HomeMy WebLinkAbout225 E 11th St - BuildingPREPARED 6/24/08 9 10 50 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/24/08
ADDRESS 225 E 11TH ST
TENANT NMI DANIEL CLAWSON
CONTRACTOR CLAWSON CONSTRUCTION LLC
OWNER CLAWSON DANIEL R
PARCEL 06 30 00 0 3 2975 0000
APPL NUMBER 07 00000422 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 6/24/08
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 457 1473
PHONE (360) 775 4120
BL9 01 7/23/07 PB BLDG SHEARWALL
7/23/07 DA 07/23/2007 08 45 AM LPANGRLE
DAVID 461 9295
SHEARWALL
REMOVE TYVEK, RECALL INSPECTION
BLHD 01 7/25/07 JLL BLDG FRAMING HOLD DOWNS
7/25/07 AP 07/24/2007 02 21 PM LPANGRLE
DAVID 461 9295
ENGINEERED HOLD DOWNS
07/25/2007 04 26 PM JLIERLY
BL9 02 7/25/07 JLL BLDG SHEARWALL
7/25/07 AP 07/24/2007 02 23 PM LPANGRLE
DAVID 461 9295
SHEARWALL
07/25/2007 04 26 PM JLIERLY
BL3 01 12/14/07 JLL BLDG FRAMING
12/14/07 AP December 14 2007 8 15 43 AM 1pangrle
DANNY 775 4120
FRAMING
CALL FIRST SO HE CAN MEET YOU THERE
BL99 01 6/24/08
BLDG 2INAL
June 23 2008 8 54 54 AM pbarthol
Daniel 775 4120
Call 1/2 hr before so he can unlock
MECHANICAL FINAL
June 23 2008 8 55 45 AM pbarthol
PL2 01 8/07/07 PB PLUMBING ROUGH IN
8/07/07 AP 08/06/2007 03 09 PM LPANGRLE
JOEL 461 1863
ROUGH IN PLUMBING
08/07/2007 03 50 PM PBARTHOL
PL99 01 6/24/08 LL PLUMBING FINAL
June 23 2008 8 56 46 AM pbarthol
COMMENTS AND NOTES
Application Number 08 00000402
Application pin number 408034
Property Address 225 E 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 2975 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Service Repair
Owner Contractor
Clawson David
225 E 11th street
PORT ANGELES
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360- 417 -4735
WA 98362
Date 4/03/08
BOTERO SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES WA 98362
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit pin number 124032
Permit Fee 64 00 Plan Check Fee 00
Issue Date 4/03/08 Valuation 0
Expiration Date 9/30/08
Qty Unit Charge Per Extension
1 00 64 0000 ECH EL R OR RM 0 200 ALT SRV FDR 64 00
Fee summary Charged Paid Credited Due
Permit Fee Total 64 00 64 00 00 00
Plan Check Total 00 00 00 00
Grand Total 64 00 64 00 00 00
Ili
SPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
PIN AL
COMMENTS
1/7/ag
PREPARED 12/14/07 8 33 07 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/14/07
ADDRESS 225 E 11TH ST SUBDIV
TENANT NBR DANIEL CLAWSON
CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473
OWNER CLAWSON DANIEL R PHONE (360) 775 4120
PARCEL 06 30 00 0 3 2975 0000
APPL NUMBER 07 00000422 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL9 01 7/23/07 PB BLDG SHEARWALL
7/23/07 DA 07/23/2007 08 45 AM LPANGRLE
DAVID 461 9295
SHEARWALL
REMOVE TYVEK, RECALL INSPECTION
BLHD 01 7/25/07 JLL BLDG FRAMING HOLD DOWNS
7/25/07 AP 07/24/2007 02 21 PM LPANGRLE
DAVID 461 9295
ENGINEERED HOLD DOWNS
07/25/2007 04 26 PM JLIERLY
BL9 02 7/25/07 JLL BLDG SHEARWALL
7/25/07 AP 07/24/2007 02 23 PM LPANGRLE
DAVID 461 9295
SHEARWALL
07/25/2007 04 26 PM JLIERLY
BL3 01 12/14/07 J(���LLL BLDG FRAMING
December 14 2007 8 15 43 AM 1pangrle
DANNY 775 4120
FRAMING
CALL FIRST SO HE CAN MEET YOU THERE
f
COMMENTS AND NOTES
Application Number 07 00000422
Application pin number 541544
Property Address 225 E 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 2975 0000
Tenant nbr name DANIEL CLAWSON
Application type description RES ADDITION
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
CLAWSON DANIEL R
PO BOX 2683
PORT ANGELES
(360) 775 4120
Other struct info
