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Home My WebLink About1212 Campbell Ave - BuildingDear Dennis WAS H I N G T O N, U S A PUBLIC WORKS UTILITIES DEPARTMENT June 10 2004 Dennis Yakovich C/o Green Crow Properties 703 E 8 St Po Box 2439 Port Angeles, WA. 98362 Subject: 1212 Campbell Ave 4 /PLEX Job# 9780 The estimated cost for labor and materials supplied by the City to upgrade the transformer that serves your property is $2,618 60 This estimate is good for 180 days. City Light will be responsible for the following 1) Providing and installing the upgraded transformer 2) Providing and installing (4) 120/240v meters. The owner /contractor will be responsible for the following 1) Installation and future maintenance of the service riser on the pole (see attachment) and underground service wires in conduit from the power pole to the house and /or meter base 2) Payment of $2,618 60 Payment of the estimated amount will authorize the City to schedule the work. If you have any questions or concerns, feel free to contact me at 360- 417 -4706 cely, J hn G Hebner Electrical Engineering Specialist ihebnerQcitvofpa.us 360 417 4706 Cc: Ref James Harper Electrical Engineering Manager Al Oman, Electrical Inspector Roger Vess, Permit Tech Attachments:; W F18311 /01 321 EAST FIFTH STREET P 0 BOX 1 150 PORT ANGELES WA 98362 -0217 PHONE 360 -417 4805 FAX 360 -417 4542 TTY 360-417 4645 E MAIL PUBWORKS @Cl PORT ANGELES WA US ti ,~~' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DMSION 321 EAST 5TH STREET, PORT ANGBLES,W A98362 ""J' Application Number . . PiD. number . . .. . . Property Address . . . ASS~SSOR PARCEL NUMBER: Tenant nbr, name '... Application description subdivision Name Property Use . . . Property Zoning . .. . Applic~tion Valuat~on ,6/22/0'# ,~ 03-00000953 Date .7857 1212 CAMPBELL AVE 06~30-14-5-3-0678-0000- 4 UNIT' APARTMENT RES NIDi MULTI 3 & 4 FAMILY 240240 Owner Contractor GREEN CROW TIMBER LLC PO BOX 2439 PORT ANGELES ACCENT CaNST. 'OF SEQUIM INC. 942 STRAIT VIEW DRIVE SEQUIM WA 98382 (360)683-3307 4 UNIT APARTMENT 4368SF TYPE V,NON~RATED HOTELS, APARTMENTS TOTAL ,% LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT S:IZE PROPOSED 'LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983620312 ------ Structure Information Construction Type Occupancy Type Other struct info J.3.00 V-N 6866 J..OO 1.00 32875.00 4368.00 4368.00 4.00 ___~_~_________________~_~__~___________________~_____---------.--------.9..- Permit . . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL. NEW RES:IDENTIAL 600A/4- 12SA SUB PNL/HALVORSEN HALVORSEN ELECTRIC 221.00 Plan Check Fee 6/22/04 Valuation 12/19/04 .00 o Qty 4.00 1.00 Unit Charge Per 22.7000 ECH EL-RM-0-200 ADD SRV. FEEDER 130.2000 ECH ~RM~401-600 lST'SRV FEEDER Extension 90.80 130.20 .-. - -- ----. _:- - .-. - - _:-... - - ..- - - - - - -- - -... - --..;.; ~- - --- -.... _.'- - - -............. - - - - - ----.-'-- - - - - - "".. Other Fees STATE SURCHARGE 4.50 Fee sununary Charged Paid Credited Due ----------------- ..--------- ---------- --------...- ---------- Permit.Fee Total 221.00 221. 00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 225.50 225.50' .00 .00 ~ ..... ~f ,~ . )! ~ ,~ ~'~ ~ . Date Separate Permits are required for eJecbical Work, SEPA, Shoreline, ESA, utilities, private and public improvernents',Jhis permit becomes null and "old if work or construction authorized is not commenced within '180 days, ifconstructi.on or work'is'~~,~Pe.Qq~~q,~ ~~anqQlleq f.ora.p~~9dof180c:Jays aft~r the w.orkas cOmmenced, .orifrequired Inspections haye n.otbeen requested Vliithir'180day!>fromthe last InspeCtion. I hereby certify that fhaveread and examined this application and kriow the same fo be true arid co~rect:AII provisions of laws arid .ordinances governing this type of work will be complied with whether specified herein or not. The granting of a perrnit does not presume to give auth.ority to , violate or cancel the provisions of any state or local law regulating construction or the performance .of constructl.on. . Signature of C.ontractor .or Auth.orized Agent Signature .of OWner (if .owner is builder) Date T:\PLANNING\FORMS\II02.1S [1111412003] I~ .i-,":._-" , /::;.;i::l:;,J,f ,.~'::;:r;}.~'::'. ' . :::'(-~,~:~-r~:'( -:";;_:;f;~:? ~ -' . "-;0.':-;" . ~_" " _.-.~.c~ ~. ,- ~' ': ~~ :. ,:7~_-/ -"\~,-~-- .; ._-~,-,.,---,~~\: "< -i;~_~~'-_:~'~ - _~;~,T:n:~-:-f(~~~:?>~;-~:;;:~~-i;\'1"f~::~}~:~;C(?;t.' '. - . , . - " - ~ - - ,-, - ,,-., -. , , . BUILDING PERMIT INSPECTION RECORD I CALL 417~48 ~s FOR B-0rLDING INSPECTIONS. CALL 41.1-4735 FOR ELECTRICAL IN~PECTI()NS. j ". PLEASE PROVIDE AMINIMUM 24 HPURNOTICE. IT IS UNLAWEUL TO COVER, INSULATE OR cONCEALANYWORKBEEORE INSPECTED4NDACCEPTED.POST PERMIT IN A CONSPICUOUS LOCATlON. . . INSPECTION TYPE . ,. . YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION ELECTIUC~ ROUGH-IN PLUMBING . . . . .' DRAlNAOEJDOWN SPOUTS . .... .' (LIGHT DEPT) SEPARATE PERMIT: #, '.' , . · .L//.3I/n ~ I Jr<~) .. ..... 1.. f . c'ftM/~ ..... .... .UNDER~OOR 1S1.Atl. . ROUGH-IN . W ATERLINE(METER TO BLDG) GAS LINE BACKFLOW / WATER .... '.' .- . '. I' . ; Am SEAL '.. WALLS CEII..ING. .. FRAMING JOISTS I GlRDBRS SHEAR WALUHOLD DOWNS. WALLS f ROOF f CEn..ING . '. :/:lRYW ALL (INTERIOR-BRACED PANEL ONt Y) T-BAR , .... .' INSULATION SLAB . . WALL/FLOOR/CEll.ING ". MECHANICAL HEAT PUMP I . . .. . '. GAS LINE .>> '.' .' WOOD STOVE I PELLET! ctnMNEY I, . . .... HOODf DUCTS ':, .", ......, PWUTILtTIES /SITE wORK <EngineeJiOg Division) SEPARATE PERMIT #'s; WATERLINE/METER .. I . SEWER cONNECI'ION SANITARY STORM "" PLANNING DEPT. SEPARATEPERMlU's PARKINGlLIGHTING . .. .' LANDSCAPING ., SEPA: ESA: .' '.' .sHOR.ELINE: FINALINSP.l!:CTIONS REQUIRED PRIOR TO OCCUPANCYIUSE . .q .DATE m YES '_H~NO..u..._n.C9MM~~~IAL . '. . . ~J!!!'.S.~E~IJ\L_ . , .. . '. ., ELECTRICAL-.LIGHT DEPT; . tAID~ 'JIifJ 1 , ELECTRICAL LIGHT DEPT . CONSTRUCTION -R..W. PWf ENGINEERING FlRBDEPT. . PLANNING DEPT. BUll.DING ...... ',., 417-473.5 CONSTRUCTION R. VI. I PW/ ENGINEERING .' FIRE ..... PLANNING DBPT. 417-4807 417-4653 417-4750 . . BUll.OING T:\PLANNING\FORMS\H02.15 (1111412003] 417-481.5 '-":~;;. .. - . . . - - ---~--~--------- ".; '. "" . . COMMENTS , "..; . l. "_:">", ,<>>,,-, ." '. - ..... ..... ~:J-I/O'/; ....~.. ! /~" .' , . i.... ..... .... I I I j I . . .,. '.< . ...... ...'.... . . ; i I i , i i I ! ! I ! i i I I i f r I I .I i I . -. j i i I I I i I i ..' . .' . I ..... ~ .' 'c'.' '. ;. i....' .., JJ)A,!~.., .~_c~C~EJ'!E~,_.. i '''':::',.; :+ -\r.irs~>,': i"'?"', NO I . ; I.. 'C.' . '.... I ". . . .. .. " '.' '"' , I .. I..:..... ...... .. -.. '. ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT. - BUfi,DING 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 04-00000322 Date .489832 1212 CAMPBELL AVE 06-30-14~5-3-0678-0000- ELECTRICAL ONLY 4/20/04 o OWner Contractor GREEN CROW TIMBER LLC PO BOX 2439 PORT ANGELES WA 983620312 HALVORSEN ELECTRIC 1426 W.11THST PORT ANGELES WA 98363 (360) 457-7803 -----------------------------------------------------------------~---------- 40.90 4/20/04 10/17/04 plan Check Fee Valuation .00 o \\ J ~ N Permit . . . . Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE ......... Extension 40.90 f'l Qty Unit Charge Per 1.00 40.9000ECH EL-TBMP SRV ~ 0-60 SRV FDR ~ Fee SUIlUllary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .00 .00 t> ............ \ ~ S r I Separate Permits are required for electricalwork, SEPA, Shoreline. ESA. utilities, private and public improvements. This permitbec~rnes null and void if work or construction authorized is not commenqed within 180 days, if construction or work Is suspendltd orab~ndoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 1.80 d~ysfromthe last inspection. thereby certify that I have read and examined this 8.pplication and know the sameto be true and correct. All provi~ions of laws and ordinances.goveming this type of work win ~ C9mplied With whether sp~cjfjed herein or not. The granting ofapermitdoes not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. . oN FI Lt?' Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\II02.1S [11/1412003] BUILDING PERMIT INSPECTION RECOlID CALL 417-4815 FOR BUILDING INSPEcTIoNS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFBL TO COVER, INSULATE QRCOIYCEAL ANi WORK BEFORE \ INSPECTED AND ACCEPTED. POST PERMIT IN A CO~SPICYOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED l COMMENTS . I YES NO <. FOUNDATION: FOOTINGS WALLS . FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (UGHT DEPl) SEPARATE PERMIT: # . ROUGH.IN I .. .. '. PLUMBING . UNDER PLOORI SLAB ROUGH-IN WATER LINE (METER TO BLDG) i GAS LINE . BACK FLOW I WATER ,. ,. . AIR SEAL WALLS . I CEILING I I . .u FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS i WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) ."..... T-BAR INSULATION SLAB . o' WALL I FLOOR I CEILING. I MECHANICAL HEAT PUMP GAS UNE WOOD STOVE I PEllET I CHIMNEY , HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s; WATERLINE I METER SEWER CONNECTION ., SANITARY STORM PLANNING DEPT. SEPARATE PERMrr#'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING SHOR.EWNp FIN~!NSP~ON~ REQUIRED PRIOR TO OCcurANglU8E . , < ... . . RESIDENTIAL DATE YES NO COh-tMERCiAt . DATE < ACCEPTED '. . ." .--. .;'.-1 YES ".NO ~., . ELECTRICAL - UGHT DEPT. 417-4735 ELECTRICAL . UGHT DEPT . CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING - FIRE 417-4653 FIRE.PEPT. ..... . - ..' PLANNING DEPT. 417-4750 PLANNING DEPT. .. -:;- -' BUILDING' .., BUILDING 417-4815 .. T:\PLANNING\FORMS\I 102.15 [1111412003] .:. ~ VORT ~ c..t::.J.O~~~' Ra "-~ ~ "4il~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 03-00000953 Date 4/19/04 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 withm 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 provIsion of laws and ordmances governmg this type of work Will be complied with whether specified herem or not. The grantmg of a permit does t presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance CODC~ ~~ l Signature of Contractor r Authorized Agent Appllcation Number pin number .7857 Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Applicatlon valuation 1212 CAMPBELL AVE 06-30-14-5-3-0678-0000- 4 UNIT APARTMENT RES NEW MULTI 3 & 4 FAMILY 240240 Owner Contractor GREEN CROW TIMBER LLC PO BOX 2439 PORT ANGELES ACCENT CONST. OF SEQUIM 942 STRAIT VIEW DRIVE SEQUIM WA (360) 683-3307 4 UNIT APARTMENT 4368SF TYPE V NON-RATED HOTELS, APARTMENTS 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 INC. WA 983620312 98382 Structure Informatlon Constructlon Type occupancy Type Other struct info 13.00 V-N 6866 1. 