified in the penni!. ~ 13~ 7f6/()(; Signature of Contractor or Au orized Agent /Date Signature of Owner (if Owner is builder) Date III FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. 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 .. , .' ~. ; .. ,. FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # I Above ground piping inspection/pressure test Piping pressure test pSI Tank (container) inspection Time initiated Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT .Removal of flammable/combustible liquids . Jank appropriately abandoned .. ~ 'UST abandonment final PERMIT OTHER (specify) . permit final Inspection Type I Date Passed I Comments . { .,' , . ,. GENERAL COMMENTS: 2/15/00 "- 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: 2432 Arbutus Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13RO 13 D rzI Date: 7.18.2006 PAFD Permit #: 06-36 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 13D system will require a measured flow test. Contractor Reviewed by: ~tC2~'lDO Date: l'lCC'~ o fl1 o Building Department Fire Department BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: V\... lS..e.. Owner: /-JO\.A.S~":S I/~!... L,(JV'~+) cj Address: 2.b tf :3 SO}- ./'0\..,-,\ t:!... ~ f Phone: Lj J2. - IS 8.J ClOt 110....-", COLA.....t?Phone: City: 9. A Zip: ~8 J G "'2.. Architect/Engineer: Phone: Contractor I N}JOllA TED F J f<..E State License #:I'UAIO lfFJo LJI./ D t.... Exp: ~2Yl17 Phone: ~'S2. -7J!2.J Address: 8/ JI U--' ku-e.L... 1- ~ City: 'P, A. Zip: 0&Sb 2- PROJECT ADDRESS: 2 LL 32. f) rb1A..1l.AS /8 ZONlNG: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: ~Residential. 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 MoveD Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: J:. ~,/" fl. SIZEN ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL VALUATION $ 2. 2..5"0, CI 0 SpV'('~/"jA.-- S'? r 4~ . No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. COMMERCIAL/RESIDENTIAL: Occupancy Group: % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes oNo 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 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: Ifno permit is issued within 180 days ofthe 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 Rl05.3.2 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 itJs my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wort. .,..... 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I>:H >< ...:I o.U ~UO"''': '" E-< <Il MAR 09 2006 10:3BAM HOUSING AUTHORITY CLALLAM 360 457 7001 p. 1 2603 South Francis Street, Port Angeles, W A 98362 360-452--7631 Fax 360457-7001 Fax To: ~dJ J ~/?- r"7 II FNm: ~Lr ~ e-:f-/cJ-(P PIItIeS: ........ .... III; CC: o UIgent ~ReMw o ...... Com.....t 0 ....... Reply 0 ...... Recycle . Co..___ The~ CODttined in the facsimie message is kpIly i-;~~ aod 00IIfidcDial iDftAD.aIioo 1rdP.ntW only for !he lI!C of the iodivicbl or coI&y to whom the tax is addRssed. If the reader of Ibis messree is DOt the BRDled m:iPent. yon are nobficd that my m-rninllIi"", distribution or a>py of tW tcIecopy is stricdy poIUbik:d. Jfyw}me rea:ived Ibis tdccopy in r:ntX", please ~1y notify us by t...~ and rdl.Im 1bc arPl ~ to 115 attbe ~ above via the Unitr:d StIes P05td Service. ThaDk)'OU. " ~ . .,,,,' "....~ ------~.... . ~ MAR OS 2006 10:38AM HOUSING AUTHORITY CLALLAM 360 457 7001 p.2 HOUSING AUTHORITY OF THE COUNTY OF CLALLAM 2603 S. Francis Street Port Angeles W A 98362 (360) 452-7631 . (360) 457-7001 Fax Email: bacc{a).olypen.com Marcb 9, 2006 ?::>fq lo~ ~TeNSIQH-. 6~ t~ ~ ~ tfO-r 91M2-leo, M PF ~Alob City of Port Angeles Building Department Attn: Jim Lierly RE; Request for Extension for Building Permit Due to changes in ownership and a delay in processing of the new loan, our current building permit for Lot 18 also known as 2432 Arbutus Lane in Port Angeles bas expired. We would like to request an extension of the existing permit, application #05- 00000312, and pin #662936. Tbe former owner of the property was Kimberly Wickersbam; tbe new owner is now Edward A. Tbompson- his mailing address is 2914 Regent Street, Port Angeles, W A 98362. Thank you //'~4d t-~C C~ .. Christy E. C~ Loan Packager/Group Coordinator Mutual Self Help Building Program 360-452-7631 ext 18 jam~~ U~.r!y :,. ~lo6rc:oncmfon"s o;;~ii:rb\Jtus~ . u ............. ..