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Home My WebLink About2311 W. 12th Street Address: 2311 W 12 th Street 2- *3 t) la 5-r PREPARED 9/09/13, 11:38:30 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/09/13 ------------------------------------------------------------------------------------------------ ADDRESS 2311 W 12TH ST SUBDIV: CONTRACTOR C ANDERSON HOMES & DEV INC PHONE (425) 770-1477 OWNER KEDISH, STEWART AND MARGIE PHONE (360) 457-5005 PARCEL 06-30-99-1-0-5530-0000- APPL NUMBER: 13-00000672 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------- BLFW 01 7/10/13 JLL BLDG FOUND FTG/STEM WALL 7/10/13 AP July 10, 2013 9:42:12 AM pbarthol. 425-770-1477 July 10, 2013 4:30:59 PM jlierly. BLFD 01 7/15/13 PB BLDG FOUNDATION DRAINAGE 7/16/13 AP July 1S, 2013 9:33:54 AM pbarthol. July 16, 2013 9:34:13 AM pbarthol. DRW 01 7/15/13 PB BLDG DRYWELL 7/16/13 AP July 15, 2013 9:32:41 AM pbarthol. 425-770-1477 July 16, 2013 9:34:13 AM pbarthol. PW2 01 7/15/13 RV PUBLIC WORKS SEWER CONNECTION 7/15/13 AP July 16, 2013 7:17:31 AM rvess. July 16, 2013 7:18:20 AM rvess. BFF 01 7/17/13 JLL BLDG FLOOR FRAMING 7/17/13 AP July 17, 2013 9:12:41 AM pbarthol. Chris 425-770-1477 July 17, 2013 4:32:07 PM jlierly. BL9 01 7/25/13 JLL BLDG SHEARWALL 7/25/13 AP July 25, 2013 8:09:36 AM pbarthol. Chris 425-770-1477 July 25, 2013 4:42:17 PM jlierly. BAIR 01 8/02/13 JLL BLDG AIR SEAL 8/02/13 AP August 2, 2013 8:25:57 AM pbarthol. Chris 425-770-1477 August 2, 2013 4:10:34 PM jlierly. BL3 01 8/02/13 JLL BLDG FRAMING 8/02/13 AP August 2, 2013 8:25:15 AM pbarthol. Chris 425-770-1477 August 2, 2013 4:10:34 PM jlierly. BLI 01 8/06/13 JLL BLDG INSULATION 8/06/13 AP August 6, 2013 8:S2:40 AM pbarthol. Chris 425-770-1477 August 6, 2013 3:S3:06 PM jlierly. BL99 01 9/09/13 BLDG FINAL t�g September 9, 2013 9:4S:57 AM pbarthol I I a Nick 477-9949 ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME1 01 8/02/13 JLL MECHANICAL ROUGH-IN 8/02/13 DA August 2, 2013 8:26:12 AM pbarthol. Chris 425-770-1477 August 2, 2013 4:07:32 PM jlierly. ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 9/09/13, 11:38:30 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/09/13 ---- -- ---- ------- ---------- ----- ------ ---- ------- ADDRESS . : 2311 W 12TH ST SUBDIV: CONTRACTOR C ANDERSON HOMES & DEV INC PHONE (425) 770-1477 OWNER . . KEDISH, STEWART AND MARGIE PHONE (360) 457-5005 PARCEL . . 06-30-99-1-0-S530-0000- APPI, NUMBER: 13-00000672 RES NEW SFR ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ No duct work installed at this time/jll ME1 02 8/06/13 JLL MECHANICAL ROUGH-IN 8/06/13 AP August 6, 2013 8:52:S8 AM pbarthol. Chris 425-770-1477 August 6, 2013 3:53:06 PM jlierly. ME99 01 9/09/13 MECHANICAL FINAL .zy.Z, September 9, 2013 9:46:35 AM pbarthol. T::7� Nick 477-9949 -------------------- %f------------------------------------------------------------------- PERMIT- PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL6 01 7/15/13 PB PLUMBING WATER SUPPLY 7/16/13 AP July 15, 2013 9:33:26 AM pbarthol. July 16, 2013 9:34:13 AM pbarthol. PL2 01 8/02/13 JLL PLUMBING ROUGH-IN 8/02/13 AP August 2, 2013 8:26:23 AM pbarthol. Chris 42S-770-1477 August 2, 2013 4:10:34 PM jlierly. PL99 01 9/09/13 JLL PLUMBING FINAL September 9, 2013 9:46:47 AM pbarthol. Nick 477-9949 ------------------- - --- --------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 3 21 EAST 5TH STREET, PORT ANGELES, WA 983 62 Application Number . . . . . 13-00000672 Date 7/09/13 Application pin number . . . 903296 Property Address . . . . . . 2311 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-99-1-0-5530-0000- Application type description RES NEW SFR REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation . . . . 140669 (Location Code 0502) ----------- ---- Application desc 1451SQFT SFR W/565 GARAGE/32 PORCH -------- --- ----- --------- ----- �j Owner Contractor ------------------------ ------------------------ KEDISH, STEWART AND MARGIE C ANDERSON HOMES & DEV INC 1735 W 7TH ST 1400 W. WASHINGTON ST. PORT ANGELES WA 98363 STE. 104-178 (360) 457-5005 SEQUIM WA 98382 (425) 770-1477 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc 2048 SQ FT SFR Permit Fee 1249.85 Plan Check Fee .00 Issue Date . . . . 7/09/13 Valuation . . . . 140669 Expiration Date . . 1/05/14 Qty Unit Charge Per Extension BASE FEE 1020.25 41.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 229.60 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . 1451 SQ FT SFR Permit Fee . . . . 97.20 Plan Check Fee .00 Issue Date . . . . 7/09/13 Valuation . . . . 0 Expiration Date . . 1/05/14 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 . . 1451 SQ FT SFR Permit Fee . . . . 163.00 Plan Check Fee .00 Issue Date . . . . 7/09/13 Valuation . . . . 0 Expiration Date 1/05/14 Qty Unit Charge Per Extension BASE FEE 50.00 8.00 7.0000 EA PL-PLUMBING TRAP 56.00 1.00 7.0000 EA PL-WATER LINE 7.00 4.00 7.0000 EA PL-DRAIN VENT PIPING 28.00 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 typepf work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate ovisions 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 Backfiow 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 Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow I Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) 'f-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-in -e:,�as Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab .Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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 3 21 EAST 5TH STREET, PORT ANGELES, WA 983 62 Page 2 Application Number . . . . . 13-00000672 Date 7/09/13 Application pin number . . . 903296 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 June 18, 2013 3:14:35 PM pbarthol. (Location Code 0502) Plan check fee waived because the same plans are being used in 3 locations, 2303-2307-2311 W 12th St. (2311 will need to be submited no later than June 26, 2013) Plan check fees charged on permit #13-284. June 26, 2013 2:30:18 PM rbecker. If you are installing a fire or lawn sprinkler system, 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 residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" June 25, 2013 3:16:51 PM sroberds. The proposal will result in a new sfr in the RS-9 for total lot coverage of 17%- and site coverge of 23%. No land use issues anticipated. Electrical load calculations and electrical permits are required. Driveway 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. 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 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 '�temwall 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 by 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 Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs L Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking I Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE I nspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 3 Application Number . . . . . 13-00000672 Date 7/09/13 Application pin number . . . 903296 ---------------------------------------------------------------------------- Other Fees . . . . . . SEWER SYSTEM DELV CHARGE 2260.00 REPORT SALES TAX STATE SURCHARGE 4.50 on your state excise tax form PW WATER SYSTEM USE FEE 2260.00 - ---------------------------------------------------------------------------- to the City of Port Angeles Fee summary Charged Paid Credi.ted Due (Location Code 0502) ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1510.05 1510.05 .00 .00 1 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6804.55 6804.55 .00 .00 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) Tforms/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 PERMITIN CONSPICUOUS 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 by 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 Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab 1131ocking&Hold Downs ISkirting I PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 I 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 . . . . . 13-00000672 Date 7/09/13 Application pin number . . . 903296 Property Address . . . . . . 2311 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-99-1-0-5530-0000- 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 . . . . 140669 (Location Code 0502) ---------------------------------------------------------------------------- Application desc 1451SQFT SFR W/565 GARAGE/32 PORCH ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KEDISH, STEWART AND MARGIE C ANDERSON HOMES & DEV INC 1735 W 7TH ST 1400 W. WASHINGTON ST. PORT ANGELES WA 98363 STE. 104-178 (360) 457-5005 SEQUIM WA 98382 (425) 770-1477 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY INSTALLATION Additional desc . . Permit Fee . . . . 180.00 Plan Check Fee .00 Issue Date . . . . 