00 1. 00 32875.00 4368.00 4368.00 4.00 Permit Additional desc Permlt Fee Issue Date Explration Date BUILDING PERMIT -RESIDENTIAL 4 UNIT APARTMENT 1806.85 Plan Check Fee 10/03/03 Valuation 4/01/04 722.74 240240 Qty Unit Charge Per Extension 1017.25 789.60 141.00 BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc Permlt Fee 163.00 Plan Check Fee Issue Date 10/03/03 Valuation Expiratlon Date 4/01/04 Qty Unit Charge Per BASE FEE 16 00 7.2500 ECH ME-VENT FAN .00 o Extension 47.00 116.00 Permit Additional desc Permit Fee Issue Date Expiratlon Date PLUMBING PERMIT Plan Check Fee Valuation 387.00 10/03/03 4/01/04 .00 o Qty Unit Charge Per Extension 47.00 224.00 BASE FEE 32.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 4-l'Z. l( ~~ Date -\"'- . v>' ~~e, ~ ~r ~o :7 .~ y -z.;O iiZ! ,y'" \t) ? ~ - ,\ ~~ ~ ? i\- ~ yi/ 11 ..... ~ --0 t- r ~ \ --- 0 ~ ---- ~ vJ - D \ Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\1102.15 [11/14/2003] c .. 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN 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 WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSlILATION - -" SLAB ~ . WALL 1 FLOOR 1 CI;;ILIN6J I I .,.0 ~ MECHANICAL . HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA. PARKINGILIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W 1 PWI CONSTRUCTION - R W ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 C9/1?J J 00 (1lt/..-- BUILDING T.\PLANNING\FORMS\1102 15 [11/14/2003] Jr fi'ORT~ $.J"O~~~t ~ "-~ ~ ~~ .. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number 03-00000953 Page 2 Date 4/19/04 .7857 Qty 4.00 4.00 4.00 Un~t Charge 7.0000 15.0000 7.0000 Per ECH ECH ECH PL- EA. INSTALL WATER PIPE PL- EA. BLDG SEWER PL- EA. WATER HEATER Extension 28.00 60.00 28.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Cred~ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2356.85 2356.85 .00 .00 Plan Check Total 722.74 722.74 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 3084.09 3084.09 .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 \PLANNINGlFORMS\1102 15 [11/14/2003] ~ BUILDING PERMIT INSPECTION RECORD .. J 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 YES NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION ELECTRICAL ROUGH-IN PLUMBING UNDER FLOOR / SLAB JJ-1.- J -0 j,.J J. J... ~I-/Yl~ J./ - 'J.-r-O AI !.# /..t... ,.. .~ {f n rl'M tlf j(J f r >r DRAINAGE/DOWN SPOUTS "-1'7 OJ.{ KV (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS I~- J (,).-01-/ .J. L Ftu m b lt1'1 n VIA-I hl?}IO~-:JU/ ~ .q -. c; -,,4 .)1 L I ~ - --r-(}2-/ k('5-oJ-# \,)J JJ-L.. ~-H~.-C)J-l I~J L-I 111~ct1tlIlICeLT PI VIAl e:./? /oS - J Lt/ k PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING SEPA ESA 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/ ENGINEERING 417-4807 CONSTRUCTION - R W. PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 BUILDING 417-4815 T \PLANNING\FORMS\1102 15 [11/14/2003] / fF/~/()r I PLANNING DEPT fp~ BUILDING PREPARED 6/03/05, 13 02 25 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL _ APPL NUMBER- INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 6/03/05 1212 CAMPBELL AVE SUBDIV: 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY (360) 683-3307 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/20/04 JLL 4/21/04 DA BL1 02 4/21/04 JLL 4/21/04 AP BL1 03 4/28/04 JLL 4/28/04 AP BLFD 01 5/17/04 RV 5/17/04 AP BLFD 02 5/24/04 RV 5/24/04 AP BL9 01 6/02/04 JLL 6/03/04 AP BAIR 01 7/30/04 RV 7/30/04 DA BL3 01 7/30/04 RV 7/30/04 DA BAIR 02 8/05/04 JLL 8/05/04 AP BL3 02 8/05/04 JLL 8/05/04 AP BLI 01 8/12/04 JLL 8/12/04 AP BL99 01 6/01/05 JLL 6/01/05 DA BUILDING FOUNDATION FOOTING Todd 461-9566 Take plans & permlt to the s2te locate property plns and ldent2fy set back reqments for bU21d2ng/] 11 BUILDING FOUNDATION FOOTING BUILDING FOUNDATION FOOTING Chuck 461-2717 BUILDING FOUNDATION DRAINAGE TODD - 461-9566 BUILDING FOUNDATION DRAINAGE CHUCK 461-2717 BUILDING SHEARWALL CHUCK 461-2717 BUILDING AIR SEAL J2m w211 re2nspect for penatrat20ns through f2re walls BUILDING FRAMING TIME 17 00 Denn2s 460-6903 J2m w211 relnspect BUILDING AIR SEAL TIME 17 00 CHUCK 461-2717 BUILDING FRAMING TIME 17 00 CHUCK 461-2717 BUILDING INSULATION TIME 17 00 DENNIS Y. 460-2500 PERMIT INSIDE 1ST UNIT ON WALL BUILDING FINAL 06/01/2005 01 28 PM RVESS ------------------------------ t2m 4173654 06/01/2005 04 01 PM JLIERLY ---------------------------- address on street s2de and un2t numbers to match elec power numbers/electr2c zone heat 2n 2nd un2t m2ss2ng/grade s021 away from foundatlon 611 slope In ten feet ffilnlffium/access to crawl space blocked by galv well/cap waste 12ne clean out exter20r of bU21d2ng/]11 BL99 02 ~ ~ ~~~~~~~~O~IN~~ 13 PM JLIERLY ____________________________ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------- ----------- J PREPARED 6/03/05, 13 02 25 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR- JAMES L LIERLY PAGE DATE 3 6/03/05 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL _ APPL NUMBER 1212 CAMPBELL AVE SUBDIV 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY (360) 683-3307 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 7/12/04 7/12/04 6/01/05 6/01/05 17 00 01 PL99 01 JLL AP JLL DA PLUMBING ROUGH-IN JOHN 460-6902 PLUMBING FINAL TIME 17 00 06/01/2005 01 30 PM RVESS ------------------------------ 06/01/2005 04 04 PM JLIERLY ---------------------------- ~~::_~~__~_~---::~:~~:::::::Sl:::~:OT::I~~~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~~_____ TIME ~ V , ~ ~~ ~ /~( J -=:::. c '=< j PREPARED 6/03/05, 13 02 25 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 6/03/05 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1212 CAMPBELL AVE SUBDIV: 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE (360) 683-3307 GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 6/01/05 6/01/05 JLL DA TIME 17 00 PM RVESS ------------------------------ PM JLIERLY ---------------------------- TIME 17 00 PM JLIERLY ---------------------------- MECHANICAL FINAL 06/01/2005 01 30 06/01/2005 04 04 ME99 02 6/03/05 ~ MECHANICAL FINAL _________~-~---::~0:~::::UE:20::0 NEXT PAGE ----------------------------------- J PREPARED 6/01/05, 13 39:26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 3 6/01/05 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER: 1212 CAMPBELL AVE SUBDIV 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY (360) 683-3307 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL2 01 7/12/04 JLL PLUMBING ROUGH-IN TIME 17 00 7/12/04 AP JOHN 460-6902 ~~~~_:~_~\j~~~~___~______::~~~~:::::::s3:::~:OT::E:~_~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~_____ PREPARED 6/01/05, 13 39.26 CITY OF PORT ANGELES ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE 2 6/01/05 1212 CAMPBELL AVE SUBDIV. 4 UNIT APARTMENT ACCENT CONST. OF SEQUIM INC PHONE GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY (360) 683-3307 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 6/01/0~ ~ ~~~~~;~~~ F~~A~O ~~MERV~~SO~_____________________________ l I....,; ------------------------ CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 6/01/05, 13:39:26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 6/01/05 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1212 CAMPBELL AVE SUBDIV: 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY (360) 683-3307 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 4/20/04 4/21/04 BL1 01 JLL DA BUILDING FOUNDATION FOOTING Todd 461-9566 Take plans & permlt to the slte locate property plns and ldentlfy set back reqments for bUlldlng/Jll BUILDING FOUNDATION FOOTING 4/21/04 4/21/04 4/28/04 4/28/04 5/17/04 5/17/04 5/24/04 5/24/04 6/02/04 6/03/04 7/30/04 7/30/04 7/30/04 7/30/04 8/05/04 8/05/04 8/05/04 8/05/04 8/12/04 8/12/04 BL1 02 JLL AP JLL AP RV AP RV AP JLL AP RV DA RV DA BL1 03 BUILDING FOUNDATION FOOTING Chuck 461-2717 BUILDING FOUNDATION DRAINAGE TODD - 461-9566 BUILDING FOUNDATION DRAINAGE CHUCK 461-2717 BUILDING SHEARWALL CHUCK 461-2717 BUILDING AIR SEAL Jlffi wlll relnspect for penatratlons through flre walls BUILDING FRAMING TIME: 17 00 DennlS 460-6903 Jlffi wlll relnspect BUILDING AIR SEAL TIME 17.00 CHUCK 461-2717 BUILDING FRAMING TIME 17 00 CHUCK 461-2717 BUILDING INSULATION TIME 17 00 DENNIS Y. 460-2500 PERMIT INSIDE 1ST UNIT ON WALL BUILDING FINAL 06/01/2005 01.28 PM RVESS --------------.--------------- tlffi 4173654 BLFD 01 BLFD 02 BL9 01 BAIR 01 BL3 01 BAIR 02 JLL AP JLL AP JLL AP BL3 02 BLI 01 ~ BL99 01 JPIJ- ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at -I' 2. 1"7 _ C.MA1~ /!>e I) Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~ zJ (JJJ~ f ~ f- ~J..l~ fvtt ~ ";> t U ~ I ~ ~~S~ )<> e~~ Sf4-rtr' Pbo(L.. P j >--Jl--t1:!:O -&ctf '1#&--11 ~ {~~ +-0 slvf-t' iN~ ~ f20v tJ-C:J9.h ~-,...j & {' }U '1 D ~o vi ~ C~ cJ e~ 0'11}- C)~ ~1IJ UU~~!S _ ~~~':> I5JJ 4->hu~+ S1~ 1jL UJ.-R~ ~ ~ 'i-z, V11~Ic..-~ ru-ft/eIL. These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call '-f 1 7 ..,. [,/8/ J --=- for inspection. Date eel If",) F~ &/!Jtb.-- ~ ~ ;~~ ~~ 4~ nspector for BUilding DIvIsion DO NOT REMOVE THIS TAG <. , .~-c:~~ ..:.