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Home My WebLink About2428 Arbutus Ln - 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 05-00000315 Date 909695 2428 ARBUTUS LN 06-30-01-5-5-0170-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 76290 Contractor JOHN AND JENNIFER SIKES 2428 ARBUTUS LN PORT ANGELES WA 98363 OWNER Structure Information 000 Other struct info . . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 000 1205 SQ. FT. SFR w/ 524 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 7/26/05 AMId! ~/3tJ/~ ~ ~ -- ~ .00 76290 ~ ~ ~ ~ )> N ~ ~ \/' SQ. FT. ATT GARAGE 19.80 1. 00 9016.00 1793.00 1. 00 BUILDING PERMIT -RESIDENTIAL 1205SF SFR W/ATT 524SF GARAGE 50930 856.25 Plan Check Fee 7/26/05 Valuation 1/22/06 Qty Unit Charge Per BASE FEE 27.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 51433 76.00 plan Check Fee 7/26/05 Valuation 1/22/06 Qty Unit Charge Per BASE FEE 4.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 51441 132.00 7/26/05 1/22/06 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 8.00 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 Extension 667.25 189.00 it .00 o Extension 47.00 29.00 .00 o Extension 47.00 56.00 7.00 15.00 7.00 Special Notes and Comments Separate ))~rmW~ ate r~q~Fre~lg?erec'lncar~br~;S~t, SRBP.elfn'e,"E~~~ illWifles, 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 pre ive authority or cancel the provisions of any state or local law regulating construction or the performance of onstruc ion", " U vVl.- c:X:1"~ Date Signature of Owner (if owner is builder) 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. 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 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL! FLOOR 1 CEILING I MECHANICAL - HEAT PUMP ItU~~ 1 DUCTS GAS LINE ~J'.... .......1... WOOD STOVE 1 PELLET I~~IMNEJ COMMERCIAL HOOD 1 DUC\:; , I MANUFACTURED HOMES w FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT II'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. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I 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:\Policieslll02_15 building permit inspection record05.wpd [1/4/2005] . .po~"" $.J..O~~t. ha '!Ie -- ~1C_.p CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 05-00000315 Application pin number 909695 Page Date 2 7/26/05 Special Notes and Comments than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) Down spouts from roof gutters shall be piped to drywells or may be piped to curbs that flow to strom drains. No pressurized or pumping to curbs are allowed. An inspection by. Bldg. Dept. is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National'Fire ProtectiQn Association(NFPA) standards. ":: . " ' ." 05/12/2005 02:59 PM SROBERoS --------------------------- Proposal will result' in 20% lot coverage. No land use issues are noted. Under 2004 policy - NO connection fee Electrical load calculations and elctrical permits are required. Dit~pes and culverts will be installed to City Stanards. See 'Publlc'Works Engineering for Standards. Sanitary sewer connection inspection is required by public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. 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 1064.25 1064.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2838.75 2838.75 .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_15 building permit inspection record05.wpd [1/4/2005] .,.. _ T. . 41 ,::.. 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 ANT WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ~...~_.~-- INSPECTION TYPE DATE ACCEPTED YES NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR/ SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE Q-12...or::. 11-1- Iq_1 q-o~ .\ J-l.. In-(;-<2r:; ..\ l-J... .~"._,--~~ . 1/ ~ JOb 1iJ-/I~())~ , pu..- rt-L- ~ ..~!) L ~~.. ~ _~-"~~~'_.~'"~- r Y'-'rqc;~~ BACK FLOW / WATER SHEAR W ALLlfI()J f) f){)"'I>'S 1-) /4.'7 It' j, It.. I I ( \ 1+-1 I tJL JlA \k 1! lOb 11.t/ fd,/Cl JD(e,. pn, I r I / fo4/-\/OG:. J....... -~~.~._"~- N ~ t'1 t:.