HomeMy WebLinkAbout734 W 15th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
HOAGLAND, MIKE
131 PRISTINE LANE
PORT ANGELES
(360) 457-5052
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
7/28/05
05-00000608 Date
500640
734 W 15TH ST
06-30-00-0-4-2743-0000-
RES NEW SFR
(
vLb
RS7 RESDNTL SINGLE FAMILY
113195
Arv A-L
~op~
Contractor
NORTHWESTDESIGN HOMES LLC
131 PRISTINE LN
WA 98362 PORT ANGELES WA 98362
(360) 457-5052
TOTAL % LOT COVERAGE 29.68
NUMBER OF STORIES 1.00
LOT SIZE 7000.00
TOTAL LOT COVERAGE 2078.00
NUMBER OF UNITS 1.00
~
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BUILDING PERMIT -RESIDENTIAL
2032 SF SFR W/ATT GAR
55517
1095.65 Plan Check Fee
7/28/05 Valuation
1/24/06
438.26
113195
~
Qty Unit Charge Per
Extension
1017.25
78.40
\J'
\;t
BASE FEE
14.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 55558
Permit Fee 90.70 Plan Check Fee
Issue Date 7/28/05 Valuation
Expiration Date 1/24/06
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
4.00 7.2500 ECH ME-VENT FAN
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
.00
o
~
Extension
47.00
14.70
29.00
;3."3
PLUMBING PERMIT
55566
139.00
7/28/05
1/24/06
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
BASE FEE
9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1.00 15.0000 ECH PL- EA. BLDG SEWER
1.00 7.0000 ECH PL- EA.WATER HEATER
S
Separat~N<MRi ~4~~\llIt~~M;aJIlWOrR~~A, ~liI'Ie~M:, tAAif~s, 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. /
Extension
47.00
63.00
7.00
15.00
7.00
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
...... ".
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA nON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION "'.. . t~
SLAB /"" ., . '"It
WALL 1 FLOORI CEILING ,', "t"
MECHANICAL
HEAT PUMP 1 FURNACE / DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT, 417-4735 ELECTRlCAL
LiGHT DEPT
CONSTRUCTION R,W./ PWI CONSTRUCTION - R.W,
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT,
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 buildingperrmt InSpectIOn record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000608
Application pin number 500640
Page
Date
2
7/28/05
Special Notes and Comments
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee of $410.00 required
07/15/2005 03:36 PM GMCLAIN ----------------------------
20' wide gravel alley to City standards, see public works
engineering for requirements.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1325.35 1325.35 .00 .00
Plan Check Total 438.26 438.26 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3538.11 3538.11 .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 orwork 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:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
~
~
~
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS 81~Lo,\ SL'-..
WALLS i<7':'~-O.C; J 1...1-
FOUNDATION {DRAINAGE ODOWN SPOUTS in-IIl-n. c:; .- \ J-l- {J" "''''' " .L. .k-l-l- /0 - t '/(-06 AP Jh I--
PIERS -- . I
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB J
ROUGH-IN 'I I () I O(p :J Cf./
WATER LINE (METER TO BLDG) o htJ.! f) S JW
GAS LINE ,
BACK FLOW / WATER
AIR SEAL ,
WALLS [f(oIOh j(,U
CEILING
FRAMING
JOISTS! GIRDERS
SHEAR W ALLIHOLD DOWNS t'... I {J..-e; S- ..}J.}..
WALLS! ROOF / CEILING tit 0 I CJ, .::JiN
DR YW ALL (INTERIOR BRACED PANEL ONLY) , 3i 72_1 I'lf" ':i'"IL
T-BAR .
INSULATION ~J 2.2/6b TLL-
SLAB .
WALL! FLOOR/CEILING I
MECHANICAL HvtA/- ,/~ /0(, VI-
HEAT PUMP / FURNACE / DUCTS
GAS LINE I ~/7410(, 17-V
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 t / PLANNING DEPT.
BUILDING 417-4815 f.,/e.O /0 ~ V'/A.,/ BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd(1/4/200!]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
.. .." "'1\pplication type description
Subdivision Name
property Use
Property Zoning . . .
