HomeMy WebLinkAbout3007 S Laurel St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
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
05-00000940 Date 10/10/05
419820
3007 S LAUREL ST
06-30-15-2-2-9050-0000-
RES NEW SFR
158360
Owner
Contractor
KEVIN GROFF CONSTRUCTION
P. O. BOX 1665
PORT ANGELES WA 98362
(360) 452-9892
Other struct info
KEVIN GROFF CONSTRUCTION
PO BOX 957
PORT ANGELES
(360) UD l!!Il
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
19.70
1. 00
12364.00
2431. 00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
61861
1347.65
10/10/05
4/08/06
Plan Check Fee
Valuation
539.06
158360
Qty Unit Charge Per
Extension
1017.25
330.40
BASE FEE
59.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 61879
Permit Fee 90.70 Plan Check Fee .00
Issue Date 10/10/05 Valuation 0
Expiration Date 4/08/06
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
4.00 7.2500 ECH ME-VENT FAN 29.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
61887
146.00
10/10/05
4/08/06
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1. 00 7.0000 ECH PL- EA.WATER HEATER
Extension
47.00
70.00
7.00
15.00
7.00
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Special Notes and Comments
en .:roo gu ~rEi. farel J.lfS a e, ;t:q..;L.l1s...;WJ. . oc.aJ:.l;:c Wt. ry . t d bl" t Th' . b
Separate ermlts arereqUlrea ore ecmca wor, t:t"'A, ;:,nore me, ct)A, UIIllles, pnva e an pu IC Improvemen s. IS permit ecomes
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
constr ction.
Si
Signature of Owner (if owner is builder)
T:\Policies\ 1102_15 building permit inspection record05. wpd [1/4/2005]
Date
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, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FUrot ~ DUCTS 'r
GAS LINE <.1.......
WOOD STOVE 1 PEL ET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNG/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI 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:IPoliciesIII02_15 building permIt inspectIon record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000940
Application pin number 419820
Page 2
Date 10/10/05
Special Notes and Comments
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
09/29/2005 11:42 AM SROBERDS - Setbacks on the site plan
are reversed for residential development.
09/29/2005 03:20 PM SROBERDS -- Property lines may be
switched such that the front/rear face north/south rather
than the platted east/west configuration.
$713 Connect Fee.
09/28/2005 02:10 PM JHEBNER ----------------------------
Electrical load calculations and electrical permits are
required.
09/28/2005 02:11
Final Grade at the
accordingly. Other
Expense.
09/28/2005 02:11 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
PM JHEBNER ----------------------------
Transformer is manditory. Landscape
options are available at Customers
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 1584.35 1584.35 .00 .00
Plan Check Total 539.06 539.06 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3897.91 3897.91 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nu II 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 0:)- Cf 1-/0
',.
CALL417-4815 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 LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS J J- I t'] -6) 6-
WALLS 1- ~1-.oS'
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING ~d S/~(t;, ~
UNDER FLOOR / SLAB ,
ROUGH-IN ! / )--<1-) DC Jlf.
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS -vI (, In, JW
CEILING
FRAMING
JOISTS 1 GIRDERS vJ1t? I (){, :TLv
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING ~/l'7>/O7", J('~
DRYW ALL (INTERIOR BRACED PANEL ONLY) "tj'VL 10& 'Jl{;
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING ?.f (.1[.. ( tJYi:.. I .:111/
MECHANICAL Fc~(~1- S I{r:,({)~ Jz-v
HEAT PUNW 1 FURNACE 1 DUCTS I
,
GAS LINE I~/($ /~(, -:Tl-V
WOOD STOVE 1 PELLET 1 CHIMNEY / ,
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCyruSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417.4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 // PLANNING DEPT.
BUILDING 417-4815 ~ Ite, / tH... I :J7,u BUILDING
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T:\PohcleslI102_15 bUlldmg permit mspectlOn record05.wpd [1/4/2005]
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U1U1
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUS
COMPLETE to be accepted for review. If you have any questions, ca.
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: WCJyn-e Qre) f'f Phone: 477 -/ ~ 0 :::)
Owner: k P II; VI c;..i-d ft C. ~ ."L<"; -ri" t..l c-t t ~ n Phone: ~ 5.J - 9 SX1 2-
Address: ?o Bo;r'" lc..toS City: /~rt 411feles Zip: '1'Y'3c,z-
Architect/Engineer: Phone:
Contractor-K€, 111\ /11 G~) ff C:',t>'T;State License #: ke();~QrCOztl/BExp: ,1'/1/07
Address: pO I <..65 City: Pc~..::t A-'"f'ell?s
PROJECT ADDRESS: -?J OCJ 1 S - ~ Ra ~1
S'~
LEGAL DESCRIPTION: Lot: I Block: ~ X' -...2 -:5 Subdivision:-
CLALLAM COUNTY PARCEL NUMBER: D fa 30 I S~ cr 0 $'0 (j 000
Phone: 1i'-S.;L-?;r'l'2-
Zip: 733G 2-
ZONING:
TYPE OF WORK:
~ Residential ~ New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
o Stove
1RI Garage
)Xl Deck
o Other
SIZEN ALUATION: ~
1113/ SF. @ $ 9rJ;...<' /SF. = $
57" SF. @$ ::lD~ /SF. = $
~ SF. @$ /.sC$~: /SF. = $
TOTAL VALUATION $
14".~80
i' ,5::10
3'"-0
'S8'j~"'o
NtW
0Ftz
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: _ Lot Size: J2, tJb4.. Existing Sq. Ft.
Total lot coverage~
Occupant Load: Construction Type: %
& Proposed Sq. Ft. ~ I = TOTAL Sq. Ft. ~ I
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct, I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T:\Policies\BL-l102_13.wpd ApplicantLA ;.)~_~ate: Cf- :2"-05'
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
~~ A1D
Site Information
Building Department UseOn!y
Lot:
Permit#:
State: Zip:
Contact: \\J'vt-yn& ~V"ti1f
Phone: 4-11--I~vG
Address:
Notes:
City: :ern 'S"" ~
Phone 2:
Fax:
n mnte azmg otlOn ny
Glazing Glazing U-Factor Door9 Wall Wall Wall SIab4
Option ArealO u- Ceiling1 Vaulted Above Int4 Ext4 Floors On
% of Floor Vertical Overhead 1] factor Ceiling3 Grade Below Below Grade
Grade Grade
III Unlimited ~21
"'
Group R-3 0.40 0.58 0.20 R-3V R-30 R-21 R-IO R-30 R-IO
Occupancy "---.../
Only
Table 6-1
PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Ur'dGl' o' 01)
See the code text for footnote references
This project complies with the fnlIn"';---
,( The project i
,( The project i:
,( All building Cl
,( The project w
terior of the framing.
