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Home My WebLink About626 Del Guzzi Dr - Building %wF CITY OF PORT ANGELES W' N PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES WA 98362 Application Number 11- 00000452 Date 5/13/11 Application pin number 000520 Property Address 626 DEL GUZZI DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 12 -6 -8- 0030 -0000- on our state excise fax form Tenant nbr, name QWEST Y Application type description PUBLIC WORKS UTILITES to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Plow Bore phone service, RCP# 11 -14 Owner Contractor SHADOW, DUANE AND SHIRLEY EXCEL UTILITIES CONSTRUCTION 111 S GREENFIELD RD 316 54 W., MISTY LN PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -1110 Permit RIGHT OF WAY Additional desc PLOW /BORE PHONE SERV RCP #11 -14 Permit pin number 185538 Permit Fee 150.00 Plan Check Fee .00 Issue Date 5/13/11 Valuation 0 Expiration Date 11/09/11 Qty Unit Charge Per Extension 1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER 150.00 0 Special Notes and Comments Applicant responsible for any necessary traffic control, erosion control, and surface restoration. Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 C N 1 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 t late or cancel the provisions of any state or local law regulating construction or the performance of construction. Signatu e o on ctor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 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 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB &GUTTER DRIVEWAY APPROACH ;BACK -•FLOW DEVICE. 1 FINAL INSPECTIONS .REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE S NO COMMERCIAL DAT .ACCEPTED ...p 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 41.7- BUILDING 4815 T:Forms /Building Division/Public Works Pernut 5 i 0' >ORT ~ t~~ ,. ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . . . . . Application valuation . . . . 08-00001326 Date 10/17/08 442632 626 DEL GUZZI' DR 06-30-12-6-8-0030-0000- PUBLIC WORKS UTILITES RS9 RESDNTL SINGLE FAMILY o Application desc Landscape retaining wall less than 24" high Owner Contractor DAUNE BRADOW 626 DEL GUZZI DR PORT ANGELES OWNER WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY RETAINING WALL 136531 .00 10/17/08 4/15/09 Plan Check Fee Valuation .00 o ~ ~. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 ? ,.-- ()) C ~ ,,- ... \::;1 ~ 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. Date Signature of Contractor or Auth9rized Agent Date Signature of Owner (if owner is builder) T:\Policies\1102.15R [1/05] . PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVEll, 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 I NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM , SITE DRAINAGE SITE, EROSION CONTROL .' : PARKING" :~~ -;! .' , " ,.(\ :\ . , .. , ",,,.."-:.' . .. ':;.~f ,~~T -0 ..:q.,:~~ 5' "'(,."'~; ~;';"4~? ; -~:;: 00.: 'SIDEW AUK,. 1S' ;....F "":'j;:~'if':;':;:::;~ii;'f , .' .. .. 'CURB & GUTTER !;;<.(;m I . ., ~~u ~ " ,:.1 "0 ., , .. 'l16~ ". ..:~ -;:::J:'_{ .. ; ",,,. ~. . ~.; ..,~, .; . '"!" ., ,-. .. .. .. ,.-" ;,.. ,~ , DRlVEW A y"APPROACH " -or ., BACK-FLOW DEVICE I .. .. ; '. ," ., .:;t ,: ,.~ ~" ~ .. " , .. , --- . .. {:. ,.. .' ..... ..~.'..I 1:;ii.1,,';:i ':<':;'{+:.~\. .. '-';i) ~~' ".,,,,,f' ""l;,:r.'~:' ,. . .. So ,. , :~~r("""':- "\ ..~ ~ .~......... ',..- 7"",,,, .. .' ~'~" " ~j'/:"~.t """~' ... . L'/ ., .C" :.' ~-;~ .", , .':",' " d , ,'- .."-' ~.'Vi -r" < .' ~, ,. ,;. L ,.: . .- i't..- '..- .. , - ...;t-, .\" < ,'(: "'. ,-'.}. k'c:~:, ,.. , '." ;(. ,. ., ~: >', ~~:';'J. ., t i:~..*' ),\ '" ., .j ';', " .. .",' . .. ..;: '> , ,. .. 0< .. ., ....; - "..', "",,> . " " .or " co , .~ ,." '. ~'j:.,:;:~~,:; ,'~ <fh~',{~' .W's).,;" '.'-;,.',.:,;<,.,,;t: :~~~ '1 ';1\;'" : _;;,.)~I ;:.m:: .\,' 'l; ... 5'-, Ij' i\":S':~ ,.~,..;:....;'.;",~ '::"1"; '." ,,)i .. ,i.... .,' :1 ;;';'.,..,j""". ",,~,:Wj:;\;,., ":'J;\~C " .. ..., "~'.' f" ~ ~ " \~I :'. ',,~,,"'i'~,',>, f"t~:ii!; ''i. ". .. .' " .. ">~, ,;; ,:~:~::,\ ~.:),~~ ,. , .. .. ~~~;;~i;t:, ;, , .; .,' " ". ,~i;. .:;: , "~,~',f,., , , ,. ." .. ., .. 't.' '. ,'.'3 ',~ '!'~."'. .; ,if " d ,.<e, '~\i: !;<~,:;;; e. " "',, .,~. :\..1' ;"""">'''';(f~~')''fi, ':;~. ~r ~{''; ,~~ S " ~~, '~,~;'~'1~.i~:'~" "'~"-t"'" FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE.,;;. , ".. : , , j ,.. "'R ...rl . C"'i:;-;;~ ..~,--" ~,~1 , ,~;'-', ~ ~:'~ ',,: ~~. RESIDENTIAL ,,~~\ .;, ':i,,;'-DATE YES .. w~ NO' COMMERCIAL:"'~ -~ DATE-- ,ACCEPTED~'. " ('~,i :'0!:.~~~i::~~:~[J~;1i. t~ " "f ':.' .~;" )~t;~,J'~ '.' \,:;" ., ",.,." 'j: .}'"\: It YES' , , NO ~iL ',". ~?-~ '~. "'-\~ li'.' ~>, .. , ;tj c< .T'''-..j.~;;:l. '~,. I .. .. ~;;. . CONSTRUCTiON .. -- .. CONSTRUCTION R. W./. p',W I~~":: 't" :;{~ (.'; . RW. ,;.:"," \. .. . . ENGINEERING".;" ~;;;~ ,; '; 417-4807 " , PW, I ENGINEERING .. FIRE ~ "'~' . .....>..~;~;;< 417-4653 i"~ FIRE DEPT, t' ,. , PLANNING DEPT. ; 417-4750 PLANNING DEPT. , " .. 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ZO a:l 0. 0 E-< M'" Ul -U ~ .... 1>:0 UlE-<;;i ..:I '"' 0 0 <( ~:i!E-<gj!j..:l H 00 0.>- ~ , ME-< 01:1~~~g; 0. N I>:H >< ..:I o.U ~E-<UOo.<( 0. E-< 0. r----- ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000508 Date 865812 626 DEL GUZZI DR 06-30-12-6-8-0030-0000- ELECTRICAL ONLY 5/05/08 RS9 RESDNTL SINGLE FAMILY o Application desc Furnace Heat Owner Contractor BRADOW dWAYNE 626 DEL GUZZI DR PORT ANGELES WA 98363 ALL WEATHER HEATING & COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 Permit ELECTRICAL NEW RESIDENTIAL Additional desc \J' Permit pin number 125658 Permit Fee 35.00 Plan Check Fee .00 N Issue Date 5/05/08 Valuation 0 Expiration Date 11/01/08 Qty Unit Charge Per Extension ()' 1. 00 35.0000 EC EL-LOW VOLTAGE 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 ~ r f\ ~ \\1 \'.J . '. SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: ClZ>;/C> CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 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 Property Use Property Zoning . . . Application valuation 08-00000479 Date 786150 626 DEL GUZZI DR 06-30-12-6-8-0030-qooo- DUANE BRADOW FIRE SPRINKLER SYSTEM 4/30/08 RS9 RESDNTL SINGLE FAMILY 3350 Application desc INSTALL FIRE SPINKLER SYSTEM Owner Contractor DUANE BRADOW 264 BLACK DIAMOND RD. PORT ANGELES WA 98363 Structure Information 000 000 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 INSTALL FIRE SPRINKLER SYSTEM Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID FIRE SPRINKLER SYSTEM 125229 .00 4/30/08 10/27/08 Plan Check Fee Valuation .00 o Special Notes and Comments Call for cover inspection for all sprinkler installations. A full acceptance test'wiii be required for all fire alarm systems. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 fiitcr led 6-2 If ltf This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel t0z=;IT~iifi.2egul;;;;ej;~peCified in the penn it Signature of Contractor or Author ed Agent /bate Signature of Owner (if Owner is builder) Date - -----.. ~. - , - -. o ~ I Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate ...c. or conceal any work before inspected and accepted. Post permit in a conspicuous location. ..J .3l FIRE PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final ~- 2- LJ--O g Kt )D FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final . UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments fS'> ~. 6""'> C7 ~ ~ c t-l \\l --1 17 :) 2/15/00 :TJ ~ \I"l ~ .1 3- ~ ~'" GENERAL COMMENTS: l( VORT ~ (Jt::J,.O~~~ ~ "- -=->r ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 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 Property Use Property Zoning . . . . . . . Application valuation . . . . 