HomeMy WebLinkAbout114 W 2nd St - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
FRAZER IANTHA
118 W 2ND ST
PORT ANGELES
(360) 452 1539
Structure Information
Construction Type
Occupancy Type
Other struct info
WA 98362
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc 400A SERVICE/ DETACHED
Sub Contractor JAYBIRD ELECTRIC
Permit Fee 145 90 Plan Check Fee 00
Issue Date 9/03/04 Valuation 0
Expiration Date 3/03/05
Qty Unit Charge Per
1 00 97 8000 ECH EL -RM 201 400 1ST SRV FEEDER
1 00 48 1000 ECH EL -MANF HOME SRV OR FEEDER
Special Notes and Comments
Building address sign shall not be less than 6 not more
than 12 in height Numbers colors must contrast with wall
color they are mounted on (Ord 14 36 050 E)
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain locations
Proposal is to construct sf residence in RHD Setbacks and
lot coverage are good No land use issues noted
Electrical load calculations and elctrical permits are
required
Any modifications to the City s electrical facilities will
be at the customer s expense
City will verify condition of side walk condition may
require replacement
Other Fees
Fee summary Charged
T•\PLANNING \FORMS\ 1102.15 [11/14/2003)
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00000617
565808
114 W 2ND ST
06 30 00 0 0 5312 0000
RES NEW SFR
RESIDENTIAL HIGH DENSITY
125714
Contractor
OWNER
1800SF SFR 450SF PORCH 672SF DET /GAR
TYPE V NON RATED
SINGLE FAM CONGREGATES
TOTAL LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Date
Paid Credited Due
9/03/04
28 80
V N
2 00
1 00
7000 00
2022 00
2022 00
1 00
Extension
97 80
48 10
745 00
4 50
1025 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
ELECTRICAL LIGHT DEPT
T- \PLANNING\FORMS\ 1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
YES NO
FOUNDATION.
FOOTINGS
WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED I
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
I I I
I I I
I I I
Application Number 04 00000617
Pin number 565808
Permit Fee Total 145 90 145 90 00 00
Plan Check Total 00 00 00 00
Other Fee Total 1774 50 1774 50 00 00
Grand Total 1920 40 1920 40 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• \PLANNING \FORMS \1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Date 9/03/04
a
1
T \PLANNING\FORMS\ 1102.15 [1 I/ 14/20031
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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 1 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS 1
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN I I 1—c-0 l
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE PELLET CHIMNEY
HOOD /DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
QL
DATE YES
Aberig-
2474 .STW
r
ca -ow 31 'ti)
10 z
1vete__
elig- t2N4
b.-4410,6 Nee-A0-5
NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
1 BUILDING
,.;;;;fiI . .ORT ""
(fo~~~
~'~
"-~
----
'toii:,,~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use . . . .
Property zoning . . .
Application valuation
04-00000617 Date
.565808
114 W 2ND ST
06-30-00-0-0-5312-0000-
RES NEW SFR
7/15/04
1800SF SFR, 450SF PORCH, 576SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
\.z"Di
g-
eo 1>~ r+g
_ olJ Cjd.'~~Q.~qco 't"'
1-12.';''';' 0-
2.a ')..2,
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., ..:t:.
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t:l-
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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.
RESIDENTIAL HIGH DENSITY
125714
Owner
Contractor
------------------------
------------------------
FRAZER, IANTHA
118 W 2ND ST
PORT ANGELES
(360) 452-1539
Structure Information
Construction Type
Occupancy Type
Other struct info
OWNER
WA 98362
DET/GAR -----
V-N
~; z~,8
2.00
1. 00
7000.00
~
~
1. 00
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
1800SF SFR, 576SF DET/GARAGE
1162.85 Plan Check Fee
7/15/04 valuation
1/12/05
465.14
125714
Qty
Unit Charge Per
Extension
1017.25
145.60
26.00
BASE FEE
5.6000 THOU BL-100,001-500K (5.60 PER K)
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
HEAT PUMP/FURNACE
101.35 Plan Check Fee
7/15/04 valuation
1/12/05
.00
o
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
4.00 7.2500 ECH ME-VENT FAN
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5
Extension
47.00
14.70
29.00
10.65
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
Additional desc
Permit Fee 146.00 Plan Check Fee
Issue Date 7/15/04 Valuation
Expiration Date 1/12/05
Qty Unit Charge Per
BASE FEE
10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
.00
o
Extension
47.00
70.00
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if o~e
T:\PLANNING\FORMS\I 102.15 [11/14/2003]
""
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
. ..
