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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.~21 EAST 5TH STREET. PORT ANGELES. WA 9Rl62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000694 Date
.287996
1620 S 0 ST
06-30-00-4-4-0310-0000-
RES MANUFACTURED HOME
RS9 RESDNTL SINGLE FAMILY
68000
Owner
Contractor
GARCEAU, FRED
164 HEUHSLEIN RD
PORT ANGELES
(360) 457-5518
VALLEY PROPERTIES
164HEUHSLEIN RD.
PORT ANGELES, WA
PORT ANGELES
(360) 457-5518
1600SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
BECKER/ GARAGE
RW BECKER ELECTRIC
48.10
3/04/05
8/31/05
Plan Check Fee
Valuation
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R-OUTBD/DTCH GAR SEP
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
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 lI~ire alarmll
The proposal will result in the placement of a manufactured
home on a property in the RS-9 for total lot coverage of
17%. Setbacks are good. No land use issues are noted.
Electrical load c~lculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Electrical load calculations and elctrical permits are
COMMENTS/ACTION NEEDED
3/04/05
& CONST
WA 98362
16.80
1. 00
9500.00
1600.00
1600.00
1. 00
.~
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.00
o
Extension
48.10
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,
tA
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ELECfRICAL PERMIT INSPECTJON RECORD
CALL 417~735 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
INSPltC110N TYPE DATE ACCEPTED COMMENTS
I YES I NO
UITl;l1
IU IUUH-IN / COVER
;:)r..K v 1~r..
~
, GENERAL COMMENTS:
PW-lI02.1S (4'96)
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. Y' ELECTRICAL WORK PERMIT APPLICATIO]~>/>
~ Request Inspection . .
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DOwner IOQ;;;.....
(J Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
~ctrical Contractor
o Annual Permit 0 Alarm
Installation description
Job wired by
~ectrical Contractor 0 Owner
SC7e-r ..J
Electrical contractor name
p L.u br:-ctCC':K~
Purchaser's mailing address
I S ~ z... T77c.-.-"YC
City
~ 6C<U/1!-+-t
Telephone number
License number
1/ U~ CiC6 .,jVo6'"5G3
.
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4-
F'P JL-
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State ZIP
J42
7' K',> I" Z-
'5 b/6
~~7
o Cash ..)'I"Check #
o Credit Card Visa
Card #
--;!6cr(".:tF75B7
r hereby certify that r am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
Mastercard
Discover
x
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
D Fan-Wall KW
WALLS
Insulation Only
Dal~ Appr?ved By
Cover
Dale Approved By
Inspection
Date
Expiration Date
of card
TIlERMOSTAT "\
Dale Approved By ./
DITOI
/:z/U~'1 ,/co
/Oalol Approved By
,,- SERVICE
"- Date Approved By
,,-
FEEDER
Dale Approved By
CElUNG
Insulation Only
Dale
Approved By
Cover
Dale
Approved By
/
Service Information
o Overhead Service
o Temp Service
~ndergrOUnd Service
Voltage
Phase D 1 D 3
Service Size:
Feeder Size:
Area, Building or Equipment Inspected
Electrical
Inspector
Action Taken
,
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,
/.'),!ilc (Or;:
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}i.Electrical Contractor 0 Owner
o Annual Permit CJ Alarm 0 Carnival 0 Commercial
.
,,-
ELECTRICAL WORK PERMIT APPLICATION ,-
~Request Inspection .>
/'
(). ?J'1
o Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired by
~lectrical Contractor 0 Owner
License number
Installation description
Z...,IJUf'- hH-.,,-#hC
Purchaser's mailing address
I f,-3 Z. T"r1 'I ~l7f
~~U,,,,..,.,
C, fr-v-,CiC
.
State ZIP
pr~r's name
> h
Address of inspection
J~z..o S.
Cit
I4-rf-. C eJ4..0
D ~r
o Cash 0 Check # '? 7 ::.-/
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Credit Card
Card #
Visa
Mastercard
Discover
x
Expiration Date
of card
~nspe~trc;!~ I 0
Dale
Approved By
TIIERMOSTAT
Dale Approved By
DITCH
Dale Approved By
,,- SERVICE
"- Dale Approved By
,,- FEEDER
"- Dale Approved By
WALLS
Insulation Only
Dale Approved By
Cover
Dale Approved By
CEILING
Insulation Only
Cover
Dale
Approved By
/
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
D Baseboard KW
D Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
t-erUnderground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
Inspection
Dalc
Area, Building or Equipmenl Inspected
Action Taken
Electrical
Inspector
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Applicatlon Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatlon description
Subdivision Name
Property Use
Property Zonlng . . .
Application valuatlon
04-00000694 Date
.287996
1620 S 0 ST
06-30-00-4-4-0310-0000-
RES MANUFACTURED HOME
11/16/04
~
~
RS9 RESDNTL SINGLE FAMILY
68000
Owner
Contractor
GARCEAU, FRED
164 HEUHSLEIN RD
PORT ANGELES
(360) 457-5518
WA 98362
VALLEY PROPERTIES
164HEUHSLEIN RD.
PORT ANGELES, WA
PORT ANGELES
(360) 457-5518
1600SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
& CONST
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
16.80
1. 00
9500.00
1600.00
1600.00
1. 00
permi t
Additional desc
Permit Fee
Issue Date
Expiration Date
BL MANUFACTURED HOME
BAYPOINT SILVERCREST #4603D
230.00 Plan Check Fee
11/16/04 Valuation
5/16/05
.00
68000
-
BASE FEE
Extension
230.00
~
~
Qty
Unit Charge Per
Speclal Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirtlng is visable above grade.
A residential fire sprinkler system shall be installed per
NFPA 13D wlII be required.
2nd option is to install an out side alarm bell that lS
eletronicly connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as IIFire alarmTl
The proposal will result in the placement of a manufactured
home on a property in the RS-9 for total lot coverage of
17%. Setbacks are good. No land use issues are noted.
Electrical load calculations and elctrical permits are
requlred.
Any modlfications to the City'S electrical facllltles wlII
be at the customer's expense.
Electrlcal load calculations and elctrical permits are
required.
If)
'\\
C0
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 grantlng 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.
tuf2 4~~
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\II02.15 [1111412003]
of pORT """0
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000694
pin number . . . . . . .287996
Page 2
Date 11/16/04
Special Notes and Comments
Construct drlveway to City Standards.
No concrete with exposed aggregate is allowed in the City
road rlght of way. 6' sidewalk required at curb.
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 230.00 230.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2004.50 2004.50 .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 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\1102.1S [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
....
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION: IYlcno ;;.a..b 11-9-'1- 04 J.!-
FOOTINGS B!Qc,!L 1ie-do-vi'/J J.J-.J?--Jb-otj
WALLS
I Ill. '~-OL.I J .}...,
FOUNDA TIO!,! DRAINAGEIDOWN SPOUTS
I
ELECTRICAL I (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
I
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE ]<METER TO BLDG) II} -1~ . 0'/ . \. L'
GAS LINE
I
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
I
FRAMING I
I
JOISTS / GIlU>ERS
I
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
I
DRYWALL (If'lTERIOR BRACED PANEL ONLY)
T-BAR I
I
INSULATION'
I
SLAB I
i
WALL / FL00R / CEILING
MECHANICArl
I
HEAT PUMP!