-;',::......, - L-':~ -" - ,~ .I' '!: PREPARED 8/12/04, 12 51 08 CITY OF PORT ANGELES 1 8/12/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER. INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1212 CAMPBELL AVE SUBDIV 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY (360) 683-3307 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/20/04 JLL 4/21/04 DA BL1 02 4/21/04 JLL 4/21/04 AP BL1 03 4/28/04 JLL 4/28/04 AP BLFD 01 5/17/04 RV 5/17/04 AP BLFD 02 5/24/04 RV 5/24/04 AP BL9 01 6/02/04 JLL 6/03/04 AP BAIR 01 7/30/04 RV 7/30/04 DA BL3 01 7/30/04 RV 7/30/04 DA BAIR 02 8/05/04 JLL 8/05/04 AP BL3 02 8/05/04 JLL ~ AP BLI 01 8/'12/ 4 ~ BUILDING FOUNDATION FOOTING Todd 461-9566 Take plans & permlt to the slte locate property plns and ldentlfy set back reqments for bUlldlng IJ 11 BUILDING FOUNDATION FOOTING BUILDING FOUNDATION FOOTING Chuck 461-2717 BUILDING FOUNDATION DRAINAGE TODD - 461-9566 BUILDING FOUNDATION DRAINAGE CHUCK 461-2717 BUILDING SHEARWALL CHUCK 461-2717 BUILDING AIR SEAL Jlm wlll relnspect for penatratlons through flre walls BUILDING FRAMING TIME 17 00 DennlS 460-6903 Jlm wl11 relnspect BUILDING AIR SEAL TIME 17 00 CHUCK 461-2717 BUILDING FRAMING TIME 17 00 CHUCK 461-2717 BUILDING INSULATION TIME 17 00 DENNIS Y 460-2500 PERMIT INSIDE 1ST UNIT ON WALL '.... -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 8/05/04, 12 27 17 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 8/05/04 1212 CAMPBELL AVE SUBDIV. 4 UNIT APARTMENT ACCENT CONST. OF SEQUIM INC PHONE (360) 683-3307 GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY 01 4/20/04 4/21/04 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING Chuck 461-2717 BUILDING FOUNDATION DRAINAGE TODD - 461-9566 BUILDING FOUNDATION DRAINAGE CHUCK 461-2717 BUILDING SHEARWALL CHUCK 461-2717 BUILDING AIR SEAL Jlm wlll relnspect for penatratlons through flre walls BUILDING FRAMING TIME. 17 00 DennlS 460-6903 Jlm wlll relnspect OR'R "~-W--L BUILDING AIR SEAL CHUCK 461-2717 BL3 02 7. JL BUILDING FRAMING TIME 17.00 ~ CHUCK 461-2717 ------------------ ------------------- COMMENTS AND NOTES ------------- ------------------------ BL1 BL1 BL1 BLFD 01 BLFD 02 BL9 BAIR 01 BL3 02 4/21/04 4/21/04 4/28/04 4/28/04 5/17/04 5/17/04 5/24/04 5/24/04 6/02/04 6/03/04 7/30/04 7/30/04 7/30/04 7/30/04 03 01 01 JLL DA JLL AP JLL AP RV AP RV AP JLL AP RV DA RV DA BUILDING FOUNDATION FOOTING Todd 461-9566 Take plans & permlt to the slte locate property plns and ldentlfy bulldlng/J 11 BUILDING FOUNDATION FOOTING set back reqments for TIME 17:00 '- .. --- ~ PREPARED 7/30/04, 12 36:51 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR ROGER VESS PAGE DATE 1 7/30/04 ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL APPL NUMBER: 1212 CAMPBELL AVE SUBDIV: 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY (360) 683-3307 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/20/04 4/21/04 JLL DA BUILDING FOUNDATION FOOTING Todd 461-9566 Take plans & permlt to the slte. locate property plns and ldentlfy bUlldlng/J 11 BUILDING FOUNDATION FOOTING set back reqrnents for BLl 02 4/21/04 4/21/04 4/28/04 4/28/04 5/17/04 5/17/04 5/24/04 5/24/04 6/02/04 6/03/04 7/30/04 --Mr BUILDING FOUNDATION FOOTING Chuck 461-2717 BUILDING FOUNDATION DRAINAGE TODD - 461-9566 BUILDING FOUNDATION DRAINAGE CHUCK 461-2717 BUILDING SHEARWALL CHUCK 461-2717 BUILDING FRAMING TIME: 17 00 Dennls 460-6903 BL1 03 BLFD 01 BLFD 02 BL9 01 BL3 01 COMMENTS AND NOTES ~ ~'V'A. '^-5~Ll v-e ~\'IVS.Pe..c i- -', .. - - , " BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at 16/~ P~IMf,be)1 A~ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: e ~ /40 241 -h f ~' <::> lit If\A., Il " ~I' <.\J0"" -{'''''''..... u.".)f- ~~4 fv~ ~~"\ . flr;c,/e fh ,ef'<::iYI6u ~jk These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call '//7 - Ll8/~- for inspection. Date 7 - 3C>- 0<-; ~~,~~ J no NOT REMOVE THIS TAG PREPARED 7/12/04, 12 37,49 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY 1212 CAMPBELL AVE SUBDIV, 4 UNIT APARTMENT ACCENT CONST. OF SEQUIM INC PHONE (360) 683-3307 GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT PL2 01 ~~ DESCRIPTION RESULTS/COMMENTS PLUMBING ROUGH-IN JOHN 460-6902 TIME 17 00 COMMENTS AND NOTES -------------------------------------- PAGE DATE 1 7/12/04 PREPARED 6/02/04, 12:34 50 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1212 CAMPBELL AVE SUBDIV 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL i REQUESTED INSP DESCRIPTION TYP/$Q COMPLETED RESULT RESULTS/COMMENTS BL1 4/20/04 4/21/04 BUILDING FOUNDATION FOOTING Todd 461-9566 Take plans & permlt to the slte. locate property plns and ldentlfy bUlldlnglJ 11 BUILDING FOUNDATION FOOTING 01 JLL DA 4/21/04 JLL 4/21/04 AP 4/28/04 JLL BUILDING FOUNDATION 4/28/04 AP Chuck 461-2717 5/17/04 RV BUILDING FOUNDATION 5/17/04 AP TODD - 461-9566 5/24/04 RV BUILDING FOUNDATION 5/24/04 AP CHUCK 461-2717 B"'__"'__~ ~---~;~":'::::;:~B BL1 02 BL1 03 FOOTING BLFD 01 DRAINAGE BLFD 02 DRAINAGE PAGE DATE (360) 683-3307 set back reqments for 6 6/02/04 NOTES -------------------------------------- PREPARED 5/24/04, 13.02 44 CITY OF PORT ANGELES INSPECTION-TICKET--- INSPECTOR ROGER VESS PAGE DATE ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1212 CAMPBELL AVE SUBDIV. 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE (360) 683-3307 GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/20/04 JLL BUILDING FOUNDATION FOOTING 4/21/04 DA Todd 461-9566 Take plans & permlt to the slte locate property plns and ldentlfy set back reqments for bUlldlnglJ 11 BL1 02 4/21/04 JLL BUILDING FOUNDATION FOOTING 4/21/04 AP BL1 03 4/28/04 JLL BUILDING FOUNDATION FOOTING 4/28/04 AP Chuck 461-2717 BLFD 01 5/17/04 RV BUILDING FOUNDATION DRAINAGE 5/17/04 AP TODD - 461-9566 BLFD 02 5/24/04 -W-- BUILDING FOUNDATION DRAINAGE Ar"t- CHUCK 461-2717 I 5/24/04 ----.------------------.--------.-...- COMMENTS AND NOTES -.----------.--------------.---------- PREPARED 5/17/04, 13 21 54 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR ROGER VESS PAGE DATE ---~---------------------------------~---------------------------------------------------------- , , 1 5/17/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1212 CAMPBELL AVE 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC GREEN CROW TIMBER LLC 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI SUBDIV PHONE PHONE (360) 683-3307 3 & 4 FAMILY PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/20/04 JLL BUILDING FOUNDATION FOOTING 4/21/04 DA Todd 461-9566 Take plans & perrn~t to the s~te. locate property p~ns and ~dent~fy set back reqrnents for bu~ld~ng/Jll BL1 02 4/21/04 JLL BUILDING FOUNDATION FOOTING 4/21/04 AP BL1 03 4/28/04 JLL BUILDING FOUNDATION FOOTING 4/28/04 AP Chuck 461-2717 BLFD 01 5/17/04 RV / BUILDING FOUNDATION DRAINAGE 4P F<~ TODD - 461-9566 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ,', BUIL.DING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec 9.. -z. - o:;$? P~l# q~ Date Approved '2 Date Issued Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Apphcant or Agent: CJ lUj Cro-w-" Owner: GV.€.R,M Cvc-<v TT WI ~, 1-1.--- G Address: 70G Ea.51 f{fh 5f. ArchItect/Engineer: Lat!''; LPlI/r'rl-ze.n- Contractor f<.6b SV\'.iH... (Ptl1V1l-t{{") Address: Phone: 360- '+60 - It '7 7 Phone: 360-460- 1677 CIty: ~rfAt;rJ$/ WA q~ D6~ PROJECT ADDRESS: G SubdIVisIOn: CLALLAM COUNTY PARCEL NUMBER: 0630 I if S 3 C) b '1 '?5 Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: o Residential R New Constr. 0 Re-roof AMultI-farmly 0 AdditIon 0 Move o Commercial 0 Remodel 0 DemolitIOn , 0 RepaIr ., 0 SIgn BRIEF. DESCRIPTION OF THE PROJECT: A erdd{ torteN sf. COMMERCIALIRESIDENTIAL: Occupancy Group: h,de4Ai'a I O~cupant Load: if S' fob ConstructIOn Type: (...vllO) (t;<M" "y l~.':)~ ~~~ ' No. of Stones' 1- Lot Size: ;'1,'1\>1"].5' EXistmgSq.Ft. &ProposedSq.Ft. if3t~ =TOTALSq.Ft. 4?>6<:? EXiSting lot coverage ~ % & Proposed lot coverage _% = Total lot coverage J 3 % City: MC # Exp. Date: SIZENALUATION: If "3 b )? SF,. @ $ 5' 5 /SF = $ ;).40 I ^ 40 SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION 'r/a),\< . 'vsf S ~tk. (J APPROVALS: PLAN: BLDG: DPWU:__ FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA ChecklistreqUlred? 0 Yes 0 No Other: BillLDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DiviSIOn can proVIde you WIth mformahon on the applIcatIOn and ,plan subrmttal requrrements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. This figure Will be reViewed and may be reVIsed by the Building Division to comply With current fee schedules. Contact the Perrmt Coordmator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be subrmtted at the time the bUlldmg permit applicatIon and constructIon plans are submitted. All other perrmt fees are due at the tIme of pemut issuance. .-- EXPIRATION OF PLAN REVIEW: Ifno pemut is issued withm 180 days of the date ofapplIcatlOn, the application will expire. The Buddmg OffiCial can extend the tIme for actIOn by the apphcant up to 180 days upon wntten request by the apphcant (see SectlOn 107.4 of the Uniform BuIlding Code, current edition)_ No apphcatiOn 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 obtam such permits prior to work T \FORMS\APPS\Bulldmgpermlt wpd Apphcant. bv<p<<ei/n./7iu..k; LiC J.J' ~ Date' ~~,/~~ " PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Proiect Name: Green Crow 4-Plex Address: 1212 Campbell Ave. Plan #03-10 I ComO R-IIXI I Date: October 1, 2003 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. The following inspections will be required: 1. As indicated on the plans, a fire sprinkler system, meeting the requirements ofNFP A 13R, shall be installed in this building. Please submit separate fire sprinkler plans for review. 2. A KNOX locking keybox will be required for this building. Please contact the Fire Department for an application form. The Fire Department will assist with the recommended location of the keybox. Reviewed by rCL . Q 0 ~ Bmlding Department o File Copy Date ID. \ \ O~ FP - 22 Page I of I (l ~t-l"f~'t"~ AppendIx E: Sample Checklists & WOrksheets I l_ ~ ~ Attaclnent C Plans Examiner and Inspector Checklist Add,.s. 12/7 0~,vV\~ Ave.... Planl examiner: Ched\. write in N1A. or fill in value on shaded boxes. Inlpeetor: Ched\ off boxes at left as items are found to comply. Permit No. Compflance Ipproach: (check one) 0 Systems analysis o Component performance ~escriPtive path Note: Some Specifics on this fonn may not app/y if A) oompliance approach is systems analysis or component performance; , B) compliance to minimum ventilation alteria is demonstrated through engineering cak:ulations or performance testing. FOUNIJATIIN PHASE o Slab: R- ! Exterior down to h'ostllnels!ab botIom; or Interfor 24- horizontal or verUcal; or. If radiant. under entire slab o Below grade exterior wallln.ulatlon: R- I (If Interior _ see Insulatlon Phase) o Redon mltlgaUon: 1 If locally required, or craWlspace venting <1tv300tt2 of crawl, or vents Include an operable damper FRAMING PIfASE -&- ::::!