~ ~~ 11 ~ ~ ~ t AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS WALLS / ROOF / CEILING DR YW ALL (INTERJOR BRACED P ANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES Pt~~AO~b .-.-- FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: ESA: PARKING/LIGHTING LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACC~;PTED -- --- YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ~?-sI 06 f}cc) ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ ENGINEERING 417-4807 CONSTRUCTION - R.W. PW / ENGINEERJNG FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 .I'lL / I ""~ .. (71-- PLANNING DEPT. BUILDING 417-4815 T:\Policies\l102_15 building permit inspection record05.wpd [1iA'12005f BUILDING ~ pORT ~ a"'O~~~ ~ 1\::...-- "toit1C~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES 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 7/26/05 05-00000315 Date 909695 2428 ARBUTUS LN 06-30-01-5-5-0170-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 76290 Contractor JOHN AND JENNIFER SIKES 2428 ARBUTUS LN PORT ANGELES WA 98363 OWNER 000 1205 SQ. FT. SFR W/ 524 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Structure Information 000 Other struct info . . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SQ. FT. ATT GARAGE 19.80 1. 00 9016.00 1793.00 1. 00 PUBLIC WORKS RES WATER SERV 5/8" DROP IN WATER METER 50955 195.00 Plan Check Fee 7/26/05 Valuation 1/22/06 .00 76290 Qty Unit Charge Per Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date BASE FEE Extension 195.00 RIGHT OF WAY 50948 50.00 7/26/05 1/22/06 Plan Check Fee Valuation .00 76290 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 Extension 50.00 SANITARY SEWER HOOK UP 50963 110.00 7/26/05 1/22/06 Plan Check Fee Valuation .00 76290 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP 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) Down spouts from roof gutters shall be piped to drywells or may be piped to curbs that flow to strom drains. No 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 ord' ances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presu giv uthority to violat cancel he provisions of any state or local law regulating construction or the performance of c tructio T:\Policies\1102.15R [1105] ~ C:JVL- c:::- Date Date Signature of Owner (if owner is builder) I 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 / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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:\Policies\1102.15R [1105] ~ "ORT ~>\I; $4.0~~~ ..~ ~ -- .~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 .,,----... Application Number . . . . . 05-00000315 Application pin number 909695 Page 2 Date '7/26/05 'Special Notes and Comments pressurized or pumping to curbs are allowed. An inspection by Bldg. Dept. is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire '---""-"'Code (UFC) and National Fire Protection Association (NFPA) standards. 05/12/2005 02:59 PM SROBERDS --------------------------- . ....... "'-'''Proposal will result in 20% lot coverage. No land use issues are noted. Under 2004 policy - NO connection fee Electrical load calculations and elctrical permits are required. Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. ...,_.". ....Sil-nitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works ., '.--"'" 'Engineering is required prior to prouring concrete. 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 355.00 355.00 .00 .00 . "''''"-,,.... ""Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2129.50 2129.50 .00 .00 Sep'arate 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 [l/05] L 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 SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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. 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NN " .-<.-< .-< o 0\ ..1 en :5!3 ;;j.;;~ ril.-<Ul H <( ..1 .. >< ...,rilQ :>: ~~~ o o MUl .-<<( >< ..Q ril :>: ~~ ..1 ..1p., ...,<( ~t~~ e~ "'''' 00 " U'IU'1 NN " ...... .-< o .