HomeMy WebLinkAbout1104 Dunker Drive Address:
1104 Dunker Drive
PREPARED 12/04/15, 9:54:26 INSPECTION TICKET tt PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/04/15
-----------------------------—---------------—----—-------------—----------—--------------
ADDRESS . : 1104 DUNKER DR SUBDIV:
CONTRACTOR THURMAN SUPPLY PHONE (360) 457-8591
OWNER Rob Fee PHONE (360) 710-2386
PARCEL 06-30-01-8-3-0060-0000-
APPL NUMBER: 15-00001434 RES MECHANICAL PERMIT
-------------------------------—---------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------------------------------------------------------------------------------------
ME6 01 11/12/15 JLL MECHANICAL GAS LINE
11/12/15 AP November 12, 2015 10:32:41 AM jlierly.
Darren
November 12, 2015 4:11:40 PM jlierly.
ME99 01 12/04/15 J L MECHANICAL FINAL
December 3, 2015 9:47:24 AM jlierly.
Rob 360-710-2384/2386?
----------------------- ----------—- COMMENTS AND NOTES --------------------------------------
PREPARED 12/03/15, 13:41:03 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/03/15
ADDRESS : 1104 DUNKER DR SUBDIV:
CONTRACTOR THURMAN SUPPLY PHONE (360) 457-8591
OWNER Rob Fee PHONE (360) 710-2386
PARCEL 06-30-01-8-3-0060-0000-
APPL NUMBER: 15-00001434 RES MECHANICAL PERMIT
------------- -------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP%SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------/X. -- ------
ME6 01 11/12/15 JLL MECHANICAL GAS LINE /
11/12/15 AP November 12, 2015 10:32:41 AM jlierly.
Darren
November 12, 2015 4:11:40 PM jlierly.
ME99 01 12/03/15 MECHANICAL FINAL
December 3, 2015 9:47:24 AM jlierly.
Rob 360-710-2384/2386?
--------------------- --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00001434 Date 11/09/15
Application pin number . . . 598960
Property Address . . . . . . 1104 DUNKER DR
ASSESSOR PARCEL NUMBER: 06-30-01-8-3-0060-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT on your state excise tax form
Property
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 767
Application desc
Tank set and gas line
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Rob Fee THURMAN SUPPLY
1104 Dunker Dr. 1807 E. FRONT ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 710-2386 (360) 457-8591
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc TANK SET AND GAS LINE
Permit Fee . . 55.010 Plan Check Fee .00
�b Issue Date . . . . 11/09/15 Valuation . . . . 0
Expiration Date 5/07/16
Qty Unit Charge .,Per,. Extension
BASE FEE 50.00
1.00 5.0000 EA ME-FUEL GAS PIPE,EA>5 OUTLETS 5.00
----------------------------------------------------------------------------
Special Notes and Comments
Per Washington State Code 51-51-315,
f installation of Carbon Monoxide
7 ' detector(s) is required if you are
^ installing or replacing a fuel burning
4�a appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
7 area and at least one on each floor of
the house.
--------- ------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ------ -- ----------
Permit Fee Total 55.00 55.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 55.00 55.00 .00 .00
M
— 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 wheth r specified herein or not. The granting of a permit does
k not presume to giv autho • o violate or cancel the provisions a state r ocal 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
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 I Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
1
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-
CITP
�R� NGFLES, For City Use
CITY of
Permit#
w a s H 1 N T o tv, U. S. Date Received: t 119 17-al S'
321 E 5th Street Date Approved 1�9 J uyr
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@cityofpa.us BUILDING PERMIT APPLICATION
Project Address: J
Phone: e7 7
Prima Contact:10e.4 V� a vv Email:
Na meA rr'� Phone
a �`2-� 3 6 0 _ L A6-710
Property Mailing Address Email
Owner l!D S� -e v
City„Q � /f State�� Zip-Ok
Nam Phone
Z—AVA '76
Email
Contractor Address � I�
Information city v� State zip z,
Contractor License# S Exp.Date:
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
$ 76 7.
Residential ❑ Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
'Classification For the following,fill out both pages of permit application:
(check New Constr tion 11 Exterior Remodel ❑ Addition 11 Tenant Improvement ❑
appropriate) Mechanical Plumbing 11 Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes E3 No D 1 Existing? Yes E3 No
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater cit o a.us /
Project Description 4am S
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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
0c.- vv";0-1 A�✓v
Date Print Name Sianatureet-�/44 I
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2" floor)
Garage
Carport
Other(describe)
Area Totals
,
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
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)foot print of %Lot Coverage (Total lot cov_lot size) Max Bldg Height
all structures sq ft
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov_lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # 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 Piping #of Outlets: r Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Water Heater #
Plumbing Vent piping # Medical gas piping #of Outlets:
Water Line # Fuel gas piping #of Outlets:
Sewer Line # Industrial waste pretreatment
interce for Grease Trap) Size
Other(describe):
T:\Forms\2015 CED Form Updates\Building&Permitting\BP\Building Permit 20150415.docx
Address:
1104 Dunker Drive
PREPARED 9/24/15, 8:57:41 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/24/15
------------------------------------------------------------------------------------------------
ADDRESS . : 1104 DUNKER DR SUBDIV:
CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172
OWNER ACE MICHAELS INC PHONE
PARCEL 06-30-01-8-3-0060-0000-
APPL NUMBER: 15-00000487 RES NEW SFR
-----------— ---
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------ ---—----—------------------------------------------
PL99 01 9/24/15bk! ? PLUMBING FINAL
' September 23, 2015 11:06:07 AM pbarthol.