=~-~""=::'._~-_.....'9d~~" o Source apeelftc exhauat fans: SIze reqllrement - bath, laundry (SOcfm); kltctlen (100c:fm) o Whole hOUM exhaust fan I . ~ Intennlltent system has manual & auto Q)(ftro/s; Outdoor ." supply req_ 'or habitable rms. or o Int-omM fOrcecklr a)"8tem 0 outskfe." dutt (Mth damper) eIIowfng between .35 and oS ACH IBIATIIN PHASE o ~ oz., w.n lnaulaaon (above grade) o R- WaD IMulaUon (below grwde): Intenor Wallnsulaaon o R- sO ROOf'lnaulaaon o ;l. ~ B CeIling InaulaUon: hcludlng lItde ha1dl o ~ I Vauft.ct ceUlng lnauldon o VIIpOt' rwtanIera: wana. fIoora. 08/I1ng o HMttng eyttem type: [ I For~, 1st etze, HSPF, and COP I :...,.' FIW. PHASE o Radon monitor on aM_: wtth InstnJdJons end generat Infonndon o Thennoetat: heat range, 5S-7S; AC fWlge. 70-85; both. ss.es. Badwp heel controls prevent Ibnt1taneoua op9ratlon of pf1mety .ra. o Solid tu.t appflancea: glass or metal doont; direct CXJmb.. air 1ClUroe. ~ ... dIa., ~ed, lndrec:t .uoe for 1.IlOOnd. areas o F1repf~: tr c:ombusUon . euppty duct w/dampef direct to fireboX; ttglt ftUtng ~ or rrMICId doore. o DHW heaw.: NAECA label; Mp81lde power or gas Ihut~; on R-10 ped If eIedrlc and In l.n:lOnd. ..... or. on concrete o M.ch.n'"' v.nt1laUon ducte lMula1ed to R-4: exheUll ducb In lM'lCOndIUoned arMltlaupply ducb In CDndIIIoned arlNla o h." '" .'. J HVAC duotalpfenum lneuldon: du:ts In uncondI1Soned ...... ....lnsuIaled and JoInta ere MaIed o PIpe fneulatlon: R-3 b hot end cold wat. pfpng In U'lOOOCIUoned.... (If ~ or redraMdng.... Table 6-'2) o Ground cover: 8 ml blad( potyethytenelapproved equal '-PPed , Z" .. JoInta and extendlng 10 fooodatlon wall E-62 Appendl. E: &ample Checklists & WorttahMt. IUZIC Plans Examtner _ fill out this glailng HCtlon or attach . wWIdow schedule 10 thIS c:hecIdist Inspector - wrlty ~ In- lonnalion during field inspectionS. Indude skytights. glass doorS and all other glazmg on thiS tonn. Use rough opening .,e. tor calcutdonS. Size Quantity A.... I U-ValuelManufacturer I Vertfled I 6CJ)( :3G tJ COJ/ J-/O i J- ~o x J./. 0 1-, IY)-~ .f ' . . - 3 s-o \f ?, , J... 70 I ( .t " " , , k' , . I I '" 0 . ". -0 A "7 'A-- A ~ '. , , S- 50 " (, ;J 70 )( ~ ,q . a 50 x roO d '-- ~_o p 7 J{o )( _~ -0 9-, ~H . , t( r /{O '(:. 1ft) :J- ~Q.- \f , " ' .' ' -- : , . ,. "~'h"~ .. .~; J,. ,:~,. ...... "," - ~, . " j ~.~~ "~."" ~t. { '" l.il1. i',- ,~ -'... , ~~, ~ ~, , , .- ~ Total gluing ....: J./ "i'--~ .. . Total condltlOMCl aru: J..{ 3 ~'~ . :l- Percentage Dlatng: / (!) ~ ro 7. - ~: ,. , -, .: , , . _J .-'\ > L.. t " , -., , , .. . t_ o, , ~J~ Verified DOORS Plans Ex8miner- ti$1 opaque doors by type (sold COAt, insulated. 8tc.). quantity. u-value. 8nd manUtacturer. InspeCtor - wrtfy door tnlonnatian during field Inspedior.. " Type/Quantity . U.ValuelManufacturer Vertfted o <it' +vJt 1-;~ 1./-1 0 '~ X I~ S6gMture of Building OMelet: 0.. of final In.pecUon: :,X I , ''''' IW~"I, . t,,?! E~ .f'",,"" _~ {t\' . ~?!-i' 2000 EDITION TABLE 6-1 PRESCRIPTIVE REQUIREMENTS 1 * * FOR GROUP R OCCUPANCY CLIMATE ZONE 1 . HEATING BY ELECTRIC RESISTANCE Glazing Glazing U-Factor Wall Wall- Wall- SIab4 Option Area 10; Door 9 Ceiling2 Vaulted Above int4 ext4 Floor5 on % of Floor Vertical Overhead' 1 U-Factor Celling3 Grade Below Below Grade Grade Grade I. 10% 0.46 0.58 0.40 R-38 R-30 R-21 R-21 R-lO R-30 R-10 .n::::-.... 12% 0.43 0.58 0.20 R-38 R-30 R-19 R-19 R-lO R-30 R-lO l I1I..J ) 12% 0.40 0.58 0.40 R-38 R-30' R-21 R-21 R-lO R-30 R-lO J'V:'I' 15% 0.40 0.58 020 R-38 R-30 R-19 R-19 R-lO R-30 R-lO V. 18% 0.39 0.58 0.20 R-38 R-30 R-21 R-2l R-lO R-30 R-lO VI. 21 % 0.36 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-IO VII.' 25% 0.32' 0.58 020 R-38 R-30 R-19 R-21 R-lO R-30 R-lO + R-5s I VIII.' 30% 0.29' 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-lO + R-5s I * Reference Case ** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. I. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 19%, it shall comply with all of the requirements of the 21 % glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code. 2. Requirement applies to all ceilings except single rafter or joist vaulted .~eilings. .' Adv' denotes Advanced Framed Ceiling. 3. Requirement applicable only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level of R-lO, or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use, and installed according to the manufacturer's speCifications. See Section 602.2. 5. Floors over crawl spaces or exposed to ambient air conditions. 6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed according to manufacturer's specifications. See Section 602.4. 7. The following options shall be applicable to buildings less than three stories: 0.35 maximum for glazmg areas of 25 % or less; 0.32 maximum for glazing areas of 30% or less. 8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing. 9. Doors, including all fire doors, shall be assigned default U-factors from Table 10-6C. 10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor of U =0.40 or less is not mcluded III glazing area limitations. 11. Overhead glazing shall have U-factors determined III accordance With NFRC 100 or as specified III Section 502.1.5. Effective 7/01/01 37 WASHINGTON STATE ENERGY CODE . I TABLE 6-2 PRESCRIPTIVE REQUIREMENTS 1 * * FOR GROUP R OCCUPANCY CLIMATE ZONE 1 · HEATING BY OTHER FUELS HV AC9 Glazing Glazing U-Factor Door 10 Vaulted Wall Wall. Wall- SIab6 Option Equip. Area 11 : Overhead1 U-Factor Ceiling2 Ceiling3 Above int4 ext4 Floors on Effie. % of Vertical Grade Below Below Grade 2 Floor Grade Grade I. Med. 10% 0.70 0.68 0.40 R-30 R-30 R-15 R-15 R-W R-19 R-lQ II. Med. 12% 0.65 0.68 0.40 R-30 R-30 R-15 R-15 R-W R-19 R-lQ III. High 21 % 0.75 0.68 0.40 R-30 R-30 R-19 R-19 R-W R-19 R-lQ IV.* Med. 21% 0.65 0.68 0.40 R-30 R-30 R-19 R-19 R-W R-19 R-lQ V. Low 21 % 0.60 0.68 0.40 R-30 R-30 R-19 R-19 R-W R-19 R-W VI.7 Med. 25% 0.457 0.68 0.40 R-38 R-30 R-19 R-19 R-W R-25 R-W VII. 7 Med. 30% 0.407 0.68 0.40 R-30 R-30 R-19 R-19 R-W R-25 R-W VIII. Med. unlimited 0.25 0.40 040 R-30 R-30 R-19 R-19 R-W R-25 R-W * Reference Case ** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. 1. Minimum requirements for each option listed. For example, if a proposed deSign has a glazing ratio to the conditioned floor area of 19%, it shall comply with all of the requirements of the 21 % glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code. 2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling. 3. Requirement applicable only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level ofR-10, or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its int~nded. use, and installed accordlOg to the manufacturer's specifications. See Section 602.2. 5., Floors over crawl spaces or exposed to ambient air conditions, 6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed according to manufacturer's specifications. See Section 602.4. 7. The following options shall be applicable to buildings less than three stories: 0.50 maximum for glazing areas of 25% or less; 0045 maximum for glazing areas of 30% or less. 8. Reserved. 9. Mmimum HV AC equipment efficiency requuement. 'Low' denotes an AFUE of 0.74. 'Med.' denotes an AFUE of 0.78. 'High' denotes an AFVE of 0.88. Minimum HV AC equipment efficiency requirement for heat pumps. 'Low' denotes an HSPF of 6.35. 'Med.' denotes an HSPF of 6.8. 'High' an HSPF of 7.7. Water and ground source heat pumps shall be considered as medium efficiency and have a minimum COP as required in Table 5-7. 10. Doors, mcluding all fire doors, shall be assigned default V-factors from Table 1O-6C. 11. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazing with V-factor ofV=0.40 or less is not included in glazing area limitations. 12. Overhead glazing shall have V-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5. 38 7/01/01 GREEN CROW GREEN CROW TIMBER LLC GREEN CROW PROPERTIES, INC. April 15, 2004 lR1!E~!E~\Vl!E~ APR 1 5 2004 Brad Collins, Planning Director City of Port Angeles 321 East 5th Street P. O. Box 1150 Port Angeles, W A 98361-0217 CITY OF PORT ANGELES Depl. of Community o..:~,~o.~~ Dear Brad: Weare about to begin construction of our four-plex on Campbell Ave. and we have found that our building permit has expired. (Permit # 03953) We were told that our extension cost would be $907.23. We don't understand this since there would be very little expense to the city to extend this permit, so we are asking for relief from this fee. Clay Crow made this application last fall and we chose not to proceed due to wet site conditions. With Clay's departure from the company, we didn't realize the permit was for only six months until we decided to go ahead with construction in the last couple of weeks. We would appreciate any help you can give us to remove this fee. Thank you, Sincerely, ~ L. yJ.."", 1 Dennis L. Yakovich ~+~D~bn cd\J-tu.- ~ tt/, r/o '1 703 East 8th Street. PO Box 2439 Port Angeles, WA 98362 (360) 452-3325 . FAX (360) 417-3674 PREPARED 4/28/04, 12 49 36 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1212 CAMPBELL AVE SUBDIV, 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE (360) 683-3307 GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000~ RES NEW MULTI 3 & 4 FAMILY PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 4/20/04 4/21/04 JLL DA BUILDING FOUNDATION FOOTING Todd 461-9566 Take plans & perrnlt to the slte locate property plns and ldentlfy bUlldlnglJ 11 BUILDING FOUNDATION FOOTING 4/21/04 JLL 4/21/04 AP BLl 03 H,2~!r.' JLL ~ IJ-f -------------------------------------- COMMENTS BLl 02 BUILDING FOUNDATION FOOTING Chuck 461-2717 AND NOTES ------------------------------------__ set back reqrnents for 4 4/28/04 PREPARED 4/20/04, 12 52 31 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES _ . INf'"ECTOR JAMES L LIERLY DATE 4/20/04 -- ------------------~-~~---~---------------------------------------------------- ~~;~~~---- ~;~;-CAMPBELL AVE' SUBDIV. TENANT, NBR 4 UNIT APARTMENT CONTRACTOR ACCENT CONST OF SEQUIM INC PHONE (360) 683-3307 OWNER GREEN CROW TIMBER LLC PHONE PARCEL .. 