HomeMy WebLinkAbout1502 Aurora Court Address:
1502 Aurora Court
PREPARED 12/19/13, 10:01:41 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/19/13
—-------------------------—-—----------- --------------------------------------------
ADDRESS . : 1502 AURORA CT SUBDIV:
CONTRACTOR : PHONE :
OWNER ARLAND C ELSTROM JR AND CYNTHI PHONE : (360) 808-4814
PARCEL 06-30-01-7-5-0150-0000-
APPL NUMBER: 13-00000474 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----—---------------------—----------------------------------------- -------------—-------
BL1 01 6/07/13 JLL BLDG FOUNDATION FOOTING
6/07/13 AP June 7, 2013 8:30:15 AM pbarthol.
Arland
AM
June 7, 2013 4:21:55 PM jlierly.
BL2 01 6/13/13 PB BLDG FOUNDATION STEM WALL
6/13/13 AP June 13, 2013 8:42:25 AM pbarthol.
Arland 808-4814
June 13, 2013 4:25:33 PM pbarthol.
EFF 01 6/19/13 JLL BLDG FLOOR FRAMING
6/19/13 AP June 19, 2013 8:17:44 AM pbarthol.
Arland 808-4814
June 19, 2013 4:00:30 PM jlierly.
BL9 01 7/16/13 JLL BLDG SHEARWALL
7/16/13 AP July 16, 2013 9:27:51 AM pbarthol.
Arland 808-4814
July 16, 2013 4:18:40 PM jlierly.
BAIR 01 8/15/13 JLL BLDG AIR SEAL
8/15/13 AP August 15, 2013 8:23:55 AM pbarthol.
Arland 808-4814
August 15, 2013 3:47:40 PM jlierly.
BL3 01 8/15/13 JLL BLDG FRAMING
8/15/13 AP August 15, 2013 8:22:49 AM pbarthol.
Arland 808-4614
August 15, 2013 3:47:40 PM jlierly.
BLI 01 8/20/13 JLL BLDG INSULATION
8/20/13 AP August 20, 2013 9:19:27 AM pbarthol.
Arland 808-4814
August 20, 2013 4:14:32 PM jlierly.
FFNL 01 11/01/13 KDD FIRE FINAL
11/01/13 AP November 1, 2013 3:51:49 PM kdubuc.
fire final
November 1, 2013 3:52:10 PM kdubuc.
fire final
BL99 01 12/1 /13I- BLDG FINAL
December 19, 2013 9:00:57 AM pbarthol.
Arland 808-4814
PW99 01 11/19/13 RV PUBLIC WORKS FINAL
XXXXXXXXXX XXXXXXXX December 19, 2013 10:01:38 AM rvess.
-------------------------- ---------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------—----------—-------—---------------—-------—------------------—-----
----------------------------------- CONTINUED ONTO NEXT PAGE --------------
l�W
PREPARED 12/19/13, 10:01:41 INSPECTION TICKET PAGE 2 .
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/19/13
---------------------------------------------------------------------------------------
ADDRESS . : 1502 AURORA CT SUBDIV:
CONTRACTOR : PHONE :
OWNER ARLAND C ELSTROM JR AND CYNTHI PHONE : (360) 808-4814
PARCEL 06-30-01-7-5-0150-0000-
APPL NUMBER: 13-00000474 RES NEW SFR
------------------------------------------------------------------------------------------------
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 8/15/13 JLL MECHANICAL ROUGH-IN
8/15/13 AP August 15, 2013 8:24:08 AM pbarthol.
Arland 808-4814
August 15, 2013 3:47:40 PM jlierly.
ME99 01 12/19/13 J MECHANICAL FINAL
December 19, 2013 9:01:52 AM pbarthol.
PERMIT: PL 00 PL IRT PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------—-------------------—---—-------------------------—--------------------------
PL2 01 8/15/13 JLL PLUMBING ROUGH-IN
8/15/13 AP August 15, 2013 8:24:18 AM pbarthol.
Arland 808-4814
August 15I2013 3:47:40 PM jlierly.
PL99 01 12/19/13 J PLUMBING FINAL
December 19, 2013 9:02:02 AM pbarthol.