--------- ----- COMMENTS AND NOTES ------
--------------------------------
PREPARED 9/24/15, 8:57:41 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/24/15
------------------------------------------------------------------------------------------------
ADDRESS . : 1104 DUNKER DR SUBDIV:
CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172
OWNER ACE MICHAELS INC PHONE
PARCEL 06-30-01-8-3-0060-0000-
APPL NUMBER: 15-00000487 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
-------------------------------------- ---------------------------
BL1 01 5/29/15 JLL BLDG FOUNDATION FOOTING
5/29/15 AP May 29, 2015 10:18:29 AM jlierly.
mike
May 29, 2015 4:00:19 PM jlierly.
BL1 02 6/03/15 JLL BLDG FOUNDATION FOOTING
6/03/15 AP June 3, 2015 8:48:57 AM jlierly.
Danny AM inspection
June 3, 2015 3:21:05 PM jlierly.
BFF O1 6/17/15 JLL BLDG FLOOR FRAMING
6/17/15 AP June 17, 2015 9:45:11 AM jlierly.
mike 460-6172
June 17, 2015 4:53:10 PM jlierly.
BL9 01 7/06/15 JLL BLDG SHEARWALL
7/06/15 AP July 6, 2015 9:18:21 AM jlierly.
Mike
July 6, 2015 4:15:32 PM jlierly.
BAIR O1 7/23/15 JLL BLDG AIR SEAL
7/24/15 AP July 23, 2015 9:30:33 AM jlierly.
July 24, 2015 9:39:52 AM jlierly.
BL3 01 7/23/15 JLL BLDG FRAMING
7/24/15 AP
July 23, 2015 9:37:58 AM jlierly.
Mike 460-6172
July 24, 2015 9:39:52 AM jlierly.
BL99 01 9/24/15 BLDG FINAL
fe September 23, 2015 11:05:42 AM pbarthol.
Mike 460-6172
--------------------------------------------------------------------------
----------------------PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------
----—---—-—------------ ---------------------------------—--—-----------
ME99 01 9/24/15 J MECHANICAL FINAL
September 23, 2015 11:06:00 AM pbarthol.
PERMIT: PL 00 PLUMBING RMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED. RESULT RESULTS/COMMENTS
-------------—-----—--—-----------------------------—----------------------
PL6 01 5/29/15 JLL PLUMBING WATER SUPPLY
5/29/15 AP May 29, 2015 12:46:33 PM jlierly.
May 29, 2015 4:00:19 PM jlierly.
PL2 01 7/06/15 JLL PLUMBING ROUGH-IN
7/06/15 AP July 6, 2015 9:18:41 AM jlierly.
Mike
July 6, 2015 4:15:32 PM jlierly.
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
CITY OF PORT ANGELES
r it DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000487 Date 5/26/15
Application pin number . . . 262972
Property Address . . . . . . 1104 DUNKER DR
ASSESSOR PARCEL NUMBER: 06-30-01-8-3-0060-0000- 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 . . . . 147125 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
2013sf 1 stry 3bed/2bath SFR
------------------------ -----------------------------
Owner Contractor
�! ACE MICHAELS INC ACE MICHAELS INC
1329 W 10TH ST 1329 W. 10TH ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98363
(360) 460-6172
Permit . . . . . . BUILDING. PERMIT -RESIDENTIAL
Additional desc . . 2013SF1 STORY 3BED/2BATH
Permit Fee 1289.05 Plan Check Fee 837.88
Issue Date . . . . 5/26/15 Valuation . . . . 147125
Expiration Date . . 11/22/15
\J Qty Unit Charge Per Extension
BASE FEE 1020.25
48.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 268.80
----------------------------- - ----------
Permit . . . . MECHANICAL PERMIT
\� Additional desc SFR MECHANICAL
Permit Fee . . . . 200.80 Plan Check Fee .00
Issue Date . . . . 5/26/15 Valuation . . . . 0
Expiration Date 11/22/15
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
7.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 103.60
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . SFR PLUMBING
Permit Fee . . . . 205.00 Plan Check Fee .00
Issue Date 5/26/15 Valuation . . . . 0
Expiration Date 11/22/15
Qty Unit Charge Per Extension
BASE FEE 50.00
12.00 7.0000 EA PL-PLUMBING TRAP 84.00
1.00 7.0000 EA PL-WATER LINE 7.00
6.00 7.0000 EA PL-DRAIN VENT PIPING 42.00
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 authorityto violate or cancel the provisions of any state or local law regulating construction or the performance of
!!� constructions
\ 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:
Parkin /Lighting 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
% CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 15-00000487 Date 5/26/15
Application pin number . . . 262972 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
-P- - -
Notes and Comments-
--- --- --------
-----Special --------------------------------------------------- (Location Code 0502)
May 14, 2015 10:08:13 AM rbecker.
