HomeMy WebLinkAbout1312 Dutch Drive Address:
11312 Dutch Drive
(3 C- Di Fcl, tDc
PREPARED 8/23/13, 10:43:58 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/23/13
------------------------------------------------------------------------------------------------
ADDRESS . : 1312 DUTCH DR SUBDIV:
CONTRACTOR DUTCH DRIVE DEVELOPMENT LLC PHONE (360) 565-6269
OWNER PA PARTNERS PHONE (360) 303-8748
PARCEL 06-30-01-8-0-0020-0000-
APPL NUMBER: 13-00000690 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------— - - - --
PL1 01 7/26/13 JLL PLUMBING UNDER SLAB
7/26/13 DA July 26, 2013 8:36:31. AM pbarthol.
Todd 565-6269
********** Requested an AM inspection ********************
July 26, 2013 3:59:06 PM jlierly.
Remove crushed gravel around DWV Provide sand or wrap pipes
per code/jll
PL1 02 7/29/13 JLL PLUMBING UNDER SLAB
7/29/13 AP July 29, 2013 8:49:49 AM pbarthol.
Todd 565-6269
Requested an AM inspection
July 29, 2013 4:03:11 PM jlierly.
PL2 01 8/23/13 ��L L_ PLUMBING ROUGH-IN
August 23, 2013 8:04:57 AM pbarthol.
Chris 460-5721
-------------------------------------- COMMENTS AND NOTES --------_-----__
47
�S t�
PREPARED 2/21/14, 12:15:46 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/21/14
------- -------- --------------------
ADDRESS . : 1312 DUTCH DR SUBDIV:
CONTRACTOR DUTCH DRIVE DEVELOPMENT LLC PHONE (360) 565-6269
OWNER PA PARTNERS PHONE : (360) 303-8748
PARCEL 06-30-01-8-0-0020-0000-
APPL NUMBER: 13-00000690 RES NEW SFR
--------------------------------------- ----
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------------- -------- ---------- -------- --
9/06/13 AP September 6, 2013 9:50:00 AM jlierly.
September 6, 2013 3:43:21 PM jlierly.
BLDR 01 9/12/13 JLL BLDG DRYWALL IBWP
9/12/13 AP September 12, 2013 10:00:03 AM pbarthol.
Ralph's
460-6025
September 12, 2013 4:09:45 PM jlierly.
FFNL 01 12/12/13 KDD FIRE FINAL -
12/12/13 AP December 13, 2013 1:18:53 PM kdubuc.
fire final
December 13, 2013 1:19:22 PM kdubuc.
fire final
PW99 01 1/21/14 RV PUBLIC WORKS FINAL
1/21/14 AP January 23, 2014 11:37:51 AM rvess.
January 23, 2014 11:38:16 AM rvess.
BL99 01 2/05/14 JLL BLDG FINAL
2/05/14 DA February 5, 2014 12:02:40 PM pbarthol.
Todd 565-6269
Call so he can meet you.
February 5, 2014 4:16:02 PM jlierly.
Provide whole house fan with timer and blower door and
insulation cert per code/jll
BL99 02 2/21/14 BLDG FINAL
February 21, 2014 11:58:11 AM pbarthol.
Todd 565-6269
---------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---- ----------------------------- -------- ----------------------------
ME1 01 9/03/13 JLL MECHANICAL ROUGH-IN
9/03/13 AP September 3, 2013 9:24:43 AM pbarthol.
Mark 477-4012
September 3, 2013 4:26:47 PM jlierly.
ME99 01 2/05/14 JLL MECHANICAL FINAL
2/05/14 DA February 5, 2014 12:03:19 PM pbarthol.
Todd 565-6269
Call so he can meet you.
February 5, 2014 4:16:02 PM jlierly.
Provide whole house fan with timer and blower door and
insulation cert per code/jll
ME99 02 2/21/14 MECHANICAL FINAL
February 21, 2014 11:58:40 AM pbarthol.
