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Home My WebLink About1209 Campbell Ave - BuildingPREPARED 9/28/10 8 40 02 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/28/10 ADDRESS 1209 CAMPBELL AVE TENANT NBR HABITAT FOR HUMANITY CONTRACTOR OWNER HABITAT FOR HUMANITY CL COUNTY PARCEL 06 30 14 5 3 0346 0000 APPL NUMBER 10 00000810 PLUMBING PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 9/28/10 ry SUBDIV PLUMBING FINAL September 28 2010 8 25 12 AM 1pangrle HARRY 808 0049 PLUMBING FINAL REPLACED TWO WATER HEATERS IN THE EXTERIOR UTILITY ROOM THE WEST SIDE DOOR IS UNLOCKED COMMENTS AND NOTES PHONE PHONE (360) 681 6780 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc REPLACE TWO WATER HEATERS Owner Contractor HABITAT FOR HUMANITY PO BOX 1479 PORT ANGELES (360) 681 6780 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 2 00 Fee summary 7 0000 EA WA 98362 10 00000810 124120 1209 CAMPBELL AVE 06 30 14 5 3 0346 0000 HABITAT FOR HUMANITY PLUMBING REPAIR RESIDENTIAL HIGH DENSITY 1275 CL COUNTY OWNER Per BASE FEE PL -WATER HEATER Charged Paid Credited Permit Fee Total 64 00 64 00 00 Plan Check Total 00 00 00 Grand Total 64 00 64 00 00 Date 8/10/10 PLUMBING PERMIT REPLACE TWO WATER HEATERS 170761 64 00 Plan Check Fee 00 8/10/10 Valuation 0 2/06/11 Extension 50 00 14 00 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 to -1 0 Hvana"I GrzW v G4 II,2 i AE Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) TForms /Building Division /Building Permit FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. 2$s (0 FINAL Date r Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By Applicant u T tZOvZ Property Owner Property Owner's Address Contractor Contractor's Address License PROJECT ADDRESS Parcel Number Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 oW Proiect Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System `of Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Sva izg to Fv2.oMT S7. �1L Expires I Zo`S AV �s A Residential House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace o pellet stove other 1R1. Tu,o Luv L`.2 h1t3vAtetS Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures Site Coverage the amount of impervious surfac and other impervious surfaces (see PAMC 17 9 1 1 /1 1 L Date St 3 -16 Print Name fr T Forms /Building Division /Building permit application 7 Chl1 NT s-/ Multi family ft. T Lot ize q ft. Lot coverage on a p cel including structures, pa ed dr ways sidewalks patios 13 for exemptions) Site coverage cYo ccupancy group 0 pant load Constr ction type For City Use Only Date Received 10 Permit i6 --S1n Date Approved Phone 6 X t- 6 7 V0 Phone Phone E -mail Coca S F �ia0t aTC(AU 2+ Lot Zoning Commercial Industrial per sq ft. TOTAL VALUATION Z? 5 of bedrooms of full baths #'half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Signature -�i J OA Clallam County Assessor Treasurer Property Details 67561 HABITAT FOR HUMA. Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 67561 HABITAT FOR HUMANITY CL COUNTY for Year 2010 2011 1 Property Account Property ID Geographic ID Type' Tax Area: Open Space: Historic Property' Multi Family Redevelopment: N Township Range Location Address: Neighborhood: Neighborhood CD Owner Name Mailing Address: i Taxes and Assessment Due Property Tax Information as of 08/03/2010 Amount Due if Paid on 1 1 Year Statement ID 1 2010 49392 2010 49392 1 2010 49392 2010 49392 12 010 49392 2010 49392 1 2010 49392 2010 49392 2010 49392 1 2010 49392 2009 675612008 2009 675612008 2009 675612008 1 2009 675612008 2009 675612008 67561 0630147000003010 Real 0010 PA 121 PORT ST CNTY H2 L N N 1209 CAMPBELL AVE PORT ANGELES WA 98362 1410 1410 Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK DIST CITY_STORMWATER CITY STORMWATER WEED CONTROL WEED CONTROL 201049392 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY `PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 Legal Description. Agent Code. Land Use Code DFL Remodel Property Section: Mapsco Map ID HABITAT FOR HUMANITY CL COUNTY Owner ID P 0 BOX 1479 Ownership: PORT ANGELES WA 98362 Exemptions. UNIT 1 HURRICANE VIEW CONDO V4 P63 FKA LTS 20 -22 BL 3 BEACON HILL ADDN SURVEY V53 P90 14 N N 28285 100 0000000000% First Half Second Half Base Due Base Due Penalty Interest Base $182.53 $182.53 $0 00 $0 00 $1€ $97 14 $97 13 $0 00 $0 00 $5 $13 66 $13165 $0 00 $0 00 $1 $224 90 $224 91 $0 00 $0 00 $22 $236 42 $236 43 $0 00 $0 00 $2: $28.22 $28.23 $0 00 $0 00 $2 $39 85 $39 85 $0 00 $0 00 $12.68 $12.68 $0 00 $0 00 $1 $9 00 $9 00 $0 00 $0 00 $0 82 $0 81 $0 00 $0 00 $845.22 $845.22 $0.00 $0.00 $84 $181 07 $181 06 $0 00 $0 00 $3E $91 63 $91 64 $0 00 $0 00 $1E $12.98 $12.98 $0 00 $0 00 $2 $201 00 $200 98 $0 00 $0 00 $4C $223 91 $223 94 $0 00 $0 00 $44 http. /vpn. clallam. net: 8084 /propertyaccess /Property. aspx ?cid =0 &year= 2010 &prop_id =675 61 8/3/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Relocate 2 water heaters Owner DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM Permit Additional desc Permit pin number 170266 Permit Fee 76 10 Issue Date 7/29/10 Expiration Date 1/25/11 Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983821957 ELECTRICAL ALTER 76 10 00 76 10 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 10 00000789 548090 1209 CAMPBELL AVE 06 30 14 5 3 0346 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor KIRSCH ELECTRIC INC P 0 BOX 3396 SEQUIM WA 98382 (360) 683 6819 3 ,7 RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited 76 10 00 76 10 00 00 00 RESULTS a -W Date 7/29/10 0 0 0 Extension 73 50 2 60 Due 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: 4 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417-4735 Fax. (360) 417 -4711 Date: 7 2 7_- I D X 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1 'Z-OG L CA4) P cSELL ✓av Building Square Footage: 11.o o c Description of above A. t r- 2 ST 00.