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TlON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERJOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPLANNINGIFORMSII ]02.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
04-00000617
.565808
Page
Date
2
7/15/04
Qty
1. 00
1. 00
1. 00
Unit Charge
7.0000
15.0000
7.0000
Per
ECH
ECH
ECH
PL- EA. INSTALL WATER PIPE
PL- EA. BLDG SEWER
PL- EA. WATER HEATER
Extension
7.00
15.00
7.00
----------------------------------------------------------------------------
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
proposal is to construct sf residence in RHD. Setbacks and
lot coverage are good. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
City will verify condition of side walk, condition may
require replacement.
----------------------------------------------------------------------------
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 1410.20 1410.20 .00 .00
plan Check Total 465.14 465.14 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3649.84 3649.84 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work 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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
FOR OFFICLhcL USE ONLY:
BUILDING PERMIT - APPLICATION
Date Issued:
Applicant or Agent:~Olt , 7Clrttha
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
7Ct11f/tCL 457-;;2575
452-f531or
f(crur
~n i :r:an~ frat.<<
11 '0 ~ 2-~ ..sI-city: ftJ(+-~( LL6
Phone:
Owner:
Phone:
"
/1
Address:
Zip: q~z.~2...-
ArChitect/Engin~: ,
Contractor (fL Ot 0 W
Phone:
State License #:
Exp:
Phone:
Address:
PROJECT ADDRESS: I t Ll
LEGAL DESCRIPTION: Lot:
\,v
'-I
qty:
''2. "'" '"
Block: f> 3 Subdivision:
r)io?~63/26DCXJ
Zip:
ZONING:
R.T\b
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC
TxPE OF WORKy
EYResidential ~ New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Reparr 0 Sign
BRIEF DESCRIPTION OF THE PROJECT: L ~ L O.c.h. t'\.('L
~v~~~ o../<ur~rye -rb-V\ 8-/2'-oL{j"9d.r~e ~ 4 L N~l).) 2.'-1 )(Z~ .~ b 72 r:p
COMMERCIALIRESIDENTlAL: Occupancy Group: Occupant Load: Construction Type: 'f\1.~~~
No. of Stori,"..t Lot Si2" 50" ..,"10" Ex;,ting Sq. F1. 0 4> & Pmpo"d Sq. Ft. ~ ~ TOTAL Sq. F1. I q 7 !O
- Total lot coverage~'6 ( ~_ %
City:
Exp. Date:
#
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNlNG USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist requrred? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 tinle the building permit application and construction plans are
submitted. All other perunt fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pemnt is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the tinle for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, cunent edition). 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 it is my responsibility to determine what permits are required, not tp! ~Js, and t t I must obtain such permits prior to work.
T:\FORMS\APPS\Buildingpennit.wpd Appl ant: UU~.b Date: ~
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I 2 110 STREET
I RrTWf:rN t &lJRfI ....D 0.&1. ~TRn'T _..........-ClTY SIDEWALK
3!1 CITY SIDEWALK .,-
, =--- WATER MAINLINE
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RESIDENTIAL HIGH DENSITY
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FLAT GROUNO
PROPANE TANK
FOR GAS STOVETh
MAX I MUM LOT COVERAGE. 30X
MAXIMUM BUILDING HEIGHh 35'
FRONT SETBACK. 2S'
REAR SETBACK. 25' except for ""._ accessory I>ICIQ.
SIDE SETBACK. T' except for "".-
accessory llu11Cl1"ll on rll(l'" 113 of 10'.