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCcTS
PW UTILITIES / SITE WORK (Englneenng DIvISion) SEPARATE PERMIT #'s'
I
WATERLINE / METER
I
SEWER COl'lNECTION
SANITAR'r[
STORM I
i
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
I
PARKINGILIGHTlNG ESA:
I
I
LANDSCAPING SHORELINE:
I
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
!
i YES NO
ELECTRICAL!- LIGHT DEPT. 417-4735 ELECTRICAL
I LIGHT DEPT
I
I
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W.
ENGINEERINp 417-4807 PW / ENGINEERING
I
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNINGIFORMS\1102.15 [1111412003]
PREPARED 11/29/04, 13:23 03
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1620 S 0 ST
VALLEY PROPERTIES & CONST
GARCEAU, FRED
06-30-00-4-4-0310-0000-
04-00000694 RES MANUFACTURED HOME
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM 01 ~ JL.L
---------------------~---------
SUBDIV.
PHONE
PHONE
BUILDING FOUNDATION MONO SLAB
(360) 457-5518
(360) 457-5518
PAGE
DATE
4
11/29/04
COMMENTS AND NOTES --------------------------------------
PREPARED 12/16/04, 12.57 07
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1620 S 0 ST
VALLEY PROPERTIES & CONST
GARCEAU, FRED
06-30-00-4-4-0310-0000-
04-00000694 RES MANUFACTURED HOME
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM
11/29/04 JLL
11/29/04 AP
~ Z{2-
BUILDING BLOCK AND TIEDOWNS
FRED 460-7390
01
SUBDIV
PHONE (360) 457 - 5518
PHONE: (360) 457-5518
BUILDING FOUNDATION MONO SLAB
BLBT 01
PAGE
DATE
7
12/16/04
COMMENTS AND NOTES --------------------------------------
PREPARED 12/30/04, 12:38 56
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
12/30/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1620 S 0 ST
VALLEY PROPERTIES & CONST
GARCEAU, FRED
06-30-00-4-4-0310-0000-
04-00000694 RES MANUFACTURED HOME
SUBDIV:
PHONE
PHONE
(360) 457-5518
(360) 457-5518
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM 01 JLL BUILDING FOUNDATION MONO SLAB
AP
BLBT 01 BUILDING BLOCK AND TIEDOWNS
FRED 460-7390
DSD 01 BUILDING DOWN SPOUT DRAINS
FRED
PL6 01 PLUMBING WATER SUPPLY
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec /D-Z~- e/f
p=". 04- rJJ.
Date Approved IJ I) J
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
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant or Agent. r::;, -e..d C;; a h c.. --e a. I..A.-
Owner: ~-e.. J Qa J'1 C-'"t' u.-.......-'
,
Address: /;, L/ //~uJ..,1 ~ 1~ll 1.1 JZ.cL
,
Phone:
LlS7-5SIB'
L/&(j-73 9D
l../ ;, 0 -- 7 7;;, q D
9'f?3("';;(
'-I <7'7 -5-$ If?
Phone: St'tfC' - 73 '10
ZIp: C}' g 3 0 ,;).,
ZIp:
LEGAL DESCRIPTION: Lot:
Phone:
CIty: .;:;;rt1-4/1J/~ '7
Phone:
State LIcense #VcJ!..e..ftoo 7 c..<6 Exp: y. / {) ~
,
City: ? A
0-5/ / fa...g--d? L/h
I (/
Block:
ZONING:
SubdIVIsIOn:
CLALLAM COUNTY PARCEL NUMBER: ,,4. 3 <9 0 0 - 'I <.; (/ 3 J 0
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZENALUATION:
)( ResIdentIal ~New Constr. 0 Re-roof 0 Stove )btJD SF. @ $ /SF. = $ t,.;g; 000
o Muln-fall11ly 0 AddItIOn 0 Move 0 Garage SF. @ $ /SF. = $
o ConnnercIal 0 Remodel 0 DemolInon 0 Deck SF @ $ /SF. = $
o RepalI 0 SIgn 0 Other TOTAL V ALUATIOY. $
BRIEF DE~CRIPTION OF THE P~OJECT: _TY7 7r~t/ tJ.. r I) () r, or -171a h ~d ~r::I II O"Pn -e
~YC>6J"'i- .~~/y~~~i- # 4/6o.?JJ
I v
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: _ Cons~cnon Type:
No. of Stones: -L LotSlZe:9S>< I (JeJ Existlng Sq. Ft. 9SCJO & Proposed Sq. Ft:,I.~ ~D ? = TOTAL Sq. Ft/C, o~ _
Total lot coverage_ I ", 8" % '
- f
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA ChecklIstrequlIed? 0 Yes 0 No Other
BUILDING PERMIT APPLICATION SUBMITTAL: The Building DlVlslOn can provide you WIth informanon on the applIcatIon and
plan subll11ttal requlIements If you have quesnons
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. Tills figure will be reviewed
and may be reVIsed by the Bmldmg DIVISIOn to comply WIth current fee schedules Contact the Pernnt Coordmator at 417 -4815 for aSSIstance.
PLAN CHECK FEE- IF a plan check fee IS due It must be subll11tted at the tIme the bmldmg pernnt applIcatIOn and construction plans are
subll11tted All other pernnt fees are due at the tIme of pernnt Issuance
EXPIRATION OF PLAN REVIEW: Ifno pernnt IS Issued WIthIn 180 days of the date ofapplIcatlOn, the application will expire. The
Bmldmg Official can extend the tIme for acnon by the applIcant up to 180 days upon wntten request by the applIcant (see Section RI05.3.2
of the InternatIOnal Buildmg/ResIdentlal Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined thIS apphcation and know the same to be true and correct. I am authonzed 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 pnor to work.
T IRVESS\BLDG-,",,",-brooh"ro,U003-Bmldmgp_1 wpd APPh'''':;Z''''y .d a.-<-r~ D,te-I {) --:J.9 _bY
r -: ;:':}~T ANGElES - Construction Plans
" It based upon these plans, speclfi-
i -;~ "5uance of this perm ent the bu"dlng official
. I data shall not prev '. d
catiOns and at ler the correction of errors In sal
from thereafter reqUiring th data or from preventmg
plans specificatIOns and 0 er d on' thereunder when in
bUlldl'ng operatrons belngd car~:~ances of this jurisdlctJon.
ViolatIOn of all codes an or )
(SECTION 303(~ .,u;r~':~~
Approval Date
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FILE
11\
THIS HOME W/-S DESIGNED 8Y:
ORT ANGELES - Construction Plans
CI rY OF P . ed u on these plans. speclfi-
The Issuance of this permit bas re~ent the bu':dmg offiCial
callons and other data shallthneotc~rrectlon of errors In said C CHAMPION 2003
lmm thpreafter r umng . n
ea.,.., ~". , ~1iIl~iifl~ "-V ., ntIH IJ# IMtlUlaeturifllr fKIIl\w. P......Cl CIUI.... ....,--.....t hGltGI or uIII/uIIUlIn.
