HomeMy WebLinkAbout1003 Dunker Dr - BuildingApplication Number 08 00001309
Application pin number 246370
Property Address 1003 DUNKER DR
ASSESSOR PARCEL NUMBER 06 30 01 8 3 0100 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
Ditch only for service
Owner Contractor
NORTH PENINSULA BUILDERS ASSOC
P 0 BOX 748
PORT ANGELES WA 98362
(360) 452 8160
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc POFTAL PORTAL FOR DITCH
Permit pin number 13E333
Permit Fee 69 00 Plan Check Fee 00
Issue Date 10 /15/08 Valuation 0
Expiration Date 4/13/09
Qty Unit Charge ler
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98362
(360) 452 1689
BASE FEE
Charted Paid Credited
69 00 69 00 00
00 00 00
69 00 69 00 00
Date 10/15/08
Extension
69 00
Due
00
00
00
INSPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
EL Fir TRICAL
RESULTS INSPECTOR
10/13/2008 12 59 FAX
RE 7y Fer
Job wired by O Electr l ical Contractor
Electrical contractor name I,tcense number Date Expires
sthingt. El e--1 L 5wAt iF) GQ?.3 53
Purchaser's mailing address
for LZJ g_,9
r
Stale ZIP
Po(# 14Nrcide WA ?836
T lephon number FAX number
L3(OO s
Premise owner's name rr IJCrt• MNWM
".t4 4 Z`..I.lders Acct ,U
Address or inspection
1003 p V—er fi
Fell er d e 9Q(:).3
illED
Phone number to schedule inspection soe 5�085(
Owner as defined by RCW /9 28.261. (1) Owner will occupy the structure for two
years tiller this electrical permit is finalized (2) Owner is required to hire an electrical
contractor if above Said property Is fob Ale. rent or lease.
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 instal-
lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter
19,28, WAC Chapter 296 463, The City of Port Angeles Municipal Code, and
Utility Sppcifications.
/Signs a of owner electrical contractor or electrical admi istrator
i 1 3/ 06
Ir D ate
Electrical Load Addltlon nd dr subtractions
NO LOAD CHANGES
O Baseboard KW
O Furnace KW
Heat Pump Ton LAR
Fan•Wall KW
Inspection
Date
Dale
Date
,plowed Hy
FINAL
0001 /001
YS N O c. ATC
4 y Ck� PA F
OCT 1 2008 I M
ELECTRICAL WORK PERMIT APPLICATION
/Installation description
O Owner Commercial erReside oriel
Overhead Service
Temp Service
O Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735
ROUGH!I\ THERMOSTAT
par Appro ed hi)
DITCH
Q 14) I�
AprNYCd Dy D c ADDI■veO By
Area, Building or Equipment Inspected
0 New O Altered /Addition
pa
(A79-1 A-0 Qom(
O Cash Check
Credit Card Visa
Card
Expiration Date
of card
ON e
Mastercard Discover
Voltage
Phase 1 3
Service Size;
Feeder Size:
SERVICE
Appr eJ li\
FEEDER
Action Taken
c
Service In
Approval H. J
Electrical
Inspector
71%
0
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL FIRE SPRINKLER
Owner
NORTH PENINSULA BUILDERS ASSOC INNOVATED FIRE SPRINKLERS
P O BOX 748 81 NEW HAVEN LANE
PORT ANGELES WA ')8362 PORT ANGELES
(360) 452 8160 (360) 452 7583
Structure Information 00) 000 INSTALL FIRE SPRINKLER SYSTEM
Permit FIRE SPRINKLER RESID
Additional desc INSTALL FIRE SPRINKLER SYSTEM
Permit pin number 119)09
Permit Fee 50 00 Plan Check Fee
Issue Date 3/21/08 Valuation
Expiration Date 3/19/08
Qty Unit Charge P.r
Special Notes and-
Call for cover inspection for all sprinkler installations A
full acceptance test will be required for all fire alarm
systems
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
description
Charged
YSTEM
50 00
00
50 00
08 00000114
854526
1003 DUNKER DR
06 30 01 8 3 0100 0000
NORTH PENINSULA BUILDERS
FIRE SPRINKLER SYSTEM
RS9 RESDNTL SINGLE FAMILY
2750
BASE FEE
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, WA 98362
Contractor
'Paid Credited
50 00 00
00 00
50 00 00
Date 2/21/08
WA 98362
Due
Extension
50 00
00
00
00
00
0
":5'
T;-)e
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 examined 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 provisions of any state of local law regulating the work specified in the permit. 0/2//
LAA-c-t.d 12)..P Signature of-Contractor or Auth hate Signature of Owner (if Owner is builder) D ate
0
OQ
1
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.
FIRE PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Date Passed
Inspection Type
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
FIRE ALARM
Rough -in inspection
Alarm final
LP -GAS
Underground piping inspection /pressure test
Above ground piping inspection/pressure test
Tank (container) inspection
Appliance inspection
LP gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable /combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
GENERAL COMMENTS
Comments
Completed by Contractor
Test #1
Piping pressure test
Time initiated
Test #2
Piping pressure test
Time initiated
2/15/00
psi
psi
3
Floor Areas
Applicant or Agent V; v c
Owner cl
Owner's Address
Contractor /Engineer v v 1' 4TE.,9 F S' /C Phone
Contractor /Engineer's Address ,gl i JQ.c t 1 /Yc.
License //(,ic/0 1- 1 Li 0 Expires
PROJECT ADDRESS /0Q 3 '0 t.t. k v -s U .ems
Lot Zoning
Multi family Industrial
S 742
Parcel Number
Protect Type Brief Description.
Check all that apply
ew Construction
Addition
Remodel
Repair
Re -roof
Demolition
Sign
Heat System
Other
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Bu Permit Technician er
321 E. Fifth St. Port Angeles WA 98362 0 yn^
(360) z 17 -4815 fax (360) 417 -4711 I1u $0\
.1/ S/ s
wall- mounted projecting freestanding awning
Total sign area sq ft. Maximum allowed sign area sq ft.
Heat pump wood burning stove gas fireplace pellet stove other
I I
Existi (sq. ft.)
T
Forms/Building Divisio, 'Bldg Permit Appl. -2006 Code doc
Residential Commercial
Proposed (sq. ft.)
sq ft. Lot size
Max height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be ins ailed? Occupant load
Will a fire sprinkler system be installed? Construction type
Phone
Phone
For City Use Only
Date Received 9 —Z
Permit (OR-- 1 I4
Date Approved
yS2- 7,58.3
3 /f /a 8
per sq ft.
TOTAL VALUATION 2 750, o o
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
other
I have read and completed this application and know it to he true and correct 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 on
projects 1 J
Date
projects
Date Print Name r C Q v.T L Signature 6 e
V LP J1/�
Project Name Privat residence Address 1003 Dunker Drive
Installer• Innovated ]ire Sprinkler
Type of System.
Date 1.29.2008
We have checked this plan and find that it conforms to the requirements of the code
Additional Comment:
All systems, includmf, underground mains, shall be installed by a state licensed and certified
company Systems stall be installed per the applicable NFPA Standard.
All electrical components shall be compatible with the fire alarm system.