HOUSE FOOTPRINT
1/ / /J
COVERED PORCH
PROPERTY LINE
GARAGE FOOTPRINT
FENCE
SITE PLAN
NEW CONSTRUCTION
OWNERS:JON & IANTHA FRAZER
~HEAT PUIotP UNIT
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140'
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ALLEY BETWEEN 2ND AND 3RD STREET
'Vashington State Energy Code
Pian Review Checklist
Applicant please Check, write in N/A or fill in value on boxes or lines.
Project Address:
.
COlnpliance Approach:(check one) 0 Systems analysis
o Component perfonnance
o Prescriptive path
HEATING SYSTEM
o Zone Heating
FOUNDATION PHASE
o Slab R-_ Exterior down to frostline/slab bottom; Interior 24" horizontal or vertical; or, If radiant under entire slab
o Below grade exterior wall insulation: R- _ (If interior -see Insulation Phase)
FRAMING PHASE /
o Standard r;:/ Intelmediate 0 Advanced
o Standard air seal: sole plate/sub floor; rirnjoist; window & dom frames; wires, plumbing, ducts, light fixtures
o Source specific exhaust fans: bath & laundry(50 din) kitchen(lOO cfm)
o Whole house exhaust fan_ cfm internuttent system has manual & auto controls: Outdom ail" supply reg. for habitable rooms
or/
1i'Integrated fmced -air system, fan _ cfm, outside ail" duct(with motor damper) allowing .35 and .5 ACH
INSULATION PHASE
o R-&L Wall insulation(above grade)
o R- _ Wall insulation(below grade): Interior wall insulation
o R- ,30 Floor insulation
o R-~ Ceiling insulation: Including attic hatch
o R-_ Vaulted Ceiling insulation
o Vapm retarders: Walls, Ceiling: 0 4 nul poly OPerunated paint Dkraft faced batts
o ppor retarders: Floors: 0 4 mil poly Dkraft faced batts
[J2( Ground cover: 6 nul Black polyethylene, 12" lap at joints & extending to foundation wall
T:\ROGER\BLDG_FORMS.BROCHURES\El'.'ERGYPLANREVIEW
Over: Fill in back side also.
WINDOW GLAZING
Please fill out window information, inclued skylights, glass doors, and all other glazing on this form. Use rough opening area for calculations.
QUANTITY
h'Mt: :
(\~ {A- Va (,u L ot t n.ow t'\...
.3
024
S, L c.-.€.- -L~ '- ~u-l.!1.. (
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Total conditioned floor area:
Percentage of glazing:
~ 34c)
''bOO
1 t() "20
DOORS
List doors by type(solid core, insulated, Etc.)quantity, U-value, and Manufacture.
SIZE
QUANTITY
7
AREA
47.w
U-VALUE & MANUFACTURER
T:\ROGER\BLDG-FORMS-BROCH U RES\EN ERGYPLAN REVI EW-2
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This map is not intended to be used as a legal description.
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Any other use C?f this map/drawing shall not be the responsibility of the Ci~v.
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BUILDING PERMIT INSPECTION RECORD
""'
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 LOCA TION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: WOI1O 0/a b e- ''1- c:>>-I IH' J. J. J...
FOOTINGS 19-1~ OJ-j \ U_ {/C;? ,-1- (;y/..ml 1'/ t/--z.,-01 At/)
WALLS ~ -" ('....J j LL- ~ 'vL- otA Is I ')-:- '13 ["1 liff
FOUNDA TION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING ;h 0 ll;e,-. f' If) -() 10 Fj ftP
QVI
UNDER FLOOR / SLAB ~ IYl"..../ 9- -?-1--C s' p,? .1, h
ROUGH-IN i O-'k -0--'
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I J/-5-(),.., ..J, l-l
CEILING III... q -01-1 I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS iO'IIi-O--j
WALLS / ROOF / CEILING U ... q -0-4 J ' J-,
DRYWALL (INTERlOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB IlL In..CiJ...} .J. J .
