HomeMy WebLinkAbout502 W 5th St - Building
t VORT ""-\t,
lO~\.
rw.
L~
~
~c~
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
04-00000848 Date
.922480
502 W 5TH ST
06-30-00-0-0-9500-0000-
RES ACCESSORY BUILDING
RS7 RESDNTL SINGLE FAMILY
53280
Owner
Contractor
BLORE BRANDO SCOTT
504 W 5TH ST
PORT ANGELES
CRESCENT DEL. INC.
P. O. BOX 41
JOYCE
(360) 928-2560
NEW RACC 720SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 983622225
Structure Information
Construction Type
occupancy Type
Other struct info
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
68.75 Plan Check Fee
12/02/04 Valuation
6/01/05
Qty Unit Charge Per
BASE FEE
3.00 7.2500 ECH ME-VENT FAN
Permit
Additional desc
permi t Fee
Issue Date
Expiration Date
PLUMBING PERMIT
111.00
12/02/04
6/01/05
Plan Check Fee
Valuation
Qty
Unit Charge Per
5.00
1. 00
1. 00
1. 00
7.0000 ECH
7.0000 ECH
15.0000 ECH
7.0000 ECH
BASE FEE
PL- EA. FIXTURE ON ONE TRAP
PL- EA. INSTALL WATER PIPE
PL- EA. BLDG SEWER
PL- EA. WATER HEATER
12/02/04
WA 98343
24.40
V-N
1. 00
2702.00
14000.00
720.00
3422.00
1. 00
.00
o
~
~
}l
t
&t
~~
~ ..:s-
R:r
"i+
Extension
47.00
21.75
.00
o
~
~
\"
Extension
47.00
35.00
7.00
15.00
7.00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 695.25 Plan Check Fee 278.10
Issue Date 12/02/04 Valuation 53280
Expiration Date 6/01/05
Qty Unit Charge Per Extension
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.
&C-
Signature of Contractor or Authorized Agent
~
Date
Signature of Owner (if owner is builder)
Date
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 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11/1412003]
d VORT """
~
"..
~ --
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number . . . .
04-00000848
.922480
Page 2
Date 12/02/04
Qty Unit charge Per
Extension
667.25
28.00
BASE FEE
4.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
----------------------------------------------------------------------------
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.
The proposal will result in the construction of an accessory
residential unit in the RS-7 zone for a total lot coverage
of 24%. The ARU was approved under CUP 04-05 and must meet
specified setbacks for residential dwelling units.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 875.00 875.00 .00 .00
Plan Check Total 278.10 278.10 .00 .00
Other Fee Total 1029.50 1029.50 .00 .00
Grand Total 2182.60 2182.60 .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\l102.15 [1111412003]
BUILDING PERMIT INSPECTION RECORD
. ,
CALL 4 I 7-48 15 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 I NO
FOUNDATION:
FOOTINGS - b ,.
-J .. i .
WALLS ~'y..'-l) \.1"( - 'r ,
FOUNDATION DRAINAGElDOWN SPOUTS ...
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING f, vI t^-' ( <-') /1/0 .,- J p.... f1P
UNDER FLOOR 1 SLAB
ROUGH-IN ll-~"<:J <; J L
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS ID-li'-o} J, J
CEILING r I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING 1!l-n(-oJ- J,1-,.
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING fa -!)-"'-o<;- J. L.
MECHANICAL ~;~O-I S "'/"1 /00- J i-l.-- flP
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 S- /9-/ () J- /ko ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI 5-SJo/os IF CONSTRUCTION - R. w.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 , PLANNING DEPT.
BUILDING 417-4815 I....~/H 1(;).;;- _) J.-L BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
dVOR)'~
~
L~
~
~C~
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
04-00000848 Date
.922480
502 W 5TH ST
06-30-00-0-0-9500-0000-
RES ACCESSORY BUILDING
12/02/04
RS7 RESDNTL SINGLE FAMILY
53280
Owner
Contractor
BLORE BRANDO SCOTT
504 W 5TH ST
PORT ANGELES
WA 983622225
CRESCENT DEL. INC.
P. O. BOX 41
JOYCE
(360) 928-2560
NEW RACC 720SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98343
Structure Information
Construction Type
occupancy Type
Other struct info
24.40
V-N
1. 00
2702.00
14000.00
720.00
3422.00
1. 00
----------------------------------------------------------------------------
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee 640.00 plan Check Fee
Issue Date 12/02/04 Valuation
Expiration Date 6/01/05
.00
53280
Qty
1. 00
Unit Charge Per
640.0000 EA PW W/M 1" SERV 5/8" METER
Extension
640.00
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
CONNECT TO EXISTING SEWER
45.00 Plan Check Fee
12/02/04 Valuation
6/01/05
.00
53280
BASE FEE
Extension
45.00
Qty
Unit Charge Per
----------------------------------------------------------------------------
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.
The proposal will result in the construction of an accessory
residential unit in the RS-7 zone for a total lot coverage
of 24%. The ARU was approved under CUP 04-05 and must meet
specified setbacks for residential dwelling units.
Electrical load calculations and elctrical permits are
required.
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.