Other Fees
WA 98362
RS7 RESDNTL SINGLE FAMILY
30000
Qty Unit Charge Per
1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
05/02/2007 05 21 PM SROBERDS The proposal will allow a
residential remodel in the RS 7 zone adding a 1/2 story for
total lot coverage of 15% No land use issues anticipated
MAINTAIN CLEARANCES FROM SERVICE WIRES
Any modifications to the City s electrical facilities will
be at the customer s expense
Public Works Utility Engineering has no requirements for
this plan review
Fee summary Charged Paid Credited Due
Date 11/30/07
CLAWSON CONSTRUCTION LLC
P O BOX 2683
PORT ANGELES WA 98362
(360) 457 1473
TOTAL LOT COVERAGE 14 60
CONSTRUCTION TYPE V N
HARD SURFACE AREA 01
NUMBER OF STORIES 1 50
EXISTING LOT COVERAGE 1025 00
LOT SIZE 7000 00
PROPOSED LOT COVERAGE 1025 00
TOTAL LOT COVERAGE 1025 00
NUMBER OF UNITS 1 00
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc OWNER/ 200SVC +REWIRE
Permit pin number 112730
Permit Fee 75 00 Plan Check Fee 00
Issue Date 11/16/07 Valuation 0
Expiration Date 5/17/08
Extension
75 00
STATE SURCHARGE 4 50
Permit Fee Total 75 00 75 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 79 50 79 50 00 00
INSPECTION ELECTRICAL
TYPE DATE. RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360- 417 -4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
CLAWSON DANIEL R
PO BOX 2683
PORT ANGELES
(360) 775 4120
Other struct info
description
WA 98362
Qty Unit Charge Per
1 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged
75 00
00
4 50
79 '50
07 00000422
541544
225 E 11TH ST
06 30 00 0 3 2975 0000
DANIEL CLAWSON
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
30000
Contractor
CLAWSON CONSTRUCTION
P 0 BOX 2683
PORT ANGELES
(360) 457 1473
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
75 0000 ECH EL RM 0 200 1ST SRV FEEDER
14 60
V N
01
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc OWNER/ 200SVC +REWIRE
Permit pin number 112730
Permit Fee 75 00 Plan Check Fee 00
Issue Date 11/16/07 Valuation 0
Expiration Date 5/14/08
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
05/02/2007 05 21 PM SROBERDS The proposal will allow a
residential remodel in the RS 7 zone adding a 1/2 story for
total lot coverage of 15% No land use issues anticipated
MAINTAIN CLEARANCES FROM SERVICE WIRES
Any modifications to the City s electrical facilities will
be at the customer s expense
Public Works Utility Engineering has no requirements for
this plan review
STATE SURCHARGE 4 50
Paid Credited Due
75 00
00
4 50
79 50
00
00
00
00
Date 11/16/07
LLC
WA 98362
1 50
1025 00
7000 00
1025 00
1025 00
1 00
Extension
75 00
00
00
00
00
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
z b Le to
cfiglor,
INSPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
PREPARED 8/07/07 10 31 37 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/07/07
ADDRESS 225 E 11TH ST SUBDIV
TENANT NBR DANIEL CLAWSON
CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473
OWNER CLAWSON DANIEL R PHONE (360) 775 4120
PARCEL 06 30 00 0 3 2975 0000
APPL NUMBER 07 00000422 RES ADDITION
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 8/07/07
PLUMBING ROUGH IN
08/06/2007 03 09 PM LPANGRLE
JOEL 461 1863
ROUGH IN PLUMBING
COMMENTS AND NOTES
PREPARED 7/25/07 8 56 58 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/25/07
ADDRESS 225 E 11TH ST SUBDIV
TENANT NBR DANIEL CLAWSON
CONTRACTOR CLAWSON CONSTRUCTION LLC PHONE (360) 457 1473
OWNER CLAWSON DANIEL R PHONE (360) 775 4120
PARCEL 06 30 00 0 3 2975 0000
