HomeMy WebLinkAbout1020 Dunker DriveAddress:
1020 Dunker Drive
PREPARED 12/14/11, 9:22:06 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/14/11
ADDRESS . : 1020 DUNKER DR SUBDIV:
TENANT, NBR: NORTH PEN HOME BLDRS
CONTRACTOR NORTH PENINSULA BUILDING ASSN. PHONE (360) 452-8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452-8160
PARCEL 06-30-01-8-3-0040-0000-
APPL NUMBER: 11-00001107 RES NEW SFR
---------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--- — - — -------------------------- --------------------- — -- — ----- — ------ ----
BL1 01 12/07/11 JLL BLDG FOUNDATION FOOTING
12/07/11 AP December 6, 2011 4:23:52 PM pbarthol.
DEREK 461-0738
December 7, 2011 3:55:13 PM jlierly.
BL2 01 12/14/11 JLL BLDG FOUNDATION STEM WALL
December 14, 2011 9:07:32 AM pbarthol.
Derek 461-0738
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 12/07/11, 10:42:26 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/07/11
------------------------------------------------------------------------------------------------
ADDRESS . : 1020 DUNKER DR SUBDIV:
TENANT, NBR: NORTH PEN HOME BLDRS
CONTRACTOR NORTH PENINSULA BUILDING ASSN. PHONE (360) 452-8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452-8160
PARCEL 06-30-01-8-3-0040-0000-
APPL NUMBER: 11-00001107 RES NEW SFR
------------------------------------------------- ------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------- ------ ------------------ -----------------
BL1 01 12/07/11 J BLDG FOUNDATION FOOTING
December 6, 2011 4:23:52 PM pbarthol.
DEREK 461-0738
-------------------------------------- COMMENTS AND NOTES ------------- ---------------------
0-fv :��COW LCL
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 11-00001107 Date 10/28/11
Application pin number . . . 337861
Property Address . . . . . . 1020 DUNKER DR
ASSESSOR PARCEL NUMBER: 06 -30 -01 -8 -3 -0040 -0000 -
Tenant nbr, name . . . . . . NORTH PEN HOME BLDRS
Application type description RES NEW SFR
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 135189
----------------------------------------------------------------------------
Application desc
1,401 SF SFR, 484 SF ATT GAR, 132 SF CVRD PRCH
----------------------------------------------------------------------------
Owner Contractor
------------------- - ---- ------------------------
NORTH PENINSULA BUILDERS ASSOC NORTH PENINSULA BUILDING ASSN.
P. O. BOX 748 PO BOX 748
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452-8160 (360) 452-8160
--- Structure Information 000 000 1,401 SF SFR, 484 ATT GAR, 132 CV PRCH
----------------------------------------------------------------------------
Permit . . . . . . PUBLIC WORKS RES WATER SERV
Additional desc . . 3/4" DROP IN METER
Permit Fee . . . . 420.00 Plan Check Fee .00
Issue Date . . . . 10/28/11 Valuation . . . . 135189
Expiration Date . . 4/25/12
Qty Unit Charge Per Extension
1.00 420.0000 EA PW WATER METER DROP IN 420.00
----------------------------------------------------------------------------
Permit . . . . . . SANITARY SEWER HOOK UP
Additional desc . .
Permit Fee . . . . 150.00 Plan Check Fee .00
Issue Date . . . . 10/28/11 Valuation . . . . 135189
Expiration Date . . 4/25/12
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
----------------------------------------------------------------------------
Special Notes and Comments
October 12, 2011 7:27:04 AM rbecker.
If the fire system is a closed system, you will need to
install a double check valve assembly. If it is an open fire
system, you will not need to install a backflolw assembly.
If you have any questions contact Ron Becker at 417-4886,
E-mail: rbecker@cityofpa.us or Fax:360-452-4972
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four -minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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
conC -,tion.
1� ®Z�3li
SignatL re of Contractor or Authorized Agent to Date Signature of Owner (if owner is builder) Date
T:\Policies\1102.15 [10/08]
PERMIT INSPECTION RECORD
CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4831
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
BUILDING
T:\Policies\1102.15 [10/08]
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 [10/08]
Page
2
Application Number . . . . .
11-00001107 Date
10/28/11
Application pin number . . .
----------------------------------------------------------------------------
337861
Special Notes and Comments
Association (NFPA).
October 17, 2011 5:06:12 PM
sroberds.
The project will result in a
new sfr in the RS -7 for total
lot coverage of 22% and site
coverage of 27%. No land use
issues anticipated.