Si
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [1111412003]
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, 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 I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [1 \114/2003]
fJ
&"..~
L~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000848
pin number . . .922480
Page 2
Date 12/02/04
----------------------------------------------------------------------------
Special Notes and Comments
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 685.00 685.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1029.50 1029.50 .00 .00
Grand Total 1714.50 1714.50 .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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 4 I 7-4815 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGElDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI ~-1J.O-o( ,- CONSTRUCTION - R.W.
ENGINEERING 417-4807 V PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [1111412003]
Applicant or Agent: ("",l-es C.e?VT
Owner: t;< ItNdO ~ I bl1-.e
Address: S Oq We!. I ,<) III
OLV~[~/Yl~r
LNC-.
;i)(
~
r'
Phone: 3 60 ~ 'j 2-? -- Z-S &6
s
~~
BUILDING PERMIT - APPLICATION
The Building Permit Application must befilled out completely.
Please type or print in ink. !fyou bave any questions, please call 417-4815
Phone:
Architect/Engineer: 0 WIII..{',( .
Contractor Cf< e.S C elVT De v-e LA f7 JI1e .N1License #:
.
Address: fo Do}! t-/~~ _ c~: ,Jo'lU >'
PROJECT ADDRESS: === - W-t'S / S I il-
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Billing Address: 1'0. tlllA '--/1 JOy'L..~/ w19
Credit Card #:
City: Po 1<1 IftV (j-el-6' - , f/v' IJ '
/
Phone:
Zip:
7';3/L
Exp:
tA/11
Phone: 7Zrf- 2-~'t!/
Zip: '1 g 3'1?
ZONING:
Subdivision:
Credit Card Holder Name:
City: q l' -S'-r?
Exp. Date:
VISA
MC
TYPE OF WORJS;
J?i. Residential p. New Constr.
o Multi-family 0 Addition
o Commercial 0 Remodel
o Repair
ORe-roof
o Move
o Demolition
o Sign
SIZEN ALUATION: a
o Wood-stove '1ZCJ SF. @$ 7'1 ISF. =.$ ~ 2.80 c:.
o Garage pc.rdt J 7. S- SF. @ $ ISF. = $
o Deck SF.@$ ISF. =S
o TOTAL VALUATION $ 5 <~~ cC
New :1 g~~ l!tJt/.>-e.-_) RE:?<;:d<,v"~;QJ
BRIEF DESCRIPTION OF THE PROJECT:
AC't"estSal"y ~^~ 1-
COMMERCIAURESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: ---1- Lot Size: j ~ DDO % Lot Coverag~: 2 q.,,!1 % .., .
Existing Lot Coverage: 2 702, Isq. ft. + Proposed Lot Coverage: 7'H u_/sq. ft. = TOTAL LOT COVERAGE: ,::;.(fl/Z Isq. ft.
PLANNING USE ONL Y: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESNWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITIAL: Your application and site plan must befilled Ollt completely to be accepted/or
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
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: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other
permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this 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 107.4 of
the Uniform Building Code, current 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, and I am authorized to apply for
this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants
responsibility to determine what permits are required and to obtain s~
Applicant: I'a:~ /J Date: Cj llo I O~
T:\FORMS\APPS\Buildingpennit ~ -r ._
c.-::a )Le-...A ~(.)etof"":.e..v'" ~.
\Vashington State Energy Code
Pian Revie," Checklist
Applicant please Check write in N/A, or fill in value on boxes or lines.
Project Address:
Compliance Approach:(check one) 0 Systems analysis
o Component perfOlmance
JPrCSCriPliVe path
ATlNG SYSTEM
Zone Heating
o Electric Fumace
OHeat Pump
FOUNDATION PHASE
o Slab R- _ Exterior dO\vn to frostl:ine/slab bottom; Interior 24" horizontal or vertical; or, Ifradiant under entire slab
o Below grade exterior wall :insulation: R- _ (If :interior -see Insulation Phase)
FRAMING PHASE /
o Standard .J h1termemate 0 Advanced
o Standard air seal: sole plate/sub floor; rim joist; v..rindow & door frames; wires, plumb:ing, ducts, light fIxtures
o ))oUTce specifIc exhaust fans: bath & laundry(50 cfin) kitchen(l 00 cfin)
"ii Whole house exhaust fan _ cfm intemrittent system has manual & auto controls: Outdoor air supply reg. for habitable rooms
or 5"5; t-e:. 93
o Integrated forced -ail system, fan _ cfm, outside air duct(with motol damper) allow:ing .35 and .5 ACH
INSIlLA TlON PHASE
o R - '21 Wall insulation( above grade)
o R- _ ~_ Wall insulation(below grade): Interior wall insulation
o R- ~ Floor insulation
o R- 39 Ceiling insulation: Including attic hatch
o R-. Vaulted Ceiling insulation
~or retarders: Walls~ Ceiling: 0 4 mil poly DPerm rated paint Dkraft faced batts
~por retarders: Floors: 0 4 mil poly Dkraft faced batts
ISV'Ground cover: 6 mil Black polyethylene, 12" lap at joints & extend:ing to foundation wall
T:\ROGER\BLDG_FORMS-BROCHURES\ENERGYPLANREVlEW
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.
