HomeMy WebLinkAbout1136 Craig Ave - Building
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
]21 EAST 5TH STREET. PORT ANGELES. WA 98]62
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Application Number
App12cation pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zon2ng .
Application valuation
05-00000429 Date 10/11/05
972911
1136 CRAIG ST
06-30-14-5-4-0407-0000-
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
42000
Owner
Contractor
DEPAOLO, CHRIS J/TERILYN
1140 CRAIG AVE
PORT ANGELES WA 98362
(360) 417-9170
Other struct info
HATHAWAY CONSTRUCTION
309 W 7TH STREET
PORT ANGELES
PORT ANGELES
(360) 457-5627
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
27 00
1 00
4600 00
1236 00
1 00
.............
............
l\1
~
Permit
Additional desc
Perm2t p2n number
Sub Contractor
Perm2t Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
EXTRA MILE/ 1300SF SFR
62182
EXTRA MILE
73 00
10/11/05
4/09/06
TECH & ELECT., LLC
plan Check Fee
Valuat20n
.00
o
~
~
Qty
1 00
Unit Charge Per
73 0000 ECH EL-R-SQFT FIRST 1300
Extension
73 00
Special Notes and Comments
Build2ng address s2gn 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
pressur2zed or pump2ng to curbs are allowed An inspection
by Building Department is required prior to backfill
06/07/2005 12'44 PM SROBERDS ---------------------------
Construct s f res2dence w/attached garage in RS-9 for
total lot coverage of 27% No land use issues noted
Electrical load C{lCUlations and elctrical permits are
required.
Any mod2fications to the City'S electrical facilities will
be at the custome 's expense
LOAD CALCS ARE RE UIRED.
'"
6"
:~
\,
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 73 00 73 00 00 .00
Plan Check Total 00 00 00 00
COMMENTS/ ACTION NEEDED
1;
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98362
-'
..
Application Number
Application pln number
Other Fee Total 1774 50
Grand Total 1847 50
COMMENTS/ACTION NEEDED
Page 2
Date 10/11/05
05-00000429
972911
1774 50
1847.50
00 00
00 00
';
ELECfRICAL PERMIT INSPECfION RECORD
I 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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
-:}-(o -- Ob
GENERAL COMMENTS:
PW.I102 U (4196]
_ 1i,ORT"'f(.
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'l.li:~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
,321 EAST 5TH STREET, PORT ANGELES, WA 98362
--=-
Lasered
CCD
Application Number
Appl~cation pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000429 Date
972911
1136 CRAIG ST
06-30-14-5-4-0407-0000-
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
42000
Owner
Contractor
DEPAOLO, CHRIS J/TERILYN
1140 CRAIG AVE
PORT ANGELES WA 98362
(360) 417-9170
Other struct info
HATHAWAY CONSTRUCTION
309 W. 7TH STREET
PORT ANGELES
PORT ANGELES
(360) 457-5627
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
51870
586.45
6/15/05
12/12/05
Plan Check Fee
valuation
Qty Unit Charge Per
BASE FEE
17.00 10.1000 THOU BL-25,001-50K (10.10 PER K)
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 51888
Perm~t Fee 76.40 Plan Check Fee
Issue Date 6/15/05 Valuation
Expiration Date 12/12/05
Qty Unit Charge Per
BASE FEE
2.00 14.7000 ECH ME- INSTALL 100- FAU
Permit . . . . .
Additional desc .
Permit pin number
Perm~t Fee
Issue Date
Expiration Date
PLUMBING PERMIT
51896
104.00
6/15/05
12/12/05
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
4.00 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
Special Notes and Comments
6/15/05
WA 98362
27.00
1. 00
4600.00
1236.00
1.00
234.58
42000
Extension
414.75
171.70
.00
o
Extens~on
47.00
29.40
.00
o
Extension
47.00
28.00
7.00
15.00
7.00
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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 penod 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 ordinan ernmg thiS type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to giv authon to violate or cancel the provisions of any state or local law regulating construction or the performance of
c rucb n.
Date
Signature of Owner (If owner IS bUilder)
[Authorized Agent
T \Pohcles\1102_15 bUlldmg penmt mspeclton record05 wpd [1/4/2005]
Date
. ~ 'PORT -\.~
8~O~~~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000429
Application pin number 972911
Page
Date
2
6/15/05
Special Notes and Comments
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
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required pr~or to backfill.
06/07/2005 12:44 PM SROBERDS ---------------------------
Construct s.f. res~dence w/attached garage in RS-9 for
total lot coverage of 27%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
LOAD CALCS ARE REQUIRED.
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 766.85 766.85 .00 .00
Plan Check Total 234.58 234.58 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2775.93 2775.93 .00 .00
Separate Permits are reqwred 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-\Pohcles\ 11 02_15 bUlldmg permit mspecl10n 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 0
I
PLEASE PR9VIDE 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
~
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INSPECTION TYPE DATE ACCEPTED COMMENTS
I I
YES NO
FOUNDATION: q~,~-o5' JlJ- f)"P.
