HomeMy WebLinkAbout2007 Hamilton Way - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000959 Date 12/10/03
2007 HAMILTON WAY
06-30-00-9-3-2140-0000-
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
130000
Owner
Contractor
WILCOX, JEFF/KIMBERLY OWNER
1410 W 6TH STREET
PORT ANGELES WA 98363
(360) 457-0846
Structure Information 2255SF SFR, 566SF GARAGE, 160SF PORCH
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. SINGLE FAM & CONGREGATES
Other struct info. . .. NUMBER OF UNITS 1.00
DAVE'S HEATING
35.30
12/10/03
6/08/04
& COOLING
Plan Check Fee
Valuation
.00
o
1\)
o
o
-J
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
Qty Unit Charge Per
1.00 35.3000 EC EL-LOW VOLTAGE
Extension
35.30
x
f
~
z
Special Notes and Comments
~dress numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
~n contrast in color of there background.
A~,residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as_,'!Fire alarm"
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
~
~
_____Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.30 35.30 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1809.80 1809.80 .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.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\1102.15 [11/1412003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGElDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # I I
ROUGH-IN ,.... I 'f.! ~1..fh9fJ I
I
PLUMBING 7 I
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDO)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 417-4735 ..,.,.oa/ W- ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R. W. / PW / CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW / ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
.-........ Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000959 Date 12/05/03
2007 HAMILTON WAY
06-30-00-9-3-2140-0000-
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
130000
Owner
Contractor
WILCOX, JEFF/KIMBERLY OWNER
1410 W 6TH STREET
PORT ANGELES WA 98363
(360) 457-0846
Structure Information 2255SF SFR, 566SF GARAGE, 160SF PORCH
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. SINGLE FAM & CONGREGATES
Other struct info. . .. NUMBER OF UNITS 1.00
TWETER ELECTRIC
161. 60
12/05/03
6/03/04
Plan Check Fee
Valuation
.00
o
1\l
o
o
...J
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
Qty
1.00
4.00
Unit Charge Per
70.8000 ECH
22.7000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
70.80
90.80
40.90
12/05/03
6/03/04
plan Check Fee
Valuation
.00
o
:t:.
~
~
.",
~
Z
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
Qty Unit Charge Per
1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
40.90
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
~
~
..c.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
F~e summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 202.50 202.50 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application ow the same to be true and correct. All provisions of
laws an.o..erd~an-c s go~erning. this type ?f ~ork will be c.o~plied with ether speci I herein o~ not. The gr~nting of a permit does not
presyme to give _ -:.viurnle-orca el the provIsions of a state or local la regulating construction or the performance of
co s
l2-5....6~
Date
Date
T:IPLANNlNG\FORMSIlI02.15 [11/14/2003]
l
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION. .
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO . .
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH.IN 111. -I'L .a. ...--,
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 W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM 6~c.. - \,.-" .03 N
PLANNING DEPT. SEPARATE PERMIT #'s SEPA: ()
PARKING/LIGHTING ESA: ITeM C't"C'L.031f
LANDSCAPING SHORELINE: ~
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417.4735 Lt-?- a" J.D ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417.4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417.4750 PLANNING DEPT.
BUILDING 417.4815 BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000959 Date 10/06/03
2007 HAMILTON WAY
06-30-00-9-3-2140-0000-
RES NEW SFR
130000
Owner
Contractor
WILCOX, JEFF/KIMBERLY OWNER
1410 W 6TH STREET
PORT ANGELES WA 98363
(360) 457-0846
Structure Information 2255SF SFR, 566SF GARAGE, 160SF PORCH
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. SINGLE FAM & CONGREGATES
Other struct info. . .. NUMBER OF UNITS 1.00
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
1185.25
10/06/03
4/04/04
Plan Check Fee
Valuation
474.10
130000
Qty Unit Charge Per
Extension
1017.25
168.00
BASE FEE
30.00 5.6000 THOU BL~100,OOl-500K (5.60 PER K)
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
147.95 Plan Check Fee
10/06/03- Valuation
4/04/04
.00
o
Qty
Unit Charge
Per
Extension
BASE FEE 47.00
1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70
5.00 7.2500 ECH ME-VENT FAN 36.25
1. 00 50.0000 ECH ~ USSS ST~a -- aUe. 50.00
-----------------------------------------------~~----------------------
Permit PLUMBING PERMIT
Additional desc
Permit Fee
Issue Date
Expiration Date
"
~I
~
153.00
10/06/03
4/04/04
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per Extension
BASE FEE 47.00
11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 77.00
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1.00 7.0000 ECH PL- EA.WATER HEATER 7.00
----------------------------------------------------------------------------
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background.