Are you installing a fire or lawn sprinkler system? If you
are call RFon Becker at 417-4886, fax:360-452-4972, or
E-mail me at 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.
Call for cover inspection for all sprinkler installations.
A full acceptance test will be required for the fire
sprinkler system.
Electrical load calculations and electrical permits are
required.
1) Standard Stormwater Comments for temporary erosion
control. This is part of a larger plan of development,
greater than 1 acre.
This' includes
1. Mark Clearing Limits
2. Establishing Construction Access
3. Control Flow Rates
4. Install sediment controls BMPs.
5. Stabilize exposed soils
G. Protect slopes from erosion
7. Protect drain inlets
8. Control pollutants including but not limited to spills,
concrete wash out, exposed aggregate processes, concrete
grinding and saw cut waste water. A marked contained
concrete washout area is required may not discharge truck
wash water to sewer, ditches or ground.
9. Maintain temporary and permanent erosion control BMPS
during project
10. Update TESC plans as changes take place
No downspouts shall be connected to sanitary sewer.
Also include: Consider applying for the City Green
Infrastructure Rebate of up to $750 towards the materials to
install a rain garden to control roof or driveway runoff.
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
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:
Parkin /Lighting 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
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 3
Application Number . . . . . 15-00000487 Date 5/26/15
Application pin number 262972
--------------------------------------------------------------
REPORT SALES TAX
Special Notes and Comments onour state excise tax form
Boehme at 360 417-4811 Y
Sanitary sewer connection inspection is required by to the City of Port Angeles
Public Works prior to back fill of ditch. 24 hour advance (Location Code 0502)
notice is required. Public Works Inspection request line
417-4831
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.
The contractor making the connection to an existing water
meter is responsible to adjust water meter depth so that
there is a minimum of 4 to 6 inches of clearance between the
bottom of the meter box lid and the top of the meter at
finish grade.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . CITY DRA 47.32
DRA FEES PLUS INTEREST 1372.97
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 1694.85 1694.85 .00 .00
Plan Check Total 837.88 837.88 .00 .00
Other Fee Total 6714.79 6714.79 .00 .00
Grand Total 9247.52 9247.52 .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:FormslBuilding 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:
Parkin /Lighting 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
THEFor City Use
C117
Y OF
Permit# / '
r
W A s H I t G T O N, U . S. Date Received:
321 E 51h Street Date Approved 1
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits@ciryofpa.us BUILDING PERMI APPLICATION
Project Address:
Phone: p
Prima Contact: h-11CC- C6%)L ) LEmail: )L�,� c AGK, o L.SL
Name � Phone 4
c e, \ c 4
Property Mai4n Addres ! U Email
Owner s S 1
City If k State =1P
Name Phone
S vti 2.
Contractor Address Email
Information City State zip
Contractor License# Exp.Date:
Legal Description: Zoning: [Tax Parcel# Project Value: (materials and labor)
$
Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
Classification For the following, fill out both pages of permit application:
(check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑
appropriate) Mechanical ❑ Plumbing ❑ Other ❑
Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms
or Existing? Yes 13 No O Existing? Yes i 3 .No O
In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to
www.stormwater@sityofpa.us
Project Description NoQ es uv� i--L A
Is project in a Flood Zone: Yes 13 Nom 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 i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date 5�� (5 Print Name _• J^ Signa ure
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions(SQ FT) Floor area Floor area $Value new area
Basement
First Floor 1 U O
Second Floor
Covered Deck/Porch/Entry
Deck(over 30" or i" floor)
Garage O
Carport
Other(describe)
Area Totals
bl -
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed Construction For Office Use
Floor area Floor area $Value new area
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)foot print of %Lot Coverage (Total lot cov_lot size) Max Bldg Height
3 U all structures sq ft
Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site cov_lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # r 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 Piping #of Outlets: Ventilation Fan,single duct # 3
Furnace/Heat Pump/ Size: # ] Ventilation System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # ' 0q Water Heater #
Plumbing Vent piping # I Medical gas piping #of Outlets:
Water Line # ( Fuel gas piping #of Outlets:
Sewer Line # ( Industrial waste pretreatment
interceptor 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 f k"% A_ CAQ�) L.L_ Date 57— 1 �S
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
Slabd R-Value&Depth 10, 2 ft I 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.
0-2— 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 1 b 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 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`/*2ORes�/�2OEnergy.pd
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.