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Home My WebLink About702 Del Guzzi Dr - Building -:i~ .a;'t t;''!-'''' 'i!. o!;~ -- \N 0 ...0 o~ ..c:: 0' -..J\J\I "I ...c. , ~~ - 11\ "1 V f p. I ' . ..' '" '- l' fI'cC' ..;:.:.::.-:./ , -".6 ....: ~ ......". _ .,,~....~ ,..",.,...- ~ ';.j"". ~~:;:,.,~- ..~ t:'{"".. -~ .=-;::: ,'.'- ----~ r...--.'.'. "-.-..- ,,-'7 "?Yr' v ." ".,(#-.P) 'Jrc'Lv: : ~~. --; .1 ---- , IvJ_O.-dJ- 4- APPLICATION FOR WATER 5D'3 8 Z7L City Water Division 1-2.0 200G , - Port Angeles, Washington I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: ::1(,0- ~ -o1"C BC# sB1b. Name of Applicant: G,?E:NH 7Ele/!!?A. . T NC- " , Address: {p; 7 '""DeL '7 U * I "'DR I J/c Or-, '30 I 0 ~~8':J 7 t:> Z-' Renewal 0 New servicejBlk, LotS Add L4"bWIc..J::. . . . =3LI # (em J,JIS c.1:; E.Sli97ES Size of Service J 7< 17. M ter Numb "1"01,;,70 9"l' OODOCO '" Service Left On 0 Service Left Off p Installed by 11 5 '6- Crt.) 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U .,.M H - Z Z"'~H <( M..:I IIi :>'E-< UrlHC/) M"..;<( :>:>-:l;':C!> ~~ I~ o 00 ---- 0. >< E-< .... o '" M :>: 00 M E-< o Z Q ~ 00 E-< Z M :>: :>: o U f pORT ""'r: lO~~~ hiii ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] 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 08-00000806 Date 600236 702 DEL GUZZI DR 06-30-13-5-6-0080-0000- WALTER NELSON MECHANICAL APPL. PERMIT 7/08/08 RS9 RESDNTL SINGLE FAMILY 100 Application desc SETTING TWO PROPANE TANKS FOR COOKING STOVE&FRPLC Owner Contractor WALTER R / PATRICIA K NELSON 702 DEL GUZZI DR. PORT ANGELES WA 98362 (360) 457-0790 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT SET TWO PROPANE TANKS 129643 50.00 Plan Check Fee 7/08/08 Valuation 1/04/09 .00 o Qty Unit Charge Per BASE FEE Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 <5: .., ~ ?/ /~ V , ~ Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it 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. 8' 08 ?U/JL-TdC. Ir JJ~ Signature of Owner (if owner is builder) e Print Name Signature of Contractor or Authorized Agent T:FormsfBuiJding DivisionlBuilding Permit (05f13f08).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. G CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS. oQ 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 AND APPROVED PLANS AT THE JOB SITE. \)<) o 6' 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 I FRAMING JOISTS I GIRDERS SHEAR WALLIHOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS I GAS LINE \-, ...tl".D9- -:l u..- WOOD STOVE I PELLET I CHIMNEY FINAL (-/~ -D 8 DATE JU- ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ~ o tJ v ~ G) C" ~ -"... C/ 7) T'\:"nnc::lRllil,lino OiviC:;l1n/Rllilrlinro Permil fOS1l3/08).wod f'J -~ ~ 7\. V\ C1- ~ 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-- g -D8 Permit # ()~-$Cfo Date Approved Applicant or Agent Property Owner W e--72", Property Owner's Address 702- Contractor/Engineer Contractor/Engineer's Address License # ~sro77CJ 3d! -~8 OC-J Expires Parcel Number PROJECT ADDRESS Lot Zoning ----- f'1'Residential o Multi-family o Industrial o Commercial Proiect Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair oRe-roof o Demolition o Heat System ~her Total footprint of structures sq. ft. Lot size sq. ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths Floor Areas Basement 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other I , ~ as fireplace 0 pellet stove 0 other Existinq (sq. ft.) Proposed (sq. ft.) @$ per sq. ft. = $ TOTAL VALVA TlON $ dd~ 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 to obtain permits prior to working en P{O:J.~B (613 Oat ~ V PrintNameW-I1t-7Z::'X.. If: ~'7--$~atureU~~S--- T:FormslBuilding Division/Bldg Permit Appl.-2006 Code.doc Parcel Lookup Page 1 of 1 Parcel Number 0630135600800000 Site Address: 702 DELGUZZI DR PA I Print I I Quit I I Back I Taxpayer: GLENN TERRA INC 136 E 8TH ST #223 PORT ANGELES, WA 98362 136 E 8TH ST #223 PORT ANGELES, WA 98362 De cription: LUDWICK SUBDIV V14 P63 LOT 8 .34A Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 100,000 Improvements Value: 212,555 Total Assessed Value: 312,555 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 1113 THREE BEDRM Land Size (acreage): .34 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bldg. # for more details.) JL Bldg. Type Bldg. Style Total S.F. BD BA 01 House One Story 2017 3 2 Tax History Sales History I Print I ~ I Back I 111,772,95411 ?/;1?-7C7C If'. ,A/c?-9dAJ "o,frA!lcrA K,. pc=~d~ d~oU-d rrn-0'~ ~ ~~~~ (:1/ C}-e')C) t3 http://apps.clallam.net/website/SITIS _ P. pgm?P ARCEL=0630 135600800000 7/8/2008 M co 0 ...... .... .... 0 ...... E-o '" 00 0 f>l f>l f>lf>l Z ~E-o ..:..: 0 "'0 0 ~~&l O~ I>:f>lU OUO H ..:I III 0 I>: MO f>l0f>l Ill.... E-of>lOO MO ><E-o::> , , f>lr:ig Mill Ill'" ..:II>: CO III ..:IE-o ~ ..: f>lZ Q) M'" oig;~ ..... 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'0": '0": '0": '0": '00 '00 '0": '0": '0": 1>:": \D\D \D\D \D\D \D\D \D\D \D\D \D \D \D\D \D \D COCO ~ 00 00 00 00 00 00 00 00 00 00 " " " " " " " " " " mm ........ MM COCO "" "" ........ ........ \D\D 00 NN MM 00 NN ........ ........ MM MM 00 MM " " " " " " " " " " MM MM 1O1O COCO 00 00 00 00 ........ .,..,. ........ ........ .... .... .... .... .... .... .... .... .... .... .... .... N N M .... .... 0 0 0 0 0 0 0 0 0 0 0 I>: I>: m m .... N 0 m H M H M H m m ...:I ...:I ul ...:I ..: ...:I ..: ...:I ...:I 3: ...:I m m 0 m m m m m m 0. m W M '" rn c ~ P- ..... ~ 0. E-< X r>l Z o E-< Z o o r>l ~ H E-< Z o U CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 o -.J , \J1 00 ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000582 Date 570934 702 DEL GUZZI DR 06-30-13-5-6-0080-0000- GLENN TERRA, INC. FIRE SPRINKLER SYSTEM 5/25/07 RS9 RESDNTL SINGLE FAMILY 3150 Owner Contractor GLEN TERRA INC. 136 E 8TH ST. PORT ANGELES WA 98362 ( 36) 565-0100 Structure Information 000 000 SFR INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Dat~ . FIRE SPRINKLER RESID 102574 .00 5/25/07 11/21/07 Plan Check Fee Valuation .00 o Fee summary Charged Paid Credited Due :~. '"~ "" C) tJ Permit Fee Total Plan Check Total Grand Total .00 .00 .00 .00 .00 .00.