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Home My WebLink About3113 Grants View Lane Address: 3113 Grants View Lane PREPARED 11/01/13, 9:28:05 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/01/13 ------------------------------------------------------------------------------------------------- ADDRESS 3113 GRANTS VIEW LN SUBDIV: CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172 OWNER ACE MICHAELS PHONE PARCEL 06-30-15-5-1-2804-0000- APPI, NUMBER: 13-00000549 RES NEW SFR ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL6 01 6/18/13 JLL PLUMBING WATER SUPPLY 6/18/13 AP June 18, 2013 8:48:53 AM pbarthol. Mike 460-6172 June 18, 2013 3:54:09 PM jlierly. PL2 01 8/20/13 JLL PLUMBING ROUGH-IN 8/20/13 AP August 20, 2013 9:18:59 AM pbarthol. Mark 808-0174 August 20, 2013 4:14:32 PM jlierly. PL99 01 11/01/13 PLUMBING FINAL JA(? October 31, 2013 11:42:31 AM pbarthol. ike 460-6172 --------------------- ----- COMMENTS AND NOTES -------------------------------------- PREPARED 11/05/13, 9:37:08 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/05/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 3113 GRANTS VIEW LN SUBDIV: CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172 OWNER ACE MICHAELS PHONE PARCEL 06-30-15-5-1-2804-0000- APPI, NUMBER: 13-00000549 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLI 01 6/17/13 JLL BLDG FOUNDATION FOOTING 6/17/13 AP - OVERRIDE TAKEN BY PERMITS DATE: 06/17/13 TIME: 09:27:05 June 17, 2013 9:26:28 AM permits. Mike 460-6172 AM June 17, 2013 4:24:51 PM jlierly. BL1 02 6/18/13 JLL BLDG FOUNDATION FOOTING 6/18/13 AP June 18, 2013 8:49:13 AM pbarthol. Mike 460-6172 AM June 18, 2013 3:54:09 PM jlierly. BL2 01 6/27/13 JLL BLDG FOUNDATION STEM WALL 6/27/13 AP June 27, 2013 8:14:47 AM pbarthol. Mike 460-6172 June 27, 2013 3:53:21 PM jlierly. BL9 01 8/13/13 JLL BLDG SHEARWALL 8/13/13 AP August 13, 2013 8:08:35 AM pbarthol. Mike 460-6172 August 13, 2013 4:12:34 PM jlierly. BAIR 01 6/27/13 PB BLDG AIR SEAL 8/27/13 AP August 27, 2013 2:22:32 PM pbarthol. August 27, 2013 2:23:07 PM pbarthol. BL3 01 8/27/13 PB BLDG FRAMING 8/27/13 AP August 27, 2013 8:57:29 AM pbarthol. Mike 460-6172 August 27, 2013 2:23:07 PM pbarthol. BL99 01 11/01/13 JLL BLDG FINAL 11/01/13 DA October 31, 2013 11:41:55 AM pbarthol. Mike 460-6172 November 1, 2013 4:14:25 PM jlierly. Insulation cert and verify temp safety glass on upper deck/jll BL99 02 11/05/13 L BLDG FINAL November 5, 2013 9:28:12 AM pbarthol. Mike 460-6172 ----- -------------- -- -------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/01/13, 9:28:05 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/01/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 3113 GRANTS VIEW LN SUBDIV: CONTRACTOR ACE MICHAELS INC PHONE (360) 460-6172 OWNER ACE MICHAELS PHONE PARCEL 06-30-15-5-1-2804-0000- APPL NUMBER: 13-00000549 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 6/17/13 JLL BLDG FOUNDATION FOOTING 6/17/13 AP - OVERRIDE TAKEN BY PERMITS DATE: 06/17/13 TIME: 09:27:05 June 17, 2013 9:28:28 AM permits. Mike 460-6172 AM June 17, 2013 4:24:51 PM jlierly. BL1 02 6/18/13 JLL BLDG FOUNDATION FOOTING 6/18/13 AP June 18, 2013 8:49:13 AM pbarthol. Mike 460-6172 AM June 18, 2013 3:54:09 PM jlierly. BL2 01 6/27/13 JLL BLDG FOUNDATION STEM WALL 6/27/13 AP June 27, 2013 8:14:47 AM pbarthol. Mike 460-6172 June 27, 2013 3:53:21 PM jlierly. BL9 01 8/13/13 JLL BLDG SHEARWALL 8/13/13 AP August 13, 2013 8:08:35 AM pbarthol. Mike 460-6172 August 13, 2013 4:12:34 PM jlierly. BAIR 01 8/27/13 PB BLDG AIR SEAL 8/27/13 AP August 27, 2013 2:22:32 PM pbarthol. August 27, 2013 2:23:07 PM pbarthol. BL3 01 8/27/13 PB BLDG FRAMING AP August 27, 2013 8:57:29 AM pbarthol. 