08-00000505 Date 073575 626 DEL GUZZI DR 06-30-12-6-8-0030-0000- DWAYNE BRADOW MECHANICAL APPL. PERMIT 4/30/08 RS9 RESDNTL SINGLE FAMILY 10361 Application desc HEAT PUMP INSTALLATION Owner Contractor BRADOW ENNIS CK IMPROVEMENT 222 SW COLUMBIA ST. #400 PORTLAND OR 97201 (360) 670-1156 ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . MECHANICAL PERMIT HEAT PUMP 125666 64.80 Plan Check Fee 4/30/08 Valuation 10/27/08 .00 10361 Qty Unit Charge Per Extension 50.00 14.80 BASE FEE 1.00 14.8000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 ~ . ~C(k: ~ ~ "~ 'a ~ 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 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. vA... gent Signature of Owner (if owner is builder) T:Forms/Building DivisionIBuilding Permit (10101/07). wpd BUILDING PERMIT INSPECTION RECORD CALL 4 J 7-48 J 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o 00 \ \Sl o 0\ INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL HEA T PUMP I FURNACE I DUCTS ~ GAS LINE C WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: ~ COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES - FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING .) PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. I PWI CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. C PLANNING DEPT. ~ .' 4 17,,4750 PLANNiNG PErT.. ~ BUILDING 417-4815 1_L.l-()~ "\lJ...r BUILDING -V r6' \'J o ? '" v ;::b.. ~ ::v T:Forms/Building Division/Building Permit (1010 1107).wpd L- Ln MCO a '- .,. a '- ri ri ~~ t?E-< ..:..: 0.0 '" M a .,. , r- <1) '" .,. rl >< tl1 a rl .:: \D 0 "' >< M .<: p, ..:l ... rl ~ >< ~ "' H > .0 ~ ..:l H ~~ P, E-< 0 ZZ Ol ~Ol gJ 00 '" ~ ""~ , :r::r: ~ <> E-< 8~ Ol 0.0. 0 co Z E-<,.., '" .,. <1) 0 Z co ~ O~ '" HO Ol '" Z E-<E-< E-< \D a \D ~ en UU Z <1) CX)...:lalfl...::l~ E-< ~~ ~ ri ~~rl,:t:O Z 0.0. :>: rl coZ riZ ~ OlOl E-< Z:>: , a H .. 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E-o X r>l Z o E-o Z o o r>l ::> Z H E-o Z o U Applicant or Agent ful.W~Cknwvtt(h;\\OCJ~ (CfJ\\V\Ci) Phone ~(.{)-ytSZ J1t()1'\ Owner \)\00 \~U } Phone ~GoO' ( DII) - ; loSu Owner's Address (()7,~ 1).(\Cj\\"ZZ.'1 Dv\v( PO'(\- A\.''tO)P\e~, WA O)fJ~(nL Contractor/Engineer A\\ IAreO\ttl)t'~ \-\fO\nYl~ ~ (0.(\Uf\(') Phone ~lcO-qS2- ~\~ Contractor/Engineer's Add ress ~;. ~A/YI P ~. QrAl1' rnl)~ ( [(SO / i ,\ If\ q1)~z.. License # _RLL WEt\ c \&)0'<::'\.1 Expires _I-Of> Apr 29 08 02:00p p.2 BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use Only: Date Received ~- ~4 -()~ Pennit # 0 - Or:;- Date Approved Parcel Number PROJECT ADDRESS Zoning Proiect Type & Brief Description: Check all that apply ~ew Conslruction o Addition o Remodel o Repair o Re-roof o Demolition o Sign ~eat System o Other Floor Areas Basement 151 Floor 2nd Floor 3'd Floor Garage Carport Covered Porch Deck Shed Other Lot ~es;dential o Commercial o MuW-family o Industrial o wall-mounted 0 projecting 0 freestanding 0 awning Total si n area s . ft. Maximum allowed si n area s . ft. Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Ex;stinq (Sq. ft.) Proposed (sq. ft.) @$ per sq. ft. = $ TOTAL VALUA TlON $ <l1g sq. ft. . Lot size % Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? sq. ft. = Lot coverage # of bedrooms # of full baths # of half baths Occupancy group Occupant load Construction type ft. I have read and completed this application end know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, an projects. Date..Y.-1tf~08 Print Nam Signature T:Forms/Building DivisionlBldg Permit Appl-2006 Code.doc ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER, Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 4/29/08 08-00000496 Date 907168 626 DEL GUZZI DR 06-30-12-6-8-0030-0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY o Owner Contractor BRADOW DUANE 626 DEL GUZZI DRIVE PORT ANGELES WA 98363 SEQUIM VALLEY ELECTRIC 2915 REGENT ST SEQUIM WA 98382 (360) 452-4454 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 125419 Permit Fee 135.00 Plan Check Fee Issue Date 4/29/08 Valuation Expiration Date 10/26/08 .00 o Qty 1. 00 3.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 66.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135.00 135.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 135.00 .135.00 .00 .00 .~ ~ ~ ~ C (\J f'J l SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: City Permit # 08-479 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private residence Address: 626 del Guzzi Drive Installer: Innovated Fire Installer Telephone: 452-7583 Type of System: Open 130 13 RO 13D[2J Date: 4.29.2008 P AFD Permit #: 08-16 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. Contractor Review ed by: ~ 0 G..IJ..O &'\':Z}\. o~ o ~ o Building Department Date: Fire Department r DATE: l} - 2- '3 - 0 g ] . ." . . ~ FID ~.~r.,1R'l1' ~ PIiARRIRG o PDBLIC WOItD/l:RGlJu:1urrwG DnDIOR DLIcm'l .1.... ;......1.1 ITO: I ...... :..... . 1.1. D-~ o G o POLICE DER1tTDn'T o AN J "ISTBe%QJf - - . 0 en'! CLDJt' .1' .:1.....47.. RE: o :RXSlt lWIAJIiuIEHT PUBLIC WORltS/BUn.DIBG DIVIS:IOH}- ADDRESS bU De) Gu"Z--z; Dv' HAME/COJft'ACT V,' Y) veN1 +- i6~ t ~ PHONE: LjCSL-cSg3 PEluuT N~ 0'6 -Y7Q . PROJECT DESCR:IP1':IOR :r:n c;-ht 1/ R e ~J J -e.t1 +7 0..1 -} FROM: h're- SOV";hl</ers I ;a..HD CORS1'RDC'!'ION o ADDITION/ALTERATION COMMER"rS/COHDrnORS: ~"'T l' T 1 \.' 't)~TT"l.. rr T"'TT T'" oe ~ (~ Project Tvpe & Brief Description: Check alllhat apply 1<fJew Construction o Addition o Remodel o Repair oRe-roof o Demolition o Sign PROJECT ADDRESS Parcel Number o Heat System o Other BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360)417-4815 fax (360)417-4711 For City Use Only: Date Received '1'-21--68 Permit # rJ~'-"" q Date Approved '-I52-7S83 L-IS2-7S :3 B 2.~ D--.r,' V ~ l...--\..'C'"2 ' Lot Zoning )(;Residential o Commercial o Multi-family o Industrial r,\....,.. leI o wall-mounted 0 projecting 0 freestanding 0 awning Total si n area s . ft. Maximum allowed si n area s . ft. o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas Existinq (sq. ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALVA nON $ :$ '350. 06 Total footprint of structures sq. ft. Lot size sq. ft. = Lot coverage % ft Occupancy group Occupant load Construction type Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? # of bedrooms # of full baths # of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and 0 obtain permits prior to working on ~~c~ Q ~ Date ' Print Name \/ ( V\.c..e~ + I.:J It-ll-;)JV- Signature uildi Division!8ldq Permit Ar;pl-2006 CorJe.doc lO<Xl o ..... <Xl .... ..... '" WW "E-< ..;..; 0..101 >< ...:l I>: W H ...:l E-< W(I) ><W 8~ E-<.., Z .. 01>: HO E-<E-< UU WW 0..0..' (1)(1) ~~ '" lO r- N '" (I) W ....:l <XlW 0" :;,~ .... .....E-< "'I>: o 0.. 101 W~ 1>:0 ..; 0..>< WE-:H o..U > H 101 gJ (I) WW ZZ 00 :>::>: 0..0.. 3: o ~ I>: III I>: 101>< W H...:l NI>: NH ::>:>: "(I) ...:l'" W QW \O~ N::> \0101 E-< f;j :>: W > o I>: , I>: 0..0~ :>:0(1) HO 03: :.: , W WOZ W,., 1>:0(1) UoW 'I>: (I) <Xl ffiH ~ ~ '0 NO ....0 3: , 0 000 ~,.,O , , \0 <Xl 1Il00 I>: I>: '1Il1>: . 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"'''' .... .... ............ ,.,,., "'''' 00 ............ "'''' ........ ............ ,.,,., "'''' 00 ............ "'''' ........ ............ ,., ,., "'''' 00 ............ "'''' NN ............ ,., ,., o Cll ...... '" >< E-< .... o .... o N o .... o .... o .... o .... o o 0. ..:l III o :.: ..:l III o Cll o .... ..:l III .... ..:l III N ..:l III ,., ..:l III M U ..: '" 00 Cll M E-< o Z ~ Cll E-< ffi ~ o U ,. LINDBERG~MITH ARCHITECTS April 2, 2008 RECE~VED I APR 0 ~_2;81 CITY OF PORT !-.!'mELES BUILDING DIVlSION Jim Lierly Building Inspector City of Port Angeles 321 East Fifth Street Port Angeles, WA 98362-0217 RE: Duane Brandow Residence Dear Jim: We have been working the framing Contractor on the Brandow Residence Located on Del Guzzi Drive. A number of the anchor bolts and hold down bolts were miss placed or inserted too deep. We have walked the site with the contractor and relocated the anchor bolts as needed and have directed him on drill and epoxy new bolts. As you can see from the attached photographs, we were on site to verify the size, location and depth for the new bolts. If you have any additional questions please contact us. Respectfully, LINDBERG & SMITH ARCHITECTS, INC., P.S. ~ Charles D. mith, Architect ~ ~ 319 south peabody suite b / port angeles wa 98362/360.452.6116 fax 360.452.7064 email contact@lindarch.com / www.lindarch.com ,. ~ () ~ 55" Am o 00 . 6" ~ # <S"' ~ E)' \:J ~ - GJ c tJ ~ -~ \7 :s , . '\ -'-- .' j f' ~I J 11 j. 4 <Xl <Xl 0 b , <Xl N , oJ M ::i \fl 0 t\ MOO >< ~,.. ...:l (? ..:..: H :I: "'0 0 ,.. Ul H ~ >< ...:l ~ 00 H ...:l ,.. MUl ~M ~~ ,....., Z .. O~ HO ,..,.. UU MOO ...... UlUJ ZZ H H L/") N "" o m Ul 00 ....:l <Xl 00 o~ ~~ N ,,.. M~ o ... o 001<. ~O ..: ...>< 00,.. ~H ...U > H o ~ Ul MOO ZZ 00 :I::I: ...... ~ ~ III ~ 0>< 00 H...:l N~ NH ~:I: ~Ul ...:l<ll 00 OM \O~ N~ \00 ,~ 01<. 