All underground pipirg must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR t being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all 13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFPA Standard. This 13D system will require a
measured flow test.
tAl
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417 -4650 FAX (360) 417 -4659
Open
Fire Sprinkler System Plan Review
Installer Telephone 452 -7583
13❑
PAFD Permit 08 -05
13 R❑ 13D®
Contractor Reviewed by C.O
Building Depa tment Date 1 Za U
Fire Departme*_it
Application Number 08 00000084 Date 1/22/08
Application pin number 680288
Property Address 1003 DUNKER DR
ASSESSOR PARCEL NUMBER 06 30 01 8 3 0100 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
NORTH PENINSULA BUILDERS ASSOC
P 0 BOX 748
PORT ANGELES WA 98362
(360) 452 8160
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc ALL WEATHER/ T STAT
Permit pin number 119461
Permit Fee 35 00 Plan Check Fee 00
Issue Date 1/22/08 Valuation 0
Expiration Date 7/20/08
Qty Unit Charge F Extension
1 00 35 0000 ECH EL LVT FIRST THERMOSTAT 35 00
Fee summary
ALL WEATHER HEATING COOLING
302 KEMP RD
PORT ANGELES WA 98362
(360) 9813
Charged Paid Credited Due
Permit Fee Total 35 00 35 00 00 00
Plan Check Total 00 00 00 00
Grand Total 35 00 35 00 00 00
ENSP FCTIOI\
TYPE
DITCH
SERVICE
ROUGH-
FINAL
COMMENTS
ELECTRICAL
DAT F, RESULTS INSP F,CTOR
2,11g/oPi
Application Number 07 00001408 Date 11/30/07
Application pin number 439168
Property Address 1003 DUNKER DR
ASSESSOR PARCEL NUMBER 06 30 01 8 3 0100 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
NORTH PENINSULA BUILDERS ASSOC
P 0 BOX 748
PORT ANGELES WA 98362
(360) 452 8160
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
WA 98363
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc SIMPSON/ TEMP SVC
Permit pin number 116707
Permit Fee 46 00 Plan Check Fee 00
Issue Date 11/30/07 Valuation 0
Expiration Date 5/28/08
Qty Unit Charge Per Extension
1 00 46 0000 ECH EL TEMP SRV 0 100 SRV FDR 46 00
Charged Paid Credited Due
46 00 46 00 00 00
00 00 00 00
46 00 46 00 00 00
IN
SPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
7/7/0 -4(7,0
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360 -417 -4735
Application Number 07 00001026
Application pin number 648078
Property Address 1003 DUNKER DR
ASSESSOR PARCEL NUMBER 06 30 01 8 3 0100 0000
Tenant nbr name NORTH PENINSULA BUILDERS
Application type descriF RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 200000
Owner Contractor
NORTH PENINSULA BUILDERS ASSOC NORTH PENINSULA BUILDING ASSN
P 0 BOX 748 PO BOX 748
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452 8160 (360) 452 8160
Structure Information 0(0 000 1753 SF SFR 483 ATT GAR 130 COV PRCH
Other struct info TOTAL LOT COVERAGE 25 50
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
CONSTRUCTION TYPE V N
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ELECTRICAL NEW RESIDENTIAL
SHAMP/ 2236 SQ FT SFR
112649
SHAMP ELECTRICAL CONTRACTING
113 00 Plan Check Fee
10/11/07 Valuation
4/08/08
Qty Unit Charge Per
1 00 69 0000 ECH EL R SQFT FIRST 1300
2 00 22 0000 5C EL R SQFT ADDITIONAL 500
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 subdi\isions 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 Coda (IFC) and National Fire Protection
Association (NFPA)
09/14/2007 02 59 PM SROBERDS The proposal will result
in a new sfr in the RS -9 zone for total lot coverage of
26% No land use issues anticipted
Electrical load calculations and elctrical permits are
required
Customer Connection Fee $713 00
09/11/2007 03 01 PM GMCLAIN
EROSION SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED
ENGINEER DESIGN PRIOR TO START OF WORK
Sanitary sewer connection inspection is required by
Public Works prior to lack fill of ditch 24 hour advance
notice is required
Date 10/11/07
1 00
9255 00
2366 00
2366 00
1 00
00
0
Extension
69 00
44 00
INSPECTION
TYPE
DITCH
SERVICE
ROUGH IN
FIN
AL
COMMENTS
EL hCTRICAL
DATE RESULTS INSPECTOR
Application Number 07 00001026
Application pin number 648078
Special Notes and Commelts
Construct driveway to City Standards No concrete with
exposed aggregate allowed in the City road right of way An
inspection by Public Works Engineering is required prior to
pouring concrete
Other Fees
Fee summary
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY DRA
DRA FEES PLUS INTEREST
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Charged Paid Credited
I
113 00 113 00 00
00 00 00
3917 18 3917 18 00
-4030 18 4030 18 00
Page 2
Date 10/11/07
80 89
1601 79
1000 00
4 50
1230 00
D ue
00
00
00
00
INSPECTION
TYPE DATE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
EL_IH,CTRICAL
RESULTS INSPECTOR
zl/s /ots NiVP
4/4B ettv
td
Application Number 07 00001026 Date 9/20/07
Application pin number 648078
Property Address 1003 DUNKER DR
ASSESSOR PARCEL NUMBER 06 30 01 8 3 0100 0000
Tenant nbr name NORTH PENINSULA BUILDERS
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 200000
Owner Contractor
NORTH PENINSULA BUILDERS ASSOC NORTH PENINSULA BUILDING ASSN
P 0 BOX 748 PO BOX 748
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452 8160 i (360) 452 8160
Structure Information 000 000 1753 SF SFR 483 ATT GAR 130 COV PRCH
Other struct info TOTAL LOT COVERAGE 25 50
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
BUILDING PERMIT RESIDENTIAL
1753 SF SFR 483 ATT GAR
110353
1580 25
9/20/07 Valuation
3/18/08
BASE FEE
100 00 5 6000 THOU BL -100 001 500K (5 60 PER K)
MECHANICAL PERMIT
111310
104 45
9/20/07
3/18/08
BASE FEE
1 00 14 8000 ECH ME INSTALL 100- FAU
4 00 7 2500 ECH ME VENT FAN
1 00 10 6500 ECH ME OTHER APPL N/R
Permit PLUMBING PERMIT
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
BASE FEE
Separate Permits are required fodelectrical 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 -e{ local law regulating construction or the performance of
construction.
0
1 Signature of Contractor or Autho zed Agent Date Signature of Owner (if owner is builder) Date
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
CONSTRUCTION TYPE V N
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Plan Check Fee
Plan Check Fee
Valuation
1 00
9255 00
2366 00
2366 00
1 00
632 10
200000
Extension
1020 25
560 00
00
0
Extension
50 00
14 80
29 00
10 65
111302
163 00 Plan Check Fee 00
9/20/07 Valuation 0
3/18/08
Extension
50 00
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 4ND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAF WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE /PELLET /CHIMNEY
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PWI
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I
T \Policies11102 15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
YES
I I I
I
1 1
I 1
NO
FINAL DATE ACCEPTED BY.
FINAL
DATE ACCEPTED BY.
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING R. HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
PLANNING DEPT
BUILDING
I I I I
I I I
I I
Other Fees
Fee summary
T• \Policies \l 102_I5 building permit inspection record05 wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 07 00001026 Date 9/20/07
Application pin number 1 648078
Qty Unit Charge Per Extension
12 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 84 00
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00
1 00 7 0000 ECH PL- EA WATER HEATER 7 00
Special Notes and Comments
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)
09/14/2007 02 59 PM SROBERDS The proposal will result
in a new sfr in the RS 9 zone for total lot coverage of
26% No land use issues anticipted
Electrical load calculations and elctrical permits are
required
Customer Connection Fee $713 00
09/11/2007 03 01 PM 3MCLAIN
EROSION SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED
ENGINEER DESIGN PRIOR TO START OF WORK
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway to City Standards No concrete with
exposed aggregate allowed in the City road right of way An
inspection by Public Works Engineering is required prior to
pouring concrete
CITY DRA
DRA FEES PLUS INTEREST
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
80 89
1601 79
1000 00
4 50
1230 00
Charged Paid Credited Due
Permit Fee Total 1847 70 1847 70 00 00
Plan Check Total 632 10 632 10 00 00
Other Fee Total 3917 18 3917 18 00 00
Grand Total 6396 98 6396 98 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
INSPECTION TYPE DATE
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT 4's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417-473 FOR ELECTRI CAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, IA'SULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
IO° Z Io7 Isuw
I —i1. -'081 -w
io- 92 -0 I SLL
1 -25-o8 I 1
io
2_-Z(- zr c
2 -2-1 -oa
2
zo -08 1 P.B
ACCEPTED
YES I NO
CONSTRUCTION R.W /PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I 7
BUILDING 417 -4815 I 0L 3D-O r i $'L-L- I
T \Policies \l 102 15 building permit inspection record05 wpd [1/4/2005]
5iernAo.