06-30-14-5-3-0678-0000- APPL NUMBER 03-00000953 RES NEW MULTI 3 & 4 FAMILY PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 ~l JLL ~~ BUILDING FOUNDATION FOOTING Todd 461-9566 Take plans & perrnlt to the slte -------------------------------------- COMMENTS AND NOTES -------------------------------------- S~-P\j UJ L.-~ot-fJ , ~ ~-;..J;.. ?'"lDf~ / P ;t'-i ., p ~1c1 ;t-J.J , ~6~ &-c-~ BUILDING DlYISION ~ " CITY OF PORT ANGELES * * Correction Notice Job Located at ~ 2-/'2- Ct4;>JpiRJ / 'j2cfl Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call - I J for inspection. Date q/JD/o/ DO NOT REMOVE THIS TAG PREPARED 4/21/04, 12.29 03 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL . APPL NUMBER, 1212 CAMPBELL AVE SUBDIV. 4 UNIT APARTMENT ACCENT CONST OF SEQUIM INC PHONE GREEN CROW TIMBER LLC PHONE 06-30-14-5-3-0678-0000- 03-00000953 RES NEW MULTI 3 & 4 FAMILY (360) 683-3307 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 4/20/04 4/21/04 BUILDING FOUNDATION FOOTING Todd 461-9566 Take plans & permlt to the slte locate property plns and ldentlfy bUlldlnglJ 11 BUILDING FOUNDATION FOOTING 01 JLL DA PAGE DATE 2 4/21/04 set back reqments for BLl 02 #JAP- -------------------------------------- COMMENTS AND NOTES -------------------------------------- "" ---= -;;;;:.~-- t. ;2~ ----- --..c _ ~ ~IL. I \Zo~ It;l/ x 11 d ~ ~fB~JJ ---- ) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 03-00000953 Date 10/03/03 1212 CAMPBELL AVE 06-30-14-5-3-0678-0000- 4 UNIT APARTMENT RES NEW MULTI 3 & 4 FAMILY 240240 Owner Contractor GREEN CROW TIMBER LLC PO BOX 2439 PORT ANGELES PINNACLE BUILDERS 822 SO EUNICE PORT ANGELES (360) 417-1920 4 UNIT APARTMENT 4368SF TYPE V NON-RATED HOTELS, APARTMENTS NUMBER OF UNITS WA 983620312 WA 98362 Structure Information Construction Type Occupancy Type . . . . . Other struct info . . . . 4.00 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 4 UNIT APARTMENT 1806.85 Plan Check Fee 10/03/03 Valuation 4/01/04 722.74 240240 Qty Unit Charge Per Extension 1017.25 789.60 BASE FEE 141.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K) Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 163.00- Plan Check Fee 10/03/03 Valuation 4/01/04 Qty Unit Charge Per Extension 47.00 116.00 _ BASE FEE 16.00 7.2500 ECH ME-VENT FAN Permit PLUMBING PERMIT Additional desc Permit Fee 387.00 Plan Check Fee .00 Issue Date 10/03/03 Valuation 0 Expiration Date 4/01/04 Qty Unit Charge Per Extension BASE FEE 47.00 32.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 224.00 4.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 28.00 4.00 15.0000 ECH PL- EA. BLDG SEWER 60.00 4.00 7.0000 ECH PL- EA.WATER HEATER 28.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged. Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2356.85 2356.85 .00 .00 Plan Check Total - 722.74 722.74 .00 .00 \/a~d ,I t \f ( :; -D 'f -\VC>V I-f./ I t./:,,,^- 5 ? ,j tJe;U O?,~ qL/./I~..ol c;e.€.-~~ .00 o ~(o,~ S '- N - rJ ~-q ~ ~ -0 ~ c-- -- ;;ps ~ fJ ) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and publid-improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if constructiq~ oY:work is suspended or abandoned for a period ot 180 days after the work as commenced, or if required inspections have not been requeste~,withln 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. - -j Signature of Owner (if owner is builder) ~. T:\PLANNING\FORMS\1102 15 [4/20021 \ Date ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Other Fee Total Grand Total 03-00000953 4.50 4.50 3084.09 3084.09 Page 2 Date 10/03/03 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T.\PLANNING\FORMS\1102 15 [4/2002] .- TRANSACTION REPORT 2004/APR/14/WED 10:41 P.01/01 RECEIVER 94173674 TYPE/NOTE OK G3 FORTANGELES WAS H I N G TON, U. S. A. FAX TRANSMITTAL 4 - (L/... C) l( l Department of Community Development Building Division 321 East Fifth Street, Port Angeles, Washington 98362 Phone: (360) 417-4815 FAX: (360) 417-4711 TO: Def')f') ~ 5 FROM: 1<oq~'r"" Ve.s.S Company: <1 r-e,e"" e.~o uJ 1'(.r ~:+ t -e.c.. ~ Fax: 1-/ (7 ...:.. 3 b , '-I Number of pages: :s (including transmittal page) 1 PREPARED 4/14/04, 9:09:53 CITY OF PORT ANGELES PAYMENTS DUE RECEIPT PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 03-00000953 1212 CAMPBELL AVE FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- BUILDING PERMIT - RESIDENTIAL TOTAL DUE 907.93 907.93 Please present this receipt to the cashier with full payment. ~ORT.ANGELES WAS H I N G TON, U. S. A. FAX TRANSMITTAL y- (q'<J<{ Department of Community Development Building Division 321 East Fifth Street, Port Angeles, Washington 98362 Phone: (360)417-4815 FAX: (360)417-4711 TO: benf"'> OJ S FROM: 1<ClCP ~ '4 V.es5 ~ Company: Co r-€.€.V'\ c.rcuJ t>~ r "'-' ~ t '{ -e.c.. ~ Fax: Y (7 - 36 I tf Number of pages: :3 (including transmittal page) 106.4.1 107.6 and that the fees specIfIed in Section 107 have been paid, the bUIldmg official shall issue a permIt therefor to the applicant. When the building offIcIal issues the permit where plans are re- quired, the building official shall endorse m writing or stamp the plans and specifications APPROVED. Such approved plans and specIfications shall not be changed, modified or altered without authorizatIOns from the bUIlding officIal, and all work regulated by this code shall be done m accordance with the approved plans. The building official may Issue a permit for the construction of part of a buildmg or structure before the entire plans and specifIca- tions for the whole bUIldmg or structure have been submItted or approved, provided adequate information and detailed statements have been filed complying with all pertinent reqUIrements of thIS code. The holder of a partial permIt shall pfoceed without assur- ance that the permit for the entITe building or structure will be granted. 106.4.2 Retention of plans. One set of approved plans, specifi- cations and computations shall be retained by the building official for a penod of not less than 90 days from date of completion of the work covered therein, and one set of approved plans and specifica- tions shall be returned to the applicant, and said set shall be kept on the sIte of tEe building or work at all times during which the work authorized thereby is in progress. 106.4.3 Validity of permit. The Issuance or granting of a permit or approval of plans, specIfications and computations shall not be construed to be a permit for, or an approval of, any violatIOn of any of the provIsions of thIS code or of any other ordinallce of the juris- diction. Permits presummg to give authority to violate or cancel the provisIOns of this code or other ordinances of the Jurisdiction shall not be valid. The issuance of a permIt based on plans, specifications and oth- er data shall not prevent the building official from thereafter re- quiring the correction of errors m said plans, specificatIOns and other data, or from preventmg building operations being carried on thereunder when in violation of this code or of any other ordI- nances of this jurisdiction. * 106.4.4 Expiration. Every permit issued by the building official under the provisions of this code shall expire by limitation and be- come null and VOId If the buildmg or work authorized by such per- mit is not commenced within 180 days from the date of such permit, or if the building or work authonzed by such permit is sus- pended or abandoned at any time after the work is commenced for a period of 180 days. Before such work can be recommenced, a new permit shall be first obtained to do so, and the fee therefor shall be one half the amount required for a new permit for such work, proVIded no changes have been made or will be made in the origmal plans and specifications for such work, and proVIded fur- ther that such suspension or abandonment has not exceeded one year In order to renew actIOn on a permit after expIration, the per- mittee shall pay a new full permit fee Any permIttee holdmg an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work wIth- in the time requITed by thIS sectIOn for good and satIsfactory rea- sons. The building official may extend the time for action by the permittee for a penod not exceeding 180 days on wntten request by the permIttee showmg that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. 106.4.5 Suspension or revocation. The building official may, in wntmg, suspend or revoke a permIt issued under the provisions of this code whenever the permit is issued in error or on the basIs of 1-4 1997 UNIFORM BUILDING CODE incorrect information supplied, or m violatIOn of any ordmance or regulation or any of the provisions of thIS code. SECTION 107 - FEES 107.1 General. Fees shall be assessed m accordance with the proviSIOns of thIS section or shall be as set forth in the fee schedule adopted by the jurisdiction 107.2 Permit Fees. The fee for each permit shall be as set forth in Table 1-A. The determination of value or valuation under any of the provi- SIOns of thIS code shall be made by the building official. The value to be used m computing the building permIt and building plan re- view fees shall be the total value of all construction work for which the permit is issued, as well as all fmish work, pamtmg, roofing, electrical, plumbing, heatmg, air condItIOning, elevators, fire- extmguishing systems and any other permanent equipment 107.3 Plan Review Fees. When submittal documents are re- quired by Section 106.3.2, a plan review fee shall be paid at the time of submitting the submIttal documents for plan reVIew. SaId plan review fee shall be 65 percent of the building permIt fee as shown in Table 1-A. The plan review fees specified in this section are separate fees from the permit fees specified in Section 107.2 alld are in addition to the permit fees. When submittal documents are incomplete or changed so as to require additional plan review or when the project involves de- ferred submittal items as defined m Section 106.3.4.2, an addi- tional plan review fee shall be charged at the rate shown m Table 1-A. 107.4 Expiration of Plan Review. Applications for which no permit is issued within 180 days following the date of application shall expire by limitatIOn, and plans and other data submItted for review may thereafter be returned to the applicant or destroyed by the building offiCial. The building offIcial may extend the time for action by the applicant for a period not exceeding 180 days on re- quest by the applicant showing that circumstances beyond the control of the applicant have prevented action from being taken. No application shall be extended more than once. In order to re- new action on an applicatIOn after expiration, the applicant shall resubmit plans and pay a new plan review fee. 107.5 Investigation Fees: Work without a Permit. 