, Option III.
The project will take
o 602.6 Exceptk
scriptive option:
eet the standards is allowed.
o 602.6 Exceptiol
rY7v\ ~J (1)
\ \ \) -- -tM'~~_--
~~~\!\~
Location of the doc
culations, Option 1/1 only.
Location of the door
Copyright 2002, WSUCEEP02-(
Copied by permission from the Ii
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7/26/2004
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<<:I ~~.....
TJ-Beam@6.15SeriaINumber:7004012143
User: 1 7/29120053:56:26 PM
Page 1 Engine Version: 1.15.33
Typical header
3 1/2" X 7 1/4" 1.6E Solid Sawn Douglas Fir #2
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN
CONTROLS FOR THE APPLICATION AND LOADS LISTED
Member Slope: 0112 Roof SIope0l12
6' 6"
L
~~
~
J
~~
~
AU dimensions are horizontal.
Produd Diagram is Conceptual.
LOADS:
Analysis is for a Drop Beam Member. Tributary load Width: 16' 6"
Primary load Group - Snow (pst): 25.0 live at 115 % duration, 17,0 Dead
SUPPORTS:
Input Bearing Vertical Reactions (Ibs) Detail Other
Width length live/Dead/UpliWTotal
1 Stud wall 3.50" 1.53" 1341/93110/2272 By Others None
2 Stud wall 3.50" 1.53" 1341/93110/2272 By Others None
-See T J SPECIFIER'S I BUILDERS GUIDE for detail(s): By Others
DESIGN CONTROLS:
Maximum Design Control
Shear (Ibs) 2155 1646 1848
Moment (Ft-Lbs) 3323 3323 3341
live Load Defl (in) 0.075 0.206
Total load Defl (in) 0.128 0.308
-Deflection Criteria: STANDARD(LL:U360,TL:U240).
-Bracing(Lu): All compression edges (top and bottom) must be braced at 6' 6" ole unless detailed otherwise. Proper attachment and positioning of
lateral bracing is required to achieve member stability.
-The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NOS for applicability of increase.
-Analysis based on vertical loads only and assumes structural supports as noted in the input. Axial loads are not considered in this analysis.
-Design assumes adequate continuous lateral support of the compression edge.
Control
Passed (89%)
Passed (99%)
Passed (U980)
Passed (U579)
location
Lt. end Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
ADDITIONAL NOTES:
-IMPORTANT! The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will
be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads,
and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate.
-Not all products are readily available. Check with your supplier or T J technical representative for product availability.
-Solid sawn lumber analysis is in accordance with 1997 NOS methodology and is solely presented for comparison purposes. Program limitations and
assumptions about this analysis are available through the software's On-line Help. Trus Joist does not warrant the analysis nor the performance of
solid sawn lumber materials.
-Allowable Stress Design methodology was used for Building Code UBC analyzing the solid sawn lumber material listed above,
PROJECT INFORMATION:
Groff Residence
OPERATOR INFORMATION:
Annie O'Rourke
Prudential Drafting Solutions
PO Box 1246
Port Angeles, WA 98362
Phone: (360) 417-5615
Copyright @ 2004 by Trus Joist, a Weyerhaeuser Business
c: \Documents and Settings\KATE WADDELL\Desktop\Drafting Solutions\Groff 05-029\ typical header. 5ms
~~eL.....
TJ-8eamiJj) 6.15 Serial Number: 7004012143
User: 1 7/29/20053:55:51 PM
Page 1 Engine Version: 1.15.33
Kitchen Beam option
3 118" X 9" Classic Glulam™ (24F - V4 OF)
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN
CONTROLS FOR THE APPLICATION AND LOADS LISTED
Member Slope: 0112 Roof SIope0l12
J
~~
~
ii'
L
~
.
Product Diagram is Conceptual.
All dimensions are horizontal.
LOADS:
Analysis is for a Drop Beam Member. Tributary Load Width: 11'
Primary Load Group - Snow (pst): 25.0 Live at 115 % duration, 17.0 Dead
SUPPORTS:
Input Bearing Vertical Reactions (Ibs) Detail Other
Width Length Live/Dead/UpliftIT otal
1 Stud wall 3.50" 1.94" 1513/1066/0/2579 By Others None
2 Stud wall 3.50" 1.94" 1513/1066/0/2579 By Others None
-See T J SPECIFIER'S 1 BUILDERS GUIDE for detail(s): By Others
DESIGN CONTROLS:
Maximum Design Control
Shear (Ibs) 2500 -2090 5175
Moment (Ft-Lbs) 6668 6668 9703
Live Load Defl (in) 0.234 0.356
Total Load Defl (in) 0,400 0,533
-Deflection Criteria: STANDARD(LL:U360,TL:U240).
-Bracing(Lu): All compression edges (top and bottom) must be braced at 11' olc unless detailed otherwise.
bracing is required to achieve member stability.
-Design assumes adequate continuous lateral support of the compression edge.
Control
Passed (40%)
Passed (69%)
Passed (U546)
Passed (U320)
Location
Rt. end Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
Proper attachment and positioning of lateral
ADDITIONAL NOTES:
-IMPORTANT! The analysis presented is output from software developed by Trus Joist (T J), T J warrants the sizing of its products by this software will
be accomplished in accordance with T J product design criteria and code accepted design values, The specific product application, input design loads,
and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate,
-Not all products are readily available. Check with your supplier or T J technical representative for product availability.
-THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS.
-Allowable Stress Design methodology was used for Building Code UBC analyzing the T J Distribution product listed above.
-The analysis presented is appropriate for Classic Glulam TM beams by Weyerhaeuser.
PROJECT INFORMATION:
Groff Residence
OPERATOR INFORMATION:
Annie O'Rourke
Prudential Drafting Solutions
PO Box 1246
Port Angeles, WA 98362
Phone: (360) 417-5615
Copyright 2004 by Trus Joist, a Weyerhaeuser Business
TJ-Beam@ is a registered trademark of Trus Joist.
Classic GIulam'" is a trademark of Weyerhaeuser.
C:\Documents and Settings\KATE WADDELL\Desktop\Drafting Solutions\Groff 05-029\Kitchen beam 2.sms
~~~.....
TJ-8eam@6.15SeriaINumber: 7004012143
User: 1 7/29/20053:55:13 PM
Page 1 Engine Version: 1.15.33
Kitchen Beam
31/2" X 111/4"1.6E Solid Sawn Douglas Fir #2
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN
CONTROLS FOR THE APPLICATION AND LOADS LISTED
Member Slope: 8/12 Roof Slope8/12
J
J
~
11'
L
~
i
Product Diagrlllll is Conceptual.
All dimensions are hoI'izontal.
