HomeMy WebLinkAbout931 Glenbrook Cir - BuildingPREPARED 10/22/10 8 12 24 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/22/10
ADDRESS 931 GLENBROOK CIR SUBDIV
TENANT NBR TERRY K GOLDMAN
CONTRACTOR PHONE
OWNER TERRY K GOLDMAN PHONE (360) 457 9364
PARCEL 06 30 15 5 9 0010 0000
APPL NUMBER 10 00000688 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 7/28/10 JLL BLDG FRAMING TIME 04 00
7/28/10 AP July 27 2010 4 48 20 PM 1pangrle
TERRY 477 7386
FRAMING
HE REQUESTED A LATE AFTERNOON INSPECTION
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
July 28 2010 4 28 30 PM jlierly
BL99 01 10/22/10 BLDG FINAL
October 21 2010 11 46 05 AM pbarthol
Terry 457 9364
COMMENTS AND NOTES
PREPARED 7/28/10 8 14 47 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/28/10
ADDRESS 931 GLENBROOK CIR
TENANT NBR TERRY K GOLDMAN
CONTRACTOR
OWNER TERRY K GOLDMAN
PARCEL 06 30 15 5 9 0010 0000
APPL NUMBER 10 00000688 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 7/28/10 JLL BLDG FRAMING TIME 04 00
July 27 2010 4 48 20 PM 1pangrle
TERRY 477 7386
FRAMING
HE REQUESTED A LATE AFTERNOON INSPECTION
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
SUBDIV
PHONE
PHONE
(360) 457 9364
Owner
Application Number 10 00000688
Application pin number 375840
Property Address 931 GLENBROOK CIR
ASSESSOR PARCEL NUMBER 06 30 15 5 9 0010 0000
Tenant nbr name TERRY K GOLDMAN
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 9000
Application desc
CHANGE ROOF SLOPE RE ROOF ADD 3 SKYLIGHTS
TERRY K GOLDMAN
931 GLENBROOK CIRCLE
PORT ANGELES WA 98362
(360) 457 9364
Structure Information 000 000
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
7 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T:FormsBuilding Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
BASE FEE
14 0000 THOU BL 2001 25K
Charged
193 75
125 94
4 50
324 19
Contractor
OWNER
BUILDING PERMIT RESIDENTIAL
CHANGE ROOF SLOPE ETC
168690
193 75
7/07/10
1/03/11
(14 PER K)
STATE SURCHARGE
Paid Credited
193 75
125 94
4 50
324 19
00
00
00
00
Date 7/07/10
CHANGE ROOF SLOPE RE ROOF ADD 3 SKYLIG
Plan Check Fee 125 94
Valuation 9000
Extension
95 75
98 00
4 50
Due
00
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
r
0-- Z
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 fora period of 180 days
after the work has 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.
7 a 0 Gexonufro Gyre /1t 11 %1 Th
ate Print Name Signature of Contractor or Authorized Agent ignaturto Own (if owner is builder)
BUILDING PERMIT INSPECTION RECORD
u�.
PLEASE F'ROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Cc)
Building Inspections 417 4815 Electrical Inspections 417 4735 QQ
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION.
'Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T Forms /Building Division /Building Permit
Z$ lo ;SLL
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By
7p
to-22-10
Sm�
Applicant /rn
Property Owner /f /Y &O40
Property Owner's Address 93 grell /oo/ G rp
Contractor l £/2(2,N Jrfl,3
Contractor's Address
License Expires
PROJECT ADDRESS cti'1 e A Ac. G�
Parcel Number
Proiect Type Brief Des
Check all that apply
New Construction
Addition
k Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1St Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures s
Site Coverage the amount of impervious surface
and other impervious surfaces (see PAMC 17 94
Max height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
cription. Residential Multi- family Commercial Industrial
'w� G.o_ sr b ,A e-e' a (0
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()__Q _�g Es Cc (ex n
vf House garage offer tear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
ft. T Lot size
arcel including structures
for exemptions)
ccupancy group
ccupant load
Construction type
Date /C���h Print Name "7 y e0 iY lht0 Signature
T Forms /B ilding Division /Building permit application
Pho
Phon
Phone
E -mail
Lot Zoning
per sq ft.
l ca3
La 1por
TOTAL VALUATION
sq ft. Lot coverage ok
ave driveways sidewalks patios
Site coverage
I have read and completed this application and know it 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, and to obtain permits prior to working on projects
For City Use Only
Date Received "7 I 0
Permit 1 n
Date Approved
Ji oco
u564,00
OOO 00
of bedrooms
of full baths
of half baths
o 9 .S7 93(`f
9 c/
3(v 1S7 9
,mcr\ c2 \Ads-1, cow
Clallam County Assessor Treasurer Property Details 68129 TERRY K GOLDMAN Page 1 of 4
Clallam County Assessor Treasurer
Property Search Results 68129 TERRY K GOLDMAN for Year 2010 2011
Property
Account
Property ID
Geographic ID
Type
Tax Area.
