HomeMy WebLinkAbout2435 Samara Drive Address:
2435 Samara Drive
PREPARED 5/22/15, 13:42:46 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/22/15
------------------------------------------------------------------------------------------------
ADDRESS . : 2435 SAMARA DR SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER JONATHAN P FESTE PHONE
PARCEL 06-30-01-5-9-0230-0000-
APPL NUMBER: 14-00001260 RES MECHANICAL PERMIT
--------------- --------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 5/22/15 MECHANICAL FINAL
May 22, 2015 1:41:45 PM jlierly.
-------------
------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
Application Number . . . . . 14-00001260 Date 12/02/14
Application pin number . . . 155420
Property Address . . . . . . .2435 SAMARA DR
ASSESSOR PARCEL NUMBER: 06-30-01-5-9-0230-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . I . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY .
Application valuation . . . . 4936 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP SYSTEM
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JONATHAN P FESTE PENINSULA HEAT INC
1*616 E FOURTH STREET 782 KITCHEN-DICK RD
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 681-3333
----------------------------------------------
Permit . . . . . MECHANICAL PERMIT
Additional desc . 2 HEAD DUCTLESS HEAT PUMP
Permit Fee . . . . 64.8,0 Plan Check Fee .00
Issue Date . . . . 10/16/14 Valuation . . . . 0
Expiration Date 4/14/15�
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR 5 TON 14.80
---- ------- -- -------------- - -- - - --- -----
Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, qas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 Permft
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
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rouqh-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted bV
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 bV
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 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
Application Number . . . . . 14-00001260 Date 10/16/14
Application pin number . . . 155420
Property Address . . . . . .
ASSESSOR PARCEL NUMBER: 4,6-�- CIO_5e)C)j REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax fonn
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 4936 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP SYSTEM
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JONATHAN P FESTE PENINSULA HEAT INC
1616 E 4TH ST 782 KITCHEN-DICK RD
PORT ANGELES WA 983623604 SEQUIM WA 98382
(360) 457-6521 (360) 681-3333
--------------------------------- ------------------------------------------
Permit . . . . . . MECHANIC AL PERMIT
Additional desc . . 2 HEAD DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 10/16/14 Valuation . . . . 0
Expiration Date . . 4/14/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
Special Notes and Comments QD.'
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 G4.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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
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
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 bv
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall I Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted bV
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Pkirting
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
1 Planning 417-4750
Building 417-4815
T:Form s/B uilding Division/Building Permit
THE 'OR �jGELES For City Use
CITY OF
P TAI Permit#
W A S H I N G T 0 N, U . S. Date Received:
321 E Sth Street Date Approved 1'e-/k-
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email:permits(acityo[pa.us BUILDING PERMIT APPLICATION
[-,-a
Project Address: Zb
-h--- Phone: 45 30
Primary Contact: Email:
Name—�—o A&I ky Phone
*S
Property Mailing Address Email
Owner I W& le - Fbut:rti ST.
City p6rt- State WA Zip 2�-
Name Phone
Pexeii Su-� h4=4-� ce - 3?.3 3
366
Addre Email
Contractor sp go)< 1 +3
Information City e_Ar_ A - State
bi�6cq' VV A zip �rr?2-41-
Contractors License# 0440 Exp.Date: 1,;)LO
Legal Description: Zoning: Tax Parcel# Project Value: (materials and labor)
L* 6 BL 10 —1 9A DO=1Uo1,00CQ0 I $ 9 3 A -00
Residential Commercial 11 Industrial Public 11
Permit Demolition Fire 11 Repair 1:1 Reroof(tear off/lay over) 0
Classification For the following,fill out both 12ages of permit application:
(check New Constructi n 0 Exterior Remodel 11 Addition [1 Tenant improvement
appropriate) Mechanicz �71?lumbing El Other 11
Fire Sprinkler Sys tem? Irrigation System? Proposed Bathrooms Proposed Bedrooms
Yes 13 No 0 � Yes 13 No 0
Project Description Tr'-5 f VLA-C-�s f+P.