October 12, 2011 10:12:41 AM
banders. OK
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
----------------------------------------------------------------------------
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
----------------------------------------------------------------------------
Fee summary Charged
----------------- ----------
Paid Credited
---------- ---------- ----------
Due
Permit Fee Total 570.00
570.00 .00
.00
Plan Check Total .00
.00 .00
.00
Other Fee Total 5294.50
5294.50 .00
.00
Grand Total 5864.50
5864.50 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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 [10/08]
PERMIT INSPECTION RECORD
CALL 417-4831 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 INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4831
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-4815
BUILDING
T:\Policies\1102.15 [10/081
F ?ORT,
y1,4CITY OF PORT ANGELES .
N
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 11-00001107 Date 3/06/13
Application pin number . . . 337861
Property Address . . . . . . 1020 DUNKER DR
ASSESSOR PARCEL NUMBER: 06 -30 -01 -8 -3 -0040 -0000 -
Tenant nbr, name . . . . . . NORTH PEN HOME BLDRS
Application type description RES NEW SFR
Subdivision Name
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 135189
----------------------------------------------------------------------------
Application desc
1,401 SF SFR, 484 SF ATT GAR, 132 SF CVRD PRCH
----------------------------------------------------------------------------
Owner Contractor
NORTH PENINSULA BUILDERS ASSOC NORTH PENINSULA BUILDING
ASSN.
P. 0. BOX 748 PO BOX 748
PORT ANGELES WA 98362 PORT ANGELES WA
98362
(360) 452-8160 (360) 452-8160
--- Structure Information 000 000 1,401 SF SFR, 484 ATT GAR, 132
----------------------------------------------------------------------------
CV PRCH
Permit . . . . . . PUBLIC WORKS RES WATER SERV
Additional desc . . 3/4" DROP IN METER
Permit Fee . . . . 420.00 Plan Check Fee
00
Issue Date . . . . 10/28/11 Valuation . . . .
135189
Expiration Date . . 6/11/12
Qty Unit Charge Per
Extension
1.00 420.0000 EA PW WATER METER DROP IN
420.00
----------------------------------------------------------------------------
Permit . . . . . . SANITARY SEWER HOOK UP
Additional desc . .
Permit Fee . . . . 150.00 Plan Check Fee
.00
Issue Date . . . . 10/28/11 Valuation . . . .
135189
Expiration Date 6/11/12
Qty Unit Charge Per
Extension
1.00 150.0000 EA SAN SEWER HOOKUP
150.00
----------------------------------------------------------------------------
Special Notes and Comments
October 12, 2011 7:27:04 AM rbecker.
If the fire system is a closed system, you will need to
install a double check valve assembly. If it is an open fire
system, you will not need to install a backflolw assembly.
If you have any questions contact Ron Becker at 417-4886,
E-mail: rbecker@cityofpa.us or Fax:36.0-452-4972
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four -minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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
T:Forms/Building Division/Public Works Permit
Date
Signature of Owner (if owner is builder) Date
PERMIT INSPECTION RECORD
r
CALL 417-4831 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 INA CONSPICUOUS LOCATION.-,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417-4653
FIRE DEPT.
PLANNING DEPT. 4174750
PLANNING DEPT.
BUILDING 45-7-
4815
BUILDING
T:Forms/Building Division/Public Works Permit
of PORT q1,C CITY OF PORT ANGELES
4J /wFC
4 _FN
PUBLIC WORKS & UTILITIES
�P
321 EAST 5TH STREET, PORT ANGELES, WA 98362
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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:Forms/Building Division/Public Works Permit
Page
2
Application Number . . . . .
11-00001107 Date
3/06/13
Application pin number . . .
----------------------------------------------------------------------------
337861
Special Notes and Comments
Association (NFPA).
October 17, 2011 5:06:12 PM
sroberds.
The project will result in a
new sfr in the RS -7 for total
lot coverage of 22% and site
coverage of 27%. No land use
issues anticipated.
October 12, 2011 10:12:41 AM
handers. OK
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
----------------------------------------------------------------------------
Other Fees . . . . . . . . .