'" . . - carne on er I ..
bUlldmg operz\lons bemgd d nances of thiS IUflSdlctlOn.
violation of all codes an or I
(SECTION 303(c) . Uni rm Ildl Code.) f[l ~
1 By -
Approval Date
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LHllrL I un I CI'( ur DCLrH I '"
ArtIt I'IInchrfnt anly. NDlIt1ImdId _ III ....'........n.uOft III 1M"'" pu purch.... lima whldl
rrtI/f dIff8r 1nd......1Iut... nocllllllt.d la, 11JO' pilCh, cDta... .lncIGwa. damwn. .nd roor __ or v.,....
10'-41"
o
'II <t~.,=
IneJudl. dr.
bildroom 3
17'-1 ftz" .,r..-
QaJ'IIgtll9 0""''''
o and B Homes
PO Box 207
Mubbald Oregon
503-98'~9092
'This brochure NprtUnIlI1e plan wIth the
tlIlowing pptJanlMcted:
1l ISlAND KITCHEN 2 (GARAGE)
JO~ ~(~ ~o~c r.~~
I::iaypoint
Standard
Color aelec:llans:
SHINGLES: Brvwn
SIDING: Cream
SHUTTERS; Bc.Irgundy
TRIM: white
VINYl SIDING
iff ~EO
.. li - t2-olf
(
.
;:
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TOTI=lL P. 134
TOTAL P.04
FILE
(
F ra m e Spa c in g (in) S tra p Max. Beam Tie Spacing ft O.c.
80 96 99.5 Angle M a x. Sid e wall H t. (in)
Max. PIer M a x. P Ie r Max. Pier Max.
H t. (in) H t. (in) Ht. (in) D e 9 re e s 84 90 96
14 NA NA 40 13-5 12-7 11-11
OJ 19 NA NA 45 12-4 11 -7 1 1 -0
-0
~ E 25 is 13 50 11-3 10-6 10-0
III
OJ Q) 32 21 18 55 10-0 9-5 8 -11
::c m
;:, ..... 42 28 25 60 8-9 8-3 7-9
0 CD
C OJ 54 37 34 65 7-4 6 -11 6-6
v z
N 73 51 46 70 6-0 5-7 5-4
80 74 67 75 4-6 4-3 4-0
-t pi'j""'~1'x..~-P<",::*-.cn.-t.~" "'u' - - -- lj:l<"= ~~~ ~ . - .)~- """ _ ;r,*~<:l.;.?;:'--i'-~""~"'M . ~.;n.~~;> ~~......~,.....-iU"~'~ ~"" "'''';-~~l!';~'''''''I''''''''''.A'i'':'...~$i!..~~!;:~
1 9 1 3 NA 40 13-5 12-7 11-11
OJ 26 18 16 45 12-4 1 1 -7 11 -0
'C
~ E 33 24 22 50 1 1 -3 10-6 10-0
CD
OJ CD 42 31 28 55 10-0 9-5 8 -11
:c m
;:, .... 54 40 37 60 8-9 8-3 7-9
0 III
C CD 69 52 49 65 7-4 6 -11 6-6
(0 z
N 80 70 66 70 6-0 5-7 5-4
NA 80 80 75 4-6 4-3 4-0
- ~ -~.,. .- <
24 ~ 17) 16 40 13-5 12-7 11-11
OJ 31 ~ 21 45 12-4 11 -7 11 -0
"t:J
~ E 39 30 28 50 1 1 -3 10-6 10-0
III
Gl CD 49 38 35 55 10-0 9-5 8 -11
:c m
::J iii 62 49 46 60 8-9 8-3 7-9
0
c CD 80 63 59 65 7-4 6 -11 6-6
IX) z
N NA 80 79 70 6-0 5-7 5-4
NA NA 80 75 4-6 4-3 4-0
,- - " w.-- -- """""' ~.t'~~ . - . - - --
CD 32 26 24 40 13-5 12-7 11-11
'C
~ E 41 33 31 45 12-4 1 1 -7 11 -0
III
CD CD 51 42 40 50 11-3 10-6 10-0
:c m
;:, ..... 64 52 50 55 10-0 9-5 8 -11
0 III
C CD 80 66 63 60
N z 8-9 8-3 7-9
,., NA 80 80 65 7-4 6 -11 6-6
,'iJF ~ "'- - _i.~~ - ~11 . - " - - . .
e E 43 36 34 40 13-5 12-7 11-11
'0
;; III 53 45 43 45 12-4 11-7 1 1 -0
e CD
:;:; m 65 56 54 50 11 -3 10-6 10-0
:3 iii
0 80 69 67 55 10-0 9-5 8 -1 1
0 CD
CD z NA 80 80
t') 60 8-9 8-3 7-9
-
Wind Zone I-Multi-Section Homes
5.4.1.2 Installation of Ground Anchors _
Ground anchors must be installed in full
confonnance with the anchor manufacturer's
instructions.
Ground anchors for all Wind Zones must have a
stabilizer plate at the top of the anchor unless
the manufacturer's instructions do not require
stabilizer plates for a particular installation of
their model. In the latter case, confonn to the
manufacturer's instructions provided that the
required holding capacity is produced.
Ground anchors for Wind Zone I may have a
single head. Ground anchors for Wind Zone"
and III must have double heads.
Install ground anchors vertically with stabilizers
as shown in Figure 5.12. All ground anchors
shall be embedded below the frost line and be at
least 12 inches above the water table.
Page 32
2000 04
Professional Engineers Seal
TABLE 4.1B
MINIMUM PIER LOADS
MULTI-SECTION MATE LINE BLOCKING
Sidewall Opening Pier Capacity is 1/2 the Load Shown.
For Frame Blocking Only
Perimeter SUDDort Not Renuirerl I=xcent at OpeninQs
Minimum PIer Capacity - Lbs.
ROOF
SECTION LIVE
WIDTH LOAD Mating Wall Opening - Feet
FT PSF 5 10 15 20 25 30 35
12 20 1,100 2,2UU 3,300 4,400 5~401r 6,500 7,600
30 1,500 2,900 4,400 5,800 7,300 8,700 10,200
40 1,800 3,600 5,400 7,300 9,100 10,900 12,700
60 2,500 5,100 7,600 1 0,200 12,700 15,200 N/A
80 3,300 6,500 9,800 13,100 N/A N/A N/A
13 20 1,200 2,400 3,500 4,700 5,900 7,100 8,200
30 1,600 3,100 4,700 6,300 7,800 9,400 11,000
40 2,000 3,900 5,900 7,800 9,800 11,800 13,700
60 2,700 5,500 8,200 11,000 13,700 N/A N/A
80 3,500 7,100 10,600 14,100 N/A N/A N/A
14 20 1,200 2,500 3,700 ~I= 6,200 7,400 8,700
30 1,700 3,300 5,000 8,300 9,900 11,600
40 2,100 4,100 6,200 8, 10,300 12,400 14,400
60 2,900 5,800 8,700 11,600 14,400 N/A N/A
80 3,700 7,400 11,1 00 14,900 N/A N/A N/A
16 20 1,300 2,600 3,900 5,300 6,600 7,900 9,200
30 1,800 3,500 5,300 7,000 8,800 10,500 12,300
40 2,200 4,400 6,600 8,800 10,900 13,100 15,300
18 20 1,500 2,900 4,400 5,900 7,300 8,800 10,200
30 2,000 3,900 5,900 7,800 9,800 11,700 13,700
40 2,400 4,900 7,300 9,800 12,200 14,600 N/A
EXAMPLE. 14-foot section width
30-psf roof live load
18- foot mating wall opening
Follow down the "section width" column to "14 feet"; follow across to "3D psf' in the
"Roof Live Load" column. Since the opening is 18 feet wide, follow across to the
"20 foot" column (for any opening width that is not shown, use the next highest
number on the chart). The required pier capacity is 6600 pounds.
