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Home My WebLink About123 1/2 Forest Ave - Building ELECTRICAL PERMIT l CITY OF PORT ANGELES 360-417-4735 Application Number 11- 00001282 Date 11/15/11 Application pin number 857424 REPORT SALES TAX Property Address 123 1/2 FOREST AVE on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-09-5-2- 2652 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 60 amp sub panel for garage Owner Contractor LARSEN, KRISTINA JEFF NELSON ELECTRIC 123 FOREST AVE 7062 OLD OLYMPIC HWY. PORT ANGELES WA 983622515 PORT ANGELES WA 98362 36) 452 -1724 (369) 460 -4291 Cbl 425 1 Permit ELECTRICAL ALTER RESIDENTIAL W Additional desc Permit Fee 119.90 Plan Check Fee .00 -*<:7 Issue Date 11/15/11 Valuation 0 Expiration Date 5/13/12 •Qty Unit Charge Per Extension 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Fee summary Charged Paid Credited Due Permit Fee Total 119.90 119.90 .00 .00 m Plan Check Total .00 .00 .00 .00 Grand Total 119.90 119.90 .00 .00 I V� 3, INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH j) SERVICE ROUGII -IN 1/ 17 I .0(j0 FINAL Iqpir r• COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Dale: G: \EXCI -IANGE \BUILDING FROM FAX NO. :6814254 Nov. 14 2011 1�0:51AM P1 C.r�J "V' 4 ZQ�1 gam° N CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL 0 C.5) Building Division/Electrical Inspections INSPECTIONS t 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 iliiiiiir Date: /./("1/24)// /1 Single Family Dwelling Multi Family or Commercial' Commercial Addition Alteration 1 Remodel Repair' Plan Review Ma y Be Required, Please C mpjQte Electrical Plan Review Information Sheet Job Address: j oi,3/i_. fo rr e. sT Hvi•Ai LI E.. Building Square Footage: ,5 Description of above SEA le) A 5F• e v rcZ. To sry/2"64 Owner Information Contractor Information Name: g.rQ 157IN4 L.4t+QSOAJ Name: .FF /VC&Son/ ,s r4._Lr c.. Mailing Address: (23 to rf4e t igf/1¢#lr 1/t= Mailing Address: S/ 5 f, E,r /2( City P4 State: i p: City: auvr^a. State: ccc# Zip: q 3ff 2.. Phone: '1 9jtn2 Far Phone: cit/ad gap Fax: &J/ '/ZS License Exp. License Exp`sJ FF N� T14r P Item Unit Charge gty Total (Qtv Multiplied by Unit Charnel ServiceJFeeder 200 Amp. 119.90 ____t___ 1 !4 90 Service/Feeder 201 -400 Amp. 145.50 DE r Service /Feeder 401.600 Amp 204.60 G Service/Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W /Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp. 110.30 Temp. Service/Feeder 401.600 Amp. 148.70 Temp. Service/Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign/Outline Lighting 88.20 Signal Circuit/ Limited Energy I First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy- 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi-Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 Total Owner as defined by-RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor -if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N,E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The. City of.Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cast, E Check jCr.mtCerd ar x G Dated:. `7/ 0110112010 Of ~ORr ""~ f.~~ ~ ~--, ~~ CITY OPPORT ANGELES .' " DEPARTMENT OF COMMUNITY DEVEEOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA98362 I.,' . ~ /~: Application Number Applicationcpin number "Property'Address. ASSESSOR PARCEL NUMBER: Tenant.nbr,name ~App1icationtype description Subdivision Name Property 'Use property Zoning . . . Application.valuation 05-p0000989. '0. 187857,. ,... 123 FOREST.AVE1/2. ':.. 06-30-09-5-2-2652-0000- ACC. RESIDENT. UNIT RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 49484 Owner Contractor LARSEN, KRISTINA 123 FOREST AVE PORT ANGELES ( 36) 452-1724 WA 983622515 BURFITT CONSTRUCTION INC P.O. BOX 773 CARLSBORG WA CARLS BORG WA 98324 Other struct info TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE .TOTAL LOT COVERAGE NUMBER OF UNITS 18.60 1. 