APPL NUMBER 07 00000422 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL9 01 7/23/07 PB BLDG SHEARWALL
7/23/07 DA 07/23/2007 08 45 AM LPANGRLE
DAVID 461 9295
SHEARWALL
REMOVE TYVEK RECALL INSPECTION
BLHD 01 7/25/07 BLDG FRAMING HOLD DOWNS
07/24/2007 02 21 PM LPANGRLE
DAVID 461 9295
ENGINEERED HOLD DOWNS
BL9 02 7/25/07 L BLDG SHEARWALL
07/24/2007 02 23 PM LPANGRLE
DAVID 461 9295
SHEARWALL
COMMENTS AND NOTES
PS,EPARED 7, 7/23/07 11 17 57
CITY OF PORT ANGELES
ADDRESS 225 E 11TH ST
TENANT NBR DANIEL CLAWSON
CONTRACTOR CLAWSON CONSTRUCTION LLC
OWNER CLAWSON DANIEL R
PARCEL 06 30 00 0 3 2975 0000
APPL NUMBER 07 00000422 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL9 01 7/23/07
23
JLL BLDG SHEARWALL
07/23/2007 45 AM LPANGRLE
DAVID 461 9295 95
SHEARWALL
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE (360) 457 1473
PHONE (360) 775 4120
COMMENTS AND NOTES
PAGE 6
DATE 7/23/07
w-4,. war.; 4 -y• 4T
BUILDING DIVISION
.CITY OF PORT ANGELES
Job Located at
Correction Notice
F
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
C440 V/27: V V4:4
These corrections must be made and are not to be
covered until reinspection is made When corrections
have been made, please call 1' 7 17
for inspection
Date
DO NOT REMOVE THIS TAG
inspejdr for Building Division
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
CLAWSON DANIEL R
PO BOX 2683
PORT ANGELES
(360) 775 4120
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
issue Date
Expiration Date
Qty Unit Charge Per
BASE FEE
5 00 10 1000 THOU BL -25 001 50K (10 10 PER K)
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
BASE FEE
1 00 7 2500 ECH ME VENT FAN
1 00 50 0000 ECH ME WOOD BURNING APPL
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
ha,1
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
07 00000422
541544
225 E 11TH ST
06 30 00 0 3 2975 0000
DANIEL CLAWSON
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
30000
Contractor
CLAWSON CONSTRUCTION LLC
P 0 BOX 2683
PORT ANGELES
(360) 457 1473
TOTAL e LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BUILDING PERMIT RESIDENTIAL
1025 SF RESIDENTIAL ADDITION
100032
468 25
5/15/07
11/11/07
MECHANICAL PERMIT
WOOD STOVE BATH VENT FAN
101162
107 25
5/15/07
11/11/07
Per
BASE FEE
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
Date 5/15/07
WA 98362
14 60
V N
01
1 50
1025 00
7000 00
1025 00
1025 00
1 00
Plan Check Fee 187 30
Valuation 30000
Extension
417 75
50 50
Plan Check Fee 00
Valuation 0
Extension
50 00
7 25
50 00
PLUMBING PERMIT
2ND FLOOR BATH
101154
93 00 Plan Check Fee 00
5/15/07 Valuation 0
11/11/07
Extension
50 00
Signature of Con `fractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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 O
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
CALL 417 -4515 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PRO VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER INSLLATE OR CONCEAL 4.N1' 6f'ORl,: BEFORE
INSPECTED ,4.ND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
FOUNDATION:
FOOTINGS
SHEAR WALLS W ALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DP YWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT 4's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
INSPECTION TYPE DATE
CONSTRUCTION R.W PW/
ENGINEERING 417-4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T \Policies\] 102 15 building permit inspection recordl5 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
YES
ACCEPTED I COMMENTS
NO
FINAL
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
DATE ACCEPTED BY.