LOADS:
Analysis is for a Drop Beam Member. Tributary Load Width: 11'
Primary Load Group - Snow (pst): 25.0 Live at 115 % duration, 17.0 Dead
SUPPORTS:
Input Bearing Vertical Reactions (Ibs) Detail Other
Width Length Live/Dead/UpliftIT otal
1 Stud wall 3.50" 1.74" 1513/1080/0/2592 By Others None
2 Stud wall 3.50" 1.74" 1513/1080/0/2592 By Others None
-See T J SPECIFIER'S 1 BUILDERS GUIDE for detail(s): By Others
DESIGN CONTROLS:
Maximum Design Control
Shear (Ibs) 2514 -2013 2868
Moment (Ft-Lbs) 6704 6704 6806
Live Load Defl (in) 0.121 0.356
Total Load Defl (in) 0,207 0.533
-Deflection Criteria: STANDARD(LL:U360,TL:U240).
-Bracing(Lu): All compression edges (top and bottom) must be braced at 11' o/c unless detailed otherwise. Proper attachment and positioning of lateral
bracing is required to achieve member stability.
-The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NOS for applicability of increase.
-Analysis based on vertical loads only and assumes structural supports as noted in the input. Axial loads are not considered in this analysis.
-Design assumes adequate continuous lateral support of the compression edge.
Control
Passed (70%)
Passed (98%)
Passed (U999+)
Passed (U619)
Location
Rt. end Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
ADDITIONAL NOTES:
-IMPORTANT! The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will
be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads,
and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate.
-Not all products are readily available. Check with your supplier or T J technical representative for product availability,
-Solid sawn lumber analysis is in accordance with 1997 NOS methodology and is solely presented for comparison purposes. Program limitations and
assumptions about this analysis are available through the software's On-line Help. Trus Joist does not warrant the analysis nor the performance of
solid sawn lumber materials.
-Allowable Stress Design methodology was used for Building Code UBC analyzing the solid sawn lumber material listed above,
PROJECT INFORMATION:
Grof Residence
OPERATOR INFORMATION:
Annie O'Rourke
Prudential Drafting Solutions
PO Box 1246
Port Angeles, WA 98362
Phone: (360)417-5615
Copyright G-) 2004 by Trus Joist, a Weyerhaeuser Business
C:\Documents and Settings\KATE WADDELL\Desktop\Drafting Solutions\Groff 05-029\Kitchen beam l.sms
~~e!.....
TJ-8eam@6.15SeriaINumber:7004012143
User: 1 7/29/20053:54:38 PM
Page 1 Engine Version: 1.15.33
Garage door header option
5118" X 12" Classic Glulam™ (24F - V4 OF)
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN
CONTROLS FOR THE APPLICATION AND LOADS LISTED
Member Slope: 8112 Roof SIope8112
J
J
~
16'9"
1-
~~
~
Product Diagram is Conceptual.
All dimensions are horizontal.
LOADS:
Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 14' 6"
Primary Load Group - Snow (pst): 25.0 Live at 115 % duration, 17.0 Dead
SUPPORTS:
Input Bearing Vertical Reactions (Ibs) Detail Other
Width Length Live/Dead/UpliftlTotal
1 Stud wall 3.50" 2.40" 3036/2190 I 0 /5226 By Others None
2 Stud wall 3.50" 2.40" 3036/2190/0/5226 By Others None
-See T J SPECIFIER'S I BUILDERS GUIDE for detail(s): By Others
DESIGN CONTROLS:
Maximum Design Control
Shear (Ibs) 5122 -4420 11316
Moment (Ft-Lbs) 21020 21020 28290
Live Load Defl (in) 0.446 0.547
Total Load Defl (in) 0.768 0.821
-Deflection Criteria: STANDARD(LL:L/360,TL:L/240).
-Bracing(Lu): All compression edges (top and bottom) must be braced at 16' 9" ole unless detailed otherwise.
lateral bracing is required to achieve member stability.
-Design assumes adequate continuous lateral support of the compression edge,
Control
Passed (39%)
Passed (74%)
Passed (L/442)
Passed (L/257)
Location
Rt. end Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
Proper attachment and positioning of
ADDITIONAL NOTES:
-IMPORTANT! The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will
be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads,
and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate.
-Not all products are readily available. Check with your supplier or T J technical representative for product availability.
-THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS.
-Allowable Stress Design methodology was used for Building Code UBC analyzing the T J Distribution product listed above.
-The analysis presented is appropriate for Classic Glulam 11.1 beams by Weyerhaeuser.
PROJECT INFORMATION:
Groff Residence
OPERATOR INFORMATION:
Annie O'Rourke
Prudential Drafting Solutions
PO Box 1246
Port Angeles, WA 98362
Phone: (360) 417-5615
Copyright @ 2004 by Trus Joist, a Weyerhaeuser Business
TJ-Beam@ is a registered trademark of Trus Joist.
Classic Glulam~ is a trademark of Weyerhaeuser.
C:\Documents and Settings\KATE WADDELL\Desktop\Drafting Solutions\Groff 05-029\garage hdr 2.sms
~~l!!!t~
T J-8eam@6.15 Serial Number: 7004012143
User: 1 7/29/20053:53:50 PM
Page 1 Engine Version: 1.15.33
Garage door header
3 1/8" X 15" Classic Glulam ™ (24F - V4 DF)
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN
CONTROLS FOR THE APPLICATION AND LOADS LISTED
Member Slope: 0112 Roof SIope0l12
J
J
~
16' 9"
L
~
~
Product Diagram is Conceptual.
All dimensions are horizontal.
LOADS:
Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 14' 6"
Primary Load Group - Snow (pst): 25.0 Live at 115 % duration, 17,0 Dead
SUPPORTS:
Input Bearing Vertical Reactions (Ibs) Detail Other
Width Length Live/Dead/UpliftIT otal
1 Stud wall 3.50" 3.91" 3036/2160/0/5196 By Others None
2 Stud wall 3.50" 3.91" 3036/2160/0/5196 By Others None
-See T J SPECIFIER'S 1 BUILDERS GUIDE for detail(s): By Others
-Bearing length requirement exceeds input at support(s) 1, 2. Supplemental hardware is required to satisfy bearing requirements,
DESIGN CONTROLS:
Maximum Design Control
Shear (Ibs) 5092 -4239 8625
Moment (Ft-Lbs) 20900 20900 26953
Live Load Detl (in) 0.374 0.547
Total Load Detl (in) 0.641 0.821
-Deflection Criteria: STANDARD(LL:U360,TL:U240).
-Bracing(Lu): All compression edges (top and bottom) must be braced at 13' o/c unless detailed otherwise.
bracing is required to achieve member stability.
-Design assumes adequate continuous lateral support of the compression edge.