Is project in a Flood Zone: Yes 0 No[] Flood Zone Type: —
If in a Flood Zone,what is the value of the structure before proposed improvement? $
1 have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
1616 liq kits- 0 6-trakv
Date Print Name Signature
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2 d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ IT) Existing Proposed ss Value
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Co erage Calculations
Lot Size (sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage lot size)
Site Coverage (Sq Ft of all in,
,pervious) %of Site Coverage(total site coverage-- lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
re air/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fire lac /Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan,single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit I
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 # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor(Grease Trap) I Size
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
Address:
2435 Samara Drive
;� � ?-5 4-t- -\ 9 f-_
PREPARED 4/22/15, 10:37:04 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LTERLY DATE 4/22/15
------------------------------------------------------------------------------------------------
ADDRESS . : 243S SAMARA DR SUBDIV:
CONTRACTOR : PHONE
OWNER JONATHAN P FESTE PHONE
PARCEL OG-30-01-5-9-0230-0000-
APPL NUMBER: 14-00001518 RETAINING WALL
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTMAL
REQUESTED TNSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01 2/19/15 JLL BLDG FOUNDATION FOOTING
2/23/15 AP February 19, 201S 9:09:18 AM pbarthol.
Alex 460-4248
AM
February 23, 2015 8:09:42 AM jlierly.
BL2 01 2/2S/15 JLL BLDG FOUNDATION STEM WALL
2/25/1S AP February 25, 201S 8:44:03 AM pbarthol.
Alex 460-4248
Retaing wall steel
AM
February 2S, 2015 4:35:Sl PM jlierly.
DL99 01 4/22/15 BLDG FINAL
April 22, 2015 9:48:34 AM jlierly.
QzA�-qz]--
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 4/30/15, 8:28:32 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/30/15
------------------------------------------------------------------------------------------------
ADDRESS . : 2435 SARARA DR SUBDIV:
CONTRACTOR : PHONE
OWNER JONATHAN P FESTE PHONE
PARCEL 06-30-01-5-9-0230-0000-
APPL NUMBER: 14-00001518 RETAINING WALL
------------------------------------------------------------------------------------------------
PERMIT: 13PR 00 BUILDING PERMIT - RESIDENTTAT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01 2/19/15 JLL BLDG FOUNDATION FOOTING
2/23/15 AP February 19, 2015 9:09:18 AM pbarthol.
Alex 460-4248
AM
February 23, 2015 8:09:42 AM jlierly.
BL2 01 2/25/15 JLL BLDG FOUNDATION STEM WALL
2/25/15 AP February 2S, 201S 8:44:03 AM pbarthol.
Alex 460-4248
Retaing wall steel
AM
February 25, 2015 4:35:51 PM jlierly.
BL99 01 4/22/15 JLL BLDG FINAL
4/22/15 DA April 22, 2015 9:48:34 AM jlierly.
April 22, 2015 3:40:35 PM jlierly.
Verify Electrical final and hand rails on interior and
exterior stairs- Retaining wall area and inside the stucture
only/jll
EL99 02 4/30/15 JLL BLDG FINAL
Nt 9�% April 30, 2015 8:30:15 AM jlierly.
-------------------- COMMENTS AND NOTES --------------------------------------
f
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
3 21 EAST 5TH STREET, PORT ANGELES, WA 983 62
Application Number . . . . . 14-00001518 Date 1/16/15 N�
Application pin number . . . 70457G
Property Address . . . . . . 2435 SAMARA DR
ASSESSOR PARCEL NUMBER: OG-30-01-5-9-0230-0000- REPORT SALES TAX Q�
Application type description RETAINING WALL
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY to the City of Port Angeles
Application valuation . . . . 7500 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
retaining wall and stairs
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JONATHAN P FESTE OWNER
1616 E FOURTH STREET
PORT ANGELES WA 98362
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc RETAINING WALL AND STAIRS
Permit Fee . . . . 179.75 Plan Check Fee 116.84
Issue Date . . . . 1/16/is Valuation . . . . 7500
Expira�ioh Date 7/15/15
Qty Unit Charge Per Extension
BASE FEE 95.7S
6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00
----------------------------------------------------------------------------
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
December 26, 2014 1:44:22 PM sroberds.