Open Space:
Historic Property'
Multi Family Redevelopment: N
Township
Range
Location
Address: 931 GLENBROOK CIR
PORT ANGELES WA 98362
Cycle 4 Res
10952130
Neighborhood
Neighborhood CD
Owner
Name
Mailing Address.
68129
Taxes and Assessment Due
Property Tax Information as of 07/01/2010
Amount Due if Paid on. 7
0630155900100000
Real
0010 PA 121 PORT ST CNTY H2 L
N
N
TERRY K GOLDMAN
931 GLENBROOK CIRCLE
PORT ANGELES WA 98362
Year Statement ID Taxing Jurisdiction
2010 49860 ST SCH STATE SCHOOL
2010 49860 CC -GEN COUNTY
2010 49860 PORT PORT
2010 49860 PORT ANG PORT ANGELES
2010 49860 SD #121 SCHOOL DISTRICT #121
2010 49860 NTH OLY LIB NORTH OLYMPIC LIBRARY
2010 49860 HOSP #2 HOSPITAL #2
2010 49860 WSMET PK DIST WILLIAM SHORE MET PARK
2010 49860 CITY_STORMWATER CITY STORMWATER
2010 49860 WEED_CONTROL WEED CONTROL
2010 49860 TOTAL.
2009 681292008 ST SCH STATE SCHOOL
2009 681292008 CC -GEN COUNTY
2009 681292008 PORT PORT
2009 681292008 PORT ANG PORT ANGELES
2009 681292008 SD #121 SCHOOL DISTRICT #121
2009 681292008 NTH OLY LIB NORTH OLYMPIC LIBRARY
2009 681292008 HOSP #2 HOSPITAL #2
Legal Description
Agent Code.
Land Use Code
DFL
Remodel Property
Section
Mapsco
Map ID
Owner ID
Ownership
Exemptions:
GLENBROOK, PLAT OF LT
1
11
N
N
27039
100 0000000000%
First Half Second Half
Base Due Base Due Penalty Interest Base
$221 48 $221 48 $0 00 $0 00 $22
$117 85 $117 88 $0 00 $0 00 $11
$16 56 $16 57 $0 00 $0 00 $1
$272.89 $272.90 $0 00 $0 00 $27
$286 88 $286 88 $0 00 $0 00 $2E
$34.25 $34.25 $0 00 $0 00 $C
$48 35 $48 35 $0 00 $0 00 $4
DIST $15 38 $15 39 $0 00 $0 00 $1
$36 00 $36 00 $0 00 $0 00 $Z
$0 82 $0 81 $0 00 $0 00 9
$1050.46 $1050.51 $0.00 $0.00 $10°
$231.27 $231.27 $0 00 $0 00 $4€
$117 05 $117 03 $0 00 $0 00 $2C
$16 58 $16 58 $0 00 $0 00
$256 72 $256 72 $0 00 $0 00 $51
$285 99 $286 01 $0 00 $0 00 $57
$34 01 $34 01 $0 00 $0 00 $E
$48 00 $48 00 $0 00 $0 00 V.
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The Issuance of this permit based upon these plans, specifi•
canons and other data shall not prevent the building official
tr rn thereafter requiring the correction or errors in said
plar specifications and other data, or from preventing
building operations being carried cn thereunder when in
violation of ail codes and ordinances of this uron.
C.