107.5.1 Investigation. Whenever allY work for which a permIt is required by this code has been commenced without fITst obtain- ing said permit, a special investigation shall be made before a per- mIt may be issued for such work. 107.5.2 Fee. An investigation fee, in addition to the permit fee, shall be collected whether or not a permIt is then or subsequently issued. The investigation fee shall be equal to the amount of the permit fee required by this code. The mmimum investigation fee shall be the same as the minimum fee set forth in Table 1-A. The payment of such investigation fee shall not exempt any person from compliance with all other proVIsions of this code nor from any penalty prescribed by law. 107.6 Fee Refunds. The building official may authorize refund- ing of any fee paid hereunder which was erroneously paid or collected. The buildmg official may authorize refunding of not more than 80 percent of the permit fee paid when no work has been done un- der a permit Issued in accordance with this code. The building official may authorize refunding of not more than 80 percent of the plan review fee paId when an application for a I I 14.03.020 14.03.040 H. Uniform Sign Code, Chapter 3, Section 303: Delete #3, signs less than 6 feet above grade. 1. Uniform Sign Code, Chapter 4, delete Table 4-B. In lieu thereof, Chapter 32, Section 3205.1 ofthe Uniform Building Code, 1997 Edition, shall apply to projection of signs. (Ord. 2995 91 (part), 10/16/98; Ord. 2910 91 (part), 3/15/96; Ord. 256591,2/14/90; Ord. 255292,10/25/89.) 14.03.030 Factory-Built Housing and Factory-Built Commercial Structures. No installation permit shall be issued for factory-built housing and factory-built commercial structures until the Light Department reviews and approves electrical metering equipment, electrical service equipment, and short circuit fault duty ofthe electrical equipment in order to ensure that such equipment is safe and compatible with Light Department electrical meters and wiring standards. (Ord. 2552 92, 10/25/89. ) ~. 14.03.040 Fees. A. The fees set forth in Chapter 3.70 PAMC shall apply in all instances except as set forth in subsection B of this Section. B. If the work authorized under a sign permit has not been completed within 180 calendar days after the date of issuance of the permit, the permit shall expire and any subsequent work shall require a renewal of the permit and payment of renewal fees, at one-half the original fee. All fees are nonrefundable. Anyperson, firm, or corporation who shall erect, re-erect, construct, alter, or maintain a sign without a permit first having been obtained, except as provided by the Port Angeles Municipal Code, shall as a penalty pay double the amount required by the Sign Permit Fee Schedule. (Ord. 313091 (part), 12/13/2002; Ord. 2932 932,10/11/96; Ord. 2910 91(part), 3/15/96); Ord. 2757 92, 4/11/93, Ord. 2552 92, 10/25/89.) 1/2003 14 - 8 /~/2 C~kxl/ ~~r~~l~~~~f~7{~-~ I L:::. _~~2~:J CITY Of PORT ANGELES ~2~:!~':.~~~r~~:'_l'~:X~~~~~~ ] II!III!II~IIJI!I!IIII ~!IIIIJIIIIIII11111I!jIJIIIIIIIII~llllllli IIIIIII~ II~ "LED FOil RECORD to T THE REQUeST Of Ql.-~ C rZa..:J lECOROEO IN REl~~(j5ICl All AM CO 2003 1117001 Clallam County ZD03SEP 12 ;PH I: 40 CO ZONING LOT COVENANT lIWE the undeTSlgned owner(s) of the followmg described property: (Insert legal descnpllon here) (( { A J . ~"h [f-I I:)", l" i '-f;( S'/ II cf VIoL-I<- G of ~ 8etlCC'h,. fI,., tJjd,~ ''-<^ I fi' j +h..t Gl(('-j to flu.. s<.w-tk (v<("kJ) do hereby covenant that saId property shall be deSIgnated as one zoning lot as defmed in Section 17.08.032 "Z" of the Port Angeles Mumcipal Code. thIS covenant creates one inseparable building lotwJrich 1JIa)' ~i1l,y be removed through compliance WIth Chapter 58.17 RCW (subdivIsion regulations) and/or the City of Port Angeles short subdIvision regulatIOns (Ordinance No 2222, as amended). -- thIS covenant shall be binding on the owner(s), helr(s), assign(s), and successor(s) in interest and shall be filed WIth the County AudItor's Office. This covenant is for the mutual benefit of saId owner(s), herr(s), asslgn(s), and successor(s) In interest and IS for the further purpose of compliance with state and locd land use and bUIldmg regulatIOns. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resultmg from non comphance. ~ - '}) DATED thIS 'J.Vl) day of '5w {Iu.t /,w lfL.~~ , 2oill. c.'=(~.-w~~k,LLt ~{~ (Owner) (Owner) &0 ~ ~ (Owner) , (Owner) r - STATE OF W ASHlNGTON ) COUNTY OF CLALLAM ) ss r RITN!)4-LL"F R'Fl!) thaI on ~s ~day of S"E'\'lf"?'~ .lYE 1'4 "l I ~ '{ Pr t:...c v I '- 11 and to me known to be the mdivldual(i) desribed in and who executed the WIthin instnunent and acknowledged that H" sIgned and sealed the same as H 15 free and voluntary act and deed for the purposes herem mentioned. . Notary Pubhc m and for the State ofWashmgton, do hereby certify . 20 0 3, persomilly appeared before me GIVEN OFFICIAL SEAL tillS ~1> " 1. day of S t"t'Tthf>l:-'L 20~ ~~ NOTA:RY PUBLIC In and for the State of Washmgton residing at Port Angeles. FIled for record at the request of C;;~T E-,I};\ 6t::f2- ~r-l---( 0z.c-:> this l'ztraay of 20~ ~r~ I -, -:--17 /.~~ .:.:-./ ':.... ,,- \ /)/1 f-Ep.j Lrw,j....J ({)I L./' ~ fC~ 1W, 10 'lac'? I / ! _':-t" i i . I I e_._~__--~--'--------_...J__---r- OJ IJ.,; /,J r:'., roE f L..:p.o...j . i' .-.... - --.. ----- -- -. .,---- ---- Fq''::__/'',;_~~-,EDf,~.~_ChPV'' .. ~1.2E -:,fJJiJJ);,u;J!__f'/iJ:./v T ..,.- ') J2 (";J '~ I II V \-J./f.::~~. . 3o~L/7 . ---I ---.:. ----- r-of '-. '-'. . /,1 .'I--to .. --- C;. ":/ r, p;: ......)i...-l.....' U ./ '(~ I S-) J 12. Ql) 'r ---~-_... . '1:'" . P~Pl Nb. 2)l...J.~ -- - .- --,-.....- --- -------- -- I ' i L -A L.~_J ;J n;;vtLcD<t.D + __ _Y t _ _ __ _ _ _ _ _ __ _ _ _ 1J.,p, ~;vCf 71'58, (oS? I b'3 '1-- 'i3 bL;q '7 sw,:;L _ _ _ L ____ l.ff~. I er I 1_ . __.. ______._____~ ____: '- . I 1--(o:r , IS" TOTA~ .J ~c\E:.D - - -- - 1 -- -- --- -- -- -- - ----- - ~--- -- - ---- - ~lcf-( I f ~,so--'~? .C l c>c..5r ! ---~- ~~ - I hi 8 S- 7Q,~ , ~.)\ k) ( i l S uJ I ("', I c i '--' 0:;::-; ,L({00'J ~7 , 1'/~%- , , I I --~~-~~~- - ~ ---~-- ----- - -- - -- --- -- - -- ~- -- - ----- .-;-- -- ,-- V'k1~ -:=:- ~fiCf'4" - - ~- - V L..?oQ r ~, ~ {B7C..r. .-- ..~~ft-_____.. _____ _____.._ .________. Ar...E/i 0 F - ~ --- - ------ ------- ----~ -J-. . -- ----- -- -------.---.----- ..- --.----- .____ _.T.. _____ _. __. _____ SU~TL~; ~~'.'~:~ -_ Ji~~-:--~;jli-~_~.._ (:~~_~/ ..:__._._.-- -' -- '-' } -~- --_-Bs=/'~ - . .---. -.r2 .~m..l.Su_ "'~ c::;. ~a / _ I. '? ~/ ___"Jj -. I. _:::.. --r,Q:'--.::"'7~:-::, _' '=='__ . . - - --. . - _u__ .) _. - --.-.---------,----- -. --.--.--------&{ --~----j..-(I S-) ~'i ~ 9-;'--- i'::;;I-'-h-;ti~~-~~,..e;[ 7-"J~~ .__p____ ----- ___________u_. -.-------- --,.-.-------.--..----.------~___ _____. _________. __._________ __ .Lee: .. __ _/ ...-=-~-.~~~ -,= ===-..... .=-=~--~.==-. -~=--=--- -= .=..=-~.....=.- -=-l~~~;~~~;;~~".~...-~~ --- --- -------~~- ---- --~ - ~---------- ----- ---.- -------------- -~-~------- -- ----------------------~---- --~~-- (' ..", -~- -~\- --~-- ----.... ------- ----~-- 1 r , " J <_,L " __n _____ ___ " ------ ~ ------ _ --- ---- --~ -- -- ---- ,',~-I- \., \ "',,,, " ! _~ .=. ...~~~~;y7;-Qf', ,.'. .' A I ,',:J 1/ ,.L.--~' 'i,,1/ 1/ f -, <" -- --- . .-- -- --. -- ---. ---- - -- ---.- ----- - - "r~~~ltr!7:.jl~:~.~ ~i(~I'V -' , I ~ . . CLALLAM COUNTY DRAINAGE DESIGN I ZENOVIC & ASSOCIATES PROJECT: NEW DUPLEX FOR GREEN CROW 519 S. PEABODY SUITE #22 BEACON HILL ADDITION LOTS 11-16 BL 6.58A PORT ANGELES, WA 98362 PARCEL NO: 630145306600000 DATE 2/10/2005 JOB NO. 05055 AUTHOR: SH Mean Recurrence Interval = 2 Years Rainfall Duration (T) = 30 Minutes Design City = Port Angeles 1= 0.711 Inches/Hour = m/(T^n) m= 4.310 n= 0.530 BEFORE DEVELOPMENT RUNOFF AREA ACRE COEFF.* SQ. FT. "A" "C" Q=C*I*A 1 TIMBER 2-10% 30447 0.700 0.150 0.075 TOTALS 30447 0.700 0.075 CFS * = INCREASED 10% FOR 25 YEAR STORM (.90 MAX) AFTER DEVELOPMENT RUNOFF , AREA ACRE COEFF.* SQ. FT. "A" "CO Q=C*I* A 1 ROOF 4704 0.108 0.900 0.069 2 DRIVEWAY 7938 0.182 0.900 0117 3 SIDEWALK 1007 0.023 0.900 0.015 4 LAWN AND LANDSCAPING 16828 0.386 0.150 0.041 TOTALS 30477 0.700 0.242 CFS * = INCREASED 10% FOR 25 YEAR STORM (.90 MAX) INCREASE IN SITE RUNOFF = 0.167 CFS ALLOWABLE = 10 % 0.007 REQUIRED ON SITE RETENTION/DISPOSAL = 0.1595 CFS REQUIRED VOLUME FOR 30 MIN. STORM = 287 CU. FT. RUNOFF COLLECTED TO MEET REQUIREMENT % CONTROLLED AREA CONTROL Q=C*I*A RUNOFF 1 ROOF 4704 100.00% 0.069 0.069 2 DRIVEWAY 7938 78.00% 0.117 0.091 3 SIDEWALK 1007 0.00% 0.015 0.000 4 LAWN AND LANDSCAPING 16828 18.00% 0.041 0.007 TOTALS 30477 0.1674 CFS 301 CU. FT. DETENTION TRENCH/PIPE TRENCH DIMENSIONS WIDTH = OFT. DEPTH = o IN. = OFT ROCK VOID RATIO = 0 PIPE DIMENSIONS PIPE DIAMETER = 36 IN. = 3FT PIPE # 1 AREA /L.F. = 7.069 SQ. FT. PIPE #2 AREA /L.F. = 0.000 SQ. FT. ROCK VOID AREA IL.F. = 0.00 SQ. FT. TOTAL VOID PER L.F. = 7.07 SQ. FT. ESTIMATED 1RENCH / PIPE LENGTH = 42.6 FT. = 0.0 C.Y. 2yrdralnage.xls Page 1 of 1 Intensity ... CLALLAM COUNTY DRAINAGE DESIGN I ZENOVIC & ASSOCIATES PROJECT: NEW DUPLEX FOR GREEN CROW 519 S PEABODY SUITE #22 " LOCATION: BEACON HILL ADDITION LOTS 11-16 BL 6.58A PORT ANGELES. WA 98362 PARCEL NO: 630145306600000 DATE 2/10/2005 JOB NO 05055 AUTHOR. SH Mean Recurrence Interval = 25 Years Ramfall Duration (T) = 30 Minutes DesIgn City = Port Angeles 1= 1 207 Inches/Hour = m/(T^n) m= 7.370 n= 0.532 BEFORE DEVELOPMENT RUNOFF AREA ACRE COEFF.