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Home My WebLink About1501 Pendley Court Address: 1501 Pendley Court PREPARED 8/20/14, 13:41:11 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/20/14 ADDRESS 1501 PENDLEY CT SUBDIV: CONTRACTOR : PHONE OWNER ALICIA AND MICHAEL KAAKE PHONE PARCEL 06-30-01-8-6-0100-0000- APPL NUMBER: 14-00000741 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: PL. 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------- PL6 01 8/20/14 PLUMBING WATER SUPPLY August 20, 2014 9:06:12 AM pbarthol. John 460-6902 -------------------------- ----------- COMMENTS AND NOTES ---------- CITY OF PORT ANGELES A Tom._ DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 14-00000741 Date 7/16/14 Application pin number . . . 405951 Property Address . . . . . . 1501 PENDLEY CT ASSESSOR PARCEL NUMBER: 06-30-01-8-6-0100-0000- 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 . . . . 112868 (Location Coote: 0502) ---------------------------------------------------------------------------- Application desc 1620 SQ FR SFR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALICIA AND MICHAEL KAAKE OWNER 2217 S LAUREL ST PORT ANGELES WA 98362 () ------------------------------------------ --------------------------------- ` Permit - . . . . BUILDING PERMIT RESIDENTIAL Additional desc 1620 SQ FT SFR Permit Fee . . . . 1093.05 Plan Check Fee .00 Issue Date . . . . 7/16/1.4 Valuation . . . . 112868 Expiration Date . . 1/12/15 Qty Unit Charge Per Extension �( BASE FEE 1020.25 13.00 ------5.6000-THOU BL-100,001-500K (5.60 PERK) - --- -72_80 - ------ ---------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . SFR MECHANICAL PERMIT Permit Fee . . . . 141.60 Plan Check Fee .00 Issue Date . . . . 7/16/14 Valuation . . . . 0 Expiration Date . . 1/12/15 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 3.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 44.40 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . SFR PLUMBING Permit Fee . . . . 163.00 . Plan Check Fee .00 Issue Date 7/16/14 Valuation . . . . 0 Expiration Date 1/12/15 (� Qty Unit Charge Per Extension i BASE FEE 5 .00 ` 8.00 7.0000 EA PL-PLUMBING TRAP 566.00 1.00 7.0000 EA PL-WATER LINE 7.00 4.00 7.0000 EA PL-DRAIN VENT PIPING 28.00 a 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. /6�lY Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit z u 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 s DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 oP Page 2 Application Number . . . . . 14-00000741 Date 7/16/14 Application pin number . . . 405951 REPORT SALES TAX Qty Unit Charge Per Extension On our state excise tax-form 1.00 15.0000 EA PL-SEWER LINE 15.00 Y 1.00 7.0000 EA PL-WATER HEATER 7.00 to the City of Port Angeles --------------------------------------------------------------- Special Notes and Comments (Location Code 0502) June 24, 2014 11:22:49 AM pbarthol. Plan check fee not charged. Using the same plans as 1402 Pendley Ct. Permit 13-1025. No plans were reviewd. Plans from 1402 Pendley Ct must move to new project for inspections. June 24, 2014 11:25:17 AM pbarthol. July 2, 2014 7:18:29 AM rbecker. You did not mark on your permit, if you were installing a fire or lawn sprinkler system. If you are installing either one of them, you will need .to install a backflow assembly. 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. Call for cover inspection for all sprinkler installations. 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) . July 9, 2014 10:43:29 AM sroberds. The proposal will result in a new sfr w/attached garage in the RS-9 for total lot cov of 18% and site cov of 25t. 