Application valuation
05-00000608 Date
500640
734 W 15TH ST
06-30-00-0-4-2743-0000-
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
113195
" ""'Owner
Contractor
HOAGLAND, MIKE
........"".1'31 PRISTINE LANE
PORT ANGELES
(360) 457-5052
Other struct info
NORTHWESTDESIGN
131 PRISTINE LN
WA 98362 PORT ANGELES
(360) 457-5052
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit . . . . .
Additional desc .
Permit pin number
'" ..,.." "..f>e:rnlit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
55418
715.00
7/28/05
1/24/06
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 715.0000 EA PW W/M 1" SERV 5/8" METER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
55400
50.00
7/28/05
1/24/06
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
.. .Issue Date
Expiration Date
SANITARY SEWER HOOK UP
55392
110.00
7/28/05
1/24/06
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
7/28/05
HOMES LLC
WA 98362
29.68
1. 00
7000.00
2078.00
1. 00
. .00
113195
Extension
715.00
.00
113195
Extension
50.00
.00
113195
Extension
110.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
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
T:\Policies\1102.15R [1/05]
'(,.28-05""'
Date
PERMIT INSPECTION RECORD
CALL 417-4807 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 IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SlDEW ALK
CURB & GUTTER
DRIVEW A Y APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 4 I 7-4815 BUILDING
T:\Policies\1 J02.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000608
Application pin number 500640
Page
Date
2
7/28/05
Special Notes and Comments
by Building Department is required prior to backfill.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee of $410.00 required
07/15/2005 03:36 PM GMCLAIN ----------------------------
20' wide gravel alley to City standards, see public works
engineering for requirements.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 875.00 875.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2649.50 2649.50 .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:\Policies\1102.15R [1/05J
PERMIT INSPECTION RECORD
CALL 417-4807 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 IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
CURB & GUTTER
DRIVEW A Y APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PoliciesllI02.15R [1I05J
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JC( -/
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C & F INSULATION, INC.
P.O. Box 2197
Port Angeles, Wa. 98362
(360) 681-0480
Fax: (360) 681-0349
1-800-479-1371
INSULATION CERTIFICATE
THIS IS TO CERTIFY THAT, IN CONFORMANCE WITH THE CURRENT THERMAL
PERFORMANCE STANDARDS (Washington State Code) OR APPROVED PLANS,
INSULATION HAS BEEN INSTALLED IN THE BUILDING LOCATED AT:
Address of Property: OWner Name:
Builder:
pennit #:
734 W I.Sill ~~
ND~\.tl,6.S-'- ~V'?f^-J
DESCRIPTION OF INSTALLATION
Manufacturer (or trade name) Thickness R-Values
ROOFS
Type of Material: Fiberqlass
>t EXTERI OR WALlS O~e ~~~,\
Type of Material: Fiberglass ~
CEILINGS:
BA.TTS
Type of Material: Fiberglass
BIDV'"JN --h NAJ J ~ ~
Type of Material: Fiberglass F
FLOORS
Type of Material: Fiberglass
DUCT/PIPE WRAP ,vi
Type of Material: Fiberglass YES NO
VAPOR BARR I ERS
Type:
Ceiling
Wa 11s
Floors
Sub-Contractors C & F Insulation, Inc.
Contractor's Reg. No. CFINSI*066DW
/J //?
c....<.- C-a_-AA.~
Authorized Signature
VIUL rA~-
~~~
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V i tle '. Oat '="-f' Insulation ~ontractors ~
c..:J~ yJ ~ Suppliers
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Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
Building DepartmentUse;()nly
Lot:
*~
.- Permit#; .
'Notes: ....
'" .: . ~':!' .. .... .:",' ~... ".-.'
Address:
~\6C.l<.... ..4l.-1
15~ ~ A~.
City: POlk- Y\-V\~.elL-~
State: W A Zip: 9~::b~
Contact:-ID1~_J\~\u~
Phone: Obo, 4f:, . 505 Z.