* SQ. FT. "A" .C. Q=C*'*A 1 TIMBER 2-10% 30447 0700 0165 0139 TOTALS 30447 0700 0.139 CFS * = INCREASED 10% FOR 25 YEAR STORM (.90 MAX) AFTER DEVELOPMENT RUNOFF AREA ACRE COEFF.* SQ FT. "An .C. Q=C*I*A 1 ROOF 4704 0108 0.900 0.117 2 DRIVEWAY 7938 0.182 0.900 0198 3 SIDEWALK 1007 0.023 0.900 0.025 4 LAWN AND LANDSCAPING 16828 0.386 0165 0077 TOTALS 30477 0.700 0.417 CFS * = INCREASED 10% FOR 25 YEAR STORM (.90 MAX.) INCREASE IN SITE RUNOFF = 0.278 ALLOWABLE = 10 % 0.014 CFS REQUIRED ON SITE RETENTION/DISPOSAL = 0.2639 CFS REQUIRED VOLUME FOR 30 MIN. STORM = 475 CU. FT. RUNOFF COLLECTED TO MEET REQUIREMENT % CONTROLLED AREA CONTROL Q=C*'*A RUNOFF 1 ROOF 4704 100.00% 0117 0.1173 2 DRIVEWAY 7938 78.00% 0.198 0.1544 3 SIDEWALK 1007 0.00% 0.025 0.0000 4 LAWN AND LANDSCAPING 16828 1800% 0.077 0.0138 TOTAL 30477 0.2855 CFS 514 CU. FT. DETENTION TRENCH/PIPE TRENCH DIMENSIONS WIDTH = OFT. DEPTH = o IN. = OFT ROCK VOID RATIO = 0 PIPE DIMENSIONS PIPE DIAMETER = 36 IN. = 3FT PIPE # 1 AREA /L.F = 7069 SQ FT PIPE #2 AREA /L.F. = 0.000 SQ. FT. TOTAL VOID PER L F. = 7.07 SQ. FT. ESTIMATED TRENCH / PIPE LENGTH = 72.7 FT. = 0.0 C.Y. ORIFICE #1 2 YEAR STORM Head 1.710 FLOWRATE (Q1) = ~~~~ CFS ORIFICE #1 DIAMETER =[~{~~'!gj1?IN. ->uSEI o 44IIN. ORIFICE ORIFICE #2 7/16. 25 YR STORM H2 (TOTAL HEIGHT ABOVE ORIFICE #1) = f~?213JbO FT. FLOWRATE (Q out 2yr ontice) = ~~d!~ CFS FLOWRATE (Q out 25yr orifice) = ,;}:;"!8.it1,27 CFS H25(HEIGHT ABOVE ORIFICE #2) f~~;-J~~:2000 ORIFICE #2 DIAMETER =~~j~:~ IN ->uSEI 0.691IN. ORIFICE 11/16" 25yrdramage.xls Page 1 of 1 Intensity " ,^ '- .< "1~ " t~ 5~ . >. ~ORTANGELES WAS H I N G TON, U. S. A. Community & Economic Development Department March 1-0, 2006 Mr. Dennis Yakovich Green Crow PropertIes 722 South Francis Street Port Angeles, W A 98362 Re: 1212 Campbell Avenue Dear Dennis: . I have requested that a check be issued to you in the amount of $800 to cover the credit amount ($200 x 4) for fire sprinklers for Green Crow's development at 1212 Campbell Avenue. The check will be mailed the week of March 13th. Just a note for future developments regarding fire sprinkler credits: We have discovered, through this experience, that wording in the new ordinance is flawed. The intent of the legislation was not to return a greater fee than that charged for the fire sprinklers, but was to credit the amount incurred by a property owner for installing fire sprinklers. The wording will be amended such that the credit "shall not exceed the cost ofthe permit" and the credit will be issued during issuance of the initial permits for accounting purposes. In this case, the development cost was $297.45 while the credit is $800. If you have any questions regarding this information, please don't hesitate to contact this office. Sincerely, ~ ~L~Jjc~ Sue Roberds / l' Planning Manager Phone 360-417-4750/ Fax' 360-417-4711 Website: www.cltyofpa us / Email. smartgrowth @cltyofpa us 321 East Fifth Street - P.O. Box 1150 / Port Angeles, WA 98362-0217 N N 'N ~l!il- ~ IIlClO~ ~ ,.I(1) 9 (.J 1Il;......~ ,. .;nz 8~.....'f~ CD...IO""u <...~. ~ ~~....s ffi .cw~ N en.... z- ;.; (1)l5~x. Via.. a.. ~ ~ s ~ I ~ i fil I ~ ~ ~ e:. if). .....:J - ~ E- ~ o .....:J o 0:::: E- Z o U Z o - if). o 0:::: ~ o z ~ ~ o ~ z - ~ 0:::: o i ~ ~ ~ ~ s:: 8 ot ~ ~ ; .c if1 \..;l.J o(5t- U:::~ - u < :> O~ o if1 Go Zif18 \..;l.J -< l: N FINISH GRADE ~~ -:::::;: 36"0 HANCOR OR ADS DOUBLE WALL PIPE WITH WA TER- TIGHT JOINTS; RUN PIPE LEVEL BACKFILL AROUND AND ABOVE PIPE WITH NATIVE MATERIAL FREE OF DELETERIOUS MATTER AND ROCKS GREATER THAN 3" IN DIAMETER / PROVIDE 3" THK. SAND BED UNDER PIPE TO ALLOW FOR LEVEL GRADING ~ a! DETENTION PIPE DETAIL NOT TO SCALE EB C'l ~ ~ ....J Ol f5 CO ~ ~ i::Olvi ~""loJ o~g lJ><~ ~g~ l"J .... ~~@5 f1Dlklk ';2 .!. 6" DIA PVC OVERFLOW STANDPIPE; TOP TO REMAIN OPEN. 6" MIN CLEARANCE TO GRATE (BUILD BERM AROUND GRATE INLET TO ASSURE COLLECTION OF DRAINAGE SWALE RUNOFF 18"0 DIA. DOUBLE WALL PIPE TEE, HANCOR FC T47 18 OR EQUAL SET INTO CONCRETE 2". EXTEND AS NECESSARY TO REACH FINISHED GRADE. DRILL 11/16" DIA OUTLET ORIFICE INTO 6" PVC PIPE. WATERTIGHT SEAL ______ 6" DIA. PVC OUTLET PIPE SLOPE A T 2~ MIN. TO DAYLIGHT AT DITCH DRILL 7/16" DIA. OUTLET ORIFICE INTO 6" PVC PIPE; L ORIFICE TO BE AT SAME LEVEL AS FLOWLINE OF DETENTION PIPE 4" CONCRETE PAD ~ o ... ~ ... ~ ~ ~ ~ ~ 36"0 X 73' LONG HANCOR OR ADS DOUBLE WALL PIPE; RUN PIPE LEVEL; SEE DETAIL ABOVE 15" DRAIN GRATE HANCOR MR GDG 18 OR EQUAL \. BOTTOM OF SWALE '\ SET LIP OF BOX AT GRADE BOL T DOWN LID 6"0 FROM CATCH BASIN .:: z 1.1.I ::J u W ...J I- 1= SCALE: 2% SLOPE ~ INSTALL RISER SECTIONS AS NEEDED TO OBTAIN PROPER HEIGHT T z :E Co . "'" "'" Z :E O:l NOTED 36" X 6" DOUBLE WALL ____ ECCENTRIC REDUCER, HANCOR FC SB7 36 OR EQUAL A : FEBRUARY 20D5 FILE: 05055 GRaN aww/ 36"X 18" DOUBLE WALL ECCENTRIC REDUCER HANCOR FC SG7 36 OR EQUAL JOB NO: 05055 6"0 PVC STORM SEWER PIPE DETENTION PIPE CONTROL STRUCTURECD PVC ELBOW, SAME SIZE AS OUTLET PIPE NOT TO SCALE CONCRETE CATCH BASIN, TYPE 1 PER W.S.D.O T. STD B-1 DETAIL TYPE 1 CATCH BASIN ffi NOT TO SCALE 2 2 OF l3N :l,^ON3Z0:l,^0N3Z '1IV"3 tlSO-Llt (091:) .XV~ IOSO-lIto (09r) :3NOHd l;9r86 '1M 'S31JON'I .HIOd l;l; '315 ".15 AOO8'13d '5 6lS 031 V~d~O:>NI S3.L V I)OSSV Z ~ )IAON3 Z9f"B6 VM 'S313DNV l~OIl 6f"vZ xoe "0 'II :>11 ~38rtU MO~:> N33~1I :1 N31l:> NYld 10lLiNO) NOISO'H3 aNY 3aYNIV'Ha W .J < (099OfSi-tl-0f-90 'ON 'lJ'I'd) '''AI 'S3UDN\' JlJOd 'NOUIOO'I' ll1H NOO"38 '9 J0018 '91-11 SiOl 1:10.:1 JN3I'1d013t\30 ~ :311U ~ :\ " " 1\ '/ . ': J ',I \' \:i "'" I " 1\ (\ 1\ , " , i " . ,.r , " ,',1\ \ \,' ""- f" \, '" ,'. '\,;" ,_I ~~ ___ " 1-1 " '\,\:' -'- " ". " ...... "'--;- J\ ,';,' , , . 1-" , ., ~-, ....~ \ \, \ \ \ \ \, \,- . /\ \ . ~ . \ 'J \...-:_--...~~..... ~ -, -.....~-~.. -; 'I' , Ix' ' ~ ~ ". ,'/ "'. V, / , ' I. , }.,. --...... : /' \ 1\ .,:::., t' \ " :1 // , , 1 - -. -__I ,I " ~ I il :l, _ , . \' ~ '\ ' 0 uti \ \.)\ ~ )/ \, I )i 'i I ,. , 1/ / / " . , J ','- ( - \ - / /' -.. ,- , I ,,' ,\ " \ iJ // " .y J / / i I , 'I ", /\ '" ' ...~- -~ ...., ~ - -. I, !-I' , I ') I , ) , /' IIJ"-_~ I I ,. '/' 'I /i \ /\ l , ..' '),,--. ,''\" -'/- / i ( I \l / !' ~ ~ 0 ~ t'II ~ >- i II') Q:: ~ 0 '<( ~ ~ ::l ~ Q:: el 0 ..1.1.: z W Ql < .J 0 G: ..., I I ,j I .,1 / i ! I I / ./ I ! I \ 'is tJ3i~Od \ , \ -' \ I \----- ' ~ I J "',,~i . ....j '\, { , 1\ In,' ' II .~ ~<;I~r , 1 ,/ i " I II \ i I \ \ \ , \ / I / I I 1 ! \ \ \ \ \ " i i \ ::.:: < W 0:: Ql \ \ I- \\ ' ~i5 ' , g~ \[ 1"')< co a. xu ,\ ~~ ,\ a. '111 i 11+ 'I -, ", ~ . '() ,;" <";j ,. 1 ~. ) r I " l' " II \> ';J ,: I ...-j " '1 ' ,. I " J i J I I 1 ' , " \/ "/ I 'J ~l \> I ., \,, 'J -/.; f. ,':'. I 1. I I I / ,I / , / I / \ " \ '" '\ '\-, '\ ) ',j 1 \ , , ~- - ~ /~ \ , ( / \ I i />~ I ( /. " ! ! / I I I I ( ", -'--...., '., \'" " \ \ \ \ \\ , \ \ I \ \ ,I I I , I I I , I I I I I I / I I I 1 ) I I I j I / I I / / I / / , I " / / / /' I" //1 ,. I I I I / I I .... , ~N I- W W ,I VI l.L o \ \. ", " \ \ \ \ \ o 0'1 ft 0 j'J) a II to :: .- , , a Q) - I") 0 () (f) o ~ . -<O,"OR'"",()~ ....,,<:-~(<<;;, ~ ~~ ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, W A 98362 CF3>-Q63 Application Number pin number _ 7857 Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description subdivision Name Property Use Property Zoning . . Application valuation 03-00000953 Date 6/23/04 1212 CAMPBELL AVE 06-30-14-5-3-0678-0000- 4 UNIT APARTMENT RES NEW MULTI 3 & 4 FAMILY J Z- J Z Ct4Wl pbeJZ-f. ~ 240240 Owner Contractor GREEN CROW TIMBER PO BOX 2439 PORT ANGELES LLe WA 983620312 ACCENT CONST. OF SEQUIM 942 STRAIT VIEW DRIVE SEQUIM WA (360) 683-3307 4 UNIT APARTMENT 4368SF TYPE V NON-RATED HOTELS, APARTMENTS 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 INC. 98382 Structure Information Construction Type occupancy Type Other struct info 13.00 V-N 6866 1. 00 1. 00 32875.00 4368.00 4368.00 4.00 Permit Additional desc Permi t Fee Issue Date Expiration Date PUBLIC WORKS RES HOT TAP 2" ON 2" 3160.00 6/23/04 12/20/04 WATER SERV FIRE LINE Plan Check Fee Valuation .00 240240 Qty Unit Charge Per Extension BASE FEE ~600. 00 4.00 640.0000 EA PW W/M 1" SERV 5/8" METER :'&0.00 ------------------------------------------------------------------- ---- .~ J-k; -r 1'~ Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 6/23/04 12/20/04 Plan Check Fee valuation .00 240240 Qty Unit Charge Per Extension --------=~~~-------~=~~~~~-~:~---~=~~=-~~-~~=-~~~==----------------~ Permit STREET ALLEY RESTORATION Additional desc Permit Fee Issue Date Expiration Date 400.00 6/23/04 12/20/04 Plan Check Fee Valuation .00 240240 Qty Unlt Charge Per Extenslon Jf... ~ if _________________________________BASE_FEE___________________ ___ ~ 400_00~, ~;~t1~ Perml t . -... SANITARY SEWER HOOK UP ff --.L.. , 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 no] been requested within 180 days from the last inspection. I hereby certify that J 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 gran]ing 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 Da]e Signa]ure of Owner (if owner is builder) Date T:\PLANNIl\G\FORMS\1102.15 [11114/2003] ,ro'''..;,;, , ,,-<D~<,~ "~~~ ~~ ~ "4I;:JC~p CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Additional desc Permit Fee Issue Date Expiration Date Page 03-00000953 Date 2 6/23/04 .7857 119.00 Plan Check Fee 6/23/04 Valuation 12/20/04 .00 240240 Qty 1. 00 3.00 Unit Charge 95.0000 8.0000 Per EA EA SAN SEWER HOOKUP SAN SEW HOOKUP ADD/UT Other Fees SEWER SYSTEM DELV CHARGE 29 STATE SURCHARGE h; 4.50:5 PW WATER SYSTEM USE FEE C:--4 00.00' Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permi t Fee Total 3724.00 3724.