Control
Passed (49%)
Passed (78%)
Passed (U526)
Passed (U307)
Location
Rt. end Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
Proper attachment and positioning of lateral
ADDITIONAL NOTES:
-IMPORTANT! The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will
be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads,
and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate.
-Not all products are readily available, Check with your supplier or T J technical representative for product availability.
-THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS.
-Allowable Stress Design methodology was used for Building Code UBC analyzing the T J Distribution product listed above.
-The analysis presented is appropriate for Classic Glulam TJ.A beams by Weyerhaeuser.
PROJECT INFORMATION:
Groff Residence
OPERATOR INFORMATION:
Annie O'Rourke
Prudential Drafting Solutions
PO Box 1246
Port Angeles, WA 98362
Phone: (360) 417-5615
Copyright @ 2004 by Trus Joist, a Weyerhaeuser Business
TJ-Beam@ is a registered trademark of Trus Joist.
Classic Glulam- is a trademark of Weyerhaeuser.
C:\Oocuments and SettingS\KATE WADDELL\Desktop\Drafting Solutions\Groff 05-029\garage hdr l.sms
~~~..,-
T J-8eam<IY 6.15 Serial Number: 7004012143
User: 1 7/29/20053:53:04 PM
Page 1 Engine Version: 1.15.33
Floor Beam
9 1/2" T JI@ 110,2 plies @ 16" ole
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN
CONTROLS FOR THE APPLICATION AND LOADS LISTED
J
J
~
9' 6"
'-
~
I
~
Product Diagram is Conceptual.
LOADS:
Analysis is for a Joist Member.
Primary Load Group - Residential- Living Areas (pst): 40.0 Live at 100 % duration, 10.0 Dead
Vertical Loads:
Type Class Live Dead Location Application Comment
Uniform(plf) Snow(1.15) 275.0 187.0 OT09'6" AddsTo
SUPPORTS:
Input Bearing Vertical Reactions (Ibs) Detail Other
Width length Live/DeadlUpliftIT otal
1 Stud wall 3.50" 3.50" 1560 19521 0 1 2511 A 1: Blocking 1 Ply 91/2" TJI@110
2 Stud wall 3.50" 3,50" 1560/952/0/2511 A 1: Blocking 1 Ply91/2"TJI@110
-See T J SPECIFIER'S 1 BUILDERS GUIDE for detail(s): A 1: Blocking
DESIGN CONTROLS:
Maximum Design Control Control location
Shear (Ibs) 2401 -2357 2806 Passed (84%) Rt. end Span 1 under Snow loading
Vertical Reaction (Ibs) 2401 2401 2806 Passed (86%) Bearing 2 under Snow loading
Moment (Ft-Lbs) 5452 5452 5474 Passed (100%) MID Span 1 under Snow loading
Live Load Defl (in) 0.190 0.227 Passed (U575) MID Span 1 under Snow loading
Total Load Defl (in) 0.305 0.454 Passed (U357) MID Span 1 under Snow loading
TJPro 64 30 Passed Span 1
-Deflection Criteria: STANDARD(LL:U480,TL:U240).
-Deflection analysis is based on composite action with single layer of 19/32" Panels (20" Span Rating) GLUED & NAILED wood decking.
-Bracing(Lu): All compression edges (top and bottom) must be braced at 2' 6" olc unless detailed otherwise. Proper attachment and positioning of
lateral bracing is required to achieve member stability.
TJ.Pro RATING SYSTEM
-The T J-Pro Rating System value provides additional floor performance information and is based on a GLUED & NAILED 19'/32" Panels (20" Span
Rating) decking. The controlling span is supported by walls. Additional considerations for this rating include: Ceiling - None. A structural analysis of
the deck has not been performed by the program. Comparison Value: 1.94
PROJECT INFORMATION:
Groff Residence
OPERATOR INFORMATION:
Annie O'Rourke
Prudential Drafting Solutions
PO Box 1246
Port Angeles, WA 98362
Phone: (360) 417-5615
Copyright @ 2004 by Trus Joist. a Weyerhaeuser Business
TJI@ and TJ-Beam@ are registered trademarks of Trus Joist.
e-I Joist-,Pro- and TJ-Prow are trademarks of Trus Joist.
C:\Documents and Settings\KATE WADDELL\Desktop\Drafting Solutions\Groff OS-029\floor beam at girder.sms
~~~."..
TJ-8eam@6.15SeriaINumber:7004012143
User: 1 7/29/20053:53:05 PM
Page 2 Engine Version: 1.15.33
Floor Beam
9 1/2" T JI@ 110,2 plies @ 16" ole
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN
CONTROLS FOR THE APPLICATION AND LOADS LISTED
ADDITIONAL NOTES:
-IMPORTANT! The analysis presented is output from software developed by Trus Joist (T J), T J warrants the sizing of its products by this software will
be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads,
and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate.
-Not all products are readily available. Check with your supplier or T J technical representative for product availability.
-THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS.
-Allowable Stress Design methodology was used for Building Code UBC analyzing the T J Distribution product listed above.
-Note: See T J SPECIFIER'S I BUILDER'S GUIDES for multiple ply connection.
PROJECT INFORMATION:
Groff Residence
OPERATOR INFORMATION:
Annie O'Rourke
Prudential Drafting Solutions
PO Box 1246
Port Angeles, WA 98362
Phone: (360) 417-5615
Copyright @ 2004 by Trus Joist, a Weyerhaeuser Business
TJI@ and TJ-Beam@ are registered trademarks of Trus Joist.
e-I Joist~,Pro- and TJ-Pro- are trademarks of Trus Joist.
C:\Documents and Settings\KATE WADD8LL\Desktop\Drafting Solutions\Groff 05-029\floor beam at girder.sms
~~el.....
T J-8eam@6.15 Serial Number: 7004012143
User: 1 7/29/20053:52:23 PM
Page 1 Engine Version: 1.15.33
Entry Beam
31/2" X 7 1/4" 1.6E Solid Sawn Douglas Fir #2
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN
CONTROLS FOR THE APPLICATION AND LOADS LISTED
Member Slope: 0112 Roof SIope0l12
J
J
I>
l'
L
~
9
All dimensions are horizontal.
Product Diagram is Conceptual.
LOADS:
Analysis is for a Drop Beam Member. Tributary Load Width: 11'
Primary Load Group - Snow (pst): 25.0 Live at 115 % duration, 17.0 Dead
SUPPORTS:
Input Bearing Vertical Reactions (Ibs) Detail Other
Width Length Live/Dead/UpliftIT otal
1 Stud wall 3.50" 1.50" 962 I 676 I 0 11638 By Others None
2 Stud wall 3.50" 1.50" 962/676/0/1638 By Others None
-See T J SPECIFIER'S I BUILDERS GUIDE for detail(s): By Others
DESIGN CONTROLS:
Maximum Design Control
Shear (Ibs) 1560 -1219 1848
Moment (Ft-Lbs) 2600 2600 3341
Live Load Defl (in) 0.069 0.222
Total Load Defl (in) 0.117 0.333
-Deflection Criteria: STANDARD(LL:U360,TL:U240).