-< o N o M ..1 III P: H <( en M ..1 III ril E-< o Z ~ Ul E-o ffi ~ o U CITY OF PORT ANGELES. FIRE DEPARTMENT PERMIT 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 05-00000315 Date 909695 2428 ARBUTUS LN 06-30-01-5-5-0170-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 76290 4/27/06 Owner Contractor JOHN AND JENNIFER SIKES 2428 ARBUTUS LN PORT ANGELES WA 98363 OWNER Structure Information 000 Other struct info . . 000 1205 SQ. FT. SFR w/ 524 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS SQ. FT. ATT GARAGE 19.80 1.00 9016.00 1793.00 1. 00 Permit FIRE SPRINKLER RESID Additional desc Permit pin number 75655 Permit Fee .00 Plan Check Fee .00 Issue Date 4/27/06 Valuation 0 Expiration Date 10/24/06 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. .tlumbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) Down spouts from roof gutters shall be piped to drywells or may be piped to curbs that flow to strom drains. No pressurized or pumping to curbs are allowed. An inspection by Bldg. Dept. is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. 05/12/2005 02:59 PM SROBERDS --------------------------- Proposal will result in 20% lot coverage. No land use issues are noted. Under 2004 policy - NO connection fee Electrical load calculations and elctrical permits are required. Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE 745.00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days aferthe work has commenced, or ifrequired inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examine:l this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the ovisions of any state or local law regulating the work specified in the permit. Signature of Owner (if Owner is builder) Date -I FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test psi Tank (container) inspection Time initiated Test #2 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments GENERAL COMMENTS: 2/15/00 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 # Page 2 Application Number . . . . . 05-00000315 Date 4/27/06 -----~~~~~=:=~~~-~~~-~~=~--~-~-~--=~=:==---------------------------------- Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1774.50 1774.50 .00 .00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examine:! this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date l .... ~ FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test . pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments ~ & ~ .-:::j c: (...n GENERAL COMMENTS: 2/15/00 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private residence Address: 2428 Arbutus Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13 RO 13DIZI Date: 4.27.2006 P AFD Permit #: 06-26 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush ofthe underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. Contractor Reviewed by: ~O.(4)o Date: l.\.Z'l.OG o [] o Building Department Fire Department ,~~ o~ ~i~."..~~\'G(,,, v^f "iii'4Jrl.7"""" 'J' ~~) ~L.'. .. l'lc::-...:;:....J1:1 \t..:~_.... - BUILDING PERMIT - APPLICATION Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: : V\.C- It~. f Q Phone: t,./ J ..2. - 7 S &3 ? Owner: /k1A.!',' '-'""L.j /J-", fL,lJV' } ~ a rP C I C ( Phone: Address:'Z~~..3 So , F/o...'-t.c..l.l City: <p. )}-. Zip: ArchitectJEngineer: Phone: Contractor lAIN () vA-En J:./ P...t;. State License #: I A/At'rJ V P f (/ '-jl(Rf:xp: ..~;& '/ Phone: Address: BI IV ~ ~/~ 1,,,,,, City: P. A Zip: 9~S6 ~ PROJECT ADDRESS: 2- y 28 A/2.RiI1l/~ ZONING: LEGAL DESCRIPTION: Lo~: J 7 Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: .,J).TE OF WORK: A Residential D New Constr. D Re-roof D Stove D Multi-family D Addition D MoveD Garage D Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: 'F ,,' r-rl.... SIZE/V ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ S TOTALVTUATION $ ~/. P V";-1 k ..J2..... S'? ~ I- i . ~o COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlW etland( s): DYes D No SEP A Checklist required? DYes D No Other: VALUATION 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. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days ofthe date of application, the application will expire. 