00 2320.00 12500.00 704.00 3024.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 63099 667.25 10/20/05 4/18/06 Plan Check Fee Valuation 266.90 49484 Qty Unit Charge Per Extension 414.75 252.50 25.00 BASE FEE 10.1000 THOU BL-25,001-50K (10.10 PER KJ Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date MECHANICAL PERMIT 63115 68.75 Plan Check Fee 10/20/05 Valuation 4/18/06 Qty Unit Charge Per Extension 47.00 21.75 BASE FEE 3.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date PLUMBING PERMIT 63107 103.00 10/20/05 4/18/06 Plan Check Fee Valuation Qty Unit Charge Per Extension 47.00 49.00 7.00 BASE FEE 7.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA.WATER HEATER ~ qNtJ6 .00 o .00 o ~ ~ ~. ~ ~ ~ ~ .~ .,_.,~ ..,- .' ~ f\Jl '( ~ ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work 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 COI?;~~ da~ ,IMIN[ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policics\! ! 02_15 building pennit inspection record05.wpd [!,'.1/20D5] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES w 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 ATJOB SITE. .~ INSPECTION TYPE DATE 1 ,~ ACCEPTED ,.,.! :' '" COMMENTS YES I 'NO ',' , FOUNDATION: FOOTINGS WALLS FOUNDATION' DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDBR FLOOR./ SLAB R.OUGH-IN . , WATER LINE (METER TO BLDG) .. GAS LINE , BACK FLOW /WATER ,. AIR SEAL ~ WALLS CEILING ' - ;.j "'.~ ~ ~'.-,+._''''-'' .... ~" .. --.--,-.--"..-. ,~..;...,-" .....~,-- FRAMING ",:" JOISTS / GIRDERS .:, SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANBLONLY) T.BAR ' ,~t-!, . INSULATION ~,f~: , , SLAB W ALiUI,(FLOOR / CEILING I .. .~y;.,,, ".~.' MECHANtCAL HEATP~/FURNACE/DUCTS GAS LINE WOOD STOW / PELLET / CHIMNBY COMMERCIAL HOOD / DUCTS MANUFACTUREDHO~ FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT /I's . SEPA: P ARKING(LIGHTING , ESA: <LAN.DSf:Al'JNG .,.,;b,' ':C,' ,,', ". ';~1~', ,., SHORELINE: or: " .:, " ' ',.'. '" t.;~ -;" ,-CC ~~, ~ " ,., FINAl."lNSPECTlON6 !t~QUJ~&P pRIOR TO qCCUPANCYIUSE, .'" >, RESIDENTIAL DATE YES NO COMMERCIAL DATE I'" ACCEPrED, YES, NO '0 ~ -, .,' ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL LIG.~T DEPT " CONSTRUCTION R. W./ PW/ CONSTRUCTION. R.W. - ENGINEERING 417-4807 I'W / ENGINEERING " FIRE " 417.4653 FIRE DEPT, PLAl'INING DEPT. 417.4750 PLANNING DEPT. BUILDING 417.4815 ! /JU1LnfNG _ _ ... ...~.. ,"I__~t,I!______,:,:_"'''''''''':^n...,,^..rlnC:;\l./nn.r\/l1I?J\nSt f f'ORi~ CJt:-~O~\. ~ ~,-- "I,it,,~ CITY,OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321EAST5TH STREET, PORT ANGELES,WA 98362 ~.., Page .2 Date 10/20/05 Application 'Number Application pin 'number 05-00000989 187857 Special.Notes'and Comments Address numbers 'shall be plainly visiblEl'from the street. Address numbers shall be a minimum of six 'inches high and be of contrasting color from the background. ' 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. 10/20/2005 08:32 AM SROBERDS -- The proposal ,is to add a 704 sf accessory residential unit to a RS-7 property for total lot coverage ot 24%. CUP 05-04 was approved for the use. No land use issues are noted. $0 Connect Fee if Sub-fed from the House. 10/10/2005 03:03 PM JHEBNER -----~---------------------- Electrical permits are required. 10/10/2005 03:03 PM JHEBNER ---------------------~~----- Any modifications to the. City'S electrical facilities will be at the customer's expense. A seperate water meter is required for the new residence and a sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance ;, notice is required. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE WATER METER RESIDENTIAL 110.00 4.50 715.