FOOTINGS /SJa.b t/ - !)..4- 0 :3 RV
WALLS ,
FOUNDA TlO~ DRAINAGE I DOWN SPOUTS
PIERS i
POST HOLES (POLE BLDGS )
PLUMBING I
UNDER FLOOR I SLAB ~~ . ft/tX, 1lA/
I
ROUGH-IN 10-1'1, <!:J.e;- \lL
WATER LINE '(METER TO BLDG)
GAS LINE I
BACK FLOW I, WATER
AIR SEAL I /
WALLS I II/J-/ Dr ~l-/
CEILING II I
I
FRAMING
JOISTS I GIRDERS
SHEAR W ALL{HOLD DOWNS
I '0--11'] -t?~ ,} LI-
WALLS I ROOf I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR I
INSULATION
,
SLAB 1 I
WALL/~R/~G 1ft /"J-I O( .JlV I
MECHANICAL I ~!~ lOG
HEAT PUMP I FURNACE I DUCTS ~ -Y?u
GAS LINE I
WOOD STOVEjl PELLET I CHIMNEY
COMMERCIAL HOOD I DUCTS
,
MANUFACTURED HOMES
FOOTING I SL~B
BLOCKING & HOLD DOWNS
,
SKlRTING
I
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
,
PARKING/LIGHTING ESA
- . - - q - - ----- -
I
LANDSCAPING SHORELINE
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
I ELECTRICAL
ELECTRICAL - LIGHT DEPT 417-4735
LIGHT DEPT
I
CONSTRUCTION R W I PWI CONSTRUCTION - R.W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT
I 417-4750 PLANNING DEPT
PLANNING DEPT
BUILDING i 417-4815 I~ /p,/nt. JVV BUILDING
T \Pohcles\1102_15 bUlldmg penmt mspectlOn record05 wpd ['1/4/2005]
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This map IS not mtended to be llsed as a legal deSCriptIOn
This mapldlawmg IS produced bv the Cavaf Port Angeles [OJ lis own use and pwposes
Anv other IIse of this map/drawmg shall not be the responsfblllfl' of the 00'
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PREPARED 3/08/06, 16.38,58
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
3/08/06
1136 CRAIG AVE
HATHAWAY CONSTRUCTION
DEPAOLO, CHRIS J/TERILYN
06-30-14-5-4-0407-0000-
05-00000429 RES NEW SFR
(360) 457-5627
(360) 417-9170
SUBDIV.
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM 01 9/13/05 JLL
9/13/05 AP
BL3 01 10/14/05 JLL
10/14/05 DA
BL3 02 10/17/05 JLL
10/17/05 AP
BAIR 01 11/02/05 JLL
11/02/05 AP
BLI 01 11/02/05 JLL
11/02/05 AP
PW99 01 3/07/06 RV
3/07/06 AP
BL99 01 . ~
BUILDING FOUNDATION MONO SLAB
09/13/2005 03,55 PM PBARTHOL ---------------------------
09/13/2005 03,56 PM PBARTHOL ---------------------------
BUILDING FRAMING TIME, 17.00
10/13/2005 08,35 AM PBARTHOL
DEPAOLO 477-5741
10/14/2005 04,36 PM PBARTHOL ---------------------------
tle top plates together
BUILDING FRAMING TIME, 17,00
10/17/2005 08 29 AM PBARTHOL ---------------------------
10/17/2005 04 52 PM JLIERLY ----------------------------
BUILDING AIR SEAL
11/01/2005 04 51 PM
11/02/2005 12 48 PM
11/02/2005 04 41 PM
BUILDING INSULATION
11/01/2005 04 51 PM
CHRIS 417-9170
11/02/2005 12 48 PM JLIERLY ----------------------------
11/02/2005 04 41 PM JLIERLY ----------------------------
PUBLIC WORKS FINAL
03/07/2006 04 41 PM
03/07/2006 04 41 PM
BUILDING FINAL TIME'
03/07/2006 08 46 AM
CHRIS 460-5428
TIME
17 00
PBARTHOL ---------------------------
JLIERLY ----------------------------
JLIERLY ----------------------------
PBARTHOL ---------------------------
RVESS ------------------------------
RVESS ------------------------------
13.00
DYASUMUR ---------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 ~8/06 ~ MECHANICAL FINAL
03/08/2006 04 38 PM JLIERLY ----------------------------
----------- - --------- ----------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL1 01 9/13/05 JLL PLUMBING UNDER SLAB TIME 17 00
9/13/05 AP 09/13/2005 03,55 PM PBARTHOL ---------------------------
09/13/2005 03,56 PM PBARTHOL ---------------------------
PL2 01 10/14/05 JLL PLUMBING ROUGH- IN TIME 17 00
10/14/05 DA 10/13/2005 08,37 AM PBARTHOL
DEPAOLO 477-5741
10/14/2005 04,35 PM PBARTHOL ---------------------------
no pressure at gauge
PL2 02 10/17/05 JLL PLUMBING ROUGH - IN TIME 17 00
10/17/05 AP 10/17/2005 08.27 AM PBARTHOL ---------------------------
477-5741
IF NO PRESSURE ON GAUGE OPEN VALVE
VENTS ARE FULL TO THE ROOF WITH WATER
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 3/08/06, 13:28 29
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
3/08/06
1136 CRAIG AVE