8/27/13 Mike 460-6172 August 27, 2013 2:23:07 PM pbarthol. BL99 01 11/01/13 BLDG FINAL TeSv T54— October 31, 2013 11:41:55 AM pbarthol. Zw;� Mike 460-6172 ------- -- -- ---------- ------ PERMIT: ME 00 MECTIANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------------------- CA ME1 01 8/27/13 PB MECHANICAL ROUGH-IN 8/27/13 AP August 27, 2013 8:57:49 AM pbarthol. Mike 460-6172 August 27, 2013 2:23:07 PM pbarthol. ME99 01 11/01/13 1 MECHANICAL FINAL October 31, 2013 11:42:11 AM pbarthol. mike 460-6172 ---- -------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000549 Date 6/17/13 Application pin number . . . 861007 Property Address . . . . . . 3113 GRANTS VIEW LN ASSESSOR PARCEL NUMBER: 06-30-15-5-1-2804-0000- 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 151420-------- --------------------- (Location Code 0502) ----------- --------- - - - - ------ Application desc 1812 sq ft SFR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WASHINGTON FEDERAL SAVINGS ACE MICHAELS INC 425 PIKE ST, 3RD FLOOR 1329 W. 10TH ST. SEATTLE WA 98101 PORT ANGELES WA 98363 (360) 460-6172 ----------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additionaldesc Permit Fee . . . . 1311.45 Plan Check Fee 852.44 Issue Date . . . . 6/17/13 Valuation . . . . 151420 Expiration Date . . 12/14/13 Qty Unit Charge Per Extension BASE FEE 1020.25 52.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 291.20 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . %_ Permit Fee . . . . 104.45 Plan Check Fee .00 Issue Date . . . . 6/17/13 Valuation . . . . 0 Expiration Date . . 12/14/13 Qty Unit Charge Per Extension BASE FEE 50.00 4.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 29.00 1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65 1.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 14.80 ------ - - - - - - -------- ------ Permit PLUMBING PERMIT Additional desc Permit Fee . . . . 198.00 Plan Check Fee .00 Issue Date . . . . 6/17/13 Valuation . . . . 0 Expiration Date 12/14/13 Qty Unit Charge Per Extension BASE FEE 50.00 77.00 11.00 7.0000 EA PL-PLUMBING TRAP 1.00 7.0000 EA PL-WATER LINE 7.00 6.00 7.0000 EA PL-DRAIN VENT PIPING 42.00 1.00 15.0000 EA PL-SEWER LINE 15.00 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. -� '?-�3 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 I 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 SEPA: Parking/Lighting ESA: Landscaping SHORELINE: 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 I 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 . . . . . 13-00000549 Date 6/17/13 Application pin number . . . 861007 Qty Unit Charge Per Extension REPORT SALES TAX 1.00 7.0000 EA PL-WATER HEATER 7.00 on your state excise tax form ---------------------------------------------------------------------------- Special Notes and Comments to the City of Poif Angeles June 3, 2013 1:33:13 PM tamiot. (Location Code 0502) ELECTRICAL PERMIT WILL BE REQUIRED. ELECTRICAL SERVICE IS TO BE ROUTED TO THE EXISTING ELECTRICAL PEDESTAL. June 3, 2013 9:02:28 AM rbecker. Are you installing a fire or lawn sprinkler system? If you are 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. June 6, 2013 4:25:11 PM sroberds. The proposal will result in a new sfr in the RS-7 for total lot coverage of 20% and site coverage of 31%. No land use issues anticipated. 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. All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover. Notice will be given 48 hours in advance of commencing 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 ---------------------------------------------------------------------------- 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 1613.90 1613.90 .00 .00 Plan Check Total 852.44 852.44 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 7760.84 7760.84 .