-..... - ':4 Page 1 ~ From: To: Date: Subject: James Lierly hacc@olypen.com; shhomes@olypen.com 1/6/06 10 :03AM Floor conditions on Arbutus. Clallam County Housing Authority Gregg, now that we are in the rainy season, I noticed that the subfloor material has begain to swell and deform. Most flooring has an exposure time frame specified by the manufacture,.usually around 90 days. This is the same condition we had last year on "a" street in the first phase and as per our conversation at the begining of the second phase, I mentioned that i would hope to avoid over exposure on the second phase. At this point, i want you to complete and cover all existing structures that are framed before any other floor systems are intiated. This will give the interior time to dryout and after the structure is enclosed, provide heat, as was required on the first phase. (there is a device that i have seen used on other sites that acts like a squeegee) that you can push the water outside the structure to help keep the water off the floor. Please do not hesitate to contact me if you have any questions about this requirement. City of Port Angeles Building Inspector Jim Lierly 360-417-4816 ,. t ~9'ORr "'-t. $~O~~~ h~ iit~ 11::.-- 'tOi:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 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 05-00000312 Date 662936 2432 ARBUTUS LN 06-30-01-5-5-0180-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 82980 7/26/05 Owner Contractor KIMBERLY WICKERSHAM 2432 ARBUTUS LN PORT ANGELES WA 98363 OWNER Structure Information 000 Other struct info . . 000 1372 SQ. FT. SFR W/ 528 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ATTACHED GARAGE 21. 90 1. 00 9006.00 1978.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 1372SF SFR W/ATT 528SF GARAGE 51250 898.25 plan Check Fee 7/26/05 Valuation 1/22/06 .00 82980 Qty Unit Charge Per Extension 667.25 231. 00 BASE FEE 33.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 51268 68.75 Plan Check Fee 7/26/05 Valuation 1/22/06 .00 o Qty Unit Charge Per Extension 47.00 21. 75 BASE FEE 3.00 7.2500 ECH ME-VENT FAN Permit PLUMBING PERMIT Additional desc Permit pin number 51276 Permit Fee 132.00 Plan Check Fee .00 Issue Date 7/26/05 Valuation 0 Expiration Date 1/22/06 Qty Unit Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1.00 7.0000 ECH PL- EA.WATER HEATER 7.00 ~Mt1 ticTEND~ ~/Oc..- Lt>-rT(S~ t?lJ Ft L6 (V ()' ~ ~ ~ ~ ~ s:: 2 C/\ ~ Separat~P~Aitllj'~M~!'Ilte@l:ifiweft!6t~€a~rlQ~~AA, 5Mrol~e,5E~ utmti~s. 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 pres 0 've thority to violate I the provisions of any state or local law regulating construction or the performance of c struction. "\ 2-'- :S-L.'l- O~ ~ Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD ., . . CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 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 FOUNDA nON: FOOTINGS WALLS FOUNDATiON DRAINAGE / DOWN SPOUTS 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 I I FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I I MECHANICAL I-IEA T PUMP / FURNACE / DUCTS GAS LINE (.~ ! ''\ WOOD STOVE / PltJ :F;T ~<,1UMNEY COMMERCIAL HOOD / ~CTS MANUFACTURED HOMES ~~ FOOTING / SLAB . Y BLOCKING & HOLD DOWNS , . ,. SKIRTING . PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTiNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4\7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTiON - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 4\7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4\7-48\5 BUILDING T:\Policies\\ 102_15 building permit inspection rccord05.wpd (1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 'Application Number . . . . . 05-00000312 Application pin number 662936 Page Date 2 7/26/05 . Special Notes' and Comments 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 location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 05/12/2005 02:56 PM SROBERDS --------------------------- Lot coverage will be 22%. No land use issues are noted. Ditches and culverts will be installed to City Stanards. See public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1099.00 1099.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2873.50 2873.50 .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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PoJicies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 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 / DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT II's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING N + \>J z t-l ~ ~ ~ ~ ~~ v.:l r t. T:\PoliciesIl102_15 building permit inspection record05.wpd [1/4/2005] o~ pORT .....lo'a ~~.