SEPA.
ESA.
SHORELINE:
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
FINAIJ(Y3O'v8 DATE -TILL_ LL_. ACCEPTED BY.
FINAL Oh -30 UODATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE I ACCEPTED I
I YES I NO I
0
(3
7
G
I I i It
I I I I
I I i
PREPARED 6/30/08 11 11 55 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/30/08
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
6/24/08 AP June 24 2008 8 43 26 AM kdubuc
fire final
June 24 2008 8 43 48 AM kdubuc
fire final
PW99 01 6/27/08 RV PUBLIC WORKS FINAL
6/27/08 AP June 27 2008 11 08 12 AM rvess
June 27 2008 11 10 50 AM rvess
BL99 01 6/30/08 BLDG FINAL TIME 09 00
11T- June 27 2008 1 59 12 PM 1pangrle
DAN 808 0851
BLDG FINAL
MORNING
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 5/20/08 PB MECHANICAL GAS LINE
5/20/08 AP May 20 2008 8 30 36 AM 1pangrle
DAN 808 0851
GAS LINE
May 16 2008 2 41 23 PM jlierly
May 20 2008 4 48 10 PM pbarthol
June 27 2008 2 00 33 PM 1pangrle
ME99 01 6/30/08 J L MECHANICAL FINAL TIME 09 00
June 27 2008 2 01 00 PM 1pangrle
DAN 808 0851
MECHANICAL FINAL
MORNING
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL6 01 10/17/07 PB PLUMBING WATER SUPPLY
10/17/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 10/16/07 TIME 14 09 02
October 16 2007 2 07 55 PM 1pangrle
MIKE 461 9922
WATER LINE FROM THE METER TO THE HOUSE
PL2 01 1/25/08 JLL PLUMBING ROUGH IN
1/25/08 AP January 24 2008 2 00 22 PM pbarthol
U!'a1�L 0/U 1,C/
January 30 2008 9 33 21 AM 1pangrle
PL99 01 6/30/08 LL PLUMBING FINAL TIME 09 00
June 27 2008 2 02 45 PM 1pangrle
DAN 808 0851
PLUMBING FINAL
MORNING
COMMENTS AND NOTES
PREPARED 5/20/08 9 57 32 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/20/08
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 5/20/08 JLL
MECHANICAL GAS LINE
May 20 2008 8 30 36 AM 1pangrle
DAN 808 0851
GAS LINE
COMMENTS AND NOTES
PREPARED 2/29/08 9 27 25 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/29/08
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/24/07 JLL BLDG FOUNDATION FOOTING TIME 09 00
9/24/07 AP 09/24/2007 09 08 AM LPANGRLE
DAN 808 0851
FOOTING
MORNING
09/24/2007 04 31 PM JLIERLY
BL2 01 9/28/07 JLL BLDG FOUNDATION STEM WALL
9/28/07 AP 09/27/2007 01 52 PM LPANGRLE
DAN 808 0851
FOUNDATION WALL (WILL POUR MONDAY)
09/28/2007 04 25 PM JLIERLY
BLFD 01 10/12/07 PB BLDG FOUNDATION DRAINAGE
10/12/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 10/12/07 TIME 08 32 59
October 12 2007 8 31 58 AM 1pangrle
DAN 808 0851
DRAINAGE
BL9 01 1/11/08 JLL BLDG SHEARWALL TIME 09 00
1/11/08 DA OVERRIDE TAKEN BY LPANGRLE DATE 01/10/08 TIME 15 46 37
January 10 2008 3 44 46 PM 1pangrle
DAN 808 0851
SHEARWALL
DAN REQUESTED THAT JIM COME IN THE MORNING TO INSPECT WHILE
THE KIDS ARE THERE
January 11 2008 4 08 30 PM jlierly
maiising nails and over driven at garage/j11
BL9 02 1/17/08 JLL BLDG SHEARWALL TIME 09 00
1/17/08 AP January 17 2008 8 51 31 AM 1pangrle
DAN 808 0851
SHEARWALL
MORNING WHEN THE KIDS ARE THERE
January 17 2008 4 34 15 PM jlierly
BAIR 01 2/21/08 JLL BLDG AIR SEAL TIME 09 00
2/21/08 AP February 20 2008 2 15 55 PM 1pangrle
DAN 477 4249
AIRSEAL
MORNING
February 21 2008 3 53 48 PM jlierly
BL3 01 2/21/08 JLL BLDG FRAMING TIME 09 00
2/21/08 AP February 20 2008 2 15 31 PM 1pangrle
DAN 477 4249
FRAMING
MORNING
February 21 2008 3 53 48 PM jlierly
BLI 01 2/29/08 L BLDG INSULATION TIME 09 00
t: I February 29 2008 8 46 33 AM 1pangrle
t DAN 808 0851
INSULATION
REQUESTED A MORNING INSPECTION WHEN THE KIDS ARE THERE
COMMENTS AND NOTES
PREPARED 2/21/08 8 59 24 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/21/08
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/24/07 JLL BLDG FOUNDATION FOOTING TIME 09 00
9/24/07 AP 09/24/2007 09 08 AM LPANGRLE
DAN 808 0851
FOOTING
MORNING
09/24/2007 04 31 PM JLIERLY
BL2 01 9/28/07 JLL BLDG FOUNDATION STEM WALL
9/28/07 AP 09/27/2007 01 52 PM LPANGRLE
DAN 808 0851
FOUNDATION WALL (WILL POUR MONDAY)
09/28/2007 04 25 PM JLIERLY
BLFD 01 10/12/07 PB BLDG FOUNDATION DRAINAGE
10/12/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 10/12/07 TIME 08 32 59
October 12 2007 8 31 58 AM 1pangrle
DAN 808 0851
DRAINAGE
BL9 01 1/11/08 JLL BLDG SHEARWALL TIME 09 00
1/11/08 DA OVERRIDE TAKEN BY LPANGRLE DATE 01/10/08 TIME 15 46 37
January 10 2008 3 44 46 PM 1pangrle
DAN 808 0851
SHEARWALL
DAN REQUESTED THAT JIM COME IN THE MORNING TO INSPECT WHILE
THE KIDS ARE THERE
January 11 2008 4 08 30 PM jlierly
maiising nails and over driven at garage/jai
BL9 02 1/17/08 JLL BLDG SHEARWALL TIME 09 00
1/17/08 AP January 17 2008 8 51 31 AM 1pangrle
DAN 808 0851
SHEARWALL
MORNING WHEN THE KIDS ARE THERE
January 17 2008 4 34 15 PM jlierly
BAIR 01 2/21/08 J: BLDG AIR SEAL TIME 09 00
February 20 2008 2 15 55 PM 1pangrle
DAN 477 4249
AIRSEAL
MORNING
BL3 01 2/21/08 JLL BLDG FRAMING TIME 09 00
February 20 2008 2 15 31 PM 1pangrle
DAN 477 4249
FRAMINJ
MORNING
COMMENTS AND NOTES
PREPARED 1/25/08 10 33 27 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/25/08
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL6 01 10/17/07 PB
10/17/07 AP
PL2 01 1/25/08 JL
PLUMBING WATER SUPPLY
OVERRIDE TAKEN BY LPANGRLE DATE 10/16/07 TIME 14 09 02
October 16 2007 2 07 55 PM 1pangrle
MIKE 461 9922
WATER LINE FROM THE METER TO THE HOUSE
PLUMBING ROUGH IN
January 24 2008 2 00 22 PM pbarthol
JAKE 670 3427
COMMENTS AND NOTES
PREPARED 1/17/08 9 27 08 INSPECTION TICKET PAGE 13
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/17/08
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/24/07 JLL BLDG FOUNDATION FOOTING TIME 09 00
9/24/07 AP 09/24/2007 09 08 AM LPANGRLE
DAN 808 0851
FOOTING
MORNING
09/24/2007 04 31 PM JLIERLY
BL2 01 9/28/07 JLL BLDG FOUNDATION STEM WALL
9/28/07 AP 09/27/2007 01 52 PM LPANGRLE
DAN 808 0851
FOUNDATION WALL (WILL POUR MONDAY)
09/28/2007 04 25 PM JLIERLY
BLFD 01 10/12/07 PB BLDG FOUNDATION DRAINAGE
10/12/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 10/12/07 TIME 08 32 59
October 12 2007 8 31 58 AM 1pangrle
DAN 808 0851
DRAINAGE
BL9 01 1/11/08 JLL BLDG SHEARWALL TIME 09 00
1 /11 /08 DA OVERRIDE TAKEN BY LPANGRLE DATE 01/10/08 TIME 15 46 37
January 10 2008 3 44 46 PM 1pangrle
DAN 808 0851
SHEARWALL
DAN REQUESTED THAT JIM COME IN THE MORNING TO INSPECT WHILE
THE KIDS ARE THERE
January 11 2008 4 08 30 PM jlierly
maiising nails and over driven at garage/j11