A residential fire sprinkler system shall be installed per
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public Improvements. This permit becomes
null and void jf work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period oU80 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 overning this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give au ority 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)
fu>
~
~
~r
~ ~
~
Date
,.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
03-00000959
Page 2
Date 1.0/06/03
Special Notes and Comments
NFPA 1.3D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
Other Fees SEWER SYSTEM DELV CHARGE 745.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1.025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1.486.20 1.486.20 .00 .00
Plan Check Total 474.1.0 474.1.0 .00 .00
Other Fee Total 1.774.50 1.774.50 .00 .00
Grand Total 3734.80 3734.80 .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 ot 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 [4/20021
~,
BUILDING PERMIT INSPECTION RECORD
-~
CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO -
FOUNDATION' -
FOOTINGS lro- 6-03 J.~
WALLS I t\ -I J..-o~ J.l
FOUNDATION DRAINAGE ' ~
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-[N -
PLUMIlING
-
UNDER FLOOR 1 SLAB
ROUGH-IN IJI?LIO~ {<V
WATER LINE , ,
GAS LINE 12-"Z.-6~ kJLl-
BACK FLOW 1 WATER
AIR SEAL
WALLS 12~/t>- 03 N LL. 1'2.- , '2--03 Jt...L-
CElLlNG I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING 12- fk- 0:; JLL.
DRYWALL
T-BAR
INSULATION -
SLAB
WALL 1 FLOOR / CEILING -
MECHANICAL - -
HEA T PUMP
WOOD STOVE / PELLET 1 CH[MNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering DIvIsIon) SEPARATE PERM[T #'s
WATERLINE 1 METER
SEWER CONNECTION
SAN[TARY
STORM ,-2~ OLJ l.()G
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESTnENTlAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 4[7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PWI CONSTRUCTION - R W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 4 [7-4653 F[RE DEPT
PLANN[NG DEPT 4 17-4750 PLANNING DEPT
BUILD[NG 4 [ 7-4815 /1- 7-C>L/ leV BUILDING
T \PLANNlNG\FORMS\1102 15 [4/2002]
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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:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000959 Date 12/05/03
2007 HAMILTON WAY
06-30-00-9-3-2140-0000-
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
130000
Owner
Contractor
WILCOX, JEFF/KIMBERLY OWNER
1410 W 6TH STREET
PORT ANGELES WA 98363
(360) 457-0846
Structure Information 2255SF SFR, 566SF GARAGE, 160SF PORCH
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. SINGLE FAM & CONGREGATES
Other struct info. . .. NUMBER OF UNITS 1.00
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
TWETER ELECTRIC
40.90
12/05/03
6/03/04
Plan Check Fee
Valuation
.00
o
~
~
o
~~
Jl
\.)
8
...J
Qty Unit Charge Per
1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
40.90
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
in contrast in color of there background.
A residential fire sprinkler system shall be installed per
~PA ~3D will be required.
2nd option is to install an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as- ~,Fire alarm"
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
.....
f"
~~
~
~~
J
1\
~
_____Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.90 40.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1815.40 1815.40 .00 .00
Separ,~!~fArmits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null a~.d v<9:id if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a peried--of 180-d fier the work as commenced, or if required inspections have not been requested within 180 days from the last
ins 10. hereby cert that I have read and examined thiS application and know the same to be true and correct. All provisions of
I sand 0 tJi nces gove nlng this type of work will be complied with whether specified herein or not. The granting of a permit does not
I esume t 91v authorit to violate or cancel the provisions of any state or local law regulating constructIon or the performance of
c~structio
-SvC>5
SlgnatureOt'6ontractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T \PLANNING\FORMS\1102 15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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
FOUNDA TlON DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM {If,.rnj7 :'J'~4/I'~
PLANNING DEPT SEPARATE PERMIT #'s SEPA- L. ; /;C./..s~d!~
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 IWl1,h,3 LI-~ ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. / PW/ , , CONSTRUCTION - R W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T.\PLANNINGIFORMS\1102.15 [11/14/2003]
PREPARED 4/07/04, 12 44 46
CITY OF PORT ANGELES
/'--/
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
4/07/04
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER.