--------------------------------------
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
® 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000690 Date 7/23/13
Application pin number . . . 118640
Property Address . . . . . . 1312 DUTCH DR
ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0020-0000- REPORT SALES TAX
Application type description RES NEW SFR
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY to the City of Port Angeles
Application valuation 146154
(Location Code 0502) (�
Application desc
New SFR
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
PA PARTNERS DUTCH DRIVE DEVELOPMENT LLC
710 LARRABEE AVE 710 LARRABEE AVE
BELLINGHAM WA 98225 BELLINGHAM
(360) 303-8748 BELLINGHAM WA 98225
(360) 565-6269
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . NEWSFR
Permit Fee . . . . 1283.45 Plan Check Fee 834.24
Issue Date 7/23/13 Valuation . . . . 146154
Expiration Date 1/19/14
Qty Unit Charge Per Extension
BASE FEE 1020.25 t/v
47.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 263.20 ^`
-----------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc .
r-
Permit Fee 97.20 Plan Check Fee .00 ^�
Issue Date . . . . 7/23/13 Valuation . . . . o
Expiration Date 1/19/14
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 .
Permit Fee . . . 156.00 Plan Check Fee .00
Issue Date . . . . 7/23/13 Valuation . . . . 0
Expiration Date 1/19/14
Qty Unit Charge Per Extension
BASE FEE 50.00
7.00 7.0000 EA PL-PLUMBING TRAP 49.00
1.00 7.0000 EA PL-WATER LINE 7.00 1 `I
4.00 7.0000 EA PL-DRAIN VENT PIPING 28.00 1 `
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.
V)
-x
Date Print Name ' Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
� r
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.
i e Date Accepted B
Inspection Type p Y 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/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
y
CITY OF PORT ANGELES
s '® DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Page 2
Application Number . . . . . 13-00000690 Date 7/23/13
Application pin number . . . 118640
Qty Unit Charge Per Extension REPORT SALES TAX
1.00 15.0000 EA PL-SEWER LINE 15.00 on your state excise tax form
------1.00-- - - 7.0000 EA PL-WATER-HEATER 7.00 to the City of Port Angeles
-------------- ------------------------------
Special Notes and Comments (Location Code 0$02)
June 26, 2013 2:36:40 PM rbecker.
If you are installing a closed fire? If you are you will
need to install a double check valve assembly. If you are
installing an open fire system, you do not need to in stall
a backflow.
If 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.
A full acceptance test will be required for the fire
sprinkler system.
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) .
June 25, 2013 3:51:56 PM sroberds.
The proposal will result in a new sfr in the RS-11 for total
lot coverage of 19t. No land use issues anticipated.
Electrical load calculations and electrical permits are
required.
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
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 of stormwater 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
Construct driveway to City Standards. Concrete with exposed
aggregate or other non-standard finishes(including colors or
dyes)are not allowed in the City road right of way. Broom
finish only. An inspection by Public Works Engineering is
required prior to pouring concrete. Public Works inspection
request line 417-4831
----------------------------------------------------------------------------
Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00
MILW DRIVE ASSESSMENT 240.00
SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 2260.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
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
r
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 I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
s DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION
` 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 3
Application Number . . . . . 13-00000690 Date 7/23/13
Application pin number . . . 118640 -
----- --------- ------ - -
Permit Fee Total 1536.655 ---1536.655 -------.00 00 -------.00 00 REPORT SALES TAX
Plan Check Total 834.24 834.24 .00 .00 on your state excise tax form
Other Fee Total 5534.50 5534.50 .00 .00
Grand Total 7905.39 7905.39 .00 .00 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)
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 On!