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 839.00 839.00 .00 .00 Plan Check Total 266.90 266.90 .00 .00 Other Fee Total 829.50 829.50 .00 .00 Grand Total 1935.40 1935.40 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policics\ I 102_15 bu i lding permit inspection record05. wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FORBUILDINGINSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. " CALL 417-4807 FOR PUBLIC WORKS UTILITIES ~.. ... - ~"-' '.' . ,.., ."",, ,-"'" .. ':, ':;: PLEASE PROVIDE A MINIMUM 24;HOUR NOTICE. IT IS UNLA W/WL TO COVER,1NSULATEORXONCEAL ANYWORJ( BEFORE INSPECTED AND ACCEPTED. POST PERMITJN A CONSPICUOUS'LOCATION. ';KBEPPERMITCARD~NDlAPPROVED ,PLANSfAq';'JOB SITE: INSPECTION TYPE .~I DATE" ,~I ,; 'ACCEPTED ,,,,," .s. ,COMMENTS. l' ..1;1 I., ....... , oWES NO ,.0,' ",'.., ". Co FOUNDATION: " , FOOTINGS . ~t1 If)(, .~ WALLS ',. ." t f~ ";._Ct: I" FOUNDATION DRAINAGE I DOWN SPOUTS '" .. PIERS POST HOLES (POLE BLDGS.) ,., PLUMBING ~~'C-{f:wftb UNDER. FLOOR I SLAB ROUGH-IN /.1. 1.O...c \ "'1---' .. 6 , WA TER'LINE (METER TO BLDG) I , \' " ., GAS LINE ',' " , " '. BACKFI.OW / WATER ,'10 01:-' I "',9..; " 'f" .'" Jr., ", .".,. '. AIRSEA:1.;'>' "" .. ',~~' -. :c Vi ALLS I ~/" !~:,' " 7/p , , ... . .. ...........;\.I ,........._ :1 ",.,,,,. ~ t '."tCEII.:ING......~ .4 """-~'~ ... ~'" '." 'I. '., .. ~; FRAMING- ,~_."'- JOISTS / GIRDERS . ~~,. I , .; SHEARW ALUHOLD DOWNS ~ / 'v'1.l~ \It{; WALLS I ROOF / CEILING I DRywALL (JNJ:ERlOR BRA.CED PANBLONL Y) . .T ~BAR.;, ,;; '::;~, INSULATION .";::~'.,. SLAB I J . W Aif~/~.LOOR / CEILING I.I/~ /""" 174-- .,..:..,.....,,:. .r"-' / q/~b MECHA~pAL F1WAU5tO ~ HEATP~/FURNACE/DUCTS GAS LINE WOOD STOvE'; PELLET I CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACrt!RED HOMES FOOTING / ,~LAB ,o' l' BLOCkINO &. HOLD DOWNS SKIRTING P,I.ANNING DEPT. SEPARATE pERMIT #'s SEPA: ,. 'PARKIJIIGII,-IGHTING ...01, ESA: ~::' . ,",- "'{Y'ft> " '" (."!I ;\h. tSHORE1.INE: ... ,~V ,.,f': .. ..';LAND,~E,1!"mG*1;"~'i\~' I. .. io" , ~-' ". ...... ~.,;; ,. " , ,,'.,o ;;I~t\0' 'A'" FIN>\c.-~NS..PF,CTIpNS REQUIPD PRIOR ~p {)f.CY.~~~c::'{1USE '~~ -'. ,. ., ""':'~ '.., ..",~ "d:,'i ,,~:i,V"'lI'li"f't.:..: .. -~. -..;/'-" .-',. . ....>.-: .' .." '.~:;r~l: 2':1" .,YES ,::;;"'~O?2' :;~.:::,~O~MERCIAL DATE "ACCEPTED ~,T ;;' .:\~.1~::~ "RESIR~NT~AL" " .' .,-.\,'\ !.~ "} ',;' ,,~-'~'~',' -..~ yEs,. 'i :NO '" -J: .. , ,,," ," . h A,i.. :;\~fX~,,}~-'< i. .:. ,,c- C. i .01 "J; .' ~";"i:' '''\';:}, ~"" ,_::;-::'!'-~.:\l";,; """-"\ ,. ~~;,;,", ;, .."Ii ",.' , '\i ,", '15.r' "~~"''''1-~~<'';'''''' ....; I., .r !ELECTIl.lCAL' LIGHfOEPT. 417-4735 ELEctRICAL Ii ~;Zi. .. ',' .," ,,~IGHT DEPT , ..': , ;'c ",~h~ CONSTRUCTION R.W./ PWI CONSTRUCTION. R.W. }~NGINEERlNG .. 417-48g7 PW I ENGINEERING ,FIRE . '. 417.4653 FIRE DEPT. .'.;;c:.... .. :~~d' ~ , , '. ,. /:i.L 1. . ~._. - PLANNING DEPT, 417-4750 " !oo. ...0<; I PL:\.:"INING DEPT. I, 71 ;' ~?C& VU/ ,..... BUILDING 417.4815 BUILDING ~ ~ I~ ~~ ~ ~~ T:\Pnlicic.\II02 15 buildinRPcmlit inspection lccord05.wl'd [1/4n005] \. "'''' o "- N N "- '" t>lt>l "E-< 0<:0<: 0.0 .,. N <- M , N ltl .,. >< ..:I n: t>l ~ ..:I E-< t>len ""'" ~~ E-<>j Z On: HO E-<E-<. UU t>lt>l 0.0. en en ZZ H H '" M :> H o ~ en t>l'" ZZ 00 :X::X: 0.0. 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Fo~~t- Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: "* ~82-fy (~)./G) -roIL- ~,"'1 Lono..5> o V ~f2- W J XJ DovJ ~ ~ I0.:/-- ~ /2..fxu2.. Co~ 12M-roD &~GI.%b Lo~ ~~(l ~ ~O~~h~M ~;:; ~;;f' 't/, ~~_ r;'y jf- ~>I.trVC;T en P1JtH A, ~ J""::>, ~ tZ 4- po~ These corrections must be made and are not to be covered until reinspection i~de. WhCjJ co~ns have been made, please call (t... $1 for inspectio . Date " -zJi1'V) Inspector for Building Division DO NOT REMOVE THIS TAG "'''' , 0 , ...... , lil , 0 , ...... , lil , , , , .-< , .-< ~~ , '" t:>E-o , :. ..;..; , ... "'0 , '" , QJ , .J:: , "' , , "' , , X , '<l' , , QJ , '" , , ~ , " 0 , , , .... 