WALL / FLOOR / CEILING i ( I I .
,
MECHANICAL ~ I l1.tt./ '1- -'}:~ -iJ S- I).e jJ.-.
HEAT PUMP
GAS LINE . ,;- '}.O 'J'" \, LI
WOOD STOVE / PELLET / CHIMNEY ...
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTiNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ ::h}) /05' /? CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERlNG
. FIRE DEPT.
FIRE 417-4653
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 t}. 1\ ^ .4./' Ji...L.. BUILDING
- rJ-CT),
T:\PLANNING\FORMS\1102.15 [11/14/2003] ,::j--ijl" -OS -...)J-J..- (:"<:Lr~. .R_
<j
.....
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST:
-;>- 2/- 0_S-
Date ..'::>
Time
Received by
RJ/
{phone, person;
location of Work to be inspected J I LJ W ::2- n c:t
Name of person requesting inspection Ko-y \AA...,O vLct
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbin
Phone No. Y(oO ... 10'7)
Permit No. .0 j./- 6 / 7
INSPECTION NOTES:
Inspected: Date 3\ '"2.... '''2..-1~ S-
Remarks:
Time fM
By
~ LL..-
A{J
. '
RESTORATION REQUIRED. . . . .. YES
NO
F ; lA-Q.te ~
~O- v--o...3 e.
~ v>^\ P.e;- ~; t -C::'c r ~ol.~c;.e h dI.-..<; bee V\.
! ' ,
G:...-~ '^' <01- e........ -\- ~.. l.lI\.spec + j <:> LA... \?c. r-
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 CO M PLETE
o INCOMPLETE
.
ELECTRICAL PERMIT APPLICATION
f'OJ{ On'JC!AL USE U.'IL'
Udld"\{el _._.__.._._._
I'"""j'~ __'.___.__'_'__'__
DAI<AI'I''''.'',j
[hie l">,,c,j _~
The Electrical Permit Application must be filled out completely.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
OL/-6/7
License #: J""'itOI/f; If? I</I€xp:
'f2,~-3~1r-'7 Fax 9~ -;;3;) '&5
Phone '-I!!:;?-/!:'5C(
Zip q '7f 3(., 2
Phone: qA~'j?~ <{
Zip "7 fi :3 'I .:5
At....v "5
Owner or Elec. Contractor Agent:
Ii,!;/, . 1'~A1. Ji't1/6U'lJ [;j,ectAlC, Phone
:lDal,f / A. NT If A
.
Property Owner: ~ R A ~ f{..'1.
I
Address: J 1'1. (, I '?IJ"D .<; /
Electrical Contractor: rlH6t1?b I'YJJ 1'/.,,-7'q I t!_
Address: P.(p R 0 :x: (P(" '
City:
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City:
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INSTAllATION WIRED BY'
DOWNER
~CTRICAl CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA:
MC:
o Remote Meter ~tached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added or altered: q:
o Low Voltage 0 Telecom.
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o Sign _
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PROJECT ADDRESS:
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TYPE OF WORK:
Check ill! that apply:
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o AlteratiDn/Addition
~esidential 0 Multi-family
o CDmmercial 0 Mobile HDme
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DESCRIPTION OF THE ELECTRICAL PROJECT: ttJ7t!)If,,,,P
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Electrical Heat Load Additions and or Subtractions
Service Information
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, here'by certify that I have read and examined this application and know that samfr~d fo~;tt~d I am
3uthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
3re required; it remains the applicants responsibility to determine what permits are required and to obtain such.
D ~6eboard
?F)Jrnace
:wAeat Pump
:J Fan-Wall
~head Service
o Temp Service
~nderground ,,- -,.(1i.'l.I:7(.i..
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Voltage: ::? iJp
Phase: W1 0 3
Service Size: ~
Feeder Size: ,It) <'
.
Credit Card Holder's Signature:
Date:
Owner Dr Elec. Cont. Signature:
Date:
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PERMIT FEE: $ JL/5":.9o
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