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I>:H ~t>l03:":0. >< ..:I ..:I o.u E-< uo 0.": I>< E-< <II <II '--;;;._'~,;,;;:::;:"~~..-:..r.--::""....,~ "!' - .~~ ~"- """""i-~~~;"~'J<>'.~-': -A;;.r..,J~- - ......- BUILDING DIVISION CITY OF PORT ANGELES * * " ~, Correction Notice Job Located at tozi./ DeL +; (jZ:z..-I 2h o. .- It~ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: [;(') ilN9 M/NtMu~ N/fnVC SOl L- . /2 // /#/-0 . " ~'~l ~-< ~, t. ; These corrections must be made and are not to be covered until reinspection is mad . Whe corrections have been made, please call 7/ ,/ (- ~~t~n~p~i;~r ~5 .' I I Inspector for Building Division ... ____DQ NOT REMOVE THIS TAG 7 '-<co , i~ 0 , '- , r- , 0 , '- , N , , ~ , , , r>lr>l , "f-< , <(<( , 1 0.0 I , , , , , , , '" , , , , , .-< , 0 ~ I .s:: , u , ... ~ , III , .0 :>- , 0. ..:l , '\ 0>: , r>l , .. ~ H , ;> \. ..:l , H r>lr>l f-< , 0 ZZ r- oo r>lOO , ~ 00 <'1 r>l N ~r>l , :I::I: " .. f-< 8~ , 00 0.0. 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ZO <Il <Il 0 f-< '13 r>lo. 00 -U .-< 0>:0 OOf-<<( ..:lZ f-< 0 0 <( ~~~~rJ..:l H 00 0.:>- ~ '- r>lf-< OZZZo>:o. 0. .-< O>:H o r>l 03: <(0. :>- ..:l o.U <(f-<UOo.<( 0. f-< <Il I of.ORr...... l~"':~ ha ~-- ~w;.;> 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 08-00000062 Date 2/01/08 065710 . 626 DEL GUZZI DR 06-30-12-6-8-0030-0000- DUANE & SHIRLEY BRADOW RES NEW,SFR RS9 RESDNTL SINGLE FAMILY 228119 Contractor LUDWICK, WILLIAM P. 5319 BLUEBONNETT DR. COLLEYVILLE TX 76034 OWNER Structure Information 000 Other struct info . . 000 2079 SF SFR, 664 SF ATT/GAR, TOTAL \ LOT COVERAGE CONSTRUCTION TYPE V-B NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 166SF DECK 28.20 1. 00 2839.00 2839.00 2839.00 1. 00 ---------------------------------------------------------------------------- Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 119602 170.00 2/01/08 7/30/08 Plan Check Fee Valuation .00 o Qty Unit Charge Per Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BASE FEE Extension 170.00 PUBLIC WORKS RES WATER SERV 119610 805.00 2/01/08 7/30/08 Plan Check Fee Valuation .00 228119 Qty Unit Charge Per 1.00 805.0000 EA PW W/M 1" SERV 3/4" METER Extension 805.00 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 119628 50.00 2/01/08 7/30/08 Plan Check Fee Valuation .00 228119' Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 ---------------------------------------------------------------------------- permi t . . . . . Additional desc . Permit pin number STREET ALLEY RESTORATION STREET RESTORATION 119644 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-of local law regulating construction or the performance of construction. ( Date Signature of Contractor or Authorized Agent T:\Policies\1102.15R [1/051 Si 1-------- PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE 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:\Policies\1102.15R [1/05] I of.ORT...... l~"':~ ha 1!" -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TIISTREET, PORT ANGELES, WA 98362 Application Number Application pin number Permit Fee Issue Date Expiration Date Page 08-00000062 Date 065710 700.00 Plan Check Fee 2/01/08 Valuation 7/30/08 2 2/01/08 .00 228119 Qty Unit Charge Per BASE FEE Extension 700.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 119636 120.00 2/01/08 7/30/08 Plan Check Fee Valuation .00 228119 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extension 120.00 ---------------------------------------------------------------------------- Special Notes and Comments All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International,Fire Code (IFC) and National Fire Protection Association (NFPA). 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. January 29, 2008 5:06:53 PM sroberds. The proposal will result in a new sfr w/attached garage for a total of 28% lot coverage in the RS-9 zone. No land use issues anticipated. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway 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 1125.00 4.50 1265.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1845.00 1845.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2394.50 2394.50 .00 .00 Grand Total 4239.50 4239.50 .00 .00 Separate Permits are required for electrical work, SEP A, 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 Clays 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 constructio"n 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 [1/051 r-- PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. 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 I 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. 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:\Policies\1102.15R [1/05] . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 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 Property Use Property Zoning . . . Application valuation 08-00000062 Date 2/01/08 065710 626 DEL GUZZI DR 06-30-12-6-8-0030-0000- DUANE & SHIRLEY BRADOW RES NEW SFR RS9 RESDNTL SINGLE FAMILY 228119 Owner Contractor I ~ i 4{ ------------------------ \)Dd~ 3108 P. ~ Braclaw ~ OWNER \ DR. -, l::.nrll's C~\<. Xmt)Y'oVP'^-eJ(l.+) j I " TX 76034 ~'lf Bl " , ..., YI \-'-(.. ti.d<.. P"{'('Y"l1ontlRc:t) POrt- ~5e.I(.s)WA Structure Information 000 000 2079 SF SFR. 664 SF ATT/GAR. 166SF DECK --- Other struct info. . TOTAL % LOT COVERAGE 28.20 CONSTRUCTION TYPE V-B NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS qg3"2 1. 00 2839.00 2839.00 2839.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 2079 SF SFR. 646 SF ATT/GAR 119123 1742.65 Plan Check Fee 2/01/08 Valuation 7/30/08 697.06 228119 Qty Unit Charge Per Extension 1020.25 722.40 BASE FEE 129.00 5.6000 THOU BL-100.001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 120220 Permit Fee 125.75 Plan Check Fee Issue Date 2/01/08 Valuation Expiration Date 7/30/08 Qty Unit Charge Per BASE FEE 1. 00 14 .8000 ECH ME- INSTALL 100- FAU 4.00 7.2500 ECH ME-VENT FAN 2.00 10.6500 ECH ME-OTHER APPL. N/R 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 .00 o Extension 50.00 14.80 29.00 21.30 10.65 /!)~q k 1/-ycJe; Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 120204 170.00 2/01/08 7/30/08 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension Separate Permits are required for electrical work, SEP A, 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 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 cO~truction or the performance of construction. - / / :2.-(-0$ 4rq(ffp llYQfct,'l;..)' (/L~. 6.k Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/BlIilding DivisionIBlIilding Permit (I 0101107).wpd .~ BUILDING PERMIT INSPECTION RECORD .. CALL 417-48 I 5 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDA TION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) 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 ONLY) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP/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. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T: Forms/Building Division/Building Permit (1010 I /07). wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ Page 2 Application Number 08-00000062 Date 2/01/08 Application pin number 065710 Qty Unit Charge Per Extension BASE FEE 50.00 13.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 91.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00 Special Notes and Comments All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). 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. January 29, 2008 5:06:53 PM sroberds. The proposal will result in a new sfr w/attached garage for a total of 28% lot coverage in the RS-9 zone. No land use issues anticipated. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway 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 1125.00 4.50 1265.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2038.40 2038.40 .00 .00 Plan Check Total 697.06 697.06 .00 .00 Other Fee Total 2394.50 2394.50 .00 .00 Grand Total 5129.96 5129.96 .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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T: Forms/Building DivisionIBuilding Permit (10/01/07). wpd r; BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o INSPECTION TYPE DATE ACCEPTED COMMENTS oq , YES NO 6' FOUNDATION: 5-k.,m wt.tH :, i It( /0 s -:f:L.L. ~ FOOTINGS :2.. - Zb-O& :r u...