---/ u o S t P,aY «ot Li S 9 CxX)C) Ex i(2 3 4(3 Z w 4 DL)so -1 i G c:,oc Owner Information Name;' -t-l✓a t.ALAA I V CLr LLV v. CAUc Mailing Address: IPo ISO 14/9 2 City PA, State: WA Zip: G k 3 c-,2_ Phone: Co License Exp. item Unit Charae Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service/Feeder 401 -600 Amp 204.60 Service/Feeder 601 1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service/Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited'Energy First 1500 sf- Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi- Family'Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY. First 1300 Square Ft. 110.30 Each Additional 500 Square Ft or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 X 144-*-- Contractor Information Name: 1 <11/&- N E Le.c Vvbc_ IM Mailing Address: P.0 Bow 3 3 9 City Se State: v r,a Zip: 9 k 3 k Phone: G X -Cog t9 Fax: License Exp QtY Total (Qtv Multiplied by Unit Charge) 7 5 --e- 7_ 40 7(7_ t OTotal Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above.statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specif and PAIv1C 14.05 050 regarding Electrical Permit Applications. Signature owns electrical contractor or electrical administrator' 0 cash Z. Check !y 0 Credit Card Dated: Z. 7_ t(7 01/01/2010 Lo° Public Works Utilities Department February 3 2009 Bank of Amenca Attn. Tnna Cook 134 West 8 Street Port Angeles, WA 98362 9i— Step en S N rr P.E City Engineer cc: Habitat for Humaity of Clallam County DCD File: Habitat for Humanity r s W A S H I N G T O N U S A Re Assignment of Savings Habitat for Humanity of Clallam County Public Works and Utilities has determined that Habitat for Humanity of Clallam County has completed the required dnveway and parking pavement improvements in accordance with PAC 14 40 N The assignment of savings under Account 22043326 in the amount of $13,000 00 copy attached may be released to Habitat of Humanity of Clallam County Phone 360- 417 -4805 Fax 360- 417 -4542 Website www cityofpa.us Email publicworks @cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -0217 RECEOVE,1 FEB 13 2009 CITY OF PORT ANGELES Dept. of Community Development N N N 3 N Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983821957 Other Fees Fee summary Charged COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STH STREET PORT ANGELES, WA 98362 06 00000296 981976 1209 CAMPBELL AVE 06 30 14 5 3 0346 0000 RICHARD CHAMBERS RES NEW SFR RESIDENTIAL HIGH DENSITY 56115 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL HHCC/ 1247 SQFT SFR 76638 73 00 Plan Check Fee 5/25/06 Valuation 11/21/06 Qty Unit Charge Per 1 00 73 0000 ECH EL R SQFT FIRST 1300 Special Notes and Comments 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 04/05/2006 02 32 PM SROBERDS The proposal will result in a new sfr in a cluster development in the RHD zone A zoning lot covenant is on file No land use issues are anticipated Electrical load calculations and elctrical permits are required Connection fee of $713 00 04/12/2006 09 10 AM GMCLAIN A cost estimate for the underground line extension has been sent to customer paid /job issued to Light crew 4/10/06 04/12/2006 09 10 AM GMCLAIN Ditches 12 culverts will be installed to City Stanards See Public Works Engineering for Standards Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Date 6/02/06 Paid Credited Due 8 00 2 00 14104 00 1247 00 1 00 Extension 73 00 713 00 870 00 4 50 1200 00 00 0 1 DITCH TUTTGPITTCOTElt SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD GALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO COMMENTS PW- 1102.1514/961 Application Number Application pin number Permit Fee Total Plan Check Total Other Fee Total Grand Total 73 00 00 2787 50 2860 50 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Page 2 06 00000296 Date 6/02/06 981976 73 00 00 00 00 00 00 2787 50 00 00 2860 50 00 00 C'LL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL INSPECTION TYPE GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES 1 NO COMMENTS PW-1102.15 10961 Job wired by Electrical contractor name License number bpi t77 /1/4)0 Purchaser's mailing address D c l3c, City s;$ 141 Telephone number :3 c mss /--6 9 Premises owner's name /14 4i -Q 2 t c44 4 ti 144 45 1 d (keg 1 r Address of inspection Cites Phone number to schedule inspection 4 /r4 3 Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. /Signature of owner, electrical contractor or electrical administrator X Date: Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH-1N THERMOSTAT Inspection Date db a-Electrical Contractor er 9 Approved By FINAL 6 Appr ed By State ZIP UA 9e 36 FAX number a -6 .6/ -G 7� Date Expires Overhead Service Temp Service Underground Service Date Approved By DITCH S -a N v/ Date Appr ed Area, Building or Equipment Inspected 7i3 20 46 c{ ELECTRICAL WORK PERMIT APPLICATION i \/Installation description Commercial esidential YINK Altered/Addition Expiration Date of card Cash Check Credit Card Card Visa Mastercard Discover Date Inspection fee Service Information Voltage Phase 1 3 Service Size: Feeder Size: S ERVICE N Appr ved //i�L By FEEDER Appr ed By Action Taken epeouon Electrical Inspector ti 4 6f I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - Bun.DING DIVISION ~ 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number 06-00000296 Date 4/13/06 Application pin number 981976 Property Address 1209 CAMPBELL AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-3-0346-0000- Tenant nbr, name RICHARD CHAMBERS Application type description RES NEW SFR f=1N~ Subdivision Name Property Use Property Zoning . RESIDENTIAL HIGH DENSITY ICJ/~() ~~ Application valuation 56115 ~ Owner Contractor ~ ------------------------ ------------------------ DUNGENESS VALLEY HABITAT HMTY OWNER ~ PO BOX 1957 SEQUIM , WA 983821957 ~ Other struct info . TOTAL % LOT COVERAGE 8.00 -..Q NUMBER OF STORIES 2.00 ~ LOT SIZE 14104.00 TOTAL LOT COVERAGE 1247.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- permi t BUILDING PERMIT -RESIDENTIAL Additional desc . NEW 1245SF SFR PLAN A Permit pin number 74385 Permit Fee 719.25 Plan Check Fee 287.70 Issue Date Valuation 56115 Expiration Date 10/10/06 Qty Unit Charge Per Extension BASE FEE 670.25 7.00 7.0000 THOU BL-50,OOl-100K (7.00 PER K) 49.00 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . Permit pin number 74369 Permit Fee 89.65 plan Check Fee - .00 Issue Date Valuation 0 <? Expiration Date 10/10/06 ~ Qty Unit Charge Per Extension ~ BASE FEE 50.00 2.00 7.2500 ECH ME-VENT FAN 14.50 () i 1. 