2007 HAMILTON WAY
------------------------------------------------------------------------------------------------
SUBDIV
PHONE
PHONE: (360) 457-0846
WILCOX, JEFF/KIMBERLY
06-30-00-9-3-2140-0000-
03-00000959 RES NEW SFR
---------------~--------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01 10/06/03 JLL
10/06/03 AP
BI2 01 10/16/03 JLL
10/16/03 AP
BAIR 01 12/10/03 JLL
12/11/03 DA
BL3 01 12/10/03 JLL
12/11/03 DA
BAIR 02 12/12/03 JLL
12/12/03 AP
BL3 02 12/12/03 JLL
12/12/03 AP
BL99 01 2/17/04 JLL
2/17/04 DA
BUILDING FOUNDATION FOOTING
BUILDING FOUNDATION WALL
Foundatlon walls
Ph# 452-0679 Work phone so leave message lf1necessary
BUILDING AIR SEAL
Terry 452-0679
BUILDING FRAMING
Terry 452-0679
BUILDING AIR SEAL
BUILDING FRAMING
BL99 02
BUILDING FINAL
TERRY 452-0679 DOORS WILL BE OPEN, PERMIT ON COUNTER
address numbers on face of bUlldlng/Jll
~ ~ BUILDING FINAL
--------------~--------- COMMENTS AND NOTES ------------------------------________
WILCOX, JEFF/KIMBERLY
06-30-00-9-3-2140-0000-
03-00000959 RES NEW SFR
PREPARED 2/17/04, 12-43.45
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2007 HAMILTON WAY
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
6
2/17/04
"-
\.
"-
\\
\\
\
PAGE
DATE
SUBDIV
PHONE
PHONE
(360) 457-0846
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
12/10/03 JLL
12/11/03 DA
12/10/03 JLL
12/11/03 DA
12/12/03 JLL
12/12/03 AP
12/12/03 JLL
12/12/03 AP
BL99 01 ~,~7~i~jl ~Y\. BUILDING FINAL
~ ~ TERRY 452-0679 DOORS WILL BE OPEN, PERMIT ON COUNTER
-------------------------------------- COMMENTS AND NOTES ---------------------------------_____
BL1
10/06/03
10/06/03
10/16/03
10/16/03
JLL
AP
JLL
AP
01
BI2
01
BAIR 01
BL3
01
BAIR 02
BL3
02
t:M1.e9J \ 0 ~
BUILDING FOUNDATION FOOTING
BUILDING FOUNDATION WALL
Foundatlon walls
Ph# 452-0679 Work phone so leave message If necessary
BUILDING AIR SEAL
Terry 452-0679
BUILDING FRAMING
Terry 452-0679
BUILDING AIR SEAL
BUILDING FRAMING
U D(..)'S)~
tJ=ls
~
.:""
PREPARED 12/10/03, 12 17 25
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2007 HAMILTON WAY
SUBDIV'
PHONE
PHONE, (360) 457-0846
WILCOX, JEFF/KIMBERLY
06-30-00-9-3-2140-0000-
03-00000959 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
10/06/03
10/06/03
10/16/03
10/16/03
BI2
01
BAIR 01
12/10/03
JLL
AP
JLL
AP
BUILDING FOUNDATION FOOTING
BUILDING FOUNDATION WALL
Foundat~on walls
Ph# 452-0679 Work phone so leave message ~f necessary
BUILDING AIR SEAL
Terry 452-0679
BUILDING FRAMING
Terry 452-0679
01
12/10/03
J=
----------------------------------- CONTINUED ONTO
BL3
PAGE
DATE
3
12/10/03
NEXT PAGE -----------------------------------
, .
,
.~..." :-:.' ,
"
BUlLDJN.G DJVISION
CITY OF PORT ANGELES
, -, -.-_.- . -.---
Correction N:o-tice
7 {', -". I I \ , J
Job Located 'at 't:- UI...J"r-- '-+1~"\-.trQ"it':..,A
J' ?
'b; 'r-
I
Inspection of your' work'revealecf'that the following is
not in accordance with the cdaes goveJr'nlng the work in
this jurisdiction:
~ .(I,-7t g/t>c '4 (h,,,
71.1 <; \ '-t t f l-~ ",:1 C {:
~/ . k}' to.- ~tVJ.- J
klol
~ I.r'A..J t':
,
.,t \
. '7'-
7):: 1It1;( I{
~
. A.~
-~<,'
:.*' &L~ 1~r.;C If tt;1,.;dl' 'S7ILit..!~ 6;J.,<":.,
These correGtions must be made and are not to be
c~er~tf:u'ntil fe'inspection is made. When corrections
have been made, please call 1/.--- L/17.. 'I fl ~
, - --1
. for 'inspection.' l
_,J,~L.~.J,"~~L_ ! < . \
w~"'*~"''"01i'lr-'~.__M,"'_~' -, ~ '" -~,--"''-'~
_ . , . Inspector for Building Division
.'
I
, ,.
