HomeMy WebLinkAbout1302 W 10th St - Building
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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
04-00001048 Date
.412104
1302 W 10TH ST
06-30-00-0-3-1500-0000-
RES NEW SFR
1/10/05
RS7 RESDNTL SINGLE FAMILY
102944
Owner
Contractor
CAUDILL MICHAEL R
431 VASHON ST
PORT ANGELES
WA 98362
ACE MICHAELS INC.
431 VASHON AVE.
PORT ANGELES
(360) 417-9579
1456SF SFR W/ATT 780SF GARAGE
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
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
22.20
V-N
1. 00
1. 00
7000.00
1560.00
1560.00
1. 00
_..
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 1034.05 Plan Check Fee
Issue Date 1/10/05 Valuation
Expiration Date 7/09/05
413.62
102944
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Qty Unit Charge Per
Extension
1017.25
16.80
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BASE FEE
3.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
......
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 68.75 Plan Check Fee .00
Issue Date 1/10/05 Valuation 0
Expiration Date 7/09/05
Qty Unit Charge Per Extension
BASE FEE 47.00
3.00 7.2500 ECH ME-VENT FAN 21.75
Permit PLUMBING PERMIT
Additional desc
Permit Fee 11 7.00 Plan Check Fee .00
Issue Date 1/10/05 Valuation 0
Expiration Date 7/09/05
Qty Unit Charge Per Extension
BASE FEE 47.00
8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00
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
)TIon. '
, L Uj2LL i-7--05'
Signature of Contractor or Authorized Agent Date
Date \
Signature of Owner (if owner is builder)
T:IPLANNING\FORMSlI102.15 [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
I YES NO
FOUNDATION: / f
. . /
FOOTINGS ~f/ob U (VI
WALLS T I I'
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL I FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CIDMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'5 SEPA:
PARKlNG/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW / CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMSIII02.15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00001048
pin number . . . . . . .412104
Page
Date
2
1/10/05
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 Fire Department has reviewed the project application and
has no comments
The proposal will result in the construction of a single
family split level home with attached garage for a total of
1560 sq. ft. lot coverage or 22%. No land use issues are
noted. Setbacks are good.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sidewalk to City standards required for school walking
route.
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 1219.80 1219.80 .00 .00
Plan Check Total 413.62 413.62 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3407.92 3407.92 .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
Date
Signature of Owner (if owner is builder)
T:IPLANNING\FORMSIII02.15 [11114/2003]
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.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS I i-1. J-I'l ') J.. L.
WALLS 1'$\ -oIJ_rJ6 L 1
DRAINAGElDOWNSPOUTS rv
FOUNDATION
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING P)~~~g r -7-1!) 5 JJ.+- J)p
UNDER FLOOR I SLAB
ROUGH-IN I~ -/tJ ...-tJ ~- I~' L.
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR W ALLIHOLD DOWNS '? -IdlJ.- C) J- c-J J-J-.
WALLS I ROOF I CEILING ~-=lt')-O, ,j J.....L
DRYWALL (INTERIOR BRACED PANEL ONLY) 1-1 It 'v I /1"'- J 1-1.-
T-BAR . {
INSULATION
SLAB
WALL I FLOOR 1 CEILING I I
MECHANICAL F NrJ-1-- 9-7-D5 J)-J.-- I1f
HEAT PUMP
GAS LINE fopl -r I ()'7' JGl-
WOOD STOVE I PELLET I CIDMNEY I
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKlNG/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI 7- j- oS -r )-= CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 Icr - ?-O.-r J ]. L BUILDING
T:IPLANNING\FORMSIII02.15 (11114/2003]
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CITY OF PORT ANGELES
DEP ARTMENT 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
04-00001048 Date
.412104
1302 W 10TH ST
06-30-00-0-3-1500-0000-
RES NEW SFR
3/16/05
RS7 RESDNTL SINGLE FAMILY
102944
Owner
Contractor
CAUDILL MICHAEL R
431 VASHON ST
PORT ANGELES
WA 98362
ACE MICHAELS INC.