For piers supporting two adjacent openings, the capacity shall be 1
the sum of the capacities from each span.
Page 12
2000 04
Professional EnOInlHJl"S S""I
TABLE 4.2A
MINIMUM PIER LOADS
FRAME PLUS PERIMETER BLOCKING
Both Frame and Perimeter Blocking Required
MlnllTlum PIer Capacity - Lbs.
ROOF
SECTION LIVE
WIDTH LOAD Maximum Pier Spacing - Feet
PSF 4 ~ 6 7 8 10 1? 14
12 20 FRAME 1,300 1,600 2,000 2,300 2,600 3,300 3,900 4,600
PERIMETER 1 000 1 200 1 500 1 700 2000 N/A N/A N/A
30 FRAME 1,300 1,600 2,000 2,300 2,600 3,300 3,900 4,600
PERIMETER 1 300 1 600 1 900 2200 2600 N/A N/A N/A
40 FRAME 1,300 1,600 2,000 2,300 2,600 3,300 3,900 4,600
PERIMETER 1 600 2000 2400 2700 3100 N/A N/A N/A
60 FRAME 1,300 1,600 2,000 2,300 2,600 3,300 3,900 4,600
PERIMETER 2100 2700 3200 3800 4300 N/A N/A N/A
80 FRAME 1,300 1,600 2'9gg 2,300 2,600 3,300 3N~~0 4,600
PERIMETER ?'7nn ~'4nn 4'1 ,( Rnn "',,nn N/A N/A
13 20 FRAME 1 ,400 1,800 2,100 2,500 2,900 3,600 4,300 5,000
PERIMETER 1 100 1 300 1 600 1 900 2100 N/A N/A N/A
30 FRAME 1 ,400 1,800 2,100 2,500 2,900 3,600 4,300 5,000
PERIMETER 1 400 1700 2100 2400 2800 N/A N/A N/A
40 FRAME 1 ,400 1,800 2,100 2,500 2,900 3,600 4,300 5,000
PERIMETER 1 700 2100 2500 3000 3400 N/A N/A N/A
60 FRAM E 1 ,400 1,800 2,100 2,500 2,900 3,600 4,300 5,000
PERIMETER 2300 2900 3500 4100 4600 N/A N/A N/A
80 FRAME 1 ,400 1,800 2,100 ~,~gg ~,~gg 3,600 4,300 5,000
PERIMETER '=l"nnn '=l'7OO 44nn N/A N/A N/A
14 20 FRAME 1,500 1,900 2,300 2,700 3,000 3,800 4,600 N/A
PERIMETER 1 100 1400 1700 2000 2300 N/A N/A N/A
30 FRAME 1,500 1,900 2,300 2,700 3,000 3,800 4,600 N/A
PERIMETER 1500 1 800 2200 2600 2900 N/A N/A N/A
40 FRAME 1,500 1,900 2,300 2,700 3,000 3,800 4,600 N/A
PERIMETER 1 800 2200 2700 3100 3600 N/A N/A N/A
60 FRAME 1,500 1,900 2,300 2,700 3,000 3,800 4,600 N/A
PERIMETER 2400 3100 3700 4300 4900 N/A N/A N/A
80 FRAME 1,500 1,900 2,300 2,700 3,000 3,800 4N~~0 N/A
PERIMETER ~'1nn ~'!=lOn 4'700 ""4nn R"?nn N/A N/A
16 20 FRAME 1,700 2,100 2,600 3,000 3,400 4,300 5,100 N/A
PERIMETER 1200 1 500 1 800 2100 ?'400 N/A N/A N/A
30 FRAM E 1,700 2,100 2,600 3,000 3,400 4,300 5,100 N/A
PERIMETER 1 600 1900 2300 2700 3100 N/A N/A N/A
40 FRAME 1,700 2,100 2,600 3,000 3,400 4~~0 5,100 ~~~
PERIMETER 1'!=lnn ?"4nn ?"!=lnn '=l"'=lnn '=l's:mn N/A
18 20 FRAME 1,900 2,400 2,900 3,400 3,900 4,800 5.800 N/A
PERIMETER 1 300 1700 2000 2400 2700 N/A N/A N/A
30 FRAME 1,900 2,400 2,900 3,400 3,900 4,800 5,800 N/A
PERIMETER 1700 2200 2600 3000 3500 N/A N/A N/A
40 FRAME 1,900 2,400 2,900 3,400 3,900 4,800 5N~~0 N/A
PERIMETER ?'1nn ?'7nn ~'?nn '=l'7nn 4 '=lnn N/A N/A
1. Mate line pier blocking capacity is 2 x perimeter pier capacity and shall not exceed 4 ft. spacing.
2. Blocking shall be located each side of openings in perimeter and marriage walls over 4 ft. (see tables 4.1 B or 4.2B).
3. Perimeter support recommended for gypsum board tape and texture homes.
Page 13
2000.04
ProfessIonal Engineers Seal
FIGURE 4.4
TYPICAL PIER LOCATIONS
DOWN STRAP
PERIMETER BLOCKS
FRAME BLOCKS
III FRAME SUPPORT
o PERIMETER SUPPORT (IF USED)
123 MATE LINE OPENING SUPPORT
o SIDEWALL OPENING
MATE-WALL
OPENING
MATE LINE BLOCKS
@
NOTES
1) FOR TIE DOWN STRAP SPACING OF
FRAME BLOCKS FULL TRIPLE WIDE USE DOUBLE WIDE
CHART 5.2A
2) WIND ZONE I ONLY
MATE-WALL
OPENING
CENTER BEAM BLOCKS
FRAME BLOCKS
PERIMETER BLOCK
FOR OPENING IN SIDEWALL REFER TO 4.1.5.1
lONGITUDINAL TIE-DOWN STRAPS ARE REQUIRED AT THE
FRONT AND REAR OF FUll TRIPLE WIDE HOMES IN All
WIND ZONES. REFER TO 5.4.1.3 AND FIGURE 5.12. USE SWIVEL
BRACKETS TO PREVENT ANGULAR STRESS ON THE STRAPS.
AFTER ALL UNITS HAVE BEEN SET.
- APPLY ROOF CEMENT, ROllOUT 30" MIN.
WIDE 15# FEllTl;lEN INSTAll SHINGLES .
(lAP ROOF UNDERlAYMENT 6" MIN.)
MULTI-SECTION
(FULL TRIPLE WIDE
#8 x 4" TOE SCREWS
ON 45 DEGREE ANGLE AT 12"
O.C. AT ENDWAllS.
I
"A" and "e"
I
3/8" x 4" LAG SCREWS
ON 45 DEGREE ANGLE AT
O.C. STAGGERED
16" MIN. STRIP OF APA ROOF
SHEATHING ATTACHED IN FIELD
AFTER HOME IS LAGGED TOGETHER
WITH 15 GA. STAPLES AT 6" O.C.