HATHAWAY CONSTRUCTION
DEPAOLO, CHRIS J/TERILYN
06-30-14-5-4-0407-0000-
05-00000429 RES NEW SFR
SUBDIV
PHONE (360) 457-5627
PHONE : (360) 417-9170
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM 01 9/13/05 JLL
9/13/05 AP
BL3 01 10/14/05 JLL
10/14/05 DA
BL3 02 10/17/05 JLL
10/17/05 AP
BAIR 01 11/02/05 JLL
11/02/05 AP
BLI 01 11/02/05 JLL
11/02/05 AP
PW99 01 3/07/06 RV
3/07/06 AP
BL99 01
~
Ff-
-------------------------------------- COMMENTS
RVESS ------------------------------
RVESS ------------------------------
13:00
DYASUMUR ---------------------------
BUILDING FOUNDATION MONO SLAB
09/13/2005 03 55 PM PBARTHOL ---------------------------
09/13/2005 03 56 PM PBARTHOL ---------------------------
BUILDING FRAMING TIME. 17:00
10/13/2005 08.35 AM PBARTHOL
DEPAOLO 477-5741
10/14/2005 04:36 PM PBARTHOL ---------------------------
t1e top plates together
BUILDING FRAMING TIME: 17 00
10/17/2005 08.29 AM PBARTHOL ---------------------------
10/17/2005 04.52 PM JLIERLY ----------------------------
BUILDING AIR SEAL
11/01/2005 04 51 PM
11/02/2005 12 48 PM
11/02/2005 04 41 PM
BUILDING INSULATION
11/01/2005 04 51 PM
CHRIS 417-9170
11/02/2005 12 48 PM JLIERLY ----------------------------
11/02/2005 04.41 PM JLIERLY ----------------------------
PUBLIC WORKS FINAL
03/07/2006 04 41 PM
03/07/2006 04:41 PM
BUILDING FINAL TIME.
03/07/2006 08:46 AM
CHRIS 460-5428
TIME
17.00
PBARTHOL ---------------------------
JLIERLY ----------------------------
JLIERLY ----------------------------
PBARTHOL ---------------------------
AND NOTES --------------------------------------
PREPARED 3/08/06, 16 38,58
CITY OF PORT ANGELES
- -TIfSPECTIONTICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
3/08/06
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1136 CRAIG AVE
HATHAWAY CONSTRUCTION
DEPAOLO, CHRIS J/TERILYN
06-30-14-5-4-0407-0000-
05-00000429 RES NEW SFR
SUBDIV,
PHONE (360) 457-5627
PHONE, (360) 417-9170
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
PL99 01
3/08/06
~
-------------------------------------- COMMENTS AND NOTES --------------------------------------
JLL
~I'
r
10/17/2005 04 52 PM
PLUMBING FINAL TIME
03/08/2006 04 38 PM
JLIERLY
17 00
JLIERLY
PREPARED 11/02/05, 12 56 51
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
11/02/05
1136 CRAIG AVE
HATHAWAY CONSTRUCTION
DEPAOLO, CHRIS J/TERILYN
06-30-14-5-4-0407-0000-
05-00000429 RES NEW SFR
BLM 01 9/13/05 JLL
9/13/05 AP
BL3 01 10/14/05 JLL
10/14/05 DA
BL3 02 10/17/05 JLL
10/17/05 AP
BAIR 01 ~~
BLI 01 11/02/05 .JS;,p-
I l
SUBDIV
PHONE
PHONE
(360) 457-5627
(360) 417-9170
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION MONO SLAB TIME: 17 00
09/13/2005 03.55 PM PBARTHOL ---------------------------
09/13/2005 03:56 PM PBARTHOL ---------------------------
BUILDING FRAMING TIME: 17:00
10/13/2005 08 35 AM PBARTHOL
DEPAOLO 477-5741
10/14/2005 04 36 PM PBARTHOL ---------------------------
t1e top plates together
BUILDING FRAMING TIME. 17 00
10/17/2005 08 29 AM PBARTHOL ---------------------------
10/17/2005 04 52 PM JLIERLY ----------------------------
BUILDING AIR SEAL
11/01/2005 04 51 PM PBARTHOL ---------------------------
11/02/2005 12 48 PM JLIERLY ----------------------------
BUILDING INSULATION
11/01/2005 04 51 PM PBARTHOL ---------------------------
CHRIS 417-9170
11/02/2005 12 48 PM JLIERLY ----------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 10/14/05, 10:43 58
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
10/14/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
1136 CRAIG ST
HATHAWAY CONSTRUCTION
DEPAOLO, CHRIS J/TERILYN
06-30-14-5-4-0407-0000-
05-00000429 RES NEW SFR
SUBDIV
PHONE (360) 457-5627
PHONE. (360) 417-9170
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL1
01
9/13/05
9/13/05
JLL
AP
PLUMBING UNDER SLAB TIME 17 00
09/13/2005 03.55 PM PBARTHOL ---------------------------
09/13/2005 03 56 PM PBARTHOL ---------------------------
PLUMBING ROUGH-IN TIME 17 00
10/13/2005 08'37 AM PBARTHOL
DEPAOLO 477-5741
PL2
10/14/~ /J~,~