- .00 .00 .00 .00 .00 .00 'V ~ - ~ ? b F/ 6- -~ "\ ':J G) C N f\l -"'1 v :) 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 compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the rovlsions of any state or local law regulating the work specified in the permit. .. ::-~.- - ~ . - --.- -.- ~ :I) 10 7 Sign~ture of Contractor or DatI'...... Signature of Owner (if Owner is builder) 1\ -" ~ \n -Q :r~ I "5 7C 1f~ I Date - _ I'..i H ~ ..a~-"'-' I .._~ FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 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 (y- (,,-o7 1<1 ]) 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 GENERAL COMMENTS: \ 2/15/00 0(- 582 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: 702 Del Guzzi Installer: Innovated Fire Installer Telephone: 452-7583 Type of System: Open 130 13RO 13 D [2J Date: 5.25.2007 P AFD Permit #: 07-18 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 l3D 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 l3D system will require a measured flow test. Contractor Reviewed by: ~LDO.Jd-Q Date: $-2.<5.0i o ffi o Building Department Fire Department - -~ --.~ T=-.....----,~~~..." -.. ---.~~: ,- t~'"~.-:~:''''i~~V.''' .~;;:::; , t r. r ... BUILDING DIVISION CITY OF PORT ANGELES * * , [ [ Correction Notice Job Located at 7t?2... '})~~ QV331 VIL l. , I [ t I, , Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~~~~~~)=~~ f~,~;t'r~;;~b. L5h1t71r AA2~,t/ bIJ ) -,1{ )?~f7.12iIl tJt' t;.o~ ~ .~.KZ.- /'J?/,f,;0 ~ 1!o(Jc,c ~ h- b · l. I" ~ ,. These corrections must be made and are not to be covered until reinspection is madEj- Wh~n.l:corrections have been made, please call 4/7 - ~J3.15 for inspection. ~ Date 9;{~ 7 ~~IOg 0""'00 {to NOT REMOVE THIS TAG BUILDING PERMIT - APPLlCA TJON FUJ: OFfiCIAL USE UNL Y: Dattl{cc.: 51 Z. 21. 0 7 J'cnnit Ii: ell - 5SS2.. Dale l'.ppro\'ec05 -21;-07 Dale Issued DC;-Z'5"_4~1~ Fill out COMl'LETEL Y and in f},'lC Your application and site plan MUST BE COMPLETE to he accepted for review. If you have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4711 PROJECT ADDRESS: 70 2- LEGAL DESCRIPTION: Lot: Applicant or Agent: \I~V\CQ..""- +- Be~f5~ Phone: LIS -2-- 7S 8'3 Owner: G l..e '-',""V\ T.e v v 0....... T c.., <!...... Phone: Address: 13 G; E 8A-L.. S.f #ZZS City: Pov-t- /l-'--J -Qlp,j W/J- Zip: c;S,'1c:':2 ArchitectlEngineer: Phone: Contractor INNIJUAT!E~) 1=-/ A. E- State License #:/~avAJ'cJWOl1ExP:~~rjBPhone: <iSz -)S~.:J Address:.gl NeJ..,JYo...J ~'- L..'-'.. City: Re;-v-f 4'::;j.e~ Zip: 783 (;, 2... ~/5V\.2"2} Dv;t!L ZONLNG: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: '~Residential D New Constr. D Re-roof 0 Stove o Multi-family 0 Addition 0 MoveD Garage o Commercial D Remodel 0 Demolition 0 Deck o Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: c.r L,...r ..f-q, I SIZEIV ALUATION: SF. @$ /SF. = $ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $ -;!-'1;.0 1=-/ V -J2.. S-:Fh~1..L te/~' 7-...1' k w-, COMMERCIAL/RESIDE1';llAL: Occupancy Group: Occupant Load: & Proposed Sq. Pt Construction Type: = TOTAL Sq. Pt No. of.Stories: Lot Size: Total lot coverage Existing Sq. Ft. % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: ESAlWetland(s): DYes 0 No SEP A Checklist required? 0 Yes 0 No Other: FillE: OTHER: - VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 4 1 7-48 1 5 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certffy that J have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wot,. . T:\FORMS\BldgPcnnitform.wpd Applicant: ~1AA...r~ 1- f},~~ Date: ~2/tJ7 ~ 07- (R l ~)( to ~.; I "'''' o , '" o , .... .... "'''' t'JE-< <t:<t: "'Q 100 MO Lll.... 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CO.......... ::>("')0(") mamo ~ t o en '- 0. >< E-< .... o .... ..:l <II en M E-< o Z o ~ ~ Q CJJ E-< Z M :>: :>: o U 1 7t :f VORT ~ lO~~"r, J ,..~ ~-- ~,,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 06-00000027 Date 437450 702 DEL GUZZI DR 06-30-13-5-6-0080-0000- GLENN TERRA RES NEW SFR 1/26/06 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation RS9 RESDNTL SINGLE FAMILY 170764 Owner Contractor GLEN TERRA INC. 136 E 8TH ST. PORT ANGELES ( 36) 565-0100 Other struct info GLENN-TERRA, INC. 9689 7TH AVE, NE # WA 98362 POULSBO (253) 853 -3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 124 WA 983707531 .20 1. 00 14846.00 2923.00 1. 00 Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 69450 170.00 1/26/06 7/25/06 plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 170.00 BASE FEE Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 69435 750.00 1/26/06 7/25/06 plan Check Fee Valuation .00 170764 Qty Unit Charge Per 1.00 750.0000 EA PW W/M 1" SERV 3/4" METER Extension 750.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 69468 50.00 1/26/06 7/25/06 plan Check Fee Valuation .00 170764 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit STREET ALLEY RESTORATION Additional desc Permit pin number 69443 Permit Fee 800.00 Plan Check Fee .00 Issue Date 1/26/06 Valuation 170764 Expiration Date 7/25/06 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 wh r specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any s ate local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\1 102.15R [1/05] \-~'ob Date PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO 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] of ,ORT ~ ,...~.., ~ C,... 11::.-- ~IC~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 06-00000027 437450 Page Date 2 1/26/06 Qty Unit Charge Per 2.00 400.0000 ECH STREET CUT OTHER Extension 800.00 Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 69427 110.00 1/26/06 7/25/06 Plan Check Fee Valuation .00 170764 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 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. 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). 01/17/2006 05:59 PM SROBERDS - The proposal will result in a ne~ s.f.r. in the RS-9 zone for total lot coverage of ,20%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection fee for underground electrical $713.00. 01/11/2006 03:13 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by .public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 1880.00 1880.