431 VASHON AVE.
PORT ANGELES
(360) 417-9579
1456SF SFR W/ATT 780SF GARAGE
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
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
22.20
V-N
1. 00
1. 00
7000.00
1560.00
1560.00
1.00
permi t MECHANICAL PERMIT
Additional desc FREE STAND PROPANE STOVE
Permit Fee 57.65 Plan Check Fee .00
Issue Date 3/16/05 Valuation 0
Expiration Date 9/12/05
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
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 Fire Department has reviewed the project application and
has no comments
The proposal will result in the construction of a single
family split level home with attached garage for a total of
1560 sq. ft. lot coverage or 22%. No land use issues are
noted. Setbacks are good.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sidewalk to City standards required for school walking
route.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
745.00
4.50
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.
3-- '~,-O.:s-
Date
Signature of Owner (if owner is builder)
Date
T:IPolicieslI102_l5 building permit inspection record05.wpd [1/412005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
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:IPolicieslll02_15 building permit mspeclton record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00001048
pin number . . .412104
Page 2
Date 3/16/05
Other Fees
PW WATER SYSTEM USE FEE
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1832.15 1832.15 .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:\Policies\ 1102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 4] 7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIo.NS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE 11.:'- ?-/$>,~ J J- L.--
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LlGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 Q- '7-oS _J J- V BUILDING
T:IPolicieslll 02_15 building penmt inspectIOn record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
FOR OFF1ClAL USE ONLY:
DateRec.:ll..-4~'c.~~_
Permit #: :j 1-1 0 i ~
Date Approved: / I J.) )A'/~ ( f /
I I I,: I.......
Date Issued: V'
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
ApplicantorAgent M., l-(p.. C-0d.~\
Owner:_ Mi~ cf :r, ~ ~~d ~ \ \
Address: 4~1 Vd~~t'\ ~t"" . City: ~or -+ ~\~~ Zip: cr e~b;t
Architect/Engineer: 8 () ~ 1:. d uJ ax- d ~ Phone:
Contractor Au ~i (~~ :Lt<:, State License #:1.o~,J)93 J ~Exp: ~I /0 S- Phone: '117 - 95 79
Address: '-/ 3, V a~k.c.~ ~+ City: PDt \ ~~ 'J Zip:~ g 3 ~;;)
PROJECT ADDRESS: i"3a2. Wes.t- ) c> 1'z. WNING:
LEGAL DESCRIPTION: Lot: ~ I Block: 3 I ~ ,.. ~ A. Subdivision:
CLALLAMCOUNTYPARCELNUMBER: 0t::>S O~ "St.56coCI
'Phone: "3 Co () . ~ ( 7. 9 S- 7 9
f I 7" 9'S'79
Phone:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TYPE OF WORK:
JZl Residential IlfNew Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel. 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE JROJECT: ~~.\
Aifa.s::w 7FrJ?"~v~ge
COMMERClALlRESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: "7000 Existing Sq. Ft !2f
Total lot coverage 2. 2 , z..
City:
MC
#
Exp. Date:
SIZENALUATION~. . ~
/'-I5~ SF. @ $ ISF. = $ e <0 ~ bg -
leD SF.@$ d I ISF.=$ J~ ~ 7 ~tqo
SF. @ $ ISF. = $__~_.. .
TOTAL VALUATION S I () '2.Gf 'Ie; 00'
J~ S'fo 5,. ;:-Oa~ ~plrk' J4v..( ~a.~
fat
Occupant Load:
Construction Type:
& Proposed Sq. Ft / S (:.0
= TOTAL Sq. Ft.
/566
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUll..DING PERMIT APPLICATION SUBMI'ITAL: 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 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: lfno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05 .3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain s~ permits prior to work.
nRVESSlBU>O-""",",,",,_3-B.,.."_WJ>d Apptioant X ~ t1~ ~ Dare: ~
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
Building Department Use Only
Lot:
Lot
Permit#:
Address: 130"'2. VJ 'D i k
City: -.P A
Notes:
State: \ H A.