~
DETAIL
SHINGLES (ON SITE)
"B" UNIT
FRAME OR FRAME PLUS PERIMETER
BLOCKING SEE SUPPORT TABLE
SECTION
MODULE CONNECTION
Page 18
Professional Engineers Seal
F ounolo. tlon
Plo.n
Port Angeles, 'viA
I I
1_-------------------------------- --56'--------------------- -------_.- --- .~J
I ~ I
TYI' I I
'~cor"'Ie,'S I I #4 ReloO-r I /
------~'-~~1,1.~-1 i~' ALL sides continuous ;/
--r- ~----u----v -- - -0- ___:a___~
I II 505' Concrete slO-b II
II 2500 psi II
I I Mnrrlnge line I I
II See MnnuFncturer ColUMn support requireMents II
II II
II I :
~-------------~== ~==~
L.L___~____-'l____
~
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, ----- ---- ---
NOTE: All set up detO-ils to be per MO-nufo.cturer Set Up Mo.nuo.l
Valley Properties Be Construction, U'lc
6 Anchors EquO-lly SpO-ced
ANCHOR DET AIL
#4 reloO-r
~'
TieDown Engineering
Mdl MIJ2
Go-I vo.nlzed PN 59121
or equivO-lent
IMbedded 5'
TypicO-I of 12
.u
6 Anchors Equo.lly Spo.ced
2'X2' pO-d
Concrete Notes'
ASTM Std C-150 Be C-33
Re-Ioo.r ASTM A-615 Grade 40
Manufactured House
Pier Plan
Port Angeles, 'viA
~oncrete
o
o
o
o
o
o
o
o
o
o
o
o
NOTE:
All set up details to be per Manufacturer Set Up Manual
V oJley
Construction)
Inc,
Properites
2x
Slab
iers-under fraMes
248 Max froM ends
PIER DETAIL
...-" ~..,l.Ar.(C
~::::--........
r., ,,:"S-.,:f' .- ~':I", '::;~4 ThlLat PlfRo ,"r.jJ-
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.J.. ............ 1,,"'.-_ t-IOLLOI'/-CORE' ''::Ot-lCM',EiE I:lL...,....h
....." ,.. "...." .- (I ,. ' \11"H ';EL_S '.'t:,r'nCAl ru L AL:'" t.
................... Jill or~ EC7iOf'i ~.. }UnS:: l'~m (':;I;;('dJj
................~~1 ~ ~ :;"11m ,11\0 LX';E::-ns ~COj l...63
_____R -........-I";C-u..c
GI ('A"'K o.~]!.t,";"'~T10N SH ,,1l)U) bl }\I J.r~N':'TEIJ ~1,,~1.1
o).~Alt;L TO t.r':;'PIND~~IJI...'-\o~ ~'fj'1'1I TI [ rRj<~.t::. fL1F
;J.''':~l~''l &.1 '31....ErIL:iT'..
CG~JC':ii'1I:/t.\NoGNI"{ PlfF
----o;n: l:Jc6TTr.....~--
t: mY~ _ ^_ .
M---- ~,.!1_I{\, ,::o.!,C (41'''-''' 1/4
,1rrri ,_ 'TooL I'L",C TYPH:N.'
~ ' II .... ...
I~I \\ "- /.DJUS.T""B-..1:. NlJJ I.)'<ID
/,' I Vr.... W/~::HER l~ "'COU r.=-n
IV I \\... .... -- U::..ID 5T:"FL 1'l;..,l1
/-"t~. " """1\1Ul. "C'~">! IF<r' ,
(~;.;~:~:::
',l-,--~. - __ FCJO",~(,
~-IN:;_L STFF~ "lEI<
OM., ...O:JC;l4 I :"J.U.rl-'--
Noi;el 6000 lb si;eel pier
Is o.l i;erno. i;lve
I
I
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I
PLEASE PRPVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
I INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
I KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
BUILDING PERMIT INSPECTION RECORD
"
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
!INSPECTlON TYPE DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATlON\
I
FOOTINGS 1
WALLS I
FOUNDA nON DRAINAGEIDOWN SPOUTS
ELECTRICAL I (LIGHT DEPT) SEPARATE PERMIT' #
ROUGH-IN I I
PLUMBING I
UNDER FLO?R / SLAB
ROUGH-IN I
I
WATER LIN!,' (METER TO BLOG)
GAS LINE I
I
BACK FLO\\\ / WATER
AIR SEAL I
I
WALLS I
CEILING I I
FRAMING I
JOISTS / GIRDERS
I
SHEAR W.wL/HOLD DOWNS
I
WALLS / RobF / CEILING
I
DRYWALL (:INTERIOR BRACED PANEL ONLY)
T-BAR I
INSULATION I
SLAB I
WALL / FLOOR / CEILING
I
MECHANICAL
I
HEAT PUMIj
GAS LINE I
WOOD STOYE / PELLET / CHIMNEY
I
HOOD / DUCTS
I
PW UTILITIES / SITE WORK (Engmeeong DIviSIOn) SEPARATE PERMIT #'s
I
I
WATERLINE / METER
I
SEWER COclrNECTION
I
I
SANITARY
I
STORM I
PLANNING IDEPT SEPARATE PERMIT #'s SEPA.
PARKINGmlGHTING ESA:
I
I
LANDSCAPING SHORELINE.
I
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
\ RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
I
I YES NO
I
ELECTRICAJ - LIGHT DEPT. 417-4735 ELECTRICAL
I LIGHT DEPT
I ~- J+J-a5(~F-
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERThjG 417-4807 PW / ENGINEERING
I -.-
FIRE 417-4653 FIRE DEPT.
,
PLANNING rjEPT 417-4750 PLANNING DEPT.
BmLDING I 417-4815 BmLDING
I
T.\PLANNING\fORMS\1102 15 [11/14/2003]
I
r;/"ORr~
,~~~
~,......~
~--
~IC~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000694 Date
.287996
1620 S 0 ST
06-30-00-4-4-0310-0000-
RES MANUFACTURED HOME
1/14/05
RS9 RESDNTL SINGLE FAMILY
68000
Nl'\Al-eP Jk/
4/(~/Os
Owner
Contractor
GARCEAU, FRED
164 HEUHSLEIN RD
PORT ANGELES
(360) 457-5518
WA 98362
VALLEY PROPERTIES
164HEUHSLEIN RD.
PORT ANGELES, WA
PORT ANGELES
(360) 457-5518
1600SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
& CONST
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
16.80
1. 00
9500.00
1600.00
1600.00
1. 00
-
~
~
Permit BUILDING PERMIT -RESIDENTIAL
Additlonal desc ATTACHED 576 SF GARAGE
Permit Fee 204.75 Plan Check Fee 81. 90
Issue Date 1/14/05 Valuation 9500
Expiration Date 7/13/05
Qty Unit Charge Per Extension
BASE FEE 92.75
8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00
~
Speclal Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in helght. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or plped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
A residential fire sprinkler system shall be installed per
NFPA 13D will be required.
2nd optlon is to lnstall an out side alarm bell that is
eletronicly connected to the residence's smoke detectors.
The alarm bell will be palnted red ln color and identified
as "Flre alarm"
The proposal wlll result ln the placement of a manufactured
home on a property in the RS-9 for total lot coverage of
17%. Setbacks are good. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Electrical load calculations and elctrical permits are
<;:
~
..:::
~
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
cO~ion. I U
'!...~/V~ /- IL.( - oS-
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T.\Pohcles\1102_15 buildmg pemn! mspection record05 wpd [1/4/2005]
f "ORT ~
'lO~
,.