tC111 ~ ~
--------------------~---~~~
NOTES
01
PREPARED 10/17/05, 12,21:01
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
10
10/17/05
1136 CRAIG ST
HATHAWAY CONSTRUCTION
DEPAOLO, CHRIS J/TERILYN
06-30-14-5-4-0407-0000-
05-00000429 RES NEW SFR
(360) 457-5627
(360) 417-9170
SUBDIV
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION MONO SLAB
09/13/2005 03 55 PM PBARTHOL ---------------------------
09/13/2005 03 56 PM PBARTHOL ---------------------------
BUILDING FRAMING TIME 17.00
10/13/2005 08 35 AM PBARTHOL
DEPAOLO 477-5741
10/14/2005 04 36 PM PBARTHOL ---------------------------
t1e top plates together
BL3 02 10L17/05____JLL BUILDING FRAMING TIME. 17:00
;~~;~-;~~~~~;-=~~=~~~~~=--~~-~~--~--~~~~~~~-===========================-----
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
BLM
01
9/13/05
9/13/05
JLL
AP
BL3
10/14/05
10/14/05
JLL
DA
01
TYP/SQ
PL1 01 9/13/05 JLL
9/13/05 AP
PL2 01 10/14/05 JLL
10/14/05 DA
PL2 02 ~~
TIME
17 00
PLUMBING UNDER SLAB TIME: 17'00
09/13/2005 03,55 PM PBARTHOL ---------------------------
09/13/2005 03:56 PM PBARTHOL ---------------------------
PLUMBING ROUGH-IN TIME: 17 00
10/13/2005 08:37 AM PBARTHOL
DEPAOLO 477-5741
10/14/2005 04.35 PM PBARTHOL ---------------------------
no pressure at gauge
PLUMBING ROUGH-IN TIME: 17.00
10/17/2005 08 27 AM PBARTHOL ---------------------------
477-5741
IF NO PRESSURE ON GAUGE OPEN VALVE
VENTS ARE FULL TO THE ROOF WITH WATER.
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 10/14/05, 10:43.58
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
10/14/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1136 CRAIG ST
HATHAWAY CONSTRUCTION
DEPAOLO, CHRIS J/TERILYN
06-30-14-5-4-0407-0000-
05-00000429 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 457-5627
(360) 417-9170
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
01
9/13/05
9/13/05
JLL
AP
TIME: 17 00
BLM
BUILDING FOUNDATION MONO SLAB
09/13/2005 03:55 PM PBARTHOL ---------------------------
09/13/2005 03 56 PM PBARTHOL ---------------------------
10/14/0~ JLL BUILDING FRAMING TIME 17:00
'tj~r--'-/ J ~ 10/13/2005 08 35 AM PBARTHOL
I / fY' DEPAOLO 477-5741
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
01
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BUILDING DIVISION
CITY OF PORT ANGELES
* *
Job Located at
Correction Notice
, 'i
....
G/?/fftr Ar
lilt
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~mJ($/,vt} - (0 tcr ;/~
77~il I/llro
(#0 d~gj-<r\.
t#1I-zAf aff<E.66f.JJ
~/f'tt T#/F-r)
UI'!-<:;; /h(JV~~
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,
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call
for inspection.
Dale I~~j! In.pocto< to' B IIdlng OI,',lon
(,
DO NOT REMOVE THIS-TAG
PREPARED 9/13/05, 12 48.05 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/13/05
~~~~i~~~:--Jl;r~~~-~;~~-------------~~~~~~------------------------------------
OWNER DEPAOLO, CHRIS J/TERILYN PHONE (360) 417-9170
;~~~:~~~~~-~~~=~:~:~~~~~:~~~;~~~~-~~~~~--~;)-~--~~~--------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01 4/28/03 RV BUILDING FOOT /SLAB
4/28/03 AP
BL99 01 6/12/03 JLL BUILDING FINAL
*6/12/03 AP
BLFS 02 / 3.10 _~ BUILDING FOOT /SLAB .A. ~ p./{) S ~
/7, P1r- -p-- 477-5741 (fAy
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: b - I - 0::;-
Pennit#:~
Date ApPToved:~
Date Issued:
Fill out COMPLETELY and in lNK. Your application and site plan MUST
COl\1PLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:. C rtr : ~ -I' l:"~ Lf" ( LJ Uj n D~ pC)~e i "Phone: ...3 t~ 0 . ~II i .. a lib
Owner: C-rv- {S-f T~ r'1 Ly r\ ~ ae lO Phone: l-{ t '1 . q \ t D
Address: (ILl /.) (rOJ ~ AV.L-. City: PD,+ A nOr R/le_~s Zip: QS<'3Jt1.:t
I' ..I
ArcbitectJEngineer: C...hdr Ii ~ S tV) I + r, Phone: Jt.J;O' 1-/ f,CA' u I 1 l(;
Contractor . tJ tJ-rtJ.-fJ....v\/4 y ~ r1.5f: State License #: Exp: Phone:
Address: I I L.-lO . L r o.-J. C-I tC1;V...K City: P 0 r + A ~ ~ Zip: 0, ~ 3 U ~
PROJECT ADDRESS: 'lil6 C-ra.:..f a A'v'..t. ,6+( W ZONING: Q 6 C\
J . .