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
�oam
�' N CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000690 Date 7/23/13
Application pin number . . . 118640
Property Address . . . . . . 1312 DUTCH DR TAX ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0020-0000- REPORT SALES TA
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 . . . . 146154
-----------------------------------------------------------------------------
Application desc
New SFR
----------------------------------------------------------------------------
Owner Contractor
------------------------ --------------- --------
PA PARTNERS DUTCH DRIVE DEVELOPMENT LLC
710 LARRABEE AVE 710 LARRABEE AVE
BELLINGHAM WA 98225 BELLINGHAM
(360) 303-8748 BELLINGHAM WA 98225
(360) 565-6269
----------------------------------------------------------------------------
Permit . . . . . . DRIVEWAY INSTALLATION
Additional desc . .
Permit Fee 180.00 Plan Check Fee .00
Issue Date . . . . 7/23/13 Valuation . . . . 0
Expiration Date 1/19/14
Qty Unit Charge Per Extension
BASE FEE 180.00
----------------------------------------------------------------------------
Permit . . . . . . PUBLIC WORKS RES WATER SERV
Additional desc . . 3/4" DROP IN METER
Permit Fee . . . . 420.00 Plan Check Fee .00
Issue Date . . . . 7/23/13 Valuation . . . . 146154
Expiration Date 1/19/14
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 . . . . 7/23/13 Valuation . . . 146154
Expiration Date . . 1/19/14
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
----------------------------------------------------------------------------
Special Notes and Comments
June 26, 2013 2:36:40 PM rbecker.
If you are installing a closed fire? If you are you will
need to install a double check valve assembly. If you are
installing an open fire system, you do not need to in stall
a backflow.
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.
Si nature of Contr or uthorized Agent D to Signature of Owner(if owner is builder) Date
T:Forms/Building Division/Public Works Permit
r
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 NO
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 4174807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417- BUILDING
4815
T:Forms/Building Division/Public Works Permit
���°``.w�N CITY OF PORT ANGELES
��� PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 13-00000690 Date 7/23/13
Application pin number _ 118640 REPORT SALES TAX
------------------
Special Notes and Comments on your state excise tax form
If you have any questions call Ron Becker at 360-417-4886. t0 the City of Port Angeles
Fax:360-452-4972, or E-mail:rbecker@cityofpa.us y g
Address numbers shall be plainly visible from the street. (Location Code 0502)
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
A full acceptance test will be required for the fire
sprinkler system.
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) .
June 25, 2013 3:51:56 PM sroberds.
The proposal will result in a new sfr in the RS-11 for total
lot coverage of 19%. No land use issues anticipated.
Electrical load calculations and electrical permits are
required.
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
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 of stormwater 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
Construct driveway to City Standards. Concrete with exposed
aggregate or other non-standard finishes(including colors or
dyes)are not allowed in the City road right of way. Broom
finish only. An inspection by Public Works Engineering is
required prior to pouring concrete. Public Works inspection
request line 417-4831
----------------------------------------------------------------------------
Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00
MILW DRIVE ASSESSMENT 240.00
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 750.00 750.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 5534.50 5534.50 .00 .00
Grand Total 6284.50 6284.50 .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 1 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 IN A 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
�3- 0
BUILDING/PLUMBING/MECHANICAL PERMIT APPLICATION- LONG FORM
(To be used for projects that require plan reviewd
Date Received Le 2.4 03
Permit#
City of Port Angeles Please print in ink. 4hurs8:
Date Approved
Attn: Building Permit Technician Approved by_
321 E. 5 St., Port Angeles,WA 98362
360-417-4815 fax: 360-417-4711 Credit card payments are accepted -5 pm (no American Express}
Hours: Mon through Fri 8-5 pm Cash &checks are accepted Mon- -4 pm& Fri 8:30-12:30 pm
Contact person: Phone:au o - VZonn 3'a' C,c
Property owner:
Phone: 0-1
Property owner's mailing address:
X71 k-1a SZR 30� '1�1� i--17� �iz
Contractor's business name:VvTc,N n W dE� 00/9�wPrNe:74—r Phone:
or property owner's name if he/she is doing/overseeing the work OF -
Contractor's mailing address:
—71" ASIC - baLLIAC,6LAM %dA22
Contractor's L&I license number: Expiration date:
Project Address:
/S /-2,S /:Z
Project Type: )q Residential Ll Commercial o Industrial [I Multi-family
Project Business Name: Zoning:
for commercial, industrial or multi-family ro'ects f
Parcel# Lot# O 2
Cla OCA O� '�C7dC�
Complete./only the portions of this permit that are relevant to your project.