-------------------------------------- COMMENTS AND NOTES --------------------------------------
V _
-" CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
..� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
1
Application Number . . . . . 13-00000474 Date 5/20/13
Application pin number . . . 862064 i
Property Address . . . . . . 1502 AURORA CT �1
ASSESSOR PARCEL NUMBER: 06-30-01-7-5-0150-0000- REPORT SALES TAX
Application type description RES NEW SFR
Subdivision Name . . . . . . on your State excise tax form
Property Use . . . . . . to the Cit of Port Angeles
Property Zoning RS9 RESDNTL SINGLE FAMILY y yees
Application valuation . . 137884
(Location Code 0502)
Application desc
1456 SQ FT SFR, 462 SQ FT GARAGE, 22 SQ FT PORCH
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ARLAND C ELSTROM JR AND CYNTHI OWNER
1254 N POINT RD
PORT ANGELES WA 98362
(360) 808-4814
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . 1456 SQ FT SFR/462 SQFT GAR/22
Permit Fee . . . . 1233.05 Plan Check Fee 801.48
Issue Date . . . . 5/20/13 Valuation . . . . 137884
Expiration Date 11/16/13
Qty Unit Charge Per Extension
BASE FEE 1020.25
38.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 212.80
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc ^
Permit Fee 97.20 Plan Check Fee .00 vQ1
Issue Date . . . . 5/20/13 Valuation . . . . 0
Expiration Date . . 11/16/13
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. EXHAUST10.65
-
Permit . . . . . . PLUMBING PERMIT
Additional desc .
Permit Fee . . . . 191.00 Plan Check Fee .00
Issue Date . . . . 5/20/13 Valuation . . . . 0
Expiration Date 11/16/13 p^`
Qty Unit Charge Per Extension
BASE FEE 50.00
9.00 7.0000 EA PL-PLUMBING TRAP 63.00
1.00 7.0000 EA PL-WATER LINE 7.00
6.00 7.0000 EA PL-DRAIN VENT PIPING 42.00
1.00 7,0000 EA PL-BACKFLOW PROTECTION <OR=2" 7.00
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 t
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
J
.� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 13-00000474 Date 5/20/13
Application pin number . . . 862064
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 0502)
May 8, 2013 8:08:42 AM rbecker.
If you are installing a lawn sprinkler system, you will need
to install a double check valve assembly for backflow
protection.
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.
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) .
May 8, 2013 10:00:28 AM sroberds.
The proposal will result in a new sfr in the RS-9 for total
lot cov of 21% and site cov of 26%.
Electrical load calculations and electrical permits are
required.
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
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
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
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.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00
SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
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 Onl
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pum /Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
-^ CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 3
Application Number . . . . . 13-00000474 Date 5/20/13
Application pin number . . . 862064
-----
------------------------------------------------------------------
-----
Other Fees PW WATER SYSTEM USE FEE 2260.00 REPORT SALES TAX
---------------------------------------------------------------------------- on your state excise tax form
Fee summary Charged Paid Credited Due t0 the City Of Port Angeles
Permit Fee Total 1521.25 1521.25 .00 .00 (Location Code 0502)
Plan Check Total 801.48 801.48 .00 .00
Other Fee Total 5294.50 5294.50 .00 .00
Grand Total 7617.23 7617.23 .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 resume to give authority to violate or ca
P 9 cancel the provisions of an state or
Y P y local law regulating construction or the performance of
construction.
9 9 p
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:
E
Slab&Hold Downs
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
PORT CITY
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000474 Date 5/20/13
Application pin number . . . 862064
Property Address . . . . . . 1502 AURORA CT
ASSESSOR PARCEL NUMBER: 06-30-01-7-5-0150-0000- REPORT SALES TAX
Application type description RES NEW SFR on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 137884
----------------------------------------------------------------------------
Application desc
1456 SQ FT SFR, 462 SQ FT GARAGE, 22 SQ FT PORCH
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
ARLAND C ELSTROM JR AND CYNTHI OWNER
1254 N POINT RD
PORT ANGELES WA 98362
(360) 808-4814
----------------------------------------------------------------------------
Permit . . . . . DRIVEWAY INSTALLATION
Additional desc . .
Permit Fee . . . . 180.00 Plan Check Fee .00
Issue Date . . . . 5/20/13 Valuation . . . . 0
Expiration Date . . 11/16/13
Qty Unit Charge Per Extension
BASE.FEg 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 . . . . 5/20/13 Valuation . . . . 137884
Expiration Date . . 11/16/13
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 . . . . 5/20/13 Valuation . . . . 137884
Expiration Date . . 11/16/13
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
----------------------------------------------------------------------------
Special Notes and Comments
May 8, 2013 8:08:42 AM rbecker.
If you are installing a lawn sprinkler system, you will need
to install a double check valve assembly for backflow
protection.
If you have any questions call Ron Becker at 360-417-4886,
fax:360-452-4972 or E-mail:rbecker@cityofpa.us
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.
0, C S
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. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION"
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB&GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING
FIRE 4174653 FIRE DEPT.
PLANNING DEPT. 4174750 PLANNING DEPT.
BUILDING 417- BUILDING
4815
T:Forms/Building Division/Public Works Permit
4�Of PO��(FN
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
� v
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 13-00000474 Date 5/20/13
Application pin number . . . 862064
------- ----- -- ------- ------- ---- --- -------------------- REPORT SALES TAX
Special Notes and Comments on your state excise tax form
Address-numbers-shall-be-plainly-visible-from-the-street. t0 the City of Port Angeles
Address numbers shall be a minimum of six inches high and be y
of contrasting color from the background. (Location Code 0502
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) .