DO 'NOT REMOVE THIS TAG
//
PR&PARED 12/10/03, 12 17 25
CIiY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
12/10/03
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
2007 HAMILTON WAY
SUBDIV
PHONE
PHONE
(360) 457-0846
WILCOX, JEFF/KIMBERLY
06-30-00-9-3-2140-0000-
03-00000959 RES NEW SFR
PERMIT: ME 00 MECllANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
t>>-
-------------------------------------- COMMENTS AND NOTES --------------------------------------
01
12/10/03
MECHANICAL GAS LINE
1":"~~"""~''''''~~~3<''''''-'~~g~~_:!t
I I:
, I'
, I:
BUILDrNG DIVISION j:
j
I
1
j
-j
l
I
j
I
1
I
I
I
1
J
. ---I
CITY OF PORT ANGELES
*
*
Correction Notice
Job Located at 2oo5-~T;;:;:t~u w'pJ
Inspection of your work revealed that the following is
notin accordance with the codes governing the work in '
this jurisdiction:
~ ";' () J b~, ---r-r.t C,. J c Ilf
o ~i S LrIlJj'U
. ,
v p~l (;,So{L~, b)J:JtJ~:~e( cJJ
~' ).' ,.....,
L-H_l C 12- t~ ~ ,f)
\
1 '
t-)~ .H.t t.
t
-
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I
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Y-k ) f {;. l-- { t f J L~L-".' d....
;., ~ ~........-, - t -1 I
1 L,/ \( ~: L 02 \I? r....::. j I I!t. '7- \
L
These corrections must be made and are not to be
cQvered until reinspection is m~e. When correctionJ
have, been made, please call " j, _ (1'1 ~ {IA'I ( ,
. for inspectiQn. L1
"-~'. ....Date ~-L;--- ----.! ~ ,_-_
Inspector for Building Division
I
DO NOT REMO.VE THIS TAG
I
I
~. j
, -I
PREPARED 12/12/03, 13 29 12
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2007 HAMILTON WAY
WILCOX, JEFF/KIMBERLY
06-30-00-9-3-2140-0000-
03-00000959 RES NEW SFR
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV-
PHONE
PHONE (360) 457-0846
PAGE
DATE
5
12/12/03
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
12/10/03 JLL
12/11/03 DA
12/12/03 ~
---------------------~-~-------------
ME6
01
MECHANICAL GAS LINE
MECHANICAL GAS LINE
ME6
02
COMMENTS AND NOTES --------------------------____________
PREPARED 12/12/03, 13 29 12
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
12/12/03
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2007 HAMILTON WAY
SUBDIV
PHONE
PHONE
(360) 457-0846
WILCOX, JEFF/KIMBERLY
06-30-00-9-3-2140-0000-
03-00000959 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1
01
10/06/03
10/06/03
10/16/03
10/16/03
JLL
AP
JLL
AP
BUILDING FOUNDATION FOOTING
BI2
01
BL3
01
12/10/03
12/11/03
12/10/03
12/11/03
12/12/03
BUILDING FOUNDATION WALL
Foundatlon walls
Ph# 452-0679 Work phone so leave message If necessary
BUILDING AIR SEAL
Terry 452-0679
BUILDING FRAMING
Terry 452-0679
BUILDING AIR SEAL
BAIR 01
JLL
DA
JLL
DA
~J
BL3 02 12/12/03 ~ BUILDING FRAMING
---------------------~------ CONTINUED ONTO NEXT PAGE --------------------------------___
BAIR 02
PREPARED 11/26/03, 12 51 23
CITY OF PORT ANGELES
2007 HAMILTON WAY
INSPECTION TICKET
INSPECTOR ROGER VESS
1
11/26/03
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
WILCOX, JEFF/KIMBERLY
06-30-00-9-3-2140-0000-
03-00000959 RES NEW SFR
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01
11/~~
8V
.
PLUMBING ROUGH-IN TIME 17 00
Joel 452-1850 or 461-1863
PAGE
DATE
SUBDIV
PHONE
PHONE
(360) 457-0846
-------------------------------------- COMMENTS AND NOTES ------------------------------------__
tJo ?~~~ ~ "'-
uJ~~ ~~~~
\'2.- \-(:)3 ~U-
r€. <::...lA.e.c::..b<~ g CuLLj e.-
PREPARED 10/16/03, 12,49 12
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
9
10/16/03
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2007 HAMILTON WAY
SUBDIV,
PHONE
PHONE. (360) 457-0846
WILCOX, JEFF/KIMBERLY
06-30-00-9-3-2140-0000-
03-00000959 RES NEW SFR
-----------------~------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
----------~-------------------------------------------------------------------------------------
BL1
01
10/06/03
10/06/03
10/16/03
JLL
AP
BUILDING FOUNDATION FOOTING
BI2
01
*
-------------------------------------- COMMENTS AND NOTES -----------------------------_________
BUILDING FOUNDATION WALL
Foundatlon walls
Ph# 452-0679 Work phone so leave message If necessary
~-o 7 Na. mil ro (? \AJo.-r
._ :/ h . 1"),
RS-7
\ .e-~
r-;)a-v\? ~
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t:J7 " !:III
\ - - - - "::'J --( - - \
1> 0 ~ c..'^-. ~ .,(, '" Y--. !