V) J Pay the plan check fee.(based on the valuation of the project)at the time of submittal
Residential P .ects submit:
(,/} Two sets of plans*(including engineering calcs, geotech reports, etc. if applicable)
(✓) Prescriptive Approach-Simple Form(confirming conformance to the Energy Code)
Commercial Projects submit:
(,/} Three sets of plans"(including engineering calcs, geotech reports, etc. if applicable)
(✓) Paperwork confirming conformance.to the Energy Code
(✓) For large projects, a pre-construction meeting with various City department
personnel is highly recommended,To schedule a pre-construction meeting,contact
the Planning Manager at(360)4174750.
(✓) Additional information may need to be submitted including:
landscape plan, parking plan(including ADA spaces, ramps; etc.), utilities
(existing&proposed), curbs, sidewalks,storm water.plan, etc.
For Additions&New Structures also submit:
(✓) Site plan(8 1/2"x 11")showing all structures(existing&proposed),setbacks,&new driveways
*,If an architect or engineer drew the plans or calculations, include at least one"wet-stamped"set of plans
and/or calculations.
T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application—Long Form(Revised 2011)
Page 1 of 4
i
J
• I
Repair I Solar Panels I Miscellaneous: (explain the project) —
Project Valuation $
Remodel: (explain the project including how the building space is currently being used and what the new,
remodeled use will be)
Project Valuation $
(✓) If the space will change from commercial to residential, submit:
°Checklist–Converting Commercial Space into Residential Space'
Addition: (explain the proiect and complete&submit page 3)
Maximum height of the new addition feet Project Valuation $
New Structure: (explain the project and complete&submit page 3)
-' •—,���L�? e,- r rl��.t-� �--ro zf `i AC-At_E FA t-�( F.t1 S l CC-
Maximum
LMaximum height of the new structure__j feet Project Valuation I
PLUMBING PERMIT': Will there be ANY plumbing changes(items moved,added, replaced, or altered)
Check one:
No Yes J (✓) if yes, complete&submit page 4"Plumbing Changes"
MECHANICAL PERMIT.- Will there be ANY mechanical changes(items moved, added, replaced, or altered)
Check one:
No Yes (✓} -If yes,complete&submit page 4-"Mechanical Changes"
Occupancy group 3 #of bedrooms "7
Will a lawn sprinkler system be installed? 0Occupant load #of full baths
Will a fire sprinkler system be installed? Construction type #of half baths
*Homeowner: If you will be doing I overseeing the work,then the project valuation will be determined by doubling the
cost of materials,to reflect the value the repair adds to your property.
Cost of materials x 2=Project Valuation$
1 have read and completed this application and know It to be true and correct. 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
working on projects.
Date Cn -zd o Signature
Print Name--ro r7>r7;P
Page 2 of 4 _
I
i
Floor Areas Existina square New square Price ser new
foo. taus footaicle square foot
Basement X _ _ $
15t Floor _ /��I`�— � 1 0
2nd Floor
3rd Floor
Garage J+YA '30
Carport
2DeckCovered Porch -7 � 1 -2-
Deck
(> 30" high)*
Deck
(5 30" high)*'
Shed
Other
Other
Remodel project valuation
TOTAL VALUATION $
*Walking surface of the deck above ground
For residential building projects the minimum square foot valuation we accept is:
Dwelling$85.00 per sq.ft. garage/utility/misc.structure$30.00 per sq. ft. porch/deck/carport$12.00 per sq.ft.