CITY DRA %
77.83
DRA FEES PLUS INTEREST
1954.81
RES UNDERGRND SERVICE FEE
770.00
SEWER SYSTEM DELV CHARGE
2260.00
STATE SURCHARGE
4.50
PW WATER SYSTEM USE FEE
2260.00
----------------------------------------------------------------------------
Fee summary Charged
---------------------------
Paid Credited
------------------------------
Due
Permit Fee Total 570.00
570.00 .00
.00
Plan Check Total .00
.00 .00
.00
Other Fee Total 7327.14
7327.14 .00
.00
Grand Total 7897.14
7897.14 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
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:Forms/Building Division/Public Works Permit
PERMIT INSPECTION RECORD
CALL 417-4831 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 INA CONSPICUOUS LOCATION. w
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
CONSTRUCTION R.W. ! PW/
ENGINEERING 4174807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 417.4653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 41-7-
4815
BUILDING
T:Forms/Building Division/Public Works Permit
' BUILDING / PLUMBING /MECHANICAL PERMIT APPLICATION - LONG FORM
(To be used for projects that require plan review.) i C
Date Received
Permit # 1- d
City of Port Angeles Please print in ink. Date Approve
Attn: Building Permit Technician Approved by
321 E. 5t1 St., Port Angeles, WA 98362
360-417-4815 fax: 360-417-4711 Credit card payments are accepted Mon -Fri 8-5 pm (no A ican Express)
Hours: Mon through Fri 8 -� 5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8. 0-12:30 pm
Contact person:r� �'
Phone: 3&0 _b-70- ll �
Pr perty ow er:�p\e
- Winz f !0socic�ah
Phone: 3&0 - IS -2- - V/iib
rLW& & I1
Lot #
Property owner's mailing address:
4 /�O /01 5 Al -t e l e 5 1414
Contractor's business name: 5&4,e_ NP ,+ Phone:
or property owner's name if he/she is doing/overseeing the work
Contractor's mailing address:
Contractor's L&I license number:
Expiration date:
ccol_ do P8 9 CM
2—1 -2ol2--
Project Address:
10.2-0 ul ker v -
Project Type: XResidential o Commercial o Industrial ® Multi -family
Project Business Flame:
for commercial, industrial, or multkfamilprojects)
Zoning:
PC�
Parcel # o 6-30 0 18 3 0040
Lot #
Complete. only the portions of this permit that are relevant to your project.
(✓) t/ Pay the plan check fee .(based on the valuation of the project) at the time of submittal
Residential Projects submit:
{✓ } Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable)
{ ✓) Prescriptive Approach - Simple Form (confirming conformance to the Energy Code)
Commercial Projects submit:
V) Three sets of plans* (including engineering calcs, geotech reports, etc. if applicable)
(✓) Paperwork confirming conformance.to the Energy Code
(✓) For large projects, a pre -construction meeting with various City department
personnel is highly recommended. To schedule a pre -construction meeting, contact
the Planning Manager at (360) 417-4750.
(✓) Additional information may need to be submitted including:
landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities
(existing & proposed), curbs, sidewalks, storm water.plan, etc.
For Additions & New Structures also submit:
(✓) Site plan (8 1/2" x 11") showing all structures (existing & proposed), setbacks, & new driveways
* If an architect or engineer drew the plans or calculations, include at least one "wet -stamped" set of plans
and/or calculations.
T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application - Long Form (Revised 2011)
Page 1 of 4
00.
Repair/ Solar Panels/ Miscellaneous: (explain the proiect)
Project Valuation $
Remodel: (explain the proiect including how the building space is currently being used and what the new,
remodeled use will be)
Project Valuation I
(✓) If the space will change from commercial to residential, submit
"Checklist — Converting Commercial Space into Residential Space"
Addition: (explain the proiect and complete & submit page 3)
Maximum height of the new addition feet Project Valuation $
New Structure., (explain the project and complete & submit page 3)
Maximum height of the new structure I t3 feet Project Valuation $ 3_
PLUMBING PERMIT:
Check one:
No . Yes
MECHANICAL PERMIT.
Check one:
No Yes
Will there be ANY plumbing changes (items moved, added, replaced, or altered)
{ ✓) If yes, complete & submit page 4 "Plumbing Changes"
Will there be ANY mechanical changes (items moved, added, replaced, or altered)
{✓) -If yes, complete & submit page 4 "Mechanical Changes"
Occupancy group # of bedrooms 3
Will a lawn sprinkler system be installed? .14o Occupant load 2.90 eo55 # of full baths $ 2 -
Will
Will a fire sprinkler system be installed? Construction type T�"--r�-P' # of half baths
*Homeowner: If you will be doing / overseeing the work, then the project valuation will. be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
Cost of materials x 2 = Project Valuation $
1 have read and completed this application and know it to be true and correct l 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
working on projects. n
Date l
Page 2 of 4
Signature
Print Name lro
Floor Areas
Basement
15t Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
(> 30" high)'
Deck
(5 30" high)*f
Shed
Other
Other
Existing square New square
footage
footage
* Walking surface of the deck above ground
Price per new
square foot
X = $
Vis. �o
,ol 64 30' ou _ v
t 3 �. 11z. co IS—
Remodel project valuation
TOTAL VALUATION $ 13 S-))51-00
For residential building projects the minimum square foot valuation we accept is:
Dwelling $85.00 per sq. ft. garage/utility/misc.structure $30.00 per sq. ft. porch/deck/carport $12.00 per sq. ft.
LOT COVERAGE & SITE COVERAGE
Lot coverage is the amount or percent of ground area on which buildings are located.
