HomeMy WebLinkAbout1822 W 15th St - Building
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000207 Date
423570
1822 W 15TH ST
06-30-00-0-4-3825-0000-
ELECTRICAL ONLY
2/21/08
RS7 RESDNTL SINGLE FAMILY
o
Owner
Contractor
GNL DEVELOPMENT GP
1115 E FRONT ST
PORT ANGELES
(360) 452-7861
WA 98362
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457-9270
WA 98363
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 121277
Permit Fee 113.00 Plan Check Fee
Issue Date 2/21/08 Valuation
Expiration Date 8/19/08
.00
o
""'-
\RJ
~
Qty
1. 00
2.00
Unit Charge Per
69.0000 ECH
22.0000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
69.00
44.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 113.00 113.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 113.00 113.00 .00 .00
s
~
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
~fl. 0 147
OUGH - IN
2
1t4P
FINAL
OMMENTS:
J.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32 I EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Prope~ty Use
Property Zoning . . .
Application valuation
Owner
07-00001103 Date 11/19/07
609615
1822 W 15TH ST
06-30-00-0-4-3825-0000-
RICK ANDERSON
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
115928
Contractor
ANDERSON HOMES
618 S. PEABODY ST. SUITE H
PORT ANGELES WA 98362
(360) 452-4641
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ANDERSON HOMES LLC
618 SOUTH PEABODY,
PORT ANGELES
(360) 452-4641
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
STE. H
WA 98362
26.72
V-N
1. 00
7000.00
1871.00
1871.00
1. 00
BUILDING PERMIT -RESIDENTIAL
1395 SF SFR, 434 SF ATT. GAR.
111 708
1109.85 Plan Check Fee
11/19/07 Valuation
5/17/08
443.94
115928
Qty Unit Charge Per
Extension
1020.25
89.60
BASE FEE
16.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
112359
174.85 Plan Check Fee
11/19/07 Valuation
5/17/08
.00
o
Qty unit Charge Per
BASE FEE
4.00 7.2500 ECH ME-VENT FAN
9.00 10.6500 ECH ME-OTHER APPL. N/R
Extension
50.00
29.00
95.85
~
/A
~
V
~
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
y
~
\A
112342
142.00
11/19/07
5/17/08
Plan Check Fee
Valuation
.00
o
,
o
\A
Qty unit Charge Per
BASE FEE
9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
Extension
50.00
63.00
7.00
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 orwork is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified ein or not. The granting of a permit does
no. t presume to give authority to violate or cancel the ProviSiO)2;2S y state or 10 reg lating construction or the performance of
construction. j) /)
J-)9~~7 /CJ~ HI'J!JC((5~
Date P Int Name Signature of C ntractor or Authorized gent Signature of Owner (if owner is builder)
T:Forms/Building DivisioniBuilding Permit (1010 1/07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4 17-4807 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.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULA TION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEATPUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ "- CONSTRUCTION - R. W.
ENGINEERING 4 I 7-4807 ~ PW / ENGINEERING
FIRE 417-4653 FIRE DEPT. \
PLANN1NG DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:Forms/Building Division/Building Permit (I % 1/07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
07-00001103
609615
Page 2
Date 11/19/07
Qty
1. 00
1. 00
Unit Charge Per
15.0000 ECH
7.0000 ECH
PL- EA. BLDG SEWER
PL- EA. WATER HEATER
Extension
15.00
7.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
A residential fire sprinkler system, installed per NFPA
13D, will be required.
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as IIFire alarm"
October 1, 2007 1:18:11 PM sroberds.
The proposal will result in a new sfr in the RS-7 for total
lot coverage of 27%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Customer connection fee of $410.00 required.
09/26/2007 09:36 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway 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
pouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1426.70 1426.70 .00 .00
Plan Check Total 443.94 443.94 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 4105.14 4105.14 .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 has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specifie e in or not. The granting of a permit does
not presume to give authority to violate or cancel the provi any state 0 c la reg ating construction or the performance of
construction.