FINAL DATE ACCEPTED BY.
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE
I ACCEPTED
I YES I NO
Application Number
Other Fees
T \Policies \1102 15 building permit inspection record05 wpd [1/4 /2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
07 00000422 Date 5/15/07
Application pin number 541544
Qty Unit Charge Per Extension
3 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 21 00
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
05/02/2007 05 21 PM SROBERDS The proposal will allow a
residential remodel in the RS 7 zone adding a 1/2 story for
total lot coverage of 15% No land use issues anticipated
MAINTAIN CLEARANCES FROM SERVICE WIRES
Any modifications to the City s electrical facilities will
be at the customer s expense
Public Works Utility Engineering has no requirements for
this plan review
STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 668 50 668 50 00 00
Plan Check Total 187 30 187 30 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 860 30 860 30 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
FOUNDATION:
FOOTINGS
I SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -473 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC Vv ORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS L'NLANFUL TO COFLR, IA'SULATE OR CONCEAL ANY WORK BEFORE
INSPECTED 4ND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALICIOLD DOWNS')
W ALES ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT Ws
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
YES
I I
I
I -t' 7 5 L1
I I
I7 1 c -07
I Z -14-67 '314
TAS /o U—
I
NO
s+rARv-mil, r/i /°'r t I
FIN AL 6 2 -1-o g
SEPA.
ESA.
J SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
I BUILDING 417 -4815 I h V Db I V V' I I BUILDING
T \Policies \l 102 15 building permit inspection record05 wpd [1/4/2005]
FINALI/rZLI_b8 DATE V ACCEPTED In
DATE J ACCEPTED BY.
DATE I ACCEPTED
I YES NO I
I I I 1
I I I I
I 1
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: /ALVSD,J i /LC. Phone: 461/— 9S
Phone. '7'73 4 /d o
Owner /\sQD /E( /4f _SON
Address E City AIR T/F�u -R
Architect/Engineer 9 4»- S Nrr/NEER /iG
Contractor(" /AL Ot) :ouST ac State License flJ4/ J SC(
Address:A agew 24,5? a City Po2) 46- 6
PROJECT ADDRESS o? S F fff
LEGAL DESCRIPTION Lot: Block. Subdivision.
CLALLAM COUNTS PARCEL NUMBER. 6 to 000 0 aG �S
TYPE OF WORK. SIZE/VALUATION
j� Residential New Constr t Re roof Stove �OZS SF /SF
Multi- family Addition Move Garage SF /SF
Commercial ;RI Remodel Demolition Deck SF /SF
Repair Sign Other TOTAL VALUATION 36, 00 0
BRIEF DESCRIPTION OF THE PROJECT ifroVi 0Vg JUDO F ,S 3 ci Abb "z. StiTel*y V�4l a�_TFJ FrL�uc
�e l�n cr s U-AJ1PPME4 /4- /c 4 pi 'AM/ 'uq -5 eN? Vita .5-- f o,ec, A/A. ti )c) c
COMMERCIAL/RESIDENTIAL. Occupancy Group R E S Occupant Load.
t
No of Stones: Lot Size: 7 08() _existing Sq Ft. I
Total lot coverage 74. (a
No '°$1'n es Na ta.rtase.a.? erinKtet^ 5y5`-4
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
T•\FORMS\BIdgPennitform.wpd Applicant:
()ten_ Date: 4-as-O?