It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer
than.30-inches, uncovered decks or porches having walking surfaces higher than 30 -inches off the ground, etc.
Total footprint of structures 2pt-7 sq. ft. ir lot size q3 P sq.ft. = Lot coverage 22 -
Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks,
patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94.135 for exemptions)
Does the project include a new driveway? ';dyes o no
If yes, what will the driveway be made of? R -f cement ❑ asphalt ❑ gravel ❑ other
(NOTE: 18 feet is the recommended minimum driveway length for residential projects)
Does this project include a new parking pad? ❑ yes ❑ no
If yes, -what will the parking pad be made of? m cement ❑ asphalt ❑ gravel ® other
a) . Total footprint of structures 9- O sq. ft. (existing & new)
b).. Total concrete, asphalt, & other impervious surfaces S-:! -L 0, sq. ft. (existing & new)
c) Add lines "a" & "b" above to get the total impervious 216�(0-7 _ sq, ft. (existing & new)
Total impervious 2 S0sq. ft. _ .lot -size �-_l_� sq. ft. = Site coverage Z7
1
Page 3 of.4
Please list all other planned plumbing changes or additions that aren't listed above.
MECHANICAL CHANGES V
Check "No" or "Yes" (and enter quantities) for each line Item.
Type Mechanical Changes_
(Moved, Added, Replaced,
Furnace, heat pump, or
V/
PLUMBING CHANGES
forced air units 5 tons
Check "No" or "Yes" (and enter quantities) for each
line item.
,_„Quantity
Tvpe
Plumbing
Changes
(Moved, Added, Replaced,
forced air unit > 5 tons
No
Yes
or Altered)
3
Sink (hand, mop, floor etc.)
No
Yes
Quantity
Toilet
NoYes
Yes
Quantity
Bathtub-
No
Yes
1 Quantity
Shower
No
`Yes
_Quantity
Washing Machine
No
a/ Yes
–7r%'Yes
I Quantity
Hot Water Heater
No
Yes
,_Quantity
Water Line (meter to structure)
No
_�/_'No
Yes
l Quantity
Re -plumb the structure
No
Yes
Quantity
Sewer Line
No
a/ Yes
I_Quantity
Backflow Prevention Device Types:
✓
Yes
Quantity
Beverage Machine
No
_7'No
Yes
Quantity
Landscape Watering System
No
Yes
-Yes
Quantity
Fire Sprinkler Systems 2 inch line
No
IL
1 Quantity
Fire Sprinkler System > 2 inch line
✓ No
Yes
Quantity
Please list all other planned plumbing changes or additions that aren't listed above.
MECHANICAL CHANGES V
Check "No" or "Yes" (and enter quantities) for each line Item.
Type Mechanical Changes_
(Moved, Added, Replaced,
Furnace, heat pump, or
or Altered)
forced air units 5 tons
No
-Z--yes
,_„Quantity
Furnace, heat pump, or
forced air unit > 5 tons
No
Yes
Quantity
Ductless heat pump
No
Yes
Quantity
Wali (recessed) heater
No
Yes
Quantity
Baseboard heater
No
Yes
Quantity
Steffes room heater
No
Yes
Quantity
Wood -burning stove
No
Yes
Quantity
Pellet stove
No
Yes
Quantity
Radiant floor heat
No
Yes
Quantity
Gas fireplace or freestanding stove
No
Yes
Quantity
Gas cooking stove
No
Yes
Quantity
Propane tank set
No
Yes
Quantity
Gas line
No
Yes
Quantity
Boiler
No
Yes
Quantity
Clothes Dryer
NoYes
t Quantity
Ventilation fan (single duct)
No
Yes
-W-Quantity
Hood &duct mechanical exhaust
No
__VYes
I Quantity
Ventilation system (not part of a heating or air
-conditioning system)
No
Yes
–Yes
Quantity
Air handler
No
,__Quantity
Evaporative cooler (non-portable)
No
Yes
Quantity
Please list all other planned mechanical changes or additions that aren't listed above. a I
Page 4 of 4
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i
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NS�� �_
\ TALLiS-X6-X4- TEE DRIVEWAY
FOR !FAIN GARDEN, 4c
FIELD LOCATE 75'± f
PUESCRIFTIVE APPROACH—SIMPLE FORM
For the Washington State Energy Code (WSEC) 2009 Edition
Climate Zone 1
CITY GOVEIM dENr . Site Information: I Building Department Use Only:
Lot:
Address: 020 0"Vt, IJr.
city: Port X5eus
State: j A Zip: 1 3 b Z
Contact: `r ray 'B,t l 10i h
Phone: (30A 610 111iq
Phone 2J31160) q9_'2_—g1(00
FAX:
Permit
Notes:
WSEC .Table 6-1
PRESCRIPTIVE REQUIREMENTS. FOR SINGLE-FAMILY RESIDENTIAL OR DUPLEX
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
=
option,.''