0 , , ~ , , 00 , , 0 , '" <Xl , , , lil 0 , , "' , '<l' , , ~ , 00 , , , ~ , , 0 >< , '" :E , , '0 ..:I , M H '0 I>: , E-o!3 ><~~ ..:I'Oo~ ~~ ~ , 00..-.0 H , ?5 ..:1M :I::I: 0 00 ..:I , 00 1>:.... 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III I>: .W ..:l '" ZO III '" 0 E-< .~ 01"- (fl -U M 1>:0 OOE-<": ..:lZ E-< a 0 ..: gj~~f:j[L H 00 "'>< ~ '- WE-< OZZZI>:'" '" '" I>:H ~WO~":'" >< ..:l "'U E-oUO"''': Pol E-o '" CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date J.J- 1fJ-- 0 b . --- Time )./: OJ Received by S A...-,,- (phone, person) Location of Work to be inspected l 0.. '31- ~r<-sT j).v-<- Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other Cf.'}o /J.n? INSPECTION NOTES: Inspected: Date Remarks: Time By RESTORATION REQUIRED . . . . .. YES NO ~o u sJ ~ ~\ y ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee ONo Damage Found, Work Order # o COMPLETE o INCOMPLETE r- ~ .. ... .., BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice " Job Located at -{'1 ~Yz- ~~sr Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~\\)! vJ/'i. (\<l-( ~I),,.jl ~~ ~,..)~ {J ((""('~tJ ~klLIN0. l ~I V< tA L...L Tv f'rt VI;C;'l L N(O;- ~ (/{-/)'I -- J/r/.-~/f~77/;rf~ ~~ kl),Af LII,M~ )// //~G{~ ,??I/*'/; ~J 77:; - ):'c~~ . These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call ..- for inspection. Date #- Inspector for Building Division DO NOT REMOVE THIS TAG ~- "'''' 0 , '" 0 , , '" , , , , , MM , ClE-< , <(<( , P.O , , , ~ , , , , 'J '" , W N , <' 0 , .-< 0 , , , N <Xl , III 0 , \ '" , , .. , , ,~ M , , >< '" ~ , , 0-1 '" H '0 0: E-<!3 ><~~ 0-1 M 0 J H ~ 0-1", :x: 1 0-1 0:.-< E-< ~ :> ClCll M CIl ~ 0-1 H MM Z<( H .. ~ E-< 0 ZZ H>< o-1M>< III CIl MCIl ~ 00 E-<O 'J~O p. M :':M :X::X: 0 E-< "J ~~ CIl p.p. 0 E-< 0 r..~ ~ ~ :E Z E-<'J P. P. Z 0 Z .. 0 0-1 ~ OP:' H<' .--l...:!t'o:tCO ~ HO CIl E-<Ill U"l,::e:.-lNU"l E-<E-< Cl E-< <( .. .. 3: .. r-- .. CIl g UU ~ Z 00 6~~~~ E-< MM ~ M 13'-<", Z 0 p.p. 0 :E M N M CIlCll 0-1 HZ:E 0 <' :x: III ~ ZZ H ffioO ~\DO\\O(I)\O~\O 2- S H H ::> HU 0"'0 0 0 0 III E-<' C10Io(jolC(a U l:lP.CIl ZN...-lNZNZN >< HHE-< H.......N.........H........H........ U P: CIlO:S Qco\OO'\Cll"lf-l~ \::: Z '0 ~~CIl 0-10 CHoma H Ocll H-.....:!........H.........H......... ~ Ocll MM ~~~~ffi6e!6 Z oM 100: 0 oU M H 'U E-< :> E-< N<( H <( U<(1ll ~p.~ Z::>Z"'cIl 0 f-.l~O:HN~ III mOOE-tf-t '0: I'<cIl::> W~CI)CJ)N ZcIl 0-1 0-1 0 O::~ZH 10\ ClHM 0-1p. 0-1 0 ~H8~~~ Z 0: 'J<( 'J H '" <( "'0 ~ .-<cIl N Z f-l ..00 M .......H f-t Z 10 HOl:l -0-1 rlf-tH~OO ::JMM "'''' '" "'M (JJ~CI)MO 1IlE-<E-< 00 0 oCl '" H !3 j , , CIlM " , :;;~ gf:J~ "'''' '" ~~m ~~ 00 0 0 O~ " , 'E-< MO NN '" "'0: 0: 0: o:o:u 0 . III 0: .M I'< p. ZO III III 0 E-< ~~ Mr.. cIl -U .-< .-< 0:0 CIlE-<<( E-< 0 0 0 <( ~~~gj~L H cIl 1'<>< ~ , ME-< l:lZZZP:p. P. .-< '" O:H ~MO~<(P. >< 0-1 0-1 P.U E-<UOp.<( P. E-< III III .""'~. Jfid~~ D! 'I.tii..~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL 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 05-00000989 Date 187857 123 1/2 FOREST AVE 06-30-09-5-2-2652-0000- ACC. RESIDENT. UNIT RES ACCESSORY BUILDING 3/07/06 RS7 RESDNTL SINGLE FAMILY 49484 Owner Contractor LARSEN, KRISTINA 123 FOREST AVE PORT ANGELES ( 36) 452-1724 WA 983622515 BURFITT CONSTRUCTION INC P.O. BOX 773 CARLSBORG WA CARLSBORG WA 98324 Other struct info TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 18.60 1. 00 2320.00 12500.00 704.00 3024.00 1. 00 " \.> tAl permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OWNER/ 200A SVC 71 753 78.70 3/07/06 9/03/06 plan Check Fee Valuation .00 o \"\ ~ Qty 1. 00 Unit Charge Per 78.7000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 78.70 ~\ ~ "'\ 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. 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. 