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 Grand Total 3954.50 3954.50 .00 Due .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 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 appli and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with heth r specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of an state r local law regulating construction or the performance of construction. ' Date l ~u,.o 0 Signature of Contractor or Authorized Agent Date T:\Policies\1102.15R [1/05] I 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 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. 417-4815 , BUILDING BUILDING T:\Policies\1102.15R [1/05] ~ pORT ~ ,~l'~.... <J'~. ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] 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 1/26/06 06-00000027 Date 437450 702 DEL GUZZI DR 06-30-13-5-6-0080-0000- GLENN TERRA RES NEW SFR RS9 RESDNTL SINGLE FAMILY 170764 Owner Contractor GLEN TERRA INC. 136 E 8TH ST. PORT ANGELES ( 36) 565-0100 Other struct info GLENN-TERRA, INC. 9689 7TH AVE, NE # WA 98362 POULSBO (253) 853 -3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS .20 1. 00 14846.00 2923.00 1. 00 124 WA 983707531 Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 69625 1417.85 1/26/06 7/25/06 Plan Check Fee Valuation 567.14 170764 Qty Unit Charge Per Extension 1020.25 397.60 BASE FEE 71.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 69658 Permit Fee 36.40 Plan Check Fee Issue Date 1/26/06 Valuation Expiration Date 7/25/06 .00 o Qty Unit Charge Per 1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 Permit MECHANICAL PERMIT Additional desc Permit pin number 69633 1> permi t Fee 104.35 Plan Check Fee .00 Issue Date 1/26/06 Valuation 0 Expiration Date 7/25/06 ?p Qty Unit Charge Per Extension 6 BASE FEE 50.00 % ~ 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 < 4.00 7.2500 ECH ME-VENT FAN 29.00 ~ 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Permit . . . . . . PLUMBING PERMIT Additional desc . . 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 ther specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of a y stat or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent \-~o~ Date T:\Policies\11 02_15 building permit inspection record05. wpd [1/412005] ~ ~ ~~ ~ ~ ~ ~ -- ~ Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEI~ING . DRYWALL (INTERIOR BRACED. PANEL.ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] f ,"ORT ~ JfO~ ha ~-- "Itt-;-~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Permit pin number 69641 Permit Fee 156.00 Issue Date 1/26/06 Expiration Date 7/25/06 06-00000027 437450 Page Date 2 1/26/06 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE 11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA.WATER HEATER Extension 50.00 77.00 7.00 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. 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). 01/17/2006 05:59 PM SROBERDS - The proposal will .~~u.lt '. '~.. .....~\ in a new s.f.r. in the RS-9 zone for total lot cover~~e.of',~ " 20%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection fee for underground electrical $713.00. 01/11/2006 03:13 PM GMCLAIN ---------------------------- Sanitary sewer connection inspact~on is required by pubo~ic ~orks p:-ior to ba~~..H7:9'.o~d'!i.t:h. 24 hour advance not1ce 1S requ1red. . . Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. -----------------------------------------------------------------------r---- Other Fees . . . . . . . SEWER SYSTEM DELV CHARGE. 8,70.00' . STATE SURCHARGE :\ . !,-so.. ", 'I.... . ~ ;.' s ~ -.PW W~TER SYSTEM USE FEE 1200.00 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~..~4_ C'" ~_~ _,:: ~ _ _": _ _ _ _. _ i'_ ~\~_~!".... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Fee summary Charged ~ Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1714.60 1714.60 .00 .00 Plan Check Total -567.14 567.14 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 4356.24 4356.24 .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 hether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of y st te or local law regulating construction or the performance of construction. ~ --;:.. 1-2.b,~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\ll 02_15 building permit inspection record05. wpd [1/412005] :. 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS / FClI/MOIr1 e(},../ ~-M06 Jl.<.--- WALLS / 1JitJ() ~ J - '?B.! /~ ~C-(.../ FOUNDA TIO~RAlNAGE 1 DOWN SPOUTs,. Tll/8fp T~ ..J PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN l~rY~ 1ft- WATER LINE (METER TO BLDG) GAS LINE ~ -- (f~a 8 DATE jLl- ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL I . WALLS I/lY"!JI / ~ 1I-rLJ, CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS ~ , I~II~(/tt, WALLS 1 ROOF 1 CEILING in I"" r>' b J k;../ DRYWALL (INTERIOR BRACED PANEL ONLY) . T-BAR INSULATION SLAB I I ~ WALL 1 FLOOR 1 CEILING vr/~ /1Jf- K/~ I T R~ 4 .. M.. 10(41(a, MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHJMNEY FINAL ~~II-ogDATE -:rLL- ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~,..-/ k(JS( rn .l-- BUILDING c;;:). ~ , "" ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ '" T:\Policies\1 102_15 building pennit inspection record05.wpd [1/4/2005] '. - .., BUILDING PERMIT - APPLICATION FOR OFFIC U E ONLY: Date Rec.: I ~ ~p Pemlit#: 02"'1 Date APpmved:~~ Date Issued: II I I ~ &:'Zf- Applicant or Agent: At"\b~ M.T~~ !Phone: 3~ C5"'~oO Owner: ~14~TEl2J2.A ~C- T-- Phone: ~-Eh~.o100 Address: \%. C. ~+n ~ZZ3 City: ?~ t4l~~cs 1ip:36S"z. n A . ^ t-\' '()'- ...- . I Phone'. -:::. L". "/G . '2. I ArchitectJEngineer: ~~~ E _~, ..::::::~ L.O '..;J r Contractor C:t-t..El-n\ ..l~:tllc.. State License #: TJ:; I Exp:@:> \; 0 P~~ Address:_\% . E. ~~ ~ ~ ZZ3 City: ?~ A~~~ II Zip: ~%Z ~ ~ ~ I II I PROJECTADDRESS:~OZ, Ye.L- q.u~ \ ~\'ie ZONING: LEGAiI)EscRiPTi()N:L~t': -<0 Block: Su~division: J..lJ~I\~ CLALLAM COUNTY PARCEL NUMBER: OC::,. ~ \ '3 - I ~ B rl II Ii Fill out COMPLETELY and in INK. Your appIicatior. and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYl'EOFWORK: ~UATION: )( Residential ~ New Constr. 