BL9 02 1/17/08 !(\7I( BLDG SHEARWALL TIME 09 00
January 17 2008 8 51 31 AM 1pangrle
DAN 808 0851
SHEARWALL
MORNING WHEN THE KIDS ARE THERE
COMMENTS AND NOTES
PREPARED 1 /11 /08 8 55 50 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/11/08
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/24/07 JLL BLDG FOUNDATION FOOTING TIME 09 00
9/24/07 AP 09/24/2007 09 08 AM LPANGRLE
DAN 808 0851
FOOTING
MORNING
09/24/2007 04 31 PM JLIERLY
BL2 01 9/28/07 JLL BLDG FOUNDATION STEM WALL
9/28/07 AP 09/27/2007 01 52 PM LPANGRLE
DAN 808 0851
FOUNDATION WALL (WILL POUR MONDAY)
09/28/2007 04 25 PM JLIERLY
BLFD 01 10/12/07 PB BLDG FOUNDATION DRAINAGE
10/12/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 10/12/07 TIME 08 32 59
October 12 2007 8 31 58 AM 1pangrle
DAN 808 0851
DRAINAGE
BL9 01 1 /11 /08
BLDG SHEARWALL BIME 09
OVERRIDE TAKEN BY LPANGRLE
DATE 01/10/08 TIME 15 46 37
January 10 2008 3 44 46 PM 1pangrle
DAN 808 0851
SHEARWALL
DAN REQUESTED THAT JIM COME IN THE MORNING TO INSPECT WHILE
THE KIDS ARE THERE
COMMENTS AND NOTES
vt s k D2't
It/it c e 4040„;
PREPARED 10/17/07 9 27 37 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/17/07
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL6 01 10/17/07
GO
JLL
PLUMBING WATER SUPPLY
OVERRIDE TAKEN BY LPANGRLE DATE 10/16/07 TIME 14 09 02
October 16 2007 2 07 55 PM 1pangrle
MIKE 461 9922
WATER LINE FROM THE METER TO THE HOUSE
COMMENTS AND NOTES
PREPARED 10/12/07 10 09 26 INSPECTION TICKET PAGE 15
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/12/07
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/24/07 JLL BLDG FOUNDATION FOOTING TIME 09 00
9/24/07 AP 09/24/2007 09 08 AM LPANGRLE
DAN 808 0851
FOOTING
MORNING
09/24/2007 04 31 PM JLIERLY
BL2 01 9/28/07 JLL BLDG FOUNDATION STEM WALL
9/28/07 AP 09/27/2007 01 52 PM LPANGRLE
DAN 808 0851
FOUNDATION WALL (WILL POUR MONDAY)
09/28/2007 04 25 PM JLIERLY
BLFD 01 10/12/07 JLL BLDG FOUNDATION DRAINAGE
OVERRIDE TAKEN BY LPANGRLE DATE 10/12/07 TIME 08 32 59
October 12 2007 8 31 58 AM 1pangrle
l DAN 808 0851
DRAINAGE
COMMENTS AND NOTES
/4e#07,,,T ,54/
PREPARED 9/28/07 9 17 09 INSPECTION TICKET PAGE 17
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/28/07
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/24/07 JLL BLDG FOUNDATION FOOTING TIME 09 00
9/24/07 AP 09/24/2007 09 08 AM LPANGRLE
DAN 808 0851
FOOTING
MORNING
09/24/2007 04 31 PM JLIERLY
BL2 01 9/28/07 LL BLDG FOUNDATION STEM WALL
1 09/27/2007 01 52 PM LPANGRLE
-"kV DAN 808 0851
FOUNDATION WALL (WILL POUR MONDAY)
COMMENTS AND NOTES
PREPARED 9/24/07 10 35 23 INSPECTION TICKET PAGE 15
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/24/07
ADDRESS 1003 DUNKER DR SUBDIV
TENANT NBR NORTH PENINSULA BUILDERS
CONTRACTOR NORTH PENINSULA BUILDING ASSN PHONE (360) 452 8160
OWNER NORTH PENINSULA BUILDERS ASSOC PHONE (360) 452 8160
PARCEL 06 30 01 8 3 0100 0000
APPL NUMBER 07 00001026 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 9/24/07
BLDG FOUNDATION FOOTING TIME 09 00
09/24/2007 09 08 AM LPANGRLE
DAN 808 0851
FOOTING
MORNING
COMMENTS AND NOTES
(1 0 rl"
Application Number 07 00001026 Date 9/20/07
Application pin number 648078
Property Address 1003 DUNKER DR
ASSESSOR PARCEL NUMBER 06 30 01 8 3 0100 0000
Tenant nbr name NORTH PENINSULA BUILDERS
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 200000
Owner Contractor
CITY OF PORT ANGELES'.
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
NORTH PENINSULA BUILDERS ASSOC NORTH PENINSULA BUILDING ASSN
P 0 BOX 748 PO BOX 748
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 452 8160 (360) 452 8160
Structure Information 000 000 1753 SF SFR 483 ATT GAR 130 COY PRCH
Other struct info TOTAL LOT COVERAGE 25 50
CONSTRUCTION TYPE" V N;
NUMBER OF STORIES 1 00
LOT SIZE 9255 00
PROPOSED LOT COVERAGE 2 00
TOTAL LOT COVERAGE 2366 00
NUMBER OF UNITS 1 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4 DROP' IN METER
Permit pin number 111393
Permit Fee 230 00 Plan Check Fee 00
Issue Date 9/20/07 Valuation 200000
Expiration Date 3/18/08
Qty Unit Charge Per Extension
BASE FEE 230 00
Permit RIGHT OF WAY
Additional desc
Permit pin number 111385
Permit Fee 50 00 Plan Check Fee 00
Issue Date 9/20/07 Valuation. 200000
Expiration Date 3/18/08
Qty Unit Charge Per Extension
1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00
Permit SANI TARY SEWER HOOK UP
Additional desc
Permit pin number 111377
Permit Fee 120 00 Plan Check Fe_e 00
Issue Date 9/20/07 Valuation 200000
Expiration Date 3/18/08
Qty Unit Charge Per Extension
1 00 120,0000 EA SAN SEWER HOOKUP 12.0 -00
Special Notes and Comment s
Address numbers shall bel plainly visible °from the street
Address numbers shall be' a minimum of six inches high and be
Separate Permits are required, for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes
null and void if work or constructionlauthorized is not commenced within 180 days, if construction or work is suspended or abandoned
fora period of 1fi80 days after the workras=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 violatkor cancel the provisions of any state or local law regulating construction or the performance of
construction.
i-0,c q -20 .-4'2
Signature of Coritractor or Authorized Agerit: Date Signature of Owner :(if owner is builder) Date
T\Policie 1102.15R [1/05]
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R 1 /05]
RESIDENTIAL
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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION RW
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
of PORT
regli
Application Number 07 00001026
Application pin number 648078
Special Notes and Comments
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)
09/14/2007 02 59 PM SROBERDS The proposal will result
in a new sfr in the RS 9 zone for total lot coverage of
26% No land use issues anticipted
Electrical load calculations and elctrical permits are
required
Customer Connection Fee 8713 00
09/11/2007 03 01 PM GMCLAIN
EROSION SEDIMENT CONTRDL PER CITY STANDARDS OR APPROVED
ENGINEER DESIGN PRIOR TO START OF WORK
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway to City Standards No concrete with
exposed aggregate allowed in the City road right of way An
inspection by Public Works Engineering is required- prior -to
pouring concrete
Other Fees
CITY OF PORT -ANGELES.