"-- .:;;;;,.,
~
~lC~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000694
pin number . . .287996
Page
Date
2
1/14/05
Special Notes and Comments
required.
Construct drlveway to City Standards.
No concrete with exposed aggregate is allowed in the Clty
road right of way. 6' sidewalk required at curb.
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
The Fire Department has reviewed the project application and
has no comments
Proposal will add attached garage ln the RS-9 for a total
lot coverage of 23%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Construct driveway to City Standards.
No concrete with exposed aggregate is allowed in the City
road rlght of way.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
9.00
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 204.75 204.75 .00 .00
Plan Check Total 81. 90 81. 90 .00 .00
Other Fee Total 1779.00 1779.00 .00 .00
Grand Total 2065.65 2065.65 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
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.\Pohcles\1102_15 bUlldmg permit mspecl10n record05.wpd [1/4/2005]
I
i
I
i
I
I
I
1
I
I
I CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
! INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
i KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I
I I YES I NO
FOUNDATION: ]
FOOTINGS I f -?l:.-OS' JLL-
WALLS I ~-ll-~-s J. L
I
I DRAINAGE / DOWN SPOUTS
FOUNDATIO~
I
PIERS I
POST HOLES ~POLE BLDGS.)
PLUMBING ]
UNDER FLOOR / SLAB
I
ROUGH-IN I
WATER LINE ~METER TO BLDG)
GAS LINE I
I
BACK FLOW II WATER
AIR SEAL I
WALLS I
CEILING I I
FRAMING ]
I
JOISTS / GIRI?ERS
SHEAR W ALWOLD DOWNS 17--9-05 e\/
I
WALLS / ROo'F / CEILING
I
DRYWALL <niTERIOR BRACED PANEL ONLY)
T-BAR I
INSULATION I
SLAB I
WALL / FLOOR / CEILING I I I
MECHANICAL]
HEAT PUMP /(FURNACE I DUCTS
GAS LINE I
I
WOOD STOVE I PELLET I CHIMNEY
I
COMMERCIAl HOOD / DUCTS
MANUFACTU~ED HOMES
I
FOOTING / SrJAB
I
BLOCKING &1 HOLD DOWNS
SKIRTING !
I
I
PLANNING DEPT SEPARATE PERMIT #'s SEPA-
I
P ARKINGILIGHTING ESA:
I
I SHORELINE:
LANDSCAPI"fG
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
I
I YES NO
I 417-4735 ELECTRICAL
ELECTRICAL - LIGHT DEPT.
I LIGHT DEPT
I
I CONSTRUCTION - R. W.
CONSTRUCTION R. W./ PW/
ENGINEERING I 417-4807 PW / ENGINEERING
I FIRE DEPT
FIRE i 417-4653
I
I PLANNING DEPT
PLANNING DEPT. 417-4750 ~ l.-
I
I ~/,-;/OS 0~ BUILDING
BUILDING 1 417-4815
T:\Pohcles\1102 15 bwldm rout ms ctlon record05. d r1/4/2005J'
-1
gpe
pe
wp[
PREPARED 4/13/05, 12 57 01
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
4/13/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1620 S 0 ST
VALLEY PROPERTIES & CONST
GARCEAU, FRED
06-30-00-4-4-0310-0000-
04-00000694 RES MANUFACTURED HOME
SUBDIV
PHONE
PHONE
(360) 457-5518
(360) 457-5518
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BI2
01
2/02/05
2/02/05
2/09/05
2/09/05
3/03/05
3/04/05
JLL
AP
RV
AP
JLL
AP
BLHD 01
BUILDING FOUNDATION WALL
R1chard 460-7494 Garage wall 10 OOam Wed
BUILDING FRAMING HOLD DOWNS
R1chard 460-7494 garage hold downs
BUILDING SHEAR WALL
Fred 460-7390
Brace panel for garage aga1nst house, Moly screw
1nstallat1on
shear wall covered was 1nspected by rvess and approved th1S
1nspect1on lS approved/Jll
BL~~_::__~~___:~:~~I~::::::::n:::M:OT:: ::____________________________________
01
BL9
PREPARED 4/13/05, 12:57 01
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
4/13/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1620 S 0 ST
VALLEY PROPERTIES & CONST
GARCEAU, FRED
06-30-00-4-4-0310-0000-
04-00000694 RES MANUFACTURED HOME
SUBDIV
PHONE (360) 457-5518
PHONE. (360) 457-5518
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLM
01
11/29/04
11/29/04
12/16/04
12/16/04
12/30/04
12/30/04
12/30/04
1/03/05
1/26/05
1/26/05
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
AP
BUILDING
FRED
BUILDING
FRED
PLUMBING
BLOCK AND TIEDOWNS
460-7390
DOWN SPOUT DRAINS
BUILDING FOUNDATION MONO SLAB
BLBT 01
DSD
01
PL6
01
WATER SUPPLY
BL1
01
TIME: 17.00
BUILDING FOUNDATION FOOTING
RICHARD 460-7494
FOOTING PREPOUR INSPECTION FOR 10 A M
BL99 01 ~/13/ 5 ~L BUILDING FINAL TIME 17 00
r- " fred
----------- ------------ --------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 3/03/05, 12 40 43
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1620 S 0 ST
VALLEY PROPERTIES & CONST
GARCEAU, FRED
06-30-00-4-4-0310-0000-
04-00000694 RES MANUFACTURED HOME
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
SUBDIV
PHONE (360) 457-5518
PHONE. (360) 457-5518
BI2 01 2/02/05 JLL BUILDING FOUNDATION WALL
2/02/05 AP Rlchard 460-7494 Garage wall 10 OOam Wed
BLHD 01 2/09/05 RV BUILDING FRAMING HOLD DOWNS
2/09/05 AP Rlchard 460-7494 garage hold downs
BL9 01 3/03/05 :pL~ BUILDING SHEARWALL
~ Fred 460-7390
Brace panel for garage agalnst house, Moly screw
lnstallatlon
-------------------------------------- COMMENTS AND NOTES
~
~~
(,./
<f'
<9w(1.
filYl
~sp~
1
3/03/05
PREPARED 2/02/05, 13 03 55
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
2/02/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1620 S 0 ST
VALLEY PROPERTIES & CONST
GARCEAU, FRED
06-30-00-4-4-0310-0000-
04-00000694 RES MANUFACTURED HOME
SUBDIV
PHONE
PHONE
(360) 457-5518
(360) 457-5518
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BI2 01 ;:'~2(0~ ~ BUILDING FOUNDATION WALL
~ . ~ R1chard 460-7494 Garage wall 10.00am Wed
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 2/09/05, 12 21 29
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR ROGER VESS
PAGE
DATE
7
2/09/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1620 S 0 ST
VALLEY PROPERTIES & CONST
GARCEAU, FRED
06-30-00-4-4-0310-0000-
04-00000694 RES MANUFACTURED HOME
SUBDIV
PHONE (360) 457-5518
PHONE' (360) 457-5518
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BI2 01 2/02/05 JLL BUILDING FOUNDATION WALL
2/02/05 AP R,chard 460-7494 Garage wall 10 OOam Wed
BLHD 01 2/09/05 ~ BUILDING FRAMING HOLD DOWNS
_________~___________~~:~:~dC::::~::4~:r:::E:o~~-~~~~:______________________________
Z..-q'-DS
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date-1- g.;;-tJ5
.>
Time
r; :~!).