53,r!
~2.0'-? barnJ.r:- tfr ;)rJfbC/ la
1.{-53 --
Po:c.h- ~,i~-'
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Y WASHINGTON STATE ENERGY CODE
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'1: Dverhead1 U-Factor Celling2 Ceiling3 Above int4 ext4 Floors on
Effie. % of Vertical Grade Below Below Grade
2
Floor Grade Grade
k Med. 10% 0.70 0.68 0.40 R-30 R-30 R-15 R-15 R-1O R-19 R-1O
IV Med. 12% 0.65 0.68 0.40 R-30 R-30 R-15 R-15 R-W R-19 R-W
III. High 21 % 0.75 0.68 0.40 R-30 R-30 R-19 R-19 R-W R-19 R-W
IV.* Med. 21 % 0.65 0.68 0.40 R-30 R-30 R-19 R-19 R-W R-19 R-W
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 Merl. 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.
L 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.
I
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-lO, or on the intenor 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 lllstalled accordlllg 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 of25% or
less; 0.45 maximum for glazing areas of 30% or less.
8. Reserved. '
9. Minimum HV AC eqUipment efficiency requirement. 'Low' denotes an AFUE of 0.74. 'Med.' denotes an AFUE of 0.78.
'High' denotes an AFUE 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 of7.7. 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, including all fire doors, shall be assigned default U-factors from Table 10-6C.
1 L 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 ofU=0.40 or less IS not
included in glazing area limitations.
12. Overhead glazing shall have U-factors determined III accordance with NFRC 100 or as specified in Section 502.1.5.
38 7ro1ro1
Appendix E: Sample Checklists & WOrksheets
I
l_
~
~
Attacllnent C
Penn" No.
Plans Examiner and Inspector Checklist
<:; "'9 Addre88 200 '7 H<i_">1.' I~ Uh}?
Check. write 10 N/A. or fill in value on shaded boxes
Check off boxes at left as items are found to comply,
Plen. Examiner:
In.pec1or:
Comp'18nc. Ippro.ch: (checf< one) 0 Systems analysis
o Componem perfOflTlanoe
o Prescnptive path
No..: Some Specifics on this form may not apply if
A) compliance approach is systems analysis or component performance; .
B) compliance to minimum ventilation aiteria is demonstrated through engineering calculations Of performance testing
\
fOUNDATION PHA$E
o Slab: A-
D
D
--.
! Exterior down to frostllne/slab bottom; or Inter10r 24- horizontal or ver1lcal; or. If radiant. under entire slab
Below grade exterior wallln.ulatlon: A- 1 (If Interior _ see Insulation Phase)
r ~
Redon mlllgatlon:; If locally required. or aawtspace venting <1 tv300tt2 of aawl, or vents Indude an operable damper
FRAMING PHASE
~ framing: ~Standsrd Wlntennedlale k~1i(J Advanced
o 8td .'r ....: 8OCepClaubClr; rim js1/mud alii; window & door frms; penetraUon.wfre, p1~, dUd, pertltJon Ituds, "ue, light ftxtl.l'QS
Q SoYrce apeclftc exhauat rana: SIze reqliremem - bath. laundry (5Ocfm); kttd1en (100dm)
121 Whole house exhaust ran I /0/) ~ Intennlttent system has manual & auto oontro(s; Outdoor air supply req. 'or habitable rms.
I2f i:tagrated rorced-etr ayatem !:2SJ ~e air dUd (wfth damper) allowing between .35 and ;5:ACH ' , , ,
ImATIJN PHASE
e( h- 19c1'~1 J wan InaulaUon (above g,.d.)
o R- 1 wan IMutaUon (below grade): Interior waJllnsulaUon
E:J h- ~ I Roor lrwulaUon
o R-.?f'!I' I CeIling IMutatlon: IndLdlng atdc hatch
o R- I Veutted cetllng InauleUon
o Vapor rat.n:Sera: WIllis, floors, oeIIlng
Qr HMang.,..tam type: I ~Y''''~Y' I For~. bt slza, HSPF. and COP 12..~n
FIW. PHASE
(2) Radon monitor on a"e: wl1h Irl91rudIons and generaJ Information
er Thenncm.at: heet rang., 55-75; AC rw.nge, 7G-85; both, SS-8S. Badwp hem oontrob prevent aIrmltaneoua operation of pf1mery,Y5
o Sofld fuel appftaneea: glass or met.aI doors; direct ClOIl\b.1Ir aouroe. or.co d1a.. ~ed,lncirec:t aoun::e for lI"lOOnd. areas
o FnpIacft: fr oombustIon air 8Uppfy dud wldamper dWect to ftreboX; ttglt fIUlng ~ or rneuI docn.