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 PERMITIN CONSPICUOUS 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 I 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 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 1 1 Building 417-4815 T:Forms/Buiiding Division/Building Permit -�,SOR 1 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000549 Date 6/17/13 Application pin number . . . 861007 Property Address . .. . . . . 3113 GRANTS VIEW LN ASSESSOR PARCEL NUMBER: 06-30-15-5-1-2804-0000- 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 Application valuation . . . . 151420 (Location Code 0502) ----------------------------------------------------------------------------- Application desc 1812 sq ft SFR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WASHINGTON FEDERAL SAVINGS ACE MICHAELS INC 425 PIKE ST, 3RD FLOOR 1329 W. 10TH ST. SEATTLE WA 98101 PORT ANGELES WA 98363 (360) 460-6172 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY INSTALLATION Additional desc . . Permit Fee . . . . 180.00 Plan Check Fee .00 Issue Date . . . . 6/17/13 Valuation . . . . 0 Expiration Date . . 12/14/13 Qty Unit Charge Per Extension BASE FEE 180.00 ---------------------------------------------------------------------------- . Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc . . 5/8" DROP IN WATER METER Permit Fee . . . . 420.00 Plan Check Fee .00 Issue Date . . . . 6/17/13 Valuation . . . . 151420 Expiration Date 12/14/13 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 6/17/13 Valuation . . . . 151420 Expiration Date 12/14/13 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 ---------------------------------------------------------------------------- Special Notes and Comments June 3, 2013 1:33:13 PM tamiot. ELECTRICAL PERMIT WILL BE REQUIRED. ELECTRICAL SERVICE IS TO BE ROUTED TO THE EXISTING ELECTRICAL PEDESTAL. June 3, 2013 9:02:28 AM rbecker. Are you installing a fire or lawn sprinkler system? If you are call Ron Becker at 360-417-4886, fax:360-452-4972 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. ./ � —k � —( ; . k a�) ok!nat re of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:Fonns/Building Divisiori/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. 4174750 PLANNING DEPT. BUILDING 417- BUILDING 4815 T:Forms/Building Division/Public Works Permit CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 13-00000549 Date 6/17/13 Application pin number . . . 861007 ---------------------------------------------------------------------------- REPORT SALES TAX Special Notes and Comments on your state excise tax form or E-mail:rbecker@cityofpa.us Address numbers shall be plainly visible from the street. to the City of Port Angeles Address numbers shall be a minimum of six inches high and be of contrasting color from the background. (Location Code 0502) June 6, 2013 4:25:11 PM sroberds. The proposal will result in a new sfr in the RS-7 for total lot coverage of 20t and site coverage of 31%. No land use issues anticipated. 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. All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover. Notice will be given 48 hours in advance of commencing 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 dy�es)are not allov�ed in the City road right of way. BiToom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. Public Works inspection request line 417-4831 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 2260.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 2260.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 750.00 750.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6044.50 6044.50 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.