-
Zip: Q8-<(.,3
Contact:
Phone:
Phone 2:
Fax:
n nlllte azmg J~ tlon ny
Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4
Option Area lO U- Ceiling2 Vaulted Above Int4 Ext4 Floor5 On
% of Floor Vertical Overhead 11 factor Ceiling3 Grade Below Be]ow Grade
Grade Grade
ill Unlimited
Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-I0 R-30 R-lO
Occupancy
Only
Table 6-1
PRESCRIPTIVE REQillREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(U r . d GI . O' 0 I )
See the code text for footnote references
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:
o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door taking this exception
t:".o \I\, t
o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only.
Location of the door(s) taking this exception
~ 6...1/'d.5 e
Copyright 2002, WSUCEEP02-056
Copied by permission from the Washington State University Extension Energy Program
Prescriptive - Simple Form - Climate Zone 1
7/26/2004
'~
""r;"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.121 EAST 5TH STREET. PORT ANGELES. W A 98162
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001048 Date
.412104
1302 W 10TH ST
06-30-00-0-3-1500-0000-
RES NEW SFR
2/03/05
RS7 RESDNTL SINGLE FAMILY
102944
Owner
Contractor
CAUDILL MICHAEL R
431 VASHON ST
PORT ANGELES
WA 98362
ACE MICHAELS INC.
431 VASHON AVE.
PORT ANGELES
(360) 417-9579
1456SF SFR W/ATT 780SF GARAGE
TYPE V NON-RATED
SINGLE PAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
22.20
V-N
1. 00
1. 00
7000.00
1560.00
1560.00
1. 00
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
60A TEMP SVC./ JEFF NELSON
JEFF NELSON ELECTRIC
42.20 Plan Check Fee
2/03/05 Valuation
8/02/05
.00
o
~
f0
~N
}
~t
0)
A
'-
()
l~
Qty
1. 00
Unit Charge Per
42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42.20
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 Fire Department has reviewed the project application and
has no comments
The proposal will result in the construction of a single
family split level home with attached garage for a total of
1560 sq. ft. lot coverage or 22%. No land use issues are
noted. Setbacks are good.
Ele~trical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sidewalk to City standards required for school walking
route.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
745.00
4.50
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECT~ON RECORD
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPltC110N TYPE DATE ACCEPTED COMMENTS
I YES I NO
UITCtl
ROllnH-IN I \';UV~K
:S~K V ICE
".LJ.'~ I
GENERAL COMMENTS:
PW.II02.1S [4196}
'~
"I<ij r..'"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.l21 "-:AST 5TH STREET. PORT ANGELES. WA 9R~62
Application Number . . . . . 04-00001048
pin number . . .412104
Page
Date
2
2/03/05
Other Fees PW WATER SYSTEM USE FEE 1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42.20 42.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1816.70 1816.70 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECf,lON RECORD
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
I1ITC 'H
ROUGH-IN I COVER
~hK v 1 Ch
i ,
;;. /,,; j", ~ I--;;;IiD
/ ,
GENERAL COMMENTS:
PW.II02.lS (4196)
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FRX NO.
:6814254
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(p.
.
.
Jan. 31 2005 08:50RM P1
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t
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DOwner W
ELECTRICAL WORK PERMIT APPLICATION
l!ReQuest Inspection
o Electrical Contractor
Q Annual Permit 0 Alarm 0 Carnival D Commercial llResideDtial 0 Residential Maiot. 0 Signs 0 Thermostat 0 Telecom.
Job wired by
'5tElectrical Contractor Q Owner
License number
-Jef:~"€ q 1<P
3;i'sm;:~ W'ldr
C:;tS' a/ fra" Z'~3t L.....
TelePhOJ':::::' FAX number .
4 0 <{2-9! 1- '1~
pr~;wneA:1;j,~
Address 01' in'pedlon
";)7"""
I h~reby certify that r am the owner of the above named properly or a liccnSI~:d
electrical contractor (or the firm's authorized agent) and am making the elecuical
itlstal!ation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
Sica.tore of owner, eledric:al Il::ontndor or clcetric:.' admiaiUu.tor
x
, CEILING
Insulation Only
Du. ^'-'Pf1Ivad By
Cover
D.. AvPnlv~d By
'-
WALLS
Insulation Only
DAle
"'Pp<<lve4 Sy
Cover
~-
'-
A.Jlf'I'(lVcd By
IElectricallload Additions and or 9ubtractlons
a NO LOAD CHANGES
a Baseboard KW
CJ Furnace KW
Q Heat PU"'\P Ton LAR
a Fan-Wall _ KW
Installation description
~IJ A- ,.-.r:. ~ ?