-Bracing(Lu): All compression edges (top and bottom) must be braced at 7' ole unless detailed otherwise, Proper attachment and positioning of lateral
bracing is required to achieve member stability.
-The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NOS for applicability of increase.
-Analysis based on vertical loads only and assumes structural supports as noted in the input. Axial loads are not considered in this analysis.
-Design assumes adequate continuous lateral support of the compression edge.
Control
Passed (66%)
Passed (78%)
Passed (U999+)
Passed (U684)
Location
Rt. end Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
MID Span 1 under Snow loading
ADDITIONAL NOTES:
-IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will
be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads,
and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate.
-Not all products are readily available. Check with your supplier or T J technical representative for product availability.
-Solid sawn lumber analysis is in accordance with 1997 NOS methodology and is solely presented for comparison purposes. Program limitations and
assumptions about this analysis are available through the software's On-line Help. Trus Joist does not warrant the analysis nor the perfonnance of
solid sawn lumber materials.
-Allowable Stress Design methodology was used for Building Code UBC analyzing the solid sawn lumber material listed above.
PROJECT INFORMATION:
Groff Residence
OPERATOR INFORMATION:
Annie O'Rourke
Prudential Drafting Solutions
PO Box 1246
Port Angeles, WA 98362
Phone: (360) 417-5615
Copyright @ 2004 by Trus Joist, a Weyerhaeuser Business
c: \Documents and Settings\KATE WADDELL\Desktop\Drafting Solutions\Groff OS-029\Entry beam.5ms
~~~..~
TJ-8eam@6.15SeriaINumber: 7004012143
User: 1 7/29/20053:51:26 PM
Page 1 Engine Version: 1.15.33
Floor girder
3 1/2" X 7 1/4" 1.6E Solid Sawn Douglas Fir #2
THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN
CONTROLS FOR THE APPLICATION AND LOADS LISTED
-' L
~~ ~
~ l' 6"
Product Diagram is Conceptual.
LOADS:
Analysis is for a Drop Beam Member. Tributary Load Width: 9'
Primary Load Group - Residential- Living Areas (pst): 40,0 Live at 100 % duration, 10,0 Dead
SUPPORTS:
Input Bearing Vertical Reactions (Ibs) Detail other
Width Length Live/DeadJUpliftJT otal
1 Stud wall 3.50" 1.50" 1350/36010/1710 By Others None
2 Stud wall 3.50" 1.50" 1350/360/0/1710 By Others None
-See T J SPECIFIER'S 1 BUILDERS GUIDE for detail(s): By Others
DESIGN CONTROLS:
Maximum Design Control
Shear (Ibs) 1634 -1302 1607
Moment (Ft-Lbs) 2928 2928 2905
Live Load Detl (in) 0.120 0.239
Total Load Defl (in) 0.152 0.358
-Deflection Criteria: STANDARD(U:U360,TL:U240).
-Bracing(Lu): All compression edges (top and bottom) must be braced at 7' 6" olc unless detailed otherwise. Proper attachment and positioning of
lateral bracing is required to achieve member stability.
-The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NOS for applicability of increase,
Control
Passed (81%)
Passed (101%)
Passed (L/716)
Passed (U565)
Location
Rt. end Span 1 under Floor loading
MID Span 1 under Floor loading
MID Span 1 under Floor loading
MID Span 1 under Floor loading
ADDITIONAL NOTES:
-IMPORTANT! The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will
be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads,
and stated dimensions have been provided by the software user, This output has not been reviewed by a T J Associate.
-Not all products are readily available. Check with your supplier or T J technical representative for product availability.
-Solid sawn lumber analysis is in accordance with 1997 NOS methodology and is solely presented for comparison purposes. Program limitations and
assumptions about this analysis are available through the software's On-line Help. Trus Joist does not warrant the analysis nor the performance of
solid sawn lumber materials,
-Allowable Stress Design methodology was used for Building Code UBC analyzing the solid sawn lumber material listed above.
PROJECT INFORMATION:
Groff Residence
OPERATOR INFORMATION:
Annie O'Rourke
Prudential Drafting Solutions
PO Box 1246
Port Angeles, WA 98362
Phone: (360) 417-5615
Copyright @ 2004 by Trus Joist, a Weyerhaeuser Business
C:\Documents and Settings\KATE WADDELL\Desktop\Drafting Solutions\Groff 05-029\floor girder.sms
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CITY OF PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
~21 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
05-00000940 Date
419820
3007 S LAUREL ST
06-30-15-2-2-9050-0000-
RES NEW SFR
2/28/06
158360
Owner
Contractor
KEVIN GROFF CONSTRUCTION
P. O. BOX 1665
PORT ANGELES WA 98362
(360) 452-9892
Other struct info
KEVIN GROFF CONSTRUCTION
PO BOX 957
PORT ANGELES
(360) 460-1514
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
19.70
1. 00
12364.00
2431.00
1. 00
Permit . , , . .
Additional desc .
Permit pin number
Sub Contractor
Permi t Fee
Issue Date
Expiration Date
ELECTRICAL NEW
DAVE'S/ T-STAT
70250
DAVE'S HEATING
36.40
2/28/06
8/27/06
RESIDENTIAL
& COOLING
Plan Check Fee
Valuation
.00
o
U1
3
-J
Qty
1. 00
Unit Charge Per
36,4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
~
~
U'
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
09/29/2005 11:42 AM SROBERDS - Setbacks on the site plan
are reversed for residential development.
09/29/2005 03:20 PM SROBERDS -- Property lines may be
switched such that the front/rear face north/south rather
than the platted east/west configuration.
$713 Connect Fee.
09/28/2005 02:~0 PM JHEBNER ----------------------------
Electrical load calculations and electrical permits are
required,
09/28/2005 02:11
Final Grade at the
accordingly. Other
Expense,
09/28/2005 02~11 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense,
Sanitary sewer connection inspection is required by
r
~
~.
~
r
PM JHEBNER ----------------------------
Transformer is manditory. Landscape
options are available at Customers
~
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
IlITI......
11 II l(yH-lN I CUYhK
:ShK Y lCh
FINAL I I
GENERAL COMMENTS:
PW-1 102.U (4'96)
.o.,~.
afid~~
fl!