SIZE QUANTITY AREA U-VALUE & MANUFACTURER
~"'"j.. .5 '"' 2. Lto
bOx !;D i 30
<..f6~5~ J 14
t:;O)(3b 2 ~s:-
'2.0 i".. .~u l ~
Total glazing area:
Total conditioned floor area:
Percentage of glazing:
_IZb
"",c:l
17,5.
DOORS
List doors by type(solid core, insulated, Etc.)quantity, U-value, and Manufacture.
SIZE QUANTITY AREA U-VALUE & MANUFACTURER
"30 X ?~~ J 20
T:\ROGERIBLDG-FORMS-BROCHURESIENERGYPLANREVIEW_2
, :5: >oj 'tl ~~~8E1 n'tl
, t'l ><: ; H:U
'" '0 'O:UZZtl >oJt'l
, '" "- t<nt'l>oJ:U ><:'0
, (JJ H t'l:U:Ut'l ;J>
a 0 ... Zt< ;J>(JJ o:u
, H ~. n(JJ "'t'l
, >oj tl
j~" ~ tIl 0 '0
t'l. :U. 0
n:u :u :UUl
Ot'l >oJ"-
, "- :5:0 a
, a 'OCo oattloUl ~~
' "" t<t'lO il::>o~~~o
, '" t'l(JJ , , Ot'lN "a
, a ;;Jta OW:;dU) t'lUl
, Ul Oottln::E: t<-
, tltl~ a , t'l t'l
, OOtI:lZUl (JJH
~y Oo::O~1-3 '"
~~S;O ;x:
:u H N
, t< t'lH~ "', tlt'l(JJ w
, t< (JJZ 00 t"l 1-3
, C(JJ :u , w
t<'O t'l"'(JJ '"
, >oj '" Cl)lJ1nH
, ; aoz
);:-o.,n
n , >oj.
H na
a:5: :utl... t'la
Ult'l trltrl (JJa
"-n (JJ(JJ (JJa
a;X: cn 0
n ~~ t<:u :u
0 >oJH ><:
Z NH (JJ'O
>oj an "->oj tIl
H a;J> nH ;:: H H
Z Ult< 00 ZZ
C :5:Z t< (JJ(JJ
trl '" :5: tl '0'0
tl aH trl H trltrl
""Z Z Z nn
0 " ;J> >oj " >oj >oj
Z Nt< (JJ OH
>oj w :UO
0 " Z
Z '0 >oj ,-<>oj
t'l :5:H ~~
:>< :5: 'O'O(JJ
>oj t'l ssg trl~
'-< .. (JJt'l
'0 t< ZZtl >oj
;J> HH trltrlH t<
" t'l-J <
trl :u .. t<
t<a H
><:a t'l
w :u
'" t<
a ><:
'"
N
'"
,
N
Ul
'"
a
tl'O
;J>;J>
>oj"
t'ltrl
Ul
"-
a
""
"-
a
UlH
, '0 '0 >-3 'tl ~~~8E; n'O
, Ie' Ie' 0< ~ H:U
, '" '" '0 'O:UZZtJ >-3t>1
, '" "- Ie'nt>1>-3:U 0<'0
, Ul H t>1:U:Ut>1 :>>
, 0 0 0 >-:l ZIe' :<>Ul O:U
, H H ~. nUl 'Ot>1
, >-3 tJ
.~ 'tl tD 0 '0
t" t>1. :U. 0
, n:u :u :Uen
, "'''' 0t>1 >-3"-
I ................................ :;::0 0
I 000 'OC::o ootIJ().." ~~
I tPooooo 1e't>10 .J:>.CT\t"':;do
I ................................. t>1Ul , , 0t>1'" <;)0
I . 000 >-3>-3'tl OW~UJ t>1en
I UllJlUl t>1t>1t" OOtr1n~ Ie'-
: , tJtJ~ 0 , t>1 t>1
OOtoZUl UlH
oo::d~., '"
t">C H ~~~tJ :>:
:u izI '"
1e''01e' t>1HG) OJ , tJt>1Ul w
Ie' Ie' UlZ oOt"l.,
C::Ul'tl :u , w
~~~ t>1",Ul '"
C/)Ul()H
OOZ
H )::>10>-30
>-:l n , >-3.
no
OtUO'O :utJ t>10
LT1t"l~t"I t>1t>1 UlO
~~~~ UlUl Ulo
c::n 0 ,
"tD tD 1e':U :u
...........HOOH >-3H 0<
r-JZoZ Ul'O
oG1\.DQ "->-3 tD
0 0 , nH c:: H H
:;:: lJ1l-JjO::d 00 H ZZ
:;:: H>-'O :;::Z Ie' UlUl
t>1 Z"'C:: :;:: tJ '0'0
Z O)::lt-'(j) t>1 Z t>1t>1
>-3 "Ie' :>: Z nn
Ul , >-3 <;) >-3>-3
'" Z , Ul OH
~ W , :UO
>-3 , .. Z
tJ H ,
'0:;:: , c,>-3
Z :;::t>1 >-3 , ~~
0 H , 'O'OUl
>-3 :;:: , i5i5iii t>1~
t>1 C,H t>1 , Ult>1
Ul Ie'-..l .. ZZtJ >-3
H.. , t>1t>1H Ie'
t>10 H , <
:Uo -..l , Ie'
Ie' .. , H
0< 0 , t>1
0 , w :u
, '" Ie'
, 0 0<
,
, '"
, '"
, OJ
, ,
, '"
en
, '"
, 0
,
,
,
,
,
,
, tJ'O
, :<>:>>
, >-3G)
, t>1t>1
,
,
,
,
, en
, "-
0
"
, "-
0
, en'"
tJ:l
Ie'
'"
'"
tJ:l
Ie'
H
tJ:l
Ie'
w
tJ:l
i":
:0
o
H
o
H
o
H
o
H
~ HH
Ulf\Jf\Jt\Jf\.}l\Jf\JNrv
,....................................................................................
