HomeMy WebLinkAbout1026 Dunker DriveAddress:
1026 Dunker Drive
PREPARED 6/29/15, 9:36:51 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/29/15
------------------------------------------------------------------------------------------------
ADDRESS . : 1026 DUNKER DR SUBDIV:
CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172
OWNER ACE MICHAELS INC PHONE (360) 460-6172
PARCEL 06-30-01-8-3-0050-0000-
APPL NUMBER: 15-00000164 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------ —---------- — ------------ ----- — ------ — --------- — ---------
BLFW O1 3/20/15 JLL BLDG FOUND FTG/STEM WALL
3/20/15 AP. March 19, 2015 12:00:39 PM pbarthol.
Tommy 477-0778
+++++++++++ 1St AM PLEASE *+++++++++++++++++++++++++
March 20, 2015 3:45:27 PM jlierly.
BFF 01 3/27/15 JLL BLDG FLOOR FRAMING
3/27/15 AP March 27, 2015 9:12:03 AM pbarthol.
Mike 460-6172
March 27, 2015 4:05:22 PM jlierly.
BL9 01 4/13/15 JLL BLDG SHEARWALL
4/13/15 AP April 13, 2015 10:09:43 AM jlierly.
mike 460-6172
April 13, 2015 5:01:38 PM jlierly.
BAIR O1 4/30/15 JLL BLDG AIR SEAL
4/30/15 AP April 30, 2015 8:24:26 AM jlierly.
mike 460-6172
April 30, 2015 4:53:09 PM jlierly.
BL3 01 4/30/15 JLL BLDG FRAMING
4/30/15 AP April 30, 2015 8:24:55 AM jlierly.
April 30, 2015 4:53:09 PM jlierly.
FFNL O1 6/01/15 KDD FIRE FINAL
6/01/15 AP June 1, 2015 4:44:23 PM kdubuc.
June 1, 2015 4:44:40 PM kdubuc.
BL99 01 6/29/15J BLDG FINAL
June 29, 2015 9:38:44 AM jlierly.
mike
--------------------
PERMIT: ME 00 MECHANIC& PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------- --------
ME99 01 6/29/15 JLL MECHANICAL FINAL
June 29, 2015 9:39:22 AM jlierly.
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------ ------------
PL2 01 4/15/15 JLL PLUMBING ROUGH-IN
4/15/15 AP April 15, 2015 10:34:49 AM jlierly.
April 15, 2015 3:45:01 PM jlierly.
PL6 01 4/15/15 JLL PLUMBING WATER SUPPLY
4/15/15 AP April 15, 2015 10:35:09 AM jlierly.
April 15, 2015 3:45:01 PM jlierly.
PL99 01 6/29/15 JL PLUMBING FINAL
June 29, 2015 9:39:06 AM jlierly.
--------------------- -- ----------- COMMENTS AND NOTES --------------------------------------
t
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
- V
Application Number . . . . . 15-00000164 Date 3/11/15
Application pin number . . .
893660
Property Address . . . . . .
1026 DUNKER DR
ASSESSOR PARCEL NUMBER:
06 -30 -01 -8 -3 -0050 -0000 -
Application type description
RES NEW SFR
Subdivision Name . . . . . .
1329 W. 10TH ST.
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS9 RESDNTL SINGLE FAMILY
Application valuation . . . .
138002
Application desc
--------
1882 sq ft sfr
----------------------------------------------------------------------------
Owner
Contractor
ACE MICHAELS INC
ACE MICHAELS INC
1329 W 10TH ST
1329 W. 10TH ST.
PORT ANGELES
WA 98363 PORT ANGELES
WA 98363
(360) 460-6172
----------------------------------------------------------------------------
(360) 460-6172
Permit . . . . . .
BUILDING PERMIT -RESIDENTIAL
Additional desc . .
1882 SQ FT SFR
Permit Fee . . . .
1238.65 Plan Check Fee
805.12
Issue Date . . . .