10/20/2005 08 :.32 AM SROBERDS - - The proposal is to add a 704 sf accessory residential unit to a RS-7 property for total lot coverage of 24%. CUP 05-04 was approved for the use. No land use issues are noted. $0 Connect Fee if Sub-fed from the House. 10/10/2005 63(03 PM JHEBNER ---------------------------- Electrical permits are required. 10/10/2005 03:03 PM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. A seperate water meter is required for the new residence and a sanita~ sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. t ~ Other Fees SEWER SYSTEM DELV CHARGE 110.00 COMMENTS/ACTION NEEDED I ELECTRICAL PERMIT INSPECTION RECORD r,At,L 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNI..A 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 DATE ACCEPTED COMMENTS YES NO lJll~l1 lit U It ~~-IN I CU Y.ljn ~hK V lCh FINAL I I " GENERAL COMMENTS: PW.lI02.U (4'961 $~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 ~ " Application Number . . . . . 05-00000989 Application pin number 187857 Page 2 Date 3/07/06 Other Fees STATE SURCHARGE WATER METER RESIDENTIAL 4.50 715.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 829.50 829.50 .00 .00 Grand Total 908.20 908.20 .00 .00 COMMENTS/ACTION NEEDED r ,I ELECfRICAL PERMIT INSPECfION RECORD ~ALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.II02.I~ (4196] r-\O 0 ...... m 0 ...... N f>lf>l Cll-< ..:..: 0..0 ... N r- 0 ... 0 , N eX> ltl 0 ... f>l >< \0 :>: ...:I '" H <>: 1-<!3 f>l H ~ ...:I :> ClUl ...:I H f>lf>l Z": I-< 0 ZZ H>< Ul f>lUl gJ 00 1-<0 f>l :><:f>l :I::I: 0 I-< ~~ Ul 0..0.. 0 0 o..~ Z 1-<'"> Z 0 Z .. 0 ~ 0<>: Hr- HO Ul I-<ltl 1-<1-< Cl I-< ..: .. Ul UU Z Z 00 I-< f>lf>l H ~ ~ 1!5...'" Z 0..0.. 0 f>l UlUl ...:I HZ:>: 0 r- ~ ~~ H ~OO 0.. \Om ::> HU om 0 <!l 1-<...... Clo' U Oo..Ul ZN'" >< HHI-< H......N U <>: Ul<>:S o eX> \0 ~ '0 ~~Ul ...:10 oul H.........:I oul f>lf>l ::>N": Z of>l '0<>: <!loUl 1-<0 oU f>lHH ,U E-< ~1!5t;..:~": .... ::>Z\Oul ~o..~ ~ ltl I-< .Il: 1-1 N ~ 0 (J) E-t f-4 8 I lJ:: />oul::> rxlZCI)(J)N Zul 0 P::: M Z H , 0'\ tllHf>l ... ~e8~~~ II: <>: .... '" ul mo ~ ...ul Nf>ll-< -00 f>l .........p::E-tZIO ....00 -...:I ... HOOoo =:>f>lf>l '~ \Of>l . ~ (J)MO III 1-<1-< oCl ~~~~~~ Ulf>l , ...... ~~ of>l...:l , l"""'ltc:Cco~oa 0::>0. '0 0 0:>: , " ......1-< f>l0 , N<>: <>: <>: <>:<>:U , 0 . <!l <>: .f>l 0.. , 0. ZO <!l III , 0 I-< .~ , f>lo.. ul -U , ... <>:0 gjl-<~<>:f;]Z E-< 0 , 0 ..: .... ul , 0..>< <>:~I-<f>lU...:I ~ ...... , f>ll-< OffiiH~g: 0. , ... <>:H >< , ...:I o..U ~I-<UOo...: />0 I-< , <!l f pORT ~ 6''''O~~~ Ra ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING 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 LARSEN, KRISTINA 123 FOREST AVE PORT ANGELES ( 36) 452-1724 Other struct info Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date 05-00000989 Date 10/20/05 187857 123 FOREST AVE 1/2 06-30-09-5-2-2652-0000- ACC. RESIDENT. UNIT RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 49484 Contractor ~ qhYltl6 ~ ~ ~ WA 983622515 BURFITT CONSTRUCTION INC P.O. BOX 773 CARLSBORG WA CARLSBORG WA 98324 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT -RESIDENTIAL 63099 667.25 10/20/05 4/18/06 Plan Check Fee Valuation 25.00 Qty Unit Charge Per BASE FEE 10.1000 THOU BL-25,001-50K (10.10 PER K) Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date MECHANICAL PERMIT 63115 68.75 Plan Check Fee 10/20/05 Valuation 4/18/06 Qty Unit Charge Per BASE FEE 3.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 63107 103.00 10/20/05 4/18/06 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 7.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA.WATER HEATER 18.60 1. 00 2320.00 12500.00 704.00 3024.00 1. 00 266.90 49484 ~ (j:J ~ ~ .., (\ '\to '\ ~ ~ ~ Extension 414.75 252.50 .00 o Extension 47.00 21. 75 .00 o Extension 47.00 49.00 7.