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 7084.50 7084.50 .00 .00 Grand Total 10808.50 10808.50 .00 .00 Separate Permits are required forelectricaJ 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. J hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Jaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/1412003] FAX: . -~--FAXTRANSMr- CITY OF PORT ANGELES ENGINEERING DIVISION 321 E 5th St PORT ANGELES, W A 98362 (360) 457-0411 GvP'P n (i"ou) ~pnn ,<:. 'I 4 /7- 3{c 7<'{ ~ COMPANY NAME: CONTACT NAME: CITY I STATE: SENT BY: -----.--- ) r {2,11 IC-L---' I L\7; C'14n ~ A-p-~_ ~+ eDYr. pie'" . 'P~t13UG LUO'l2..K 'Fees DESCRIPTION: 1~ (.'-''./1...-/ L~ e.vi'look: up = ($.2.~QE) De c' e.-l c PYl-1e-.v-\-';:,isk-MUse,- ~€.."'-- -h- sUu--~..-L-' :f '116 !'l2..-R/v .xad.. 1A/1U:t, WtLUu rn../!.1z;'L-- m~02Y-C $U740o--C -hV-Rtl-U'-. -1/1 ,[)-t-t rni~ .. :;-tz--rr; /1>--M./7-~~J/tUPL) :I / [7 Z? t?!:-' -llv t1 1 LC ~t, . :bii ~ .1L~ Z " :I & D D ~ 511..u..--t:h.-. t-~{l;J::(p~ 'Y--rv ,'/7, J4,<.I,U--V,j ~ / ;t 400'?!2-- 1/ NUMBER OF PAGES (INCLUDING COVER SHEET): RETURN FAX NO.: (360) 417-4709 IF THERE ARE ANY PROBLEMS WITH TRANSMISSION CALL: (360) 417-4807 ) . . (/Z A--n h}~-e'J!( /?t1:'rz-D7 . J<:/-U{J.{/v !?1tU"lv ;....-;-u 'l'/'1~v- J _ g Jj:JY& /??c7/rJ ,/] I :I, ~I(]];';;' h -- /;ID//J//--t-j!. g t) P -- '+ ~'-:'-' (<,y-t-L/---<. ~ -- c.. ~ (J!-uf @.fdeA--- .{..lM..U.-- (j II vi _ -<A/t.-L /c.f ~,-<'--(- - aMI ~ @ P f'vtyu.{!a1 /Iz-I t,lt.f-2J W ~ - I ! ".''', i I ~ p' 4~ ; k" - '8- ~2q ~ Z 43(~4500 )eCLL/\. Jft25 & 0 1 ( &40 00) II V{Lf/oO '9 (IDZS~ 1/ t GDO I Acc.t:ti;p r <f [) 0 '4sp hu.b W!A27:- - W / OI~O.q - II i1 i. -, I, I"! II j' 11 II li . jj II Ii II ,\ 11 ;.1 I' '1 11' I 'I 11 r . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 7 - 7 - 0'-1 Time 7 -.00 fl WI.. Received by De "'- q'-S E (phone, person) Location of Work to be inspected 12-/'Z- 6w>-fd!?e.{{ Name of person requesting inspection 7)e.",,,\,:., IE.. Address of person requesting inspection c..,.-p l.(o....rJ 17 + i3 Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Othe W<;:,..ft:.<. ()3/q';)3 INSPECTION NOTES: Inspected: Date 7 - ,- 0 '-I Remarks: e2" hre. ~yv, ,-.e Time Z- () WI. By +-4-ffe.d oc;!~ o~ a.. Ue.IA",-,'" E. L" L'. "'-e.d c. ."1::. IMA..~ RESTORATION REQUIRED. . . . .. YES X NO ~ \... ~ \.. O.? ~ uu-<fb.d( Ave Ie g.,-' z"CN 8"(' .- -r"'O~ . '"' 00 jIlA.6.l.., ~... ... "" c SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City [] Repaired by Permittee o No Damage Found C;(~c..(' ~ Asphalt 0 PCC 0 Other Work Order # (<I~ - 0'+ 7 ci COMPLETE i"eso., -r--~~1"-~ o INCOMPLETE vJ\t-~ \--Ao'\"' !A, y ~ tiS I 'l52! \-1\ -oc\ /' f; - . 0 It fe+- 7/J:H 11== (Continue on reverse side if necessary) STREET SUPERINTENDENT \/~ !DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . INSPECTION REPORT. . . . . . REQUEST: Date 7 - 7 -otf Time t:.oo A Wi.. Received by Dev\v\ls E (phone, person) Location of Work to be inspected I Z I "Z.. Ca.....;) be ({ Name of person requesting inspection ve",,,,'s f. Address of person requesting inspection Le,rf) Y'...... J I Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Ave. . u"":+ A, 13, c.., i) I I ( 17"1- 8 Phone No. 'fn - +81'7 Permit No. 03~ Sewer Excav. Otherc:JCL +e..r INSPECTION NOTES: Inspected: Date 7 - '1 - () <f Remarks: AJe.w (x.. ~8 ~rv(CeS Time 2-', P/VI... -re:..,1 tJed OVL 2.-N II By (\ 1?0V1. :<; Vt-L"..; VI . E. RESTORATION REQUIRED , . . . .. YES NO )( \. ~ 't ~ ~ , _ $]<-1: z" cr. ~ 3~' Oeef ~4?1 (,. Ao~S'3~~ ~ ;;07 ~r;,<:~ . /' L-~tvtf be ( { · eve... . -Z- Fin SU".J. 'Z Me.t~r5 f<r b~", (. D A is \ ~48~ / I-09D~;? C.57.ol ~2/. S :::0 o?f'~'j I P. lP SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City [] Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # /t{70';) - 01.('5 -0'/'-1 [] COMPLETE -O<i5 o INCOMPLETE - O"fo (Continue on reverse side if necessary) !;TRFFT !;IJPFRINTFNnFNT IDATEI CIVIL ENGINEERING LAND SURVEYING ENOVIC & ASSOCIATES 519 Sourh Peabody Sueet, Suite 22 Port Angeles,Washington 98362 (360) 417-0501 Fax (360) 417-0514 E-mail: zenovic@olympus.ner INCORPORATED May 16, 2005 Mr. Gary Kenworthy, City Engineer City of Port Angeles P.O. Box 1150 Port Angeles, WA 98362 Re: Duplex for Green Crow Properties, Inc., Campbell Avenue Parcel No. 06-30-14-530660 Dear Gary: As requested by the owners of the subject project, I have reviewed the design of the stormwater management system of the recently constructed duplex to determine if the duplex site can be incorporated into the master drainage plan for the proposed Planned Residential Development in the site. It is my opinion that the incorporation of this portion of the development into the overall site stormwater management is feasible and appropriate. It is anticipated that he PRO application will be submitted in the near future and that, upon approval, site development will proceed this year. If such development does not occur, it is possible to construct the approved system without major impacts to the site or structure. Please give me a call if you have any questions or comments. Sincerely, Zenovic & Associates, Inc. ~~iC'P.E. Principal Engineer Fe: JN05055 Cc: Green Crow Properties, Inc./Tim Woolett '?' ." / 0, ~V CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: I Date 0} ! If uS" Time Received by j~ (phone, person) Location of Work to be inspected 1 L 1 7~ (7{Q~ !urU ,lrJJL Name of person requesting inspection Address of person requesting inspection . Phone No. Type of Inspection (circle appropriate one): Permit No. 0"5 --qS =s Sewer FoJndation Framing Chimney Plumbing ~c;ewer Excav. Other au /? /~ ~- ~ INSPECTION NOTES: / / Inspected: Date (p, YJ I) \ Remarks: /)nl,U", Sf"''' + l"lr"'-~ "-.., be,.. /;) Id".3 (l r<"\p .... &".@ r@ J.. , Time 3. i OODWl By l' p....r:,,^-<:.-\'.e.-v D.-6.I~s 1-"" _\ ," '^^- L: "",v-~/ Qv VI. "-e.d c:...<>.", ole f~<=L- , RESTORATION REQUiRED...... YES ~ NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) CTDI:CT CllDCDll\.lTI:Mnl:'l\.lT InATE:\ ELECTRICAL PERMIT APPLICATION FOR OFFJCI:"_L USE Ol'P_Y DalclRt:c: Perm;t/I; Dat"Appmved: Dalt:l.;sucd &t,'r>.. The Electrical Permit Apllllcation must be filled out comolelelv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 03 - 95'3 Owner or Elec. Contractor Agent: Phone: Fax: Address:PO SUi Z4'5'}.,I',Il; In3C!:L ,n, Electrical Contractor: /lA L-U t>1l SEI-/S P: lh"rTR.1 C. City: PII1?T. ..QUI: ELES tlR<'VI'~:r()4qCl.- License #: Phone: 45'l. - 3325 Zip: ge~~:2 Property Owner: aREcN CRDW PRDPE"1l1I1H Exp e/13jO/6 Phone:4~'7 - '7 ~{J '3 Zip: '" A' 3 ~ ~ Address: '::>442 PLFlcr::: RD City: Po RT fiA/c'PLIi! 5 . INSTAllATION WIREO BY: 0 OWNER ~ ElECTRtCAl CONTRACTOR Credit Card Holder Name: '1IIif.IM/? S6NS FLEt:TR Ie Credit Card Number: ~A1 r/Le City: PbJ:)T A#6EIJ; S Exp. Date: / / () ' , Zip: .9S3~ 3 VISA:~ MC: Billing Address: ZLJ4Z PfbcE Ii'P PROJECT ADDRESS: /8/2.. ~MPBEIL Ai/E , TYPE OF WORK: Check .ell that apply: ft New o Alteration/Addition o Residential jli{Multi-family o Commercial o Mobile Home Sq. Ft "tt1OCJ o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT:.. L} - f'LEX (qt10R ,St:;R\/rcsr ~/4 /UA FEJ:OleRS Electrical Heat Load Additions and or Subtractions Service Information KW Voltage: IZII/Z4t1 KW 0 Overhead Service Phase: J1\ 1 0 3 _ TON L')A 0 Temp Service Service Size: 4"" A ~KW (p( Z-l f 0 4--- )lit Underground Service Feeder Size: /2!.5 '1 . A( - Vt.r- 0;780 ~ te3l'/OI p~~ ~G;; ~ ND ~..((.z!... - ~ , hereby certify that I have read and exammed thiS applicatIOn and know that same to be true and correct, and I am 3uthorized to apply for this permit. J understand it is not the City's legal responsibility to determine what permits 3re required; it remains the applicants responsibility to determine what permits are required and to obtain such. o Baseboard o Furnace o Heat Pump OIl Fan-Wall ~tlO .4 1X ..,)~.70 ABIC~7;~;CATION ~ /It( ~IJ-~ Owner or Elec. Cont. Signature: (~-?It ~ ~ /30 .~O 9tJ.80 PERMIT FEE: $ d;;2 / dO ----- Credit Card Holder's Signature: Date: &; !/~104 I Date: ~ / ?oj/) A "."",' , , ELECTRICAL PERMIT APPLICATION b/ lelx- The Electncal Penmt Application must be filled out comoletelv. J ~ease type or reprint In ink. If you have any questions, please call (360) 417- / I'll 4735 Fax number: (360) 417-4711 FOR OFFICIAL USE JJ:!f :!olj DatdRec: y.... P~i,,, 0',1 ~Z7 Dale Approved: . OLj ~ 3 Z-Z-, OwnerorElec.ContractorAgent: <TIM #ALI/;RSFrJ Property Owner: f.'REEN (!RoW R" Ii" 51HT R >>f REQUEST INSPECTION ~ Phone.4X'1-?tflJ'1 Fax: 4t;;2-:/fqL17 Phone: 1/'7-36107 INSTALLATION WIRED BY: DOWNER City: P,(JRT ;flN&;F/FS I/lILvtJEI""LjqCL I. I I. License #: Exp: ~I/~, " City: PoRT AN(;ELF.S jl(ELECTRICAL CONTRACTOR 7ip: Address: Electrical Contractor: HALI//)RSEN{; EI t=f'TR J r Address: 2.442 PLAn; RD Phone:1.l;"'7- 7Ro3 Zip: 9f!?-=?('"3 Credit Card Holder Name: IIlrLl/tJR.<;E:N S Ef/EcTR Ie Bi/ling Address' "" - . - ./tV" 2442 PUle", RI7City: p/)/f'T hAlt;EIES Credit Card Number- 1J)j PILE Exp. Date: 12/2.. e.""-'MpbdL Av~ ?N(TtiK ~ CW",PBIilL. /wE: / / Zip: 'Jf13 ~b ?r V/SA~ MC:-.-- PROJECT ADDRESS' TYPE OF WORK: Check all that apply: %New o Alteration/Addition o Residential 0 Multi-family o Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: 17iMP . ,f::RIIICP. PERMIT FE 109D ~~ o Overhead Service }11.. Temp Service o Underground Service Service Information Electrical Heat Load Additions o Baseboard o Furnace o Heat Pump o Fan-Walt _KW _KW _TON _KW LRA Voltage: /"Zo,htjA Phase: Jl't 1 0 3 Service Size: t;U..4 Feeder Size: I hereby certify that I have read and examined this application and know that 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 such. +'1,,(..,0/ CLAJ~ 4e-f MP IN ~+ 0+ po~-k. rJtr&CA-pkl(~~ 1\, . rvr~ ~..:)Ct'sf' 'f,p,vttL- ,Jl ~t;d-vJlt(u,.~ lJttLy-6f ~ I~ .J.'-J\2'J Credit Card Holder's Signature: ~AA.("'<1 41! ~i!~ Date: 1- /,.'} /tJ4 a ' Owner or Elec. ConI. Signature: r'#~/ ~ /,%}.,"""""'.L..--1 Date: 4 /;'~JtJ4 C:/ELECTRICALPERMITAPPLlCA TION