3/11/15 Valuation . . . .
138002
Expiration Date
9/07/15
Qty Unit Charge
Per
Extension
BASE FEE
1020.25
39.00 5.6000
----------------------------------------------------------------------------
THOU BL -100,001-500K (5.60 PER K)
.218.40
Permit . . . . . .
MECHANICAL PERMIT
Additional desc
SFR MECHANICAL
Permit Fee . . . .
97.20 Plan Check Fee
.00
Issue Date . . . .
3/11/15 Valuation . . . .
0
Expiration Date
9/07/15
Qty Unit Charge
Per
Extension
BASE FEE
50.00
3.00 7.2500
EA ME -VENT FAN (SINGLE DUCT)
21.75
1.00 10.6500
EA ME-HOOD/DUCT-MECH. EXHAUST
10.65
1.00 14.8000
EA ME-HEATER(SUSP/WALL/FLOOR-MTD)
14.80
Permit . . . . .
PLUMBING PERMIT
Additional desc .
PLUMBING SFR
Permit Fee . . . .
170.00 Plan Check Fee
.00
Issue Date . . . .
3/11/15 Valuation . . . .
0
Expiration Date
9/07/15
Qty Unit Charge
.Per
Extension
BASE FEE
50.00
9.00 7.0000
EA PL -PLUMBING TRAP
63.00
1.00 7.0000
EA PL -WATERLINE
7.00
4.00 7.0000
EA PL -DRAIN VENT PIPING
28.00
1.00 15.0000
EA PL -SEWER LINE
15.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
. ".!j vi v imuniouuuniy rennn
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:
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
Under Floor / Slab
Rou h -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
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:
Parking / 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
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 15-00000164 Date 3/11/15
Application pin number . . . 893660
Qty Unit Charge Per Extension
1.00 7.0000 EA PL -WATER HEATER 7.00
Special Notes and Comments
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).
This project will require a seperate permit and hood and
duct suppression system plans for review. A full
suppression system test will be required.
Call for cover inspection.for all.sprinkler installations:
A full acceptance test will- be required for the fire
sprinkler system.
Owner is responsible for ongoing fire sprinkler system
inspection and testing per the current addition of NFPA 25.
February 24, 2015 5:08:24 PM' sroberds.
Const new sfr in the RS -7 watt garage for total lot cov of
21% and site cov of 26%. No land use issues anticipated.
Electrical load calculations and electrical permits are
required.
1.Mark clearing limits
2.Establishing Construction Access.
3.Install sediment controls BMPs.
4.Stabilize exposed soils.
5.Protect slopes from erosion.
6.Protect drain inlets.
7.Control pollutants including but not limited to spills,
concrete wash out, exposed aggregate processes, concrete
grinding and saw cut waste water.
8.Maintain temporary and permanent erosion control BMPS
during project.
9.All disturbed area's on site not covered by new
improvements should meet the attached soil quality and depth
standard.
Consider applying for the City Green Infrastructure Rebate
of up to $750.00 towards the materials to install rain
garden to control roof and driveway runoff. Also rebates
available for downspout disconnections.Contact Jonathan
Boehme at 360 417-4811
Trench safety.per applicable laws. Temp erosion control and
surface restoration responsibility of applicant. Contact
City inspector prior to start of work @ 360 417-4831. No
attachment to sanitary sewer of stormwater roof leaders,
foundation drains, yard drains, or.any other CSO
contribution is allowed.
Sanitary sewer connection inspection is required by
REPORT SALES TAX
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)
1.ronn5icunumg uivisionitsuiming rermn
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
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footin / Slab
Blockin & 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
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 3
Application Number . . . . . 15-00000164 Date 3/11/15
Application pin number 893660
----------------------------------------------------------------------------
Special Notes and Comments
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417-4831
Use existing driveway opening.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . CITY DRA a 47.32
DRA FEES PLUS INTEREST 1362.13
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 1505..85 1505.85 .00 .00
Plan Check Total 805.i2 805.12 .00 .00
Other Fee Total 6703.95 6703.95 .00 .00
Grand Total 9014.92 9014.92 .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 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)
— —H aiouwiumy uiviawniouuumng rermii
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:
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
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
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
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000164 Date
3/11/15
Application pin number . . . 893660
Property Address . . . . . . 1026 DUNKER DR
ASSESSOR PARCEL NUMBER: 06 -30 -01 -8 -3 -0050 -0000 -
Application type description RES NEW SFR
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 138002
---------------------------
------------------------------------------------
Application desc
1882 sq ft sfr
----------------------------------------------------------------------------
Owner Contractor
-----------------------
ACE MICHAELS INC ACE MICHAELS INC
1329 W 10TH ST 1329 W. 10TH ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 460-6172 (360) 460-6172
----------------------------------------------------------------------------
Permit . . . . . . PUBLIC WORKS RES WATER SERV
Additional desc . . 3/4" METER FOR FIRE SPRINKLERS
Permit Fee . . . . 420.00 Plan Check Fee
.00
Issue Date . . . . 3/11/15 Valuation . . . .
138002
Expiration Date 9/07/15
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 . . . . 3/11/15 Valuation . . . .
138002
Expiration Date . . 9/07/15
Qty Unit Charge Per
Extension
1.00 150.0000 EA SAN SEWER HOOKUP
----------------------------------------------------------------------------
150.00
Special Notes and Comments
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).
This project will require a seperate permit and hood and
duct suppression system plans for review. A full
suppression system test will be required.
Call for cover inspection for all sprinkler installations.
A full acceptance test will be required for the fire
sprinkler system.
Owner is responsible for ongoing fire sprinkler system
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 dkontractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
r: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 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 4174807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 4174653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-
4815
BUILDING
T:Forms/Building Division/Public Works Permit
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page
2
Application Number . . . . . 15-00000164 Date 3/11/15
Application pin number . . . 893660
----------------------------------------------------------------------------
Special Notes and Comments
inspection and testing per the current addition of NFPA 25.
February 24, 2015 5:08:24 PM sroberds.
Const new sfr in the RS -7 w/att garage for total lot cov of
21% and site cov of 260. No land use issues anticipated.
Electrical load calculations and electrical permits are
required.
1.Mark clearing limits
2.Establishing Construction Access.
3.Install sediment controls BMPs.
4.Stabilize exposed soils.
5.Protect slopes from erosion.
6.Protect drain inlets.
7.Control pollutants including but not limited to spills,
concrete wash out, exposed aggregate processes, concrete
grinding and saw cut waste water.
8.Maintain temporary and permanent erosion control BMPS
during project.
9.All disturbed area's on site not covered by new
improvements should meet the attached soil quality and depth
standard.
Consider applying for the City Green Infrastructure Rebate
of up to $750.00 towards the materials to install rain
garden to control roof and driveway runoff. Also rebates
available for downspout disconnections.Contact Jonathan
Boehme at 360 417-4811
Trench safety per applicable laws. Temp erosion control and
surface restoration responsibility of applicant. Contact
City inspector prior to start of work @ 360 417-4831. No
attachment to sanitary sewer of stormwater roof leaders,
foundation drains, yard drains, or any other CSO
contribution is allowed.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417-4831
Use existing driveway opening.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . CITY DRA % 47.32
DRA FEES PLUS INTEREST 1362.13
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 6703.95 6703.95 .00 .00
Grand Total 7273.95 7273.95 .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.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL
DATE
YES
NO
COMMERCIAL
DATE
ACCEPTED
YES
NO
CONSTRUCTION R.W. / PW/
ENGINEERING 417-4807
CONSTRUCTION - R.W.
PW / ENGINEERING
FIRE 4174653
FIRE DEPT.
PLANNING DEPT. 417-4750
PLANNING DEPT.
BUILDING 417-
4815
BUILDING
T:Forms/Building Division/Public Works Permit
THE
CITY OF AW A SHI NGT O N, U.S.
321 E Slh Street
Port Angeles, WA 9836
P: 360-417-4817 F: 360-417-4711
Email: permits()citvoipa US BUILDING PE
/ For City Use
Permit# /,S /'/'
Da 6 Received:
Rate Approved
LICATION
Project Address: / c `+J\A, kt~ �W,\)Q-
/�
Prima eContact:kt)42-kA')t-1-1
Phone: j .7
Email:
Property
Owner
Name
.C_ 1 .3-^
Phone
Mailing Address iEmail
It��S� l �' 5
CityL
�e
State
p
Name A
-5
Phone
Contractor
Address
Email
Information
city
State
Zip
Contractors Licenseft
Exp. Date:
Legal Description:
Zoning:
Tax Parcel #
Project Value: (materials and labor)
Residential fS, Commercial ❑ Industrial ❑ Public ❑
Permit
Demolition ❑ Fire ❑ Repair ❑ Reroof (tear off/lay over) ❑
Classification
(check
appropriate)
For the following fill out both pages of permit application:
New Construction IR Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Fire Sprinkler System?
Yes ❑ No ❑
Irrigation System?
Yes ❑ No ❑
Proposed Bathrooms
Proposed Bedrooms
Project Description
Is project in a Flood Zone: Yes ❑ Noff Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
I have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
Date—
Print Name )kQ �)
Si ature t i
Area Descriptions (SQ FT)
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck (over 30" ora" floor)
Garage
Carport
Other (describe) CSU N'
AtrA
Area Totals
Area Descriptions (SQ FT)
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work (describe)
Site Area Totals
Residential Structures
Existing Proposed Construction
Floor area Floor area $Value new
area
i) 3, �3o
OC I ly bow
5�Ay7,10
Commercial Structures
Construction
Existing Proposed $ Value new
Floor area I Floor area I—
Lot/Site Coverage Calculations
Lot Size (sq ft) Lot Coverage (sq ft) %Lot Coverage (Total lot cov _ lot size)
Site Coverage (Sq Ft of all impervious) —% of Site Covertge (total site cov _ lot size)
'1 ) .h
Indicate how many of each v
Air Handler Size:
Appliance Exhaust Fan
Boiler/Compressor Size:
Evaporative Cooler (attached, not
portable)
Fuel Gas Piping
Furnace/Heat Pump/ Size:
Forced Air Unit
Indicate how many of each
Plumbing Traps
Water Heater
Water Line
Sewer Line
For Office Use
For Office Use
Max Bldg Height
Mechanical Fixtures
of fixture to be installed or relocated as part of this project.
# Haz/Non-Haz Piping Outlets:
# i Heater (Suspended, Floor, Recessed wall) #
# Heating/Cooling appliance
repair/alteration
# Pellet Stove/Wood-burning/Gas
Fireplace/Gas Stove/Gas Cook Stove/Misc.i
# of Outlets: Ventilation Fan, single duct
# I Ventilation System
Plumbing Fixtures
of fixture to be Installed or relocated
# Fuel gas piping # of Outlets:
# I: Medical gas piping # of Outlets.
# Plumbing Vent piping #
# Industrial waste pretreatment
interce for (Grease Trap) Size
Other (describe):
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Prescriptive Energy Code Compliance for All Climate Zones in Washington
Project Information Contact Information
This project will use the requirements of the Prescriptive Path below and incorporate the
the minimum values listed. In addition, based on the size of the structure, the appropriate
number of additional credits are checked as chosen by the permit applicant.
Authorized Representative G — . Date 3 11c " i J
"Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2.
Each dwelling unit in one and two-family dwellings and townhouses, as defined in Section 101.2 of the
International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the
following minimum number of credits:
1. Small Dwelling Unit: 0.5 points
Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of
fenestration area. Additions to existing building that are less than 750 square feet of heated floor area.
❑ 2. Medium Dwelling Unit: 1.5 points
All dwelling units that are not included in #1 or #3, including additions over 750 square feet.
❑ 3. Large Dwelling Unit: 2.5 points
Dwelling units exceeding 5000 square feet of conditioned floor area.
Table R406.2 Summary
All Climate Zones
Option
R -Value'
U-Factora
Fenestration U-Factorb
n/a
0.30
Skylight U -Factor
n/a
0.50
Glazed Fenestration SHGCb.e
n/a
n/a
Ceiling
49J
0.026
Wood Frame Wall9,k,i
21 int
0.056
Mass Wall R -Value'
21/21'
0.056
Floor
309
0.029
Below Grade Wall`,k
10/15/21 int + TB
0.042
Slab R -Value & Depth
10, 2 ft
n/a
"Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2.
Each dwelling unit in one and two-family dwellings and townhouses, as defined in Section 101.2 of the
International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the
following minimum number of credits:
1. Small Dwelling Unit: 0.5 points
Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of
fenestration area. Additions to existing building that are less than 750 square feet of heated floor area.
❑ 2. Medium Dwelling Unit: 1.5 points
All dwelling units that are not included in #1 or #3, including additions over 750 square feet.
❑ 3. Large Dwelling Unit: 2.5 points
Dwelling units exceeding 5000 square feet of conditioned floor area.
Table R406.2 Summary
Option
Description
Credit(s)
1a
Efficient Building Envelope 1a
0.5
❑
1 b
Efficient Building Envelope lb
1.0
❑
1c
Efficient Building Envelope 1c
2.0
❑
2a
Air Leakage Control and Efficient Ventilation 2a
0.5
❑
2b
Air Leakage Control and Efficient Ventilation 2b
1.0
❑
2c
Air Leakage Control and Efficient Ventilation 2c
1.5
❑
3a
High Efficiency HVAC 3a
0.5
X
3b
High Efficiency HVAC 3b
1.0
❑
3c
High Efficiency HVAC 3c
2.0
❑
3d
High Efficiency HVAC 3d
1.0
❑
4
High Efficiency HVAC Distribution System
1.0
❑
5a
Efficient Water Heating
0.5
❑
5b
Efficient Water Heating
1.5
❑
6
Renewable Electric Energy
0.5
*1200 kwh
Total Credits
*Please refer to Table R406.2 for complete option descriptions
http://www.energy.wsu.edu/Documents/2012%2ORes`/*2OEnergy.pd
0.0
0.00
Table R402.1.1 Footnotes
For SI: 1 foot .= 304.8 mm, ci .= continuous insulation, int .= intermediate framing.
a R -values are minimums. U -factors and SHGC are maximums. When insulation is installed in a cavity which is
less than the label or design thickness of the insulation, the compressed R -value of the insulation from
Appendix Table A101.4 shall not be less than the R -value specified in the table.
b The fenestration U -factor column excludes skylights. The SHGC column applies to all glazed fenestration.
Exception: Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1
through 3 where the SHGC for such skylights does not exceed 0.30.
1110/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous
insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the
basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13
cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or
exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R-
13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and
basement wall.
d R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1.
e There are no SHGC requirements in the Marine Zone.
f Basement wall insulation is not required in warm -humid locations as defined by Figure R301.1 and Table
R301.1.
g Reserved.
h First value is cavity insulation, second is continuous insulation or insulated siding, so "13.+5" means R-13
cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent
or less of the exterior, continuous insulation R -value shall be permitted to be reduced by no more than R-3
in the locations where structural sheathing is used to maintain a consistent total sheathing thickness.
The second R -value applies when more than half the insulation is on the interior of the mass wall.
For single rafter- or joist -vaulted ceilings, the insulation may be reduced to R-38.
k Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a
minimum of R-10 insulation.
Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation
requirement.
Table R402.1.3 Footnote
a Nonfenestration U -factors shall be obtained from measurement, calculation or an approved source or as
specified in Section R402.1.3.