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O"'ltl Ol>l.:l NN N ""00 O~o. riri N O:E .......... .....E-o 1>l0 NN ril>: I>: I>:U riri 0 'I>: 'I>l ..:i 0. 0 III 0. 0 E-< '?5 ~'" CIlU ri ri 1>:0 gJ;:!I>:~Z !-< 0 0 0 <( H 00 0.>:E-o~U.:l ~ ..... ~E-< OZZl>:o. 0. '" N I>:H ~O~<(o. >< .:l .:l o.U UOo.<( !:ll E-< 0. 0. I JamesTie.rJy - Eloar ~on:(litfons on Arbutus~ Page nl From: To: Date: Subject: James Lierly hacc@olypen.com; shhomes@olypen.com 1/6/06 10:03AM Floor conditions on Arbutus. Clallam County Housing Authority Gregg, now that we are in the rainy season, I noticed that the subfloor material has begain to swell and deform. Most flooring has an exposure time frame specified by the manufacture, usually around 90 days. This is the same condition we had last year on "0" street in the first phase and as per our conversation at the begining of the second phase, I mentioned that i would hope to avoid over exposure on the second phase. At this point, i want you to complete and cover all existing structures that are framed before any other floor systems are intiated. This will give the interior time to dryout and after the structure is enclosed, provide heat, as was required on the first phase. (there is a device that i have seen used on other sites that acts like a squeegee) that you can push the water outside the structure to help keep the water off the floor. Please do not hesitate to contact me if you have any questions about this requirement. City of Port Angeles Building Inspector Jim Lierly 360-417-4816 "'111 0 ..... N .... ..... N .... MM ClE-< <(<( "'Q 00 Q 0 0 3: <( Z 0 0 0 >: ...:I ~ .r- I>: .......:1 M 0 H ..:x: ...:I ME-< ;> ~~ ...:I HMM E-< QZZ E-<IO 00 MOO ~OO '" M :':M :X::X: E-< 8~ 00"'''' 0 :;~ Z E-<..., '" Q Z .. '" ~ 01>: ::>N HO 00 OON E-<E-< E-< 00 UU Z 1>:'" E-< MM M Mo Z "'''' Z~ E-< M 0000 <( :>: zz 00 3:111 :>: H H HU 0 0 E-<..... 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O\Dlll Or.l...:l N , N '":>00 o=:>,,- .... , .... 0:;: , , 'E-< r.l0 '" , "'0: 0: ~o:u , 0 '0: .r.l "- , '" 0 01 01 , 0 en b . . ~ , r.l'" .... , ~o E-t 0 0 , gJ~o:f;] .... en , "'>< O:E-<r.lU...:I ~ , , r.lE-< os~~g; '" .... , O:H >< ...:I , "'U ~Uo"-<( "- E-< 01 , ~~~ srR\\ - 2' 21 ^ ....;:-::: _r I ~I jl SCALE: I" = 20' I I I o ,. I 30 r T1TLE:MADRONA WOODS SUBDIVISION SCALE: ~ . 1" = 20' lOl11 JOB NO: 02030 CLIENT: FILE: HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT17.DWG 2603 S. FRANCIS STREET DATE: ~ PORT ANGELES. WA 98362 I 7-29-04 ~ I ~ fi....,.[)t(.T..... .. I. it . ____ 'W ~\o.~\C\q BUILDING PERMIT - APPLICATION No Pta.,~ ~~vJe..v ?.e e..- www.cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and sit plan MUST BE COMPLETE to be accepted for review. Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711 FOR OFFICIAL USE ONLY: Date Rec.: 4 - 28 - <::) S pennit#~. Date Approved: ~ Date Issued: 7.fj""Jo , . ,!-/t>l./S/Nc... 4t-f7#Oi"?;rr-r ~r 7#~ Applicant or Agent: C'OU/lTY c),c C?l#lc.4~ Phone: 71S-d)-7~ s I -ep/ Ii" Owner: J 0 h )I) c:t J e..nrJ/ ~r- S, 'I< ~u:; Phone: Address: City: Zip: Architect/Engineer: Contractor Phone: State License #: Exp: Phone: Zip: ZONING: n1AjO.u., Address: City: Po~ r /Y )\(';'1' [ S' 93'36 i' PROJECT ADDRESS: dC/a? 8' ,4 i?6UTVl5 LEGAL DESCRIPTION: Lot: 17 Block: CLALLAM COUNTY PARCEL NUMBER: t t4 tVf- I Subdivision: IA)OlJ 15 Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: ~esidential" ~ew Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: City: MC # Exp. Date: SIZENALUATION: o Stove I '2Cl5 SF. @ $ ISF. = $ Q-"Oarage 52'-1 SF. @ $ ISF. = $ o Deck r::,~ SF. @ S" ISF. = $ TOTAL VALUATION $ 7b2tfD, ~~ /l!rtJ yN6-Lr P,9/J1/ L y Jas:.:s / D~NC' E A- r r /ft' II fir I') c:J- ( A R if- 4-1f- II I- ! {)NIF .51-07 Y /AJ I T P COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: -1- Lot Size: q D J b Existing Sq. Ft. (2f & Proposed Sq. Ft.l7.