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. All SWPPP elements must be followed as this is part of a larger plan of development (Pendley Ct) including: 3.1.1 Element #1 Mark Clearing Limits 3.1.2 Element #2 Establish Construction Access 3.1.3 Element #3 Control Flow Rates 3.1.4 Element #4 Install Sediment Controls 3.1.5 Element #5 Stabilize Soils 3.1.6 Element #6 Protect Slopes 3.1.7 Element #7 Protect Drain Inlets 3.1.8 Element #8 Stabilize Channels and Outlets 3.1.9 Element #9 Control Pollutants 3.1.10 Element #10. Control Dewatering 3.1.11 Element #11 Maintain BMPs 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 I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES a�® DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 3 Application Number . . . . . 14-00000741 Date 7/16/14 Application pin number . . . 405951 ---------------------------------------------------------------------------- REPORT SALES TAX Special Notes and Comments on your state excise tax form 3.1.12 Element #12 Manage the Project Consider applying for the City Green Infrastructure Rebate to the City of Port Angeles of up to $750.00 towards the materials to install rain (Location Code 0502) garden to control roof and driveway runoff. Also rebates available for downspout disconnections.Contact Jonathan Boehme at 360 417-4811 All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public Works Engineering prior to the start of work. A pedestrian or traffic control plan is to be submitted for approval with the application as necessary. 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 Trench safety per applicable laws. Temp erosion control and surface restoration responsibility of applicant. Contact City inspector prior to start of work B 360 417-4831. No attachment to sanitary sewer of stormwater roof leaders, foundation drains, yard drains, or any other CSO contribution is allowed. Construct driveway and Sidewalks 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 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 1397.65 1397.65 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6692.15 6692.15 .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 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: 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 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 14-00000741 Date 7/16/14 Application pin number 405951 Property Address . . . . . . 1501 PENDLEY CT REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-8-6-0100-0000- on your state excise tax form Application type description RES NEW SFR Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 112868 ---------------------------------------------------------------------------- Application desc 1620 SQ FR SFR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ALICIA AND MICHAEL KAAKE OWNER 2217 S LAUREL ST PORT ANGELES WA 98362 ----------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY INSTALLATION Additional desc . . Permit Fee . . . . 180.00 Plan Check Fee .00 Issue Date 7/16/14 Valuation . . . . 0 Expiration Date 1/12/15 Qty Unit Charge Per Extension BASE FEE 180.00 ---------------------------------------------------------------------------- Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc 3/4" DROP IN WATER METER Permit Fee . . . . 420.00 Plan Check Fee .00 Issue Date . . . . 7/16/14 Valuation . . . . 112868 Expiration Date . . 1/12/15 Qty Unit Charge Per Extension 1.00 420.0000 EA PW WATER METER DROP IN 420.00 ---------------------------------------------------------------------------- Permit . . . . . . SANITARY SEWER HOOK UP Additional desc . . Permit Fee . . . . 150.00 Plan Check Fee .00 Issue Date . . . . 7/16/14 Valuation . . . . 112868 Expiration Date . . 1/12/15 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 ---------------------------------------------------------------------------- Special Notes and Comments June 24, 2014 11:22:49 AM pbarthol. Plan check fee not charged. Using the same plans as 1402 Pendley Ct. Permit 13-1025. No plans were reviewd. Plans from 1402 Pendley Ct must move to new project for inspections. 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. 