Retaining wall only - no land use issues relative to zoning.
December 19, 2014 11:45:56 AM banders.
OK
1. Establishing Construction Access.
2. Install sediment controls BMPs.
3. Stabilize exposed soils.
4. Protect slopes from erosion.
S. Protect drain inlets.
6. Control pollutants including but not limited to spills,
concrete wash out, exposed aggregate processes, concrete
grinding and saw cut waste water.
7. Maintain temporary and permanent erosion controL BMPS
during project.
The existing building sewer may be located at the same
location of the proposed construction. Any modification or
damage to the existing building sewer will require other
permits and inspections.
Maintain 7 foot 6 inches clearance from west property line
to driveway opening.
----- ---- - - - - - - - - - ----- --------- ----
Other Fees STATE SURCHARGE 4.50
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,privateand public improvements. This permitbecomes
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 anny state or local law regulating construction or the performance of
V
construction.
-Z
Date A-f/int Name Si'nature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
9
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEA SE PRO VIDE A MINIMUM 24-HOUR NO TICE FOR INSPEC TIONS—
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/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders I Under Floor
Shear Wall/Hold Downs
Walls I Roof/Ceiling
Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace I FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet I 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
L Building 417-4815
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 14-00001S18 Date 1/16/15
Application pin number . . . �704576
---------------------------------------------------------------------------- REPORT SALES TAX
Fee summary Charged Paid Credited Due on your state excise tax form
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 179.75 179.75 .00 .00 to the City of Port Angeles
Plan Check Total 116.84 11G.84 .00 .00
Other Fee Total 4.50 4.50 .00 .00 (Location Code 0502)
Grand Total 301.09 301.09 .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
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
Sternwall
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
Skirting
PLANNING DEPT. Separate Permit#s SEPAi
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
L Building 417-4815
T:Forms/Building Division/Building Permit
TH For City Use
Cry�-y OF V,' ".��ORTANGE LES
I -L -3L Permit# lq-
V; A S H I N G T 0 N , U . S. '2
Date Received: 7 �:J,
321 E 51h Street fDate Approved 10
Port Angeles,WA 9836
P:360-417-4817 F:360-417-4711
Email: permits6@citvofpa.us BUILDING PERMIT APPLICATION
-7
Project Address:
Phone: L/
Email:
PrimaFy Contact: '�aAZ41t- /�S&
Name Phone
C --J- z�-0 -
Property Mailing A4dress -2 Email
Owner 7� 5 —
State
Wme Phone
Contractor Address Email
Information city State Zip
[—contractors License# Exp.Date:
Legal Description: Z Tax Parcel # Project Value: (materials and labor)
$
Residential '0— Commercial 11 Industrial 0 . Public 0
Permit Demolition Fire Repair Reroof(tear off/lay over) 11
Classification For the following, fill out both Dages of permit aDDlication.
(check New Construction 11 Exterior Remodel 11 Addition 11 Tenant Improvement
appropriate) I Mechanical El Plumbing 11 Other El
Fire Sprinkler System? Irrigation S�stem? d Bathrooms Proposed Bedrooms
Yes 0 No d Yes C3 No/ 3�
Project Description
Is project in a Flood Zone: Yes [3 NoM—Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Print Name Sign5atur?(
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed ss value
Basement
First Floor
Second Floor
Covered D eck/Porch/Entry
Deck(over 30"or 2 d floor)
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft) Lot Coverage(sq ft) %Lot Coverage (Total lot coverage lot size)
Site Coverage (Sq Ft of all impervious) %of Site Coverage(total site coverage-- lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
repair/alte ation
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) as 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 # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
interceptor(Grease Trap) Size
Other(describe):
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RETAINING WALL DESIGN 12/4/2014 ZENOVIC&ASSOCIATES, INC.