, ~/q-- 07'
Date
T:Forms/Building DivisionlBuilding Permit (10/Ol/07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. S
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE ' "'
INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION. ::::
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 0
INSPECTION TYPE DATE ACCEPTED COMMENTS vJ
YES NO
FOUNDATION: 9~W(d(s \2-(1-07 ~ PB
FOOTINGS \7 -14-01 :::rLL-
SHEAR WALLS I WALLS 2--12-0S' ""J" L.L-
FOUNDA TION DRAINAGE I DOWN SPOUTS \L-L\-D7 P6
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN 2- 2-2- -08 -;J'LL
WATER LINE (METER TO BLDG) I"Z.. -2-1-07 P6
GAS LINE FINAL ~ -2...3-08 DATE "J"'LL- ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL ?_ -Zg-08 -:ILL
-
WALLS \f)
CEILING ~
FRAMING 7-2$ -0 R' -;J'LL
JOISTS I GIRDERS
SHEAR W ALL/HOLD DOWNS ~
WALLS I ROOF / CEILlNG <-
DR YW ALL (INTERIOR BRACED PANEL ONLY) --
T-BAR \Ji
INSULATION 3-Y-og J"LL- -j;:..
SLAB ~
W ALL I FLOOR I CEILING ~
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY FINAL L{ -Zg /0 ~ DATE JLL--- ACCEPTED BY:
COMMERCIAL HOOD I DUCTS .
MANUFACTURED HOMES "
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA: '"
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
....
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PWI CONSTRUCTION - R. W. ~
ENGINEERING 417-4807 PW I ENGINEERING \[!S
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 4-Z,g---OSS' SLL BUILDING
~
T:Forms/Building Division/Building Permit (1010 1/07).wpd
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
07-00001103 Date 11/19/07
609615
.
1822 W 15TH ST
06-30-00-0-4-3825-0000-
RICK ANDERSON
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
115928
Contractor
ANDERSON HOMES
618 S. PEABODY ST. SUITE H
PORT ANGELES WA 98362
(360) 452-4641
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ANDERSON HOMES LLC
618 SOUTH PEABODY,
PORT ANGELES
(360) 452-4641
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
STE. H
WA 98362
26.72
V-N
1. 00
7000.00
1871.00
1871.00
1. 00
PUBLIC WORKS RES WATER SERV
5/8" DROP IN METER
112813
200.00 Plan Check Fee
11/19/07 Valuation
5/17/08
.00
115928
Qty Unit Charge Per
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
200.00
RIGHT OF WAY
112797
50.00
11/19/07
5/17/08
plan Check Fee
Valuation
.00
115928
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
112805
120.00
11/19/07
5/17/08
plan Check Fee
Valuation
.00
115928
Qty Unit Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
Extension
120.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
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 . late or cancel the provisions of any state or local law regulating construction or the performance of
co ion.
, ature of Contrac / r or Authorized Agent
T:\Policies\1102.15R [1/05]
Signature of Owner (if owner is builder) .
Date
.
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417.4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Po1icies\1102.15R [1/05]
" fVORr~
;,'O~'\,
~rca~
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, ~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 07-00001103
Application pin number 609615
Page 2
Date 11/19/07
Special Notes and Comments
A residential fire sprinkler system, installed per NFPA
13D, will be required.
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
October 1, 2007 1;18;11 PM sroberds.
The proposal will result in a new sfr in the RS-7 for total
lot coverage of 27%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Customer connection fee of $410.00 required.
09/26/2007 09;36 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway 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
pouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 370.00 370.00 .00 .00
Plan Check Total .00 .00 .00 .0'0
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2604.50 2604.50 .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:\Policies\1 102.15R [1105]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Po1icies\1102.15R [1/051
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BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
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/ - - Lf
Job Located at I [-ZZ It / I" -
Inspection of your work revealed that the following is
not in accordance with the codes governing.the work in
this jurisdiction:
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These corrections must be made and are not to be
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Mi-6"
Date
4l/~~r
. I
Inspector for Building Division
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BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
',-
Job Located at /(;yZZ, 141
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t-
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Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
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for inspection.
Date ~//hJ-
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Inspector for Building Division
DO NOT REMOVE THIS TAG
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date_12 -\ i-DC.
Time
~ ''Y1
Received by Li ~~ e person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
l~Z'2-- W
10 \1'('
j6~.St-.
Phone No. ~( - 0 ?7g
Permit No. 07- \ \03
Final Sewer Excav. Other
INSPECTION NOTES:
~'Y\u)a11
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED. . . . .. YES
NO
Cl
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Jt~
vft~
SURFACE RESTORATION:
.