Glazing..: :..
o . _
:Area .of
Floor: : ;
: Glazing 'U -Factor ...
-.boor...:.
U-
Factor
Ceiling
Vaulted
Ce I
i in 9
wall.
- Above
Grade'.
1-.t:: ��,
Int.
Below
- . W
Ex^terlo:r
a81ow
Floor
Slab. ori
Concrete
' Overhead
-
-:Vertical
Grade
Graefe
R-49
!►I
Unlimited
0.30
0.50
0:20
or
R-38
R-21
R-21
R-10
R-30 /
R-10
R-38
int
TB
U=0.029
2'
adv
This Project complies with the following:
The project is a single-family residence or duplex.
The project is a wood frame OR all of the insulation is interior or exterior of the framing.
All building components meet the requirements listed above.
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.
[] 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be
installed per unit for ornamental, security, or architectural purposes.
Location of the door taking this exception:
❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical
glazing U -factor listed above.
Location of the door(s) taking exception:
Type of Heat Source: C&rriyw X 14413 '54d�
T:Forms/Budding Division/Prescrlptive Approach -Simple Form
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NATIVE VEGETATION TO
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� LOT 4 i
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k FOOTING DRAIN TO RAIN GARDEN, KEEP I u LO
FOOTING DRAIN R DOWNSPOUT TIGHTLINE
SEPARATE TO POND. DOWNSPOUT I I N
TIGHTUNE MUST BE INSTALLED
HIGH ENOUGH TO DAYLIGHT INTO POND. FOOTING '
MAY CONNECT TO UNDERDRAIN IF GRADES REWIRE
\\PROPOSED SEWER SER- I I I
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INSYNLL R PERFORATED PVC ! I
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P.01/O1
TRANSACTION REPORT
2011/OCT/05/WED 13:20
"FAX(TX)
.77 DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE
,01 OCT/05 13:19 194528197 1 0:00:231 1 1 OK SG3 6673
PREPARED 10/05/11, 11:50:29 PAYMENTS DUE RECEIPT
CITYPORT
--PORT ANGELES----------NO�/"�,--P�---------------------
---------------------- --
APPLICATION NUMBER: 11-00001107 1020 DUNKER DR
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
PLAN CHECK FEES 794.20
TOTAL DUE 794.20
Please present this receipt to the cashier with full payment.
� L1
City of Part Angeles PoS
SOnePoint
Port Angeles WA 99362
Telephone: A -Z7-0411
SALES SLIP
CITY PORT ANGELES
Oper: PERMITS Type: OP Drawer: 1
RECEIPT
Date: 10/05/11 61 Receipt no: 95490
Oper: PERMITS Type: OP Drawer! 1
Seq no: IIE459
Date: 18/05/11 01 Receipt no: 95480
Nerch ID #: 0001
Cross ref#: 104374
Description Quantity Amount
2011 1107
Card no: e******e0224
BP BUILDING PERMITS
1.00 $794.2.0
j Card type: VISA CARD
Trans number: 1265251
WECH, FALEANR
I Ruth code: MS96
Date: 10/05111 Time: 11:53:51
WECH, FALEANR
1020 DUG ER DR
I Payment total: 4794.20
Tender detail
CARDHOLDER AD(NOWL,EDGES RECEIPT OF GWDS
OP CREDIT CARD 4794.20
ANDIOR SERVICES IN THE AMOUNT OF THE
Total tendered 4794.20
I TOTAL SHOWN HEREON AND AGREES TO PERFORM
Total payment 4794.20.
THE OBLIGATIONS SET FORTH IN THE CARD -
HOLDER'S A69EE W WITH THE ISM.
trans date: 10l05f11 Time: 11:53:51
eam THANK YOU FOR YOUR PAYMENT
Signature:
FOR INQUIRIES 360-457-0411 PRESS 1
0
PREPARED 10/05/11, 11:50:29U PAYMENTS DUE RECEIPT
CITY OF PORT ANGELES Nori� Pm 6 1.0{,)qe. -E- Q - PROGRAM BP820L
--------------------------------------------------- -----------------
APPLICATION NUMBER: 11-00001107 1020 DUNKER DR
FEE DESCRIPTION AMOUNT DUE
----------------------------------------------------------------------------
PLAN CHECK FEES 794.20
TOTAL DUE 794.20
Please present this receipt to the cashier with full payment.