Phone 2: 3bO . ~'7 OODb
, ..~,
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~~fir;:~;;~~!~t !_::~~!!~~J~~i:~~~:;~!l: ~';:i,t)~;i iff:~~;:JJ;I:~:i~1?~~llf!}i~1 t i,?;t~~ ;~~~;:\~~~;f~;; ~ ~j\\f~~it~ :t!~:;;:r;:f~;iij~ ~~~f~;.\!~f;~;~ ~:!,~;; ii;l~ f~
:.....'.7:. ,
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n untte azmg )~ Ion ny
Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4
Option ArealO U- Ceiling2 Vaulted Above Int4 Ext4 Floors On
% of Floor Vertical Overhead 11 factor Ceiling3 Grade Below Below Grade
Grade Grade
III Unlimited
Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-I0
Occupancy
Only
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Dr' dGl' Of 01)
See the code text for footnote references
This project complies with the following:
./ The project is a single family residence or duplex.
./ The project is wood frame OR all of the insulation is interior or exterior of the framing.
./ All building components meet the requirements listed in Table 6-1, Option III.
./ 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 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception
f~()~T OC/CJ'f
o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only.
Location of the door(s) taking this exception
Copyright 2002, WSUCEEP02-056
Copied by permission from the Washington State University Extension Energy Program
Prescriptive - Simple Form - Climate Zone 1
7/26/2004
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date ReefS:' - -
Pennit #: ,. 0
Date Approved: -
Date l.sued: f.
www.cityofpa.us
Print out form and fill out COMPLETELY in INK. Your application and site
plan MUST BE COMPLETE to be accepted for review.
Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711
Phone:
3bO... 45,- 505'-
3,fD - 1../57. SlJ 5" z..
Zip: q ~?::b L.
Phone:
R-n~e.k,S
Contractor
LEGAL DESCRIPTION: Lot:
Block: 4. 7- .,
Db 3D OOC> Ll7..;-' 4 3>
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name: m l(."'\llP_' ~~\an6
Billing Address: 131=iS\~Y'\L \u~ City: PDr~ \A~i'..~S tAJA- CJB367
TYPE OF WORK: SIZEIVALUATION:
jI Residential ; New Constr. 0 Re-roof 0 Stove IID1(jlJPr~O _ SF. @ $ 7().}.b /SF. = $
o Multi-family 0 Addition 0 Move 0 Garage C::fa.....~ SF. @ $:2./.;8 /SF. = $
o Commercial 0 Remodel 0 Demolition ~ Deck L?...D '-- SF. @ $ /2...00 /SF. = $
o Repair 0 Sign 0 Other TOT AL VALVA nON $ \ 1"7. \qt5
BRIEFDESCRIPTIONOFTHEPROJECT: ~I~~U F-Arll,c..r ~e.~'OEiJC~. 1\l0Uj ~0I..J';TfZ4~7Ia"'.
lt7\ , ~11. 0 0
'1. rrr .fi(P
I, Mo.">
COMMERCIAL/RESIDENTIAL: Occupancy Group: ~- 3
No. of Stories: -L Lot Size: 1 ~o Existing Sq. Ft. 0
Tota' 'ot coverage 'Z1~
Occupant Load: Construction Type:~
& Proposed Sq. Ft.U3~ = TOTAL Sq. Ft. ',~3 g....
7"
APPROV ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICA TION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
V ALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRA TION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and co"ect. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, not the eft's, d tha t obtain such permits prior to work.
www.cityofpa.us
Applicant:
Date: 7 - 7" 0:::;-
df'()IIl'~_
Jfi~~
D!I
...... -;:"'"....
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
'21 EAST 5TH STREET. PORT AN(lELES. WA 98,62
\
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivis10n Name
Property Use
Property Zoning
Application valuation
05-00000608 Date
500640
734 W 15TH ST
06-30-00-0-4-2743-0000-
RES NEW SFR
8/18/05
~
RS7 RESDNTL SINGLE FAMILY
113195
Owner
Contractor
HOAGLAND, MIKE
131 PRISTINE LANE
PORT ANGELES
(360) 457-5052
Other struct info
NORTHWESTDESIGN
131 PRISTINE LN
WA 98362 PORT ANGELES
(360) 457-5052
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
HOMES LLC
WA 98362
29 68
1 00
7000.00
2078 00
1 00
Permit
Add1t1onal desc
Permit pin number
Sub Contractor
Perm1t Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
OLYMPIC/ 60A TEMP. SVC.