~ = TOTAL Sq. Ft./7 93 Total lot coverage. I C} J 8 % APPROV ALS: PLAN: BLDG: DPWV: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITT AL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. V ALVA TION 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. EXPIRATION 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 Rl 05.3.2 of the International 8uildingIResidential Code, 2003). No application can be extended more than once. www.cityofpa.us Applic t: .0'"'' ,,,. "4~T ~ Date: &I /)~ I hereby certify that I have read and examined this application and kn the sam 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 r, quired. 1-- d'-'~_ . $i'~ plication Number . . "r pplication pin number r ~_~_~ ~~~.~gg ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning , . . Application valuation Owner JOHN AND JENNIFER SIKES 2428. ARBUTUS LN PORT ANGELES WA 98363 Permit . . . . . Additional d~sc . Permit pin number Permit Fee Issue Date Expiration Date CITYOFPORT ANGEl,.ES PUBLIC WORKS .. ELECTRICAL DIVISION :m EAST 5TH STlmET. PORT ANGELES. W ^ 911:\62 05-00000649 Date 7/21/05 18554<; 2428 ARBUTUS LN 06-30-01-5-5-0170-0000- ELECTRICAL ONLY MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY o Contractor OWNER ELECTRICAL TEMPORARY SERVICE 55079 42.20 7/21/05 1/17/06 plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 42.2000 ECH EL-TEMP SRV - 0-60 SRV rDR Extension 42..20 'Fee summary Charged Paid Credited Due ~---------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 ".00 :00 Grand Total 42.20 42.20 ,00 .00 COMMENTS! ACTION NEEDED "1 I I ~ en ()' ~ -0 ~ L ?J. ~ N ~ ~ X ~ ~ C/O ~ -4 .s:- lI) t'- t., .~%;w~~/ ELECTRICAL PERMIT INSPE~'fJ.ON RECORD . '0$ CALL 4 17-4735 FOR ELECTRlCAL INSPECTIONS: PLEASE PROVIDE A MlNWUM 24 HOUR NOTICE. Ii; IS VNLA WFUL TO COJlER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. I KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPEctJON TYPI COMMINTS NO GENERAL COMMENTS: i nV-II02." 14'Hl I.' . I I I Of~ORT,...:~O b".l,~'....s<t. ~ ~ --- "'.~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o S-:-3-/5 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use Property zoning . . . Application valuation 05-00000315 Date' 909695 2428 ARBUTUS LN 06-30-01-5-5-0170-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 76290 7/26/05 UtsY~~ J~~rC!5 Owner Contractor JOHN AND JENNIFER SIKES 2428 ARBUTUS LN PORT ANGELES WA 98363 OWNER Structure Information 000 000 1205 SQ. FT. SFR wi 524 Other struct info . . TOTAL \ LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS SQ. FT. ATT GARAGE 19.80 1. 00 9016.00 1793.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 5/8" DROP IN WATER METER Permit pin number 50955 Permit Fee 195.00 Plan Check Fee .00 Issue Date 7/26/05 Valuation 76290 Expiration Date 1/22/06 Qty Unit Charge Per ~ . BASE FEE ~ -----;~~it . . . .. RIGHT OF WAY Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . 50948 50.00 7/26/05 1/22/06 plan Check Fee Valuation .00 76290 Qty Unit Charge Per ~x 1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 -----~---~---------------------------~--------------------------- -------- - Perm~t SANITARY SEWER HOOK UP Additional desc . Permit pin number 50963 Pe.rmit Fee 110.00 Plan Check Fee . . .00 Issue Date 7/26/05 Valuation 76290 Exp~ration Date . 1/22/06 Qty UllJ.t Charge Per ~xt . 1.00 110.0000 EA SAN SEWER HOOKUP 110.00 ------------------------------------------------------------------ ------- Spec~al 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. (Qrd. 14.36.050-E) Down spouts from roof gutters shall be piped to drywells or may be piped to curbs that flow to strom drains. No \ yJP' 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\] 102.ISH. [1/05J ~l'ORT '4< ~...O~..~~<" -"~'" .,'E!iiIlI . -- ""C~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, \VA 98362 Application Number . . . . . 05-00000315 Application pin number 909695 Page Date 2 7/26/05 Special Notes and Comments pressurized or pumping to curbs are allowed. An inspection by Bldg. Dept. is required prior to backfill. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) 5 tandards. . 