ON l\J 1-1t-'-1-' I--' OQ
Nl\JOOOO CD 00 00 CO
...................................................................................................
000000000
\" llllJ1 UllJ1lJ1lJ1 ~ If::>.
-i'-<:J>'-<:J>'-<:J>'-<:J>'-<
t"'l'1:lt"'l'1:lt"'l'1::lt"1't:lt-t
L' t"' t"'l t""l t"'l
()
o
3:
3:
OJ
Z
>-l
(J)
n.t:>tootI!ntI:!
:J>"'~::r~::r~
t'"lOHtiHIiH
t"'l I t""l1-'-t'1I-'-t""l
tl:>-t:;lmtjmt1
tIlO'1H H H
OJ"'ZoI>Z_Z
t'Jjl\.)(j)O'lQ(')Q
o 0 '1
:::0 I"Ij H(J)1"Ij
ttjOHoJ::>Zm~
H~~~~~~
ZOL'tvt"lrTH
(J)oI> :J> Z
"''- >-lP-Gl
trjl\J HrD
nO 0<
1-:30 Zm
HlJ1 >-'
o 0
Z '0
H C1>
(J)H 3
0.. ro
01> ::>
tJ:llJ1 IT
~
~~
OJ
:0
'-<
()Ie'
g;~
:0
3: Ie'
OJ><
OJ
>-l
><
o
~
>-l
::r:
OJ
:0
OJ
g;
t:J
Z
o
>-l
OJ
(J)
tJ:l()tJ:l
~::r:~
H:OH
Ie'HIe'
t:J(J)t:J
H H
Z Z
Gl . Gl
:J> '"
HoI>>-l
:O"'Gl
0'-
(J) . >1
OJoI>:J>
:J>",1e'
le''''le'
tv
tJ:l'>-l
Ie' . ><
'" . '"
>1 '-
'(J)
0'0
H'
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
.
,
,
,
>-l'
H'
3:
OJ,
H ,
-..J ,
.. ,
0'
o ,
,
,
,
b:l
'0
():O:O
OOJ
3:0
"'~o
1e'00o
OJ(J)
>-l>-lb:l
OJOJC::
t:Jt:JH
E;
H
:0 l!:
OJHG'l
(J)Z
~(J)'O
~'1:1~
H
>-l
:ot:J1
OJ OJ
gj~~
Ie':OUJ
>-lHH
(J)"'tl
'->-l8
()H
00
3:ZH
~ ~
Z
>-l
(J)
'"
~
H
>-l
:g:gi!8E;
"':0 Z Zt:J
t'"l()tr1I-3~
OJ:O:OOJ
ZIe' :J>(J)
~ ()(J)
3:. >-l
tJ:l 0
OJ. :0.
:0
ootIl()lJ1
oJ::>O'\t"'l:::t:lo
I I 0 tI:l tv
QW::d{J)
ootlj()~
0' OJ
ootoZV1
00:;0"'1-)
~~~tj:r:
O'Jltjtlj(f)
OOt""'""3
:0'
OJ"'(J)
U)UlnH
OOZ
;t:-ol-jn
() I t-3 .
()O
OJo
(J)O
(J)O
o
:0
><
tJ:l
8
Ie'
t:J
Z
Gl
()'O
H:O
>-lOJ
><'"
01:;
"'OJ
t:J
'0
o
:0'"
>-l'-
~~
Glo
OJ'"
Ie'-
OJ
(J)H
W
H
o
01>
01>
"''''(J)
5553
zZt:J
OJOJH
<:
H H
zz
(J)(J)
"''''
OJ OJ
()()
>-l>-l
OH
:00
.. Z
'-<>-l
~8
OJ:>:
(J)OJ
>-l
Ie'
Ie'
H
OJ
:0
Ie'
><
w
'"
o
'"
tv
<D
tv
lJ1
'"
o
t:J'O
:J>:J>
>-lG'l
OJ OJ
lJ1
'-
o
01>
'-
o
lJ1H
" o-J '<l ::;:gi!8E; n"
t' >< ~ H~
IV '<l "~ZZO o-Jl'J
'- t'nl'Jo-J~ ><"
en H l'J~~l'J ;t>
0 0 ... Zt' ;t>en O~
H , ~. nen "'l'J
, o-J 0
, '<l tD 0 "
ill I:" l'J. ~. 0
, n~ ~ ~IV
, 0l'J o-J'-
:S:0 0
, 0 , "C::o o O\:]j ()U1 ~~
' <P , t'l'JO .t>O'\t'1~o
, '- , l'Jen , , Ol'JIV Clo
, 0 , o-Jo-J'<l ow?:!(/) l'JtJ1
, tJ1 , l'Jl'J1:" OOtt1()=€ t'-
, , OO~ 0' l'J l'J
, 00 to !2:Ul enH
, , 00::01-31--3 "
'*" , H ~~~t1 :>:
, ~ iZi tJ1
, t' , l'JH'i) <P , Ol'Jen w
, t' , enz aOt""li-3
, , c::en'<l ~ , ""
, ~~; l'J'Den 'D
, C/}lJ1()H
, OOZ
, , H ;:t::.oa..,n
, , ... n , o-J.