FOR OFFICIAL USE ONLY
Date Rec. 01-f 2.3 07
Permit it D 422
Date Approved:
ate Issued: t:
Construction Type: i'>r
Zip 9 F3 C,;,
Phone: 4Sa -30a 3
RCExp /dv8' Phone: 9 6 I-�cJ2i
Zip Q R6a
ZONING (i/ T i/ /PSG FOIL
Proposed Sq Ft., O TOTAL Sq Ft. I l-.S
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the International Buildmg/Residential Code, 2003). No application can be extended more than once.
1 hereby certify that 1 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 the City's, and that 1
must obtain such permits prior to work.
Lot:
Address: AaS E I S Tt2t�� r
City Gil S
State: tJA Zip. Cj }'{3 G a,
Contact: t( 11 A)
Phone: 4,J—
Phone 4c)-147-)
FAX.
Prescriptive Approach Simple Form
For the Washington State Energy Code 2003 Edition
Climate Zone 1
Building Department Use Only
Permit# 0 1-( ZZ
Site Information
Notes:
Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
Unlimited Glazing Option Only
Option Glazing Glazing U Factor Door Wall Wall Wall Slab
Area U- Vaulted Above Interior Exterior on
of Floor Vertical Overhead Factor Ceiling Ceiling Grade Below Below Floor Grade
Grade Grade
Unlimited
III Group R 3 0 40 0.58 0.20 R 38 R 30 R21 R 21 R 10 R -30 R 10
Occupancy
Only
This Project complies with the following:
The Project is a single family residence or duplex.
The Project is wood frame OR all of the insulation is interior or exterior of the framing.
/All building components meet the requirements listed in Table 6 -1 Option III.
The Project will meet all other provisions of the WSEC and VIAQ
The Project will take advantage of the following exceptions to the prescriptive option
602.6 Exception 1 One door, that is 24ft. Or less, that does not meet the standards allowed.
Location of the door taking this exception
602.6 Exception 2. Doors with a U- Factor of 0 40 allowed without calculations, Option III only
Location of the Door (s) taking exception
Type of Heat Source: t_ f /2, r F[.1 i h7oi S 1'O v
EXHIBIT A
Z!%
►v..SE.
140-
ALLN
2�
1O Ztp
Nc
07 `TO
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15198
-"/- ~. '::> ) V
Port Angeles, Washlngton............:.........~.....:...............................m, 19......n
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
::~ __'2~f,:z~~=;:;;:~==-~;;;;;=_o="""==:"'~::=.:::::::=
Wiring Contractor .m.':,"t.<.=.,......c:.L...mmn.m.m.n...nn..... By.nm................................................n............n
Light Outlets__________m....._.__________............
Receptacle Outlets__.__mm_mm__m_.......
Dryer, KWI....n._._n.....u.___nu________n_____
Range, KW __n____n
Water Heater:
Service, volts nm__.m____m___m...m___......
No. wires ..nh__n_________________..._._______
Size wires.m_h._....m__m__m_____m__m
Main fuse ...mmm__...mm__m___........
Enclosure m.m_mmm__mmm__.._._..__
KW....nn.....................o.............
Heat' RW .u.l!.u1C~.,Ii~.:!.".,<.~.C!2-
Motors: size, volts and phase:
Type of wiring:
Entrance Cable _mm._m__mmm.m..
Rigid Conduit ___.___nmm__mm.mm_
Metalllc Tubing __m_...__..............h
Current transformers:
No. & Size.____..____________________.___________
Ser. NO...______..._____________._____n______.______
Ser. NO.'__n_____..___________________________.__._.
Ser. No.,_....__...........___.....__.____......______
Total Load__..m_mm..m_mm_..
Ser. No. ...._.__...____............__...........n___
Type of Wiring:
Armored Cable _.mm_.m.............m
Non-Metalllc .__.....m.m..mm.mm...