58081
OLYMPIC ELECTRIC
42 20
8/18/05
2/14/06
Plan Check Fee
Valuation
00
o
I
I
-J
eN
1\ ~
<
~* ~
.01
~
~ If
""\
tf)
'\
Qty
1 00
Unit Charge Per
42 2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42.20
Spec1al Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height Numbers colors must contrast with wall
color they are mounted on (Ord 14 36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An 1nspection
by BU1ld1ng Department 1S requ1red prior to backfill
Electrical load calculations and elctrical permits are
required.
Electrical connection fee of $410.00 required
07/15/2005 03.36 PM GMCLAIN ----------------------------
20' wide gravel alley to City standards, see public works
engineering for requirements.
Sanitary sewer connection inspection is required by
Publ1C Works pr10r to back fill of ditch.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745 00
4 50
1025 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm1t Fee Total 42.20 42 20 .00 00
Plan Check Total 00 .00 .00 .00
Other Fee Total 1774 50 1774 50 00 .00
COMMENl Sf ACTION NEEDED
'(i
'\00........
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANOELES. WA 98162
~
Application Number
Application pin number
Grand Total 1816 70
COMMENTS! ACTION NEEDED
05-00000608
500640
1816 70
Page
Date
2
8/18/05
00
00
ELECfRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-ll02 IS (4196)
-,
'~
"-Or..'"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
12\ EAST 5TH STREET. PORT ANGELES. WA 98362
.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER,
Application type description
Subdivis~on Name
Property Use
Property Zon~ng
Appl~cation valuation
05-00000608 Date
500640
734 15TH ST
06-30-00-0-4-2743-0000-
RES NEW SFR
1/06/06
RS7 RESDNTL SINGLE FAMILY
113195
Owner
Contractor
HOAGLAND, MIKE
131 PRISTINE LANE
PORT ANGELES
(360) 457-5052
Other struct ~nfo
NORTHWESTDESIGN
131 PRISTINE LN
WA 98362 PORT ANGELES
(360) 457-5052
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
HOMES LLC
WA 98362
29 68
1 00
7000 00
2078 00
1. 00
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
OLYMPIC EL / 1912 SQ FT SFR
67884
OLYMPIC ELECTRIC
119 80 Plan Check Fee
1/06/06 Valuation
7/05/06
00
o
~
~
Qty
1 00
2 00
Unit Charge Per
73 0000 ECH
23 4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73 00
46 80
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height Numbers colors must contrast with wall
color they are mounted on (Ord 14.36 050-E)
When roof gutters are installed, dra~ns w~ll located in dry
wells or piped to approved storm drain location No
pressurized or pumping to curbs are allowed. An inspection
by Bu~ld~ng Department ~s requ~red prior to backfill
Electrical load calculations and elctrical permits are
required
Electrical connection fee of $410 00 required
07/15/2005 03'36 PM GMCLAIN ----------------------------
20' wide gravel alley to City standards, see public works
engineering for requirements
Sanitary sewer connection ~nspection is required by
Public Works pr~or to back fill of ditch.
~
..........
V\
\~
V1
~\
Other Fees
RES OVERHEAD SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
410.00
745.00
4.50
1025 00
Fee summary Charged Pa~d Credited Due
Permit Fee Total 119 80 119 80 .00 00
COMMENTS/ACTION NEEDED
'""~
\i
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l2\ EAST 5TH STREET. PORT ANGELES. WA 98362
.
Application Number . ._. . .
Application pin number
Plan Check Total
Other Fee Total
Grand Total
.00
2184.50
2304 30
COMMENTS/ACTION NEEDED
05-00000608
500640
Page
Date
2
1/06/06
.00
2184 50
2304 30
.00
.00
.00
.00
00
00
I
ELECTRICAL PERMIT INSPECTION RECORD
,
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.JS (4196)
12/27/2005 15:24
3504523438
OLYMPIC ELECTRIC
PAGE B1
~IA..
[j., ,
5
.. 'If
't'............?
ELECTRICAL WORKPERMI'I APPLICATION
Job .,ired by
, 0 Electrka. Contractor 0 Owner
In.!ltallotion dcscri'Pfion ~ ./
Q Commercial V'Residentlal
Electric,1 contractor name . I License number Date Expires
O/fJ/7'l.4V 61/'r fnr~ Oif~,r?L--c.h>~DI
Purch~r'~ J<<lIlhng address
L/J..;~ Tt:/-#h.//? IcR
C"'h L2...