LEGAL DESCRJPTION: Lot: B Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: 0 LP ~ D f;J ~ 5 t..J () LI (') I
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
~ Residential a( New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Mgve
o Commercial 0 Remo4el 0 Demolition
o Repair 0 Sign.
BRlEF DESCRIPTION OF THE PROJECT:
City:
o Stove
~ Garage
o Deck
o Other
g OA-O- crz-
Exp. ~ate:
~ SIZEN ALUATION: \'..11
~\""_SF.@$ /SF.=$ -l-"~
ItD"'$~ 9--0~ SF. @$ /SF. = $1.2:, 00.
SF.@$ /SF.=$
TOTAL VALUATION $](.4;~U
;- ~i-LLrJ.. I () ~s..t'?I::A:O (' J
-
COMMERCIALJRESIDENTIAL: Occupancy Group:
No. of Stories: .l- Lot Size: 4(p()O Existing Sq. Ft
Total lot cove~ge "2.( "Ie %
Occupant Load: Construction Type: '6- N
~ & Proposed Sq. Ft ) 2 ~ (;' = TOTAL Sq. Ft ) 2 3 ~
\.
~-t'
ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valnation amount must be entered by the applicant This figure will be reviewed
and may be revised by the Building.Di~ion to comply with current fee schedules. - C~ntact the PemIit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plm check fee is due it must be submitted at the time the building permit application and consttUctiou plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF:PLANREVIEW: 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 1:P to 180 d'ays 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
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such peT/nits prior to work.
"IRVES"!'LDG-f_-""""",,\20Il4-Buildfugpo-m;lwpd APPli="~ ~~" . Dote: ->. 111\ JVlf:- 6 G
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Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
Building Department Use Only
Lot.
6
Permit #.
Address
\ \ 3b ~ro.~5 A:ve-
, Notes:
City.
State
ZIp'
" ,
'::!"'~' _ C" . __
Contact.
Phone
Phone 2
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(Unlmllted Gazing 0 tlon ny
Glazmg Glazmg U-Factor Door9 Wall Wall Wall Slab4
OptIOn Area 10 U- Ceiling2 Vaulted Above Int4 Ext4 Floor5 On
% of Floor VertIcal Overhead I] factor CeilIng3 Grade Below Below Grade
Grade Grade
III UnlimIted
Group R-3 0.40 0,58 0.20 R-38 R-30 R-21 R-21 R-IO R-30 R-I0
Occupancy
Only
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
I 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 mtenor or extenor of the frammg
./ 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
o 6026 Exception 1 One door, that IS 24 ft.2 or less, that does not meet the standards IS allowed
Location of the door taking thiS exception
o 602.6 Exception 2 Doors With a U-factor of 0 40 allowed Without calculations, Option III only
Location of the door(s) taking thiS exception
Copynght 2002, WSUCEEP02-056
CopIed by permission from the Washington State Umverslty ExtenSIOn Energy Program
Prescnptlve - Simple Form - Climate Zone 1
7/26/2004
Roof Beamr 2000 International BUlldinQ Code (97 NDS) 1 Ver. 6 00 7
By' Charles Smith, Lindberg & Smith on' 05-02-2005 : 1229'56 AM
Project DEPAOLO - Location. ROOF 1
Summary:
3125 IN x 12 0 IN x 16.0 FT /24F-V4 - Visually Graded Western Species - Dry Use
Section Adequate By: 1587% Controlling Factor: Section Modulus / Depth ReqUIred 8 48 In
Deflections:
Dead Load
Live Load
Total Load
Reactions (Each End)
Live Load:
Dead Load
Total Load
BeannQ Lenqth Required (Beam only, support capacity not checked)'
Camber Reqd.
Beam Data
Span
Maximum Unbraced Span:
Pitch Of Roof
Live Load Deflect Criteria:
Total Load Deflect. Criteria:
Camber Adjustment Factor:
Roof Loadlnq'
Roof Live Load-Side One:
Roof Dead Load-Side One.
Tributary Width-Side One
Roof Live Load-Side Two:
Roof Dead Load-Side Two.
Tributary Width-Side Two
Roof Duration Factor.
Beam Self Weiqht:
Slope/Pitch Adjusted Lenqths and Loads:
Adlusted Beam Lenqth
Beam Uniform Live Load.
Beam Uniform Dead Load'
Total Uniform Load'
Properties For 24F-V4- Visually Graded Western Species
BendlnQ Stress:
Shear Stress
Modulus of ElastiCity
:0
~'lE
Stress Perpendicular to Grain
Bendlnq Stress of Compo Face In Tension'
Adjusted Properties
Fb' (Tension).
Adjustment Factors: Cd=1 15 CI=O 99
Fv"
Adlustment Factors' Cd=1.15
Design Requirements:
ControlhnQ Moment:
80ft from left support
Critical moment created by combining all dead and live loads
Controllinq Shear.
At a distance d from support
Critical shear created by combining all dead and live loads.
Comparisons With Required Sections:
Section Modulus (Moment).
Area (Shear).