- t>r-~ we\\ 'i- \ ~-Og :fL.-L SHEAR WALLS / WALLS ( FOUNDATION DRAINAGElDOWN sPOUTS -, 3-1 q -0& J"L.L- PIERS POST HOLES (POLE BLDGS.) PLUMBING ~hOv.r-er P""y\ 1~ 1-08 PB UNDER FLOOR / SLAB ROUGH-IN e; -7---oSZ :TLL- WATER LINE (METER TO BLDG) GAS LINE FINAL \ \-L\,...08 DATE "J~ ACCEPTED BY: BACK FLOW / WATER AIR SEAL 5-g- -o&- ;ru... WALLS CEILING 6"- FRAMING 4 -10-0<3 j"L...-L- (; rt"A' (1~\ S OQ.(;e 5-8'-Og J"L.-L- ~ 6' JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING t7 DR YW ALL (INTERIOR BRACED PANEL ONLY) ~ - T-BAR INSULATION S-13-()$2; -:\1 } P~ct\ Upr l?f- fico... G) SLAB C WALL / FLOOR / CEILING N MECHANICAL - , HEAT PUMP / FURNACE / DUCTS GAS LINE '5-22..- OS( ::1'. LL~ D WOOD STOVE / PELLET / CHIMNEY FINAL 1\-l.J-Og DATE TU- ACCEPTED BY: ") COMMERCIAL HOOD / DUCTS \ MANUFACTURED HOMES I ~ FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: " LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ~ YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL V') LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ~ ENGINEERING 4 l7 -4&07 PW / ENGINEERING FIRE 4 17-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4&15 1\- L.J -08 :\LL- BUILDING T: Forms/Building Division/Building Permil (I % I 107). wpd " . I - y- A. PLYWOOD OR O.S.B. SHEAR WALLS 1. MAXIMUM SHEAR = 250 P.L.F. USE~" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 6" O.C. FOR FRAMING. USE DF NO.2. PROVIDE Yz" DIAMETER ANCHOR BOLTS AT 32" D.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMINGISHEAR WALL PLANS. 2, MAXIMUM SHEAR = 315 P.L.F. . USE~" SHEAT/NG - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 5" O.C. FOR FRAMING, USE DF NO.2. PROVIDE Yz" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT'THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL. SEE FRAMING/SHEAR WALL PLANS. 3. MAXIMUM SHEAR = 375 P.L.F. USE Yz" SHEATINc;3 - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 4" O.C. FOR FRAMING, USE 3X DF NO.2. PROVIDE Yz" DIAMETER ANCHOR BOLTS AT 24~ O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR.TIE DOWNS AT EACH END OF THE WALL, SEE FRAM/NG/SHEAR WALL PLANS. MAXIMUM SHEAR = 490 P.L.F. USE Yz" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3" O:C. FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOI,. TS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 4. 5. MAXiMUM SHEAR = 560 p.LF. USE~" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10dNAILS AT 3" . O.C. FOR FRAMING, U$E 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 24" O,C. MAXIMUM SPACiNG AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE. FRAMING/SHEAR WALL PLANS. MAxIMUM SHEAR = 685 P.L.F. USE Yz" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 21/2" O.C. STAGGERED: FOR FRAMING, USE 3X DF NO.2. DOUI;3LE BOTTOM f:'LA TES ARE REQUIRED, 130L T THROUGH BOTH PLATES WITH ANCHOR BOLTS. . P~OV!DE 5/8" DIAMETER ANCHOR. BOLTS AT 20~ O.C. ~IMUM SPACING AT THE . FOUNDATION. FOR TIE DOWNS AT EACH ENO OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 6. 7. .MAXIMUM SHEAR = no P.L.F. . USE Yz" SHEArING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2"0.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. ~ROV/DE 5/8" DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE FouNDATION. FOR TIE DOWNS AT EACH END OF THE.WALL, SEE : . FRAMING/SHEAR V\(ALL PLANS. '. .. . . 8. MAXIMUM SHEAR = 870 P.L.F. USE~" SHEATING- BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3 1/2" O.C. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 20" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 9. MAXIMUM SHEAR = 980 P.L.F. USE ~" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3" O.C. FOR FRAMING. USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED. BOLT THROUGH BOTH PLATES'WITH ANCHOR BOLTS. PROVIDE: 3/4" DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE FOUNDATION, FOR TIE DOWNS AT EACH END OF THE WALL. SEE FRAMING/SHEAR WALL PLANS. 10. MAXIMUM SHEAR = 1.200 P.L.E USE~" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT. 3" O.C. STAGGERED. FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED. BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE'3/4" DIAMETER ANCHOR BOLTS AT 14" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL. SEE FRAMING/SHEAR WALL PLANS. 11. MAXIMUM SHEAR = 1,540 P.L.F. . USE~" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NNLS AT 2" O.C. STAGGERED" FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 11" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 12. MAXIMUM SHEAR = 1,740 P.L.F. USE 5/8" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2" O.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVID.E 3/4" DIAMETER ANCHOR BOLTS AT g" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL. SEE FRAMING/SHEAR WALL PLANS. For City Use Only: ~/Date Received_I-It;- oC& Permit # 'R-~?- : Date Approved 11/ (") ~ 7-' e- Applicant or Agent iJL/OJ'Ll .Q2t4~ Phone ~'!:L.>7- LIB 3' Property Owner ~ ~ ~ /Y {' _1_li! t') J Phone Property Owner's Add ress ~.z ,,-Ie ,1;", I'T f) /Y' c / d,( /i, r -r fZ rif'" L <"5 Contractor/Engineer LJ, Phone Contractor/Engineer's Aadress License # .. I BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360)417-4815 fax (360)417-4711 Expires / Ur. /J Lot t,r J Zoning PROJECT ADDRESS Parcel Number a Proiect Tvpe & Brief Description: ')(Residential o Commercial o Multi-family o Industrial Check all that apply )15.. New Construction I o Addition o Remodel o Repair oRe-roof o Demolition o Sign o wall-mounted o projecting o freestanding o awning o other Total siqn area sq. ft. Maximum allowed sign area sq. ft. o Heat System o Heat pump 0 wood-burning stove ~gas fireplace 0 pellet stove 0 other o Other Max. height of proposed structures ijrOi2 ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? '71fKi1- Construction ty~e y .r::: # of half baths I have read and completed this application and know it to be true and correct. I a'!J:authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, (nd to d tain permits prior to rking on projects. 17 / Date(-It/- 093 Print Name ljUe?, tY ~ }} ye7C(r'JI/J) Signature T:Forms/Building Division/Bldg Permit Appl.-2006 Code. doc Floor Areas Basement 15t Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Existing (sq. ft.) Proposed (Sq. ft.) ~_. $ _ 91.C(j , . ~ ~~ {j per sq. ft. = $ 6 ~ .t.j ~(,? .q / /6~ 3~.q{ TOTAL VALVA nON $ / ~I /) 7 ( sq. ft. = Lot coverage ~ [l. """'. . I .#, ,.,.f '...... . . . , , , '---' , -.""",] : ...~Z . , --J '::) B~ '\)~' . J "11,\ . \ r\~ \ G,v o0;JU V ):)u\. \) 'V \0 'b i __ v~ \'1; ~ \0 ~'O Q)} () ~ ~~~Qc, S~'>\0 [F1. . .:~-, ..---. ' ..:.. I ..1; , , "" i ..,..~-_... I q /1 //1\ ! U \'8:] C::fo o , i i:' i, ,.-w ',' \. r........1P~ t:::J l:::; r--. (:J , C).' ': . ..~....... ' \.' '., : ;' ,.~ ~... '\ .-.,' / ......... I '-. o L ' d ,.--.,\\ /::::':::'::;:'::--'" III t? ~ \~(/ '_::::" rOj f). ..\..~. U "a.. '<""'J \. \ . ......:.. O() ~ \:Y ; C::==:::.-=.--:: ..~ ;0/ f ~ ---- ....-.. j)~ I \ \)~ > i <?><&. ! \<) o " [) 0./ ~ 'r" G'~ \ o~ ~ G' co . . I ~ i I - I ml ~I Ij 9 ~ i I _____ ~.!:.INE 84.00' ---I LOT 3 . 8+l'S ~""'" go., eueDIVlSIa{ I I L &'<>' I leET8ACX t 1---------- ~~, I ------- 1"""""1 ._____ l I ,: ___ ________': I --========== =========~ I = = = = =;r-------- (, : I 11 : II : I I' : I tb--=--=--=-~ I , I "I~ " ILAU. ,I I ,I r---=--=- -...::I- Ii: I I _~: - ~==="l I I :: ~ I II :' I : _n__ :: GARA6E I: ~_____::Ll.. il " I 1 " I " " I, I " I, I' " I L~-:>-__ ___-CCJ 1-IOU5E I I I I I I I I L r<>, ~ CGINC. DRIVE ~TINE ~ ~ SITE FLAN DEL GUZZI DRIve ,NORT~ I .. . PRESCRIPTIVE APPROACH-SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone I Site Information: Building Department Use Only: Lot: $ "7 Addres'(,(/tzCJ A~~? <' ( Cd . CIty: .L~ l-!l4~P/ ~::~:~(~~:~~~J4~ Phone 2: ~ 7 tJ ~ ,I ( 7 ~ FAX: Permit # ()<6- ~L Notes: Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) oPtion,~~~i~~~:~i:~."~~~~i_ :g~:fjE~ . '~~"~B~:~Yt :Eloor. "".,,,: 'Factor" Unlimited Group R-3 Occupancy Onl ".;:",i:;03));':"'W~li\:f) )~'9V11a,II.;:AI ';"",\\/Val,!:;:;;;' Vaulted.: '. Ab .>:.hlterior:' ,EXterior' ceiling'GJ~~!';~B~,I~\od: ',\Be,!~Vi;: .... 