301 EAST 6TH STREET SUITE#1
PROJECT: FESTE RESIDENCE SURCHARGELOAD PORT ANGELES,WA. 98362
CLIENT: JONATHAN FESTE JOB#: 14294
SOIL PROPERTIES
DENSITY= 120 PCF WIDTH INCREASE = 0% PER FT
COEF. FRICTION 0.3 X DL DEPTH INCREASE= 0% PER FT
BEARING CAPACITY= 1500 PSF
ACTIVE SP= 35 PCF
PASSIVE SP= 150 PCF(DEPTH FROM TOP OF WALL FOR KEY)
WALL TYPE:
WALL DIMENSIONS tric'llAota e-
H STEM HEIGHT= 6 FT/'Z" �r
'Af
.r
Hl RETAINED EARTH = 7 FT DENSITY 150 PCF
T STEM THICKNESS = 6 IN
FOOTING DIMENSIONS
A LENGTH OF TOE = 12 IN F KEY DEPTH = 14 IN
B LENGTH OF HEEL 36 IN G KEY WIDTH = 12 IN
C TOTAL WIDTH 54 IN H HEEL TO KEY 36 IN
D THICKNESS = 12 IN
E FOOTING DEPTH 18 IN DENSITY 150 PCF
INCREASE FOR DEPTH = 0 PSF
INCREASE FOR WIDTH = 0 PSF
MAXIMUM SOIL BEARING CAPACITY 1500 PSF
ADDITIONAL GRAVITY LOADS TO WALL
MINIMUM VERTICAL LOAD TO WALL 0 PLF
MAXIMUM VERTICAL LOAD TO WALL 0 PLF
CRITICAL CONDITION = 1 (1 FOR MIN or 2 MAX)
STABILITY CALCULATIONS
OVERTURN
COMPONENT WT X Wx OTM 2986.667
BACKFILL 2520 3.00 7560 RM 9816
STEM 450 1.25 563
FOOTING 675 2.25 1519 FOS = 3.29 OK
KEY 175 1.0 175
OTHER 0 1.25 0
TOTAL 9816 e 0.462151 FT
BEARING LENGTH 4.50
MAXIMUM SP 1372 OK
SLIDING: MINIMUM SP 326
FRICTION 1146
SP FOOTING&S.K.= 533 LATERAL FORCE 1120
TOTAL 1679 SLIDING FOS 1.50 OK
MOMENTS AND SHEARS
WALLL: H V M
FOOTING MOMENTS: 0.0 858 2001
TOE(BOT STL)= 686 LB-FT 1.8 643 844
HEEL(TOP STL) 2314 LB-FT 3.5 429 250
KEY= 148 LB-FT 5.3 214 31
7.01 0 0
REINFORCED CONCRETEIMASONRY DESIGN-ALTERNATE METHOD Sheet '� -of
ZENOVIC AND ASSOCIATES Job No. 14294
301 EAST 6TH STREET SUITE#1 12/4/2014
Port Angeles,WA 98362
MATERIAL PROPERTIES: (Only for Normal Wt Concrete I Masonry without inspection)
MATERIAI� C C or M
frn/fc= 25.j psi
Fs 40 ksi
E 2880952 psi
n 10.1
MEMBER#
DESCRIPTION� L��ALC AT
LOCATION 0 FT
SPACING kin)
b= ��2 in REINFORCING SIZE:
d= 3.69 in NO.BARS: 9
As= 0.41
APPLIED MOMENT:
2.001 k-ft Design Moment 24010 lb-in
StressLevel: _i00% j
DESIGN CONSTAN p= 0.009318 k= O�340324 0.8865586
STRESSES: frn I fc= 975A psi Fm/Fc 1125 psi OK
fs 17.8 ksi Fs 20 ksi OK
MEIVIBER#
DESCkF�TION: 62_y�AU�Q
LOCATION: 21 in
b= ��u-�] in REINFORCING SIZE: 18
d= 3,69 in NO.BARS:
As= 0.21
APPLIED MOMENT:
0,844 k-ft Design Moment 10129,2188 lb-in
Stress Level:=j(To
DESIGN CONSTAN p= O�004694 k 0.260515 O�9131617
STRESSES: fm I fc= 521.9 psi Fm/Fc= 1125 psi OK
fs 14.5 ksi Fs 20 ksi OK
MEMBER#_ I.—
DESCRIPTION: UWALLF00 ING
.T
LOCATION: HEEL jOP STL)
SPACING(in)
b= IT-1 in REINFORCING: SIZE:
d= 9.69 in NO.BARS: 0.5 24
As= 1-6
APPLIED MOMENT:
2,236 k-ft Design Moment= 26833.3333 lb-in