o DHW heet.rI: NAECA label; Mp8Iate power or gas Ihut-<ltr; on R-10 pad If ~c and In U'lClOR:f. .,.. a-If on oonaate
0" Machenlcal venUleUon duc:t8 Irwultrt... to~: axhaust ducts In l.I'lOondItfoned areas/auppIy duds In condIIIoned areas
o n.', J HVAC duotalplenum lnautaaon: ducb In lJOCOndftIoned areu ''.In.Uatad and 1ofntI.,. Naled
121 PIpe InaulatJon: R-31or hot and oold wat. pIpfng In ~.,... (If ~ or redraMllng.... Table ~12)
k2( around cov.r: 8 ml btad< potyethyienelapproved equa/ t.pped 11:" III foInts and extending to lou1daaon wall
E-52
. '
Appendl. E: sampte Checkll'" & WoruhMta
Plans Examiner _ till out this glailng NCtion or attach . window IChedukt to thIS c:heddist Inspector - .,.nty window 1'1-
'annabon during field inspections. 'ndude skyiights. glass doorS and all other glazmg on this larm Use rough opening
..... tor calaltationS.
IUDIG
Size Quantity Are. U-Valu./Manutactur.r IV.rlfled
...- -:ro X i.J((.) II 1.~7 YJ; l.".. 1i".A ...,%g' i
2.4'X~t) e. ">h ;J 7
Z" xStO 1 J!< I "
' " - .. ~. , .
7P,xli'" 2 ;)/J ) \ , r,
ZO x# I l " f /
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. . . (-. .1-..,< . ,a; " ' .. ,
''< }~ . l , . -
"- '.
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. ~ ..' . ""
:,..,
Percentage gluing:
?v?
) 1'10
JI%
.
~ ,~;:; < '
,-.'; 1-~1
Total glazing .....:
Total conditioned .ru:
Vertfled
. .,
L::
DOORS
,~'~ "
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Plans Examiner-list ~e doors by type (soGd core, Insulated. etc.). quantity. U-YBlue.lW\d manufacturer.
lnsp8dor - wrify door Information during fietd Inspection. .
Type/Quantity
Ox ,8
e
U-ValuelManufacturer
Verlfted
:.r I
':. t ~.J
Slgnatun o' Building Offtcl.l:
0.-. of Rnal lnlpectlon:
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1()1A1r:r
PREPARED 10/06/03, 12 58,28
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
10/06/03
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER-
2007 HAMILTON WAY
SUBDIV
PHONE
PHONE - (360) 457-0846
WILCOX, JEFF/KIMBERLY
06-30-00-9-3-2140-0000-
03-00000959 RES NEW SFR
------------------------------------------------------------------------------------------------
PEIDHT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
;;;~~;; ~~;;;;;;;;--~~---~~;;;;;;;;-~~;;;;;-;;;;;;;----~~~----~~~----~-----~----~----~
-------------------------------------- COMMENTS AND NOTES -------------------___________________
..l
Ak!.w flq,vls R.ec,~e~ <=t..l/-o:s.12V
BUILDING PERMIT - APPLICATION
("'-- -
FOR OFFICIAL USE ONLY
DateRec ~~JS--03
Permit # C;e:;-y
Date Approved
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
~- 0 C>5
ApplIcant or Agent: --::r;( ., k~'m),.,.Y'o/
Owner: -:::T;((.; .J!l'n, V{};)UJJ(
Address: ILjJIJ Vlk~) ~JJJ 6)..
M./J leox
Phone:
Phone:
'i57~ ()'f~
1f17...m-~r
ZIp: ~~~7
CIty:
ft r). 4,,'''J~~
Phone:
t..0rkw-
Phone: ~5Z.-Ob N'
ZIp: Cj~;;Jh,~
ZONING:
~'
!AYe. ~W
Architect/Engmeer:
contract~Jh".~ -r~j .&rkl1 State LIcense #: Exp:
Address: 17 J5t?A.;o() t:."'~f;J pr. CIty: ~yJ- 4d.e:J~
9-€>e? . J-JQ..~ l I toY) U:J ~
LEGAL DESCRIPTION: Lot: )11 Block: Z SubdIVIsion:
CLALLAM COUNTY PARCEL NUMBER: Oy,,~OOOC7J~:t i l.JD
PROJECT ADDRESS:
Credit Card Holder Name:
Billing Address: sf " City:
Credit CardType VISA # ' ~
TYPE OF WORK: SIZEN ALUATION:
)( ResIdenttal Jill New Constr. 0 Re-roof 0 Stove IIt!JIAS~~2S- _ SF. @ $ /SF. = $
o MultI-farmly 0 AddItton 0 Move ~ Garage tfJo.~!>-'-6___ SF. @ $ /SF. = $
o Commercial 0 Remodel 0 DemolItion 0 Deck i'Or<.k 160 SF. @$ /SF. = $
BRIEF DESCRI~T~~a~F THE ~R~~CT: 0 Ot~~~)A ;)<'''17 Jl~~L V ALU,t~ .,s ;:..$(( I 30 ~ eJ e>
~-f ~~ t,
COM MERCIALlRESIDENTIAL , O"upon'y Gmup, 'JI(- 3 Oooupont Lu.d. ~~'l!; Type, ~""'. : J!.~
No. of Storie" L Lot S"e' 9,/JiJt7 ~ I). Ex"tmg Sq. Ft. D & Pmpo"d Sq. F~ ~TOT AL Sq.Ft. ~.