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pcc
o Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
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PRESCRIPTIVE APPROACH-SIMPLE FORM
For the Washington State Energy Code (2006 Edition)
Climate Zone 1
Site Information:
Building Department Use Only:
Lot: L OT I::
Address: /8'22 1tJ. / gt 1 L;;r
City: ft'/7?-7 Atlbece s
State: ~ Zip: t:lb?6:s
Contact: It leIL A1{/'tJef2SCfN
Phone: 4 C; 2 - 4~ q-/
Phone 2:
FAX:
Permit # 01-( \ O?/
Notes:
Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
'1~'W~ili;~:),
.'. Above "
.... Grade i~
~l~i~ ~~~j
.::::..;:..;-.;''',~-;;;.;':'.'''>
..- ...... .~ -.
III
OAO
0.58
0.20
R-38
R-30
R-21
R-21
R-10
R-30
R-10
This Project complies with the following:
" The project is a single-family residence or duplex.
" The project is a wood frame OR all of the insulation is interior or exterior of the framing.
" All building components meet the requirements listed in Table 6-1, Option III.
" The project will meet all other provisions of the WSEC and VIAQ.
The ~ject will take advantage of the following exceptions to the prescriptive option.
.~ 602.6 Exception 1. One door, that is 24 ft. or less, that does not meet the standards allowed.
Location of the door taking this exception:
D 602.6 Exception 2. Doors with aU-Factor of 0.40 allowed without calculations, Option III only. .
Location of the door(s) taking exception:
Type of Heat Source:
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BUILDING PERMIT - APPLICATION
Fill out COMPLETEL Y and in INK. Your application, prescriptive energy.
form, plans, specs, and a 8 '/zit X lilt site plan MUST BE COMPLETE to be l
accepted for review. (360) 417-4815 FAX (360) 417-4711
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
, rR OFFICIAL USE ONLY:
Date Rec.: q ~20 -{)7
(Permit #: ()~ - \ 103
ate Approved: ~O/~
,
ate Issued:
't...
/B t? (eN r-e-r; 15.p.
#'tJ~N
Owner's Address 1,/13 9. fe4/36P 15Z 9t1lre. 'ff- "
Contractor/Engineer A~IJC;((~aXj ';m/JIe<;;. State License # ~ Expires !Z-03-()7
Contractor/Engineer's Address 6/~ 9. ~8a/)1 9T 'St.t~ I-ffl)e-~II-~'t~ 1~Z. ~b~1
PROJECT ADDRESS: 18~2. UJ. 19'-t 9T ZONING:
LEGAL DESCRIPTION: Lot: loT 6 Block:
Phone
~ 3014
45Z-fb4(
Applicant or Agent
ff.14
Phone
Owner
CLALLAM COUNTY PARCEL NUMBER: 30 000
No La:\€N1'-: I
Subdivision:
3%2':)
TYPE OF WORK
~ Residential ,2""'New Constr. 0 Re-roof 0 Stove
0 Multi-family o Addition 0 Move o Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
0 Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
COMM ERCIAL/RESIDENTIAL: Occupancy Group:
Existing Structure(s) basement
I" floor
2nd floor
3'd floor
Accessory Structures
Existing Structure(s) TOT A L
Sq. Ft. & Proposed Structure(s) basement
Sq. Ft. & I" floor
Sq. Ft. & 2nd floor
Sq. Ft. & 3'd floor
Sq. Ft. & Accessory Structures
Sq. Ft. & Proposed Structure(s) TOT A L
TOTAL of existing & proposed structures
Maximum Height of Proposed Structure(s)
Sq.Ft.
fP>'Z1 Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Sq. Ft.
(~~q- Sq. Ft.
':)./ Ft.
\<61 t
l<61l
LOT COVERAGE
Lot size Sq. Ft. 7 DOO
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage -g,7. !';r; %
;lb. 72- .k hJ'h$
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be 2-
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: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EX PIRA TION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (lRC/IBC 2006 105.3.2)
1. Are you planning to install a lawn sprinkler system?
~ I~ 7~ 1<2,11
1~72 llt,"1'
(Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
f./O
beJ.roo0'l5 2-
~
-IV II ~S :2...
o
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 deter ine what permits are required, and that I must obtain
such permits prior to work.