Received by $""'1e J~
~ person;
~ '\ 'I
Location of Work to be inspected I ~' j . EJ
Name of person requesting inspection ,h,n. /
Address of person requesting inspection
Type of Inspecti. ircle appropriate one):
Sewe ~ Framing Chimney Plumbing Final Sewer Excav. Other
fe;o1-) Y}
Phone No. J.J 6C) -)).j9^}
Permit No. <!J1j-6C;Jj
NOTES:
Date Ilz,,/~c;- Time ~M
I J1Sf"t3J,Of) rvf{1-P~rk cl ~:)-
By ~ .J' < .
10 /lJY), ~.-- ~our
Inspected:
Remarks:
RESTORATION REQUIRED. . . . .. YES NO
~
~~e
F~-I
'" ~~4fJ ~
tU .p ~ . J..l t)""'tl:
MP;uMfO
'/2.C4 /..-c. ~--------
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
PREPARED 1/26/05, 12 57 42
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1620 S 0 ST
VALLEY PROPERTIES & CaNST
GARCEAU, FRED
06-30-00-4-4-0310-0000-
04-00000694 RES MANUFACTURED HOME
SUBDIV
PHONE
PHONE
PERMIT: BLM 00 BL MANUFACTuRED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
11/29/04 JLL
11/29/04 AP
12/16/04 JLL
12/16/04 AP
12/30/04 JLL
12/30/04 AP
12/30/04 JLL
1/03/05 AP
BL1 01 1/26/05 JLL
~~
-------------------------------------- COMMENTS
BLM
01
BLBT 01
DSD
01
PL6
01
"
BUILDING FOUNDATION MONO SLAB
BUILDING
FRED
BUILDING
FRED
PLUMBING
BLOCK AND TIEDOWNS
460-7390
DOWN SPOUT DRAINS
WATER SUPPLY
(360) 457-5518
(360) 457-5518
BUILDING FOUNDATION FOOTING
RICHARD 460-7494
FOOTING PREPOUR INSPECTION FOR 10 A.M
TIME
17 00
PAGE
DATE
1
1/26/05
AND NOTES --------------------------------------
BUILDING PERMIT - APPLICATION
Fon. OFFICl.AL USE 01.JL"}'
Date Rec 12. -go- 0<(
Pennll# DY-~
Dart ApplOved '1"(..lLll
Date lssued
Fill out COMPLETELY ilnd in INK. Your application and site plan MUST BE
COl\11'LETE 10 be accepTed for revIew. Ii }'UU have ~ll1:1' questIOns, call
PERMITS (360) .417-4815 F.AX(360)417-4711
Apphcanl or Agent prd Ga..0 ~ ~ a.. '^'-
OV'lner' H-~ a a.. *'" t- -e ~"^-'
Address' '; /; l.( ;1-< fAhy j, " ~ ,Qc:l
Phone:
460-7~ C)iJ
Phone'
CIty: ?J" 'T tf{...-YM./ .L~
/'
Arcmtect/Engmeer. Phone:
Contractort6l1~l f?op~,,;t;~~ )L",ilSrate License #WIqiJCcb"XEExP:..2-II- o(p
Address:l&r )k1Aht;.k>V1 U CIty. ~v<1 avr.4~/<< ~ Wil-
I
PROJECT ADDRESS: /~:lO 5~ ~.. S T: P/t ZONING:
LEGAL DESCRIPTION: Lot: ,'1/ Block SubdivlSlon:
CLALLAM COUNTY PARCEL NUMBER: f) 1I2l> t9 019 - c;.z.; t:> 3 1 0
l
, ,
ZIp:
9'~~~;z..
Phone: f..{ &0- 7 -; q [)
Zip' rS~b~
Credit Card Holder Name:
Billing Address:
Credit Card Type 'VISA MC #
TYPE OF WORK:
o ResIdenhal 0 New Constr 0 Re-roof
o Multi-farmly 0 Admhon 0 Move
o CommercIal 0 Remodel 0 Demohhon
o Repair 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
X Garage
o Deck
o Other
c,-t1' fA<.- h-ul
SIZEN ALUATION:
.5''l ~ SF @$ /SF = $ <=f500 0 G
SF @ $ /SF. = $
SF. @ $ /SF. = $
TOTJlJ.., VALUATION $ q~ 0 ~
~ f,-"--~ -e...
COMMERClAL/RESIDENTIA.L: Occupancy Group:
. rcrSdJ
No. of Stones. i Lot Srze:qS-;<.. /IJJO Existing Sq. Ft / !.a.(YJ
Totallot coverage :2.2., q %
r,1-""--..:l-<-
Occupant Load: Construction Type: 5 7.'1::1< if>t.<. " IT'"
& Proposed Sq. Ft. <:; 7 '=:, = TOTAL Sq. Ft. '2-/ I ~
ESAIW etland( s). 0 Yes 0 No SEP A Checkhst reqUITed? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DP"WU:
FIRE:
OTHER:
PLANNING USE ONLY:
BUILDING PERMIT APPLICATION SUBMITTAL: The Buildmg DlVlSIOn can provIde you WIth mfomlahol1 on the apphcahon and
plan subrmttaJ reqrnrements If you have queshons
VALUATION OF CONSTRUCTION. In all cases, a valuatIOn amount must be entered by the applIcant. Tills figure WIll be revIewed
and nlaY be revised by the Buildmg DlVlslOn to comply "''lth cun-ent fee schedules Contact the Perrmt Coordmator at 417 -4815 for assistance.
PLAN CHECK FEE IF a plan check fee IS due It must be submItted at the hme the bmldmg pemrt apphcatioTI and construchon plans are
subrmtted. All other peTilllt fees are due at the tmle ofpernTIt Issuallce
EXPIRATION OF PLAN RKVIEW: If TIO perrmt IS lssued wIthm180 days ofthe date of applIcatIOn, the application will expire. The
Bmldmg Offinal can extend the tIme for actlOn by the apphcant up to 180 days upon vmtten request by the applIcant (see SechonRl 05.3.2
of the InternatIOnal Bmldmg/Resldential Code, 2003) No apphcahon can be extended more than once.
I hereby ceMy 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 II is my responsibility to determine what permits are required ,not the Citys, and that I must obtain such permits prior to work.
T'\RVESS\BLDG-forms-brochures\2003-BUlldingpermlt wpd Applicant: ~G'~" ""... _ Date: 1:1- 3 d -0 ":I
..
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CITY OF PORT AI\IGFI F~ Construction prans
The Issuance of this permit based upon these plans. speClfr.
cations and other data shall not prevent the b~lldlng official
from thereafter requiring the correction of errors in saId
plans, specificatIOns and other data, or Irar,l praventlllq
bUilding oper~llOns being earned on therpl'nder "her In
viola lion of all codes and ordinances of thiS JUriSdiction,
(SECTION 303(c). nrfor Building Code ) ~
Approval Dale II b By _ JL~_
I A 81' L I R'P
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3 Tab Roofing, 15 lb Felt
\\fre Eng. Manufactured Trusses @ 24" 0
nsulation Baffle R-38 -Insulation
x 6" Fascia
Vent Blocld ng
2.5 or Equivalent Clips
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6" Concrete Stem Wall No.4 Bar - Vertical
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~~...;~.,... -'-' .......,....-....