-The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES No PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK -CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED I YES NO CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W, ENGINEERING 417A807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4174750 PLANNING DEPT. BUILDING 41,7- BUILDING EL T:Forms/Building Division/Public Works Permit THF- DrV CITY OF NGELES For City Use A. 'I -A WASHI NG- TON , U . S . Permit# Date Received: 321 East Sth Street Port Angeles, WA 98362 Date Approved P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us Building Permit Applicati6n Project Address: 31 karke Main Contact: Phone # 9 60 -7 W, 11, C 0"� E-Mail: Property Name Phone Owner A C) C'n, -Wa—iling Address Email z) , + city State Zip Contractor Nal K �J Phone Mailing Address Email city State Zip Contractor License # Expiration: Project Value: Zoning: ax Parcel # Lot# $ /. /-J cq- J! Type of Wesidential E3 Commercial 11 Industrial 11 Public 11 Permit Demolition 11 Fire 0 Repair 13 Reroof(tear off/lay over) 11 For the following,fill out both pages of permit application: New Construction U Remodel 11 Addition 11 Tenant Improvement Mechanical 1:1 Plumbing 1:1 Other 11 Existing Fire Sprinkler System? Maximum height of structure Proposed Be roposed Bathrooms Yes 11 No El Project Description —903A me-�z tft�o 0."e- UJ, V.,-, A k'A' L C-- W tA-) I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature Residential Structures For Office Use Area Description (SQ FT) Existing Proposed $$value Basement First F loor q Second Floor (.I k %"'.." '.'. q Covered Deck/Porch/Entry Deck 'P oo 0-k L(o 0 Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions (SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT) of all Structures: Lot Size: %Lot Covera�e SQ FT Site coverage(all impervious+ %Site Coverage structures) / Mechanical Fixtures A lAeA- �rl- 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 i7an,single duct # Furnace/Heat Pump/ Size: # Ventilation System Va a # Forced Air Unit 17�,&%,e-I P 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 L 0� 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: Pennit# Address: am 4,1 tJ L-akt Notes: city: State: 0 Zip: 9,;r:5 L. Q Contact: Wgz C13-19% k Phone: Phone 2: FAX: WSEC Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE-FAMILY RESIDENTIAL OR DUPLEX' CLIMATE ZONE I (Unlimited Glazing Option Only) Wall Wall. - . W or D Glazing or, : a n Slab on enor , Vaulted� I 't Exterior Option- �;,.Arpa,0/0�__QUI , ei ing , Abdve...,— . �. �. - Floor Below :,.Below Concrete 'h dr-. -Faclor. Floor,: 6rtica v.dr La t 'Grade, Grade",' R-49 Ill Unlimited 0.30 0.50 0.20 or R-38 R-21 R-21 R-10 R-30 R-10 R-38 int TB U=0.029 2' adv This Project complies with the following: The project is a single-family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above. The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location dthe door taking this exception: El 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U-factor listed above. Location of the door(s)taking exception: Type of Heat Source: C_-iP\ T:Forms/Building Division/Prescriptive Approach-Simple Form 31 C> -71 Lo,( 3" L1 111'Z-- 01 EV 17 4i 4i I-)L1� 11 CTOR C 0'.4,T R A CITY OF,POSTANGELES—ConctMc!iO1 P11" The Iss I this pe�md t.�M upon these pli,ns,spe,�5- "bols "d other data sfi-,u not pr,�--nt the building wficial hen,ahe,requl,�,jg the of wors in P-id from t specifications and 01Fer d0a,or from Pre blj�ding operationS I;E�It cartied on lberetiodcr 02D in a;ij ol�.jr.�p�as of this junsdicbG1. vin;ation of all codes" --2 w Of Approval Date III Of left ILI 7. T--. A Fi— VC.'r 'P r A 90 C�\ Iq 5t L� Floor ujll T te, po() 6�F+ VI v Ee 01 EO vo" �3D El l-11-011 J'_I)i L!'- A 7=