0 Re-roof 0 Stove SF. @$ 7'. OCf o Multi-family 0 Addition 0 Move Ji( Garage ~ SF. @ $ Z-r. 3e o Commercial 0 Remodel 0 Demolition ~ Btrl: V~ I '2.. eft) o Repair 0 Sign &... \ 0 Other BRIEF DESCRIPTION OF Till: PROJECT: I"'~ ~ N ~~ 3 ~ ~q:e.. COMMERCIALIRESIDENTIAL: Occupancy Group:---1=-- ? No. of Stories: 1- LofSize: 14e4h Existing Sq. Ft. Total lot coverage . W % City: PL~GUSEONLY: II Occupant LJad: consdhction Type: ' 'J t{. & Propo,bd Sq. Pi '2;10 v.J1 = TOTAL Sq. Ft ~ z.:2, . ~1-1 ~\40 i ~ II II II II II ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APl'ROV ALS: PLAN: BLDG: Dl'WU: FIRE: OTHER:_ I I , II I VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be ientered by the apPlilant. This figUre will be reviewed and may be revised by the Building Division to comply with current fee schedules. Cor/tact the Permit Coorfuinator at 417~4815 for assistance. PLAN CHECK FEE: IFa plan check fee is due it must'be:submitted at the time the building permit appUcation and construction plans are submitted. All other permit fees are due at the time. o~ p.ermit iss~a~ce. ! . . III ! EXPIRATION OF PLAN REVIEW: lfno perrmt IS Issued WIthin 180 days of the date of applicatIOn, ,the application will el:pire. The Building Official can extend the time for action by the applicant up to 180 days upon ,written request by tlib applicant (see Section RI 05.3.2 of the International BuildinglResidential Code, 2003). No application can be extend1d more than once. j . , I I: I hereby certify that I have read and examined this application and know the same to be true and correct. I am a ' thorized to apply for this permit and understand thai, is my re.sponsibif,y 10 dele,",ine whal penn's are required ,nol Ihe C,y's, ahd thai I musl oblain st, permits prior to work. T:\Policies\BL-II02_13.wpd Applicant: Date: I I II II' "" z O ~ ~ o j:! ~ :> ~ '" ~ """- au . ~ ~ al'l>e II:g~ (.) ~::Jl'I:iti~ ~ c::Q "~"o ~ ~ ~C) :J itl)~~: .s3 .n i:~"""l5~~ ~J ~, "'~e~ ~""'!;";"'O""<( 'b l-o '_ U ~l!;lE-lId ::: - C'tO:1 ~ - -... ~ ~ u ::;.. II: ~ a ~ 5 ::J l:I ......J ... <>~ >:", 5:3 ...... 1:;0 ~ ~~-~ g ;a.. (Q '!:~ g : ~o 0 9 a~ ~ .. ~.." ti ~~ ~ ~f~ 0" ~: !i ~i-~~~ft~~"O__ft~ft~~_. : ~~ ~~tri!i{ri~iliiiiiiii ~ -~ .6Z~ i: -----_\_. iix:; I ~L~:: ....~w: ~~;~ :!wll_ I J:'!3~ b2d:::l :: ;~a~ ~ !\I..o ~ fill:: I ... ~g~S / I ~o~ ~~~~ / -<r / :. 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"<.....,Q-!!! ~ I~~~~~ ~ ci) ~~>- :2 ~:i ~ OILI:!~~~ :x:::; '" i5:g - ii:' ~~lS=>... ::: i: "'( 'II( ,;ah .... :xl :;;t:~~:l~~ 0: iljo ...~e:oo~"'''' e:!i o :;~~~g..,~ !(! ~~I!;"'-~~ ~~ "'~~ 1Il:......Q:: ~ ~:::h;;~a ..0 is: ; 0 10 :! ~ ~ I ~~ ~i >~ ~ ... '" lJON OtIC S3ll ,r , i '- -1\o-r _ I . -- -1- -- - -- \ - I - - -- -- - - -- - , , 11... --.-L 6f~LF" c.cu~ . J ~~~;h I \~ '-- ~.-t ~ . -........-:. .------ Ie; \3 It; \'? :3 \ . ~ ~rf .Zf\- ~~ ttz, - sT- - -. .' .rr ~' . "C '.: ~. to~~ (' . , ~ .--- \ t loT 8 I - 1;? ~. I I i I . ! ~ I . , -l~ f\t/4 ~'t~ ~~.~ \'("\ . tt 1- . - - ~- --.- - -~---- -- --~. V"'- -j/J't # \ J - --tI 12/27/2005 TUE 14:55 FAX ~002 Page 1 Ii C & G APPUCATION No. CLEARING AND GRADING PERMIT APPLICATION CITY OF PORT ANGELES APPLICANT: .Gn.eH. '1--\ - T ~ ~c.. . APPLICANT MAIUNG ADDRES.S: \3b . :g: . ~ APPLICANT PHONE NUMBER: ~. ~ 0 Q:) . PLAN PREPARER (An;hllect~: .. C . - t PREPARE~ADDRESS&PHONE#: \026,. 2,,-h-\~ ,--rACl)~~ ,"J'-JAQB40Z ~RPPOSAl("";--'''jf....t): ..~ "U:t. G.U~\ ~ . ... 2S~. ~~\"'f-el . - ~tJ~-?XJJf\?"S~. .. . .O~EROF PROPERTY(ai.otappbnc.IncIucIe_C!'auIharIzaIIonflam'~owner): Gn~l4 '. T~ I =:::t:'N.r" -. , ' '~CRI,pnON OF PROPOS~L (AIIoJndudeplal\l,lkn:.hao..othIrlnlarmdonwhlctiwouldl&llstlnournMew): "5t~ $'~~~l~)~ GrtJ7'~ 1 '12(< . Estimated amount of material, in cubic yards, ~ be excavated, Imported, or exported: ~CES. ' , , OHl-"'f \~~-r ~~. ~~~~eLU~ ~~ ~ .If the IUUlwer to any oUhe following questions Is yes, an !!SA application with a SEPA check Ilat is required to,be submitted with thla application and will be processed according to the City'. consolidated permit procedures. ' L.~ _ 1. Is'the excavation or:, fill associated with the development of a ~lkJng lot for ~ th,an 20 vehldes? ~, ' . . 2. Does the total amount Of excavation Or'fiII eXceed 100 c.y 7 --bf) ,\..l ~ \I '\.-' 3. WJlI.a.ny portion of the grading, excavation or f1Wng occur within. 200 feet of any of the fol\owin~: ~ShOretine~Stream.. . ' ~40% or grater slope? If the answer to, yes, please check ~e appropriate condition.'. '.-." '.. ' ": . . . " ..' . . I '. .1' It "0 I" '"1'1' ,. -: .:- '. . The, appUcant hereby affinns and commits that the Infonnatio,n 8ubmitted for this permit application i~ accurate and that the applicant ~. ~_"~"'ond~al~._(~.Cftyal~"~G_~:' .. , . ~ authorized representative) ~ (Date) Th.followlnil pages ant fOr City UP oniv: , I , ' PERMIT EXEMPTION DUE TO: DNOT EXEMPT: C & G PERMIT REQUIRED ' cA.' Land 'clearing, OradJng, MIng, sandbagging, diking, dltcJting, or .lmiIar work during or after periods of extreme weather or other emergency conditions that present immediate danger to life or propetty, ... authorized by the CIty Engineer., ' . . c B. Land clearing older by the City cOuncil for abatement of a public nuisance. ' ' c C. Removel of dald, diseased. or damaged tJees which might constitute a hazard to life or property;, . . c D. .. ClSaring by . public; agenq of . franchiaod utility within a pubIlc right-of-Way or upon an oasement, for the purpose of lnatalling and maintIIining - .water, storm, sewer, power, cable, or communications Dnea. ,., ' c E. Cemetely graves. ' ' NOTE: EXEMPT10NS -P' THRU -... SHALL NOT APPLY IN SITUATIONS WHERE PROPERTtES INCLUDE ENVIRONMENTALLY SENSITIVE ' AREAS' .. c F. Land Is one acre or less, iJllcept where an ~cent area under the same oWnership Or chain of ownership has been a\innarty exempted so that the combined area is a greater than one acre and erosion contIOi has not been nHlStabllshed. If a building ~ Is Issued, no additional dearing, grading, or flUng pennit or aslOCiated fee will be required; provided that the standards established 111 this manual shall be applied to the Iuuance of aid building permit. .' c H. ' Developmenb larger tI1an !JM acre in improved areas served by paved streets, curtls, gutters, stann drains, and other drainage facilitie$. as authoriZed by the CIty engrneer. ' , . , c I. Wort; when ~roved by the City Engineer, 111 8n isolated. HJf.colltalned atea, If there Is no danger to private or public propertx, , The proposed action has been determined to be exempt from a Clearing and Grading Permit based upon the information , provided by the applicant The . basis for this exemption is as checked above. ' eG. . ~emor .t'lanner . Date City Engmeer Date, Prescriptive Approach - Simple ,Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 I I " :BuijdingD~p~rtJ~;';tUse,bnIIY"'" Perrnit#;"':''".' ,."n".,L,,,;, .,...,...., 'I':""~:' :'Notes:,! ." ." ,II,.. '" t." . .." ,', j ,..11.. t . "''''',...: "..1 ;'",""'.'" "'. ,l~ .., .L'.".', ,'" """;". l,';i ~~,:?",..