00 10.6500 ECH ME-OTHER APPL. N/R 10.65 2.00 7.2500 ECH ME-INSTALL APPL. VENT 14.50 ~ ---------------------------------------------------------------------------- Permit PLUMBING PERMIT Additional desc . ~ Permit pin number 74377 t" permi t Fee 142.00 Plan Check Fee .00 Issue Date Valuation 0 ""- Expiration Date 10/10/06 - Qty Unit Charge Per Extension ~ BASE FEE 50.00 8.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 56.00 ~ 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 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 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 C:P~~ ~-/3~L. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date , T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] I I 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 I DATE I ACCEPTED COMMENTS YES I NO " . FOUNDATION: . FOOTINGS - . SHEAR WALLS 1 WALLS ", . , FOUNDATION DRAINAGE 1 DOWN SPOUTS I PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS I I I CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I I I WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:. COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING I I I ESA: LANDSCAPING SHORELINE: I 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 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\11 02_ 15 building permit inspection record05.wpd [1/412005] . - I ~ ell i OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - Bun.DING DIVISION . -==-- 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ - -. Application Number Page 2 06-00000296 Date 4/13/06 Application pin number 981976 Qty Unit Charge Per Extension 2.00 7.0000 ECH PL- EA. WATER HEATER 14.00 ---------------------------------------------------------------------------- Special Notes and Comments Address numbers shall be plainly visible from the str~at. \ Address numbers shall be a minimum of six inches high and be . . of contrasting color from the background. 04/05/2006 02:32 PM SROBERDS -- The proposal will result in a new sfr in a cluster development in the RHD zone. A zoning lot covenant is on file. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Connection fee of $713.00 04/12/2006 09:10 AM GMCLAIN ---------------------------- A cost estimate for the ~nderground line extension has been sent to cus~pI1]er - paidJ.job.issued to Light crew 4/10/06 04/12/2006 ~9:10 AMGMCLAIN"---------------------------- Ditches & 12" culverts will be\i~stalled to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE 870.00 STATE SURCHARGE 4.50 "PW WATER SYSTEM USE FEE 1200.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 950.90 950.90 .00 .00 Plan Check Total 287.70 287.70 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 3313 .10 3313.10 .00 .00 ,,' . , . " .~ r. ,t., 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 jfrequired 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] . ' ...... ~;: ..... - . "R. - . 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 I DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: , l?nf fvd( '11'~ ,4J it- FOOTINGS J.{ II~ /06 J hI.- ~ SHEAR WALLS / WALLS 'frj,,/(){, VW '-Is),,, rP C-fiIO' f6 ~ FOUNDATION DRAINAGE / OOWN SPOUTS 7/()v p,e, t PIERS lU POST HOLES (POLE BLOGS.) t PLUMBING , 5/co~,j0 UNDER FLOOR / SLAB 't> ("61 CC I!;W ROUGH.IN W; '1{ (70 WATER LINE (METER TO BLOG) 1/-; jtJ(P p,e; FINAL / oj~/a DATE (fl..- ACCEPTED BY: GAS LINE BACK FLOW / WATER AIR SEAL , . I WALLS I~ I J 1(.Ift? Ifb I CEILING FRAMING JOISTS / GIRDERS - SHEAR W ALUHOLD OOWNS <p WALLS / ROOF / CEILING 17/1/0& ~ ~ DRYWALL (INTERIOR BRACED PANEL ONLY) ~ T-BAR () INSULATION SLAB I ~/~Jt~~ If~ I ~ WALL / FLOOR / CEILING MECHANICAL ~ HEAT PUMP / FURNACE / DUCTS r GAS LINE r.,,/1/~ ~ FINA(%c!a; DATE ~ - - WOOD STOVE / PELLET / CHIMNEY ACCEPTED BY: COMMERCIAL HOOD / DUCTS ~ MANUFACTURED HOMES ~ FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKlNG/LlGHTING I I I ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO I ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 ~ 'bs PLANNING DEPT. ... I BUILDING 417-4815 VVt/ BUILDING T-;Poli~ies\11 02_15 building penni! inspection record05.w#1/412005] -- -.--- - ---- ---- -.----- ---- - - ~ e C11 i -OF PORT ANGELES PUBLIC WORKS - UTIL!! rnS DMSION 321 EAST Sl1iSTREET, PORT ANGELES, WA 98362 ~~ Application Number 06-00000296 Date 4/13/06 Application pin number 981976 Property Address 1209 CAMPBELL AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-3-~346-0000- Tenant nbr, name RICHARD CHAMBERS Application type description RES NEW SFR Subdivision Name Property Use Property Zoning . RESIDENTIAL HIGH DENSITY Application valuation 56115 Owner Contractor ------------------------ ------------------------ DUNGENESS VALLEY HABITAT HMTY OWNER PO BOX 1957 . SEQUIM WA 983821957 Other struct info . TOTAL % LOT COVERAGE 8.00 NUMBER OF STORIES 2.00 LOT SIZE 14104.00 TOTAL LOT COVERAGE 1247.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- permi t PUBLIC WORKS RES WATER SERV Additional desc . Permit pin number 73874 Permit Fee 715.00 Plan Check Fee .00 Issue Date Valuation 56115 Expiration Date 10/10/06 Qty Unit Charge Per Extension 1. 00 715.0000 EA PW W/M 1" SERV 5/8" METER 715.00 ---------------------------------------------------------------------------- Permit RIGHT OF WAY Additional desc . Permit pin number 73866 Permit Fee 50.00 Plan Check Fee .00 Issue Date Valuation 56115 Expiration Date 10/10/06 Qty Unit Charge Per Extension 1. 00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 ---------------------------------------------------------------------------- Permit SANITARY SEWER HOOK UP Additional desc . Permit pin number 73858 Permit Fee 110.00 Plan Check Fee .00 Issue Date Valuation 56115 Expiration Date 10/10/06 Qty Unit Charge Per Extension 1. 00 110.0000 EA SAN SEWER HOOKUP 110.00 ---------------------------------------------------------------------------- Special Notes and Comments 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. 