Stress Level: , 100%
DESIGN CONSTAN p= 0.001333 k= 0.150471 0.9498429
STRESSES: fm I fc= 333.4 psi Fm I Fc 1125 psi OK
fs 18.8 ksi Fs 20 ksi OK
MEMBER
DESCRIPTION: 6'WALLFOOTING
LOCATION: TOE(BOT STQ
b= in REINFORCING: SIZE: kin I)
d= 8.69 in NO.BARS: 48
As= 0,08
APPLIED MOMENT:
0.68 k-ft Design Moment= 8128.14815 lb-in
Stress Level: oo�71
DESIGN CONSTAN p= 0.000743 k= 0114877 j= 0,9617077
STRESSES: Im/fc= 162.5 psi I'm/Fc 1125 psi OK
fs 12.6 ksi Fs 20 ksi OK
T
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CRTY OF PORT ANGELES—Construction Plans
The issuance of this permit based upon these plans
sp=ificafions wd other data shall not prevent the 00
'zj
Dwilding (AfficM grom diemfter requiring the 50;
owccgan aTamm�n Wd plans,specifications and 00
GSW date.w ftm Feventing building operationg Uj 0
3'x4' LANDING AT EXISTING w'(0:i 5
w�2 z
AREA DRAIN -0 a 0
sftdG& Ln
BOTTOM OF STAIRWELL (m&=under when in violation of a
LLJ Lj
BELD A"ROVAI 'z— �j
som x
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OF HOUSE
41
0
C1.
70. 0 V) W
IV 0
EXISTING
AREA DRAIN Q
4"0 PVC DRAIN PIPE 0 <7
EXISTING AREA DRAIN
APPROX. LOCATION OF
HOUSE INSTALL TYPE 30 CATCH </
Ln
BASIN OR INSTALL �V n N
70. RETAINING WALL TRENCH DRAIN ACROSS
)R IN STALL
SEE DETAIL A/2 DRIVEWAY (COORDINATE Z-1 C4
00
OPTION W/ OWNER) Z2
<
IV Uj z
42 Lij
NEW RETAINING WALL ROUTE FOOTING DRAIN To�_� <7 V)cf)cr)
EXISTING AREA DRAIN LLJ w
SEE DETAIL A/2 L�Ix _j
<1 Lij
EX. RETAINING WALL,
REMOVE APPROX. 12" oc
PROPERTY LINE FROM TOP OF WALL
;:7 _6 "0
Uj Q�
-73
7� C1_
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it Uj
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CONCRETE DRIVEWAY L
DETERMINE EXTENTS IN SCALE:
FIELD W/ OWNER Flep 0 to AS NOTED
SLOPE DRIVEWAY Z- f-
In
DATE:
121812014
PARTIAL SITE PLAN I <11 FILE: 14294—SITE
Scale: 1" 10
JOB NO: 14294
t 2d d?4
<7
4S
32777
< '%'C1STE9
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*J;�ONAL
41
SHEET
ENLARGED SITE PLAN
Scale: 1" = 5' OF
t:
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SOIL NOTES :W U5;
0
V)Z Z
<<
I Foundation design is based on: soil bearing capacity of 1500 psf co as: �j
Z
with increases per I.B.C. Table 1804.2. 34" cr 0
C,0:r
2. All footings except where noted otherwise on plans shall be set EXTEND 6" a.Q_
ABOVE DRIVEWAY
at least 12" into undisturbed earth or certified compacted fill. C/)
4*' THICK CONC. SLAB—\
I Any unusual soil conditions such as organic soils, clay pockets or
uncertified fills shall be brought to the attention of the engineer TOP OF WALL
prior to construction.