Moment of Inertia (Deflection)
DLD=
LLD=
TLD=
LL-Rxn=
DL-Rxn=
TL-Rxn=
BL=
C=
L=
Lu=
RP=
U
U
CAF=
LL1=
DL1=
TW1=
LL2=
DL2=
TW2=
Cd=
BSW=
Ladi=
wL=
wD adi=
-wT=
Fb=
Fv=
Ex=
Ey=
Fc perp=
Fb_cpr=
Fb'=
Fv'=
M=
V=
Sreq=
S=
Areq=
A=
Ireq=
1=
010
027
038
1200
452
1652
081
015
160
20
4
240
180
1 5
500
150
20
50.0
150
1 0
1 15
9
16.0
150
57
207
2400
190
1800000
1600000
650
1200
2736
219 PSI
IN
IN = U703
IN = U511
LB
LB
LB
IN
IN
FT
FT
. 12
XDLD
PSF
PSF
FT
PSF
PSF
FT
PLF
FT
PLF
PLF
PLF
PSI
PSI
PSI
PSI
PSI
PSI
PSI
6610 FT-LB
1454 LB
2899 IN3
7500 IN3
998 IN2
3750 IN2
15860 IN4
. 450 00 IN4
,
Roof Beam[ 2000 International BUlldinQ Code (97 NDS) 1 Ver 600 7
By. Charles Smith, Lindberg & Smith on 05-02-2005 12.3305 AM
ROOF2
Prolect DEPAOLO - Location
Summary
3.5 IN x 7 25 IN x 40FT / #2 - Douqlas Fir-Larch (North) - Dry Use
Section Adequate By. 42 3% Controlling Factor Area / Depth Required 549 In
Deflections:
Dead Load
Live Load:
Total Load.
Reactions (Each End)
Live Load:
Dead Load:
Total Load.
Beanng Length Required (Beam only, support capacity not checked):
Beam Data:
Span.
Maximum Unbraced Span:
Pitch Of Roof:
Live Load Deflect. Criteria.
Total Load Deflect Cnteria
Roof Loadinq:
Roof Live Load-Side One.
Roof Dead Load-Side One:
Tributary Width-Side One.
Roof Live Load-Side Two:
Roof Dead Load-Side Two.
Tributary Width-Side Two
Roof Duration Factor
Beam Self WelQht:
Slope/Pitch Adlusted Lenqths and Loads
Adlusted Beam Lenqth
Beam Uniform Live Load.
Beam Uniform Dead Load
Total Uniform Load.
Properties For. #2- DouQlas Fir-Larch (North)
Bendinq Stress.
Shear Stress.
Modulus of ElastiCity.
Stress Perpendicular to Grain:
Adjusted Properties
Fb' (Tension).
Adjustment Factors. Cd=1.15 CI=1 00 Cf=1 30
Fv'
Adjustment Factors: Cd=1.15
Design Requirements:
ControllInq Moment:
2.0 ft from left support
Cntical moment created by combining all dead and live loads
Controllinq Shear.
At a distance d from support
Cntlcal shear created by combining all dead and live loads
Comparisons With Required Sections
Section Modulus (Moment):
Area (Shear):
Moment of Inertia (Deflection)
DLD=
LLD=
TLD=
LL-Rxn=
DL-Rxn=
TL-Rxn=
BL=
L=
Lu=
RP=
U
U
LL1=
DL1=
TW1=
LL2=
DL2=
TW2=
Cd=
BSW=
Ladl=
wL=
wD adl=
-wT=
Fb=
Fv=
E=
Fc_perp=
Fb'=
Fv'=
M=
V=
Sreq=
S=
Areq=
A=
Ireq=
1=
001
002
003
1400
455
1855
0.85
40
20
4
240
180
500
150
20
500
150
120
1 15
6
40
700
228
928
850
95
1600000
625
1267
IN
IN = L/2117
IN = L/1598
LB
LB
LB
IN
FT
FT
. 12
PSF
PSF
FT
PSF
PSF
FT
PLF
FT
PLF
PLF
PLF
PSI
PSI
PSI
PSI
PSI
109 PSI
1855 FT-LB
1299 LB
1757 IN3
30.66 IN3
17.83 IN2
2538 IN2
1260 IN4
111 15 IN4
Roof Beamr 2000 International BUlldlnq Code (97 NDS) 1 Ver. 6 00 7
By Charles Smith, Lindberg & Smith on 05-02-2005 12 34 15 AM
Prolect DEPAOLO - Location ROOF 3
Summary:
3 5 IN x 5 5 IN x 3.0 FT / #2 - DouQlas Fir-Larch (North) - Dry Use
Section Adequate By 442% Controlling Factor Area / Depth Required 4.11 In
Deflections'
Dead Load:
Live Load:
Total Load:
Reactions (Each End):
Live Load:
Dead Load:
Total Load:
Bearing Length Required (Beam only, support capacity not checked):
Beam Data
Span'
Maximum Unbraced Span:
Pitch Of Roof.