�1 "nvret i �n nl
;proval
tt
PREPARED 11/12/09 9 54 44 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/12/09
ADDRESS 931 GLENBROOK CIR
TENANT NBR TERRY K GOLDMAN
CONTRACTOR
OWNER TERRY K GOLDMAN
PARCEL 06 30 15 5 9 0010 0000
APPL NUMBER 09 00000961 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 11/12/09 JLL
j
l
SUBDIV
PHONE
PHONE (360) 457 9364
MECHANICAL FINAL TIME 01 00
November 12 2009 9 15 08 AM 1pangrle
TERRY 457 9364
MECHANICAL FINAL PELLET STOVE
AFTERNOON
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000961 Date 9/17/09
Application pin number 115079
Property Address 931 GLENBROOK CIR
ASSESSOR PARCEL NUMBER 06 30 15 5 9 0010 0000
Tenant nbr name TERRY K GOLDMAN
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 3700
Application desc
PELLET STOVE INSTALLATION
Owner Contractor
TERRY K GOLDMAN
931 GLENBROOK CIRCLE
PORT ANGELES WA 98362
(360) 457 9364
OWNER
Permit MECHANICAL PERMIT
Additional desc INSTALL PELLET STOVE
Permit pin number 153775
Permit Fee 60 65 Plan Check Fee 00
Issue Date 9/17/09 Valuation 0
Expiration Date 3/16/10
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65
Fee summary Charged Paid Credited Due
Permit Fee Total 60 65 60 65 00 00
Plan Check Total 00 00 00 00
Grand Total 60 65 60 65 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 fora period of 180 days
after the work has 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.
D e Print Name Signature of Contractor or Authorized Ag ent ig r e o f Owner Of owner is builder)
T:FocrosBuilding Division/Building Permit
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities ii 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough-hi
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
Inspection Type
Electrical
Construction R.W PW Engineering
Fire
Planning
Building
T /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
Accepted By Comments
417 -4735
417 -4831
417 -4653
417 -4750
417 -4815
FINAL Date
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Accepted by
Date Accepted By
7
1-
�1 l2_-b1 PE3
BUILDING PERMIT APPLICATION Print in Ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth .St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant /may Oouzn;?J9
Property Owner £`2i2y &Qom x>
Property Owner's Address 93i Glen► /j, ,E C'� rcj—
Contractor 7i2 /2w
Contractor's Address q3/ G' 11 h node_
License Expires
PROJECT ADDRESS ?',3 /Gkf -7`kte
Parcel Number Lot
Proiect Type Brief Description. 'Residential Multi- family
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Site Coverage the amount of.imperviou
and other impervious surfaces. (see PA
House garage other tear off re -roof lay over one layer
Heat pump wood burning stove gas fireplace ;pellet stove other
Existing. (sq. ft)
1
sq
surfa
Proposed (sq. ft.)
For City Use Only
Date Received Cf— I7 aq
Permit#
Date Approved
Phone
Phone
Phone y
E -mail
7 93(c/
2/5 93G e.,
Zoning
Commercial Industrial
per sq ft.
TOTAL VALUATION 3, 7616
Lot size sq ft. Lot cov
on a parcel, includingstructures paved ivew
94 135 for exemptions)
0V_/YU i1 Ce Ceti"
Max. height of proposed structures ft. Occupancy group of drooms
Will a lawn sprinkler system be insta d Occupant load of ful paths
Will a fire sprinkler system be inst ed? Construction type of half b s
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that1it is my res ponsibility to determine what permits are required, and to obtain permits prior to working on projects.
DateC39// Zh Print Name ea- z)i')l171/4) Signature/ L% A<
C' 1
T:Forms /Building Division /Bldg Permit.doc
7
age
sidewalks patios
ite coverage
P r CTTY OF PORT ANGELES
DEP,A.RTMENT OF COMMUNITY DEVELOPMENT BLTILDING DNISION
32l EAST STH STREET, PORT ANGELES, WA 95362
Application Number OS-00000340 Date 11/08/OS
Application pin number 330660
Property Addresa 931 GLENBROOK CZR
ASSESSOR PARCEL NUMBER: 06-30-15-5-9-0010-0000-
Application type description MBCHANICAL APPL. PERMIT
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 2914
�e Contractor
GOLDMAN TERRY IC/DEBRA L THURMANS SUPPLY
931 GLENBROOR CIRCLE I807 BAST FRONT STREBT
PORT ANGELBS WA 98362 PORT ANGELES WA 98362
(360) 457-8591
e
Permit MECHANICAL PERMIT
Additional deac
Permit pin number 53538
Permit Fee 50.00 Plan Check Fee .00
Issue Date 11/08/05 Valuation 0 0
Expiration Date 5/07/06 l y
1 Qty Unit Charge Per Extension
1.00 50.0000 ECH ME-WOOD BURNING APPL. 50.00
Pee aummary Charged Paid Credited Due
Permit Fee Total 50.00 50.00 .00 .00 C
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
I�;� 11." �l1 C-.. b ,'�-i
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 orwork 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 Contrac#or or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:�Policies\1102_15 building permit inspection recordOS.wpd [1/42005)
BUILDING PERMIT INSPECTTON RECORD
CALL 417-4815 FOR BUiLDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL iNSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES �i
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT TN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS CT'
YES NO
c
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGSJ
PLUMBINC
UNDER FLOOR SI,AB
ROUGH-[N
W ATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW WATER
AIR SEAL
WALLS
CEIL[NG
V
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
V J
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONL17 (b
T-BAR
INSULAT[ON V
SLAB
W ALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE �J Q pCCEPTED BY:
WpOD STOVE PELLET CHIMIdEY FINAL I I�� `�O 1 DATE
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
ESA:
PARKINC/LICHTING
LANDSCAPING SHORELINE:
F[NAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYNSE
RESIDENTIAL QATE YES 1V0 COMMERCIAL DATE ACCEPTED
YES NO �f
�v
ELECTRICAL LIGHT DEP'I'. 417-4735 ELEC'fRICAL
LIGHT DEP7'
CONSTRUCTION R.W.