LOT COVERAGE & SITE COVERAGE
Lot coverage is the amount or percent of ground area on which buildings are located.
It includes: houses, garages, carports,covered patios, cantilevered portions of buildings, roof overhangs that are longer
than 30-inches, uncovered decks or porches having walking surfaces higher than 30-inches off the ground, etc.
Total footprint of structures 2}I V sq.ft. lot size �; Q_%_sq.ft. = Lot coverage Ill .
Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks,
patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94.135 for exemptions)
Does the project include a new driveway? ❑yes o no
If yes,what will the driveway be made of? ❑cement ❑ asphalt ❑ gravel ❑ other
(NOTE. 18 feet is the recommended minimum driveway length for residential projects)
Does this project include a new parking pad? ❑yes ❑ no .
If yes, what will the parking pad be made of? ❑cement ❑ asphalt ❑ gravel ❑ other
a) Total footprint of structures Tit o o_sq.ft. (existing&new)
b): Total concrete, asphalt,&other impervious surfaces `71601 sq.ft. (existing&new)
c) Add lines"a"&"b"above to get the total impervious I ?, sq.ft. (existing& new)
Total impervious 2�_sq.ft.i .lot size i 1 �UCJ�sq. tt. = Slte coverage` �Z
Page 3 of 4
PLUMBING CHANGES
Check"No"or"Yes"(and enter quantities)for each line item.
Doe- Plumbing Chances (Moved.Added, Replaced. "
or Altered) 0
Sink(hand, mop,floor etc.) No ✓Yes _Quantity ear f
Toilet No Yes "Z Quantity
Bathtub No Yes _Quantity
Shower No Yes _Quantity
Washing Machine No Yes � - Quantity
Hot Water Heater No Yes _Quantity
Water tine(meter to structure) No Yes t' Quantity
Re-plumb the structure — .7'No Yes Quantity
Sewer Line No ` Yes l Quantity
Backflow Prevention Device Tvpes: l
Beverage Machine No Yes Quantity
Landscape Watering System NoYes Quantity
Fire Sprinkler System_<2 inch line +/�No Yes _Quantity
Fire Sprinkler System>2 inch line ,/ No Yes Quantity
Please list all other planned plumbing changes or additions that aren't listed above.
I1� FLOp Z Vt7(Vgty rJ IC.- R-AD)AhJ—r 14 1/4 _(I,
MECHANICAL CHANGES
Check"No"or"Yes"(and enter quantities)for each line item.
Type Mechanical Changes_ (Moved.Added. Replaced.
Furnace, heat pump, or or Altered)
forced air units 5 tons �No Yes Quantity
Furnace, heat pump,or
forced air unit>5 tons No Yes Quantity
Ductless heat pump No Yes Quantity
Wall(recessed)heater No Yes —T-: Quantity
Baseboard heater No Yes Quantity
Steffes room heater No Yes Quantity
Wood-burning stove No Yes Quantity
Pellet stove 4No Yes Quantity
Radiant floor heat No Yes __L,_Quantity
Quantity
Gas fireplace or freestanding stove o Yes Quantity
Gas cooking stoveo Yes Quantity
Propane tank set No Yes Quantity
Gas line 4No
No Yes Quantity
Boiler Yes Quantity
Clothes Dryer No #YeiLA
es i Quantity
Ventilation fan(single duct) No Quantity
Hood&duct mechanical exhaust No - Yes I. Quantity
Ventilation system(not part of a heating or air
"conditioning system) No Yes Quantity
Air handler —;t-No Yes Quantity
Evaporative cooler(non-portable) =No Yes Quantity
Please list all other planned mechanical changes or additions that aren't listed above.
Page 4 of 4.
'ti \
Cl
/ \\ 2¢0• NEW SFD
\ SAO
WATER LINE Q
16':W'CO J
\ \ \ RIVE
\ \ ELECTRICAL
\ \ \\ SEWER / �;' C WERT
\ \\ TIGHTLINE TIED YO
\\ \\ DOWNSPOUTS/ FTG
\ \ DRAIN-DAYUGHT
\ \ \\ TO DITCH / /\
SITE PLAN
SCALE: 1"=30'-0"
PA JUAN de FBLUFFS
PARTNERS SITE PLAN
LLC 1312 DUTCH DRIVE
710 LARRABBEE AVE
WA
BELLINGHAM, WA 98225 PORT ANGELES, WA 98363 A
O�PCltfi,gl.
PRE SC PTI VE APPROACH-SIMPLE FORM
- For the Washington State Energy Code(WSEC)2009 Edition
Climate Zone 1
CITY GOYMMMENT Site Information: Building Department Use Only:
Lot: d 2 Permit# --�� C
Address: 13i2 rw-rcA DRI\lLr,- Notes:
City: Pott-r A/&aa=af S
State: J A Zip: 916-,�
Contact: or->r> _5,f4-��Z
Phone: _too
Phone 2:
FAX:
WSEC Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR SINGLE-FAMILY RESIDENTIAL OR DUPLEX
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazing Glazing U Factor -Door Vaulted Wall wall ' Wall
Interior Exterior Slab on
Option Area%- :of U Ceiling 11 Above Floor
Floor... .. .- Vertical `Overhead Factor Cei ng Grade' Below Below Concrete
Grade Grade
R-49
/
111 Unlimited 0.30 0.50 0.20 or R-38 R-10
R-38 int TB R-21 R-21 R-10 R-30 U=0.029 2'
adv
This Project complies with the following:
The project is a single-family residence or duplex.
1i The project is a wood frame OR all of the insulation is interior or exterior of the framing.
All building components meet the requirements listed above.
The project will meet all other provisions of the WSEC and VIAQ.
The Project will take advantage of the following exceptions to the prescriptive option.
CK 602.6 Exception 2. One unlabeled or untested exterior swinging door,24 sq.ft.or less, may be
installed per unit for ornamental,.security,or architectural purposes.
Location of the door taking this exception: F'"--r r7ao rL-
❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical
glazing U-factor listed above.
Location of the door(s)taking exception:
Type of Heat Source: IZAf�1 A+�►T
T:Forms/Building Division/Prescriptive Approach-Simple Form
i
Washington State Energy Code: Component Performance Worksheet,Type R-3 Occupancies
Juan de Fuca Bluffs
Lot 02
1312 Dutch Drive
Port Angeles, WA
Dutch Drive Development Co
Heati
Ducts are located in uncon
Conditioned Floor Area 1542 Equipment size o
Conditioned Building Volume 12336
Weather Station Sequim
Component Performance, R-3 occupancies Code Target Values Proposed Desi
Area UA
Vertical Glazing U = 0.300 231 69.4
Overhead Glazing U = 0.500 0 0.0
Doors U = 0.200 38 7.6
Flat/Vaulted Ceilings U = 0.027 1542 41.6
Wall (above grade) U = 0.056 1106 62.0
Floors U= 0.029 0 0.0
Slab on Grade F= 0.360 L 172 61.9
Below Grade
2'depth, wall U = 0.042 0 0.0
2'depth, slab F= 0.590 0 0.0
3.5'depth, wall U = 0.041 0 0.0
3.5'depth, slab F= 0.640 0 0.0
7'depth, wall U = 0.037
7'depth, slab F= 0.570
Target UA Total 242.5 Pro
Target Credits from Chpt. 9 1.0 Proposed Cred
If the Proposed UA:5-the Target UA, and the Proposed Credits From Chpt. 9 are >_ 1 than the home meets the 2009 W
Check other code requirements
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Washington State Energy Code: Component Performance Worksheet,Type R-3 Occupancies