Live Load Deflect. Criteria'
Total Load Deflect. Criteria:
Roof Loadinq'
Roof Live Load-Side One
Roof Dead Load-Side One
Tributary Width-Side One
Roof Live Load-Side Two
Roof Dead Load-Side Two
Tributary Width-Side Two
Roof Duration Factor
Beam Self Weiqht:
Slope/Pitch Adlusted Lenqths and Loads'
Adjusted Beam Lenqth'
Beam Uniform Live Load'
Beam Uniform Dead Load.
Total Uniform Load:
Properties For #2- Douqlas Fir-Larch (North)
Bendlnq Stress:
Shear Stress:
Modulus of Elasticity
Stress Perpendicular to Grain'
Adjusted Properties
Fb' (Tension)'
Adjustment Factors: Cd=1 15 CI=1 00 Cf=1.30
Fv"
DLD= 001 IN
LLD= 002 IN = U2191
TLD= 002 IN = U1656
LL-Rxn= 1050 LB
DL-Rxn= 339 LB
TL-Rxn= 1389 LB
BL= 063 IN
L= 30 FT
Lu= 20 FT
RP= 4 12
U 240
U 180
LL1= 500 PSF
DL 1 = 150 PSF
TW1= 20 FT
LL2= 500 PSF
DL2= 150 PSF
TW2= 120 FT
Cd= 1 15
BSW= 5 PLF
Ladj= 30 FT
wL= 700 PLF
wD_adj= 226 PLF
wT= 926 PLF
Fb= 850 PSI
Fv= 95 PSI
E= 1600000 PSI
Fc_perp= 625 PSI
Fb'= 1268 PSI
Fv'= 109 PSI
M= 1042 FT-LB
V= 972 LB
Sreq= 986 IN3
S= 1765 IN3
Areq= 1335 IN2
A= 1925 IN2
Ireq= 531 IN4
1= 4853 IN4
Adlustment Factors. Cd=1 15
Design Requirements'
ControlllnQ Moment.
15ft from left support
Cntical moment created by combining all dead and live loads
ControllinQ Shear:
At a distance d from support
Cnlical shear created by combining all dead and live loads
Compansons With Required Sections'
Section Modulus (Moment).
Area (Shear):
Moment of Inertia (Deflection)'
Roof Beam[ 2000 International BUlldlnq Code (97 NDS) 1 Ver: 6 00.7
By: Charles Smith, Lindberg & Smith on: 05-02-2005 12'3454 AM
Project DEPAOLO - Location: ROOF 4
Summary.
5.5 IN x 7.25 IN x 5.0 FT / #2 - Douqlas Fir-Larch (North) - Dry Use
Section Adequate By. 150% Controlling Factor: Section Modulus / Depth Required 6.76 In
Deflections:
Dead Load:
Live Load:
Total Load.
Reactions (Each End):
Live Load:
Dead Load:
Total Load:
Beanng Length Required (Beam only, support capacity not checked):
Beam Data:
Span'
Maximum Unbraced Span
Pitch Of Roof:
Live load Deflect. Cntena'
Total load Deflect Cntena'
Roof Loadinq'
Roof Live Load-Side One'
Roof Dead Load-Side One
Tributary Width-Side One'
Roof Live Load-Side Two:
Roof Dead load-Side Two:
Tnbutary Width-Side Two
Roof Duration Factor:
Beam Self Welqht:
Slope/Pitch Adlusted lenqths and loads:
Adlusted Beam Lenqth:
Beam Uniform Live Load.
Beam Uniform Dead load:
Total Uniform Load:
Properties For. #2- Douqlas Fir-Larch (North)
Bendinq Stress.
Shear Stress
Modulus of Elasticity'
Stress Perpendicular to Grain'
Adjusted Properties
Fb' (Tension)
Adjustment Factors Cd=1 15 CI=1 00 Cf=1 00
DLD=
LLD=
TLD=
LL-Rxn=
DL-Rxn=
TL-Rxn=
Bl=
L=
Lu=
RP=
U
U
lL1=
Dl1=
TW1=
lL2=
DL2=
TW2=
Cd=
BSW=
Ladl=
wl=
wD adl=
-wT=
Fb=
Fv=
E=
Fc_perp=
Fb'=
Fv'
Fv'=
AdJustment Factors Cd=1 15
Design Requirements
Controllinq Moment
2.5 ft from left support
Cntical moment created by combining all dead and live loads.
ControllinQ Shear.
At a distance d from support.
Cntical shear created by combining all dead and live loads.
Comparisons With Required Sections
Section Modulus (Moment)
Area (Shear):
Moment of Inertia (Deflection)'
M=
V=
Sreq=
S=
Areq=
A=
Ireq=
1=
001 IN
0.04 IN = U1384
006 IN = U1041
1750 LB
578 LB
2328 LB
068 IN
50 FT
20 FT
4 12
240
180
500 PSF
150 PSF
20 FT
500 PSF
150 PSF
12.0 FT
1.15
10 PLF
50 FT
700 PLF
231 PLF
931 PLF
725 PSI
85 PSI
1300000 PSI
625 PSI
833 PSI
98 PSI
2910 FT-LB
1769 lB
41 91 IN3
4818 IN3
2715 IN2
3988 IN2
3028 IN4
174 66 IN4
Roof Beamr 2000 International BuildmQ Code (97 NOS) 1 Ver 600.7
By. Charles Smith, Lindberg & Smith on: 05-02-2005 : 123542 AM
Prolect DEPAOLO - Location: ROOF 5
Summary:
35 IN x 5 5 IN x 35FT / #2 - Douqlas Fir-Larch (North) - Dry Use
Section Adequate By' 435.7% Controlling Factor' Area / Depth Required 2 24 In
Deflections'
Dead Load.