CONSTRUC7ION R.W. PVV� 417-4807 PW 1 ENGINEERING
ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-A750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
'T:�Policies\1102 15 building pem�it inspection recordOS.wpd 1/4/2005]
PREPARED 11/12/09, 9:54:44 INSPECTION TZCKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE ll/12/09
ADDRESS 931 GLENBROOK CIR SUBDIV:
CONTRACTOR THURMANS SUPPLY PHONE :(360) 457-8591
OWNER GOLDMAN TERRY K/DEBRA L PHONE
PARCEL 06-30-15-5-9-0010-0000-
APPL NUMBER: OS-00000340 MECHANICAL APPL. PERMIT
PERMIT_ MS O1 M6CHANICAL PBRMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 O1 11/1 /09 JLL MECHANICAL FINAL TIME: 01:00
November 12, 2009 9:16:06 AM lpangrle.
TERRY 457-9364
l� MECHANICAL FINAL PELLET STOVE
AFTERNOON
COMMENTS TES
i
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use . . . .
Property Zoning . . .
Application valuation
05-00000340 Date
330660
931 GLENBROOK CIR
06-30-15-5-9-0010-0000-
MECHANICAL APPL. PERMIT
11/08/05
RS9 RESDNTL SINGLE FAMILY
2914
~1 3)(r~
G/7!~
~
\
~
~
Owner
Contractor
GOLDMAN TERRY K/DEBRA L
931 GLENBROOK CIRCLE
PORT ANGELES WA 98362
THURMANS SUPPLY
1807 EAST FRONT STREET
PORT ANGELES WA 98362
(360) 457-8591
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
...S)
~
----------------------------------------------------------------------------
53538
50.00 Plan Check Fee
11/08/05 Valuation
5/07/06
.00
o
~S0
~~
~
~
f"
\'
~
~
Qty Unit Charge Per
1.00 50.0000 ECH ME-WOOD BURNING APPL.
Extension
50.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
i
I
Kc' VI 0(' d
T~{,~.' ~-~.~ (.'l C ;. '-
~ ~" (' t, !
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:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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.
r INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP/FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000340 Date
330660
931 GLENBROOK CIR
06-30-15-5-9-0010-0000-
MECHANICAL APPL. PERMIT
5/09/05
RS9 RESDNTL SINGLE FAMILY
2914
Owner
Contractor
GOLDMAN TERRY K/DEBRA L
931 GLENBROOK CIRCLE
PORT ANGELES WA 98362
THURMANS SUPPLY
1807 EAST FRONT STREET
PORT ANGELES WA 98362
(360) 457-8591
----------------------------------------------------------------------------
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
WOOD PELLET INSERT
48595
97.00 Plan Check Fee
5/09/05 Valuation
11/05/05
.00
o
Qty Unit Charge Per
Extension
47.00
50.00
-Q
bJ
BASE FEE
1.00 50.0000 ECH ME-WOOD BURNING APPL.
----------------------------------------------------------------------------
Fee summary Charged Paid credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 97.00 97.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 97.00 97.00 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
5-f(-S
Date
Signature of Owner (if owner is builder)
Date
T:\Polic.ies\II02_15 building permit inspection record05,wpd [114/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH,IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERlOR BRACED PANEL ONLY)
T,BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL, LIGHT DEPT. 417,4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION, R.W.