7/09/13 Valuation . . . . 0 Expiration Date . , 1/05/14 Qty Unit Charge Per Extension BASE FEE 180.00 ---------------------------------------------------------------------------- Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc Permit Fee . . . . 1280.00 Plan Check Fee .00 Issue Date . . . . 7/09/13 Valuation . . . . 140669 Expiration Date . . 1/05/14 Qty Unit Charge Per Extension 1.00 1280.0000 EA PW W/M 11' SERV 5/811 METER 1280.00 ---------------------------------------------------------------------------- Special Notes and Comments June 18, 2013 3:14:35 PM pbarthol. Plan check fee waived because the same plans are being used in 3 locations, 2303-2307-2311 W 12th St. (2311 will need to be submited no later than June 26, 2013) Plan check fees charged on permit #13-284. June 26, 2013 2:30:18 PM rbecker. If you are installing a fire or lawn sprinkler system, 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. 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 t give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of uct* constr Signafu/re 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 417-4907 -PW/ENGINEERING FIRE 4174653 1 FIRE DEPT. PLANNING DEPT. 4174750 PLANNING DEPT. BUILDING 417- BUILDING 4815 T:Forms/Bui]ding Division/Public Works Permit CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 11 Cr Page 2 Application Number . . . . . 13-00000672 Date 7/09/13 Application pin number . . . 903296 ---------------------------------------------------------------------------- REPORT SALES TAX Special Notes and Comments on your state excise tax form A residential fire sprinkler system, installed per NFPA 13D, will be required. to the City of Port Angeles 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. (Location Code 0502) The alarm bell will be painted red in color and identified as ,Fire alarm" June 25, 2013 3:16:51 PM sroberds. The proposal will result in a new sfr in the RS-9 for total lot coverage of 17% and site coverge of 23W. No land use issues anticipated. Electrical load calculations and electrical permits are required, Driveway 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. 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 1460.00 1460.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6754.50 6754.50 .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 constru6tion 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 4174653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417- BUILDING T:Forms/Building Division/Public Works Permit THE7, k For City Use CITY OF 7� "V, ip.7 R 6- .- 72 P. Permit# G U S. Date Received: 43 321 East S'hStreet Date Approved Port Angeles, WA 98362 P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us Building Permit Applicatipn Project Address: a3 i I West 12th Street Main Contact: Phone # 425-770-1477 Christopher Anderson E-Mail: chris@CAndersonHomes.com Property Name Stewart and Margie Kedish Phone 425-770-1477 Owner Mailing Address Email 495 W. Spruce St., Suite 3 chris@CAndersonHomes.com City State Zip Sequim WA 98382 Contractor lame C. Anderson Homes & Development. Inc. Phone 425-770-1477 Mailing Address Email 495 W. Spruce St., Suite 3 chris@CAndersonHomes.com city State Zip Sequim WA 1 98382 Contractor License # CANEAH943DG Expiration: March 7, 2014 Project Value: IRIXi Zoning: Tax Parcel # Lot# $ —444,eef)- &&'? 1 Type of Resii1ential 0 Commercial [3 Industrial 0 Yublic 13 Permit Demolition 13 Fire 13 Repair [3 Reroof(tear off/lay over) 13 For the following,fill out both pages of permit application: New Construction El Remodel El Addition El Tenant Improvement E3 Mechanical 11 Plumbing 11 Other 1:1 Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes 0 No IM 16' 3 2 Project New Single Family Construction Description PR 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 Christopher Anderson Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement 0 0 First Floor 0 1,451 Second Floor 0 0 Covered Deck/Porch/Entry 0 32 3:9 Deck 0 0 Garage 0 565 Carport 0 0 Other(describe) 0 0 Area Totals 0 2,048 Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(s) 0 0 0 Proposed Addition 0 0 0 Tenant Improvement? 