04/05/2006 02:32 PM SROBERDS -- The proposal will result in a new sfr in a cluster development in the RHD zone. A 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 ~~ ~- ~ c0-/3 -0 ~ Signature of Contractor or Authorized Agent 'Date Signature of Owner (if owner is builder) , Date T:\PoJicies\II02.ISR [1I0S) ~ PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED COMMENTS YES l NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING 1l1LJ&wALK CURB & GUlTER DRlVEW A Y APPROACH I I I BACK-FLOW DEVICE I 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] w $ cu Y OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 51H STREET, PORT ANGELES, W A 98362 ~ Page 2 Application Number 06-00000296 Date 4/13/06 Application pin number 981976 ------------------------------------------------~--------------------------- Special Notes and Comments zoning lot covenant is on file. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Connection fee of $713.00 04/12/2006 09:10 AM GMCLAIN ---------------------------- A cost estimate for the underground line extension has been sent to customer - paid/job issued to Light crew 4/10/06 04/12/2006 09:10 AM GMCLAIN ---------------------------- Ditches & 12" 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. 24 hour advance notice is required. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE 870.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1200.00 ---------------------------------------------------------------------------- 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 2074.50 2074.50 .00 .00 Grand Total 2949.50 2949.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline,cSA, 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) Oate T:\Policies\11 02.1 SR [IIOS] -- - PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUll"'... DRlVEW A Y APPROACH I I I BACK-FLOW DEVICE .1 1 I I 1 -- -. -, - --. I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIVSE 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:\Policics\1102.1SR [1/05] "'\0 , o , ..... , '" o , ~ MI" ....... 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Issue Date 10/16/06 Expiration Date 11/30/06 Parcel Number 06-30-14-5-3-0346-0000- Property Address 1209 CAMPBELL AVE PORT ANGELES WA 98362 Subdivision Name Legal Description BEACON HILL ADDITION LOTS 20-2 2 BL3 SURVEY V53 P90 Property Zoning RESIDENTIAL HIGH DENSITY Owner DUNGENESS VALLEY HABITAT HMTY Contractor Application number 06-00000296 000 000 Description of Work RES NEW SFR Construction type Occupancy type Flood Zone Special conditions 10/16/2006 10:49 AM JLIERLY ---------------------------- complete items on correction repor I inspector will require .s~m~one. t~ be available onz ing reinspection. Approved ~ing Offi~ ~ VOID UNLESS SIGNED BY BUILDING OFFICIAL ~ f ~ ~ - --------------- -- ----------------- ----- ------ -- --- , . "- BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at 1d:D~ L?14MfJ~ j} Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~ Ii d-M{) ~j .pe f\-- CoDe w h-o Ie f' ~ JmJb.q kl TNO Do^- ~)\ ~ ~ 0..~ ()~~\"'~" LL~ ~ A-~ ~ ; ~\ Dko'\u 02t/,c. L-' to) \-~"DS.G , ~I~' '--/" " hJwf)~/ou ~ &J D (Je ~VI') {dtJ'ffY )~V\ I fo" I~ 16 I - 0 I. / These corrections must be made and are not to be covered until reinspection is made. 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'" ~ I /= ..j::l. ~ I 1~. / 1 : \::::::\ - 1 /I 0 } I q G: ~ I "1,) J / I · 10) --. ~ ~ ~ 1m . ~ ~ I\:? ~ I A\013JIN3dO - , I!' ,/ -' q ~ ~I ' l 898! ~ CD 0 .. I CD .- ~ I " ,t e90S ,- q ~I \ g ~ = ~ If I 8: f'" .- tt. I I \ ~ B9BZ @. '11(;-.6 x III-,ll ~ A co o ~ I ~ I ~ ,,8-IZ:X,,9-,~ ()... WOO~aHa .- ~ 0 ~ . · / ~3S01J _ co ...... : I I _ .-L. y'" ~ t IE- ;; 7" I 1Il'-riS _ -.:l.. __ _./ '" ~ T I \ /l' ~ ::0- - '" " = ~ uO-,EX ,J.-,Z:l - . ... . r zl ~ \ " I o AVA\HNLS - ~ m (). t )/ l.t 0 \ 0 ~ - /~~ - . 'l o~~=':_- ~~ .:.. I~,;:;~ ",: :.:.. - - - - - - - t "O-,€ 10-,- -- ,,6-,€ -:: 1-:- ~o-,v -1-,,0-,17 - - - I . I "f;-,f; ~ ,> .:.l ,,6-, ~ r ,- ~-- , I . City of Port Angeles Applicant Project Review Sheet b fA A.:.6>t;;Ni:->~. l..IA.J.J.LCY c1.""'oh.dl Au~ Ivon-It s; cr;., Applicant: JlAb:tA r .Pc...... 4"'_1.1/\..:1:; Property Address: EAST" ot 'P=1'1:. (~ Owner: A~ ~ Proposed Use: 7<>~~. ~ drx:/i,A' I Zoning: II DR Ar:?,c:.~ G Is the proposed use listed as a "permitted use" or an "accessory use" in this zone? ~s: ok Dna: requires PD reView Is this the only use (business, residence, etc.) on this site? ~s:ok Dno: requires PD Has there ever been a subdivision, shortp1at, or PRD approved for this site, or has one been o yes: requires PD ~ok submitted and is pending approval? Does the proposed use require a new buisiness license? o yes: requires CC ~: ok reVIew Does the project extend into any required setbacks or cross any lot lines (interior or ~s: requires PD o no: ok exterior)? reVIew Does the project exceed the permitted height allowance or cause the property to exceed o yes: requires PD ~ok the allowed lot coverage in this zone? reVIew Does the project require any additional parking or special design/landscape o yes: requires PD ~ok improvements in this zone? reVIew Does the project eliminate any existing parking spaces? o yes: requires PD ~ok reVIew Is the project located within 200' of the shoreline? o yes: requires PD ~: ok reVIew Are there any environmentally sensitive areas on or within 200' of the property, including: o yes: requires PD ~:ok . wetlands or areas of standing water (year round or seasonal); . streams (year round or seasonal); reVIeW . areas with a slope of 40% or greater; or . areas that have evidence of past ground movement or erosion? Have all the required submittals been provide~e applicant? ~e Plan Construction Drawings arkinglDrainage Plan 0 Civil Drawings o Energy Calc o Supporting Engr. Calc o Landscape/Lighting Plan o Other If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department permit(s) is needed, the Plannin~ Department permit(s) must be approved prior to the issuance of any other permit. The information provided above is true to the best of my knowledge, I understand that in the event that any of this information is determined by the City to be incorrect, this project will be topped until such time the City determines the correct information is provided and any SUbSeqU~~d als are completed and granted. . ~ . - __ '. J ,.. '3-A_if-7_" Applicant .f,:,,("'Z /-/"I:,.-r;" I a-l 1./....."'/.1-"-( 'I Date Permit Category # (see reverse side) Building Permit # Master Tracking # Route to: OBD Oce OPD OLD OPD OPW o Pile o Other Staff Initials Date Completion of this form is required for all category Ib, 2 & 3 permits. Completion is not requiredfor --- I "'\0' 0 0' , --- , , .,., , .