Date tJ i- (7- ;;Zoo 7 Applicant
Web Version 8/14/2007
f
Id'O",,,,
."lf~"~~~
r...:!ii .
" -~
"'c~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
07- J I D3
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
07-00001103 Date 11/19/07
609615
1822 W 15TH ST
06-30-00-0-4-3825-0000-
RICK ANDERSON
RES NEW SFR
ANDERSON HOMES
618 S. PEABODY ST. SUITE H
PORT ANGELES WA 98362
(360) 452-4641
Other struct info
ANDERSON HOMES LLC
618 SOUTH PEABODY,
PORT ANGELES
(360) 452-4641
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
STE. H
WA 98362
I'8ZZ wl5Lh
AndQrSon ~
R57 RESDNTL SINGLE FAMILY
115928
Owner
Contractor
26.72
V-N
1. 00
7000.00
1871.00
1871.00
1. 00
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
5/8" DROP IN METER
112813
200.00 Plan Check Fee
11/19/07 valuation
5/17/08
.00
115928
.J
I (l <:;.109;;
J)1J
Qty Unit Charge Per ~ns~v~. ~
BASE FEE 200 00 ~
~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Permit RIGHT OF WAY
Addi tional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
112797
50.00
11/19/07
5/17/08
Plan Check Fee .
Valuation
.00
115928
Permit
"Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
112805
120.00
11/19/07
5/17/08
Plan Check Fee . .
Valuation
.00 .
115928
Qty Unit Charge Per ~~
1.00 120.0000 EA SAN SEWER HOOKUP 120.00
---------------------------------------------------:.------------- ---7--- -
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
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 of180 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. AIi 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 locai law regulating constructio'n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is buiider)"
Date
T:\Policies\1 102.1SR [lIDS)
-fe ~,O"'''^
.~. ,,:i.......-..;i':~
'---
l'l......
.~
....<;;;0'
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
07-00001103
609615
Page 2
Date 11/19/07
Special Notes and Comments
A residential fire sprinkler system, installed per NFPA
13D, will be required.
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
October 1, 2007 1:18:11 PM sroberds.
The proposal will result in a new sfr in the RS-7 for total
lot coverage of 27%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Customer connection fee of $410.00 required.
09/26/2007 09:36 AM GMCLAIN -------------------------~--
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway 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
pouring concrete.
-----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~~~~~-~~~;~~-~~~~-~~~~~:;;;~;~-
____________________________________~~~~;T~~~~;;_~:~_:~~--~~~~
Fee summary Charged Paid Credited vue ..
----------- ---------- ---------- ---------- ----------
Permit Fee Total 370. 00 370.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2234 .50 2234.50 .00 .00
Grand Total 2604 .50 2604.50 .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 a!terthe work as commenced, orif required inspections have riot 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. Ail provisions of
laws and ordinances governing this type of work wiil 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 reguiating constructio'n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)'
Date
T:\Policies\l102.15R (liDS)
{) I? () f- / I!
Issued date: / / - /,'- ~7
,
APPLICATION FOR WATER
City Water Division, Port Angeles, WA
7/7
Installed by& date: 1/-2./-07 Perrmt.07- J IO=<;
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:
Applicant Name & Phone: A-hrle.rSM ~e ') 4'5 l- 4c,,<4 J
Site Address lS'z;"Z~ UJ ~6-tb Mailing Address ~ S p~~
Blk: !iikLot: (~ Add: If/A- Parcel #: :'50()C:t:) z:=:;
Svc: ON /~ Meter#'sC F 1?70bL/ (!'/IV/O#: ")v 337 - rX/7)
Svc: SIze ees: ~ Z/)() j-l:/.J 2.30 Restoration Required:
Signature:
Remarks:
{) I? () f- / I!
APPLICATIO~ FOR WATER
City Water Division, Port Angeles, WA
7/7
Installed by & date: ~ 2./ - 07 Permit # 07 - J 10 =<; _
Issued date: f I -!