, , no
, 0" , ~O l'Jo
, '" t' , l'Jl'J eno
, ~ ~ , en en eno
, c::n 0 ,
, tD , t'~ ~
, <PH , o-JH ><
oZ , en"
n 'DCl , '-o-J tD
0 , , nH ::: H
:s: o~ , 00 HZ
:s: HO , :S:Z t' Zen
l'J "'c:: , :s: 0 en"
Z HCl , l'J Z "l'J
o-J :>: , Z l'Jn
en o-J Cl no-J
Z en o-JH
~ , 00
0 ~Z
, "<o-J
Z o-J , ~~
0 i , ""en
o-J , 6651 l'J~
l'J l'J , enl'J
en .. , zzo o-J
, l'Jl'JH t'
H , <
-.J , t'
.. , H
0 , l'J
0 w ~
, '" t'
, 0 ><
,
,
, 'D
IV
, <P
, ,
IV
tJ1
'"
0
0"
;t>;t>
o-JCl
l'Jl'J
IV
'-
0
<P
'-
0
tJ1 W
, tJj tJj >-3 'tl ~:;l~8E; ()'"
, Ie' Ie' >< ~ H:U
w '" '" ",:uzza >-3 OJ
, :€ , Ie'()OJ>-3:U ><"d
, (f) H OJ:U:UOJ ;,.
, 0 0 0 >-l Zle' ;"Ul O:u
, f-' f-' ~. nUl "'OJ
, >-3 a
, tJj tJj 0 "d
N 'tl OJ. :u. 0
~ "" ():UJ:<l :u :u'"
, "''''''' OOJ >-3:::-
-=- , '" ;;:0
- f-'OO "'Go ootonUl ~~
, ex",,,,, 1e'00o ~O\t'1?:lo
~ , '" OJUl , , o OJ'" Glo
, 000 >-3 >-3 III oW~(J) OJUl
, Ul.... OJOJC:: o otr:l n::t: Ie'-
0 , a a... 0 , OJ OJ
b aotIlZlll Ulf-'
'" oO::UI-3t-3 '"
'i'* > c ... ~~~t:1~ w
:u Z
I - I'd t"l OJH<;1 CD' aOJUl '"
, Ie' Ie' UlZ 00 t'1 1-3
-:r.... '~ , C::Ul'tl :U' ..
~~~ OJ\DUl 0
, {J)lJ1nH
r , , ooz
, , ... ~Ol-3n
, , >-l (), >-3'
V' , , no
, OttlntIl , :ua, OJo
~ , :rc::::r:c:: , OJ OJ Ulo
, I1H:;dH , gj~~ Ulo
, 1-'- t-t H t'" , 0'
, oot:l(J)t:! , t'1?:lcn :u
- , H Z , >-3...... ><
-z , Ul"dtl
n () Gl , Gl , '>-3~ tJj
0 " , ()H c:: H
;;: C1l '" '" , 00 H HZ
;;: Ul::U~.., , ;;:z... Ie' ZUl
OJ ~~~~ ;;: ~ a Ul"d
() Z , OJ Z "dOJ
>-3 rTH' :€ , Z OJ()
" Ul z..;,. , >-3 Gl ()>-3
Q.G)0'\t"l , Ul >-3H
~ C1l \Die' , 00
<: '" , :uz
a C1l ,
f-' '-<>-3
Z 0 >-3 , ~~
0 '0 H , "'''dUl
~ >-3 C1l ;;: , g;g;iiJ OJ:>:
OJ 3 OJ UlOJ
Ul C1l .. , zza >-3
::> , OJOJH Ie'
rT f-' , <:
" , Ie'
.. , H
0 , OJ
0 , w :u
, '" Ie'
0 ><
,
\D
, '"
, CD
, ,
, '"
, Ul
, '"
, 0
a"d
;,.;,.
>-3Gl
OJ OJ
'"
,
f-'
CD
,
0
Ulf-'
,
,
,
,
,
,
't
' >-" >-"
I t\Jl\Jtvl\JNrvrv
I ............................................................................
I N 1-"1-" I--' I-" 00
I NOOOO(OCDQJOO
I ..........................................................................