Existing lot coverage --'L- % & Prop ed lot coverage ~% = Total lot coverage _~
Z 1 APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
Exp. Date:
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA ChecklIst reqUIred? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Buildmg DlVlsIOn can proVIde you With mforrnatton on the applIcatIOn and
plan subrmttal requIrements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure wIll be reVIewed
and may be reVIsed by the Bmldmg DiVIsion to comply WIth current fee schedules. Contact the Permit Coordinator at 417 -4815 for aSSIstance.
PLAN CHECK FEE: IF a plan check fee IS due it must be submitted at the tIme the bmldmg perrmt applIcation and constructIon plans are
subrmtted. All other perrmt fees are due at the tIme of permIt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is Issued wIthm 180 days of the date o atIon, the application will expire. The
Buildmg Official can extend the tIme for action by the applIcant up to 180 days upon wrItten request by the applicant (see SectIOn 107.4 at
the Uruform Building Code, current edItIon). No applIcation can be extended more than once.
/
I
I
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 determme what permits are required ,not the City's, and that I must obtain such permits prior to work.
T.IFORMSIAPPS\B",1d,"gp~" wpd APFh"u'd' /tJ~ Date, if':?
f/;nl u.3 Ja::o r I~.s r;p' ~~"{i
!
..... ~ .....~ ~ - ~ -:,-... ~....,......". -
., -, 1
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
-~~TL :;
Job Located at
LCO}
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~DP'i4:.--s'"S :t=l=~ C>~ hl.e>J
Dr Drr.J~,;::- ~-QV:>
~ f6s. ~ f' /"1 iJ.-J
M. ~ S:.\J(LG 1EL~c.... 1=', k.l~ J
IS ~&~~/~pr~v~~
N.o
pe^-~~
~~ &~ .#
These corrections must be made and a not to be
covered until reinspection is made. W n corrections
." have been made, please call I - '{5 r
- for: inspection.
, Date ~4111Di
~'
Inspector for Building Division
,/
"
DO NOT REMOVE THIS TAG
~ """"" ","
SOR'...
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~
~~....oil
3604174729
PORT ANGELES CITY LT
PAGE 01
)In ;#:'75:J
puu:::r ff-dJP ~
/,~
,!' k,
.'1 '
CITY OF PdRTANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
/
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS C ER SHEET,
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE LL (360) 417-4724_
Please inspect the following:
2007 Hamilton Way 1fUf?/E~ ,
Thanks,
Kathy
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. Departmcn:":,-lfLatwl: & Industr.ies.
Electrical Section
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ELECTRICAL INSPECTION
CORRECTION REPORT
The corrections listed belm'" are hereby ordered and must be completed
within~.
al Electric<ll Code or State Rt1es for Safety Standards.
Address
Is the permit fee correct
No Fee due $
~!if7? #/--~~
r:;;-J:$~~
fPK 11_ ~
NOTIFY INSPECTION OFFICE WHEN
READY FOR REINSPECTION
F500-00h-OOO Ek'Ctrical inspection ctllTection report .1-03
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
D"'R"c /Z-R-63
P""nh#, 05q
Date Approved:
Date issued:
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FROM :Dave's Heating & Cooling Srvc FAX NO. :13604520939
Dec. 03 2003 01:29PM PI
Fill out COMPLETELY and in INK. Your application and site plan MVST BE
COMPLETE to be accepted for review. If you bave any questions, call
(360) 417-4815
l>"ve.. Ula-e."""""f .6er-V\C<Z.., :rnc..