"""r~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
]21 EAST 5TH STREET. PORT ANGELES. WA 911362
Application Number . . . . , 05-00000940
Application pin number - . . , 419820
Page
Date
2
2/28/06
Special Notes and Comments
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
713.00
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36.40 36,40 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2487.50 2487.50 .00 .00
Grand Total 2523.90 2523.90 .00 .00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
-CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
lIlT' 'J-t
~UU(jH-IN I CUYER ~.3-f)(. ~
~bK V lCb
... IS'-S- oh .hF) I
GENERAL COMMENTS:
PW-II02.J' (4196)
fi
"I4lr..~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98162
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000940 Date
419820
3007 S LAUREL ST
06-30-15-2-2-9050-0000-
RES NEW SFR
1/26/06
158360
Owner
Contractor
KEVIN GROFF CONSTRUCTION
p, O. BOX 1665
PORT ANGELES WA 98362
(360) 452-9892
Other struct info
KEVIN GROFF CONSTRUCTION
PO BOX 957
PORT ANGELES
(360) 460-1514
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
19,70
1. 00
12364.00
2431.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
QUALITY/ 2407 SFR
69492
QUALITY ELECTRIC
143.20
1/26/06
7/25/06
Plan Check Fee
Valuation
.00
o
uJ
o
o
-J
Qty
1. 00
3.00
Unit Charge Per
73,0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
70.20
o
'1\(1
r
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Address numbers shall be plainly visible from the street,
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background,
09/29/2005 11:4.2 AM SROBERDS - Setbacks on the site plan
are reversed for residential development,
09/29/2005 03:20 PM SROBERDS -- Property lines may be
switched such that the front/rear face north/south rather
than the platted east/west configuration.
$713 Connect Fee.
09/28/2005 02:10 PM JHEBNER ----------------------------
Electrical load calculations and electrical permits are
required.
09/28/2005 02:11
Final Grade at the
accordingly, Other
Expense.
09/28/2005 02:11 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense.
r
:D'
~
~
r
PM JHEBNER ----------------------------
Transformer is manditory. Landscape
options are available at Customers
~
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
, , INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
IlIT( 'H
lUll J~H_IN I CUV,hK
,..... K v.. 'I-<'
I
GENERAL COMMENTS:
PW-lI02.1S (4'96J
$~
"I.oir",,,"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98J62
. I
----------------------------------------------------------------------------
Application Number . . , . . 05-00000940
Application pin number - 419820
Page
Date
2
1/26/06
special Notes and Comments
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
- ---- -- - - --- -~ - ----- - --- - -- - ----- - -- - -------------- - --- --- --- --- - ----- - - -- --
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SUltCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 143.20 143.20 .00 ,00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774,50 .00 .00
Grand Total 1917,70 1917.70 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
, CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
~"5''' # ~
GENERAL COMMENTS:
PW-II02.1S (4196]
$~
"'r~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98:\62
Application Number
Application pin number
property Address . . . .
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
property Use
property Zoning , . .
Application valuation
05-00001013 Date 10/20/05
314176
3007 S LAUREL ST
06_30_15-2-2-9050-0000-
ELECTRICAL ONLY
o
Contractor
Owner
------------------------
- - - - - - - - - - - - - - - - - - - - - - --
QUALITY ELECTRIC
257 CAYS RD
SEQUIM
(360) 460-3811
WA 98382
KEVIN GROFF CONSTRUCTION
P. 0, BOX 1665
PORT ANGELES WA 98362
(360) 452-9892
----------------------------------------------------------------------------
Permit . , , . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
QUALITY/ 60 A TEMP.
62471
QUALITY ELECTRIC
42.20 plan Check Fee
10/20/05 Valuation
4/18/06
.00
o
(Jj
\J
--\0
~-J
~
1
-0,
~ ~
r ~
c
----------------------------------------------------------------------------
Qty
1. 00
unit Charge Per
42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42.20
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42.20 42.20 ,00 .00
plan Check Total .00 .00 ,00 .00
Grand Total 42.20 42.20 .00 .00
~l
COMMENTS! ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATI!: ACCEPTED COMMENTS
YES I NO
un \,;1"1
lUll I(TH-lN I ('( IVI-<.K
--~ _&~
~.hRVICb
'T'1Z-~"" P :s ve- 1/0 - n-o~ I A-ri,")'
GENERAL COMMENTS:
PW-II02..' [4'96)
~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date
~- ~'p(p
Time
Received by
Jr
(phone. person)
Location of Work to be inspected .300 -, 5 L-Ohlt. ~
Name of person requesting inspection W. 6" '1;6
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. QS~
~oundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date Z-z 7-D~ Time
Remarks: Stl N\. Sewev InSTA-u.oEh
IfnI"> 51
/ 'SO' .:s:
By
?J n-H. -
RESTORATION REQUIRED. . . . .. YES ~ NO
A?p~T R&s,. PA.lh FD~ A:S
p~\ t>p ~ ~'W\'T - -=R~T. 'B~ c'IT~
Cu.V'-J:!> E, '1::>rlve;~ TO BE ~Ep~c..e:D
~"\ eOv'.T~A-c-ro~
5X8
fT5pl-1 ~-r {2es--k~L-I-/~~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel ~alt OPCC
o Other
Work Order # foril"
COMPLETE S4/ot=/]
INCOMPLETE 7K Lf ASfdr
/r; [!ree/- ~-z-aFF
(C,ontinue on reverse side if necessary) STREET SUPERINTENDENT
o Repaired by City
o Repaired by Permittee
o No Damage Found
di<jod
(DATE)
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
0"10
",:''/ ,i,;;:<'<...,
<>r'tL~ "
'!! --
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Owner
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
06 ---1'4D
05~00000940 Date
419820
3007 S LAUREL ST
06-30-15-2-2-9050-0000-
RES NEW SFR
10/10/05 ~075~YI:
t, G ru-;j Crw:t
158360
Contractor
KEVIN GROFF CONSTRUCTION
P. O. BOX 1665
PORT ANGELES WA 98362
(360) 452-9892
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Pe-rmi t Fee
Issue Date
Expiration Date
KEVIN GROFF CONSTRUCTION
PO BOX 957
PORT ANGELES
(360) 460-1514
TOTAL t LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
19.70
1..00
12364.00
2431.00
1. 00
DRIVEWAY INSTALLATION
61796
170.00
10/10/05
4/08/06
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per C"''''''=: .........