Live Load:
Total Load.
Reactions (Each End):
Live Load
Dead Load:
Total Load
Beanng Length Required (Beam only, support capacity not checked)'
Beam Data'
Span:
Maximum Unbraced Span:
Pitch Of Roof
Live Load Deflect. Cntena.
Total Load Deflect Critena.
Roof Loadinq.
Roof Live Load-Side One:
Roof Dead Load-Side One:
Tributary Width-Side One:
Roof Live Load-Side Two:
Roof Dead Load-Side Two:
Tnbutary Width-Side Two:
Roof Duration Factor
Beam Self WeiQht.
Slope/Pitch Adjusted LenQths and Loads
Adlusted Beam Lenqth:
Beam Uniform Live Load
Beam Uniform Dead Load'
Total Uniform Load:
Properties For' #2- Douqlas Fir-Larch (North)
Bendmq Stress.
Shear Stress
Modulus of ElastiCity
Stress Perpendicular to Gram'
Adjusted Properties
Fb' (Tension).
Adjustment Factors Cd=1.15 CI=1 00 Cf=1 30
DLD=
LLD=
TLD=
LL-Rxn=
DL-Rxn=
TL-Rxn=
BL=
L=
Lu=
RP=
U
U
LL1=
DL1=
TW1=
LL2=
DL2=
TW2=
Cd=
BSW=
Ladl=
wL=
wD adl=
-wT=
Fb=
Fv=
E=
Fc_perp=
Fb'=
Fv':
Fv'=
Adlustment Factors: Cd=1 15
Design Requirements:
ControlhnQ Moment:
1 75 ft from left support
Cntlcal moment created by combining all dead and live loads
Controllinq Shear
At a distance d from support.
Critical shear created by comblnmg all dead and live loads
Compansons With Required Sections'
Section Modulus (Moment)
Area (Shear)
Moment of Inertia (Deflection):
Sreq=
S=
Areq=
A=
Ireq=
1=
M=
000 IN
001 IN = U6440
001 IN = U4779
263 LB
91 LB
354 LB
016 IN
35 FT
20 FT
4 12
240
180
500 PSF
150 PSF
20 FT
500 PSF
150 PSF
1 0 FT
1 15
5 PLF
35 FT
150 PLF
52 PLF
202 PLF
850 PSI
95 PSI
1600000 PSI
625 PSI
1268 PSI
109 PSI
309 FT-LB
262 LB
293 IN3
1765 IN3
359 IN2
1925 IN2
183 IN4
4853 IN4
V=
OCT-10-2005 08:53 AM
E.JANSSEN
360 452 2982
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ELECTRICAL WORK PERMIT APPLICATION
CJ Requestlnspectlol!
..
.1 \U1I1I81 Permit I:l AIOI"m 0 Calrlll".1 Q Commerciul .. Re,identl.o.1 Q Resldentiall Mahlt, Q Slenl 1:1 Thermo.tat l:J Tetecorn.
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Licr.:nsc number
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Innall:\lion dtscriptiOI1
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Id, wired by
.Ill Electrical Contractor CI Owne..
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'-{/7-C[/70
o Cosh 0 Check #
o Credit Card Vi",
Card II
M LLc::tercard
Discover
-,'J:.:hy ('('flify lhat I am tha owner of the ubovc named properly or il licell.liec.l
.<li...:d crmfrac101' (or the firm's DllthorilCd iltlC'lll) and am making the ~lc,'rriC'al
'.IL\lion or llhcrution in cOOlplinnce with lhl' cIltClricallnw, (,hal)[~l t Cl.2R R('W.
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CTD
.' ~1':ollrllrC' of WII('r, ~ledrlcCll ('Aft rn\'tur or c1ectrklll ndmlllht"3.lor-
Expiratiun Date
of cord
WAl.LS
tnliulBtion Only
,
an .JNG
InsulntilJ1\ Oilly
. ~'0 Cover
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/ lIlliIII'''' . Appnw\'dOy
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SERVICE
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DITCH
FEEDER
llllC
^l'l'm\'~(l A~
UIlIe
^ppm\lCd R,Y
I" ,t;Ct~IC81 Losq,Addltlons ana...o.r 8u.~Jrllctlon5
,() LOAD CHANGES
. ,~j.('board __ KW
,:rnace KW
'l'i~'1 Pump __ Ton _ LAA
,'.Wall KW
Service Information
g Ov~rh8ad Service
Q TornI' Service
o Underground Service
Vollage 12e /~ .. .
Ph...1S-,03
Service Size; ~ 2."o~
Feeder Size: ~
11l~I\I'C'lion Area. Bui1dil1~ or P(plipl\\\.~nl Jn~r':(:lcd Actinn TOIlkcll Electrical
[);lll' Inrpcctor
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