Knob & Tubem____..mm.h__h__h__......
Rigid Conduit m.mm.__m._..........m
Metallic Tubing
Raceway .__..__.......__..._00...............__...
Circuits. Light.__
Utility..__._...__...________________________.......
Heat
Range ______hh...m
\Vater Heater ._____h.__..._....m___mm
Motor ___....._....__........._____________________
Dryer..__.._______h.______.___........................
Furnace __._____._.__nnn_.....'_.
Total _____n__.nn_n_.nn__.___...h._...
. ',...(' . f,
:~:::::~:m:::::::::~:::~:::::::~:::::::r::~:~::~:::::~:::::::::~::::::::::::~:~::::i:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
i.~~.~~.~~~~....~~~.~.....~.~~~~...~mmmi~~.~.~~~.~~.~~~~~.~.:..~~~.....n........m:~.::)2:~:~::::~f.:~::i::~~~:2:~::::::::::::::
NOTICE-Current must not be turned on until Certificate of Inspection has been iasued. If work is to be COD-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
'Iv
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Ir"
. . '"
ELECTRICAL PERMIT
N?
15198
:.::1t:i~~6.::;;=:::====~-=:=-c:;!=::==
o L< n -.2 ( -
lnspectioncompleted..._hh___...__.__...___...........:.....___.....___...__.....__:._..___.._____...........__.._..____._.___......_.......__._____........__...._________________.__.__........_.._
Total Load ___...._____________________.__................................
1M 3.72 Olympic Printers, Inc.
~
.. ~~,
ELECTRICAL WORK PERMIT APPLICATION
r'
0,
-;LtZ2Z-~.
~I. t:f.
o Electrical Contractor 0 Owner
. 40}'
Installation description, /
o Commercial Ilr Residential
Pu~chaser's mailing add:;;
)>IJ. rs(~)( 085
City
.5(0) 11J--'--I1~O
Telephone number
(3&0) '-1')[-(<:./
1,cIA
State ZIP
~t3s&;<
i2~ Lv ;rl''(j
iZe :B ~
~
Ckccf '(J
---
.C)
~
\
~
~
Job wired by
Electrical contractor name
License number
Date Expires
DNew
o Altered! Addition
FAX number
.,
(jJ I V~
PfTl0h"L
p~m;ses owner's o:Jli'e
(~e,
A:ddress of inspectIOn
:p,c,- (:0-<:1 ;/(h sJved
Ci[;n
. vt f\-V\.~ (), ) 4,~,
Phone number to schedule irlspection:
'-I ,,~
-i;
GU~
,
OWller as defined by RCw'/9.28.26J:(J) Owner will occupy the structureJor two
years after this electrical permit is finalized. (2) Ov.mer is required to hire an electrical
contractur if above said property is for sale, rent or lease.
After reading the above statement, r hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal~
latlon or alteration in compliance with the ciectrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The 'City of Port Angeles Municipal Code, and
Utility Specifications.
Sig contractor or electrical administrator
(
o Cash (!\YCheck#o'l30\r
o Credit Card
Card #
Visa
Mastercard
Discover
x )
Date: 10 - / 1. - () r
Expiration Date
of card
Inspection fee
$
Electrical Load A tlitions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 103
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/' ROUGH-IN
1'2/1'-//67 ~
"- Date Approvcd By
/' . FINAL
b~f.{tR-, ~y/
THERMOSTAT
DalC Approvcd By
DITCH
"- Dale Approved By/
SERVICE
Ilh<1/o?'" ""As?
"- Date Approved By
FEEDER
Dale Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
". .
~
ELECTRICAL INSPECTION
-k,
WIRING REPORT
417-4735
:,.,
S
\
,..c
~
,
~
APPROVED NOT APPROVED
o .................... DITCH . . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . 'VKt..