7 /G Signature df Contra or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\1102.15[10/08) PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 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 417-4831 PW/ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15[10/081 Op pORr 411,0 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 0 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . 14-00000741 Date 7/16/14 Application pin number . . . 405951 ------------------------------------------------------------ REPORT SALES TAX Special Notes and Comments on your state excise tax form June 24, 2014 11:25:17 AM pbarthol. y July 2, 2014 7:18:29 AM rbecker. to the City of Port Angeles You did not mark on your permit, if you were installing a (Location Code 0502) fire or lawn sprinkler system. If you are installing either one of them, you will need to install a backflow assembly. 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. Call for cover inspection for all sprinkler installations. 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) . July 9, 2014 10:43:29 AM sroberds. The proposal will result in a new sfr w/attached garage in the RS-9 for total lot cov of 18% and site cov of 25%. 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. All SWPPP elements must be followed as this is part of a larger plan of development (Pendley Ct) including: 3.1.1 Element #1 Mark Clearing Limits 3.1.2 Element #2 Establish Construction Access 3.1.3 Element #3 Control Flow Rates 3.1.4 Element #4 Install Sediment Controls 3.1.5 Element #5 Stabilize Soils 3.1.6 Element #6 Protect Slopes 3.1.7 Element #7 Protect Drain Inlets 3.1.8 Element #8 Stabilize Channels and outlets 3.1.9 Element #9 Control Pollutants 3.1.10 Element #10 Control Dewatering 3.1.11 Element #11 Maintain BMPs 3.1.12 Element #12 Manage the 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 All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public Works Engineering prior to the start of work. A pedestrian or 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 as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 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 417-4653 FIRE DEPT. PLANNING DEPT. 4174750 PLANNING DEPT. BUILDING 417- BUILDING 4815 T:Forms/Building Division/Public Works Permit CITY OF PORT ANGELES ®.. PUBLIC WORKS &UTILITIES 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 3 Application Number . . . . . 14-00000741 Date 7/16/14 Application pin number . . . 405951 ------------------------------------------------------- REPORT SALES TAX Special Notes and Comments our state excise tax form traffic control plan is to be submitted for approval with 017 y the application as necessary. to the City Of Port Angeles Sanitary sewer connection inspection is required by 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. Construct driveway and Sidewalks 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 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 5294.50 5294.50 .00 .00 Grand Total 6044.50 6044.50 .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 I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 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. 4174750 PLANNING DEPT. BUILDING 447- BUILDING 4815 T:Forms/Building Division/Public Works Permit THEr C["YY OF A 'T For City Use W A S H I N T Permit# -lam 0 N , U . S . -- q-2—� Date Received: 4.— 321 East 511 Street ( o Port Angeles, WA 98362PFl��t� Date Approved —71:;� iieT P: 360-417-4817 F: 360-427-4711 permits@cityofpa.us ---� Building ermit Application Project Address: 1 S� pgW pl&Y C,��2- Main Contact: Phone # 36o - 9,'A P �.�s�� ovs�.✓ Tr �2� E-Mail: Property Name Phone Owner � /re Mailing A Address Email 60_ o - S4 City State Zip l'v 0 IjA Contractor Name Phone 6)W/✓447 Zf6 LJ/4-p Mailing Address Email city State Zip Contractor License# Expiration: Project Value: Zoning: Tax Parcel # Lot# $ Ila" 86 Type of Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following,fill o t both pages of permit application: New Construction Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No ❑ Project /U E-w S/n/G-Lt .9ryi�l 6L�S f��.