0 0 0 Other work(describe) 0 0 0 Area Totals 0 0 0 Lot/Site Coverage Calculations Footprint(SQ FT)of all Structures: Lot Size: 6o %Lot Coverage 2,048 11% SQ FT Site coverage(all impervious+ 2,810 %Site Coverage structures) -33% Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # 0 Haz/Non-Haz Piping #of Outlets: Appliance Vent # 1 Heater(Suspended,Floor,Recessed wall) # 8 Boiler/Compressor Size: # 0 Heating/Cooling appliance # 0 repair/alteration Evaporative Cooler(attached,not # 0 Pellet Stove/Wood-burning/Gas # 0 portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # 3 0 Furnace/Heat Pump/ Size: # 0 Ventilation System # 0 Forced Air Unit I Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # 8 Fuel gas piping #of Outlets: 0 Water Heater # 1 Medical gas piping #of Outlets: 0 Water Line # 1 Vent piping # 4 Sewer Line # 1 Industrial waste pretreatment # 0 interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX z 120.00' P.L. — — — — — — — — — — — — — 8.00' S C) M ca 0 fill, N) CD L CA) c—, C) K) C) -p C) 03 PO 2 L=I i —810' S.B. 120.00' P.L. Plan#: RFSC I DATFjl Zl CANDE Lot 3,2311 W.12th St.,Port Ana I I M;0-21 eles W Presale: TBD 7 7,5R, A C7 low, 1 SRI "Plot py-, 411 WWI > V 4i, I OR N. UpNg Mow , w F .................. du 01j, 'a —WWI ............ TIC �'04 az;; Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact Information C. Anderson Homes ChrisAnderson Lot 3-2311 W. 12th St. 425-77&-1477 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 Wall 12 Wall- int' Wall- eXt4 Slab 6 10 Glazing U-Factor Door 9 2 Vaulted 5 Option Area : U-Factor Ceiling Ceiling 3 Above Below Below Floor on %of Floor Vertical Overhead" Grade Grade Grade Grade R-49 or R-21 R-21 R-10 13% 0.34 0.50 0.20 R-38 R-38 int.' TB R-10 R-30 2' Adv. R-49 or R-21 R-21 R-10 0 11 25% 1,32 0,51 0.20 R-38 R-38 Int.' TB R-10 R-30 2' Adv. 0III R-49 or R-21 R-21 R-10 Unlimited 0.30 0.50 0.20 R-3 8 R-38 Int.' TB R-10 R-30 2' I Adv. See WSEC table 6-1 for footnotes Glazing Schedule Attached to Document Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option 111.All glazing and doors meet maximum Ll-factor.Alternate heating size methocl .submittecl. Option I or 11,Glazing to floor area li,mit,(\/VSEC 602.7.2) F]. Area weighted window,skylight or door U-factor(WSEC 602.7.2) El As part of the heating system sizing calculation (IRC M1401.3 k WSEC 50322) Radiant slab: ,E] R-1 0 foam insulation, continuous with thermal break(WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Reguired Opt. Opt. Description la High Efficiency HVAC Equipment 1 lb High Efficiency HVAC Equipment 2 1c High Efficiency HVAC Equipment 3 2 High Efficiency HVAC Distribution System 3a Efficient Building Envelope 1 3b Efficient Building Envelope 2 3c Super-Efficient 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 7 Large Dwelling Unit 8 1 Renewable Electric Energy *1200 kwh Total Credits 1.00 WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright2010 Glazing Schedule Project Information Contact Information C. Anderson Homes ChrisAnderson Lot 3-2311 W. 12th St 425-770-1477 Conditioned Floor Area' 1451 Sum of UA for Heating System Sizing Sum of All Glazing Areas From Below 122 Glazing to Floor Area Ratio 8.42% 602.7.2 Exception Ratio (not to exceed 1%) Exterior Doors Plan Component Door Percent Width Height Glazing Door Door ID Description Ref. U-factor Glazed Qt. Feet Inch Feet Inch Area Area UA 3 6 20.0 3.2 Entry Door 0.1,6G 1 One Exempt Swinging Door<24 Square Feet Sum of Glazing Area, Door Area, and UA (do not include exempt door) 20.0 3.2 Area Weighted U= UAIArea 0.16 Sum of Area and UA for Heating system size only(include exempt door) 20.0 3.2 Vertical Glazing (Windows, Glazed doors using Exception 602.6#1) Plan Component Glazing Width Height Glazing ID Description Ref. U-factor Qt. Feet inch Feet inch Area UA Great Room::, Q.310', 1 5 1 15, 25.01 7.75 7 jo, -310 1 5 Dininq Room 04 6 34.2 10.59 Kitchen 0.310 1 2 9 4 11.0 3.41 Bedroom#2 0.310 1 4 16.0 4.96 Bedroom#3 0.310 1 5 4 20.0 6.201 Master Bedroom 0.31:0 1 14 1 16.0 4.96 Sum of Area and UA 1 122.21 37.87 Area Weighted U= UAIArea 0.31 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright 2010 Overhead Glazing Plan Component Glazing Width Height ID Description Ref. U Qt. Feet inch Feet inch Area UA Sum of Area and UA Area Weighted U= UAIArea Doube Glazed Garden Windows Section 602.7.2 Exception Plan Component Width Height I D Description Qt. Feet inch Feet Inch Area UA Sum of Area Sum of Area X 3(This total is automatically included in the glazing area total.) Glazing UA for Heating System Size Only Area X 0.63 WSEC Prescriptive Worksheet(2010 Edition) WSUEEP10-010 Copyright2010