<
Q_ Of
CONCRETE NOTES 0
C)
1. Concrete shall be a commercially available transit—mix properly #5 CON T. 0 TOP Z C4
proportioned and delivered to the site in ready—mix trucks. Aggregate
size shofl be a maximum of 1,�" in foundations and Y4" at all other
locations. Slump should
not exceed 4" Curing compound shall be
sprayed on all exposed surfaces immediately after final toweling. x 2" CLR.
2, All cement shall conform to the ASTM Standard C-150. All ____#5 0 18" O.C_ VERTICAL LZJ
aggregate shall conform to ASTM Standard C-33. All reinforcing bars NATIVE SOIL OR COMPACTED—/
shall conform to ASTM Standard A-615 as follows: STRUCTURAL FILL
#3—#5 Bars and WWM—Crade 40 DRAINROCK—/
#6 Bars and larger—Grade 60
All rebor to be welded shall be ASTM A706 steel. Preheat of] bars #7
and larger per AWS D14-92 Preheat not required for bar sizes #6
and smaller. .0 #5 0 12- O.C. HORIZONTAL
3. Concrete used for basement walls (not exposed to weather), LU
basement slobs, foundations and interior slobs on grade except garage 00 1115
slobs shall have a minimum 28—day compressive strength of 2500 psi L)
and shall not contain less than 5 socks of cement per cubic yard. #5 BAR 0 9" O�C. Z V)cr)V)
Li W
r,0j --I
4"0 PERFORATED PERIMETER FOOTING
4. Concrete used for basement walls. foundation walls. exterior walls, DRAIN EXTEND TO EX. STORM DRAIN LU
porches, carport slobs. garage slobs, steps exposed to weather.and CONSTRUCTION JOINT
other vertical concrete work exposed to weather shall hove a minimum
28—day compressive strength of 3000 psi and shall not contain less
Or
than 5—)12 socks of cement per cubic yard. Concrete shall also be air L'i
2" CLR. Z
Z QL
entrained. Total air content (percent by volume) shall not be less than
5% or more than 77� U; Z
5. Splices in continuous reinforcement shall lop as noted on the CN (6)—#5 BARS CONTINUOUS U
plans as follows: SCALE
Grade 40 reinforcing bars: Minimum of 32 bar diameters IN FOOTING AS SHOWN
Grade 60 reinforcing bars: Minimum of 48 bar diometers N TS
31" CLR,
#5 @ 24" 0 C. 0 TOP DATE:
5. Unless shown otherwise. the minimum concrete cover for
reinforcing shall be 3" when placed directly against earth and 2" for SIDES OF FOOTING TO BE POURED #5 0 48" 0 C @ BTM 121812014
oil other locations unless specified on the plans. NEAT AGAINST UNDISTURBED EARTH7'�"
OR BACKFILLED AND COMPACTED 6" 6" FILE: 14294—SITE
J,4"
BOTTOM OF FOOTING TO BE #5 14\
POURED NEAT AGAINST JOB NO:
UNDISTURBED EARTH 54" 8 14294
76*�'—(2)—#5 BARS 0 BTM OF KEY
1A I
D.
RETAINING WALL SECTION
OZ
Scale: NTS
32777 ,D
G/STE
'ONAL
SHEET
2
OF 2
Address:
2435 Samara Drive
PREPARED 5/22/15, 13:42:46 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/22/15
------------------------------------------------------------------------------------------------
ADDRESS . : 2435 SAMARA DR SUBDIV:
CONTRACTOR PENINSULA HEAT INC PHONE (360) 681-3333
OWNER JONATHAN P FESTE PHONE
PARCEL 06-30-01-5-9-0230-0000-
APPL NUMBER: 14-00001378 RES MECHANICAL PERMIT
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICZAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME99 01 5/22/15 JL MECHANICAL FINAL
tN May 22, 2015 1:23:03 PM jlierly.