�y
CITY OF PORT ANGELES
*** CUSTOMER RECEIPT ***
Oper: PERMITS Type: OP Drawer: 1
Date: 10/05/11 N Receipt no: 95480
Descr2ptlion iQu0antity Amount
BP 0 BUILDING PERMITS
1.00 $794.20
Trans number: 1265251
WECH, FALEANA
WECH, FALEANA
1020 DUNKER DR
Tender detail
OP CREDIT CARD $794.20
I Total tendered $794.20
Total payment $794.20
Trans date: 10/05/11 Time: 11:53:51
*** THANK YOU FOR YOUR PAYMENT ***
FOR INQUIRIES 360-457-0411 PRESS 1
WWW.CITYOFPA.US
City of Port Angeles - OnePoint PoS
3,11 E 5th St
Port Angeles WA 98362
Telephone: 366-457-0411
*** SALES SLIP ***
Oper: PERMITS Type: OP Drawer: 1
Date: 10/05/11 01 Receipt no: 95480
Seq no: 1124502
Merch ID #: 0001
Cross ref#: 104374
Card no: ************0224
Card type: VISA CARD
Auth code: 055996
Date: 10/05/11 Time: 11:53:51
Payment total: $794.20
CARDHOLDER ACKNOWLEDGES RECEIPT OF GOODS
AND/OR SERVICES IN THE AMOUNT OF THE
TOTAL SHOWN HEREON AND AGREES TO PERFORM
THE OBLIGATIONS SET FORTH IN THE CARD-
HOLDER'S AGREEMENT WITH THE ISSUER.
Signature:
CUSTOMER COPY
��NPBA
NORTH PENINSULA BUILDING
ASSOCIATION
October 22, 2012
Mr. Jim Lierly
City of Port Angeles
PO Box 1150
Port Angeles, WA 98362
Dear Jim,
P.O. Box 748 • Port Angeles, WA 98362 • (360) 452-8160
www.npbaJnfo
RECEIVED
OCT 242012
CITY OF PORT ANGELES
BUILDING DIVISION
NPBA would like to request an extension to the building permit for 1020 Dunker Drive, Port Angeles. We are
working with the school district to restart the Future Builders program in Fall of 2013. Our hope is that we will
be able to keep our permit active until that time as to not to incur additional fees to the program which benefits
vocational programs locally. We would appreciate any assistance you could provide in helping with this
valuable community program.
Please let me know if you have any further questions about our plans on the site.
Thank you,
Tracy Gudgel .;L -
Past President, NPBA oaf 2
� Jwi
!.....
rv06 & A-
Y4x- p �a'O I
Heather Catuzo
From: James Lierly
Sent: Monday, April 16, 2012 4:45 PM
To: Heather Catuzo
Subject: FW: Extension of NPBA Building Permit
FYI
Any of these that I get through the email process will be forwarded to you first ...
jim
From: faleanawech@gmail.com[mailto:faleanawechCc)gmail.com] On Behalf Of FaLeana Wech
Sent: Monday, April 16, 2012 11:37 AM
To: James Lierly
Cc: Tracy Gudgel
Subject: Extension of NPBA Building Permit
Hi Jim,
The North Peninsula Building Association would like to request an extension of the Building Permit for 1020
Dunker Drive in Port Angeles. The decision was made to suspend construction of the project but we would like
to keep our permit active.
Please let me know if you have any questions or need additional information.
Thanks,
FaLeana
FaLeana Wech
Executive Officer
North Peninsula Building Association
360.452.8160
faleanagnpba. info
1
\ CITY OF PORT ANGELES
p/1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
` 4v 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 11-00001107 Date 10/28/11
Application pin number . . . 337861
Property Address . . . . . . 1020 DUNKER DR
ASSESSOR PARCEL NUMBER: 06 -30 -01 -8 -3 -0040 -0000 -
Tenant nbr, name . . . . . . NORTH PEN HOME BLDRS
Application type description RES NEW SFR
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 135189
----------------------------------------------------------------------------
Application desc
1,401 SF SFR, 484 SF ATT GAR, 132 SF CVRD PRCH
------------------ ---------------------------------------------------------
Owner
Per
Contractor
NORTH PENINSULA BUILDERS
ASSOC
NORTH PENINSULA B LDING
ASSN.
P. O. BOX 748
THOU BL -100,001-500K (5.60 PER K)
PO BOX 748
Permit .
PORT ANGELES
WA 98362
PORT ANGELS WA
98362
(360) 452-8160
(360) 452,,;.4160
Permit Fee
--- Structure Information
----------------------------------------------------------------------------
000 000 1,401
SF SFR, 484 ATT GAR, 132
CV PRCH
Permit . . . . .
. BUILDING PERMIT
-RESIDENTIAL
Expiration
Additional desc
1,401 SF SFR, 484 SF ATT GAR
.Permit Fee . . .
. 1221.85
Plan Check Fee
794.20
Issue Date . . .
. 10/28/11
Valuation . . . .
135189
Expiration Date .