BASE FEE 170.00 ~
-~~----------~-~~------------------------------------------------- - ---
Permit PUBLIC WORKS RES WATER SERV
Additional desc
permi t pin number 61788
Permit Fee 715.00 Plan Check Fee .00
Issue Date 10/10/05 Valuation 158360
Expiration Date 4/08/06
RIGHT OF WAY
\~\\
Qty Unit Charge Per CT'<>;nn
1.00 715.0000 EA PW W/M 1" SERV 5/8" METER 715.00~
----------~~----------------------------~---~~--------~------------ ------
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
61770
50.00
10/10/05
4/08/06
Plan Check Fee
Valuation
.00
158360
Qty Unit charge Per Extension
________=~~~_______=~~~~~~_~=~___~=:~=_~~_~~=_~~~==______________~50.00'~
Permit . . _ . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
61762
110.00
10/10/05
4/08/06
Plan Check Fee
Valuation
.00
158360
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\11 02.15R [11051
t~'~2?~ ~
..S
:!-, --
""<~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
05-00000940
419820
Page 2
Date 10/10/05
Qty Unit Charge Per Extension
1.00 110.0000 EA SAN SEWER HOOKUP .,........-,.HI.OO-~
-----------------------------------------------------------------~----- -
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
MAINTAIN CLEARANCES FROM SERVICE WIRES
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
09/29/2005 11:42 AM SROBERDS - Setbacks on the site plan
are reversed for residential development.
09/29/2005 03:20 PM SROBERDS -- Property lines may be
switched such that the front/rear face north/south rather
than the platted east/west configuration.
$713 Connect Fee.
09/28/2005 02:10 PM JHEBNER ----------------------------
Electrical load calculations and electrical permits are
required.
09/28/2005 02:11
Final Grade at the
accordingly. Other
Expense.
09/28/2005 02:11 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense.
sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by public Works
Engineering is required prior to prouring concrete.
PM JHEBNER
Transformer
options are
is manditory. Landscape
available at Customers
-----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--;;~;~-;~~;;~-~;~;-;~~;----~~~~~~-
STATE SURCHARGE ~o
PW WATER SYSTEM USE FEE 1025.00
------------------------------------------------------------- ------ -----
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1045.00 1045.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2819.50 2819.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvemenls. 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 wilhin 180 days from the last
inspection. I hereby certify Ihat 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 10 give authorily 10 violate or cancel Ihe provisions of any slate or local law regulating construction or the performance of
construction.
Signature of Contractor or Aulhorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\ll02.15R [1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date
.,.- "4eotp
Time
Received by
}F
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
~oundation Framing Chimney
300, S L-t:UtJl~ I
Lv. 6" 'to
Phone No.
Permit No.
Plumbing Final Sewer Excav. Other
0:; -q<lJ:2
INSPECTION NOTES:
Inspected: Date Z-Z7'-D~ Time
Remarks: SI1 At\. Sewev- Ins.T/kl..Gh
If n 1'\ 51
I~O'
By
S '8 rn-+ -
RESTORATION REQUiRED...... YES L---' NO
A?p~T Res,. PA-tb FD~ 1'+.5
p~\ c>p ~ f'Mm\T - -=ResT. B'( ~/T~
Cu.v<..a E, L::>rlve;~ (0 BE ~Ept....Ac..e:D
7>,"\ C.~\~A.cro~
-
5Xg
'/f5PH (X,., f2~(,L-t/~~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel ~halt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
/r;.flreel ~--Z--~+F
Ir"........;............... ......u........"" ...i.-l.,. i.J .....................,...u\ ............___...... ......................................
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date ~-/ (~66
Time
Received by
RV
(phone. person)
Location of Work to be inspected 3667 S Lq4re.! c.,+-
Name of person requesting inspection IA} 0.. Y h ,q'-
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. C>5 - 'i ~6
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other j)fJ'Ve Wav ~
(.l-Lf'-b'
Inspected: Date
Remarks:
INSPECTION NOTES:
5" -//- 6E,
Time
By 'R if
() 1<
18 / X / /
RESTORATION REQUIRED. . . . .. YES >< NO
~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
I,...........i..."........... ..""................ ...i........:1 ....""'''''.......'r........\
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date S -( B - D <6
Time
Received by
Rv
(phone. person)
sC07 -.$
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other
4u..V'el
s',
S5"'-9'1D
INSPECTION NOTES:
Inspected: Date 5-1'0 - 06
Remarks: .sew e.". c<>.........<::t-~o'"
J>';ve ""''/ S- tf- 0(,
Time
ByRO
;z.-2.7-()"-
g+-.e.Q+ Res+e...o..\~<>vl. "6 \- ~6kA.(1le;l-ed
OK
RESTORATION REQUIRED . . . . .. YES "'" NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other
o Repaired by City Work Order # P-z.'tt:h
o Repaired by Permittee ""~a6";C~rCOMP[E~l={1II6""17
o No Damage Found 0 INCOMPLETE
!:TRI'I'T.!:IIPI'RINTI'N"I'NT
InA.:n:\____
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: kElJ,N ~~FF c;oAsT-
W r '-IS:;. -987;).
Name of Applicant: p. 'rIVE- b Rc FF
, Address: 30Ci S. LA.~R.EL- ~.
'Sf)
Renewal 0 New Service IliiBlk.E1S -;J... SLot
I 5/ /1
Size of Service_I ~ /0 Meter
Service Left On 0 Service Left Off Itl Signed
Installed by
[) . ~ ,.// 10' """'. 6.E: +11 " I c._ ~,
Remarks:T"'r~WI ,T~ 05 -9'fD ..J:I oL-=>' - ( .J v--
POItEZ.7d Ob30{5:l.::1. 90~oocoO
'. N
o~
r->
~
~
VIe.WCrest
E\
w
.,,'
r-
~
'I
~
s
---~--' --~-~-
6.&iI/f" ~
~ctrical Contractor U OWllcr ":::;'J CI Request Inspection
a Anml:1l Permit 0 AI:'lrm a Carnival 0 CommerdnJ CJ ResidentlaJ 0 Rcsldcntllll MoJut. a SI~QS CJ 'nlumo~[llIf Q Telecom.
ELECTRlCAL WORK PERMiT APPLICATioN
Jvb wir.d by
o I!;lcclric~i Contraclor 0 Owner
In.'ltlllln.liClI\ dl:'!Il:rl1,tion
EleCtrical ConUaclo( nilm~'
~9vc.. LiJ"
Pun;husc:r'.s mujling uJrJrc:;:;/
II :3:3 C l'l. (V\ e r..>^
City -, Stale zlr
.5~(.,!-1JJ~
Tclcpbonc Ilum~cr
'-/ ,- 3S-1 (
rrcmi!ic~ owac(,"~!li fl.1l.mC
(~r-o~ Cl")f'S+'
Addn;:ss or In!>pce11on
"=;>()t);:}_L.,(.l,,,;_r-'("'\~"+--'l
CilY .~, .. .......... .
f 1 licoose num'ocr
(; I t"( ....1 <-
~~o
..s~
fL,).
1.,..;./-0-
F:'X nUlllbcl'
i/T/- /'105
{
/~?l
57&
2107
"
.'