Vertical Glazing
Plan Component Glazing Width Heigh
ID Description Ref. U Qt. Feet '"ch Feet
A Jeld-Wen Energy Efficient Plus Vinyl A 0 0.290 6 2 6 5
B Jeld-Wen Energy Efficient Plus Vinyl � 0 0.290 4 3 ° 5
C Jeld-Wen Energy Efficient Plus Vinyl 0 0.290 1 2 3
D Jeld-Wen Energy Efficient Plus Vinyl 0 0.290 3 1 s 1
E Jeld-Wen Energy Efficient Plus Vinyl ww 0 0.290 1 5 5
V 0 0.000
1w 0 0.000
1w 0 0.000
A 0 0.000
qw 0 0.000
AIL I
0 0.000
0 0.000
0 0.000
®I0 0.000
1w 0 0.000
1w 0 0.000
0 0.000
0 0.000
1w 0 0.000
1 0 0.000
0 0.000
0 0.000
0 0.000
1w 0 0.000
1w 0 0.000
0 0.000
0 0.000
0 0.000
® 0 0.000
® 0 0.000
® 0 0.000
® 0 0.000
0 0.000
1w 0 0.000
1w 0 0.000
0 0.000
0 0.000
0 0.000
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Washington State Energy Code: Component Performance Worksheet,Type R-3 Occupancies
AL
wF 0 0.000
® 0 0.000
w 0 0.000
w 0 0.000
V 0 0.000
w 0 0.000
w 0 0.000
A6 0 0.000
w 0 0.000
w 0 0.000
0 0.000
0 0.000
1w 0 0.000
0 0.000
Sum of Area and
Glazing Area Weighte
Exterior Doors
Plan Component Door Width Heigh
ID Description Ref. U Qt. Feet '"ch Feet
1 Exempt Door if less than 24 SF #N/A NA
ISteeIWE 2gl >50% 1/2" w 10-6A 0.580
Insulated Steel, Wood Edge(ISteeIWE) 10-6C 0.160 1 2 86
1 exempt door, if<24 Square Feet 502.1.5.2 0.000 1 3 6
Aw,F 0 0.000
1w 0 0.000
AL 0 0.000
qw 0 0.000
® 0 0.000
vp 0 0.000
1w 0 0.000
If exempt door is selected, must be<24 SF.
Sum of Area and
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copyright restrictions)
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Washington State Energy Code: Component Performance Worksheet, Type R-3 Occupancies
Overhead Glazing:
Plan Component Glazing Width Heigr
ID Description Ref. U Qt. Feet '"ch Feet
0 0.000
1w 0 0.000
0 0.000
0 0.000
A 0 0.000
1w 0 0.000
0 0.000
Sum of Area and
Flat/Vaulted Ceilings
Plan Component Attic
ID Description Ref. U
R49 blown Attic ADV baffled ® 10-7 0.020
0 0.000
0 0.000
0 0.000
Sum of Area and
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copyright restrictions)
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Washington State Energy Code: Component Performance Worksheet, Type R-3 Occupancies
Walls(Above Grade)
Plan Component Wall
ID Description Ref. U
R21 cavity+RO foam ADV 2X6W Lap 10-5 0.051
0 0.000
0 0.000
Ak
0 0.000
0 0.000
1W 0 0.000
�1 0 0.000
0 0.000
i 0 0.000
0 0.000
0 0.000
0 0.000
0 0.000
Sum of Net Wall Area and
Floor(over crawl or exterior)
Plan Component Floor
ID Description Ref. U
A Custom 0.000
0 0 0.000
v 0 0.000
0 0.000
Sum of Area and
Slab on Grade(less than 2 feet below grade)
Plan Component Slab
ID Description Ref. F
R10 Fully insulated Heated 10-2 0.550
0 0.000
0 0.000
0 0.000
Sum of Area and
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copyright restrictions)
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Washington State Energy Code: Component Performance Worksheet, Type R-3 Occupancies
Below Grade Walls and Slabs: 2 foot depth
Plan Component Wall Wall Wall Sla
ID Description Ref. U Area UA F
v 0 0.000 0.0 0.