PUBLIC WORKS UTILTTIES DNISION
321 EAST 5TH-STREET PORT ANGELES, WA 98362
CITY DRA
DRA FEES PLUS INTEREST
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE.
Page 2
Date 9/20/07
'8'0 89
1601 79
1000 00
-4 50
1230 00
Fee summary Charge d Paid Credited Due
Permit Fee Total 40 0 00 400 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 3917 18 3917 18 00 00
Grand Total 4317 18 4317 18 00 00
Separate Permits are required for electrical work, SEPA, Shoreline,-ESA, utilities, private aridpublic improvements. This permitbecomes
null and void if work. or. construction authorized is not commenced within 180 days, if co_ nstruction or work is suspended or abandoned
for a period of 180 days after the wok as commenced, or if requir`ed'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 viola* or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder), Date
T•\Policies \1102.15R [1 /05]
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 J
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T \1102.15R 1/05]
RESIDENTIAL
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
fit( Residential
Multi- family
Commercial
Repair
TYPE OF WORK
.I$( New Constr
Addition
Remodel
Sign
Re -roof
Move
D emolition
Other
BRIEF DESCRIPTION OF THE PROJECT
Existing Structure(s) basement
1 floor
2nd floor
3' floor
Accessory Structures
Existing Structure(s) TOTAL
LOT COVERAGE
Lot size Sq. Ft. 92
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage 24
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8'h" x 11" site plan MUST BE COMPLETE to be
accepted for review (360) 417 -4815 FAX (360) 417 -4711
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Applicant or Agent (',/4,.1 Y +1..t
Owner a Le A
Owner's ress
Contractor ngineer 4✓,." dL 5,44 �'1►
C ontractor/Engineer's Address 314 q'cy
PROJECT ADDRESS 01 DC at1 a�
LEGAL DESCRIPTION Lot: 10 Block:
CLALLAM COUNTY PARCEL NUMBER. 7`? 6
--Piageics
Stove
Garage
Deck
s i4tate License
C ft b„eit Sf
r aviv<
Phone
Phone
Subdivision.
di�
X 52-- G lam
ZONING
SIZENALUATION
/kas tij SF /SF
r Q9 S SF /SF
e 1 h /36 SF /SF
TOTAL VALUATION
Sq. Ft. Proposed Structure(s) basement
Sq. Ft. Is' floor
Sq. Ft. 2" floor
Sq. Ft. 3` floor
Sq Ft. Accessory Structures
Sq. Ft. Proposed Structure(s) TOTAL
TOTAL of existing proposed structures 3 toe.
Expires
Phone 952 GM/
COMMERCIAL/RESIDENTIAL. Occupancy Group _go s Occupant Load. Construction Type:
Are you planning to install a lawn sprinkler system? )0
_234
(Divi Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
FOR OFFICIAL USE ONLY
Date Rec. I- S -0
1 Permit _QZ (O Z
Date Approved;�/ I
p
Date Issued: q '7 -0-7
P
0(030 0183 0100
Oi 000. AD
Sq Ft.
4e• _Sq. Ft.
Sq. Ft.
Sq Ft.
Sq Ft.
Sq Ft.
Sq. Ft.
Maximum Height of Proposed Structure(s) 2n Ft.
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 417 -4815
for assistance.
PLAN CHECK FEE. The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRATION OF PLAN REVIEWI: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has been issued, except that the building
official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2)
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 responsi to determine what permits are required, and that I must obtain
such permits prior to work.
Date Cl 0 7 Applicant 4.._ 1
ft T \FORMS UILDING DIVISION \BldgPerm -2006 CODE backup.wpd
6384 a It.A, -t .s ID I S t o>_ J T`-` fc-G,ey. i
opgetatA6*-
Glaz ing Door
Floor Wait
GI'aiin U'= Factor Vaulted
Option A Floorof Uectical: Overhead Factor Ceiling' Ceiling. Gr
III
Site Information Building Department Use Only•
Lot: /0 Permit 0 C t 02 tU
Address. /oO 3 k.e e L 4L Notes
City Ce r'- Arvi II e<
State W Zip q$3G3
Contact: ettmw h S 1 k
Phone L IS2 G 1(
Phone 2
FAX U S2 7 oG
Unlimited
Group R 3
Occupancy
Only
PRESCRIPTIVE APPROACH SIMPLE FORM
For the Washington State Energy Code (2006 Edition)
Climate Zone 1
Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Unlimited. Glazing Option Only)
Wall Wall
Interior 'Exterior Slab on ncrete
Below- Below F lo Co
:Grade Grade
0 40 0 58 0.20 R 38 R 30 R 21 R -21 R 10 R 30 R 10
This Project complies with the following:
4 The project is a single family residence or duplex.
4 The projec is a wood frame OR all of the insulation is interior or exterior of the framing.
4 All building components meet the requirements listed in Table 6 -1 Option III.
4 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.
K 602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards allowed.
Location of the door taking this exception. 4. 1 00 6.0--
Type of Heat Source:
602.6 Exception 2. Doors with a U- Factor of 0 40 allowed without calculations, Option III only
Location of the door(s) taking exception.
et, He.
no-
t11
it
mmi MEM mm. UM= •IMI
4 I
■r■ 4•1••• =ES !MID =NO ImM •=m
hF
c ar 90 2 1 12
L
0-
X70:1139 Meiji*
mai
39Yeite9
C139001021d
UDV91-19 3019 1.33a19
=NM MOO •••IM saw am. ....mow ow. mow ow. ■1. MO =MD Mal• •ND 1•1•• IMP WOO I■• ml• ow, ow• am.
,0-,Gz
44-
G'6
FND. 2' BRASS CAP STAMPED FND. 3 1/2" BRASS PLATE
"NT7= NESARY LS22344' WITH BRASS NAIL I 1077,1 STREET
575.1 1 54.53'
569.97'
40'
40'
MM
535.09'
N56'45'27 "W
104.53' IQ
r mow fl
9255 SQ.FT
25' D
8 N 564520 W
174.54' ___E'
Lour 2
9340 SQ.FT
/003 I 25' /U 25'
8' N 56 W 8 N 56'4520" 20" W
124.54' 8" 124.54' 8'
LOFT 2 J� 2so 25' d0ir V2
9340 SQ.FT I 9340 SQ.FT h N.
I I I t n L7/6-1 n^ LO
8' N 56'45 20" W 8 N '20' W
124 54' I 8' 124.54' 8'
i
b LOT Q� 25 o 5 I Lap l� o F-
9340 SQ. IT 9340 SQ.FT
25' I JU Z I t I 25
8 N 56'45 20" IW 8 N 567 W
124 54' 8' I. 124.54' 8'
r LOST 6 2 5 0 5 Y4
9340 SQ.FT I 9340 SQ.FT
25' L /°Z `P I i />�2 7
1
B N 5 6'45 20" W I 8 N 56'45'20" W
124 54' 8' 124.54' 8'
a Ldp ,;-1 2 0 PLOT F@:1 -cp
9340 SQ.FT 9340 SQ.FT
u-i 25 I //04/ I I- C7 5-1 n L iw
8 N 56V0 W M. o B N 56'45 W
124.54'. 8' ZZ f 124.54' 8'
o Lip 7 25 0 M 5 PLOT Ill
u i 9340 SQ.FT I n 9340 SQ.FT z
25 I L_// 25' 8 N 5645 20" W 8 N 5 20" W
124.541 8' 124.54' 8' FLNT ;1 25' 05 I LOfr if7 I a)
9340 SQ.FT 9340 SQ.FT
25' di/ Ca I 7 J 25'
8 N 56'45 20 W 8 N 56'4 2 W
1 8' 124 8'
25' LO fr 6 pLOi7 Fil 25'
e 9215 SQ.F h 9216 SQ.FT N.