'Grade' "Grade III 0040 0.58 0,20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 This Project complies with the following: .y The project is a single-family residence or duplex. .y The project is a wood frame OR all of the insulation is interior or exterior of the framing. .y All building components meet the requirements listed in Table 6-1, Option Ill. .y The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. o 602.6 Exception I. One door, that is 24 ft. or Jess, that does not meet the standards allowed. Location of the door taking this exception: o 602.6 Exception 2. Doors with a U-Factor of 0.40 allowed without calculations, Option III only. Locat;on of the ;;,or(,) taking exception: ~ . / Type of Heat Source: ~ h c,:Z:; ,~ 1?',/(~ ~Q Electrical Service Information Form Public Works Engineering Department (360) 417-4700 Applicant Information Please complete and return to Public Works Engineering Department Name and address of party responsible for permanent service billing? Site contact: Contractor: Electrician: Com an : Excavator: Daytime Phone: Name: Daytime Phone: Com pan : Project Type : 18l Single-family residence o Commercial o Overhead service Underground service o Multi-family residence; # of units ~SUbdivision; # of lots c ? General service Other: . . . sq. ft. Main disconnect size: 120/240 1ph 0120/20B 3ph 0120/240 3ph []4BO 3W 3ph DOther: o Standard residential loads (Lighting, refrigerator, dishwasher, washer) o AlC L FLA) ,0.Range/Oven 0 Hot Tub .3l Clothes Dryer ~Heating 0 Pumps '-Hp) ater Heater 0 Elevator L-. Hp) 0 Other Voltage: Check all that apply: Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps of a Applicant's Signatur : Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4709 EMAIL: gmclain@cityofpa.us (west half of city) Information form rlarson@cityofpa.us (east half of city) WS Form 220 Optional Clauses Addendum Rev. 10107 Page 1 of 2 @ Copyright 2007 Northwest Multiple listing Service ALL RIGHTS RESERVED OPTIONAL CLAUSES ADDENDUM TO PURCHASE & SALE AGREEMENT The following is part of the Purchase and Sale Agreement dated Januarv 3. 2008 between Duane Bradow. Shirley Bradow ("Buyer") 2 ("Seller") 3 ("the Property"). 4 and William P. Ludwick. Carol L. Ludwick concerning Lot 3 Del Guzzi Dr., Port Angeles, WA 98362 CHECK IF INCLUDED: 5 1. !Xl Square Footage/Lot Size/Encroachments. The Listing Agent and Selling Licensee make no representations 6 concerning: (a) the lot size oLthe accuracy of any information provided by the Seller; (b) the square footage of 7 any improvements on the Property; (c) whether there are any encroachments (fences, rockeries, buildings) on 8 the Property, or by the Property on adjacent properties. Buyer is advised to verify lot size, square footage and 9 encroachments to Buyer's own satisfaction within the inspection contingency period. 10 2. !Xl Standard Form Owner's Policy of Title Insurance. Notwithstanding the "Title Insurance" clause in the Agreement, 11 Seller authorizes Buyer's lender or Closing Agent, at Seller's expense, to apply for the then-current AL T A form of 12 Owner's Policy of Title Insurance, together with homeowner's additional protection and inflation protection 13 endorsements if available at no additional cost, from the Title Insurance Company rather than the Homeowner's 14 Policy of Title Insurance. 15 3. 0 Extended Coverage Title Insurance. Notwithstanding the "Title Insurance" clause in this Agreement, Buyer's 16 lender or Closing Agent is directed to apply for an AL T A or comparable extended coverage policy of title insur- 17 ance, rather than the standard form owner's policy. Buyer shall pay the increased costs associated with the 18 extended coverage policy including excess premium over that charged for a standard coverage policy and the 19 cost of any survey required by the title insurer. 20 4. 0 Property And Grounds Maintained. Until possession is transferred to Buyer, Seller agrees to maintain the 21 Property in the same condition as when initially viewed by Buyer. The term "Property" includes the building(s); 22 grounds; plumbing, heat, electrical and other systems; and all Included Items. Should an appliance or system 23 become inoperative or malfunction prior to transfer of possession, Seller agrees to either repair or replace the 24 same with an appliance or system of at least equal quality. Buyer reserves the right to reinspect the Property 25 within 5 days prior to transfer of possession to verify the foregoing. Buyer and Seller understand and agree that 26 the Listing Agent and Selling Licensee shall not, under any circumstances, be liable for the foregoing or Seller's 27 breach of this clause. 28 5. 0 Items Left by Seller. Any personal property, fixtures or other items remaining on the Property when possession 29 is transferred to Buyer shall thereupon become the property of Buyer, and may be retained or disposed of as 30 Buyer determines. However, Seller agrees to clean the interiors of any structures and remove all trash, debris 31 and rubbish on the Property prior to Buyer taking possession. 32 6. !Xl Utilities. To the best of Seller's knowledge, Seller represents that the Property is connected to a: !Xl public water main; !Xl public sewer main; 0 septic tank; 0 well (specity type) o irrigation water (specity provider) ; 0 natural gas; rXI telephone; rXI cable; rXI electricity; O.-ottler /~/ I -~--........ Initials: BUYER:' / ") DATE: 01/03/2008 SELLER: BUYER: DATE: 01/03/2008 SELLER: 33 34 35 36 DATE: DATE: 37 38 Port Angeles Realty, Inc. 1129 East Front St., Port Angeles W A 98362 Phone: 360452-3333 Fax: Margo Produced with ZipForm™ by RE FormsNet, LLC 18025 Fifteen Mile Road, Clinton Township, Michigan 48035 www.zipformcom Ludwig-Bradow. ~ When recorded return to: OLYMPIC PENINSULA TITLE COMPANY NO '83/02- CLAu.AM COUNTY 17"2..~ TRANSACTION EXCISE TAX 2008-1214992 paTelft~l~' p~nlnSUlit W~~ti~ttD~:~Y Clarl.. County Washington 01/17/2008 03,41,49 PM 111I WP\ Nr.~'IIU"'~W\I,~I,N' 11I7,~L1t~,MJ:~l~ 11111 ~~-g: (!> JAN 1 7 2008 AJIOUNT<f1,OCI(J 0- COU LPB 10-05 File Number 01089988~ STATUTORY WARRANTY DEED THE GRANTORIS) WILLIAM P. LUDWICK AND CAROL L. LUDWICK, HUSBAND AND WIFE lor and In consideration 01 TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION AND AS PART OF AN I.R.C. 1031 TAX DEFERRED EXCHANGE in hand paid. conveys. and warrants to BRADOW ENNIS CREEK IMPROVEMENT, LLC, an Oregon Limited ti~it~~ Co. LiabiH ty the lollowlng described real estate, situated In the County 01 CLALLAM . State 01 Washington: LOT 3 OF ENNIS CREEK SUBDIVISION, AS PER PLAT THEREOF RECORDED IN VOLUME 15 OF PLATS, PAGE 5, RECORDS OF CLALLAM COUNTY, WASHINGTON. SITUATE IN CLALLAM COUNTY, STATE OF WASHINGTON. SUBJECT TO: SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF: Abbreviated Legal: (Required II lull legal not Inserted above.) LOT 3 ENNIS CREEK SUBDIVISION TIlX Parcel Numberls): 063012 680030 J I LI P . W 1 1?fu . ( rLAU-i ~ XtLl.<.,6, Ii CAROL L. LUDWICK State of \e~~ County of TL~t:>..\\.," 55. 01 certify that I know or have satisfactory evidence that WI \\, <MY\ P 1-.U.du.;;.0'1( L lL"\ C:..o~(). . . l.W r the person (s) who appeared before me, and said person(s) acknowledged that ~~<AA signed this instrument and acknowledged it to be ~<AV tree and voluntary act for the uses and purposes mentioned in this instrument. Dated: qll..\\(C~ e DALIA VALDEZ , NOTARY PUBLIC .. .. SlATE OF TEXAS ~~J'. COMMISSION EXPIRES ~ SEPTEMBER 27, 2008 1-. ,-- 2008-1214992 01/1712008 03:41:49 PM 2 of 2 Clallam County, WA WD OL vI TITLE COMPANY File Number UIlJUJJUU EXHffiIT A AGREEMENT AND THE TERMS AND CONDITIONS THEREOF RECORDED UNDER CLALLAM COUNTY RECORDING NO. 338348. COVENANTS, CONDITIONS AND RESTRICTIONS IMPOSED BY DOCUMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 573787. ALL COVENANTS, CONDITIONS, RESTRICTIONS, RESERVATIONS, EASEMENT OR OTHER SERVITUDES, IF ANY, DISCLOSED BY ENNIS CREEK ESTATES SURVEY RECORDED UNDER CLALLAM COUNTY RECORDING NO. 572387. ALL COVENANTS, CONDITIONS, RESTRICTIONS, RESERVATIONS, EASEMENT OR OTHER SERVITUDES, IF ANY, DISCLOSED BY SURVEY RECORDED UNDER CLALLAM COUNTY RECORDING NO. 757860. ALL COVENANTS, CONDITIONS, RESTRICTIONS, RESERVATIONS, EASEMENT OR OTHER SERVITUDES, IF ANY, DISCLOSED BY THE RECORDED PLAT OF ENNIS CREEK SUBDIVISION. COVENANTS, CONDITIONS AND RESTRICTIONS IMPOSED BY DOCUMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 2006 1186973. EASEMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 575185. EASEMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 575186. TERMS IMPOSED BY DOCUMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 679478. fll(O loa Rrco~v. r r~( ~lOU()r WHEN RECORDED MAll TO: Nan E. MiDel P.S. ~~~~\~~2~6362 ImIIIIIIIIUII~~lli g~YMPIC PENINSULA TITLE CO ; CCOIOi=>> ,,. r( C ~J. J~ !:-~ .1f..l AM CO 2005 AUG 26 PH 12: ~ 6 2005 1163732 a.a- C-ty G 0\ D~~2W\ d.'.:.. DECLARATION OF EASEMENT WITH COVENANTS AND RESTRICTIONS AFFECTING LAND Grantor: William Ludwick, a married man as his separate estate Grantee Lots 1-11 indusive. Ludwick Subdiv. 14/63 Legal Description (abbreviated): Additionallegal(s) on page 1. Assessor's Tax ParcellD#: 063013560010; 063013560020; 06pr:ft3ftl>o30; 063013560040; 063013560050;063013560060;063013560070;063013560080;063013560080; 063013560090;063013560100;063013560110 RECITALS A. William Ludwick, a married man as his separate estate. herein referred to as grantor, is the owner of the following real property situated in Clallam County, Washington: 8. Grantor desires to create and establish restrictive covenants to protect present and future owners of the property and to establish a common development plan. Grantor hereby establishes the following covenants, restrictions, conditions and easements for the benefit of and appurtenance to said property, to run with the land, and be binding upon all subsequent purchasers and successors in interest. 1. Restrictive Covenants. 1.1. All power lines, telephone lines. cable lines. water pipes and utility lines of any kind shall be placed underground. with the exception of those currently in existence. 1.2. The real property shall be used only for new single family residential purposes with related outbuildings. 1.3. No dwelling shall be permitted where the ground floor area of the main structure, exclusive of open porches. patios. garages and outbuildings is less than 1200 square feet. 1.4. No structure. other than an approved residence, shall be used as a residence, either temporarily or pennanently. Definition of "structure" shall include //-'--, .----7 \ ./ 1- )-0<;;' /_ 3- /c/,c? J LINDBERi:<rivrrTH ARC H I ~ C T S 319 s. peabody, suite b; port angeles, wa 98362 360.452.6116/ fax 360.452.7064 Project: &):Z.t..JWN Subiect t)tf'~J.,. . Date: )Arv oeJ ?> / Project No. O~, By: ~ Sheet J of r~P11Pl,t.,1 e;Nc,,~. ~JFZ\.A v-rvf~ L.ow Fl.::;;5 B)(f'Oc,;~ ~~ L... ) 00 mprJ ~tNv. ?C;, S87s>n11 ~ ~ 0'2- 1. .~, -;:;.. -. ~F;,<':;~':~~;.1\;'!:~.:l~f::'::. :/~' : :..~ :"'~'" .... . ~.'...". .... "." ...... ~'6:. :.' . (:<;! l LINDBER r.r ~ KmT ARC H I~lV~*~ 319 S. Peabody, Suite B., Port Angeles, W A 98362 360.452.6116/ fax 360.452.7064 contact(Q>,lindarch.com / www.lindarch.com Project: ~at:9/) (I) Subject: 'v/:rrB12.::.!..- Date: lA1'i ~ J SHEAR WALL SUMMARY Project No. O?.lf19 I By: G()c? Sheet"" of ..; W L H V V/L SW VH- WL/2 POST HOLD DOWN A Ill' :=> . P) I 141 ~ ~ - - - b 12 ') V().) ()7 ~ - - - c.. ~ J 2-/51 '10 'd - - - D Jl V ?~O~ -1, '}4 I /11.e -3P /Y)t?fu ~ ~ ~~. 10' 3131, Il~ 25> - - - f- It.g '1' ft>'J, I . .,)+z, C9 - - - c; Jt) I ~ . '2.5. ~ 2~ -. - - \ ID ,:::; ViI I ~14 I!;?) Z!( - - .... ~ 13 "1 J~e1 . 1)4 ~ ... .. - ~ Je,;.S " ~ )U~ )0 Z ~ .. - . A- Il JD' leo ;;~ )4~ ~ - - - I G 10 ",' '-'l"1 '2 2.1'2 ''2. 1,.111 ~I' :P~Dt.~<7V?3 ::.. " ~ (p )0' 2.1.,""~ 31J ~ ZAID 2.11 .p~D ~... 5D:a ~ t..o Nt.ry2- k o~ c,fZ-~(f.IL b 11 c,' 6? '92 ) :;11- 6 )&Jcn .", ,. ..p~ D 2." '50;. j .:;.. t== ~ .'1, 5 ( -3411 37~ 4 {~1!; .g!\ P/-JD~ - ?DS~ I ; 1 20 ~ 3 )5"Z 19& & - - - .. I/ALLOFIT/FIRMINFO/FORMS/SHEAR W AL .. /v ,,/) I;:) 1? <l! ,1/" ~ ./ ~ I... · \ ._~~._-- t ()~ () .- - '!-J.JO"- i I I o I - ~5 i- ~--- a ~ ;, I J J ~~~{~=, J' 4,t-l '" I I L i I I ~ i I i I I I ~ i I ~.:">:::{;~'~~"" \,..; '",""',,,. ..._ ''fI\(.., " T~ {\ I I I 1 {;.r ,..)-1~ . ....}:' f l ,) \/ './ . (J) ':::n /\ ^ ~ \'\j ,~ fV\ , ( 1 i2<:J ~ . . <81 ~~__lL .It. ~~I .... v--i.,J _.: f.1.. ~'i ..;p ,_... . l., ,l--- \ '1 C: <:) < .? ,J "^' ,'} .:::- {.~_.__. di ~L:= <S \~ ~ /~'v ~ ~ 19 .!& . I I ~ .... .11'i! t. . I I I ~ . I ,;~",,,\ -: ... , q~~~ f~1 \ 0 ^ I I : '\ '^' ^ ~ N\ If) "'t- - - ., t _." i ~ ?Cl 3S5 1~(8! .s ~ ::r.:~ l.t \ '.J .~ ." ... --..-..- 1\\. -- r---- I I I 3 I J ~.:F+~--~. I I I I L l'\ J!~ -<-~ "c -.... It ~ ..~. \-; '.K '--- .. . ,.....,,' '\ ~~".."'I 1~'1 ('11 . (~, < ~ I . I,.i\ \ .... -- .. ...!-~= ~-_._--_.- '^' .<5 \S} Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000172 Date 939216 626 DEL GUZZI DR 06-30-12-6-8-0030-0000- ELECTRICAL ONLY 2/11/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor Bradow, Duane 264 Black Diamond Road PORT ANGELES WA 98363 SEQUIM VALLEY ELECTRIC 2915 REGENT ST SEQUIM WA 98382 (360) 452-4454 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 120733 40.00 2/11/08 8/09/08 Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 40.0000 ECH EL-TEMP SRV - 0-60 SRV FOR Extension 40.00 o N '0' Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 <J ~ ~ c 1'4 ~ 'd fJ OCNSPECTION ELECTRICAL TYPE DA TE: RESULTS: INSPECTOR: DITCH SERVICE Z//'7/C)llJ" - ~9 .11D ROUGH - IN FINAL 2//3/tJ& . 17'P" v c::;fff--"' COMMENTS: l'ofPORT'4< t~~~ rGiii '.... ~- ?"4t(:~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 09 -u Z- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Application valuation 08-00000062 Date 065710 , 626 DEL GUZZI DR 06-30-12-6-8-0030-0000- DUANE & SHIRLEY BRADOW RES NEW SFR 2/01/08 RS9 RESDNTL SINGLE FAMILY 228119 (;'t& [)ljritl2Z; ~ Owner Contractor LUDWICK, WILLIAM P. 5319 BLUEBONNETT DR. COLLEYVILLE TX 76034 OWNER Structure Information 000 Other struct info 000 2079 SF SFR, 664 SF ATT/GAR, TOTAL %- LOT COVERAGE CONSTRUCTION TYPE V-B NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 166SF DECK 28.20 1. 00 2839.00 2839.00 2839.00 1. 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 119602 170.00 2/01/08 7/30/08 plan Check Fee . valuation .00 o ---------~:~---~~~:_~~~~~:_-~:~--~~::_~:~-----------------------~~~~~ Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number Permit Fee Issue Date Expiration Date 119610 805.00 2/01/08 7/30/08 plan Check Fee Valuation Qty Unit Charge Per 1.00 805.0000 EA Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 119628 50.00 2/01/08 7/30/08 Plan Check Fee Valuation .00 228119' _,Q~~___~~~:~~~~~~~_~~~~__RIGHT_OF_WAY_PERM~:__________~:~~~~~ Permit STREET ALLEY RESTORATION Additional desc STREET RESTORATION Permit pin number 119644 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of 180 days after the work 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 constructi6n or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R[I/05] "ofl'ORr~_ l~ ,..~ L ~- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appl cation Number Appl cation pin number Perm t Fee Issue Date Expiration Date Page 08-00000062 Date 065710 700.00 Plan Check Fee 2/01/08 Valuation 7/30/08 2 2/01/08 .00 228119 -----~~~~~;y---~~~:_~~::~:~~;~~~~~~~~;~~~~;-~~-----------------~~ Additional desc Permit pin number Permi t Fee Issue Date Expiration Date 119636 120.00 2/01/08 7/30/08 plan Check Fee Valuation .00 228119 Qty Unit Charge Per ~ _____;~~~~~~-~~~~~=~~~o~~~~~~~~ _SAN_SEWER_~OOK~P_______________~ All homes in new subdivisions that are outs~de of the F~re Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). 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. January 29, 2008 5;06;53 PM sroberds. The proposal will result in a new sfr w/attached garage for a total of 28% lot coverage in the RS-9 zone. No land use issues anticipated. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway 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 1265.00 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permi t Fee Total 1845. 00 1845. 00 .00 Plan Check Total .00 .00 .00 Other Fee Total 2394 .50 2394 .50 .00 Grand Total 4239. 50 4239 .50 .00 .00 .00 .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 orwork 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. 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 regulating constructiOn or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (If owner is builder) Date T:\Policies\1102.15R [1/05] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . REQUEST: Date "'1-;<. tf - 6<H Time Received by i<.v (phone, person) Location of Work to be inspected (, 2b .I>e ~ U1,:Z 2, " b,t ,Ie.. Name of person requesting inspection 'Po.Vv,^-l2.. ~cv3c>uJ Address of person requesting inspection ~~~Inspection (circle appropriate one): Sewer' )Foundation Framing Chimney Plumbing Final Sewer Excav. Other Phone No. Permit No. 08 - 6 Z-- INSPECTION NOTES: Inspected: Date '!