~,':p;"',: .:.. '::. t' ";"':":~".1;~"r~"::>:;~;;,>'::);,,,:: " :;,':r,.,:,i;~U ::,:,:t,':,:'':;'<;~ '0, "'O"'J ~,.';."~~''''".; .,. ;'>";~<>'~-'lr'?>':";' . 'i ""'""-,"";' ,c'" ~ ".- ':,,':, . :'. . 7ii . '", o ,,~~,...,'. __ ., _ .: . ..~, "t ':':':;..~,~d~.'.: '; ;'1';::;:1 "'..L' ,.....),,; . >. :.:' '.',,, C",, "'"11.",,,. ,,:;'. . ,.1: > 'ii',", "'''.''. >"" ,.,1.."'..... ~:'i""; ",,"t' :'?:.g.~:'..;.~~.;.~~..:.:.;':.;:,..i.~., ,~;A});'~<",.', .,,':.... .-.~. ,] - ~:t!!: 't~'\_: .,:~ l~,i,iI;fji:;t!i:,~i:;j:~~~f1;:fi'I;:i;:i;,:;A{;fij:;r~~~~;~~~ Site Information Lot \....01- ~ Address: -=t 0 Z. '1:Et. &;...r-r:z l. ~ \'\Ie... City: ~ AN~ State: V\J 1\ ziP:3S~Z Contact: ~We:N l/\ ~ Phone: ~.. ~~- 0\60 Phone2: ~- ~zl-q4~~ ~ Fax: ~.. ~-D\O\ F:..: . ....1, T CLIMATE ZONE 1 I I (Unlimited Glazing O~ tion Only) Glazing Glazing U-Factor Door9 I Wall Wall Wall I SIab4 Option Area 10 U- Ceiling2 Vaulted Above lnt4 Ext4 Floor5 On % of Floor Vertical Overhead 11 factor Ceiling3 Grade Below Below I Grade Grade Grade ill Unlimited @ I (9 g) Group R-3 0.40 0,58 0.20 ~ R-21 R-IO R-IO Occupancy Only I I See the code text for footnote references I I hlOiect complies with the following: : ~ The project is a single family residence ' '. .& I The project is wood frame OR all of the insulation is interior or e~terior of the framing. I All building components meet the requirements listed in Table 6t1, Option III. The project will meet all other provisions of the WSEC and VIAQ. I i he project will take advantage of the following exceptions to the prescriptive option I . . 2 I J Table 6-1 I . PRESCRIPTIVE REQUIREl\1ENTS 0,] FOR GROUP R OCCUP AN I Y T o 602.6 Exception 1. One door, that IS 24 ft. or less, that does not meet the standards IS allowed. I I II i Location of the door taking this exception I I i o 6026 Exception 2. Doors with a U-factor of DAD allowed W"hOUl caiculations, QPliJh III only. i Location of the door(s) taking this exception i' ,uT'" -T ~ TYpE- DF . l-h:At- SOQi2.c-E"? ~ AH~. ~c. Copyrighl2002, WSUCEEP02-056 .~ +::;~ .LA..J. Copl,d by p,~I"loo from ~, W,,,"logloo S"I, U,;~,,'~ 1'>''"''00 Eo"" "'''9"m I · 'T~' ~ Prescriptive - Simple Form - Climate Zone 1 7/26/2004 I I ~ CASCADE RESIDENTIAL DESIGN INC. 1 02 S 26th Street Tacoma, WA 98402 253.284.3170 Fax 253.284.3183 December 29, 2005 Attn: Pierce County Building Department Building Location: Parcel # 063013560080 Lot 8, Del Guzzi Dr. Port Angeles, WA Glenn Terra Homes is authorized to construct our plan 1875R/2SLG for a single use on the site address referenced above, based on the criteria in the accompanying construction documents and calculations. Any, revisions or alterations must be authorized by Cascade Residential Design, Inc. prior to commencing work. Sincerely, Mark Myers, P.E. Project Engineer I s~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION J2\ EAST 5TH STREET. PORT ANGELES. WA 98362 .. ; Appl1cation Number Application pin number Property Address _ ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000027 Date 437450 702 DEL GUZZI DR 06-30-13-5-6-0080-0000- GLENN TERRA RES NEW SFR 9/19/06 \:) ~ RS9 RESDNTL SINGLE FAMILY 170764 \ ~ ~ Owner Contractor GLEN TERRA INC. 136 E 8TH ST. PORT ANGELES ( 36) 565-0100 Other struct info GLENN-TERRA, INC. 9689 7TH AVE, NE # WA 98362 POULSBO (253) 853 -3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 124 WA 983707531 .20 1. 00 14846.00 2923.00 1. 00 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL. SVC./ 2783 SQ FT SFR 86934 ELECTRIC SERVICE 143.20 9/19/06 3/18/07 ~ D ~ Plan Check Fee Valuation .00 o Qty 1. 00 3.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 70.20 C) "'" r ()' F ~ ('1 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. 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 (IFe) and National Fire Protection Association (NFPA). 01/17/2006 05,59 PM SROBERDS - The proposal will result 'in a new s.f.r. in the RS-9 zone for total lot coverage of 20%. No land use issues are noted. Electrical load calculations and elctrical permits are required. connection fee-for underground electrical $713.00. 01/11/2006 03:13 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is..required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete w~th exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. - ~ Other Fees SEWER SYSTEM DELV CHARGE 870.00 COMMENTS/ ACTION NEEDED ELECfRlCAL PERMIT INSPECfION.RECORD .. ~CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJIER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE ACCEPTED COMMENTS . I VIS I NO UITCH IU lIICiH_IN I CUVbK ~bK V l\,;b FIN AT I I GENERAL COMMENTS: PW-IIOl.I' (06) ---I '~ w " CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98J62 .J Application Number . . . . . 06-00000027 Application pin numbe~ 437450 Page 2 Date 9/19/06 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 143.20 143.20 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2217.70 2217.70 .00 .00 ""...........,_'l..... COMMENTS/ ACTION NEEDED .~ ELECTRICAL PERMIT INSPECTION.RECORD '-"ALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE COMMENTS NO f\-L GENERAL COMMENTS: PW.U02.1514I96J / " " . c1,')RT-v,.q ~~' J:"' ~~~ ,. .... -- ",<.? CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0& -t.