0 0.000 0.0 0.
0 0.000 0.0 0.
0 0.0001 0.01 0.
Sum of Area, Length and LIAI 0.01 0.0
Below Grade Walls and Slabs: 3.5 foot depth
Plan Component Wall Wall Wall Sla
ID Description Ref. U Area UA F
® 0 0.000 0.0 0.
® 0 0.000 0.0 0.
® 0 0.000 0.0 0.
0 0.0001 0.0 0.
Sum of Area, Length and UA 0.01 0.0
Below Grade Walls and Slabs: 7 foot depth
Plan Component Wall Wall Wall Sla
ID Description Ref. U Area UA F
® 0 0.000 0.0 0.
0 0.000 0.0 0.
0 0.000 0.0 0.
0 1 0 0.0001 0.0 0.
Sum of Area, Length and IJAI 0.01 0.0
Chapter 9 Options Total of 1 Credit Required
Opt. Opt. Description
1a High E ciency HVAC Equipment 1 ❑
1 b High Efficiency HVAC Equipment 2 ❑
1c High Efficiency HVAC Equipment 3 ❑
2 Hi h Efficiency HVAC Distribution System ❑
3a Efficient Building Envelope 1 ® 0.5
3b Efficient Building Envelope 2 ❑
3c Supe Efficient Building Envelope 3 ❑
4a Air Leakage Control and Efficient Ventilation ❑
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Washington State Energy Code: Component Performance Worksheet, Type R-3 Occupancies
4b Additional Air Leakage Control and Efficient Ventilation ❑
5a Efficient Water Heating ® 0.5
5b High Effieciency Water Heatin ❑
6 Small Dwelling Unit ❑
7 Large Dwelling Unit ❑
8 Renewable Electric Ener ❑ M
Total Credits 1.00
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Washington State Energy Code: Component Performance Worksheet,Type R-3 Occupancies
ing System Size
iditioned space.
Iver design load150° �
Btu/hour output 27,173
KW 8.0
ign Values
Area UA
173 50.1
0 0.0
38 2.8
1542 30.8
1165 59.4
0 0.0
172 94.6
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
0 0.0
)posed UA Total 237.8
lits from Chpt. 9 1.0
SEC.
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copyright restrictions)
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Washington State Energy Code: Component Performance Worksheet, Type R-3 Occupancies
it
'"ch Area . ..-.UA
.
75.0 21.8
60.0 17.4
6.0 1.7
s 6.8 2.0
25.0 7.3
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.0 0.0
0.01 0.0
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copyright restrictions)
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Washington State Energy Code: Component Performance Worksheet,Type R-3 Occupancies
0.0 0.0
0.0 0.0
0.0 0:0
0.0 0.0
0.0::::::::0.:0
0.0 0.0
0-0, 0.0
0.0 0.0
0.0 0.0
0.0: 0:0
0.0 0.0
0.0. . . : 0.0
. . . . . . . . . . .
0.0 0.0
0.0 0.0
I UA 172.8 50.1
0:290
it
Inch Area UA
0.0
0.0 0:0
S 17.8 2.8
e 20.0 0.0
0.0 0.0
0.0 0.0
: . 0.0 0.
.0
0.0 0.0
0.0 -.0.0
0.0 0.0
0.0 0.0
1 UAJ 37.8 2.8
Copyright 2010,WSUEEP10-009(Version 10)Copied by permission from Washington State University Extension Energy Program. (see
copyright restrictions)
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Washington State Energy Code: Component Performance Worksheet, Type R-3 Occupancies
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'
Washington Stat Energy Code Component Performance Worksheet,Type R 3 Occupancies
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Washington State Energy Code: Component Performance Worksheet,Type R-3 Occupancies
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