-~ A' ~..~
o Cnsh 0 Check #
I here-by ccnify time I am tbe owner of lhe abovl: n:Hncd properlY or a licel1sed
ch..'Clri<::al CllntrdCLor (ur the firm's iJulllnri:r.c:d ag-cnl) <J.nd ilffi mi.lking Uu: electrical
inst<lllalion (If llllcrllli"m in i::l)mplianct= with lh~ dCL:tric:J.llaw. Chupk:r 1902H RC\V.
OCrCditC",d
Curd ~
ViSil
Mastercard
Discover
Sfl:n.:lt~~ n( CJwnll!r, clcdrl.cal
X L
mtnttllr or .c-JcdriE:ldJ .:J.dmiah;t".lItor
EXfliration DalC
orclird
In!ipCCliollotcc
$ PI5-;;..o
WALLS
rn~~llalj()1\ Only
CEILING
In!'lllllllion 01,1,.
TlfF;RMOSTAT
l)ylc
^ppnlVullly
SERVICE
2.-.//<',I.."Ob /h:O
iil ^1'llf""'Cl11\y
., l'i_/ covc~
~~ At,,'r,wtlllfl~
~I<: Apflr"ndl.y
. Cover / ~ c-')
_ !?b.~_
"'t ^rf',,'~~d lly
DITCH
ob ,,~tO
AI'I'n"'ull.ly
n:IillER
l)lltO I\llprVlrOl1 hy
Electrical load Additions and or subtractions
o NO LOAD CHANGES
o Bllseboard KW
...a-FutnaCa ~ KW
,.....a Heal Pump d- Ton :J~ LAR
o Fnn-Wall KW
o Overhead Service
o Temp Service
~ Undorground Sorvico
Service Information
Vol<D.go ~~(J / .jy 0
Pha50-El , ~-
SalVic. Size: .-lo,1 ~,
S:&ed9r Size:
In~pccrion An;:... B\likling or Equipment In:-;pe~rcd ACliol\ T.ll<~11 C1ccuil,;{lJ
Dale In:>pcclor
lh.3IN~ ~CJ;, ,.:::, q-...... .:Jp. ii3~ A'?p D. A;.-/7
.. '-J .
5"-s-- 0'" r:, /'J.It-'- ,4ft" ~
.
.
,
...
'.
,
#'I) , '~
1-.1 ~'-/'}b
.
Jan 30 06 09:21 a
DAVE'S HEATING & COOLING
p,1
.
,
5<,::,011\"
6> - .",.,... ~
--
~ ""="-<~;
""~..
ELECTRICAL WORK PERMIT APPLICATION'
I
Electrical contractor name
t:\V I -e..a:h'h
Pu~hasc( '50 mailing address
-rD. t,ox '/13
CiH State ZIP
roV'"'k An~LLs, (.I JA "133 c:;,,;;;J..
~(;"<tS~:~13 c; . FA~bcr
Premises ownc.r'f name H .
.{Ja,Yh"'" I q <:t s -h ,,-.. '} S
Ad3'DOn~ton S. L a. LA re. (
Cityp l
o y-,.} A h 'te... -e S
PhoneC~$_~schrd6~~f~n: 'ft:>o-,? 8 Cj I
Owr.er as defined by CW.!9.28.26/:(I) Owt;(;?"r will occupy lite ~fruc(url! fo,. two
)'ear.s after this dee/rical permit is finalized. (2) OWnt?T U required to hire OPI electrical
COntractor if above said propert}' is for sale. rem or lease.
After rcading the above Statement. I h.ereby certify thal I am the owner of the above
nnmed propeny or 3 licensed cleClrical contractor. I am making the ele-elrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., Re\\!. Chapter
19.28, WAC. Chapter 295-468, The: City of POri Angeles Municipal Code, and
Ulility Specifications.
Signature of owner, electrical contraclor or electrical administrator
Installation description
o Commercial rM'Residential
Job wired by
IIt'Electrjcal Contractor 0 Owner
iH"New
Q Alteredl Addition
~-ev-rn05-t~WI'r-G
low (/0 I+~
o Cash 0 Check #
I3'CreditCard ~
Card #
Mastercard
Discover
----------------
Date:
Expiration Date
of card
SRSP?,ot;etjQ
Service Information
EJe rica! load Additions and or subtractions
o NO LOAD CHANGES
CJ Baseboard KW
I9""Furnace 10 KW
~Heat Pump :J.'!J.. Ton _ LAR
a Fan-Wall KW
o Overhead Service
o J~mp Service
l>4 Underground Service
Voltage
Phasell<l'l 0 3
Service Size: _
Feeder Sjze:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
J
1l1~OSTAT I
f
SERVICE
'\
'-
DatI:
Appro\.<;:,J by
J pate
Appro~'cd a~.
FINAL '\
5'-S--Ot;. ~
'- O'lle Approved By :,/
DrrOI
'\
'-
,
D",lc
^p~o\c<1B) /
FEEDER
D~t~
AppmvcdBy/
Date
'\f'"love:1Hy/
Inspection
Dale
Area, Building or Equipment Jnspected
.",chon Taken
Electrical
Jfsp~ctor
/7',... V
!t. (L~
D~
/0.
aec...TCl1"..) <?'.
,t;' 713
c
I'
/li) I ~..?t? -.06
fa{p/!/
Job wired by
ELECTRICAL WORK PERMIT APPLICATION
~J Tb It-\SpuA
Installation description
o Commercial ~dential
Electrical Contractor 0 Owner
Electrical contractor name " f
Ql'rA\\~ Elee,
Purchaser's' mailing' addre
\\ "1_1 L.<<.l'I'\
City
S~TmUl~
Telephone n mber
frll
License number
Date Expires
o New 0 Altered/Addition
r ,...0 Y\
State ZIP
ed,
l.. \ IT
FAX number
-
lel'Ylf
Premises owner's name
C"S->, J;
Address of insp'ecti n
f:.J'(!)O OJ'
CHy ~. -\:
n.r f) ('l~ \e-S
Phone number to schedule insp IOn:
CN<'l ~~
Ln.. ~.i.'\
s+~
Owner as defined by RCWJ9.28.261:(J) Owner will occupy the structure Jor two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
o Cash
o Check #
Visa
Mastercard
Discover
Card #
x
Expiration Date
of card
Elec cal Loa Addition and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Voltage
PhaseD1D3
Service Size:
Feeder Size:
M
"
~
i
~
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/ ROUGH-IN / THERMOSTAT / SERVICE
"- DalC Approvcd By Dale Approved By ./ "- Dale Approved By
/ FINAL /1fmf ,,- DITelI / FEEDER
/~.~{" ~ "- Dale Approved By ./ Dale Approved By/
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Dater Inspector
IQ '1 ~ oIL- 4f 11~vf- ~
I
/!CO h./ ,,-
/ '/