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . X
D. . . . . . . . . . . . . . . . .. . . . FINAL. . . .. . . . . .. . . . . . .. . . 0
CORRECTIONS NEEDED:
$-""T"A"f'~ t.Vle.E. ~Ac.K' ~Jl!Z)n.... ~p~
0f" .sTuD t'(L.jIl) Nf>l1 L ?L.-.I>,~ I'I1.L ~
1J. I) ,1'1---;'-
i-c-l~Ir) I N 1 t'-/ I SI-I>,I'L);:.? I>. \2.L 'I2.-t-..~ v=e"'~/'i:.""l.
<K~ 'YLAt" W "1> p..Mf\:k~ 1'-1- "3 t h..\ z...r..~l-Jh
~NT(l.f>r~-z>"F HALL/ '-I lit ...U.
,
~l!.evN\) ALL M~L E:,8~fZ.~
'S-~Io('JL.
;:" ....t1:S>H ,",PIKE I->'V Ct> NN~c:L bfZl)U /o..LD~
7\)\,Vbu..\ k.~~12, SLR-iL~ ro~ \....\S
~<l12-Y l.t.J\llZ.~ "f"olZ t.1ZO"l-tt/ 'PPD5>
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
DATE
b-I'6 -oces
OWNER/CONTRACTOR
\71'l~tE
ADDRESS
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
INSPECTOR
22
wS.OfloJ
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
)if..... . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
~N <=-1r>S~D
\
'.
SH')wi;<.V ~\"--'_
I /-lL., TPtL<-.
e..,~_~-r- <;2sr'.....oC,-s. "Ie,,~
u>'LL. W H I'E..N... (:C,M.., YU'C:;:\E....
~ ~ 2(:, L::3>
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
6
~~",.O"TA"&(
~~<!>~
O~::.)
'1..\~!!
-.1>~~'"
"O;;;(......~"
Job wired by
o Electrical Contractor 0 Owner
Date Expires
Purchaser's mailinll address
q'lD ~bt1'" ,it/~,A::: JA)
~ State ZIP
I v;:Z;- A u 9' e/,,-S: .... .01
Telephone number FAX number
1>r;.o ~.
Qfs-6:2-
Premises owner's namc# / III '\
tJAu,J ~-liA...JSCJ'\J
Address of inspection d
-:J '{f. -5" C /I 7''':''
C~_
1<>'2-1 ,r1'A?'/<'_S rJA...-
Phone number to schedule in cetion: LlC.l ,-
J - I /.:J- ~- 2"t "J
Owner as defined hy RCrVI9.28.261:(lj Owner wif/ occupy the structure for /It'o
years afier this eleCTrical permit is finalized. (2) Owner is required to hire an electrical
contractor if ahove said property is for safe, renl or lease.
After reading the above statement, ] hereby certifY that I am the Qvmcr of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical hnvs, N..E.C, RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signat
..
ELECTRICAL WORK PERMIT APPLICATION
I
r
Installation description
o Commercial !tJ Rfidential
o New ~tered/Addition
-'?!, ;-... i-tt c r: ' It _t'ntZ ~
/,...rlA"-. /(7f7:. e.' ~
? 1:, }V-;! -C-J - _
St'... (I,' cc ?:-r.-(,C.1', c t:::
re p '" . e. (("')M )/~ '"
- -')
o Cash 0 Check #
~edit Card v:a I 'Mastercard Discover
Card# _~/J'P_-____-____
"'xpiration Date
of card
Se[\uceJnformation
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD1D3
Service Size: _
Feeder Size:
SAME DAY. INSPECTlO~, CALL BEEQRE~L<\M 360-4l104llS
/ ROUGH-IN / THERMOSTAT ~RVICE
7" ~B'/
"- Date Appro,cd By "- Date Approved Fly
/ / FEEDER
~INAL DrrOf
f,CP6 ,~ "- Dalc ApprovedBy..-/ "- Date Approved By
Inspection Area, Building or Equipment Inspected Action Takcn Electrical
Date Inspector
--:n 3) D'lt-, Sg::-{l,,\ I(',t;. l! /1Il ~