,
__rf'/
I hereby apply for water to be furnished in accordance with rates and rules of tile City for the
following premises:
Applicant:-.1ame&Phone A-hrle.r~ lk-me ') 4'5 l- 4c,,<4/
Site Address .1S'z;z, LiJ ~6-tb Mailing Address &;: S p~~~_
Blk: !iikLOt: (~ Add: IPA- Parcel #: :'50()C:t:) z:=:;
Svc: 0:-.1 / ~ Meter #'s C F /770(;''-/ ( ;tjw/o #: ")v 3:3 7 - rX/7)
,,,' ,;" ~"'f1{1-,<i i?li/H >112.30 ,~"O,,'"'"'";"'
SIgnature: -;;----- Remarks:
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . .. ... INSPECTION REPORT. . . . . . .
REQUEST:
Date IZ-ZI-Cn
Time
Received by
f<v
(phone. person)
Location of Work to be inspected /95 2.2. '\)J I c::;1- '"
Name of person requesting inspection T.xtc\ - I//s 1'",,(,t t?IdJ S
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 67- tlO:S
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~oJl( <;:pou i 'b"
-f~lo": ""'-<;e-k? r /)"W'o.f
. 7e :::.t""..wt.
INSPECTION NOTES:
Inspected: Date /2 -21- 07 Time By KV
Remarks: Ne.w ~'I PVC sfo.rloV\ Sc..cl~k r..Q,.p +<:> Q..)C...~sf:""j ~" PV(,
iJl\ A-J/~r; c::,,, Pv(. '11 to 'P!L) ~II pl(e,. ..J-o house.
RESTORATION REQUiRED...... YES
NO X
I'll.. 11 ~(L- N
11.:.""'''~
~
57'
\
4''.JD~'' f'~uc.e~ >-, I-
'I
~_~ 0," ~lLi ,lIpl/C-..
l--q .. TJI'~I
"," pvr. s{." 0'\ e.:St:"'~6l:
15<~ _ (Iu". .~
t't. ., ) zs<j'
M\e.'{ ? CleAp .
/-JQ.W /c," flV(., s~ .,. e.r W'{Q.
,'"
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
_JContinue ~_" r~verse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date /2- 2./- 07
Time
Received by 1< V
(phone, person)
Location of Work to be inspected / e "(;2. \).) b 5+ VI.
Name of person requesting inspection Tod.d. - V:c:.'\OIA.
Address of person requesting inspection
Type of Inspection (circle appropriate one):
8/J:) ~
Phone No.
Permit No. OI-{{C)""3
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date rz. - '2./- 0"'7 Time
Remarks: A0../AJ S<2lVer cC>rJfl7ec.l/oVl 10 e)(,'s.f,~~
JeQ.p 0.+ :P1L) Lf/; ?Ve.. -1-6 A;",l.c;.e~
By KV
{[;/ PVC / ~/.e..ra. !
S'
RESTORATION REQUiRED...... YES
t5-1" .$1' /
NO 'j....
C,.u.... b
I.
~
,
N.
t
,
Zl
15."..
'"
,
't.
"...:>{.,
~" T'''
4D 1'~<2(>
'1"~~
.-..! >~
f\L P1L
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
vi
REQUEST:
Date t.j - z 5 - 00
Time
Received by
l<V
(phone, person)
Location of Work to be inspected~ 9 '2.'2 W JS"tt\
Name of person requesting inspection De rl f\;.$ L..8 j( (0 tA.S. f
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. c-,- /ID:?
Sewer Foundation Framing Chimney Plumbing ~ewer Excav. Other
INSPECTION NOTES:
4 -2~-08
Time
By
k\)
01<
Inspected: Date
Remarks: 5'el.(Je.r- /2 - 2/-07
])ou:.t ~pc>(_ds -fo 51-<3IIM- ."" A Uo/
])""VfG \Co.\., ~-z5"- c~
/
/2-2/-07
RESTORATION REQUiRED...... YES
NO -X
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue_on-1:e.v.e~se side if necessary)_
~TR~J:T ~IIPJ:AII\ITl=l\InI=I\IT
1n4TI'I
02/18/2008 23:55
4579270
SIMPSON ELECTRIC
PAGE 01
~\p
,
06 -D2,O 7
.
ELECTRICAL WOJtl(l'T.RM)T ArPLICAnON
.hII wtmI b,
fJ E1ee1l'1a! Coatractor 1:1 OmIa'
L_"'- Da" no\ll,...
$6 'J::ZJ.{C.Q J 1.. -0 9
'nlllll1..t. d.lIC.riptlo~
o C_l'doI i' ......dal
~ New 0 A""rodlAdlIIIID.