-< , , --- , , .,. , . , , , MM , ~E-< , ..:..: , "'A , , ~ , , , , 0 , , '0 0 ~ '" 0 M ;J )< :>: ..:1 H \J ~ E-<~ M ~ H ~ ..:1 .. .. ~ ;> ~CIl ..:1 H MM 121": E-< A 121121 H)< MCIl gJ 00 E-<A M .... ~M :x::x: 0 E-< 8~ CIl "'''' 0 0 , "-:>: 121 E-<t:l '" 121 A Z .. t 0 "121 ~ O~ HMO\O HO CIl E-INr""-H E-<E-< E-< ..: ...,. E-< CIl UU 121 ClMIU E-< MM ~ M 500M 121 "'''' ,,'" M CIlCll HZ~ 0 \OCIl ~ 121121 )< ~OO "-\0 121 H H E-< HU 0 H 0 :>: E-<___ ~o U :x: Cl"'CIl ZNA~ HHE-< H........ll::Z , E-< CIl~..:1 :1:::~Z , ..: ' '" ~U::> , E-<o"- CIlCll H.......UIl:: , HOCll MM ::J~HO , III 0 IA~ 1Il0~:>: . ":03: , :x: , M E-< , M \0121 H , ;>CIl )<.,. ~"'~ ~ , ...:~ MMCIl 0 " , M ..:1 oM . '" o..:11I1 ..:1 , ~ ll<CIl::> , :~~ ":M ZCIl ..:1 , .,. ;> , \0 ~HM ..:1 , M olIl:<: "'''' Z ~ t:l .",U CIl , N .... ~ en : ~ Cl CIl.,.O ~ t M.-<o 00 , Up:; 121 , 0 ....AA \!l'~ : m ~ Moo ::>MM \0 ~MO 1llE-<E-< 0 oe".ou 5 ' , CIlM --- :;-~:~~ \0\0 OM..:1 .,. Aoo 0::>'" rl rl , 0:>: --- ___E-<' .. ., .. ,. ,. .. MO .,. .,.~, ~ ~ llo:~U 0' . III ~ .M ll< "', 1210 III III A' E-< . ~ ~ ~ I C/) "U rl p:; 0 I (J) ~ ~ ~ E-< 0 0 ~~: ~~~~tj~ .... CIl ~ --- ME-<' AZZZ~'" '" , rl g:U: ~~8~~~ >< ' ..:1 ll< E-< , III j -- FOR OFFIC!A~ US~ONL Y: BUILDING PERMIT - APPLICATION I' Date Rec.: ?/2AIt>& . "J Permit#: (;6~(, Fill out COMPLETELY and in INK. Your application and site plan MUST Date A roved: _ _ .. _ ___. . . r . . pp CUNIPL.t..!.I!.' HI ne accep1t:o lor reVieVI'. IfYOli have any questIOns, cull JJ_ I ;,../_ PERMITS (360) 417-4815 FAX(360)417-4711 Date lssuec:~ "3-CT"C7 I . Applicant or Agent: <-;:;::; c-},Atei:) 1,. C,{~.vr b~t1 s Phone: ",7(:.,-,- /,_?CJ - .c.,/?9f7 Owner: D...,Jvc.,r-'v'-ss' (J/lJ!.-y dl-;J;.rfll1 I-L""",,,,";;ICI Phone: -;::?(:-D-,t...;:'I-c..f?c5-0 I ' Address: --p~ o. f3 GX I'q. 5""''7 . City: Si....,- C~, VI I VYr Zip: 9 63 ,~2- / 9 -S- ry ArchitectlEngineer: ~;ual..1t-c... ~"?u4't>:S-OC{jv,;:r Phone: #/.fJ-qso/ Contractor ,.LJ~ll-r.?l i!~ /LAM "":;/1 State License #: A J A Exp: Phone: "3 '-6-.(c5/-t'.'A:!.(3 Address: P. 6. 13c-,(" 19 <;,-'1_ q City: <::" ~c... V./~ Zip: q<5 3<:5.< PROJECT ADDRESS: ~~",Itd A..Jt! . F ~.A B.;;:r;",.. . AJ ~(d~ ZONING: T;;>/-J D j # . .J LEGAl DESCRll'TION: Lot: 2=. :2.. ~ 'Z.. Block::? Subdivision: .. r:)t:::rI:r:>;v /k// , CLAlLt>.M CO ER: c::.-J.. 7?c:::.../LJ ~36 (3 "7/L J.Jou- \" C .4 rtI-C ~ r..... TYPE OF WORK: SIZEfVALUATION: rE"Residential CYN'ew Constr. 0 Re-roof 0 Stove 1 .~ ~ '7 SF. @ $ -'I~ /SF. = $ ";-'-. /1 r- o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ - o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ BRIEF DESCRIPTION OF1..t:ij!; P~OJECT: c:::;'7....Sl.,. F.4JA.4 r J) 2.- 572>.P, d;r:;,. cA';.#r hGuc,c:') C~~ <=./ ..iL.c. ='^-" ~(..'y f>A;-rl-C-J COMMERCL.\L/RESIDENTlAL: Occupancy Group: Occupant Load:' Construction Type: No. of Stories: ~ Lot Size: 14/04- Existing Sq. Ft. & Proposed Sq. Ft. r241 = TOTAL Sq. Ft. 1~1 Total lot coverage_ _CO- ~ _ % PLANNING USE ONLY: ~~~VALS: BLDG: . DPWU: FIRE: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: Ol.tll!..R: 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. EXPIRt\.TION OF PLAN REVJEW: Ifno 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 RI 05.3.2 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 correct. I am authorized to apply for this permit and understand that if is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. BPoH,i"IBL-llO'_".wpd Appliconl' ~~ d D,te, -'3-7f-oo. L \. 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'-'-.-' _. --- --- -.-.-----.-----....---------- ---~_._--- .- -.-- --_. ----,-_. ..-..---- ,'- - .__._. _._ ____ ~___ - __ ~_ - -0 ,__ _" .__ _"._ .__~.__ ._.______+_._ __. ______________________.____ _._.,.__. _ ".______ ---- -- -~.- I BOisE" BC CALCIil> 9 DESIGN REPORT" US Th"""'.y, Mareh 24,2005 11,06 Single 5 1/8" x 12" BOISE GLULAMM 24F-V4/DF File Name: BC CALC Project: FB01 Job Name: Description: Address: Specifier: City, State, Zip: , Designer: Customer: Company: Code reports: ICBO 5745, LA - 01365 Misc: mttlllllllll mll~111 j UIIII~ lliilitll utTI j j llttttl III j 8i I j j I Ujj L .-~'~ ~",~,,' :':1;' - /.~ _"~l<';"_'4~ ;;'> ;,: _,' '_,":> <~ J::>: ,', :~;;~ '._,,'" _:-~_,~; _,\1t.' .-<<'_ '" _ ~ ,:. :_{~ ','~'_" ;-i"_;~'">. ;'~ ",,:, '_~ '''j;~:4:' - - .~~/ ,{~,:,~,;'_ -".-~ '," - ,< . -~ ',' - '-.'<~f"4:~ >_ ..Ji$, >, ,'>" .,'''~. "'.' """" "''f(f4 , _".,,,,,,,;<j~,;, ""',,, ,'" ',,'. ",' "",."'"" .'" ,. " 13~O 11~O 80 81 82 LL 23261bs LL 7426/bs LL 19681bs DL 16781bL DL 57AR Ih" ~ DL 1214/bs LJ ,tJ~ I~~'i ' ~ 2. -, UO I Total of Horizontal Design Spans = 25-00-00J Ie General Data Load Summary Version: US Imperial 10 Description Load Type Ref. Start End Type Value Trlb. Our. 1 FLOOR Unf. Area Left 00-00-00 25-00-00 Live 40 pst 00-08-01 100% Member Type: Floor Beam Dead 10 pst 00-08-01 90% Number of Spans: 2 2 WALL Unf. Area Left 00-00-00 25-00-00 Live 0 psf 08-00-00 100% Left Cantilever: No Dead 10 psf 08-00-00 90% Right Cantilever: No 3 ROOF Unf. Area Left 00-00-00 25-00-00 Live 25 psf 12-00-00 100% Dead 15 psf 12-00-00 90% Slope: 4 HIP MASTER Conc. Pt. Left 08-00-00 08-00-00 Live 1375 Ibs nla 100% Dead 825 Ibs nla 90% 5 HIP MASTER Conc. Pt. left 17-00-00 17-00-00 Live 13751bs nla 100% Dead 825 Ibs nla 90% Disclosure The completeness and accuracy of Controls Summary the input must be verified by anyone C ..".1. ..II Type Value % Allowable Duration Load Case Span Location who would rely on the output as Pos. Moment 13174 ft-Ibs 53.6% 100% 13 1 - Internal evidence of suitability for a Nag. Moment -17285 ft-Ibs 91.2% 100% 1 1 - Right partiCUlar application. The output End Shear 3351 Ibs 34.1 % 100% 13 1 - Left above is based upon building Cont. Shear 59941bs 60.9% 100% 1 1 - Right code-a...-.G...~ed design properties Total Load Defl. U572 (0.283") 42.0% 13 1 and analysis methods. Installation Live Load Defl. U886 (0.183") 40.6% 13 1 of BOISE engineered wood Total Nag. Defl. -0.046" 9.3% 13 2 products must be in accordance Max Defl. 0.283" 28.3% 13 1 with the current Installation Guide Span I Depth 13.5 nla 1 and the applicable building codes. \ To obtain an Installation Guide or if Notes you have any questions, p~ea~e call Design meets Code minimum (U240) Total load deflection criteria. (800)23~-o788 ~fore beginning Design meets Code minimum (U360) Live load deflection criteria. product InstallatIon. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". BC CALOO, BC FRAMER@. BCI@, Minimum bearing length for B1 is 4". BC RIM BOARDTM, BC OSB RIM Minimum bearing length for B2 is 1-1/2". BOARDTM, BOISE GLULAMTM, EnteredlDisplayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing VERSA-LAM@, VERSA-RIM@, VERSA-RIM PLUS@, VERSA-STRANDTM , VERSA-STU[)@, ALWOIST@ and AJS TM are trademarks of Boise Cascade Corporation. Page 1 of 1 I- . 3/24/2005 WIND02 v2-03 Detailed Wind Load Design (Method 2) per ASeE 7-02 , - l[ Description: HABITAT FOR HUMANITY - SFR Analysis by: ZENOVIC & ASSOCIA TESt MARCH 2006 tJser Input Data Calculated Parameters Structure Type Building Importance Factor I 1 I Basic Wind Speed (V) 100 mph Non-Hurricane, Hurricane (v=85-100 mph) & Alaska Struc Category (I, II, III, or IV) II Table 6-2 Values Exposure (B, C, or D) C Ipha = \ 9.500\ Struc Nat Frequency (n1) 1 Hz g= 900.000 Slope of Roof 5.0 :12 Slope of Roof (Theta) 22.6 Deg ype of Roof Hipped Kd (Oirectonality Factor) 0.85 Eave Height (Eht) 17.00 ft Ridge Height (RHt) 21.00 ft Mean Roof Height (Ht) 19.00 ft Width Perp. To Wind Oir (B) 32.00 ft t= 0.105 idth Para!. To Wind Dir (l) 30.00 ft Bt= 1.000 Bm= 0.650 Calculated Parameters 1 Cc= 0.200 Type of Structure 1= 500.00 ft Height/least Horizontal Dim I 0.63 Epsilon = 0.200 Flexible Structure No Zmin= 15.00 ft Gust Factor Catefilo1t I: Ri~id Structures - Simplified Method Gust1 I For rigid structures (Nat Freq > 1 z) use 0.85 I 0.851 Gust FaCtor Category II: Rigid Structures - Complete Analysis Zm Zmin 15.00 ft Izm Cc * (33/z)^O.167 0.2281 Lzm 1*(zm/33)^Epsilon 427.06 ft Q (1/( 1 +0.63*((Min(B,l)+Ht~/Lzm)^O.63l)^O.5 0.9281 Gust2 0.925*{{1 +1. 7*lzm*3.4*Q /(1 +1.7*3.4 Izm)) 0.8872 IG Gust Factor Summary I ISince this is not a flexible structure the lessor of Gust1'or Gust2 are used I 0.851 Fia 6-5 Intf[trm;1I Pressure Coefficients for Buildinas. Gc~i Condition ~I I Max + Max - Open Buildings 0.00 0.00 Partially Enclosed Buildings 0.55 -0.55 Enclosed Buildings 0.18 -0.18 'Enclosed Buildln9s I 0.18 I -0.18 I Copyright 2005 www.mecaenterprises.com Page No. 1 of 4 - " . 3/24/2005 WIND02 v2-03 Detailed Wind Load Design (Method 2) per ASeE 7-02 6.5.12.2.1 Desian Wind Pressure - Buildinas of All Heiahts Elev Kz Kzt qz pr~sre (Iblft^f.) Wn ardWal* 0 Ib/ft^2 +GCpi I -GCpl 21 0.91 1.00 19.83 9.99 16.98 20 0.90 1.00 19.63 9.85 I 16.84 19 0.89 1.00 19.41 9.71 17 0.87 1.00 18.96 9.40 I~ 15 0.85 1.00 18.47 9.07 16.06 Copyright 2005 www.mecaenterprises.com Page No.2 of 4 - -------------- ---- . '( .. 3/24/2005 WIND02 v2-03 Detailed Wind Load Design (Method 2) per ASeE 7-02 Fiaure 6-6 - External Pressure Coefficients. CQ Loads on Main Wind-Force Resisting Systems (M thod 2) 1'1'1''''''1'1'1'1'1'1' B h .......... Ie .t <( .. I L Variable Formula Value Units Kh 2.01 *(Htlzg)^(2/Alpha) 0.89 Kht Topographic factor (Fig 6-4) 1.00 Qh .00256*(V)^2*I*Kh*Kht*Kd 19.41 psf Khcc Camp & Clad: Table 6-3 Case 1 0.89 Qhcc .00256*V^2*I*Khcc*Kht*Kd 19.41 psf ~ Wall Praaaura CoefIjclanls, Cp - I Su ce Cp i~ward Wall (See Figure 6.5.12.2.1 for Pressures) I 0.8 Roof Pressure Coefficients, Cp 1.00 l Roof Area (SQ. ft.) I Reduction Factor Calculations for Wind Normal to 32 ft Face Cp Pressure (pst) dditional Runs may be req'd for other wind directions +GCpl -GCpL Leeward Walls (Wind Oir Normal to 32 ft wall) -0.50 -11.75 .76 Leeward Walls (Wind Oir Normal to 30 ft wall) -0.49 -11.53 -4.54 Side Walls -0.70 -15.05 -8.06 Roof - Wind Normal to Ridge (Theta>=1 0) - for Wind Normal to 32 ft face indward - Min Cp -0.41 -10.32 -3.33 indward - Max Cp 0.05 -2.60 Leeward Normal to Ridge -0.60 -13.40 -6. Overhang Top (Windward) -0.41 -6.83 -6.83 Overhang Top (Leeward) -0.60 -9.90 ~9.90 Overhang BJttom (Applicable on Windward Onl~) 0.80 12.90 12.90 Roo - Wind Parallel to Ridge (All Theta - for Wind Nxrmal to 30 ft face Oist from Windward Edge: 0 ft to 38 ft - Max Cp -0.1 -6.46 0.52 Oist from Windward Edge: 0 ft to 9.5 ft - Min Cp -0.98 -19.58 -12.59 Oist from Windward Edge: 9.5 ft to 19 ft - Min Cp -0.86 -17.73 -10.7 Oist from Windward Edge: 19 ft to 32 ft - Min Cp -0.54 -12.36 -5.38 * Horizontal distance from windward edge Copyright 2005 www.mecaenterprises.com Page No.3 of 4 '&J CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION n1 EAST 5TH STREET. PORT ANGELES. WA 98362 ~ Application Number 06-00000399 Date 5/01/06 Applicat~on p~n number- 555900 Property Address 1209 CAMPBELL AVE ASSESSOR PARCEL NUMBER 06-30-14-5-3-0346-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . RESIDENTIAL HIGH DENSITY Application valuation 0 Owner Contractor ------------------------ ------------------------ DUNGENESS VALLEY HABITAT HMTY OWNER PO BOX 1957 SEQUIM WA 983821957 ---------------------------------------------------------------------------- Permit ELECTRICAL TEMPORARY SERVICE Addit~onal desc OWNER/ TEMP SVC Perm~t pin number 75796 Permit Fee 42 20 Plan Check Fee 00 Issue Date Valuat~on 0 I,,\; Expirat~on Date 10/28/06 Qty Unit Charge Per Extension ',I::) 1 00 42 2000 ECH EL-TEMP SRV - 0-60 SRV FDR 42 20 ---------------------------------------------------------------------------- ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- ~ Perm~t Fee Total 42 20 42 20 00 00 ~ Plan Check Total 00 .00 00 .00 Grand Total 42 20 42 20 .00 00 ~ t ~ {") ~ . ~ ~ , t ~ , I i I i i : COMMENTS! ACTION NEEDED ELECTRICAL 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 I DATE I ACC.... . c.u COMMENTS YES I NO DITCH ROUGH-IN / COVER SERVICE FINAL I ~-I- ot" I Ar-oO I GENERAL COMMENTS: PW.I102.U 14196\ ~ : \ . _. . . ~ CITY OF PORT ANGELES ..~ PUBLIC WORKS - UTILITIES DNISION ~ 321 EAST Sl1lSTREET, PORT ANGELES, WA 98362 0&- Z 7&, ~;d'" Application Number 06-00000296 Date 4/13/06 Application pin number 981976 Property Address 1209 CAMPBELL AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-3-~346-0000- /20q{!tJP7,o~ ~ Tenant nbr, name RICHARD CHAMBERS Application type description RES NEW SFR Subdivision Name Property Use ..,----- Property Zoning . RESIDENTIAL HIGH DENSITY Application valuation 56115 Owner Contractor ~ ~~ ------------------------ ~;,;,~~--m-m-----m U J1qef1eS3 DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 LOT COVERAGE 8.00 JJrl b 1'1-1+-7 /-IrnTj SEQUIM WA 983821957 Other struct info . TOTAL % NUMBER OF STORIES 2.00 LOT SIZE 14104.00 TOTAL LOT COVERAGE 1247.