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of CO/;i;O~ daMv ,/(y2f)/OS- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\1102_15 building permit inspection record05.wpd (1/4/2005] 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 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 BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEATP~/FURNACE/DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Po1icies\1102_15 building permit inspection record05.wpd (1/4/2005] fPOR'F""", ",~O~"':<;. Gha~ :\. -- ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000989 Application pin number 187857 Page 2 Date 10/20/05 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. 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. 10/20/2005 08:32 AM SROBERDS -- The proposal is to add a 704 sf accessory residential unit to a RS-7 property for total lot coverage of 24\. CUP 05-04 was approved for the use. No land use issues are noted. $0 Connect Fee if Sub-fed from the House. 10/10/2005 03:03 PM JHEBNER ---------------------------- Electrical permits are required. 10/10/2005 03:03 PM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. A seperate water meter is required for the new residence and a sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE WATER METER RESIDENTIAL 110.00 4.50 715.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 839.00 839.00 .00 .00 Plan Check Total 266.90 266.90 .00 .00 Other Fee Total 829.50 829.50 .00 .00 Grand Total 1935.40 1935.40 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] 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 .1/tlloe:. :fU, WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING AtJlrU;O r1fwftb UNDER FLOOR I SLAB ROUGH-IN J..I ~ 1..0..-0 6 \ 1...1/ WATER LINE (METER TO BLDG) I GAS LINE BACK FLOW I WATER AIR SEAL WALLS ~/.( lex. TIP CEILING I 1 FRAMING JOISTS 1 GIRDERS ~ I , SHEAR W ALLlHOLD DOWNS ~ / Iv"" /tk J{V WALLS 1 ROOF I CEILING I DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I , WALL 1 FLOOR I CEILING I.)/~L~ J4--- MECHANICAL / PiNA~f5rJ q/~6 ~ HEAT PUNWI FURNACE I DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING 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. 1 PW 1 CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 nLA J ~-'" I PLANNING DEPT. BUILDING 417-4815 'I' 'l~ V t.(../ BUILDING ~ ~ ~~ ~~ ~.~ ~ ~ ~-\ ~ ~ T:\Policies\1102_15 building pennit inspection record05.wpd [1/412005] \ ~ VORT ~ ~..o~~.... u,.~ 1!:0-- ~~ 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 05-00000989 Date 10/20/05 187857 123 FOREST AVE 1/2 06-30-09-5-2-2652-0000- ACC. RESIDENT. UNIT RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 49484 Owner Contractor LARSEN, KRISTINA 123 FOREST AVE PORT ANGELES ( 36) 452-1724 WA 983622515 BURFITT CONSTRUCTION INC P.O. BOX 773 CARLSBORG WA CARLS BORG WA 98324 Other struct info TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 18.60 1. 00 2320.00 12500.00 704.00 3024.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 62315 715.00 10/20/05 4/18/06 Plan Check Fee Valuation .00 49484 Qty Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER Extension 715.00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 62323 Permit Fee 110.00 Plan Check Fee Issue Date 10/20/05 Valuation Expiration Date 4/18/06 .00 49484 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. 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. 10/20/2005 08:32 AM SROBERDS -- The proposal is to add a 704 sf accessory residential unit to a RS-7 property for total lot coverage of 24%. CUP 05-04 was approved for the use. No land use issues are noted. $0 Connect Fee if Sub-fed from the House. 