n L 6 z_ 1 25 30' 25' L -23 I
LL--
104.53' G� f' m 104.54'
FND. 3 1/
WITH PUNC
309.07'
C I. V 104 260
25' 30' 30 25' T OO fr D�� ',..e aS o o 9255 SQ
/O C>„3 CURVE
1 25 I Cl
8 S 56 E I C2
124.54' 8' I C3
I C4
25' 25' Ur 11P-1 o 9340 SQ.FT ui
N56'4-5'2 "W
415.44'
25'
25'
o-
DEDICATil
DUNKER DI
THE CITY
PUBLIC ST
POWER EA
ARE HEREI
PORT ANG
C
SEE
535,00' 154 54' 15454' 260.93'
4 —...„,-1--
N56 '45 '03 "W N56'45' )3 "W 309.07' SOUTHWESTERLY 30 FEET AND DUNKER DRIVE
In ARE DEDICATED TO THE CITY OF PORT ANGELI
12TH STREET FOR PUBLIC STREET RIGHT OF WAY
FND. 2" BRASS DISC IN CONCRETE
MARKED "C A, LS12223° LEGEND' (UNLESS OTHERWISE INDICATED)
0 1'58'37" .EXTERIOR BOUNDARY OF SUBJECT PARCEL
MONUMENT AT THE INTERSECTION OF 10TH 0 STREETS .INTERIOR LOT BOUNDARY LINE
-5 CENTERLINE OF STREET RIGHT OF WAY
2
.LIMITS OF STREET RIGHT OF WAY
p .SUBURBAN LOT LINE
2 0 .EASEMENT LINE
O BUILDING SETBACK LINE
el- N..>1 �0 AREA DEDICATED TO CITY FOR PUBLIC STREET
S RIGHT OF WAY
Q STREET CENTERLINE MONUMENT, AS INDICATED
0 .FOUND EXISTING MONUMENT, AS INDICATED
.SET 1/2 REBAR WITH PLASTIC CAP STAMPED
"Z &A PLS 28071
.STREET MONUMENT; 2 1/2 ALUMINUM CAP MARKED
'ZENOVIC ASSOC. PLS 28071 SET ON 1/2" REBAR
cu '4( nF PAVEMENT.
,
di~OIlT~
t;~'i:.
r-Gii
L --
""c:<i"
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
07~/DZ~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Propel~ty Zoning
Application valuation
NORTH PENINSULA BUILDERS ASSOC
P. O. BOX 748
PORT JillGELES
(360) 452-8160
Structure Information 000
Other struct info
Owner
Permit
Additional clesc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit charge
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
07-00001026 Date 9/20/07
648078
,
1003 DUNKER DR
06-30-01-8-3-0100-0000-
NORTH PENINSULA BUILDERS
RES NEW 8FR
1003 DwxJwJJiG.
RS9 RESDNTL SINGLE FAMILY
200000
Contractor
A/P13A-
NORTH PENINSULA
PO BOX 748
PORT ANGELES
(360) 452-8160
000 1753 SF SFR, 483 ATT.
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BUILDING ASSN.
WA 98362
WA 98362
GAR,130 COV PRCH
25.50
V-N
1. 00
9255.00
2366.00
2366.00
1. 00
PUBLIC WORKS RES WATER SERV
3/4 <, DROP IN METER
111393
230.00 plan Check Fee
9/20/07 Valuation
3/18/08
.00
200000
Per ~xt
BASE FEE 230 00
- - - - - - - - - - - - ~ - - - - - - - - - - - - - - ~ - - - - - - - - - - - --
RIGHT OF WAY
DQA taJ5-/. ~
. ~ DefY-- L f3,
111385
50.00
9/20/07
3/18/08
Plan Check Fee
Valuation
.00
200000
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Exteni";-;......:.:.
-----------~:~:~~~
SANITARY SEWER HOOK UP
111377
120.00
9/20/07
3/18/08
plan Check Fee
Valuation
.00
200000
Qt:y Unit Charge Per ~x .
1.00 120.0000 EA SAN SEWER HOOKUP' 120.00
----------------------------------------------------------------- -------- '
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
. {f~
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 fype 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\l102.15R [1/05]
I
.,
<fPORT~
t~~
r~
L~
~
~;?
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
07-00001026
648078
Page
Date
2
9/20(07
Special Notes and Comments
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).
09/14/2007 02:59 PM SROBERDS --The proposal will result
in a new sEr in the RS-9 zone for total lot coverage of
26%. No land use issues anticipted.
Electrical load calculations and elctrical permits are
required.
Customer Connection Fee $713.00.
09/11/2007 03:01 PM GMCLAIN ----------------------------
EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED
ENGINEER DESIGN PRIOR TO START OF WORK.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway to City Standards. No concrete with
exposed aggregate allowed in the City road right of way. An
inspection by Public Works Engineering is required prior to
pouring concrete.
-----~~~~~-;~~:--:-:-:-:-:-:-:-:-:--~~:i~~s~~;:~~~:;;;;~:--~~~~-
STATE SURCHARGE 4.50
~~~_________________________________:~_~~:~~~~=~=~~~~~~_~~~_~_~23~~~__
Fee summary Charged Paid Credited Due
----~------------ ---------- ~------~~~ ---~~~~~-- --~-------
Permit Fee Total 400.00 400 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 3917.18 3917 .18 .00 .00
Grand Total 4317.18 4317 .18 .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\1102.15R [1/05]
,
t
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
REQUEST:
Date 10 ~ /J;;; 07
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Ee of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
rn th1. Ar:J,. tA).()) w.Jj ~ ~
INSPECTION NOTES: '_ . -vI
· 0"-- K
. J,,_ '"", ~ V
Inspected: Date ., f ~ of Time By,
Remarks: lo-Ib - 6/
Ne.u..J ~elAJe.v- c..C>YlVI'€..c.,;'f"~h f.....OV..L eyt's 1,''''5 ?.'I ?V~. /o.'fe-'r4j
S'dee.p 0..1- pr-op~V'iv II~p_. 6//)(,1/// re..du.ce.v- ~i'l.....J L.j/) rYG
F ' / I
+0 /'";!Of-tse...
/003 Dlinke.r])Y!l/Q.- -NFB!f.
C e.. J €.'16 - I::> )il...h
Phone No. /tJ(s::2, -,,'1/
Permit No. 0 I-ID~
RESTORATION REQUIRED . . . . .. YES
NO Y--
-f.'" 5T
lD
t
N
'f '''''tl-
.,"-..., 'I"fVC-
Ljo' \ D
, ~'\..(:
~Jr."f' 1~'
,? ~IO 1't..J'd~)LF
;;i:J""'f
?fL
D,-,,,'41s
1)...
P l ql.l..j-",~~
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
, U,
1.-
110
----(7
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~
.
APPLICATION FOR WATER
City Water Division, Port Angeles, WA
Issued date: 9.-2.0-07 Installed by & date: fIr q-Z-g'd)Permit# 07-10'0(.,.