I"br /- r:!.9" k. ~
Telephone" number
DNe",
o Altered/Add/tin.
/770
~ 1'1- J~
State ZTP
t/d
FAX number
5f7J,6"~
fL/5D
<(62-
f q I 2-
Premlse$ nwner's nlme
k!//(/- 1~~/;/7o/
Address of Inspectlnn T~
2.l.!/ t./ / ~ :.---
C1'lhrr ~~V,..I"...r
rhone number to !;C tdule iiupt"ctlctn:
c?J7-
OwMr as defined by RCW:/9.28.261:(1) OWtle.'I' wiff occupy the .urllcfurc for 111,;0
yc.tJTS after lhi:; elcc,r-lcal permit i,f,firrafi:cd. (2) Owner is rcqull'r!:d 1(1 hire alJ cI!'ClricaJ
confraCIO" ~-r above. JDid propt!r~J' is for solE:. f(!n! or lease.
AfteT readin.g the Ilbovc !ltDtement, I hereb)' certify that r am the owner of tne above
nam.ed property 01' a licensed c1cctriC:11 contt'Q.ct()t. ( am m~ktng (he dcctdcal \Ml.al.
lation or altcrCltion in complianoe with the elecn-ical laws, N.E,C" RCW. ChS'PtCT
19.28, WAC. ChapteT 296.46B, Tl1e City of Port Angeles MunicjJ'l~l Code. :\nd
Utility Spccificatic.H1!1.
SitOAtU<< of owner, clectTical eontnctor or electrical ll.dmlnh"trfttor
o Cash 0 Check #
~ditCard Visa
Card #
MasteTcard
Discover
---~------~-----
, , Date:
EI ctrlea Load Additions and or subtractlor:\ll
(;J NO LOAD CHANGES
1;1 Baseboard ~
o Fumace KW
(;J Heal pump _ Ton _ LAR
o Fan-Wall ~
Expiration Date
of carel
D Overhead Service
o Temp Service
~nderground 'Servlce
SmYLc.e Inform,atl!m
Vollaga :7-ftf?
Phase W4 0 3
Service Size: ~
Feeder SIze:
SAME DAY INSPECTION, CALL BoEFORE 7:00 AM 360-417-4735
ROUGH-IN TIJERMOSTAT
,6- .:n- Or; Au;1-
D~'e Atltlf~,wed Dr [hie Appr!:,ve(l My
SERVICE h
.b ' f::J
^JlpFOVe(I My
~
2.
\l>-
'.',
................"
7>';:AL JEi;/
AtlJm'Vell Ay
/
DITCH
..&:f:)
r ^I'pmvell By
FEEDER
DnlD ATlpmvd Dy
1\If' Area., Building or Equipment In.i:;pectcd
Action Taken
Etectr;ca.l
InSflcctor
,
ELECTRICAL INSPECTION
WIRING REPORT
~O 417-4735
ADDRESS
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
)t . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . .. . . . . . . . . . . . .. . . FINAL. . . . . .. . . . . . . . . . . . . . 0
CORRECTIONS NEEDED: ~..5T fJ~rr av ..5/71Z.. (,
Ifu: /A/~~-77~A/ ~~4' or.;e"S
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
{!J1xUJ /'~UJ 'tV 17 h1...
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT Ir
05"-~o
INSPECTOR
/fi:.&
IG ~c.
ADDAES:"':3 "I tV /5'-6
APPROVED ~p S c/ c... NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . .. . . . . . . . . . . . .. . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED: ([)
T1~#7hv' hl!'nbA:7/7 ~
rJcAw1.P m /Yl/Jv;L. ~71eO:;," KN-CZ!"> "-'
8/V1t:J.if _ <:: /!Jp ~p
~~,,) ESJ'
77'> P \/, a t..J>
.
/.
,/
SV<:'"
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
116-
OLYMPIC PRINTERS, INC. (360) 452-1381
-
{1Uh-iS .
o
08/12/2005 07:21
3504523498
OLYMPIC ELECTRIC
PAGE 01
, '
e
..