05/12/2005 02:59 PM SROBERDS --------------------------- .Proposal will result in 20% lot coverage. No land use issues are noted. under 2004 policy - NO connection fee Electrical load calculations and elctrical permits are required. Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. -----;~~~~-;~~~--~-~-~-~-~-~-~-~-~~~;~~~-~~~;~~-~;~~-~~~;-~~~~~~~-~- ____________________________________;~~~;:;~~~~;_~::_F::_~10:;:~~ Fee summary Charged Paid Credi ted Due Permit Fee Total Pla~ Check Total Other Fee Total Grand Total 355.00 .00 1774.50 2129.50 355.00 .00 1774.50 2129.50 .00 .00 .00 .00 .00 .00 .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 wilhin 180 days from the last inspection. I hereby certify that I have read and examined Ihis 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 10 give aulhorily to violate or cancellhe provisions of any state or local law regulating construction or Ihe performance of construction. Signalure of Contractor or Authorized Agenl Dale Signalure of Owner (if owner is builder) Date T:\I'o]icics\1102.15R [1105] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. .... REQUEST: Date B - ;;l S - 0 Co jDJ4.... Time _ Received by T P (phone. person) Location of Work to be inspected :J l{ :) B A f' 10 (.A. +-"'- ~ L "'-lA "'- Name of person requesting inspection S' -el f!- l~-'2-( \0 NOLA s~^ J Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 0 S -5/5 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ ~,'V\.c:>.-I INSPECTION NOTES: Inspected: Date S - J B _0 b Remarks: .0' ,cr"'- Time L By ~yYl/ - <;;11'\0- 3-;;2..D-OCc. D,., v-<-'-'-' >4-'1 - B - e-. 6b S It-e.- tJ/6.\oV c, '7 'e. B - S -Db uUCLk.-- - Cllc RESTORATION REQUIRED. . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE ~ APPLICATION FOR WATER City Water Division Port Angeles. Washington '7 . ;)-.(;" ~ . 20 CL} I hereby apply tor water to be furnifhed in accordance with rates and rules of the City tor the following premises: (5/K.G3) . /i;;l - 763-1 X /s ,.~ ''''''''1:::J!::::~2:~.t &#nj- Address: ,?1~ _ _ ~~'---- :i::e:a~~~ice B~~~::e~:':" ~::,~ ~ Se~ice Left On 0 Se~ice letl~gned . Installed by Remarks: Hr/J1/T:Ii /6-;$/6 1;9?~-j- ~tJZSN) N / ( .J v ~ - ~ \l<;) i1- u.. :>37' E w "J/ In, I... v,' f () s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 3..... ZD ......D'-I Time Received by -~ II- I (phone, person) lo.";oo of Wo,k " b. ;o".."d -;>.1 v~ Name of person requesting inspection G - / /~ ~/L7"~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. t:)S; -~S (ie~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date -3 -2/) .....O~ Remarks: Time By Rv OK RESTORATION REQUiRED...... YES NO '/.... \ I k ., I I cle" , -c/D "]" ~J pvl..- " . .' J '"...J<.tc""'" e,,,si, ., ,-/" '7-l-lA-t. N ~ Afb",-ftA$ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE I r..n.ntinll".nn.rAVArc.".~itlA.if.nAr.:A!':!':~r,v' CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: II /2J1~ ') ;/ Date Time Received by (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ~oundation Framing Chimney LrJ' ~ Z:B ~r~s Lo-Itl-n ~.ee 7" Phone No. 7177--/2'i~ Permit No. as: ~'? Plumbing Final Sewer Excav. Other INSPECTION NOTES: ___________ /l Inspected: Date II/'Z'e;;t;.s- Time /1 14'JV1 By' ;;j(M..J Remarks: COI1/YAeLe.- IDc-ALed &" Pve.. S{<-<-h co. ('tC!{.?-fN.y t'/.."c:!. fo(DCf:.p~ R..~dL{s-c -Ie '!"f!pc.... aNd I/1S/AII.p.j <;/"/'~ b hotAse.. SeJ-U'i'1!- c=..Q ~ i ',( 0-P, l'" S tlA /I "<..t Co.. lc....~-- d q.J-e, (-J au s e 11 i4S I\) cJ pll-uq 10,'-( ~ t +-h ( s -l (Wt -e. RESTORATION REQUiRED...... YES NO 'X 'Ir;O ~ ~' y' \ ___ 'Iso lv")! L/" f'- Ed lA 5-"1l. A,'bq.\.l.;. ':> LI4t<JL 1./0' ~9( "~I ,~"lvl i~...J ,"I- ~~ ~2 ~ ~ '/.J e SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 8/,;2 / of- I J Time Received by (phone, person) location of Work to be inspected ;;( '1 ~8 A V' 10 lA 4-L...~ Name of person requesting inspection ~,..."), - 50 el~ \-I." ~ p Address of person requesting inspection Type of Inspection (circle appropriate one): L",,,,,~ 1-10<.< ~ I' '" , Phone No. 477 - I ;J8J Permit No. o~ - "31 S Sewer Excav.~ Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: "------ Inspected: Date 8/3/0" Time 914;>, ~ Remarks: -=r:: 1-1 !',+-'l11 LI "f'vr=.. tJIO"-tl: '/"1:>_ -14 "C {I}/E. c!.o,;"'~ o-l/...h..r J-<, -w..-e G." AISS' P'f'-e lA"'/lt"'#:... WAllc..l.IJ.....'/, (:3''1~) 't 0"''''' \: RESTORATION REQUIRED. . . . .. YES NO X. (.\.....bc.....~..,. L~ , OPE...,) (.).. k '"'- . ____ l.."Ag 5 (16 ') , t.u.-lr l~,"",,>4,.i , I T,- 'II' f'Vt:..(3~') J2 '1:;' It, SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE ......_~!_..~------------- -,-.-., CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected 6) t./ d ~ lA lA. to \...<.. -he.:. L A_ L Name of person requesting inspection (\ \ d-./lr'l V'OV-C.... ~___-^.... f.. Address of person requesting inspection Type of Inspection (circle appropriate one): r l Phone No.l -----_ , Permit No. OS' - '31 S Sewer Excav. ~ .,....v..ewoC\i Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Inspected: Date Remarks: Time By RESTORATION REQUIRED.. .. .. .. .... YES NO 'f.., <3/7/ Oft:, - O",'()-<:WI4 y e./~ - ok / ~~ ~/0/0b D"'\II<~1 'F~Nvlc.. -vie - ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved D Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE ,o,,~ "(i CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 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 valuatlon 05-00000315 Date 12/23/05 909695 2428 ARBUTUS LN 06-30-01-5-5-0170-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 76290 Owner Contractor JOHN AND JENNIFER SIKES 2428 ARBUTUS LN PORT ANGELES WA 98363 OWNER Structure Information 000 Other struct info . 000 1205 SQ FT SFR W/ 524 SQ.FT TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ATT GARAGE 19 80 1 00 9016 00 1793 00 1 00 Permlt Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiratlon Date ELECTRICAL NEW RESIDENTIAL ELECT SVC / 1729SQFT SFR 67629 ELECTRIC SERVICE 96 40 12/23/05 6/21/06 Plan Check Fee Valuation 00 o ~ .l..t.. I ~ (P I I I :~ r Qty 1 00 1 00 Unit Charge Per 73 0000 ECH 23 4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73 00 23 40 Speclal 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) Down spouts from roof gutters shall be piped to may be piped to curbs that flow to strom drains pressurized or pumping to curbs are allowed An by Bldg Dept is required prior to backfill. New subdlvislon outside the four minute response time shall be equipped with a resldential sprinkler system that is lnstalled and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards 05/12/2005 02 59 PM SROBERDS --------------------------- proposal will result in 20% lot coverage issues are noted Under 2004 policy - NO connection fee Electrical load calculatlons and elctrical permits are requlred Ditches and cui verts will be installed to City Stanards See Public Works Englneering for Standards Sanitary sewer connection inspectlon is required by Publlc Works prior to back fill of dltch Construct driveway and Sldewalks to City Standards drywells or No lnspection t No land use COMMENTS/ACTION NEEDED ,v..~. J{id~'t. De ",,",,;,,;,",.. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98~62 . " Application Number Application pin number 05-00000315 909695 Page 2 Date 12/23/05 Special Notes and Comments No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering ~s required prior to prour~ng concrete 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 96.40 96 40 00 00 Plan Check Total 00 .00 .00 00 Other Fee Total 1774 50 1774.50 00 00 Grand Total 1870 90 1870 90 00 00 COMMENTS/ACTION NEEDED ~ ELECfRlCAL PERMIT INSPECfION RECORD ~ALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MlNIMUM 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-lI02 IS 14196) d'""~. sfi~~ De "",~;.o- CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l2\ EAST 5TH STREET. PORT ANGELES. WA 9R362 ~ .. Application Number Appl~cat~on p~n number. Property Address ASSESSOR PARCEL NUMBER Appl~cation type description Subd~vision Name Property Use Property Zoning Application valuation 05-00000315 Date 12/23/05 909695 2428 ARBUTUS LN 06-30-01-5-5-0170-0000- RES NEW SFR MADRONA WOODS RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 76290 Owner Contractor JOHN AND JENNIFER SIKES 2428 ARBUTUS LN PORT ANGELES WA 98363 OWNER Structure Information 000 Other struct ~nfo . 