-,
o Cash CI Check #
o CrcditCard
Card #
VIsa
Expiration Date
of card
TIlERMOSTAT
O'l~ AfIrI'Ov~flr
DITOI
D~lC: ~ud.n)'
a Overhead Servlca
Q Temp Service
a Underground Service
In!ipec:lioD
Dille
Area, Building or Equipment Inspected
1-3/-05
AW
[/31-05"
Mastercard
Discover
SDSP'~Z:: UJ
SERVICE
ti?"k<
FEmIR
u..
A""I'O"c<l6y
Service Information
Vottage
Phase Ql 0 3
Service Size: _
Feeder Size:
Action Taken
Electrical
Inspector
..,-
CONNECTION FEE PAYMENT
Customer: Ace Michael's Inc.
Contractor: JeffNeIson Electric, Inc.
Project Address: 1302 W 10'h St. New construction
Connection fee due: $ 410.00
Date Paid:
CASHIER:
1.
Please post check to:
Capital Contributions I Construction Contributions
~ L T 401-7180-379.66-00
3'13 702-1
In "additional comments":
1302 W lath
wlV......
--tV\I" 06
c\\'<1~
2. Send a receipt of payment upstairs to:
Gail McLain
Public Works & Utilities Dept
417-4708
N:P\VKS\LIGHT\ENGR\GAIL\fonns'payment form to inspector
..
IElIEC11R~CAl ~INISlP>lECT!OINl
W~IR~INIG 1PJ1E1?(Q)~T
417-4735
INSPECTOR
,4-U?
lV /o~
APPROVED NOT APPROVED
D ................... DITCH ................... D
D .............. ROUGH IN/COVER.... ... .. ..... D
D .................. SERVICE .................. D
)(.. . . . . . . . ''(iJ . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . )(f
CORRECTIONS NEEDED: (J/~r' /1 ~. ;r-;<Fucr
j.?L/~ ,/)9-.~~/J _ &~&7a:.)
J.30;), .tJ
/3dl~ LU
led
I (J .r,
$ <//0 . t'O
<b'" 0-0
.
I'l-hD
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
OLYMPIC PAINTERS, INC. (380) 452-1381
- DO NOT REMOVE -
..
"
"
ELECTRiCAL INSPECTION
WIRING REPORT
417-4735
INSPECTOR
t:-
APPROVED NOT APPROVED
o .................... DITCH . . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . .. . . .. . . . .. . . SERVICE. . . . . . . . . . .... . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . .. . . . . . . . . ... . . 0
CORRECTIONS NEEDED(/) r,;(/Z~~. ~.M~~./?
{~ S/~C' Ptn-<).N ,
G2---dt~~~-&.. //)7 ..e,dn;;..~-- ~
/rl.G:n:A ~ ~ p/S,;-' rA;,,,.-, H ,a
u,p
()YS~
@~
Hf>
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
-
..
.
,-
...
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT 1/
0'1- /D</,3
INS~
ADDRESS
/302-
€-~
c-..J /0 ~ .5/
APPROVED NOT APPROVED
)1(. . . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
)( . . . . , , . , . , , . . , . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . , , , . . , , . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
o
CORRECTIONS NEEDED: 1J~ ~r'~ylP 7D
L!V1?;e/"iU- @ C,.,/hL. r/7- </73.3 5'6
'. ,Pt7Z-J~ /"/7.-vA~-T' ~ <3t!- J<:"~/)-J'~f
. {fJ #L-U> ..; - -> , Jfh h-;5 70 6. <> ~
/I;~,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
r~ - DO NOT REMOVE-
"'QINTERS, INC. (360) 452-1381
~
.......
.;:.... OJ>
~,
~
\ '
'-..
(:)
lEllE(cTIFR~(cAl ~INlSI?IE(cl~OINl
W~ IRl ~ INlG IFR IE iP'OIRnr
417-4735
~td/~ -~3-o~
IN ECTOR
dco
fJlii.- - ~.27U~
ADDRESS
:s "Z- l,d Icf!r ./'.,- -/ :5 ~.., .~ . . - -tz..