Department of Labor & Industries
Factory Assembled Structures Section
MANUFACTURED/MOBILE HOME
ALTERATION PERMIT
Permit tI- 0
MH
Do not
complete
shaded
Invoice #
INSTRUCTIONS:
1. Complete all spaces, Including the signature box (marked with an X).
2. Draw a map on reverse side of WHITE copy only.
3. Forward completed permit and fees to the nearest L&I office. See list on reverse.
4. Contact and schedule the Inspectlon(s) with the same L&I office per the checklist.
areas
Insignia #
...:~.~(~.:.~3.~;~~~:~.::~..~.~...................nE~.;:4...................n....n.....nf~~.~:T.~.~!.~!..::~..~....?...?...J..?..............n.Jn~7:~.~m~n:n:nn:m:~nn~n./m.m
Address ,City State ZIP
'l ~e (1,.w~..1 ~ /~:. d f- '_) /w. (.~~ ::"/~L; c/~ ~(;.~~
InstaIler/Contractor/Dealer Phone Contractor's registration number
I '-4/~'}'" f',.., ro- r.J (,c) ',1'1 I} i.{1 -:'''_,.;'.yr-/
./,/,t.( I~II"I '-"7 ;::...~~.,..." ....'.. " ',: ':.'.1..-' . /"'.. - '.-'
'''Add~~.~n~;n....,...n'',:n',:....~:~.:.:~.~~~~m:m;.n~.......m.m...::!.......... ..nm........ ...00....... 00...00 ..~ii..:.~........::.............mm.mmn . mnnnmmn > ~~u;n".n". z~i~"~..:~. .;";;.00.00
Serial Nmnber(s)
HUD Number(s)
Place fee amount In proper box
_ Mechanical
Heat Pump
Air Conditioning
Furnace Installation (gas or electric)
Gas Piping IS 'a1
Wood Stove ____ en No.
Pellet Stove ____ Serial No.
Gas Room Heater
Gas Decorative Appliance
Range: changing from electric to gas
Gas Water Heater replacement
_ Water Heater: changing from electric to gas
Plumbing
~ Fire sprinkler system (also requires a plan review)
Each added fixture
Replacement of water piping system
Structural
c::::J Inspection as part of a mechanical installation
(cut truss/floor joist, sheet rocking)
B Reroofs (may require a plan review)
Changes to home when additions bear loads on home per
the design of a professional (also requires a plan review)
~ Other structural changes (may require a plan review)
L---I Fire Safety
Place fee amount In proper box
Electrical
Heat pump
Air Conditioner
Furnace Installation (gas or electric)
Wood Stove (if applicable)
Pellet Stove (if applicable)
Gas Room Heater
Gas Decorative Appliance (if applicable)
Range: changing from gas to electric
Electric Water Heater replacement
Electric Water Heater replacing Gas Water Heater
Each added or modified circuit
Hot Tub or Spa (power from'h9ql~::~I~tifcal panel)
\ - n> , -1 - ~ - I it' '1
Replace main electJjcal pant<l ~ >!:. ;'~' ~
Low Voltage FirelIrltrusi~n.:.Al~ -' .,< ,
Fire Safety . ~ :'j,~: .. $l::i:': ~,;
Miscellaneous
~ Plan review . . .
Reinspection _ _ _ _jOngmal Permit
I No.
. Insignia /' .
Other ,~.:,..' .;1, ':"".,'. .'.c--
",' , , f "',' li ~ },'t ~
Note: This permit expires one year after date of purchase. (Non-refundable)
B Work is completed at this time. An inspection is requested.
Work 1S NOT completed at this time, I will call when ready.
Make check payable to: Dept. of Labor & Industries
FEES DUE $ .,~
Signature of apPhcant or authonzed representative
X ",,,,t . ..../,1 ~ ~
/'/ ","" .... l'\. " "I ~:.""'7 . t Wor-____
. y' , f... _ .~ . ,~ '\ . ~ 11 ~ l. .. '"' - ~~...,-,
o Request approved or q Request denied because of specific violations ofWashlngton rules and regulations.
h' Violations must be corrected and rClnspection requested within 20 days ofthe notice or violation date. Failure to comply
19 may result in penalties per chapter 43.22 RCW. All violations noted are shown on an "Alteration/Factory Permit
~ Continuation Form It .
o Included are fonus required which must be completed and fees submitted before reinspection.
( Date Area office Inspector XTotal pages)
F622.036-000 mfgd/mobile home alteration permit 11.02 Whlte.Olympla Canary. Inspector Green-Contractor Pmk-Purchaser Goldenrod.Purchaser
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,~21 EAST 5TH STREET. PORT ANGELES. WA 9Rl62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning , . ,
Application valuation
04-00000694 Date
.287996
1620 S 0 ST
06-30-00-4-4-0310-0000-
RES MANUFACTURED HOME
RS9 RESDNTL SINGLE FAMILY
68000
Owner
Contractor
GARCEAU, FRED
164 HEUHSLEIN RD
PORT ANGELES
(360) 457-5518
Structure Information
Construction Type
Occupancy Type
Other struct info
VALLEY PROPERTIES
164HEUHSLEIN RD.
PORT ANGELES, WA
PORT ANGELES
(360) 457-5518
1600SF MANUFACTURED HOME
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
MOBILE AND FEEDER
RW BECKER ELECTRIC
78.70
12/17/04
6/16/05
Plan Check Fee
Valuation
Qty
1. 00
Unit Charge Per
78,7000 ECH EL-MANF HOME SERVICE & FEEDER
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height, Numbers colors must contrast with wall
color they are mounted on. (Ord, 14,36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
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 alarmll
The proposal will result in the placement of a manufactured
home on a property in the RS-9 for total lot coverage of
17%. Setbacks ar~ good, No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Electrical load calculations and elctrical permits are
COMMENTS/ACTION NEEDED
12/17/04
& CONST
WA 98362
16.80
1. 00
9500,00
1600.00
1600.00
1. 00
.00
o
~
~.
('-
....J
Extension
78.70
I
\../\
CJ
V\
-/
,
ELECfRICAL PERMIT I NSPECf JON RECORD
CALL 417~735 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
III II 'H
'-'& &
Il(}UU~-IN / l;UYbK
ShKV"';b
~TN A T I I
.........
GENERAL COMMENTS:
PW-1I02.1S (4196)
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,~21 EAST 5TH STREET. PORT ANGELES. WA 9Rl62
Application Number . . . . . 04-00000694
pin number . . .287996
Page 2
Date 12/17/04
Special Notes and Comments
required,
Construct driveway to City Standards.
No concrete with exposed aggregate is allowed in the City
road right of way. 6' sidewalk required at curb.
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 78,70 78.70 .00 .00
Plan Check Total .00 .00 ,00 .00
Other Fee Total 1774.50 1774,50 ,00 .00
Grand Total 1853.20 1853,20 ,00 .00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECf,ION RECORD
CALL 417~735 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
GENERAL COMMENTS:
PW-1102.1S (4196)