-2?-C!R /7'"-2<!-Dfj Time By I ( ,/ \ Remarks: Ne"-' .<;""<AJe.... +~ sai-i:J~ "fA .Ivl.a blA, b" Pre Ie> PjL ~VLcI ,//'PVC, +0 tradwa..-f-e..r- V~lv<- 0.+ ho(.,(.-5e..-~ Se.We.r-;5 ~' O<ae..f) a'flM-a,',." ._L_ v ' Z' U-'G</,"', S~f/,<<!..e cc>",d,A.;+S' /1< S'c.....e T,<"_Vl<:t.. ::5/ Je.ev fa .5e....v~ US Q..J , Lof L( RESTORATION REQUiRED...... YES X .0;;/ X 3'( / NO ---- L 1'/ ?-. <;; ('1,,1/ d~lM.r "0.1(/ i-)e""''1 " 4'P,,~ 'tis"" pI!... , "'-0..... l.~"""'- I ' tv... c,"pV(, -r ' d'-"e.,., Gu,r'1o , 3'1 <V5 ,; . ~ ^':.;dJ~ I 0 I 8'.1 Iv1 SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Iss}led date: 2- APPLICATION FOR WATER City Water Division, Port Angeles, WA j - !7 installed by & date: 7/'>/ $" -{ - 0 ~Permit # , OA-w~ I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: 457-4032- Applicant Name & Phone: DVlCLnt6~f.Sy"/1r-lolU ~t.c4 &uli..Dldrn-r-<.-l ~, Site Address: (t't~tl P~ff-:rlt;z.71 Mailing Address: Blk: Lot: -? Add:ittdil//,;;):: 5/ j, Parcel #: Oc:;qn I~/)I/ 0 Svc: ON ~Meter#'s C F OG,/{OO{;.3 W/O#: '30 3<{Z - 37 '-I Svc: Size II Fees.f<?O 7. It sl!.!l- Restorat,onRequired: Ye..7-A~1 Signature: (Remarks: - c..v:.\o .;:; ~ " '" ~1' '-9 N Ii \j ~ ~ t J:.' " Q. N :::l~ .,Jl ..J'.l. \ ' '--' ...c?-r vi ~ w ~ :~ E N N ~"f)r t q.. L-..>t '3 f peep 'i5' s 1<4/11572008rTre~nla~Funsfo~Re~626 Del(jLjzzl~Dr~- ~ ~ ~ _w_.........~,_w~'WW"W ~ ~..,w _w_. .... -~ ~Pagel1 ._--~- ---~~ . From: To: Date: Subject: Annette Owens Roger Vess 4/10/20082:47 PM Re: 626 Del guzzi Dr cc: Dennis Edgington; Ernie Klimek; Trenia Funston When do they expect to do the st. crossing for the sewer? We can work around them some, but are cleaning reservoirs too. Looking at the map of Del Guzzi, if it makes sense to pick up the lot to the East, by all means, let's do it. Let me know, Annette >>> From: To: Date: Su bject: Roger Vess Annette Owens 04/10/2008 7:28 AM 626 Del guzzi Dr cc: Annette, Ernie Klimek; Trenia Funston The owner of 626 Del guzzi Dr is ready for his water meter. They are also ready to make their sewer connection. I think we can put both in the same street crossing. We may also be able to bring across services for the lot to the east. Call me so we can meet on site with the owner, Duane Bradow. Thank you, Roger D5/(/V CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 9- '1- o~ Time Received by 1< V (phone. 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 b'Ab bel !3U22-i ]).,.... Phone No. Permit No. C:J?,- 62- Final Sewer Excav. Other C u.. r b tr" Gu.:t~. yo- -901' l)... \Ie uy Inspected: Date Remarks: INSPECTION NOTES: 9-1-06 Time By ~V O~ +0 ~"I" v--- ~ RESTORATION REQUiRED...... YES NO 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) ~TDCCT ~IIDCDIIt.ITCl\lncI\IT In4TI=' CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date /V --M~D"B Time Received by I2V ~:::i:~ ::r:o:~e~u::t:~:Pi~:;e:tion I~~&{~~~ ~k.) Address of person requesting inspection Phone No. Cd7Q- J ICSh Type of Inspection (circle appropriate one): Permit No. u~ - b '2... Sewer Foundation Framing Chimney Plumbing (fina'l) Sewer Excav. Other (phone, person) INSPECTION NOTES: Inspected: Date. / I - "$ - (j 9 Time Remarks: S<2.v-.l ~.... '-/- 2'-/- ()~ ])'r:V'~wOl.:Y ~-7-D?J Down$'pGJuf3 10 ]) f' V ID ell s , By k.v RESTORATION REQUIRED . . . . " YES NO j.... SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE '~nntin"A nn rAVArCA !ilirl., if nA~A!il!lArV' ".....nr"r'... .rol ..........la....r-..I....t..T II"\AT~' FAX: (ruo) tI/7 -1/1/1 S ELECTRICAL WORK PERMIT APPLICATIrjN C8 -6L/ CZ b Job wired by AEleclrical Contractor Q Owner Electrical contractor IlIIme License number Date Exp; .)"YXUIM (,1 'tui Ii ' II!!<;' )'Erxt/lV{. Y. (2.- PUfcbas.eT's mmling address /1 Lc)rJE biCLE LAI. City J'[,Q,Ulf/1 wi! Telephone number ?tbO ~ W'!/~ j'"J'S{) Installation description CJ Commercial X Residential )q'Ne.. D AlteredlAddltioa State ZIP '1%3o~ ( SZ/1!I Cl, P/VAt .) #1~ i;2' /i@- s;: ./:::Tr'XJ-1- - ClfZIX FLDC. P"'fT' hrcJI . 1}::tI~1! -If\(. , /I/6t{/ 1ItJ'ftt. W/S'~tIICL FAX JJumber ".00 - ';'Y'Y- CrN5- Premises owner's aame 1/M/VE 3,e4/XJ/..U (, 'ZO 1/5l:, Addrnll or 'nlJlpecrloa "/):J t?2(P PhL 6t1Z7f y^-- City /per AIlIC.tLL.-J / tVA-, Pb....?uO or t. '?f~u~gJ?L'I'.' lj;70 -IoU, CELL Owner.Qs defined by RCw'19.Z8.26J:(I) Owner will OCCllP)' 1M SJrUdll.n!,ftr two year:; oflu this eleclric:aJ pumll is jintJli:ted. (2) Owller is requirerl Jo hire an ~ltclJ'lcal cqntf'tlC1or if above said property is fir ;role. refit ()Y letlSe. Atwr reading cbc Elbove st:ncment, 1 hereby certify that I am the ownc:r of ftl:e Qbove named pTopetty or a licensed. electrical coninlctor. t am PUking the elcctricnJ inltaJ~ lation or 1I1b=raliQl1 in compli:an.cc with. Ibe: electrjcal la.ws. N.E..C... ItCW. Chlll'ter 19.28, WAC. Cho.pt.cr 296..468. The City of Pon Angeles Municipal Code, and Utility Specification,. SIXBatare of owuer1 ela(':t,.i,ul eOl1t,..etor or electrical admlalnntor 2079 ... (~(,,'i Q CWlh Q Cbeck # x..---' s?- Date: f//2J,/tJr Expimtion :;,. Electrlcaf Load AddltlDns and or Bubtraetlong Q NO LOAD CHANGES D Baseboard _ ttJN o Fumace _ t(JN D Ho.t Pump _ Ton _ tAR 1:1 Fan-Wall K:lN Sarvic8 'nformatlDn Q O""rhOlld Sorvlce D Temp Sarvlce o underground Service Voltage PhllseQ103 Servlco Size: Foedor SIZO: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 TIlERMOSTAT ROUGH-lN Ln ~, :5i,? A.pJlm'l'VdB)' .... Approval Ii)' ~ FINAL ~ ApptOva:l 8y DITCH ~ {;:!!DB ^~., FEEDER Dll<: ~,-tdBy Inspection DatE: Area, Building or Equipment Inspecte<l \, Action 1'a.k.eu Electrical Inspcc.tor -l1,ofJ $7. Q1 I/fP .Il~ 6~ A ,uJ ~'... - ELECTRICAL INSPECTION WIRING REPORT 417-4735 APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 O. .. . . .. . . . ... . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 O. . . .. . . . .. . . . . . . .. . . SERVICE. .. . . . .. . . . .. . . .. . . 0 0...... ...... ........ . FINAL .................. ..~ CORRECTIONS NEEDED: ."go)(. ~TEk{'SI.O'-+ t5f2 :5rl~1 L D '''F01Z- PJ;.lhar_<o' ON '(" OM l>u~l1~t~ c;. atptf"Ae-L ~ F"L...~ N E-c. '31 L{, 2D NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 Apr 29 08 02:00p p.t D8-DSt8 ..~..,.. ~~: ~~~~ ~<t-~J'l ....... ELECTRICAL WORKPERl\fiT APPLICATION Job wired by Electrical Contractor DOwner lnS\aUillion description l:l Commercial )it Residential /Q ~cw 0 Altered/Addition ~ \ & OJ ~Icctricul contractor na~lc , . License number Dale Expires 1\\\ Wea:\v$ It 1-tr(AtlnCj~(OOli(JCj At'.LIJJE].Ilf-!CJ7,(./Jt(\f Purchaser.s mailing address' 61"~ .05 '2-D7 (1 ANI \? C--ft.. WrA ~1fl){1I') Telephone number 1:.CP Premise~ oft'ner's nab DiAlrA.\ ~ '0{ yU\r(OrA} Address of i~speclion . cP1.(P tJR \Qj ( J77_\ $V\\) e ~(AA AviO}fI(~ PhonCl number to schedule inspection: "- lJJ 1-str~t W\V\(\Cj SUI':e ZIP IJJ~ OIS'Zi 07 FAX number APR J 0 200B LIGHT DEPT. Un./ler us defiller! b)'.RCW/f},28.26J:(J) Owm:l' wm m:<.upJ' the ,rtrllCUfre for twO Y/!!1r.r :.;fti!F Ilris dfctric:ol permi! is finali=cd. (1) 01l'IIer is requjrcci JO hire u" electrical cnntruclOr if above s(.!id properly is for ~'u.r~. relit or Jr!a~'e. Aitcr re<luing 1he above statement, I hereby certify lhat 1 nm the owner of the above named properl)' or a licell:i:cd elecLrical contractor. I am making the clcctric<l\ instal- laliOlI or ahcration in compliance .....itl1 the c1c::tTicallaw's, N,E.C., RCW. Chapter 19.28. V-lAC. Chapter 296-468, The Cit}, or Port AI\g;clcs Nhmicipal CCldc, and Utility Specinca:ions. Si;:n lure of owner, electrical contractor or deelrica) administrator o Cosh 0 Check# o Credit Card Cord # Vlsa Mastercard Discover ---------------- x (UU1)),-, ~-f1-0'5 Expiration Date of card Electrical Load Additions and or subtracttons D NO LOAD CHANGES o BaseOOard KW D Furnace JO. KW D HeatPUrT1> :::,.. Ton J.<:'j LAR o Fan-Wall KW o Overhead Service o Temp Service o Underground Service Vol'age PhaseD 1 D 3 Service Size: _ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ~O/13~GH-I~ 1 '\ l>~:"'.I ^PI".".aj J)" j ,.. / THERMOSTAT \ ( SERVICE ll;lt<l .