'I . 'I
~~....~
ELECTRICAL WORK PERMIT APPUCATION
Job wired by
o Electrical Contractor 0 Ol\'Dcr
Insl<,J1atiQll dc:~c,iption _ /"'"
Cl Commerc.ial (!('"Rcsldential
License number Dale E;rpir~
Of,,;:;,'&- Ek-efnr_ Ot.Y,I//?h:.JJ;.S-.!)/
Purt'fias s mal ling address
&/77 t./ ..:?fr.c
Electric::!.l C(lntractor name
CI New CJ Altered/Addition
'/,270
C;\?
~d ~/"t?/
Telephone num or
State ZIP
4<-7 7 ? .Jtf2
FAX number
tf
ha.,,/, J:;? krv,c~
Premises owner'9 rlsmc
.M, -,.f ~ .l,bdr /~/?p'
Addrcu or inspectl"ir '"
ZI:L. tfl 15'~
C"lD '.
'r.t?dAA.rk-.r
Phnnc number ro-;chedolc inspection: ttJi'- 5C?S-.2.-
Owner a..~ dl'Jined h.ll RCFJ:J9.]8.26}:(I) Ow,a" will (lccupy thE' slnlcttlN! /nr twn
year.~ after this cl~ctricQI pumil is jirrulr'=t'.Ji. (1) ()v.mer is rCiJ"lrp.d In hirf! an t'/(!Cfr,'cnl
contractor if "bovl'! .f:aid property ;s fo7' .Iale. relit ur lcase.
After reading the :lbovc !ltntcmcnl. J hereby certify that I i\m the OWfler of the above
named propeny (IT 3. licensed elec:lrie~l c:ontractor. 1 ~m mnkinp; the electric,,) il\sral-
lation or alterllrinn ;n [;ompl;ancc with thc electrical I3w!\, N:E.C.. RCW, Chaptcr
19.28. WAC, Ch"ptcr 296-46B. The Cit)' of Port Angeles Municipal Code. :lnd
Utility Specification:;,
5il!:nature or OWPl~r, dtctricnl contrado,. Dr C'ltctrlc:l1 .dministr"tor
X Datt1: $/;1 b.5-
Elec~ll< Addlll'!l)s and or sublracnQM
U NO ~OAD CHANGES
u Baseboard KW
D Fumacg KW
D Heat Pump _ Ton _ LAR
CI Fan-Wall KW
,-FI' .., / ,.--
Z J..;- ../~ .
.-.. "t\ -;Vi'~. ... I (-.,.,.,
I /''- ' '., '\ \
~_... ," /\.'! c -.\ 1 \
I I .,.:.,.,J..~ - .',< I "
I -i 0" .""" ,...., i '--" /
U \. c._../-:.v- .' .u..' /
o Cash 0 Check #
~itCard Visa
Mastercard
Di!;covcr
Card #
------------------
Expiration Date
of card
Servlc... Information
~erhead Service
a Temp Service
D Underground Service
Voll1lge~_
PM>o IB'1 CI 3
Servlca Size: _
Feeder Si7.e:
SAME DAY INSPECTION CAT L BEFORE 7'00 AM 360-417-4735
. - -
/ ROUGH-IN /' TIlERMOSTAT SERVICE
t
\. Onl~ "waved By (IntI: :\j)Cf'('vC'l1 My Dale '^PJlft"'odBy-/
ANAL /' DITCH l':r..;,.Ut.Al
.
1).11: APl"""'ell Hy./ "- Dnle ^T'T'I'CI~D:r/ p..e ^"l'O"'~ ~,.
Inspcction Area.. Building or Equipment inspected Action Taken. ElectriCOlI
Dnte Inspector
Bfc.l..(tJod 'UC.-4. T"" - AI ~ dtI.JJOQ!? 1\.<1'5 "1'i<l' ~ .h ('-,/)
~
"
,
{:?/ ~~
/ /
/1CO
--
PRIORITY, 2
<5=0
'vIF 416 79/01
PROJECT NUMBER, 9992
ST AKING SHEET
2
SHEET OF
CITY OF PORT ANGELES, LIGHT DIVISION
LOCA nON:
15TH 8. A ST.
ENGINEERED PY' GAIL DATE,.....!