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- Pe rmi t PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 73874 Permit Fee 715.00 Plan Check Fee .00 Issue Date Valuation 56115 Expiration Date 10/10/06 Qty Unit Charge Per ExtPrl<l.;n.",:_ jnet2 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER ~.OO.) ------------------------------------------------------------------ -~ --- Permit RIGHT OF WAY Additional desc . Permit pin number 73866 Permit Fee 50.00 Plan Check Fee . .00 0/D1 Issue Date Valuation 56115 Expiration Date 10/10/06 1/2- Qty Unit Charge Per Ee 1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.0 ------------------------------------------------------------------- ------- Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 73858 Permit Fee 110.00 Plan Check Fee .00 Issue Date Valuation 56115 Expiration Date 10/10/06 Qty Unit Charge Per Exten on 1. 00 110.0000 EA SAN SEWER HOOKUP -"-:L0.00~ ----------------------------------------------------------------- ---------- Special Notes and Comments 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. 04/05/2006 02:32 PM SROBERDS -- The proposal will result in a new sfr in a cluster development in the RHD zone. A 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 requesled 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\II02.15R {1I0S] - 1~ CITY OF PORT ANGELES ~.... PUBLIC WORKS - UTll..ITIES DIVISION ~;? 321 EASTSrnSTREET, PORT ANGELES, WA 98362 - - Page 2 Application Number . 06-00000296 Date 4/13/06 Application pin number 981976 ---------------------------------------------------------------------------- Special Notes and Comments zoning lot covenant is on file. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. connection fee of $713.00 04/12/2006 09:10 AM GMCLAIN -----------------,---------- A cost estimate for the underground line extension has been sent to customer - paid/job issued to Light crew 4/10106 04/12/2006 09:10 AM GMCLAIN ---------------------------- Ditches & 12" 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. 24 hour advance notice is required. ---~-;~~~~-;~~~-~~~~-~-~~~-~~~-~-~--~~~;;-~;~;~~-~;~;~~~~~~~87~ STATE SURCHARGE " __ PW WATER SYSTEM USE FEE C -1200.00 ) ~ -~-~----~-~-~----~-~--~--~--~--~--~--~~-~~~~--~~--~~~--~~--~ -~~~------- - -- Fee summary Charged Paid Credi ted Due' - ~ ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2949.50 2949.50 .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:\Policics\1102.15R [1105] . w.o. '* '3D3'-18-17'7 APPLICATION FOR WATER "l<~2 City Water Division .~ Port Angeles, Washington Ar' f I '5 ,20~ I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: "li?lCha~d.. CHI'lt7113~ ~ (;70-47"'17 NameofAPPlicant']>u I-\"'P"'~~<;' VAu..e;u+l~I"A\ 4-L.\'Y1<U1I\. c' . (~v.k>,....) P,O, ~cf. I 57 Address: 1"2..0 Cj 4!mt>BE1..L .!..t)F.' ~jt"",!,qs:\3~Z !iI O(,~46>3> Q;4/o Renewal 0 New Service Blk ~ Lot ~ZI, l.'-Add (lon u..... .- Size of Service I 'i. o/~ . Meter rhPr rO&'t/-I~~()tJooo Service Left On 0 Service Left Off p!I Signed_ ~~~~ ~ Installed by _ Remarks: Rv WIt T:Il. 0 C, - 2 q V $ 7/?E.P+ i J'2.0o~ " I N , i , t5 , . ~ i' \. ~ " 'l"AC 3z"-'f ~J,. w u",/bd ( /Jlle 1- fi=- /13 i: -"I ~ E S CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Datp Lj-;J&,-O b Time Received by T, F - (phone, ~ Location of Work to be inspected J J.. 0 q c:... A W' D h-e II .4 LJ E... I Name of person requesting inspection c...+"1 E.'iU\vP--I,-:,," (l-/",b;l-c.+ ;-ID"5i"~) '" , ' Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No, Olo - ,'), 9(0 Sewer Foundation Framing Chimney Plumbing Final ~er EX~ Other ~L\..U INSPECTION NOTES: ~ Inspected: Date ~ -/8--{)b Timp~' 00 pm, BY'.L yv'-{. P Remark~' c....o.'\.+-."',d,or IN:'> i", I \",.-l 'fI' Pile .{!{'O~ +J, "- {.,"" '("re ~L "...z. -L" J,. ~ ~ h",,-kelc~. df'.U,'c'C. c,~'.l c:..,o. f\) c./-.,- ~ I.;JO"i'c,.,J I :J :J I C ",,,"n.o f, t> 1/ ;4tJE.. <1. OYr"~ C( C.omW1 ,,'I ServiCe. \ a...j.. -e/a...-( _ ; RESTORATION REQUiRED...... YES NO X c..0,j- e:,Ack~I,,'<J I / '-I'> 0 0 OE.LI"LL - ' '-/~ +v O/34'_4"P'~ t If).. 0'1 3 t- o \II , IS'- Y"PIC- &/''f ,-/'/ R-t.d'-''Y'''' -J .;J - 'f" p,,_ J.j.. \ / ~ <- & I -/ &,(1 (Nt.. -5"3 I : Ida\ ~ I , I I I \ ISO' .--... .- \ .{.- I=LCMJ C:.A ",,-Pb"l\ AU "- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other I o Repaired by City Work Order # , I o Repaired by Permittee o COMPLETE o No Damage Found o INCOMPLETE I (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 7" -""""- .".- . _! "'.I.....,. /. . . J ~ ,,' ...; .,AI. , - 'OJ-. f . ~ '. _ .. I I .-.1'_ . ...., '. "/" " ,,~. ': .,- ".- .: ',;J~) , ':-;.: ;..:,,)~..~,.: . . . ~,. , t" ,'"" ....^/~/. ", 'f .". "" ." '""I , '. : ,':; .,';!: "", ,', '\. '. ",' :' '::',~t~<~:;',C,f,;.,~ ., "/ . ..n~~ -',":J'!. ';'-: . ._ ~.:.~.. ./,;'"1" ~"'~' ~,~. p' ~. -",..~ '''''''1 ,. . " ..... ...~- '~'.~: ,.. ~ ,- ..:".. ..' ,-. -t;.JJ.. ....: ~ . ; '. "'.I .. "f~ ... _:.," ,. 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" ' , " .: _..---- -.... _ ~__ -'-~L__....... r' '/ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: t/Y2-- Date /tl~ It ~Or;.. Timp Received by -r,';:/ (phone, person) / I Location of Work to be inspectedJ;!2j II 7.1)0 (J tJA.01 f2.he1/I1..M,--, , Name of person requesting inspection Yt?f::>g-' - Dl4nf~~q" Mv/:b.);..:ra:t:~ Address of person requesting inspection Phone No, 4t?O-337.c:; Type of Inspection (circle appropriate one): G Permit No. /2./d-Zfp C Sewci Foundation Framing Chimney Plumbin Finai wer Excav, Other ~ >>.:t..2 a, -:- $6? INSPECTION NOTES: Inspected: Date I/J -/7 ~O(.t7 Tim'" By Remarks: 517 n <).0/./ NJ /)_ ~ -/,S-Oc.. Wt2iri, - Ole ?o.J:"""" Fl6+ G=>W1p/f:2.:fe- /0-(.