.,;.
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:
152.- <J1Cc>O
Applicant Name & Phone: llloerJ.l- PaI/ JJStJU- '~W/dIYlLj ;4.;c:"ry, 'i!OS-cis5/
Site Address: IDa?, Z>lm j(,ov 1:>r-- Mailing Address:
BIle Lot: 10 Add: L.IVlh Parcel#:Dt.~OOJ 8:?O/OO OOGe
SVC:ON/eE:> Meter#'sC F~/O#: 3034-r-~s<i
Svc: Size 16!1 Fees:<f'Z3f)~+ } Z,:'D Restoration Required: fVO
Signature: _ \)~,.,,,.~ Remarks:
,,'."
L
f
N
w
lut"
E
\1fJ'
..t
....
~
s:
~
s
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS ./
. . . . . . . . INSPECTION REPORT. . . . . . . . . .
REQUEST:
Date ~/7/7/0?;
Time
Received by
(phone, person)
location of Work to be inspected
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 ~ewer Excav. Other
/oo~ D/I1hKe,v-Dnve..-
l1An PPLl{} ocF-
'<308-n851
I? 7-11)2..1::>
INSPECTION NOTES:
Inspected: Date /!? -- Z1--(;;t8 Time
Remarks: 1J.J(}I7L/""'---
5ttn ,'S../JJAJJv
By
t
4vdQ.vI..
RESTORATION REQUiRED...... YES
NO '><
.....--<1"'<- ...-:-.- .. ,,,~.
. ,'i!o;:'-'';.<t':''
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
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)
/00"1 -P~nk~r py-'
Filed at the rcquestof
City of Pan Ang"des
P.O. Box li50
Port Ange!es. WA98362
2008-1227083
Page 1 of 1 Release
Port Angeles City Of
Clallam County Washington 09/26/2006 09:31 09 :::m
filii ~'I"',j, tlfJ1,~IIi' ,111'1:1"'1 ,IMil, ~~ 1W"'II",',~+":~r,l~~"lll[ Ii I
CERTIFICATION OF PAYlYIENT Ai'lD RELEASE
for
CITY OF PORT ANGELES
DEVELOPER REIMBURSEMENT CHARGE
DRA # 200;:- I-.A
Sanitary Sewer
DRA # 200;:- I-.B
10'" Street Road Improvements
Payment to the City of Port Angeles, \Vashington, is hereby acknowledged for sewer, street system connection or use
charges levied pursuant to the Developer Reimbursement Agreement as recorded under Clallam County Auditor's
file Numbers 20071197342 &20071197343 intheamauntsaf$ 610.12 (plus interest char"es) and S 946.45
(olus interest charges) far each of the following described real properties situated in the County af Clallam, State of
Washington:
0630018300100000
0630018301000000
0630018301100000
1003 Dunker Drive
1002 Dunker Drive
1009 Dunker Drive
Said property is hereby released from further obligation for such sanitary sewer and lOth Street Road improvements
developer reimbursement fees.
This certification is filed for record with the Clallam County Auditor.
ayof
0Q rl- .
,
,2008.
ATTEST:
c{:c{?n ~4fo ^
COPY TO CITY ENGINEER:
10/04/2007 12:00 FAX
<-\\i-L\\\\
;a~
(j
ti
~ 001/001
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
D Electrical Contraccor 0 Owner
Patc: Expirclli
1l'l"U1lla\ion descriptioll
lJ 5"mmerdol ~..Identlal
rI New a AlteredlAddltloD
;Z3(P~ ~ -M-. ~.~
~ ~ -.~
.~\JUL. ll.:,:::>
~~cr '-N.~
<YtJX l30
Ji moon;
Zt'3'
OW1It!/' D.r dejltlf!d by RCWH.2B.26/:(I) OwIf(!T l+'iIl OCCflpJ' ,Jlt JI'~clu"1! for IWO
ymrJ after ,hiE t:leclricrd p~it is jiftalr.1.'JIi. (2) ().t.oJll!" Is IYquirf!d to "ire an clct"1rical
con(rgclor if ob"vr soid properly i,t for Jdlt', ,.~t1r n,. leMf!.
After rcoding chc o.bovc stlllc:mcnl, J hercby eenil)' dlal I am the owner or the: above
nomed property or a Iidcnscd electrical ~onlr.4(:lot. I .11., making the electrical Instal.
lation or allenlion in compliance w11h 'he electrical law.!!. N.E.C.. RCW, ChDpter
19.28. WAC. Chapter 296-46B. The City of Pori An.clcs Municipal Code, and
UdJity Spc:cificalions.
re or o"oer'
e crlc:al UIICrac:tor or c1ccCTlcal l~' Un'
Date:\V.o
Electrical Load Additions and or t;ubtra~ong
Q NO LOAD CHANGES
o Baseboard _ tl.W
a Fumaee _ KW
o Heal Pump _ Ton _ LAR
a Fan.Wall _ KW
07
x
o O\lSmead Service
o Temp S9rvica
Q uncsergrou"d SeMce
~BY
DII~
o Cash
o Chock #
o Credit Card
Card #
Expiration Date
of card
(V\ 1f.~_.R _
rPK
VISa
O,^- ~j
Mastercard
"
,
,
Discover
Service In'ormatlon
VoltBge
Ph.... a 1 a 3
Sorvice Sjza: _
Feeder Size:
SERVICE
?-/J':7/Cf6 ~
Oll~ A~P\O~e.J &y
^"lI!Ovcd By
.
AppteyC(l f1)'
D/W-
SAME DAY INSPECTION. CALL BEFORE 7;00 AM 360-417-4735
ROUGH-IN 1lIERMOSTAT
'2j15lOA
b
Ol,e
Area, Building or Equipment Inspected
0<:>
UGHT DEPT
~
FttDm
Olla
AJllft"ooIlty
Action Taken
p~
Elcctric~l
Jnspector
.
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
DATE
(;.-12-C)5l
PERMIT #
IN PECTOR
D7-Jo-z.G
OWNER/CONTRACTOR
\V\V ~r J?<
ADDRESS
/
-:>
1>u N 'K1U'L \) rz:-
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . .. . .. . . . . . . .. ROUGH IN/COVER. . . . . . .. . . . .. . . 0
D. . . . . . . . . . .. . . .. . . . . SERVICE. .. . . .. . . . . . . . . .. . . 0
D. . . . . . . .. . . .. . . . . . . . . FINAL. . . . . . . . . . ... . . . .. . . 0
CORRECTIONS NEEDED: SIR!>-"? t"LJ;:, FOR- "FLlfl-NI'\c:.'1'7
tJ IL c.. ?:/-If? 51)..
_RfZ.v. T'oU\\2-\TY ~l'rr~_1>1A~~ IN
LIlJIN-G iZ..e>O",+ M~Ti':S?" ~~b Nl€.r IJ6~
80~ ~""T~<;;,(()1\l toa... f7/sr6S~J.
Nl<Z-C 3/t{. ZOo
$,...,1'\11 117i'1 IflNe ~ C::lgC\IIT
'::;"2. 6'L",
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
'bt---) klTO-l~kJ
N~C. 2/0,
_'\),9?C'=>EL '5H.AU NDT ~~
- DO NOT REMOVE -
6 ",,-7~TIIE---IN.ST-A'-LAT, 0 ^'
OLYMPIC PRINTERS, INC. (360) 452-1381
~\~)C\O~
Jan 1808 09:10a
p.1
~1
/),~1-lc., DL.Y~~..Q:k
I
.
~'''''':':''''
, . .
.-
~..
'\;+~!'
......
ELECTRICAL WORK PERMIT APPLICATIO~
.J
Job wired by
~ Electrical Contractor 0 Owner
Installation description
o Commercial ,l( Residential
Elcelrical ':ontraclor name Lict:lIsc number Date Expires
FtJi LUPC,1\,f',' tynti'1"JdCC\ln;')N.Li.lVE~!I+1~iMJ.I '1-I-CR
Purch~sl.:r's mailing address ..J.-
~ ICPltl1 D i "SI.