- 7 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 GLEN TERRA INC. 13 6 E 8TH ST. PORT ANGELES ( 36) 565-0100 Other struct info Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 1/26/06 06~00000027 Date 437450 702 DEL GUZZI DR 06-30-13-5-6-0080-0000- GLENN TERRA RES NEW SFR 10Zj)~ 6~Ji)/l, ~ 6~ /~:/JJC!- RS9 RESDNTL SINGLE FAMILY 170764 Contractor GLENN-TERRA, INC. 9689 7TH AVE, NE # WA 98362 POULSBO (253) 853-3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 12. WA 983707531 .20 1. 00 14846.00 2923.00 1,00 DRIVEWAY INSTALLATION 69450 170.00 1/26/06 7/25/06 plan Check Fee Valuation .00 o Qty Unit Charge Per Qty Unit Charge Per ~-nc";......-n ________=~~~_~~___~~~~~~~~_~~____~~_~~~_=:_~~~~_~~~:_~~=~~________~ 750.0~ Permi t RIGHT OF WAY Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per ~xt . 1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 -------------------------------------~---------------~~---------- ------- - Permit STREET ALLEY RESTORATION Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BASE FEE 0"ly 170.00 PUBLIC WORKS RES WATER SERV 69435 750.00 1/26/06 7/25/06 .00 170764 f(naJ 4'/tq~ Plan Check Fee Valuation 69468 50.00 1(26(06 7/25/06 Plan Check Fee Valuation .00 170764 69443 BOO.OO 1/26/06 7/25/06 Plan Check Fee valuation .00 170764 Separate Permits are required for electricai 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 [ have read and examined this application and know the same to be true and correct. All provisions of iaws 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 Authorized Agent Signature of Owner (if owner is builder) Date T:\Policies\II02.15R [1/05] ".', CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 06-00000027 437450 Page Date 2 1/26/06 69427 110.00 1/26/06 7/25/06 plan Check Fee Valuation .00 170764 ~ (~ / ~ ~ v;:f~'~ Qty 2.00 Unit Charge Per 400.0000 ECH STREET CUT OTHER Exten~ _____________~BOO:~~_ Permit Additional desc . Permit pin number Pe rmi t Fee Issue Date Expiration Date SANITARY SEWER HOOK UP Qty Unit Charge Per ~xte . 1.00 110.0000 EA SAN SEWER HOOKUP 110.00 --------------------------------------------------------------- ------ --- 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. 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). 01/17/2006 05:59 PM SROBERDS - The proposal will result in a new s.f.r. in the RS-9 zone for total lot coverage of 20%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection fee for underground electrical $713.00. 01/11/2006 03:13 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by public works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------- ---------- ---------- ---------- ---------- Permit Fee Total 1880.00 1880.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 3954.50 3954.50 .00 .00 Separate Permits are required for eleclrical work, SEPA, Shoreline, ESA, ulilities, privale and public improvemenls. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\Policies\1102.15R [1105] . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . / . . . . . REQUEST: Date I - :2 "l - 0 7 Time Received by g II (phone, person) Location of Work to be inspected 762- De.\'3tA-2.:z..; Name of person requesting inspection Gc "j Address of person requesting inspection Type of Inspection (circle appropriate one): l:>. Phone No. !..fie (-39'13 Sewer Foundation Framing Chimney Plumbing Permit No. Db - 27 Final~v. Other . INSPECTION NOTES: Inspected: Date 1- Z "I - 6( Time By K V .1 + "p r J Remarks: Ive..... "II!) CWl s-efo.<.J Cor- ~CA:"'} b lie. ~>'O~ ,^^-o..',",- TC" j:>V'op-er-f.,/ /,'V/'.e.! ~//? Y(. +:'....."'....... PIt.. fa B/d.3 RESTORATION REQUIRED...... YES ?If, NO x I 1" ~ ,p..,.r#1~ 'j .' , '1"-, 7.$' i l~ 70'2. 3<- - I ~/> i1~ J~ i -z. '\ 0' ~f' VJy!U "pvt.. I .:JJ.. l'll /. I .' -j'c,',.f'c"' \ - -I' 2'J...ef 'f'- 1.,,1 r11 ..,1.' e..\ &- \)V SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other "v.. ~ \Il> '1 .~ o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) I "'~ ,-:", , " " \\, , \\ \ , '~ '. '" \ " \ \ , \ . \ \ \ \ , '. ~ \ ~ \\, ~ ~-.." ..J , . \ c () 1 \'J , I\~ ,_ :...-r ~ '- ~-~ :', \, , '\!, ,> " o <5' f ~ NLa " '~ "'-f;' jV rJ '. d \ , '\ '. , \ " , \..... "\ '\- ',' "'~~"- '~ '",., -;.~. . >. ...')., '~~;~:,'. \~ I' I', , '--' \1 '----""'-:l.. - t . , -... "" ""'- t,,,,",'o'. '."'\" . ~""~-.}.:...~'Y ,:.~..... ':-p,;... _ .'. '-"'--':i2-, ~~, ',. I .--~.~.":'--~ ~'''.' ' - ~... ." . " ", " , .... , ... ,. " \ ex 4 , , 1 ') \ i , .. , . , ,I " ~ "'" % fO" ","". ikJ.. ~l> @ ~ >' ~ " , -, , 0,. " -........;:' " \ .... :\: .,~.,>\, ~ " ., ~ ~ , " < . ~- ...~ \", ~ "t , " .~.~ . 1- ' '" " (" 1--- , , or.,. '.'. ---! ~ o~ .~ \ ". \'l0 -...i ~ ~ < t:} "") , "";:;' _::,:"::::~:':7~-"o--~;"'7,;~t~"!:."- ~- , "~~~'~' , -, . ,~ ,- " " 'I..,.' o , j - -...... )-6-..... ...;,-. .- ~--"=" . -"- .....--- "::..:-.-,,,_...--.-:-/ .:: .-...-~- J ~"-J; ;;:<;~;~~ " '-, " , , (;. ';~;.~ .' iJ"l """ Il.0 \\@ """ Il.0 @ @ ~ o , " t r ~__~....r- '1 _~~,J "'. '-''';::'' ....... . .. .'---" , -,;,,.. ~-- '" ,..-, .' . " 0, . ' L- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . INSPECTION REPORT. . . . . . j REQUEST: Date 2 - I "$ - CJ '7 Time Received by 'i<v' (phone, person) , Location of Work to be inspected {D?., 'be 1:J ll.."2 z... \ Name of person requesting inspection J<r:;,c\ Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final ]). Phone No. qD<6 - ~5/0 Permit No. Qb- 27 )>nve u.)<l-Y Sewer Excav. Other (' <.....:. h INSPECTION NOTES: Inspected: Date 2 - ) S - () I Remarks: Time By Rv {Jk +0 ~~'.1 RESTORATION REQUIRED . . . . .. YES NO X. 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 (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) f2,e'J /' APPLICATION FOR WATER City Water Division Port Angeles, Washington t- z& 2006 , - I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: ::;U:tO-~-OIDD l'3vE8"'t? Name of Applicant: o/~eNl/ /eJ'e.e-4; :t:/lC- Address: ~~I I:>e:z..qU:ce/ 7.J~/I/l:3- t)CpffSeJ/~q..D080 70 Z-. . ",(, 0 Renewal 0 New Service/::,Blk. Lot <::":> Add LJ,(l>Wlt::-J::. / X ~ II ~. (i:::NMS c,c: efSmr.!?S) Size of Service - - '1- Met r mber~ t -6 ), Service Left On 0 Service Left Of~ ~igned O)luJ\ "! 