May 8, 2013 10:00:28 AM sroberds.
Thero osal will -
p p 11 result in a new sfr in the RS 9 for total
lot cov of 21% and site cov of 26%.
Electrical load calculations and electrical permits are
required.
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
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
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
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.
----------------------------------------------------------------------------
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 4174653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417- BUILDING
4815
T:Forms/Building Division/Public Works Permit
THE G'LES 11
'
CITY O For City Use
- Permit#
W A S H I N G T O N U . S .
J
Date Received: .S•(o 'i3
321 East Sth Street
Port Angeles, WA 98362 ' Date Approved S IV � 13
P: 360-417-4817 F: 360-417-4711 ` h.
permits@cityofpa.us
1�
Building Permit Application
Project Address:
150
Main Contact: Phone # 3(o o
-
E-Mail:
Property Name Phone
Owner K- n �L
Mailing Address Email
( Z-
City State Zip
Contractor Name S Phone
��
Mailing Address Email
City State Zip
Contractor License # Expiration:
cCrCP, 14 t416
Project Value: Zoning: Tax Parcel # Lot#
$ �C)v So 15b �S
Type of Residential Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following, fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
re Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms
Yes _ No
Project �'(0 ��
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
YlrWa scriPtion (SQ FT) Existing Proposed $$value
Basement
First or k 13
Second.Floor
. t
Covered Deck/Porch/Entry Z� Zia
Deck
Garage
Carport
Other(describe)
Area Totals l 3 fiL37 8
Commercial Structures
For Office Use
Area Descriptions (SQ FT) Existing Proposed $$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 Coverage
c( 3
SQ FT Site coverage (all impervious+ %Site Coverage
structures
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) #
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 #
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 # 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
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0�PORT'N
PRESCRIPTIVE APPROACH-SIMPLE FORM
For the Washington State Energy Code (WSEC) 2009 Edition
Climate Zone 1
CITY GOVERNMENT Site Information: Building Department Use Only:
Lot: L o'T Permit #
Address: Notes:
City: pox,,— FP,
State: Zip: � $ 3 �p -2—
Contact:Contact:
Phone:
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: .,.Do
r Wall
Wall Wall
Option : Area %of U ." Ceiling Vaulted Above 'Interior Exterior Floor Slab on
Ceiling" Below Below Concrete
Floor Vertical" Overhead Factor Grade
Grade-
:Grade"
R-49
/
III Unlimited 0.30 0.50 0.20 or R-38 R-38 int TB R-21 R-21 R-10 R-30 R-10
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:
54602.6 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:
T:Forms/Building Division/Prescriptive Approach-Simple Form
Patrick Bartholick
From: Patrick Bartholick
Sent: Tuesday, May 07, 2013 4:10 PM
To: Bill Hale; Brian Anders; Dave Chastain; David Freed; Eric Walrath; Ernie Klimek; Jonathan
Boehme; Ken Dubuc; Ken Loghry; Mike Puntenney; Patrick Bartholick; Roger Vess; Ron
Becker; Sue Roberds; Terry Dahlquist; Timothy Amiot
Subject: Building Permit Routing 5-7-13
Please review the following building permit applications and enter the results in hte.
1. 120 W 8 I Street Permit# 13-467
Seventh-Day Adventist
3548 sq ft fellowship hall addition. Roger/Jonathan—There are Drainage and Erosion Control plans for you to
review.
I have requested a parking plan (diagram) and a narrative as to parking usage related to the additional space and
the shared parking agreement with Bank of America.
G:\EXCHANGE\Building Routings\Building Permit 13-467 120 W 8th St.Pdf
2. 1502 Aurora Ct Permit# 13-474
Arland Elstrom
SFR with attached garage
GAEXCHANGE\Building Routings\Building Permit 13-474 1502 Aurora Ct.pdf
Pat Bartholick
Code Compliance Officer
City of Port Angeles
321 E 5th St/ PO Box 1150
Port Angeles, WA 98362
pbartholick@cityofpa.us
office: 360-417-4712
Cell: 360-460-6541
Fax: 360-417-4711
1
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Tracy's Insulation Inc. � ,�)
INSULATING YOUR COMMUNITY ��
gP.O.Box 970
CARLSiaORG,WA 98324 .
i\I\� INSULATION CERTIFICATE �j'
\' THE INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE
CURRENT THERMAL PERFORMANCE STANDARDS (WASHINGTON
�t \� STATE ENERGY CODE)OR PER APPROVED PLANS,AT THEADDRESS
LOCATED BELOW. '1
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Type
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FLOORS
Type of material: Fiberglass
\ y�_ PIPE WRAPS
/ Type of material: Fiberglass YES NO
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AUTHORIZED SIGNATURE TITLE DATE,
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