10/10/2005 03:03 PM JHEBNER ---------------------------- 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 cons ruction. If)./ Z{) -OJ- Date Signature of Owner (if owner is builder) Date T:\Policies\1102.1SR [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\11 02.15R [1/05] rftfl'ORT..v,.Q l ~"iji.r.... ha "-~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 05-00000989 Application pin number 187857 Page 2 Date 10/20/05 Special Notes and Comments Electrical permits are required. 10/10/2005 03:03 PM JHEBNER ---------------------------- Any modifications to the City's electrical facilities will be at the customer's expense. A seperate water meter is required for the new residence and a sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE WATER METER RESIDENTIAL 110.00 4.50 715.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 825.00 825.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 829.50 829.50 .00 .00 Grand Total 1654.50 1654.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\ 1102.15R [ 1/05] 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 DRlVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] . BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: ate l{ec.:ltP'-7-o~ '~"'f2.5-~ Date Approved: , ~ Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call A ./J _ J /" ,... (360)417-4815 C<{) f. 6tt.l n Lj?- Applicant or Agent: !<'rGl51{ ti\ J1 LA es e.. n Owner:j.((2t 511 V\A-- LJtfZ5e (f) Phone: Address: 12-3 FoC-t:SlituE, , {f,06:>y ZI1Z)City: 1brz-r (t1lL6e(ecS Zip: 1 %3rf; Z, Architect/Engineer: cf V\ V) [6 CY t<.Du..n.L~ Phone: 4 1'1- 5 (0 rS'" Contractor ~ e(+h 13{).l2..ri rr State License #:t7tH'lD4(..1'714flExp: /0-/1-01 Phone: {Pg3 -&7 go Address: 16 ,~O'l11:3 City: CtA-rZL 5(31)(2G Zip: l' g3z. 'f PROJECT ADDRESS: /Z?)f;.;"W. FOl'ZED AVE. ZONING: rz57 LEGAL DESCRIPTION: Lot: I L..j q...- 16 Block: Zt, Subdivision: F06tfrftt( <j.. VO(.,uHAS pq.dd~+(()i.n Phone: tf5J- ('7;) L{ I' CLALLAM COUNTY PARCEL NUMBER: RP 603>001' 5Z.Z.~SZ- oCJoo Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: ~ Residential rr New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ft L.ee ~ 50 r Y lZeS I DdA..-n t.i\ c.. alA L --r COMMERCIALfRESIDENTlAL: Occupancy Group: 1L-? Occupant Load: Construction Type: V 11. No. of Stories: --L Lot Size: 1Z-\lJOO Existing Sq. Ft. 2/")2-.0 & Proposed Sq. Ft. 1 D 4 = TOTAL Sq.Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage ~ 'f. % City: Exp. Date: MC # o Stove o Garage o Deck o Other SIZENALUATION: '104 SF. @ $ '70,2- '1 /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 41', 4CO~ - , )p~tf APPROV ALS: PLAN: BLDG: DPWV: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infonnation on the application and plan submittal requirements if you have questions. V ALVA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are require ,not the City!o, and that I must obtain such permits prior to work. YtM- I294L-Date: IO-I-0j- Applicant: T:\FO RMS\APPS\Bui Id in gpermi t. \vpd ,O'SZI I J -I m I .~ - () 1\ I ~ ~ it ct- - 19 I --'- I -~ -3^ I?J d ~xa I~ . II IIO-r:>> II IO.t:;-z,) "f- r- lED G \ rJ 8 Ul1t~~ ~Il ~ ltJ-~ ~ ~ - ill~~ ~ ~ ~~ i ~~!~ r \ n.::r1 ;~ , - (~( I (. I -.::;/ I ". "'I - L V{V~~l[t<--( l(.-.G r -'~ ^O -LV\' 3'1> ;-- 5 a.v-tt1c, fA~I<'IV\q 1~orj ()JLeN I 1-2'f32 17' A a. u., +. W '104 if '-u ~ "- ~ ~ J...... l:i ~ ~ e n.:. I V r<l()~- Fro"'" 4 ~1l.9 I <<)'1\ ~ rro~7t4 nVlt.--' I I ---~ ~ /- ---+-- i- ~ 011 E 5CfJll,,'\1~C - 2' 3t' '( !Y/. hOII~G (BYI sn '^-.fJ Ie: " .... rI - "-' '1' f ro\\1' ~ ft-r ~ J,J ,~~, c.k ~f'{ l \'\ 'Sr fG rUfitlti I Z:?J Fa:{~~-( ME? ,. f.!- (2,1 S 1t/1 k ~93rJ 5 { Or3 l.{YtrD f\ \ "- 1/" \.J \' ~I 5:').:' r V.~'9 rofec)f ,A ue~ I -/ .:5::l0fr ~U1\V\ lli ~ -- ....J ? l.. ~ ~ ~ ~ Prescriptive Approach - Simple Form !=or the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use ,only Lot: Address: \'2 ~ w. fDre~ A~. City:.p~ ~CS,.. State: WA ZiP:j PJ~b~ "Permii#: :.