. 4/25/12
EA ME-FURN/HP/FAU < OR = 5 TON
14.80
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Qty Unit Charge
Per
Extension
BASE FEE
1020.25
36.00
----------------------------------------------------------------------------
5.6000
THOU BL -100,001-500K (5.60 PER K)
201.60
Permit .
. . . . .
MECHANICAL PERMIT
Additional
desc . .
Permit Fee
. . . .
111.25 Plan Check Fee
.00
Issue Date
. . . .
10/28/11 Valuation . . . .
0
Expiration
Date
4/25/12
Qty
Unit Charge
Per
Extension
BASE FEE
50.00
1.00
14.8000
EA ME-FURN/HP/FAU < OR = 5 TON
14.80
1.00
10.6500
EA ME -AIR HAND AOR=10,000 CFM
10.65
2.00
7.2500
EA ME -VENT FAN (SINGLE DUCT)
14.50
1.00
10.6500,
EA_ ME-.HOOD/DUCT-,MECH. EXHAUST_ ..,.-.
10.65
1.00
10.6500
EA ME-STOVE%FIREPLACE/MISC. APP.
10.65
----------------------------------------------------------------------------
Permit .
. . . . .
PLUMBING PERMIT
Additional
desc .
Permit Fee
. . . .
149.00 Plan Check Fee
.00
Issue Date
. . . .
10/28/11 Valuation . . . .
0
Expiration
Date
4/25/12
Qty Unit Charge
Per
Extension
BASE FEE
50.00
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 loc 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
Fire 417-4653
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
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:
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rou h -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ 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
�1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
of
I.
Page 2
Application Number . . . . . 11-00001107 Date 10/28/11
Application pin number . . . 337861
Qty Unit Charge Per Extension
9.00 7.0000 EA PL -PLUMBING TRAP 63.00
1.00 7.0000 EA PL -WATER LINE 7.00
1.00 7.0000 EA PL -BACKFLOW PROTECTION <OR=2" 7.00
1.00 15.0000 EA PL -SEWER LINE 15.00
1.00 7.0000 EA PL -WATER HEATER 7.00
----------------------------------------------------------------------------
Special Notes and Comments
October 12, 2011 7:27:04 AM rbecker.
If the fire system is a closed system, you will need to
install a double check valve assembly. If it is an open fire
system, you will not need to install a backflolw assembly.
If you have any questions contact Ron Becker at 417-4886,
E-mail: rbecker@cityofpa.us or Fax:360-452-4972
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four -minute response area shall be equipped with
residential fire sprinkler systems that, comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
October 17, 2011 5:06:12 PM sroberds.
The project will result in a new sfr in the RS -7 for total
lot coverage of 22% and site coverage of 27%. No land use
issues anticipated.
October 12, 2011 10:12:41 AM banders. OK
Sanitary sewer connection inspection is required by
Public works prior to back fill of ditch. 24 hour advance
notice is required.
-----------------------------------------------------------------------------
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
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 1482.10 1482.10 .00 .00
Plan Check Total 794.20 794.20 .00 .00
Other Fee Total 5294.50 5294.50 .., ..00. __;. .00
Grand Total 7570.80 7570.80 .00 .00
. REPORT SALES TALC
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required forelectrical 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: I
U�%L d�Lr
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Fire 417-4653
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
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
DrVwall Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL:
_.._:. _. :..._. .
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -in
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ 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
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WSEC states that. the test may be performed at any time after rough in. All penetrations
in the building envelope must be sealed including those for utilities, plumbing, electrical,
ventilation and combustion appliances; The code also states that when required by the
buildina`ocial. theaest shall be conducted `in -the presence of :department staff: An air
ff
leakage test is not required.for additions less than 750 squa[e:feet;
To conduct the test;
1. Close all windows, doors and fireplace and stove doors.
2. Close all dampers including: exhaust, intake, make-up air, backdraft and flue dampers.
Since you will be depressurizing>the house,<dampers in<bath fans, etc. will be sucked
closed during the test and` 'ill therefore not negatively affect the results.
3. Make sure plumbing traps are filled with -water,
4. Leave doors between heated areas open..
5. Open access hatches to conditioned attics...and/or conditioned crawl spaces.
6. Seal exterior openings for continuously operating ventilation: systems and heat
recovery ventilators.
7. Turn off heating -and cooling systems but do not seal supply or return registers.
8. Adjust all combustion appliances so that they do not turn on during the test.
9. Install the:blower door in an exterior dooropening and connect hoses -from the
manometer to the blower door fan and the exterior pressure tap. See manufacturer's
instructions for correct set-up.
10. Depressurize the house to -50 Pascals.
11. Record the flow rate (with simple manometers, the fan pressure (Pa) is converted to
-- -----CFM5.0 using a flow -_table: ;Many digital manometers sold with blower doors -can - -- --
automatically perform this; conversion;; and display' CFM50 directly.) Consult your blower
door and manometer manuals.