~.,... "~" ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000312 Date 662936 2432 ARBUTUS LN 06-30-01-5-5-0180-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 82980 7/26/05 Structure Information 000 Other struct info . . 000 1372 SQ. FT. SFR w/ 528 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ATTACHED GARAGE 21. 90 1. 00 9006.00 1978.00 1.00 ~12M,rf 5creHDeD "?/q /t)~ ~~ t:'F f1.,U5" Owner Contractor KIMBERLY WICKERSHAM 2432 ARBUTUS LN PORT ANGELES WA 98363 OWNER Permit PUBLIC WORKS RES WATER SERV Additional desc 5/8" DROP IN WATER METERR Permit pin number 51292 Permit Fee 195.00 Plan Check Fee Issue Date 7/26/05 Valuation Expiration Date 1/22/06 .00 82980 Qty Unit Charge Per BASE FEE Extension 195.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 51300 50.00 7/26/05 1/22/06 Plan Check Fee Valuation .00 82980 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 51284 110.00 7/26/05 1/22/06 plan Check Fee Valuation .00 82980 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-El When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No 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 rdinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not ume t . e authority to. . or cancel the provisions of any state or local law regulating construction or the performance of construe on~ \ \ Z6JVl-- ,,~- Date Signature of Owner (if owner is builder) Date T:\Policies\110Z.15R [1/05] 1- - PERMIT INSPECTION RECORD -. CALL 417-4807 FOR UTILITY INSPECTIONS. 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 PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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\1102.15R [1/05] o'f ,ORT ~C' ,~"'~'<", ~r'Gii ~ 1!" -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000312 Application pin number 662936 Page Date 2 7/26/05 -Special Notes and Comments pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 05/12/2005 02:56 PM SROBERDS --------------------------- . ,.Lot coverage will be 22%. No land use issues are noted. Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 355.00 355.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2129.50 2129.50 .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. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. 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 PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY - STORM SITE DRAINAGE :arK"':"'''' SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER ;.w:w...~ DRIVEWAY APPROACH BACK-FLOW DEVICE I I I -. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL . DATE ACCEPTED YES NO 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\ 11 02.15R [1/05] - - -258 ~~,~).!. '.:..-: \ -L- :j'j ~~~~~~?~?6 ___ iT I ..................... ,Of ............ ,.....-,.,: I .... ~~;!tf! LOPEZ SIkES , I , I I , I _____________________J I , , L_______________________ I I /- --- SCALE: I" = 20' I I I I o 30 r TITLE:MADRONA WOODS SUBDIVISION SCALE: "'" lot 18 1" = 20' JOB NO: 02030 CLIENT: FILE: HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT18.DWG 2603 S. FRANCIS STREET DATE: l PORT ANGELES, WA 98362 7-29-04..) S'Dt(..T~.. ~ I it. L... ..~-,. v\ 0.('- ~ \~E2>1 BUILDING PERMIT - APPLICATION NO t>~if- ~Q.v;<-w Fe,e. www.cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and si plan MUST BE COMPLETE to be accepted for review. Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711 #ot/.5 ./ N 6- 11 (..1 7' '" () i<' /7- fr' d,c CC)t(/lT'r ()~ ~C4('-,4P-f 4 U.9ICjC.ershflVJ4 City: 7#~ Phone: YY.)- 7~ J / -€PI- IY Phone: Zip: Architect/Engineer: Contractor Phone: State License #: Exp: Phone: Address: PROJECT ADDRESS: OJ '/ J ~ LEGAL DESCRIPTION: Lot: / tr t.A tV l I Zip: 1>012-;- IIN~I( IS 9&-3(, 3 ZONING: Subdivision: tIl ff. J" p "" City: A"R811TUS Block: Wo"d-s CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: TYPE OF WORK: SIZENALUATlON: .efResidential riew Constr. 0 Re-roof 0 Stove 'f72 SF. @ $ ISF. = $ o Multi-family 0 Addition 0 Move ~age -=-2 B SF.