-;.,,< : -,.' '~:"'" ,-~ "Notes:- "':::1.;; ~ ~ .t:-~,>. Contact: . . '::.:' ' i~::~ Phone: Phone 2: " :. i,~;,; ,..;:......:. ~ '.. I:':::' ~ ~;.:: r:," .".;,,-,,: Fax: f.':.r'~.c':~',: '~';:'~;.", ~,~~: :~.:~~;.~..~~.~.:.~~~,~" _:;., .'~.:;.~~:.;.'~~~:_~.! ::;,::~:,;::.. .,.c "..... ..:::,;' .t; ,; ,-::" ,~; .":,:" 1 b;:"':!'~' Ii ;":';~; . !:',: \.=.'!J: :,':J ;:,:,;:,,;,';,;-,,;:,,',:,~, ,~'_';-; ;.;:;;';.'t~::,;,t,:"t;:.",~';'-;,',:;'~';::::;_::::,ji'~~i':i'I~",~::':ll;G Option Glazing Area I 0 % of Floor Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY , CLIMATE ZONE 1 (Unlimited GJazin 0 tion Only) Door" U- Vertical Overhead II factor Glazing U-Factor Ceiling2 Vaulted Ceiling3 Wall Above Grade Wall Int4 Below Grade Wall E^-14 Below Grade FloorS Slab4 On Grade ill Unlimited Group R- 3 Occupancy Onl 0.40 0.58 0.20 R-21 R-IO R-IO See the code text for footnote references This project complies with the following: ./ The project is a single family residence or duplex. ./ The project is wood frame OR all of the insulation is interior or exterior of the framing. ./ All building components meet the requirements listed in Table 6-1, Option III. ./ The project will meet all other provisions of the WSEC and VIAQ. The project will take advantage of the following exceptions to the prescriptive option: o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with a U-factor of OAO allowed without calculations, Option III only. Location of the door(s) taking this exception T)"ps.. D F ~\GA-\- Sou'ld-c"Z'? WttU ilCt1~ [)V1~ Copyright 2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescriptive - Simple Form - Climate Zone 1 712612004 J ~ ~lf!!l..... T J.8eaml!> 6. 15 Serial Number. 7004012143 User: 1 1017120058:11:23AM Page 1 Engine Version: 1.15.33 Sliding Glass Door Hdr 3 1/8" X 7 1/2" Classic Glulam ™ (24F - V4 OF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 0112 RoofSlope0l12 J [!]~ , b ... L ~ ~ 6' 6" All dimensions are horizontal. Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 3' Primary Load Group - Snow (pst): 25.0 Live at 115 % duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Snow( 1.15) 2319 1523 3' SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/UpliftIT otal 1 Stud wall 3.50" 1.87" 1497/988/0/2485 By Others None 2 Stud wall 3.50" 1.64" 1309/865/0/2174 By Others None -See T J SPECIFIER'S I BUILDERS GUIDE for detail(s): By Others DESIGN CONTROLS: Maximum Design Control Shear (Ibs) 2464 2370 4313 Moment (Ft-Lbs) 6478 6478 6738 Live Load Deft (in) 0.110 0.206 Total Load Deft (in) 0.183 0.308 -Deflection Criteria: STANDARD(LL:U360,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 6' 6" ole unless detailed otherwise. lateral bracing is required to achieve member stability. -Design assumes adequate continuous lateral support of the compression edge. Control Passed (55%) Passed (96%) Passed (U670) Passed (U404) Location Lt. end Span 1 under Snow loading MID Span 1 under Snow loading MID Span 1 under Snow loading MID Span 1 under Snow loading Proper attachment and positioning of ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will be accomplished in accordance with TJ product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate. -Not all products are readily available. Check with your supplier or T J technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the T J Distribution product listed above. -The analysis presented is appropriate for Classic Glulam 1M beams by Weyerhaeuser. PROJECT INFORMATION: Larsen Residence OPERATOR INFORMATION: Annie O'Rourke Prudential Drafting Solutions PO Box 1246 Port Angeles, WA 98362 Phone: (360) 417-5615 draftingsolutions@olypen.com Copyright ~ 2004 by Trus Joist, a Weyerhaeuser Business TJ-Bearn@ is a registered trademark of Trus Joist. Classic Glulam~ is a trademark of Weyerhaeuser. c: \Documents and Settings\KATE WADDELL\Desktop\Drafting Solutions\Larsen OS-OSO\sgd hdr .sms