$'-.66 ./- F:",,;"I ok 72V /-29- 6'1 RESTORATION REQUiRED...... YES NO X-- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Asphalt Dpcc o Other o Repaired by City Work Order # o Repaired by Permittee o COMPLETE o No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT __(D~TEI . - -. - ~._-- -- "'5 ....., "- '" ." ~6 ~~ ~:c, C~;;? I I \-~~{ >- . <<)0 ,"' -I f ~,~ !, J ~, ) .\, ~ '. I ,\- G yo oJ ..j $) \ I ~C>-' '" 'r t -- '1-- - -------f " I cY c> -. < '"' , , '" ~', I 'V _ _ _ U _ __I ... ~ ~ - - - - - - - - - -" , , r , I ' \! ru- - - ~.J,-il 'f) i-:"'- : r I 'I r I I ~ I J '----- '0 I ~ r r - - -:' 't. ".' r 2 _ ,I , ,~ I <. -p I llJ ~ -' I I ~ ' " C" - CC I ,,- " "U _ " , ? , I "'" , ~"'- - r I :\,~:, ~/ t I c:~ c ~ 'I - , l " ", . -, I f~ I '::"",1 I V,(;I: " :1 L r [I 'I \ '"I I', I ,I ---!- j ',I I' ," <. _(' I : I I 'I 'J ~ ofi I' '! "I I'~ I I _ < "'[' ~ ' ," -, ~ ' :-. I . "on<' I .1 ~\ II ~ ::::J I: ~ ,_ n C _ ,f; I ~ L - -\' \ - - - - - ~ I (~ ~' '.,~ r\ Ii -..; ~~...., '-- j C'_ '\, '\' '< ~ \, - , ,I, , 'J " " \ ' : -, ---"',n II, I~ 't.J "--~ 1 rei ~ \. 1! , ..---,-..- ----- - -- ,-- -"'" 0.'1' 41 \ l ~: ~ / - ,~ )1 \" .." , ,! ,,' ^'" " ,,/ L I l" i 4J ' ',- (I f\ Y I 121 I';: ,- - .. {_I_ - - - - -'1 I . \.1 I' I "-- I I(, , " --, A \'" ~ " '\'-, -j - (, , " ' ," I 1( I ~O'-lOdl :r 1--- 1)'1 -r- ~I -' I '~'1.:i ()II__ j P I .1. ~~,<,> :' ': I "".,. 'i" < , I -!'\;' I ....-c......, .. ~ ':41 I ~- , . '::" 'Oil >, I I - L. II t'\ ') -I.. ~~~J I z... )11 1 ~ , ('y ro, I ' /:1 "-, ;Uf'" I: _r " I I I I :r II') II ,_ "I, I " , \f I' "1 I\" I ' , " I, '. I r I r - - ~j, I [) I. " I I ~,\ \ " )'----.,6r.. 'i" 'I I -Ot, ~"I I " ' , , 'r, , 'I" I ,-, L-______.4\\: C/ r \1'.',1 ". I '" ,; l ~ D I .- < ,', - ~ i;. ~ I l \, - - - - - - - - - ~ - - -~---. J!1 II \;,. I -', '-Qli ~ '" , , ('11 ,[ ___, I \/ "" \---f'--~~~-~~:~=,~ ~.II 1,1' ~ /4(" "~, ; ~ r " ~\ ,I ~ Ii 1\," 'ii . I ' , , \, , I \ i \f' I I _---=-.. _ _ -~- .- 0-~ ~ ELECTRICAL WORK PERMIT APPLICATIO~ - ..~~ ' ~' 1.. Installation description I Job wired by 0 Electrical Contractor 0 Owner D Commercial D-Residential '\.... Electrical contractor name License number Date Expires ~ D New (J Altered/Addition Purchaser's mailing address ~ ~ ?_Cl./acy' / "'15"7 - / =n-tr::> rCicAJ=f? role City State ZIP I DEq;:w,;"" tAroA 9b36? Telephone number FAX number , i~t.O-,;.8/-h'?&Q 3'(_u -if(. 6J-~ 7<50 P~emises owner's name . f) O/"v,..;e"'A..FS-S LlA jl~ if 1:7:;,"/;. 11......"',1. Address or inspection) .. /::<'0"'1 Ec:4W1n),~)1 A".....\rw.. CitJC:;=. ~ . r..--..... _ .I "t::tt". (,J~ -:.:..-~ ~r1"--LJ J.J~,,__J..r Phone number- to schedule inspection: V 3'L G-4io -3 'R'7~ Owner as defined hy RCW /9.28.261:(1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale. rent or lease. 0 Cash 0 Check # A ficr reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- 0 Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Card # Utility Specifications. - - - - - - - - - - - - - - -- Signature ((f"OWner.~clrical conlractor or eleclrical administrator ./J-"" ....... /:7 --"" ( Inspection ree JC)~~~~ Date:.s-I-.;6(, $ 42--. ZO Electrical Load Additions and or subtractions { Service Information o NO LOAD CHANGES o Baseboard _ KW Voltage o Furnace _ KW 0 Overhead Service Phase 0 1 0 3 o Heat Pump _ Ton _ LAR 0 Temp Service Service Size: o Fan-Wall _ KW 0 Underground Service Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ( D"e ROUGH-I:pro.ro By ) (D,~ERMOS~:~.ro 8y ) (D"e SERTIC:ppro.ed 8y J ( D"e FINAL Appro.od 8y ) (D..O DITCH Appro.od 8y ) (o..e FEEDERAPPro,ed 8y J Inspection Area, Building or Equipment Inspected Action Taken I Electrical Date Inspec.!2!- t:J1t /00 vI&! 6-l,E'1':;,'IlA1 I~~ too eB A-PP- Ifl~ . <-r'f'3-MD flAIl! ~nur:;. lJp YF/YIe. Polk}' I - . I I 5' hh t, I r;;0ffl.- I A-P I Az:D / I I I I I I I I I /Jf1/J s/,lb I I - , ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , • , 15- 00001547 Date 12/14/16 Application pin number . . . 962928 Property Address . . . . . . 1209 CAMPBELL AVE ASSESSOR PARCEL NUMAER: 06- 30 -14 -5 3- 0346 -0006- Application type description ELECTRICAL ONLY Subdivision Name . , . . , , Property use Property Zoning . , , . . . , RESIDENTIAL HIGH DENSITY Application valuation . , , . 0 Application desc Ductless heat pump Owner Contractor PATRICK RYDER OWNER 1209 CAMPBELL AVE PORT ANGELES WA 98362 (360) 461 -0993 Permit . , . . ELECTRICAL ALTER RESIDENTIAL Additional desc , . Permit Fee 63 00 Plan Check Fee .00 Issue pate 12/14/15 Valuation 0 Expiration Date 6/11/16 Qty Unit Charge Per Extension 1.00 63,D000 ECH -FL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63,00 OD .00 Plan Checl� Total .0C .00 00 .Go Grand Total 63.00 63,00 Do 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:IEXCIiANGE\BUILDING Date: S CS` 12/10/2015 THU 15:55 FAX 360 683 3971 Airflo treating copier R�r F�� (� ly`� � 5 t' 7 fka Vol CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (369) 417 -4735 Fax: (360) 417 -4711 Date: 0 " Plan Review May Be Job Address: W!�! 1 & 2 Single Family Dwelling ,Reeuired, Please.Complete Electrical Plan Review Information Sheet C..�..t"� 1 oyitr� ➢l„ 0001 /001 item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp, Service /Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp, Branch Circuit w/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 14 Temp. Service/ Feeder 200 Amp. Temp. ServicelFeeder 201400 Amp, Temp. Service /f=eeder 401 -600 Amp. Temp, Service /Feeder 601 -1000 Amp . Portal to Portal Hourly Signal Circuitl Limited Energy -1 & 2 Famlly Dwelling Manufactured Home Connection Renewable Electrical Energy - 5KVA System or Less Thermostat Note: $5:00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft, or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge $120,00 $146.00 $ 205,00 $ 262.00 $ 373,00 $ 5.00 $ 63.00 $ 5.00 $ 75.00 $ 93.00 $110.00 $149.00 $168,00 $ 96.00 $ 64.00 $120,00 $102.00 $ 56.00 $120.00 $ 40.00 $ 74,00 $ 110.00 EM Total ft MultialieriyUnit Charge $ $ $ $ $ $ $ $ �X Total Owner as defined by RCW. t 9,28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection, After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, KEG,, RCW. Chapter 19.28, WAC. Chapter 296 -4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatyre of owner, elet5kir,,al contractororelectrical administrator: d Cash ❑ Check Credit Card p Xk f Dated: 0110112412 211 Lj CIF—i7 aA vl �S