#,/1t&~iftJ O#CjE lfhrn'ff/ 3 /rAE/11S ,fx:4'- P1E..7"",
APPROVED NOT APPROVED
D ................... DITCH ................... D
D .............. ROUGH IN/COVER.. ... .. .. .. ... D
D .................. SERVICE .................. D
D .................... FINAL. . . . . . . . . . . . . . . . . . .. D
(, I CORRECTIONS N.EEOEO: L7) -5't"H Bo /'V-C- I'-ON(?" I r
~ ~llvt< ~,em:;JL 7fJ ? I RI(.l>..';; /-LALJ€ ,)_
@ 1'0" O€J?T7-1 I?"::' /~.N /),.,,.-
;';;") I'
o E~4C t..i/VR. g'<4;4S/l /3'.f-(l>~) l-
~F
,-'l'>15H ,,-,e.
'-^. 1;;.....
30 "
I
} i"'ll.....
:,
,'r"
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
/--~ - DO NOT REMOVE -
~J~"~'
~\\
~\1
\(\;/
. \ \6'1
,\
Cl Owner ~
p,- '
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
,
,.
~Iectrical Contractor
CJ AODualPermit CJ AIBt"lJI
Job wire.! by
Instal13tioll descriptio"
R~~idential CJ RC:'lidcotiul MainL Q Saga! 0 ThermOSla! CJ Telecom.
''l- .e"f()S
ff' 4b?
h/,t"r ,4-.,.<
7l> ""l> t-L" ~ dc:O .
n 50 '5
W~sr (?r ~..se. t11 .
CJ Carnival a COlJlmercial
Electrical Contractor Cl Owner
c? J 3d..
Eleclr1ca.l conliJlor n..me I License number
.Je.N-AJ ~" CI~,~ ,JEFFAlfl QS'4RP
~~~'stliw~ #/Or
c~ State ZIP
T<I'Ph~~ h~":xn:!?t~
I
/562-
IS!>
2. 055'
/~
o.
.(
premikert, ;t1.~'LLS
Address of Inspectlon
//J '?;
Clt}' D
,tJK.T
~
:3 () Z- c<.> /iSti
A-iVbf..L!;.. $
o Cash 0 Check #
I hereby certify thai I am the owner of the above named properry or a licensed "Rf
cloctrical conira.ctor (or the firm's authori~cd agent) and am making the e1eclTicaJ rCreditCard
insullOltion or altcra.tioo in compliance with the e1ccbicallaw, Chapter 19.28 RCW. Card #
Signature or owner. eleurtcal c.ontracror or elecrrlcal admlnhtntor
Expiration Date
of card
x
WALLS
Insulation Only
CEILING
Insulation Only
THERMOSTAT
Dille
~o... :ZffL."'" ,
~ jdow;r
-01) !>
D e Appro...ed By
OllIe Al'!ltovecl Ry
.,/ . / 50ver
J I t.-IJ.~ -,
, D,a\e AIlJloo...ed Ii)'
4,2-
D..
DiTCH
A-cQ
Electrical Load Additlona and or subtractiona
Q NO LOAD CHANGES
Cl Baseboard KW
[J Furnace _ Kw
a Heat Pump _ Ton _ LAA
Q .an-Wall ~KW
l:l Overhead Service
(J Tamp Service
.".. Underground Service
lnS'pcction
. Dilte
Are.'l. Building or Equipment Inllol'cctcd
.::s--l -/J c.- c-J&!J!.crl
;:f-co 3 Ji7lo5'
Td W~8(:60 S00G LT '~ew
vSGV Ta9 : . ON X~j
s,c
A.iJ~~.L
N.a
Hlr)
-.
z,,'2-. '3 C;
/j-
.
~
"
VISa
Mastercard
Discover
".
,00
I nspcction fee
S .60
~ Ok
SERVICE
'1. ~2 0 /!cO
Apprc...dBy
Date
....ppro...ed I:ly
FEEDER
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Service Information
Action T3ken
ElectTical
Inspector
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