I 0000000
I U1V1lJlU1Ultl:>o~
:1lI\
:~,,<;po,,<;po,,<;po,,<
I ~'"Ot-t'l:lt"1'"Ot'"
I t"1 t'" L' t"'
,
,
,
,
,
,
,
,
,
,
n
o
:3:
:3:
t>1
Z
>-3
W
nlJ:lntd
::rC::rC
ti H ti H
....... t'" j-I.t-t
00 tJ m t:::I
H H
"'Z-Z
O'\QOQ
o 'i
IHrol'tj
~Zoo~
~~~~
Nt-trtH
;po Z
>-3o.Gl
H(1)
0<
Z (1)
I-'
o
'd
(1)
3
(1)
::>
ct
~
o
z
o
>-3
t>1
W
OJ
t'
H
OJ
t'
w
o
>-"
o
>-"
OJnOJ
C:>:C
H",H
t'Ht'
Owo
Z Z
Gl ' Gl
;po '"
H"'>-3
","'Gl
0'-
w, :>:
t>1"';PO
:>>"'t'
t''''t'
IV
OJ
;:;
"'
OJ
t'
'"
:>:
>-3 '0
~ ;
W H
o ..;
o
>-"
o
>-"
III
'0
n",1<l
Ot>1
:3:0
'OCO
t't>10
t>1W
>-3 >-3 III
gHl S
~
H
"' i;!i
t>1HGl
wz
CW'O
~'l:I;
H
>-3
"'01
l'1l'1
gJ~SJ
t'",til
>-3HH
w'Ot::1
-nj~
00=1
:3:ZH
~ E=
z
>-3
W
>-3'
H
:3:'
l'1'
.. ,
,
>-" ,
"',
.. ,
o ,
0'
?;:gi18E;'
'O",zzo
t'nl'1>-3",
l'1",",l'1
Zt' ;POw
C nw
:3:. >-3
OJ 0
l'1 . "' .
"'
o otrl nl11
01::>0 0'0 t""::d 0
I I 0 tI:l rv
ow:;dC/)
00 tJ:j n:t:
o l'1
OOtIlZUl
00::01-:11-:3
~~~t1~
co I t:l tI:l en
00 t-t >-3
"',
l'1"'w
(J)U1nH
oOz
pOl-3n
() I 1-:3.
no
t>10
wo
wo
o
"'
>-<
OJ
8
t'
o
H
Z
Gl
n'O
H",
>-3t>1
>-<'0
:>>
0",
"'t>1
o
'0
o
",IV
>-3'-
~~
Glo
t>1'"
t'-
t>1
w>-"
IV
w
'"
>-"
'"
'O'Ow
55g
zzo
t>1t>1H
<:
H
HZ
Zw
w'O
'Ot>1
t>1n
n>-3
>-3H
00
"'Z
"<>-3
:>>H
:3:n
t>1?<
Wt>1
>-3
t'
t'
H
t>1
"'
t'
>-<
w
'"
o
'"
IV
'"
,
IV
'"
'"
o
0'0
:>>:>>
>-30
t>1t>1
IV
'-
IV
IV
'-
o
"''''
,
,
,
,
:~. ~
, '-
, 0
" <D
, '-
: () ~
~:
~.
, ,
,
nto,
:J:O::
:UH'
Ht"
[f)tl
Z:
I;) ,
,
.",
"'>-3
"'I;)'
0'-'
, ::8 ,
...;,.,
"'t"
"'t"
'" ,
>-3'
:<:'
OJ,
.. ,
H ,
..."
n
o
3:
3:
OJ
Z
>-3
[f)
~
tl
Z
o
>-3
OJ
[f)
to
t'
."
::8
o
H
to
'tl
n:ulol
OOJ
3:0
"'0::0
t'OJo
OJ[f)
>-3>-3t!'
gjgjS
fj
H
:u izI
OJHQ
[f)Z
O::[f)'tl
~~~
H
>i
:utl,
OJ OJ
gJ~~
t':U[f)
>-3HH
[f)"'tl
?):je;
oo::l
3:ZH
~ ~
Z
>-3
[f)
o
o
>-3 'tl
~ ~
[f) H
o >i
;,.",on:>>
'O;"::80tl
"':UZZtl
r-'nt.'IJl-3::d
OJ:U:UOJ
Zt' ;"[f)
0:: n[f)
3: . >-3
to 0
OJ . :u .
:u
n",
H:U
>-3 OJ
><:'0
;,.
o:u
."OJ
tl
'0
OH
:U'"
>-3'-
~~
1;)0
OJ'"
t'-
OJ
[f)H
W
00 t:O ()Ul
,c::..O\t"1::UO
I 10 tIjl\J
owit!W
o DtI:! ()::E
o OJ
ootoZlTl
oo::dt-)~
~~~tj~
00 + t:l tI:l en
oOt"'1-3
:U'
OJ"'[f)
C/)lJ1()H
OOZ
;P01-30
() I 1-3.
nO
'OJO
[f)0
[f)0
0'
:u
><:
to
0::
H
t'
tl
H
Z
I;)
...
'"
H
lJ1
H
HZ
Z[f)
[f)'"
"'OJ
OJn
n>-3
>-3H
00
:uZ
"-<>-3
~~
OJ~
[f)OJ
>-3
t'
t'
H
OJ
:u
t'
><:
'O"'[f)
66~
ZZtl
OJOJH
<
w
'"
o
'"
'"
<D
,
'"
lJ1
'"
o
t:J'"
;,.;,.
>-31;)
OJ OJ
H
'"
'-
o
<D
'-
o
...'"
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
REQUEST:
Date J 9- - ') - 01--/
Time -l:f ~ 5-0
Received by
Srsonl
Location of Work to be inspected ..5 0 }-. l A )
Name of person requesting inspection e It r-l <;
Address of person requesting inspection
Type of Inspection {circle appropriate one):
sewer,~oun~ation .:. Fra~~ng .' 9himney Plumbing
INsP~t;Jt~o~r~':\~" I /~
Inspected: Date ;? X [) L Tim.e
Remarks: ~. . -"')-'
,5'- t'1 s'r
Phone No.
Permit No. t!> LJ -, r4 Y
Final Sewer Excav. Other
(tf1
q
-------------
By )/ i-/
\ 4 (,1/J
/ '.'/,
RESTORATION REQUIRED. . . . .. YES NO
fHou\2'l.- \j
:~r~. t C-..:.-" !]
I
17, c,.! L--v]
l-o{L,,,q ~~
I~ I[ ,-'
\
:2.. - Y
\ '" J
--\--ll
.....,-
i -- Ct<.'",(!
c. I
_--;k-c I-
l~~')ci 'L
. .
/'
.1
(,., ....
. .
01::-
C +- ~"l
->
~')f ,~t:~z:..-J-
C u "'-I./-t 2 -.-(J.-c li;fl...
}\t\ { V leC ()
f== ,.; '1--0'~
...) ( '-I, - L ~
1 I
{ ~> ,(I-C V(
\
--.
4- f ......"'. '- "-
c' tee' }\. k '\'\..
L J '~t t:.:C
+c (kit' n(.>t. 'rL t
/'
(j-
( (
...; ':>
(. 1 '1. . \ -
..-:::> \' Ice T-
n )r)(\J,),/t ~J
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel 0 Asphalt
F:)i\ +,. C ~ \..
~. c () ""I
,1=-...,
.' /)
~. -Y
~ l. (
OPCC
D Other
D Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
CITY OF
~ORTANGELES
~'_.'.'.'.C_"
~
WAS H I N G TON, U. S. A.
DEPARTMENT OF COMMUNITY DEVELOPMENT
September 1, 2004
Mr. Brando Blore
504 West 5th Street
Port Angeles, W A 98362
RE: Conditional Use Permit - CUP 04-05
BLORE - 504 West 5th Street
Dear Brando:
As you know, following consideration by the Planning Commission at a public hearing
conducted on August 28,2004, the Commission approved your application for a conditional
use permit to allow an accessory residential unit at 504 West 5th Street with the following
conditions:
Conditions:
1. A building permit shall be required for the proposed construction. The applicant
shall meet the utility requirements of providing individual electric, water, and sewer
meters for the accessory residential unit. A separate address shall be assigned to the
accessory dwelling unit prior to final occupancy. A Zoning Lot Covenant shall be
filed to combine the two Townsite lots into one building site, prior to issuance of a
building permit.
2. The applicantshallprovide two (2) additional off-streetparking spaces for the
proposed residence for a total of (4) off-street residential parking spaces' per a site
plan to be approved by the City Engineer prior to building permit issuance.
3. The footprint and location of the accessory residence shall not exceed that identified
in the site plan submitted to the City on June 30,2004, for Conditional Use Permit
CUP 04-05. The proposed footprint is 840 square feet, and the setbacks of the
accessory residential unit are 20' front and 13' comer side (Pine Street). The
separation between the accessory residential unit and other structures on the site shall
be at least 6'.
321 EAST FIFTH STREET · PO BOX 1150 · PORT'ANGELES, WA 98362-3206
PHONE: 360-417-4750. FAX: 360-417-4711 · TTY: 360~417-4645
E-MAIL: PLANNING@CI.PORT-ANGELES.WA.USORPERMITS@CI.PORT-ANGELES.WA.US
Conditional Use Permit approval will remain valid for one year from the date of issue. If the
use for which the permit was approved has not been commenced within that time, or an
extension has not been requested, the permit approval will expire.
If you have any questions, or if we can provide further assistance, please don't hesitate to
contact this office.
Sincerely,
L7}i~.~
Sue Roberds
Assistant Planner
cc: Public Works and Utilities
505
/~
j'./ ~,
s439~
50
Feet
Vertical DatJIm = NA VD 88
>>orizontal Datum = NAD 83/91
Area Map
Th' This map is not intended to be used as a legal description. I,.~.<I;!~.'. ".' '.
IS mapldrawing is produced by the City of Port Angeles for its own use and purposes. ,.....
Any other use of this map/drawing shall not be the responsibility of the City. W
d'O't'~
$~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 9R~(12
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000848 Date
.922480
502 W 5TH ST
06-30-00-0-0-9500-0000-
RES ACCESSORY BUILDING
2/03/05
RS7 RESDNTL SINGLE FAMILY
53280
Owner
Contractor
BLORE BRANDO SCOTT
504 W 5TH ST
PORT ANGELES
WA 983622225
CRESCENT DEL. INC.
P. O. BOX 41
JOYCE
(360) 928-2560
NEW RACC 720SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98343
Structure Information
Construction Type
Occupancy Type
Other struct info
24.40
V-N
1. 00
2702.00
14000.00
720.00
3422.00
1. 00
U'I
c:'\
~
--------------------------~-------------------------------------------------
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
700 SQ FT SFR+ REMOTE METER
HALVORSEN ELECTRIC
84.40
2/03/05
8/02/05
Plan Check Fee
Valuation
.00
o
I",
I.
\/
Qty
1. 00
1. 00
Unit Charge Per
73.0000 ECH EL-R-SQFT FIRST 1300
11.4000 ECH EL-METERS REMOTE INSTALL
Extension
73.00
11.40
\P.
\~
V;
C"oj
----------------------------------------------------------------------------
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. lOrd. 14.36.050-EI
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
The proposal will result in the construction of an accessory
residential unit in the RS-7 zone for a total lot coverage
of 24%. The ARU was approved under CUP 04-05 and must meet
specified setbacks for residential dwelling units.
Ele~trical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
RES OVERHEAD SERVICE FEE
STATE SURCHARGE
410.00
4.50
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPE<.:HON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
DITCH
llnllnJ.l.lN I CUV-hK
~bK V ll,;b
...-TN A T I I
GENERAL COMMENTS:
PW-I 102.15 14'96\
d'O'I'~_
Jfi~~
D!J
"I4i.. ..",
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:l21 EAST 5TH STREET, PORT ANGELES. WA 98:l62
Application Number . . . . . 04-00000848
pin number . . .922480
Page
Date
2
2/03/05
----------------------------------------------------------------------------
Other Fees PW WATER SYSTEM USE FEE 1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 84.40 84.40 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1439.50 1439.50 .00 .00
Grand Total 1523.90 1523..90 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEQ'JON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.lS (41\16I
~
~.'t. ..
ELECTRICAL WORK PERMIT APPLICATION
.~ Electrical Contractor 0 Owner
o Annual Permit 0 Alarm 0 Carnival 0 Commercial ..L'ii( Residential 0 Residential Maiot. 0 Signs 0 Thermostat 0 Telecom.
D Request Inspection
.
Job wired by
~ Electrical Contractor 0 Owner
Installation description
Electrical contractor name
I-/I}/Vt!f!SEJ./ S
Purchaser's mailing address
License number
7pO <if RE$Jnr::l//"G
RPM.tllfP- Mf!'7r-:'1'C.
73-
//.4t!>
FI FI':T}\J,,-
IjALVpFT//44tL.
;~"l,lJ?, .p j It!',;; R n
City
P f! l"tr IJ ill t; r:: / r,;"
Telephone number
State ZIP
9[i11fpz,
FAX number
Premises owner's name
[fRftJJO/J IlL~P
Address of inspection ...;/
<;"(92 IN' -,,'/4
City
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the cJectricallaw, Chapter 19.28 RCW.
o Cash 0 Check #
;8f Credit Card @ Mastercard
Card# _JIJ_EL~ _-
Discover
Approved By
- ~i..J.P~PV -
o
nspection fee
$ _ t<?J. 40
t:J
SERVICE
~
Approved By
771L
Signature of owner, electrical contractor or electrical administrator
X W/tv
Expiration Date
of card
WALLS CEILING
THERMOSTAT
Insulation Only
Insulation Only
Dale
Dale Approved By
~/05 Com &-fJ
ale Approved By
Dale Approved By
;:;,1 ),.,.,.-Covec 4r
/ ~le APPro,'~
DITaI
/h2
Approved By
FEEDER
"-
Dale Approved By
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW .
o Heat Pump ~Ton _ LAR
[of Fan-Wall (74. Kwj
Service Information
o Overhead Service
o Temp Service
}it Underground Service
Voltage /;>.. h41?
Phase;gl1 03
Service Size: CoP A
Feeder Size:
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
/b/)
/'~"l-tJ.s-
,,-
~ORTANGELES
WAS H I N G TON, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
February 1,2005
Brando Blore
Crescent Development, Inc.
P.O. Box41
Joyce, W A 98343
SUBJECT: New construction at 502 W 5th St.
Dear Mr. B1ore:
The pole mount transformer that will serve the new construction at 502 W 5th Street is at
capacity and will require upgrading to a larger transformer.
The fee for connection of a new residential service to an existing overhead source is $410.00.
This amount includes the cost of the transformer upgrade, service connection, and the meter,
but does not include the temporary or permanent permits. Please see attached letter explaining
the new Residential Electric Service Connection Fee policy.
The amount of$410.00 must be paid at the time of electrical permit purchase and then work
will be scheduled after the electrical permit is issued. '
If you have any questions or concerns, please do not hesitate to contact me at 360-417-4708
or e-mail: gillf.!gj.!J{cV.cjt.::Qfl).~".!l;L
Sincerely yours,
/J'J J1V~
Gail McLain
Electrical Engineering Specialist
cc; James Harper, Electrical Enb>ineering Manager
Roger Yess, pennilting
AI Oman, Electrical Engineer
Halverson Electric
File
321 EAST FIFTH STREET. P 0, BOX 11 SO. PORT ANGELES,
PHONE, 360-417-4805 . FAX, 360-417-4542. TTY
E-MAI L, publlcworks@cltyofpa.us