✓�z✓ � Description I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor /off 4eo Second Floor Covered Deck/Porch/Entry $� Deck Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure (s) Proposed Addition Tenant Improvement? Other work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Covera e /4 �o J 3 7, SQ FT Site coverage(all impervious+ g %Site Coverage structures) A 8 / � J 3 P-`/. G 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 #of Outlets: Appliance Vent # Heater(Suspended,Floor,Recessed wall) # 3 Boiler/Compressor Size: # Heating/Cooling appliance # repair/alt ration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fire lace Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnac eat Pum" Size: # Ventilation System # Forced Air nit " /c c) Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # , Medical gas piping #of Outlets: Water Line # ' Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX 2�0 12,53_ C3 '2143 1,20 I �s as ,4 Ln i rroub. ID V--P,S WT L -14-- — ��, t1 ---- --- -- ---- -— ------- -- -........... 2�}2` H 3;o 1 M" 53.25` bite Clan r=2oa 1 P501 0LOT"CCV P NoQ-rxi PoIZT ANC.,EL-b.\VA 98363 Cou NTY Of cLALLAM PLNPL-LyCouIZT LOT(o LOT CoV EIZA r- 162o/9o53.5f = 17.9% 51TL COVLRA(,L 2228/90536f = 24696 �Iou6E STYLE:TflL'SlJEIL.4 J o f e0xT,4A PRESCRIPTIVE APPROACH-SIMPLE FORM For the Washington State Energy Code(WSEC)2009 Edition IN Climate Zone 1 WY aovFaHMM Site Information: Building Department Use Only: Lot: -AtIo �/��i�/�� y �5i,�-r�S Permit# Address: /J`6 / �F.n�p.Z�Y Cotjat ' Notes: City: PC, Zsj AIJG£�4 State: Zip: 9-K 3 3 Contact: 132L)e I- m Phone: _360 - j/ - a o7 i Phone 2: 1-15':2 - 763/ Z_4% FAX: 19 L/ S WSEC Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE-FAMILY RESIDENTIAL OR DUPLEX' CLIMATE ZONE 1 (Unlimited Glazing Option Only) x Glaiiiiai�n 11 �tctora Wali Wail Wall k Option area°�o of ' ;'IR 9 j r� ` yallted l�ifehor ,Exterior: Floor Slab on awrw�rellln � locit �/errcal bserh'ead rFor� 9etirng -Ge` t�elow yBweibw Concrete. R-49 III R-21 R-21 R-30/ R-10 Unlimited 0.30 0.50 0.20 or R-38 R-10 R-38 int TB U=0.029 2' adv This Project complies with the following: The project is a single-family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above. The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. ❑ 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: ❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U-factor listed above. Location of the door(s)taking exception: /17 i'til— S 10Ll r Type of Heat Source: .'Due-T1-J_55 IffAr- PI)m to w/ 3 �Vlya #-rKScyy/-k T:FormsBuilding Division/Prescriptive Approach-Simple Form m `��y'Owl � J Electrical Information Form 0. Public Works&Utilities Department(360)417-4700 m U�& City Electrical Inspector(360)4174735 — Please complete and return to Public Works& Utilities Department ' 61 • • o • Permanent service: Name: Name and address of parry Street: responsible for permanent City I State I ZIP: service billing? Daytime Phone: Home Phone: • • • (if other than above) Site contact: Name: �/zuG£,/>7cG'�,PP�„�f Title: CcvJS'., cSu%°EiPWSo2 Daytime Phone: 360— Y/,;L- Contractor: Name: p i-+Jnl f.(C 103uik i7 s2 Company: Daytime Phone: Electrician: Name: Company: Daytime Phone: Excavator: Name: Company: Daytime Phone: ❑Existing ENew Single-family residence ❑Multi-family residence;#of units ❑Commercial O'Subdivision;#of lots�7 ❑Overhead service ❑General service Underground service El Other • • - • Description of work: 9A-1 61/nIa& rte/ ESnr�Jc� scq I—,- Street � Street address/lot number: O1 PS-JD4f4l CoU12 g 3 t;3 Nearest cross street: j✓j,S i / 7?, rElectrical connection date: transformer serving property is: ❑on a pole on the ground square footage: 1&,;2o sq.ft. Main disconnect size: amps Voltage: 20/240 1 p E1120/208 3ph ❑277/480 3ph 0120/240 3ph ❑480 3W 3ph ❑ Other Standard residential loa s (Lighting, refrigerator, dishwasher, washer) Check all that apply: ❑A/C (_ton) ge/Oven ElHot Tub ,tom C othes Dryer eating ❑Pumps Hp) ❑No Load Change tkdWater Heater ❑Elevator C_Hp) ❑Other SU• ' • a • • Please