/Vr;t~~~~~
l<.e.S/ ..~ Si , '.
/95d. 5-j II, .
II.}. ~
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5'7 S:
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o
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,;Jt.f303iD f..Jw!j 10/ W
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PO/lt Ang.e)es Lt)(.J. 'tBa&,,3.
T!lh'PhOll'c IIIlIWho, :PAX mmdler ~
4-57- '1' '2 70 __
p'.m~.r .....r.. ...... ~I Qj; .
/'_r8rJ. ..
-~, , ".':'."~... ,.. -...~.' - ~
A.ddf'ftl of '..predon A1 u. , c-I
J g.;u. I ,J 57I1 <JI
Cllr 0 {- 4/1 -e/-e.
Cell)
OWfrrr tlL't deflll8 by JtC""/~.l'.261..(I) Ow".,. wfll m:t:I'I''' ,lie XlruclUN .ff1r IWf.'
.1Wr.. ~, thl!t <<lttctrltJal pC,,,,1J t. Ji"",bIal (2) 0wH1ff' I' ,~ liD "frol: Nl tl<<lrtetzl
c:'D9I''''''' If ~ .HI p,'"", U ,for air.. 1M' or l~
Aft.. roadtns .... ,bov. 1IIIIaIIen~ IlIorelly .""11\1 ... I om III' ...... .r IIle obov.
....... ~ .... H..,..,,,,, _..1__. 1........1oa "'" oI._oJ ;....1"
'adOft - _ltanI_. in oampUMule with U.. dodtri.eftl IlI.w,,_ ".E..C., ReW_ ctMlptClr
19.18, WAC, Chop". 29.....60, Tile City of Pan A_pi.. M..j,jpol C<ld', Alld
Udlh 5 ..1 ',.
, wtler~ ..lelltrl~ I: II tt... or IllcetrlCIII 1lI1lh1tiJ1,1.trllDf'
Dlfe:
C Cash C Cbeclc#
1:1 Cndlt Card @ Mo9ttlrclld OiIIoovcr
Cardll ____'-___.___._"____
BopirBtion Oollo
ofCllrd
JllIJtMtloa rflC
$ , . '!Q
~
-08'
~I"""''''''I
1;1 NO lOAD CtIANGES
o __m KW
o F..._ = KW ~ O_d s"Nloo
O)1lllll Pump _.? Ton __ LAFI 0 Tomp Se"~Cll
lit "on-W" /0..:>.. KW . 0 Undotgro""" SorvI""
SAME DAY INSPECTION. CALL JlEFORE 7:00 AM 360-417....735
VOIlege
P"""1I010S
98lVtoo SIzA: ..2.l:!Q.. II'h-7 f
_. Sloe:
IIOt.iCU\J / TlmRMOSTAT SERVIOi:
.2J~!rlo 1kP ~..;--- ^~('Y JJ/.t!o6 ~
""~ """,.I'IltlIl,,/ r;I~le
/ FINAL ' / IJITCR ..u.~
~~) I I j
"- 0,," AlIfI"Il/4IIll ..... . ./
'n.p.ell.. Are", Buildill8 or llquipmCllt '.."""led e'"Clt!'joll
O.lItC Actlft TD... ,j Jpsp~tor
"
Z-ZI-oA rl,,'<;,oMEe::. e.)" J kJ(2,".:f' .~ .:fl4~() ApFt:oV:€r) /fc..-....{j
.
-.." -
-
-
-
---;;~,-
---
.-..
"
.
\
.J
DATE
z.
OWNER/CONTRACTOR
SL""
ADDRESS
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
zz.. t.J 1'7"
N -~
<-
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . i?L,
D. . .. . . . . . . . . ... . . . .. SERVICE. . . . .. . . . . .. . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
f<,11c.,H~_ N r OLn.itl'i:;~
N lEe... '2.) () D 72 c... I
00, L:e:..\ ~1"lCc'
33L./.16" IS
Nj.,l L. ?'-hT~ N.zC-
. 5T):>.?L:1~
"tJ. ~ c... 3>3'-/ .50
S),,::>c-\J~s. ~~j2, \JI~
(.;,Prl'- 4\7 tf70CO
1.DLA.l (0 t{ w/ ~
.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381