1.>":" ~qL Installed by Remarks: Pel'" MJT -t:L O{c;-Ot:...7 .f7'5o!:E -I- ~/Ub'!:!!. (+ ?T. CLlT\ fi~e..Spnnk'ey R~. '-- 4'OO~) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . INSPECTION REPORT. . . . . . . REQUEST: 4'Z1-0<( Date Time Received by fr (phone. person) Location of Work to be inspected 7 C!...Z:J2~ //i3!f::J-" Name of person requesting inspection ~- ~#fl'A't-~ Address of person requesting inspection Phone No. >?(J5'-/D77 Type of Inspection (circle appropriate one):. Permit No. Ot. -27__ Sewer Foundation Framing Chimney PlumbinBewer Excav. Other INSPECTION NOTES: Inspected: Date "';-2'1-0'2> Time Remarks: Va.?! '5.h/~ By RV L:;6oJ" So RESTORATION REQUIRED . . . . .. YES NO ")( SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 2- - t - 0 t . Time 7 AWL Received by De",,,;; E- (phone, person) Location of Work to be inspected 702.. f)e( -6U2.Z-i' / fJro"~r{- Dve- 5..<,vt-L,- Name of person requesting inspection /)evtYl -05 E.. I / Address of person requesting inspection ~ ..- f VtAr.J( 17~15 Phone No, Cfl-, -C(!?c{1 Type of Inspection (circle appropriate one): Permit)\lo-' Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other.......,WCL0 INSPECTION NOTES: Inspected: Date ''2. - i lo-- 0'7 Time I f//VL By P...e"',-IA t' ~ E-, Remarks: .~IJ/Je.d 8" O-L. 1-wILe-, eK+eh..cleJ.- Tvo (" j?F, jJ,)-~ (~OV~'^ I ~i' P-UL-_ CDVl.JUi+S -rl -rwo w,,-+~r .5.e-"'--v'(~e..s ~1- q-f frofe'- -{-f.rk S€-"j(~ """1-0 T~ s:..:,lyr k 6{' (/f:) L 0eU~\JZL'1 is hi 42vt-ure- U7'>1L ' RESTORATION REQUIRED . . . . .. YES X NO :JoT fOL Dd cr- -' 1\')0 6iJui ~ ~. 4(,' '- -tT ~_. 4(,', ~. t:U+J<e 05L pp..,v \;:S " ~ ()q ~~ t SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City o Repaired by Permittee o No Damage Found , 1.. ')L 35 :g!..Asphalt 0 PCC 0 Other Work Order # 303'-J 8- z.. 7 z.- dCCOMPLETE 3/' $/07- Ita!:~J4/r 7f01 o INCOMPLETE '1' 1P Sf-It/eel: z -1-IJ71r (Continue on reverse side if necessary) !:TRFFT !:IIPFRINTFNnFNT .DATEl c'--~. \ &,q( ~ }.! ~ ...~ =', 0 Request Inspection ~ctrical Contractor 0 Owner ._~." o Annual Permit D Alarm D Carnival D Commercial D Residential D Residential Maint. D Signs ELECTRICAL WORK PERMIT APPLICATION D Thermostat D Telecom. I Job wired by ~l Contractor DOn'ner Installation description .> Electri~t,contractor name .>'1>. .A L <- Purchaser's mailing address _ ~ t? () g"L Dr~. V. 'l<W City Po>.; ~S SW.:.IP 9l Telephone number FAX number '-l~"L-(.,4'Llf (': License number 2.eoD $"( 4 re- ~ . ')1., . Premises owner's nam!---- CG-->-- . i Q.....~'\ Address or inspection 701- fA ~l G~ ;J. "0 3 780 . 2.7~ 3 City o Cash 0 Check # I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. ~a~:dit Card ~~ (!1aste~car~ _ ~_iscove~_ ~~naturQ;:r'e:;ontractor or electrical administrator Expiration Date of card (~nS713 fC~n / WALLS Insulation Only Dale Approved By 9-0l7- ofovcr ,Ad;) Dale APPrll.ved By '- ,,- CEILING Insulation Only' Dale Approved By 9- d;ovec d:::Q -:1.7- Dale '- . ,,- THERMOSTAT '\ "- Dale Approved By ,,- DITCH 1t/-/9-"7 !12, Dale SERVICE II-j-ora A7-'l Dale "Approved By FEEDER . Dale Approved~L/ Electrical Load Additions and or subtractions o NO LOAD CHANGES D Baseboard KW ijK'Furnace tn KW o Heat Pump Ton LAR D Fan-Wall KW o Overhead Service D Tamp Service o Underground Service Service Information Voltage ~..... t.J {;.,' 0 Phase t::r1 0 3 Service Size: "bO""y7 Feeder Size: ---qro Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector ." q -fI -Ore -$713,"0 (},.,,,,ec4 h-C .AfI'ZNv8::. L- .i .r; 5,' / J .. . L "~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 l/ PERMIT # e;>{,,- c:6 2.(. OWNER/CONTRACTOR ~ 12-4..- C- ADDRESS L g, U"Z.2.. \ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . .... . . ... . . . . . ROUGH IN/COVER. ... . . .. . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . ~ CORRECTIONS NEEDED: fl.1 c,,1 Dul O~ 1"'t~"?E... "rl.-Pc.:E. WP-l \ S\J?t'cRT )2.~c.~ N'" c.. 'fOb. if Ar ~F'c...1 ,?1Z.0T~T ~".....VTk.LE '? IN bAML.1F NlU.T To rl->-e, "<!fAt'LK N-r;:1' 210. IS ~z. 21-tl> f!," , N j\lec no t.<, ITL-H lLN u(.,HTJ N,(,. <:.:I.I?<.\.J\I Ac.c.rt. 'i::G 'Doe:,12.. fC,lZ.. ~~R\k (. 17_ tl> NlZ.C. 314" 2.. oz NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 DATE /0 ELECTRICAL INSPECTION WIRING REPORT ,. ! . 417-4735 CJts. z... PERMIT /I ADDRESS .€--c.... $1/ 7D7-- OLL ul.-"t...-( APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . X' D................ ROUGH IN/COVER..............~ D. . . . . . .. . . . . .. . . . . . . SERVICE. . . . .. . . . . . . .. . . . ..0 D. . . . . . . . . . .. . . . . ... . . FINAL. . . . . . . . . . . .. . . . .. . . 0 CORRECTIONS NEEDED(/) '-?: ";:z OIt.,Pn4 (!,oNLJ>>17'" 7JP. ~~_~ :;4-L-- ~~IVU""".~..UJ (SC~r:> l-A-'N<::J.tAe.- 1...'-<. , ) ~/T7:11O h-1 '* "" -- ~,? /'A>~ T n> -P" ",.,... R-l- ,.~ - ,~...q- (/11'1 - I7j .~~l/1L.. ?RA-J+{.~ _ .,... t.krn~# ~""fE.'L', /N ,&'''''nAY~ _ ;.,~~ ~ ~-*JuJ.{j,) z.... "J.- . NOTIFY INSPECTOR WHEN CORRECTIONS ; I ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 .. . ",' ---.J. ELECTRICAL INSPECTION WIRING REPORT 417-4735 IA&;J mER/C TRACTOR U. 't}2..- ~ APPROVED Pi1t '- / 0':: Z- NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . X D. . . . . . . . . . .. . . . . . . . . SERVICE. . . . . . . . . . . . .. . . . ..0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDEtJ5 77-Ir-7L/t..... R'.A-7v6~ _ -r- ~~ (!Ar!1/ ~< ;:,~~ @ /?-?A~ -S'p/-1r:::r.N--b O.~ S'--rr-h:7L.4(. " ( .~-?. tctiA-r -+ / r7::;7>T r"'~ ~)q4.8 (5tU:. /:H- ,&~ ~ /?J Uh#t)(J) d1~.-l-tfJ ~#YO//F' O#"r ~ 7::";2~C7Y 6/UTV1.~C (!j) 'P-.bf:1r-L t;U/~_S //Y 5TkLJ :~.,:: ~;:;~~;;?~~R- ~v.! ADDRESS a/I L..-oo.;s NOTIFY INSPECTOR EN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - : OLYMPIC PRINTERS, INC. (360) 452-1381 ...... ELECTRiCAL INSPECTioN" WIRING REPORT. 417-4735 Z- Dr Z- ,. WNERI ADDRESS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . X D. . . . . .. . . . . . . . .. . . . . SERVICE. . . . . . ... . . . . . . . . . . 0 D.. . . .. . . . . . . .. . . . . . . . FINAL. .. . . .. . . . . . . .. . . . . . 0 CORRECTIONS NEEDED: @ - ~~ ./97~ ?U/~ ..5 ~:5/.()-t:.... (I) L- tY L'T~-~ ~~~<; ~- V~ ~_ t€.z;-c..". :5'77'h?~ + ~~ [,fez, A-'T7L /.IV ;!S/l.,<"';:' <; {/V'/J/ ~~G-'''''''~ /.fP~ ~ Cy~ .5E:.L 0/ h jh'-Ut ORJ '~Nil5 mH~5 /A,t' A/i /I m / /-/ d$'N.{R1.. /../ ;: ,4--r- , . NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 EORTA NGELES ~ rr WAS H I N G TON, U. S. A. FAX TRANSMITTAL Department of Public Works/Utilities 321 East Fifth Street, Port Angeles, Washington Phone: (360) 417-4735 FAX: (360) 417-4711 TO: COMPANY: U FAX#: LjSt... z,. NUMBER OF PAGES INCLUDING COVER: FROM: Alan Oman Senior Electrical Inspector /Traffic Signal Technician Phone: 360-417-4735 . Email: aoman@cityofpa.us Website: www.cityofpa.us Fax: 360-417-4711 _~2_! .East Fifth Street _-GoO, Box 1150 Port Angeles, WA 98362-0217 63i - 637 - 702. Ot.i-&/A. 'Z.-Z { 10 . I~ ' 5b DL ~~-nONS , t~,- oA-u- CAJ~ Ce>hI)'~.t 1JI1'ht~ At- " ELECTRICAL iNSPECTiON WIRING REPORT 417-4735 ofs,. z.., PERMIT 41 ADDRESS pC- S t/ 7 D "Z-- OLL U 'UL ( APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . )ifr D................ ROUGH IN/COVER..............~ D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED~ ('~H";J,,,-,-r ~ -rr t'-H7f -"'-' (dz"",.., ~ L-u. (. ) ;>: ,( /?,:z OItPn4 p~~~~ ~~ ' (~C~~ t:J,c /'A>~-r vvN€:J1l4L t.6?:> L) ~I#~~ n> v1o-"'l&~~ . "<"'~ (/111 - f7j {~~ ~ 7(A-1+(,~. 'Y- J..krnc..1f ~.....,€.,.. /N ,c~I<.I~. h~€ A>-r7"7-c ~/.6;-) Z-....l NOTIFY INSPECTOR WHEN CORRECtiONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 / ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE ~~o" Ac7'of LL..--<5LLC-. ADDRESS C .3 'I f.)bL.,(,...."L-"t. I 1Jrt... APPROVED NOT APPROVED ~....D~H.................D D. . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: (j") C!O'k b L.< ^' 6 !1~..4' /\ ~/) /z:.O'L.. .5LrtA v r c-s;:.- C~<::, fiJ /I'7~!fL/l5~ /6~OJ .J</~-r 7?tHr ..5~ .hfrR-r..;. ",0,0 <JA-;j~ Nt....- /NC!~€. .'>/"?' ~ o,.c. c.5~~)~ -<ftlc. , I/D -/2-. _Utk"'- . ~a"6 ,-,~~"r ~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE PERMIT It --.LPj/ g /12...c. 00 - Z-b ow~ RICON}!t:"~TOR tEA- svc-. (),z; L-&&1 Z. 'Z..-. r APPROVED NOT APPROVED ~. . . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D...................AN~....................D CORRECTIONS NEEDED: (i) S ~lCAt.. CO,€;JOU=/ZS f>l<-L-L.6/1 7l:J 7>~Mf' r? ;:J~~" 9<-' ~tf.37f./L ~~e (~LAC-~ 1V1I.-//1.u?J ~t:<:- / J (J - 17... ) .1..- t, ~NO j t:o~n~,1~"7<l ~ ,n~Z <3R:"5E .f~ ,,</;hJOrr -I' Y>7A-Y-e nb~'- - "P,<....-?~ .,;;,.,,.,, ,<;~..... ~<-..:r'~ -">L~~ ~ ? {/lU..C //O-/.z.J i i ~. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - .' OLYMPIC PRINTERS, INC. (360) 452-1381 TRANSACTION REPORT 2006/SEP/20/WED 15:05 P.01/01 FAX(TX) # DATE START T. RECEIVER 01 SEP/20 15:04 194526424 COM. TIME PAGE 0:00:52 2 TYPE/NOTE OK FILE' ECM 9077 I " .----.----------- . . , I I ...J , _i , '}20RTANGELES WAS H j N G TON, U. 5". A. _. J;AX-TRANSMIIIALm._ ___'m .+_ ~.""------_._--- ._---------_....~..~,~~.,.__..--. ...-...-.....- -_. -...- i ---, I Department of Public Works/Utilities 321 East Fifth Street, Port Angeles, Washington Phone: (360) 417-4735 FAX: (360) 417-4711 TO: COMPANY: FAX#: NUMBER OF PAGES INCLUDING COVER: FROM: i , . I I . Alan Oman Senior ElactncaJ .Insp'actor /Traffic Signal Technician Phone: 360-417.4735 mEmail: .aoman@cltyotpa.us Webslte: www_cttyofpa.U6 Fax: 380.417-4711 . 32)_EaslRtth street.:l.o.'80X 1160 Port Af:lgeles, W~96362~qg1.?_ OIL ;/0'1 C<9rn P ut:rf_~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT if I~~ Q?,- ,::2 7- 5~/(;, . PZ APPROVED / Cue Z-- NOT APPROVED o ........... . . . DITCH . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . )(. D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D..........AN~.......D COR:ECTIONS NEEDEtJ:::: 7r-lr-7L/L. "e' ,..+N6f" _ -r- ~/UV~ _ (! Azs" € ~~F1rtAr{;-t: (%) /?-?AX: ..s,,o"~Al-~ 0'''''; ST7"hO.c.->f.<::' I L/ ~ fCvLi -I- / ro C> T r'~?Y7 /"'>n~ ~k #~ :_ &~~ ----" <--~"y? ~::= _'A~>- ~~1' T:g.,,) . ~~~"-'-I'2S @Or~N--:r-,e tu'//LjO-; NY 3;; -UL] ::~i35{, r.t~=::;.-:~:t,;~p~/C : i .a,#~ $r.;;-'~1~:< ~t-JI /1'Z:'/',ec.'?;/~ ~-< /2 -;2. ( .w;,~ IN";~<6T~'~EN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 <;,f'ORT..q1\! l..,....o~Qt i1~_t II~~ "",L-~<o ~ ..- ~ "c~,,,, ~ 417-4735 4-0RKS ",0 4ft'..- Z- Dr 2- ~A,T PERMIT # . WNER/ ELECTRICAL INSPECTION WIRING REPORT ADDRESS . t..-< z--z.. APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D................ ROUGH IN/COVER.............. X D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D..................... FINAL.................... 0 CORRECTIONS NEEDED: tff -:- ")---ni?~ ."Ly~ /~)...~ -.5 a.:T:2~'L -fj) Or -Z f/ ~Yf'r:'~ 4- (-,,/u/ ~/~<--'--~ L'/ .., -"- .r~ . -n- ,A__'>>1~J~_t:; t-<r' -~ #~' ~ ~ ? ~ -h"7 L...I-z_ /Y7 .c ",1',1;".' ~"',..'i~<::;' /.fP/R'. ~ a~.5LL 'J:4:1?N~ 0/ h flz;..-t4-.5 /./1/ M' /.fJJ....t.C/! Qrry /1 m//'I/ln".{/7' pj? ~./, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ~, ELECTRICAL INSPECTION WIRING REPORT 417-4735 PEoZ_ ~ D"Z- APPROVED NOT APPROVED )(, , , , , ' , , , , , , , ' , , , , , , DITCH, , , , ' , , , , , , ' , , , , , , , ' 0 0, , , , , ' , , , , , , , , "ROUGH IN/COVER, , , " , , ' , '" , , , 0 0, , , , , ' , , , , , , , ' , , , , , ,SERVICE, " , , , " , , , ' " , , , , ,0 0, , ' , , , , , , , , ' , , , , , , , ' , FINAL, ' , , , , , , ' , , , , , , ' , , , , 0 , CORRECTIONS NEEDED: @ ~---'~ ~ e.QIftCJ~ ~/ It' ~.Al-r#J?.F, ~ J#7u~ h~ 4E. rZIF Q<A: / ~ D e,Q ,PVc ;C-/T77HbS (! /0 - /0 @ 4/Yl/f;<' Dec:>R roIL- L/S /A/N~U. ~ l'Ju/~D FA-#A'~ P/hl~ ~ #or:r: ~ '(5~LVICL c/~~.:; ,ff-E.. <e~/)w'u;, f?J $J7-t6 t!nA/4(,"CC /A/TV ,4.ft-~f5 t:N' /tJ-~-~ Cr.lVa:t,~ NOTIFY INSPECTOR WHEN COR TIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 }2'ORTANGELES WAS H I N G TON, U. s. A. FAX TRANSMITTAL Department of Public Works/Utilities 321 East Fifth Street, Port Angeles, Washington Phone: (360) 417-4735 FAX: (360) 417-4711 TO: I1c COMPANY: FAX#: NUMBER OF PAGES INCLUDING COVER: I FROM: I Alan Oman II Senior Electrical Inspector / Traffic Signal Technician Phone: 360-417-4735 I Email: aoman@cityofpa.us I ! Wel?slte:, www.cityofpa.us Fax: 360-417-4711 _92_~ East Fifth Street -GOO. Box 1150 Port Ar.Jgeles, WA 98362-02),7 J02- {JbL-ba z z... / ~T70N:S