ENGINEERING 417.4807 PW / ENGINEERlNG
FIRE 417,4653 FIRE DEPT.
PLANNING DEPT. 417,4750 PLANNING DEPT
BUILDING 417,4815 BUILDING
T:IPoliciesll102_15 building penn it inspection record05.wpd r 1/4/2005]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15073
-;--;;0 './
Port Angeles, Washlngtonm....._.n_nm_n._________m..mm_m.m___mmm. 19.'::000__.
In ae<:ordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in. on. or about any building or other structure in the City of Port Angeles, per-
mission is her:fJb granted to do electrical work as listed below.
" , ~/"'l \~- Ib. 1) ()
tr,..,' yr. Iii ! /I_~?
Address ooo-k.~_ .~2. ..&1l _ _.. -&::?;;-_~.. ...t.,..'-~'~..~:~nnmn_._ Occupancynn.<!.,l.'~____..ooo..ooom.ooo..m.m.
. j( .
Owner ..ooo:~?'~m__:___:"~.~.ooo.ooo.........oooooo_. Tenant_n_n__nm._n..____m_____..._ooom__n....____.___..__mooo....n
. - ~ Yl
Wiring Contractor --ntJ:.',..f1-!:h..~2...oooati'.~:':.:ooo......-.---.. Byn_nnn___n_..ooom.m.moooooo._.mm______n__ooo..____..___
Light OUtlet8nn......~...?n....n...~__... Service, volts ./.P.n()/f!:f:.!:!nn Type of WIring:
R t I 0 tl t ./ 0 N w es "3 Armored Cable ....n..m..................
ecep ac e u e s....~...............m.... o. ir ...........___~mm.......:..m....
Dryer, KWI......?mm..............mm. SIze wlres....j('/t!.,af.-!..........
Range, KW mn./::Lnmnnn... MaIn fuse ...:~.c?4..............
Water Heater:
KW.n.n.5I.!...Cmmmmnnnmmn
I1eat: RW.."/YC[J}!J....n......
Enclosure ....5...................__m...m
Type of wiring:
Entrance Cable ...mm.mm..........m
RigId Conduit ..00...0000...........00.......
Motors: size, volts and phase:
...../..I~!,_'':":.:n_.........n..n_.........n_..
..../.&~......_.._.......................
Metallic Tubing .mm....................
Current transtormers:
No. & Size.....mm........m.................
Ser. NO.........._................n.................
Ser. NO.-...............................n............
Ser. No.....................................__........
Total Load.mm..m.mm_........
Ser. NO...............................n.............
Non.Metallic ............m......m...___m
Knob & Tube
RIgid Conduit
Metallic Tubing ...............mm......
Race\vay ..........................................
CIrcuits, Light...~........m....___m..___m.
'-
Utlllty .00,2......00..........................00...
...Ln......n._n...._.......__.......
Heat
CJ.
Range .........................__..................
fi).
Water Heater ................m............
Motor ..._...............__.......................
@
Dryer..................................................
Furnace .........................__................__
,;) ).-
Total.......................................
Remarks : .h.u.....:u-_?~__L_;::,__~~_~.~..nnd~_.C=-_~~..:.._~_u~.nnn.nn:n.nn..n..___..U.U.nd..h.nnn__u.u.uu.uuuu___n.__n.__.
Permit Fee
$.____"3.d.Id..________m__ooo__..
Treas. Receipt
No.._...___ooo_______ooo____..
By j{;t2K;..~dd.d.e4!,'___'nm._______.~
NOTIC~urrent must not be turned on until Certificate ot Inspection has been issued. If work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
/" I. /
I r/l) 1w
ed3
/~r- C~ ,..,...711--.
ELECTRICAL PERMIT
N~
15073
Date called for;~pi,Von.,A~~~~:AL~::-r.O.~.o.:.:4.....~b,.(Pe~;;."..........---......00........................_00....00...00.....____..._.......__......
. --:1.",-" 0.::~
preliml~aryinSpeCt1ona:~~~~:~~...."&i;;:s:i?.....-_........................................................................................._......._......_
Inspectloncompleted..._..........~1......_.....................................................................................................................___................_.....................
\i
Total Load ..................................._..................................................._ '.'''..'n ..............................................................................._........_......_
1M 3.72 Olympic Printers, Inc.