You now: must convert; the flow rate (CFM50) to SLA.
Use the following formula: SLA = (CFM50 X.055) / (CFA X 144)
Where: SLA = Specific Leakage Area
CFM50 X.055 = Blower door fan flow rat6.at 50,pascal pressure. difference, converted to
a conversion factor. (SLA reference pressure)
CFA x 144 = Conditioned floor area of the housing unit, converted to square inches
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Box 219,
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Part Angeles, WA 98362 (360) 681-0480 800
-479-1371
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INSULATION 9ERTIFICATE
THIS IS TO CERTIFY THAT, IN ACCORDANCE WITH THE CURRENT THERMAL PERFORMANCE STANDARDS
(WASHINGTON STATE CODE) OR APPROVED PLANS, iNSULATION HAS BEEN INSTALLED IN THE BUILDING
LOCATED AT:
PROPERTY ADDRESS:
1c) r)-6 4,
OWNER:
BUILDER:
ATTIC
TYPE OF MATERIAL
BLOWN
-TYPE OF MATERIAL:
EXTERIOR WALLS
TYPE OF MATERIAL:
FLOORS
TYPE OF MATERIAL
VAPOR BARRIERS
TYPE OF MATERIAL-
DUCTIPIPE WRAP
TYPE OF MATERIAL
SUB -CONTRACTOR
DESCRIPTION OF INSULATION
MANUFACTURER THICKNESS
R -VALUE
FIBERGLAS
KNAUF
FIBERGLASS
KNAUF
FIBERGLASS
KNAUF
FIBERGLASS
KNAUF
VISQUEEN
FLOOR
FIBERGLASS
YES
CONTRACTOR'S REG. No:
AUTr-'vf%1LtU SIGNATURE
C & FINSULAT16N. INC.
CEILING -M ------- m --------- -WALLS
NO
L -d 6VEO-199-09S uoijainsuIj pue 3
I
7 ' @ �-/D Vv-,k-� Vr-,
PREPARED 8/29/13, 14:24:38 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/29/13
------------------------------------------------------------------------------------------------
ADDRESS . : 1020 DUNKER DR SUBDIV:
TENANT, NBR: NORTH PEN HOME BLDRS
CONTRACTOR NORTH PENINSULA BUILDING ASSN. PHONE (360) 452-8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452-8160
PARCEL 06-30-01-8-3-0040-0000-
APPL NUMBER: 11-00001107 RES NEW SFR
--------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-------------------- ---
BL1 01 12/07/11 JLL BLDG FOUNDATION FOOTING
12/07/11 AP December 6, 2011 4:23:52 PM pbarthol.
DEREK 461-0738
December 7, 2011 3:55:13 PM jlierly.
BL2 01 12/14/11 JLL BLDG FOUNDATION STEM WALL
12/14/11 AP December 14, 2011 9:07:32 AM pbarthol.
Derek 461-0738
December 14, 2011 3:47:40 PM jlierly.
BL9 01 6/14/13 JLL BLDG SHEARWALL
6/14/13 AP June 14, 2013 9:05:26 AM pbarthol.
MIKE 460-6172
June 14, 2013 4:45:05 PM jlierly.
BAIR O1 6/26/13 JLL BLDG AIR SEAL
6/26/13 AP June 25, 2013 4:47:10 PM pbarthol.
Mike 460-6172
June 26, 2013 4:13:10 PM jlierly.
BL3 01 6/26/13 JLL BLDG FRAMING
6/26/13 AP June 25, 2013 4:46:40 PM pbarthol.
Mike 460-6172
June 26, 2013 4:13:10 PM jlierly.
PW99 01 8/11/13 RV PUBLIC WORKS FINAL
8/12/13 AP August 12, 2013 11:36:23 AM rvess.
August 12, 2013 11:36:40 AM rvess.
BL99 01 8/29/13 J BLDG FINAL
August 29, 2013 1:54:15 PM pbarthol.
Mike 460-6172
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED WRESULTS/COMMENTS--------------------------------------
ME99 01 8/29/13 MECHANICAL FINAL
August 29, 2013 1:54:36 PM pbarthol.
Mike 460-6172
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------- — ---------------
PL2 01 6/19/13 JLL PLUMBING ROUGH -IN
6/19/13 AP June 19, 2013 8:14:57 AM pbarthol.
MIke 460-6172
June 19, 2013 4:00:30 PM jlierly.
PL99 01 8/29/13 J PLUMBING FINAL
August 29, 2013 1• :4 PM pbarthol.
--------------- —-------------------- CONTINUED TO PAGE -----------------------------------
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