provide a copy of the following: *Detailed plot plan(.dwg or.dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor ames of all motors over 50hp. Applicant's Signature: Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 38362 FAX TO: 360-417-471 WS WF Information form.xls N''•r'!PJKiti..IGHT`.rNGR\flC :+ ':.ii5'{�lfOr(Tiii:::::tp;�n Re',ti;c_�f1-15-DJ Prescriptive Energy Code Compliance for Single Family and Duplex Housing:Zone 1 Project Information Contact Information Pendley Court Ljvr 10 Peninsula Housing Authority Port Angeles, WA 2603 S Francis St Clallam County Port Angeles, WA 98362 This set of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located in Climate Zone 1. The following forms provide much of the required documentation for plan review. The details noted here must also be shown on the drawings(WSEC 104.2). This form is not a substitute for the energy code itself. To obtain a copy of the energy code, go to the following web address. http://www.energy.wsu.edu/code Glazing Glazing U-Factor Door 9 2 Vaulted Wall" Wall-into Wall-exe 5 Slab6 Option area Ceiling s Above Below Below Floor on %of Floor Vertical Overhead" Grade Ceiling Grade Grade Grade Grade R-49 or R-21 R-21 R-10 OI 13% 0.34 0.50 0.20 R-38 R-38 Int.7 TB R-10 R-30 21 Adv. R49 or R-21 R-21 R-10 ° On 25% 0.32 0.50 0.20 R-38 R-38 Int 7 TB R-10 R-30 21 Adv. R49 or R-21 R-21 R-10 *111 Unlimited 0.30 0.50 0.20 R-38 R-38 Int 7 TB R-10 R-30 2, Adv. See WSEC table 6-1 for footnotes Glazing Schedule Attached to Document ❑ Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option III.All glazing and doors meet maximum U-factor.Alternate heating size method submitted. ❑ Option I or II,Glazing to floor area limit(WSEC 602.7.2) ❑ Area weighted window,skylight or door 1.1-factor(WSEC 602.7.2) ❑ As part of the heating system sizing calculation (IRC M1401.3&WSEC 503.2.2) Radiant slab: ❑ R-10 foam insulation, continuous with thermal break(WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Required Opt. Opt. Description 1a I High Efficiency HVAC Equipment 1 ❑ 1b High Efficiency HVAC Equipment 2 ❑ 1c Hi h Efficiency HVAC Equipment 3 ❑ 2 High Efficiency HVAC Distribution System ❑ 3a Efficient Building Envelope 1 ❑ 3b Efficient Building Envelope 2 ❑ 3c Super- fficient Building Envelope 3 ❑ 4a Air Leakage Control and Efficient Ventilation ❑ 4b Additional Air Leakage Control and Efficient Ventilation ❑ 5a Efficient Water Heating ❑ 5b High Effieciency Water Heating ❑ 6 Small Dwelling Unit 1.0 n 7 Large Dwelling Unit ❑ 8 Renewable Electric Ener -1200 kwh ❑ Total Credits 1.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEPI 0-010 Copyright 2010 Simple Aeating System Size: Climate Zone 1 Project Information Contact Information Pendley Court Peninsula Housing Authority "The Sheila" 2603 S Francis St Port Angeles, WA 98363 Port Angeles, WA 98362 Indoor Design Temperature 70 Outdoor Design Temperature 28 Design Temperature Difference(AT) AT=Indoor-Outdoor Design Temp 42 Conditioned Floor Area 1 1240 Conditioned Volume 1 9920 Glazing Copy Sum of UA from Glazing Schedule [� Attic U-Factor X Area = UA R-49 0.027 1240 33.5 R-38 Advanced 0.026 Single Rafter or Joist Vaulted Ceilings U-Factor X Area = UA R-38 Vented 0.027 Above Grade Walls U-Factor X Area = UA R-21 0.056 1288 72.1 Floors U-Factor X Area = UA R-30 0.029 1 1240 36.0 Below Grade Walls U-Factor X Area = UA 2' Depth Walls 0.042 3.5' Depth Walls 0.041 7' Depth Walls 0.037 Slab Below Grade F-Factor X Length = UA 2' Depth 0.59 3.5' Depth 0.64 7' De th 0.57 Slab on Grade F-Factor X Length = UA R-10 2' perimeter 0.54 R-10 Full-Heated 0.55 Sum of UA 142 Envelope Heat Load 5946 Btu/Hour Sum of UA X AT Air Leakage Heat Load 4500 Btu/Hour ((Volume X 0.6)X AT)X.018)) Building Design Heat Load 10446 Btu/Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 0 10446 Btu/Hour If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 150% 15668 Btu/Hour Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet(2010 Edition) WSUEEPIO-010 Copyright 2010