@ $ ISF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ ISF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ ~2 <?tCld I Z~ BRIEF DESCRIPTION OF THE PROJECT: /VFw ...::5/"16-(. L ,c."q,n/ LY X'c~I?HrVCl I/Yt"" .:sTO i~ 7 tV / TI+ 4rrr9t" /-Ih.) d- t'19 )l. 64/t,16 ~ COMMERCIAL/RESIDENTlAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: L Lot Size: 9006 Existing Sq. Ft. ~ & Proposed Sq. Ft. /97e = TOT AL Sq. Ft. ) 9 7 9 Total lot coverage 2/1 _ % APPROV ALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICA TION SUBMITTAL: The Building D~ision can provide you with information on the application and plan submittal requirements if you have questions. V ALUA TION 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: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International ijuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know understand that it is my responsibility to determine what permits are req www.cityofpa.us Applica : Q ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98J62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zon~ng Application valuat~on 05-00000312 Date 662936 2432 ARBUTUS LN 06-30-01-5-5-0180-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 82980 7/20/06 ~ ~ Owner Contractor KIMBERLY WICKERSHAM 2432 ARBUTUS LN PORT ANGELES WA 98363 OWNER Structure Information 000 Other struct info 000 1372 SQ. FT. SFR w/ 528 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ATTACHED GARAGE 21.90 1 00 9006 00 1978 00 1. 00 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL SVC./ 2200 SQ FT 82578 ELECTRIC SERVICE 119 80 7/20/06 1/16/07 Plan Check Fee Valuation .00 o N ~ lA) f'-' Qty 1 00 2 00 Unit Charge Per 73 0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 46.80 ~ ~ ~ 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 location. No pressurized or pumping to curbs are allowed An inspection by Building Department is requ~red prior to backfill New subd~vision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained ~n accordance with Uniform Fire Code (UFC) and Nat~onal Fire Protection Association(NFPA) standards 05/12/2005 02 56 PM SROBERDS --------------------------- Lot coverage w~ll be 22% No land use issues are noted. D~tches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Publ~c Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Eng~neering is required pr~or to prouring concrete. E Other Fees SEWER SYSTEM DELV CHARGE 745.00 COMMENTS/ACTION NEEDED s~ ~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 , Application Number Application pin number - 05-00000312 662936 Page 2 Date 7/20/06 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 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 1774 50 1774.50 00 00 Grand Total 1894 30 1894.30 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD , CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECIlON TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-IID2.1514196) 07/12/2006 l\/ ,,1;1'}) LiJ ,-'- 18:29 3604526424 PAGE 01 ...s ~ 'I . 0 OWner ........? ELECTRICAL WORK PERMIT APPLICATIO,N o Request Inspection Q Annual Permit 0 Alarm 0 Carnlv . Commercial 0 Residential tJ Residential Maint. 0 Signs 0 Thermostat 0 Telet::om. Job wired by DOwner Installa\iuJ'l llr;:sl.:riplion Lic;;m:JII; numl1w .'1 . City Telephone number 4')L-lc'-I LL FAX number "'-l"1 "\..--L"l, 2. '-I ~.:>O ~1..fkl.-"('Q~ Premlses o~ntr'l ~mt: !j, B:L-(.-. Addre,; of inspectiofl. __ ^ --z.-\j ";:L /f"tl~..... 'TlA \. City o Cash 0 Check # I hereby certify that t am the owner of the above Damed property or a licensed electrical contIactor (or the fllJD's authorized agent) and am making the electrical 0 Credit Card Visa Mas!ercard Discover installation or alte[tl.oon in complian. ce with the elecaica11aw. Chapter 19.2& RCW. C d # ~ ~ ar ,- . - - -- -'--- -------- Slgu(ure ~ or ~r electrical adminillltrator Expiration Date of card Inspection fce $ x WALLS Insulation Only ?"ILf,.o' O"t ~ 7 - . 'i a;"Cover I .' '" . .,- "'" ....P!)oo..edQy CEll.JNG.... . Insulation Only D., .~pro"d.B)' ., 4 Cov.. ~ . ~I .-f'L. , O"lC Approved y THERMOSTAT 011. "4'provcdBy DITOI '/-I'I-<lJb o.(~ ApPro""" By SJi:RvrCF: 7-lt{. rJ.., ~y Du, FFlDER Dare Appn>Yll4 ~y Electrical load Additions and or subtractions o NO LOAD CI-lANGES [J Baseboard KW o Furnace KW : .QH~p =Ton_LAR ~.Wall \(j KW . Service Information /' Q OVameaCl SgrvlC9 o Temp Service Cl Under9rOl~nd Service Voltag.\"-o/....... pnase~3 .(' Service Size: 2,..0.0 ~ ' Feeder Siz.: ~ r'h... . Inspection D.t< Area, Duilding or Equipment Inspected Action Taken Electrical ".,nspector -06 t-i ! ~ ELECTRICAL INSPECTION .. WIRING REPORT ., 417-4735 PERMIT # o -J- .51 1.. INS~ ADDRESS ;Lgz, ~ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . .. . . . . . . . . . . . . . 0 X ................... FINAL. . . . . . . . . . . . . . . . . . . . 0 , llw1i1fhth CORR'C:;~NEEDED: (f) ~/5.5/"v6 /"'~1t!L (2,ps/~ '-~~S ~ <7:/f?1I7, ~_ L i/ I?AY'!z4--S (-n 7Y7J;. ~G.# ~ 0/ L.u~~ fiq-;v/./) ~ ..r - ;:5O'X (J&,/If-L- A1!Wi/~_ ~A7"-M"~ ~;L (!j) ~<5:m,aLL. iAJnZL$ / 1<1 /,.;M~ ~ ~ .tit? - L/73~ /.,)#F..JV ~1?1L7/~~ - ( 8 -,..:~ (] - oc::.. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381