Applicant or Agent: j)~lIels Hea.+""6 "-- (00 \ i "'1 Phone: '-(5:;1-093 '7
Owner: -Te I" (" ~ e, 0-(" -\- 0 1\ Phone: ~S:l- Dra 7"1
Address: n::5on Rd City: fo.-t An~GL::, Zip: "1'?3(,,3
Architect/Engineer: ~ Phone:
. . .5e-~-;'-"-, "I"c.. DAV,sSHG'I"1\ KG L
Contractorj)"V<:'S H"a-h"8"'-CooI,,,~ State License #: Exp: os ao05 Phone:
Address: Po SOX 'It?> City: for-+- .A-,;~ks
PROJECT ADDRESS: :JDO-r W. Hamll+Dh W 1A1
Zip:
tfS:J-0'13<t
~3b-;}...
ZONING:
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUMBER:
Subdivision:
Credit Card Holder Name: .n",v.d L. I>lde"k...", p",,<'.I:$ He"+i,, "i- Coot In
Billing Address: P'O.,$ox </13 City: W
CreditCardTypeVISA ........ MC #
TYPKOF WORK: SIZEN ALVA TION:
I!1"Residentia1 '.' []('New.Constr. D Re-roof D Stove SF. @ $ iSF. ~ $
D MUlti,i;;mily D Addition D Move D Garage SF. @ $ ISF. ~ $
D C~~;cial 0 Remodel D Demolition D Deck . SF. @ $ /SF. ~ $ . ,.
. .... . DRepaif D Sign D Other TOTAL VALUATION $
BRIE.i! D,I.'S,CRIPTlONOF THE PROJECT: -H.e.rmc>5.fce..-f.. . c-<J (r--e.-
Re;ADY 70':I{'JsfCc-r
COMMERCIALIRESIOENTlAL: Occupancy Group:
No. of Stories; Lot ~ize: Existing Sq. Ft.
Existing lot coverage _ % & Proposed lot covera
Occupant Load:
Construction Type: ". :
~ TOTAL Sq.Ft.
%
PLANNING USE ONLY:
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
BIDLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan subminal requirement,> if you have questions.
VALVA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the lluilding Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check ree is due it must be submined at the time the building pennit application and construction plans are
submitted. All other pennit fees are due atthc time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I ha_e read and examined this application and know the same to be true and COffEct. I am authorized to apply for this permff and
understand that ff is my responsibility to determine what permits are requir not the City's, and that I must obtain such permits prior to work.
1:1/03/03
I
Applicant:
Date:
T:\FORMS\APPS\Buildingpermi t. wpd
.
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONl.Y
DaldR~c. t---
Permit#:
D~te Approved
Dale Issued
The Electrical Permit Application must be filled out completely.
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Please type or reprint in ink. If you have any questions. please call (360) 4174735
Fax number: (360) 417-4711
/lrt- #'/59
Owner or Elee. Contractor Agent:
- ""-? (
Ii-uZ777fi'<. ec;>,c:... \ N.: ,
Phone: <<;0417 /6/
Fax: 5____..-p
-
Property Owner:
~.R. -< C;"'(G'(lY,-)
';<007 t..u. I-lflvv\\\\O,v wAA City:
Phone:
Address:
t>A-
Zip:
Electrical Contractor: -.,-;; .IV':"'T'P!?/L ~(?;.e
License #:
Exp:
Phone:
Address: 423 /3//Jd:'//~K iF
City:
PI+-
Zip:
INSTAllATION WIRED BY:
DOWNER
-p4lECTRICAl CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA.~ MC:
PROJECT ADDRESS:
;;('<'" 7
tAJ,
I( /frYIILTo rJ W IT-f
TYPE OF WORK:
Check all that apply:
o New
o Alteration/Addition
:;.~S5 .Hr;"sfL
!ftPiP &~
176:3 ~ F/
;JB~ I SG)
,"'1
~ReSidential
o Multi-family
o Commercial
o Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 'Kz Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Si!
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
Ni1l.u Q~<:::,
~1il..1:'
c ""'" f'115~
Electrical Heat Load Additions and or Subtractions
Service Information
o Baseboard
~ Furnace
SHeat Pump
o Fan-Wall
_KW
~KW
z.';-TON
KW
LRA
o Overhead Service
o Temp Service
;gJ Underground Service
Voltage: Z \/0/ / ~ C
Phase: "Q 1 0 3
Service Size: ~on
Feeder Size: v/o
lb'N~
14
G'!1?O€ll<--! 8- ~ ') P6067'AG (0'7TAl-L5D J IJ....)rf!6 fl()i...-GG0 '~~(J
I hereby certify that I have read and examined this application and know that same to be true and correct, and I ar
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.
Credit Card Holder's Signature:
Date:
~&. ~. """,. I; fi&.
() <;1ElEC~RICA~MITAPPLlCATlON it"""--
t{ r J ~~ / " /" /. ~
\'1..,1.' -1
".,. .4
~~AC
" ~MIT FEE: $.f'/t/ ,t 0
't' hAJ
Owner or Elec. Cont. Signature:
Date: