HomeMy WebLinkAbout1027 Dunker Drive Address:
1027 Dunker Drive
PREPARED 2/24/15, 13:37:36 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/24/15
------------------------------------------------------------------------------------------------
ADDRESS . : 1027 DUNKER DR SUBDIV:
CONTRACTOR : ACE MICHAELS INC PHONE (360) 460-6172
OWNER ACE MICHAELS INC PHONE (360) 460-6172
PARCEL 06-30-01-8-3-0140-0000-
APPL NUMBER: 14-00000946 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
FFNL O1 9/09/14 KDD FIRE FINAL
9/09/14 AP February 6, 2015 12:32:53 PM kdubuc.
February 6, 2015 12:33:30 PM kdubuc.
fire final
BLFW O1 9/24/14 JLL BLDG FOUND FTG/STEM WALL
9/24/14 AP September 24, 2014 8:27:09 AM pbarthol.
Mike 460-6172
September 24, 2014 4:56:01 PM jlierly.
This inspection was for a mono pour footing and stem wall
together/20' ufr installed/jll
BFF O1 10/10/14 PB BLDG FLOOR FRAMING
10/14/14 AP October 10, 2014 9:14:51 AM pbarthol.
MIKE 460-6172
October 14, 2014 9:42:25 AM pbarthol.
BL9 01 11/04/14 JLL BLDG SHEARWALL
11/04/14 AP November 4, 2014 9:33:32 AM jlierly.
November 4, 2014 4:17:11 PM jlierly.
BAIR O1 11/20/14 JLL BLDG AIR SEAL
11/20/14 AP November 20, 2014 8:34:07 AM pbarthol.
Mike 460-6172
November 20, 2014 4:06:35 PM jlierly.
BL3 01 11/20/14 JLL BLDG FRAMING
11/20/14 AP November 20, 2014 8:33:41 AM pbarthol.
Mike 460-6172
November 20, 2014 4:06:35 PM jlierly.
PW99 01 2/23/15 RV PUBLIC WORKS FINAL
2/24/15 AP February 24, 2015 12:48:01 PM rvess.
February 24, 2015 12:48:22 PM rvess.
BL99 01 2/24/15ido BLDG FINAL
February 24, 2015 9:46:13 AM pbarthol.
Mike--460-6172
------------------------------------------------------------------------------------------------
PERMIT: ME 00 NECBANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 2/24/15 J MECHANICAL FINAL
February 24, 2015 9:46:30 AM pbarthol.
Mike 460-6172
PERMIT: PL 00 PLUMBING P IT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL2 01 11/04/14 JLL PLUMBING ROUGH-IN
11/04/14 AP November 4, 2014 9:33:49 AM jlierly.
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 2/24/15, 13:37:36 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/24/15
------------------------------------------------------------------------------------------------
ADDRESS . : 1027 DUNKER DR SUBDIV:
CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172
OWNER ACE MICHAELS INC PHONE (360) 460-6172
PARCEL 06-30-01-8-3-0140-0000-
APPL NUMBER: 14-00000946 RES NEW SFR
------------------------------------------------------------------------------------------------
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------------------------------------------------- ----------------------------
November 4, 2014 4:17:11 PM jlierly.
PL99 01 2/24/15 PLUMBING FINAL
February 24, 2015 9:46:37 AM pbarthol.
Mike 460-6172
------------------------- ----------- COMMENTS AND NOTES --------------------------------------
" CITY OF PORT ANGELES
t o DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00000946 Date 9/11/14
Application pin number . . . 320618
Property Address . . . . . . 1027 DUNKER DR
ASSESSOR PARCEL NUMBER: 06-30-01-8-3-0140-0000- REPORT SALES TAX
Application type description RES NEW SFR on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 163920
Application desc
1668 SQ FT SFR
------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
\ ACE MICHAELS INC ACE MICHAELS INC v
1329 W 10TH ST 1329 W. 10TH ST.
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 460-6172 (3 60) 460-6172 �e
------
----------------------------------------------------------------------
Permit BUILDING PERMIT RESIDENTIAL
ditional desc . SQ FT SFR
Permit Fee . . . . 1378.65 Plan Check Fee 896.12
Issue Date . . . . 9/11/14 Valuation . . . . 163920
Expiration Date 3/10/15
\ Qty Unit Charge Per Extension
BASE FEE 1020.25
64.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 358.40
----
---------------------------------- -- ----
Permit . . . . . MECHANICAL PERMIT
Additional desc . . SFR MECHANICAL
Permit Fee . . . . 171.20 Plan Check Fee .00
Issue Date . . . . 9/11/14 Valuation . . . . 0
Expiration Date . . 3/10/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
3.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 21.75
1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65
5.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 74.00
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . SFR PLUMBING
Permit Fee . . . . 184.00 Plan Check Fee .00
Issue Date 9/11/14 Valuation . . . . 0
Expiration Date 3/10/15
Qty Unit Charge Per Extension
BASE FEE 50.00
10.00 7.0000 EA PL-PLUMBING TRAP 70.00
1.00 7.0000 EA PL-WATER LINE 7.00
5.00 7.0000 EA PL-DRAIN VENT PIPING 35.00 Ni
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
n
G DEPT. Separate Permit#s SEPA:
i Min ESA:
ng SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
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 . . . . . 14-00000946 Date 9/11/14
Application pin number 320618
REPORT SALES TAX
Qty Unit Charge Per Extension on your state excise tax form
1.00 15.0000 EA PL-SEWER LINE 15.00
1.00 7.0000 EA PL-WATER HEATER 7.00 to the City of Port Angeles
------and----Comments--------
Special Notes --------------------------------------------- (Location Code 0502)
August 12, 2014 12:20:04 PM rbecker.
If the fire sprinkler system is a closed system, you will
need to install a double check valve assembly.
If the fire sprinkler system is an open system, you will not
need to install a backflow assembly.
I you have any questions call Ron Becker at 360-417-4886.
fax:360-452-4972, or E-mail:rbecker@cityofpa.us
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 seperate permit and fire
sprinkler plans for review.
August 12, 2014 2:26:00 PM sroberds.
Proposal will result in new sfr in the RS-9 for total lot
cov of 22% and site cov of 35t. No land use issues
anticipated.
Electrical load calculations and electrical permits are
required.
1. Establishing Construction Access.
2. Install sediment controls BMPs.
3. Stabilize exposed soils.
4. Protect slopes from erosion.
5. Protect drain inlets.
6. Control pollutants including but not limited to spills,
concrete wash out, exposed aggregate processes, concrete
grinding and saw cut waste water.
7. Maintain temporary and permanent erosion control BMPS
during project.
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
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
w .
BUILDING PERMIT INSPECTION RECORD
-- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bidgs.)
PLUMBING:
Under Floor/Slab
Rough-in
Water Line Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
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 . . . . . 14-00000946 Date 9/11/14
Application pin number . . . 320618
---------------------------------------------------------------------------- REPORT SALES TAX
Special Notes and Comments on your state excise tax form
notice is required. Public Works Inspection request line
417-4831 to the City of Port Angeles
Required inspections during rain garden construction, 1) (Location Code 0502)
after sub grade excavation before placing rock or rain
garden mix, 2) After placing rain garden soil mix, 3) Upon
completion with all plants installed.
Rain garden maintenance schedule shall be established and
recorded with the plat. The schedule shall set out the
maintenance to be completed, the time period for completion,
and who shall perform the maintenance.
Contact Jonathan Boehme at 360 417-4811
----------------------------------------------------------------------------
Other Fees . . . . . . . . . CITY DRA %- 77.83
DRA FEES PLUS INTEREST 2193.68
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 1733.85 1733.85 .00 .00
Plan Check Total 896.12 896.12 .00 .00
Other Fee Total 7566.01 7566.01 .00 .00
Grand Total 10195.98 10195.98 .00 .00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Light g ESA:
Landscaping SHORELINE:
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
PORT pyod'
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00000946 Date 9/11/14
Application pin number . . . 320618
Property Address . . . . . . 1027 DUNKER DR
ASSESSOR PARCEL NUMBER: 06-30-01-8-3-0140-0000- REPORT SALES TAX
Application type description RES NEW SFR
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 163920 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
1668 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 . . . . . . SANITARY SEWER HOOK UP
Additional desc . .
Permit Fee . . . . 150.00 Plan Check Fee .00
Issue Date . . . . 9/11/14 Valuation . . . . 163920
Expiration Date . . 3/10/15
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
----------------------------------------------------------------------------
Special Notes and Comments
August 12, 2014 12:20:04 PM rbecker.
If the fire sprinkler system is a closed system, you will
need to install a double check valve assembly.
If the fire sprinkler system is an open system, you will not
need to install a backflow assembly.
I you have any questions call Ron Becker at 360-417-4886.
fax:360-452-4972, or E-mail:rbecker@cityofpa.us
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 seperate permit and fire
sprinkler plans for review.
August 12, 2014 2:26:00 PM sroberds.
Proposal will result in new sfr in the RS-9 for total lot
cov of 22% and site cov of 35W. No land use issues
anticipated.
Electrical load calculations and electrical permits are
required.
1. Establishing Construction Access.
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.
- I\ ^ IL-(— �& �� r�'
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner S 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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB&GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 4174807 PW/ENGINEERING
FIRE 4174653 FIRE DEPT.
PLANNING DEPT. 4174750 PLANNING DEPT.
BUILDING 417- BUILDING
4815
T:Forms/Building Division/Public Works Permit
OP PORT a,�,Q
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . 14-00000946 Date 9/11/14
Application pin number . . . 320618
---------------------------------------------------------------------------- REPORT SALES TAX
Special Notes and Comments
2. Install sediment controls BMPs. on your state excise tax form
3. Stabilize exposed soils. to the City of Port Angeles
4. Protect slopes from erosion.
5. Protect drain inlets. (Location Code 0502)
6. Control pollutants including but not limited to spills,
concrete wash out, exposed aggregate processes, concrete
grinding and saw cut wastewater.
7. Maintain temporary and permanent erosion control BMPS
during project.
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
Required inspections during rain garden construction, 1)
after sub grade excavation before placing rock or rain
garden mix, 2) After placing rain garden soil mix, 3) Upon
completion with all plants installed.
Rain garden maintenance schedule shall be established and
recorded with the plat. The schedule shall set out the
maintenance to be completed, the time period for completion,
and who shall perform the maintenance.
Contact Jonathan Boehme at 360 417-4811
----------------------------------------------------------------------------
Other Fees . . . . . . . . . CITY DRA % 77.83
DRA FEES PLUS INTEREST 2193.68
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 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 7566.01 7566.01 .00 .00
Grand Total 7716.01 7716.01 .00 .00
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements.This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date
T:Fotms/Building Division/Public Works Permit
PERMIT INSPECTION RECORD
CALL 4174831 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
INSPECTION TYPE DATE ACCEPTED . COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB&GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 4174653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417- BUILDING
4815
T:Forms/Building Division/Public Works Permit
THE
For City Use
CITY0 F v n "S
Permit#
W A S H I N G T 0 N, U . S. ;pDate Received: 95
321 E 51e Street Date Approved
Port Angeles,WA 9836 —J
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us
BUILDING PERMI APPLICATION
Project Address: QC:2 2 �%j& V--P-- &\�P--
Phone:
Prima g Contact: Email:
Name ^ I A y S y e Phone
Property Mailing Address Email
Owner Wes + 0 6-F
City fB Ll State Zip
Nam XPhone
S '7:,&C
Contractor Address Email
Information city State Zip
Contractor License# Exp.Date:
Legal Description: Zoning: Parcel# Project Value: (materials and labor)
i�ry�0/ 0 f� $ 1 (0 S .2 a 0
Residential Commercial 1:1 Industrial El Public 11
Permit Demolition 13 Fire 11 Repair 1:1 Reroof(tear off/lay over) 0
Classification For the following, fill out both pages of permit application:
(check New Construction 11 Exterior Remodel 0 Addition 11 Tenant Improvement ❑
appropriate) I Mechanical 11 Plumbing, 1:1 Other 11
tem be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms 13 Yes 13 No
] g
Will a fire sprinkler s s
or modified? Yes 9 No a 3
Project Description e— W"
Is project in a Flood Zone: YesType:
Flood Zone
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 �"\Vk Cr�-Jb)L� Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
1(06b' 1
Second Floor
Covered Deck/Porch/Entry 3 Tao
Deck(over 30"or i° floor)
Garage y�0
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage_lot size)
0(C t
Site Coverage(Sq Ft of all impervious) %of Site Cov rage(total site coverage_lot size)
Mechanical Fixtures
Indicate how many of each a of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # h' Heater(Suspended, Floor,Recessed wall) #.--
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Pip'ng �25 #of Outlets: Ventilation Fan,single duct #
Furnace/Heat-Pump/ Size: _ # Ventilation System #
Forced Air Unit I. 1�
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # 1 Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor Grease Trap) Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
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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.
1� ) Date
Authorized Representative CAA L
1
All Climate Zones
R-Value' U-Factor'
Fenestration U-Factorb n/a 0.30
Skylight U-Factor n/a 0.50
Glazed Fenestration SHGCb.e n/a n/a
Ceiling 49' 0.026
Wood Frame Wall9:k,' 21 int 0.056
Mass Wall R-Value' 21/21h 0.056
Floor 309 0.029
Below Grade Wall`.k 10/15/21 int+TB 0.042
Slabs 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 ❑
lb 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 ❑
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 0.0
Total Credits 0.00
*Please refer to Table R406.2 for complete option descriptions
http://www.energy.wsu.edu/Documents/2012%20Res%20EnergV.pdf
Table R402.1.1 Footnotes
For SI: 1 foot.=304.8 mm, ci .= continuous insulation, int.= intermediate framing.
a R-values are minimums. LI-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 LI-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.
"10/15/21.+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 LI-factors shall be obtained from measurement, calculation or an approved source or as
specified in Section R402.1.3.
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