\prrovcd Ilr D::It~ AP?fO"ctlBy-/ ArrroHd By ( ~ FEEDER .",ro,,'" j FINAL !.D/~~ ~BY. DITCH 11:1l<l Do" Inspection Date Area. Building or Equipment Inspecled Aclion Taken I E.lectrical Inspector / n~-<)4qt. fAX If) : (3(;D) Lj/f ~1-jJ-/J . ELECTRICAL WORKPERMIT APPLICATION 0<(3 -Df1""L JDb .,.,ired by DOwner InstaJlallon descriptton o Comme..-eial ~ RcsldeatlaJ E,lect(ie3.1 CQntT'aCtOT name Yef,(UJ h1 /I, t-LE PurcbaseT's roailing addRs8 /1 L()t/E.. MetE- vJ. City J'La.UIj'tJ wti Telephone number FAX number :?U~O- t/!'ff/~ 35SD 7&,0- (;.g-S-~5 premi'LiwDUIS Dame Z? . 'ttA AI F- .dRI/1)O()) ...ddrC53 vf io.spfetloo ''7'1"' :i') t?:2. U va b (/7. ~J.- J),e. City /b,er AAlu'-E.J Ii);, fr5r2- ~New Q AllerodlAddldoD State ZIP '1 %3o~ It; (y/Jr:. or:. / (MJJier- aT '10i{ Ii I-IOu> Pl..Dl! f- rl1f- YO/,{ C,CXI I..J) ~ JII/G. A P71t P '-/t>l1/3? / ot: SIND PJio.~ number to st;bcdH e in~llee:ttQn: ,.. . :$&0 - 0 - I at:? rn"lerl,v Cu-L OwlllT as defined by RCtY.J9.2tJ,261:(I) Owner wlll occY:Y lh.~ nractIIrT for tWQ Y~(lrs oftu this electrical permit is jiflaliztd. (2) Owner is ~ired to 1tire tilt ~IectriCQl CQltlrClct<)1' if above $aid proptrly js for $al~, rent or Jl!tJSe. Aller re.:t.ding tbe abo-vc statement, I hereby cmjfy that i am the Ownef of the :d:l()ve named property or a licensed electrical amtraetor. I am m.king the electrical hlsta1- Jation U~ liberation in compliau~ w(lt\ tbe ckctrical 11I.W$,. N$.C.~ RCW_ Chapler 19.;!S, WAC. Chapter 296.46B~ The City Qf Pon Angeles Municipal Code, and Utility Spccifica.tiOD5. S..Gat.roe of owae.., eleclr-iut eoMrAC'I:Or or electrtcal administrator WIlS GOlf CMR..JE- RlJ, mE fASt BOf?JJf.R... ;VOl. - /It/DnA- 1lt..K"Y -n,~ . o Cash [] Check # CITY 1/-1fJT ro'-I> [3 Afl/-J/?MnY & t'.!lIJ - . - :_ - -. - VISa ..:::M~ ---J \'J Credit Card Discover x ->- __~ Date::? -r~ 2JJ)! Card # _ 7- E"J'iration Date- .1#P,ev; H,1M Inspection fee $ Electrical Load Additions and Dr aubtraedon!; Q NO LOAD CHANGES Cl aa.eboard KW Cl FUmat8 KW o float Pump Ton tAR Q Fan-Wall _ KW Service Infn'rmAtion [J OvemaaCl SaMoa o Temp S9rv;"" "tl-undergroUM SalVlCa votte.ge :2.'f6 Phase1i!.1 Cl 3 Sel\llCQ Size: 6...(.,() Feeder $i;w: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN / THEKMOSfAT SERVICE L.l n.!OR -t-t.f> D.!~ A~y"81' "".. A,pprovcdB)' D~, ~ppl'Oftld .&)' / DlTClI FEIDrn. FlNAL Do, ^ppro\'ed9y / D... App.........,~ --- .0.._- ~8y Ins.pection Area, BUIlding or Equipmcnt Inspected Action Talc.ell Ele,(ltrica1 Date Jru.pector .- - -. . ELECTRICAL INSPECTION WIRING REPORT 417-4735 -On-z.- OWNER/CONTRACTOR V\~ J L.- ADDRESS " u -Z...:-Z I APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . .. . . . . . . . . . . . . ROUGH IN/COVER. . . . . . .. . . . ... . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . .'Jl"( D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: NON 0. L . L.\~lE17 1>~1}1( E...S NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PR!NTERS, INC. (360) 452-1381 ....... r DATE ELECTRICAL INSPECTION WIRING REPORT 417-4735 2 1/ O@, OWNER/CONTRACTOR Sfi';( 0l~ VA 1...l.tE..' ADDRESS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D.. . . . . . . . . . . . ... ROUGH IN/COVER. . . . . . .. . . . .. . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . .~ D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: Sv'Y"fh 12;T" 1; ~ f 0 fZ,~ ?O 5~ F~or\ 'EAU-\NL (')0 EJ2 Co",,? LV W IlK ~~(';lD llZ h EI\..t'T""~ Gn; '( ( TIE-t'\? ~JZ. tJ L c....E: ~,-1;';-~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician C 1\ I ~ 321 E. Fifth St., Port Angeles, WA 98362 \ I \ Date Received -I t.; - 0 ii' Permit # ~- --"2- (360) 417-4815 fax (360) 417-4711 i . Date Approved ;;/ ~/{) g-- Applicant or Agent JJLlClt/f:- ,<)~~,/&~ PhoneUf..>l- LfBJ Property Owner <I. i/;;l' //". 'Y ,;;[ do cJ Phone Property Owner's Address. 'Z~/' ~<zc.lf 17',z/"r9/Yc).&1 /i,~~~Le5 Contractor/Engineer t5 ~,_ . Phone _ Contractor/Engineer's Address crf?'3I-.3- ztf.D License # Expires PROJECT ADDRESS Parcel Number (), '. BUILDING PERMIT APPLICA nON Print in ink '. ( Ur. /~ IT/!':. [", Ie);{" Lot;::TV Zoning ! ~ ~ Project Tvpe & Brief Description: 'l'(Residential o Commercial o Multi-family o Industrial Check all that apply ~New Construction , o Addition o Remodel o Repair oRe-roof o Demolition o Sign o wall-mounted o projecting o freestanding o awning o other Total siqn area so. ft. Maximum allowed sian area so. ft. o Heat System o Heat pump 0 wood-burning stove \(l' gas fireplace 0 pellet stove 0 other o Other Floor Areas Basement 1" Floor 2nd Floor 3'd Floor Garage Carport Covered Porch Deck Shed Other Existinq (Sq. ft.) Proposed (Sq. ft.) ~,. $ ___ _ 91. c;1 \ ' per sq. ft. = $ ,/ c:.tJ .;J",,q/ ~ ~~ (;j /~t., 3(..Q( 7 TOTAL VALUATION $ Total footprint of structures Lot size /;;, ,., 7,-- sq. ft. = Lot coverage .2 ~- j(, % '_ Max height of proposed structures ltiCj) ft. Occupancy group # of bedrooms z... . Will a lawn sprinkler system be installed? Occupant load # of full baths L Will a fire sprinkler system be installed? 7# Construction type y r # of half baths ...e---- I have read and completed this application and know it to be true and correct. I am..alJthorized to apply for this permit and understand that it is my responsibility to determine what permits are required'rt1d to db/am permits prior to rkmg, on ~~ ~ / / - Date/-/</- 02 Print Name ljUC?/Yf/ l}yC?Cjr')/,) Signature-'S, n T:Forms/Building Division/Bldg Permit Appl.-2006 Code_doc I51X 10: (3(pD) 1/f-1-/1// G-qf o~ - () I"L L o ELECTRICAL WORK PERMIT APPLICATION JDb wired by DOwner Installa.tion descri.ptkm 0: COlDme~cia1 )Ii Residential E.~ec.tric3.1 contracto.r mrm.e .J8XU/M MtLE Purchaser's rnailing addn:sa J I L()";€' blCt.t:. /"/), C;ty JY.Q. U/frJ wfi Telepbone number FAX number ?U;>o- c;,.g"/- Sj"'S{> ""&,,0 - (;.g-f-u;.~5 Pumbe~wDcrls aame P- i./ LlA Ii! f:.. .!.)f:/W()(;J ~ddJ"en uf bur_pee-lion "7'1"' 'i) b:2U lJE-L 6f/7.~./.... .LJ.e. City h.er AA/~eL.E:J 1t/4. frffJ:.- PllolI~ number to $(:~edll e ln~l'e(:rton: .J..4 I C 1" , 3C70 - <::) - I aJ ,t7?4er"v 4!;.t-L OwlfU as defined by RCw'J9.1lJ.141:(J) Owner will occupy rht! nt'V.CClPTtJor two Y~I'$ oftu chis d.~m.cal perm.t is jiflaliwl. (2) Owner is rtqllimJ trJ lIlre QJt dectria,l co~lro.cto,. if a.bcve 14id properly is for sale, relll or lease. After ~djtlS tbe above statement, I hc~by c:.ertify that ( !1m the owner .of Ihe above named property or a licensed elect:ricsJ contractor. ( am. making the electrical i11S'tal- laIiun ur ItlLCrati.,n ill c;ompli.;1ucc; with. ttte electrical t/l.ws. N.B.C.... RCW. Cbaptc:;r \9,23, WAC. Chapter 296.46B~ The City of Pon Angeles Municipal Code, .9.lld UtHity SpccificatioDIi. SlgDDtare of owaer~ electri.cal cootrllcto.. or eledrie.al admiolstnnr ~New Q AlleredJMclltlon State Z[P r%3o~ II; 0; CliJf: YOu.. / (lI,}JJiiJ/ (,{T A NOLI> You. pu.IjJ F... M ri1f- SEAlD COIJ(J) " )11tC... A 1111/ P J..ll'1lrS? / rOi-j) wf/,~ GoV COI/RJE.. RJ), Ellsr lfO/?dJER... /110/. ' lit/DnA- ITJ:LK"Y -n,~, o Cash La'eliecn ---" ere ' ClrY '(N(J! -r~F. @ Ilff.-<;,eMTLY & ,UI!.J ---J \'J X~_~"T. Date:::? -,r~ 2tZJ% Card E" --""-= "PlIlltionDate .1111)~ /119M Ins.pecuoD fee $ ElectrIcal Load Addition.. IInd or subtractions: CI NO LOAD CHANGES o Baaeboard KiN CJ Fumac8 _ KW o H..., Pump Ton tAR o Fan-Well KW Service Infn'rmAtlDn o Overhead SOMee D Temp Servi"" ~ndergroUn<l Service volt9.ge L;Zlf'/$:':":J Phass1i!1 0 3 Service sjz~~",f~-j Feeder Size: SAME DAY INSPECTION, CALL BEFORE ':00 AM 360-417-4735 ROUGH.,IN THERMOSfAT .-- SERVICE D.~ ApP'fllvedB:y "... Aw-ove>1 9y Do<. ^llp",'Illd,Q.,. ( -.... r / FINAL DlTClI \ FEEDFR C.t" ^ppro\~S"~ "- 0_ Appl't>Y~ By ./ u ~iC- A~B)' Inspection Area, Bw1ding or Equipm,,"~ Inspected Action Taken E.le.ctriclll Date Jnl'l'ector 2-11-0<;' $: /"IS: JO n--,...jJ~ IV' ~. I wu. \~ '. cO . c G ~~ ~~'~tJ~.~:~...~..._.:_~. .... >~.. . \\~ ~.. fl . -!J~ i((\/~ . /. ~ /)/ f'lNJd ,( I I <- I , cr= / . ~ !r:; CJ '-C 1;) ~ < "1; .... I- ;... ~ f- ~ 'e; ~ J ~ ... - u .;,. (J 0 ~o ~.~ . J &G I ~ G 0' \ ~ f~ '0 -~!J) ~ . .~[t 1"'5 map is nOf in/ended 10 be used a.' a legal descripliun. 1"1,1 mapanrwing is produced by the City ofl'oTl Angde,,'jor ils 011-" US" and purp<lJ'eJ. Any OIher 1I.\e of Ihi.\' mapdrowir'K .,h<lll nOI he the re''lJOn.\ibilily of the City. Verlu:al Datum.. NAV/J88 Honzonr<lIDa/Um -NAD8J,9/' ~ D N 390 Foot Map Legend Soundings meters