------------------------ ------------- 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 . . . . . 14-00001378 Date 12/02/14
Application pin number . . . 119518
Property Address . . . . . . 2435 SAMARA DR
ASSESSOR PARCEL NUMBER: 06-30-01-5-9-0230-0000- REPORT SALES TAX
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY
Application valuation . . . . 2800 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
heat recover ventilator
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JONATHAN P FESTE PENINSULA HEAT INC
1616 E FOURTH STREET 782 KITCHEN-DICK RD
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . HEAT RECOVER VENTILATOR
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 11/12/14 Valuation . . . . 0
Expiration Date 5/11/15
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
---------------------------------------7------------------------------------
Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 64.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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 Sign 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 BIdgs.)
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 I Hold Downs
Walls/Roof/Ceiling
r Drywall(Interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall I Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU Ducts
Rough-in
Gas Line
Wood Stove/Pellet I Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
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 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
Application Number . . . . . 14-00001378 Date 11/12/14
Application pin number . . . 119518
Property Address . . . . . . . _"'4 3�; - #-
ASSESSOR PARCEL NUMBER: .9-6-36 86 8 ± -0-3�0-
Application type description RES MECHANICAL PERMIT REPORT SALES TAX
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 2800 (Location Code 0502)
----------------------------------------------------------------------------
Application desc
heat recover ventilator
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JONATHAN P FESTE PENINSULA HEAT INC
1616 E 4TH ST 782 KITCHEN-DICK RD
PORT ANGELES WA 983623604 SEQUIM WA 98382
(3GO) 457-6521 (360) 681-3333
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . HEAT RECOVER VENTILATOR
Permit Fee . . . . 64.80 Plan Check Fee .00
Issue Date . . . . 11/12/14 Valuation . . . . 0
Expiration Date 5/11/15
Qty Unit Charge Per BASE FEE Extension
50.00
1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80
----------------------------------------------------------------------------
Special Notes and Comments
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.80 G4.80 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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.
It
Date Print Name Signature of Contractor or Authorized gent 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 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)
T-Bar
INSULATION:
Slab
Wall I 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 I Slab
Blocking&Hold Downs
Pkirting
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
1 Building 417-4815
T:Forms/Building Division/Building Permit
THE
CITY OF ORT NGELES For City Use
WASHI NGTON , U . S . Permit# —/(/
Date Received: 1111q1111
P A
321 East 51 Street
Port Angeles, WA 98362 Date Approved L
P: 360-417-4817 F: 360-417-4711
__J
permits0cityofpa.us
Building Permit Appli ation
Project Address:
16- 10 C
Main C�.on act: Phone # 4-!�;
E-Mail:
Property Name J ok rd-fh� Fi�'af(f- Phone 3&0
Owner Mailing Address Email
city lb State Zip
Por� VJA
Contractor Name Pen psw'i-, t4coJ C6 Pho 760 -U�) - 3 3 3 3
Mailing Address Eqiail
P, c) X I T3 MM(4 9011 Mt lak-A ct
city State J
Caf*boa WA U) � Zi"W3
Contractor License # Expiration:
A�A i A I - (44ov,/ /()I Ito 1 010 1�
Project Value: . 00 Zoning: Tax Parcel # Lot#
$ 3 W 00) �3,-�() 0000 �
Type of Residential Commercial El Industrial 11 Public 0
Permit Demolition 11 Fire 0 Repair El Reroof(tear off/lay over)
For the following,fill out both pages of permit application:
New Construction 11 Remodel 11 Addition Tenant Improvement
Mechanical Plumbing 0 Other 11
Existing Fire Sprinkler System? Maximum height of structure Proposed Be Proposed Bathrooms
Yes 11 No 0
Project Lf
-TA,5W�+ �L z)+ r vp
Description -0A I'de" 1�r- 6, He,--4 &oy5��N U(��fi\ lci�r L)A- if -
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 Signa e
Residential Structures
For Office Use
Area Description(SQ FT) Existing Proposed $$value
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck
Garage
Carport
Other(describe)
Area Totals
Commercial Structures
For Office Use
Area Descriptions (SQ FT) Existing Proposed $$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 Coverage
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,liecessed 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 RRV #
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