000 1205 SQ FT SFR W/ 524 SQ FT TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NlJl1BER OF UNITS ATT GARAGE 19.80 1 00 9016.00 1793 00 1 00 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Exp~rat~on Date ELECTRICAL NEW RESIDENTIAL ELECT SVC / 1729SQFT SFR 67629 ELECTRIC SERVICE 96 40 12/23/05 6/21/06 Plan Check Fee Valuation 00 o N .-t.. ~ CP Qty 1. 00 1 00 Unit Charge Per 73 0000 ECH 23 4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73 00 23.40 ~ a> ~ lj1 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) Down spouts from roof gutters shall be piped to may be piped to curbs that flow to strom drains pressurized or pumping to curbs are allowed An by Bldg Dept ~s requ~red prior to backf~ll. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is ~nstalled and ma~ntained ~n accordance w~th Uniform Fire Code (UFC) and National Fire Protection Association (NFPA) standards. 05/12/2005 02 59 PM SROBERDS --------------------------- Proposal will result in 20% lot coverage. No land use ~ssues are noted Under 2004 policy - NO connection fee Electrical load calculat~ons and elctrical permits are requ~red D~tches and culverts will be installed to City Stanards See Publ~c Works Eng~neering for Standards Sanitary sewer connection inspection is required by Public Works pr~or to back f~ll of ditch Construct driveway and Sidewalks to City Standards drywells or No ~nspection F COMMENTSI ACTION NEEDED '$ ~r""'-"'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98]62 .. Application Number Appl~cation pin number 05-00000315 909695 Page 2 Date 12/23/05 Special Notes and Comments No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete 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 96 40 96.40 .00 00 Plan Check Total .00 .00 00 00 Other Fee Total 1774 50 1774 50 00 00 Grand Total 1870 90 1870 90 00 00 COMMENTS/ACTION NEEDED # ELECfRICAL PERMIT INSPECfION RECORD ~ALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.II02 15(4196) fi! ~l.-IL'-.l""''''''''~ ,-- Job wired by o Electrical Contractor 0 Owner License number Date Expires ;e..Cl5:1 .3 2.GJ...... lnstllUation description a Commercial (J "'1d.~llual I:l New o Altered/Addition City 'Y'~ r;. '- I 50>'" S, Ct- . k--..... Telephone. number Y'1--&'1"1..-'-1 premiH-f:t.L~ame AddtCi. or ID&pedio'n "2.)-('--3 r~L(Tl...., City ,pAc FAX number I':;~' Pbone number to I~btdule inspection: 1:;2 t>5 6il1 "- 1.7 ?/'l ;p , 1"7 OWl:lsr as defined hy RCW./9.18.16J:(J) OW,,!?!' will OCC1J.pY the structure: for two )'tars (1ft" this ~recrrfral pfrmif is ftJlt1.1ufd, (2) OwPlt!r j,{ rt!9uirPA tn hire an: electrical C01'lIracror if above said property is for sale. renr or lease. After reading th~ above stat.ernent! 1 hereby certify that I am the O\\l1ltr of tbe above named property or B licensed electrical contractor. I am making the electrical instal- lation or alteration in' compliance with the electrical laws,. N,E.C., RCW. Chapter 1 Q.2R, WAC- Ch<'iplCT 29fi-46R, The C:ity of Pon Angeler. Municipal Code, and Utility Specifications. 5ign3}dfi)o~,ownl!rJleetrjc31 co~tr.3.dOr or electrical administrator X ~ ~ ~h:~,~ DCash 0 Check # o Credit Card Visa Mler.e::d Discover Card # . .{_.. ~. . ---------------+ Expiration Date of card o Service Information Electrical Load Additions and or subtractions LJ NO LOAD (;HANQES [J Baseboard KW CJ Fumaca KW Q Hea1 Pump _ Ton _ LAR I:J Fan-Wall 'lJ:. KW SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 CJ Overhead Service o Temp Service a Underground Service Voltage Phasol:Jtl:Ja Service Size:_ Feeder Size: I I ROUGH-IN ,j!.J) It Approved By TlJERMOSTAT D.te Appm~d!l)' . SERVICE ~/.j--;- *12 ~. ~cd.l3y DITCH )J,/;zJB~ k-O / InlC ADDflI"~ Hy FEEDER Dalll Awr'oV<<llly Inspection Area, Building or Equipment Inspected Action Taken ~Jectdcal ,............^.. - - . . ~. 1Z.fz-I/07 Of'..., - ALn ~MNE.c-T( a,,) t=GG APPf0lJSO ./I~ . . . . .- ~ ...... I A1J ILk.." . lr --