CHECKED BY~/kADATE'.!'i
DATE ISSUED, REVISEI
SPECIAL INSTRUCTIONS,
SUBST ATION/FEEDER'
A 1201
nN, "PAN TPlI ,nR N,IJ rnN"TRllrTTnN
FEEDER HAP' 8- 10 GRID HAP, 39
rOREMAN:
DESCRIPTION or \JORK, TN~T AI I
START DATE:
LOCATE COHPLETION DATE'
TIME: NUMBER,
COMPLETED:
COPIES' HAINT' _ INSP,----L- CRE,,,---L- TEu _ TV, _ FILE' ---L- Purchasing' ---L- OTHER, _ OPS. MGR.,....L- T
A
POLE NUMBER SPAN "'IRE SIZE POLE PRIMARY FRAMING UNIT TRANSFORMER MISC.
rT. H/C o.H. U.R.D. KVA No. 11
I 39 ER 05 100 2-"6 CU 40/3 Pf I 05
2 39 ER 05
) l
15TH '1
" 7
802 r''-Y 738 730
NE\I ili28\
C NSTRUC ION
r' I I
~;~=-- d; ~\ 734 C$
'?:' 2 <
I ~ I 10 \ ( '"
I VJ I
" J \ o \
[J 1600A D1S . I Lr
. N.C. <I: ,
2 . nS 3N, ....."
f16 '
I ~~ ill ,
n I I
"";IU ALL G~TA\I~YS \ 2 1
'0 3-';;, tM ,cu tlo34\ .
lSK HD.
}-2/ NTL) DV~
I~\ I I
~~ , ' I
h'" 'I 6DOA DISC.
i I I N.C.
'rd~ 3T 1:'-.1_ :.... ~ . 4T
"""" , , U
\ \ '3-60DA DISC. ,
\ \ ,,~ 1
~M
\ \ N.D. 2M
. ( \/ u'
I M
cf/)
B
E
WF0041784 / 001 City of Port Angeles
REQ. DATE: 08/19/05
SCHED START: 08/22/05 SCHED
CREW: Electric Inspections - CX
LOCATION: 734 W 15TH ST
SUBDIVISION:
REQ DEPT:
REQUESTOR: HOAGLAND, MIKE
REQ. USER: TOWEN AUTH. USER:
ELECTRIC METER INSPECTION
COMPLETION:
EINS
08/19/05
PAGE 1
15:04:30
08/22/05
98028
98362
lo'RIUIU1Y:
ORIGIN:
TOWEN
LOC. ZIP:
[Vjedl urn
Staff
WORK TYPE:
ROUT
PRIMARY CONTACT INFORMATION
HOAGLAND, MIKE
131 PRISTINE LANE
PORT ANGELES, WA 98362
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
ELECTRIC METER INSPECTION
CATEGORY: CS-Inspections
TASK: ELECTRIC METER INSPECTION
DEPT: FN-Custorner Service
SCHED START: 08/22/05
CUSTOMER: HOAGLAND, MIKE
CUST. PHONE: (360) 457-5052
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
START TIME: .. COMPLETION TIME: . .
START DATE: ====i====i==== COMPLETION DATE: ====i====i====
UNIT OF PRODUCTION: QUANTITY:
(360)457-5052
INSP
ELMT
FNCS
COMPLETION:
READY
SCHED
08/22/05
86381
--------------------------------------------------------------------------------
--------------------------------------------------------------------------------
DATE
--------LABOR-------
EMPLOYEE HRS OT
---EQUIPMENT--
NUMBER HRS
ITEM
MATERIAL -------------
QTY COST
/ /"Ispt-en ON
fr-
?tJ CYZ-K. orebl!.R. - /y.6t.O .7.0 ./l5(..:p2UT
~/tLeL
.,;) ~ 11/0
.~
~,€..ES
M-t-L
rhC / /-./.~L.e7~~_N ,
o D
~
p,4-'1~
3 - ;.Mv/f...
/L/c...c /I, C L-t:> .5 L
Ol'-{clC Co"""/-'~TL
,
1- C,4 U-- .t:#rH7 ~7 z..'f
~ 6/J v~ AruL ;'?"7.u-
rt:>z
~ :n b/U/n.-&.t.... o.-vC/L At.L