~n,A A1/lC')-f'I-fJ
-r:e1ephonc number I
C:.., 2
o \'\e~...'
D AlIeredlAddltion
State
u.Jf+
ZIP
O'JR ::S((> 7
L \,1 1- <::;1 ({ t CAJ i n I~
Prcmhes owner'!\ n3m~
AdOres!> of t)PCClion
I (j:;S uy\ '?--fV
!tV\- ,~V1OJ f~\( 5
Phone nllmhcr 10 sc edule inspection:
I
Dv.
O'I'''C'' 11.1' tlc:finelf hv,RCW/9.28.26/:(J) OWIn'r wi!! Of.."Cltpy tile srn!cture JUT two
"~W".\- tljtC/r" fltiK dI.!L'rj:ica! p(:rl1lil is jinulizcd. (2) OWfli!r h i'/:qllired to !lire WI c:h'r,;lril.'"i
'COn/l'lJCIOI' if t.'btwe said p~prrly is for $cfc, relit or leasC',
Aflcr reading the ..'Dove sl:llement, I hereby certify that I am the owner of the abo\'c
nllmed property or a licenSed electrical conlractor. I am making lhe elcetria.d insl1l!.
lation or alter.J.tion in eo~pJinnce with tbe elccLriC:l1 laws. ~.E,C., RC\\', Chapter
19.23. WAC. Chapter 296-~6B, The City of Port Angeles Municipal Code, :llld
Utility Spc:::ifieatiolls.
Si f o"'ner, el
Q Cash 0 Check #
lQ.. Credjl Card Visa
Card #
Mastercard
Discoyer
r or c1ectrkal administrator
Date: II n lOB
Expiration Date
of card
;s~ ~OO
Service Information
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW I
o Furnace KW
o Heat Pump Ton
o Fan-Wall KWI
tAR
o Overhead Service
o Temp SeMee
o Underground Service
Voltage
PhaseCl 10 3
Service Size: _
Feeder Size: __
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
( ROUGH.IN 1 (THERMOSTAT
11.115/08 ;W ~ I
> Dal~ APf'r<,,-.:1l Dr
I ,FIML
~-'E'tP, ~ I
Dc.cc AppIo'" By...)
'.
~
SERVICE
Oal~
APPHWl'C1 f"l.y
Oalo:
AJ:pmvcd B)
DITCH
VEEDER
Dlll"
I\rpTDVcd(Jy
Oat"
Approval By
Inspection
Dale
Area, Building or Equipmen1 Inspecled
Action Taken
Electrical
lnspecloT
Jan 18 08 10:04a
p,1
Q;,
~
ELECTRICAL WORK PERMIT APPLICATION
.
Job wired by
~ Electrical Contractor 0 Owner
'nslallaticm descrip1ion
o Commercial f:( Resideutjal
Electrical contractor name License nU;llber Date E,<pircs
AU I.lWll1'1f'k Prntii11(-(CO\in")N..i.W~1l!ri'T~iMl) 1~I~Cf)
Purchas..:,'s mailing address ...L.-
Yil- l4'lI111:/ ~I'
~ty
(1IA AW7)-f' /-f'~
Telephone number'
c::. ."1
o New
o Altered! Addition
SI~lc ZIP
[I,) A qrrz,(" 7
FAX number
r- _L:,
L \} 1- s't C\ t (.AJ i \1 n1
"-A
:Q2"
~. ,(.\ ~<.. r:: f>.
t: t.:~'I~ d~~ ;:_.fd;
J::jB' n~(6
Ad~rcss of ~pection
I 03 un \'---flt'
<rcVt A10O)fle)
Phone number fo sc edule inspection:
, - I
(h'ner' as defined b)'.!i.CW.i9.18.2fJl:(J} OWller will OCC/IPJ' the struClUI'C! far two
Y~"(J",~' alia this eiectl'ico! permit is finar~ed. (1) Owner is r/!fjllin.J !O hire WI cJ(.'clri~'uI
collfraC::OF if above suid propc/'ty is for .tiJle, Tenl ur lea.w:!.
A:^lcr reall:ng Ihe abovc statement, I hereby certify that J am the owner of the above
named properly or a licensed electrical contmetof. 1 am mnkins the electrical instal-
lation or alteration in compli~m:e with lhe electrical laws. I\.E.C.. RCW. Chapter
19.2&, WAC Chapler 296-468, The City of Port Angeles Municipal Code, and
Utili:}' Spccifiealions.
o Cash Q Check #
'Jtl... Credit Card
Card #
Visa
Mastercard
DisCO\'Cf
s;
r or electrical adminhlra10r
Date: 1//1/06
Expiration Date
of card
~n5P~ ~OO
Service Information
Electrical Load Addi1ions and orsub1ractions
Cl NO lOAD CHANGES
Cl Baseboard KW
Cl Fumace KW 0 Overhead Service
:::J Heat Pump Ton LAR 0 Temp Service
CI Fan-Wall KW 0 Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
r- ROUGH-IN I'
Voltage
PhaseD 103
Service Size:
Feeder Size: __
i < ~ ] I > ,
i I
"- :laic 1\~T'r\""ed By "- Dale Aflflr()'~d B~' ../ " Oil!'" Approved 8,-
, "-
FINAL DrrOl FEEDER
I
"- D~:e ....I'P,"'....'" By ~ Oalc ^Prrovcd By l'):Jle A:lpro~cd3y/
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date lnspcetof'"
I
I i
'-Hl::RMOSTAT
"
I'
SERVICE '\
09/05/2007 21:29
4579270
.
I
.fob ",jred by )tE1..trio.' Conn-.dor D OWn.r
::e;j' eonn."o, n.me _" U<;:n.. number I:'h:;1-gGL-
~urrh>j's(:1-3n'O~~rJ~ 101 uJ
C"y f,. ft. · "~ Wr4- W-? b3
T~I(!"hDnC number
PAX llumher
')..70
Premlle. nwn(ll'"'!i n"'m~ & l,~
-;::lA~ -<-cc"
AddrclI of In.p<<rinn
1(f3
City " ,ft-
rJ PEA
~ /dr..
rl'oll~ .umher tB lIC:h(!di~~ ~iZ::'cY
OWIft'I' (u defined h" R.Cw'JfJ.28.Ul:(I) Own/!'''' will ~CC/lp)' ,It,. m"UCtuI'fI far 'WI')
years Rfter (IIiS ItIOC'/l"ical p~n"il i.'r fiMI~d. (2) Owm;,. r.~ /Y!Qulretf to f';"r! art (l1~c";cal
cOrr/raClor if Rbt1l'e said propr.<:r1J' is lor $(Jlt!, relft OJ' I~m;e. .
After reading the Above G1nrement. I hereby ~ertjry lhn.t 1 "m the oWller of the above
named property Or II licenSed eleetrll:l\1 eOl\tl1'lc.tOf,' , am mAkin" tlle clec.lTicnJ. Jnrilla:!.
lation or ahemtion i.n compliMcc wilh tlU! elocttical law." N.t.C., RCW. Chapter
19,"8. WAC, ell tCt 296~46n. The! City Port Angcle!J MunicipRI Code, and
Utility Spcei6 .rdi ll.
SllCQl'l"U'~
, o. e,e5!"e.: 'dm::'7~/D7
E~_Cl!!Il;lIlI.P.d Addition. I\IIJ
tJ NO WAD CHANGES
o Basoooard KW I
tJ Fuma.ce KW
tJ Hea' Pump _ lon' _ LAR
a FQnaWan KW
SIMPSON ELECTRIC
PAGE 01
~:
ELECTRICAl, WORK PERMIT APPLICA.TION
Ins(nll"lIo" dCBcriptlM
Q Cnmmerrinl , RnIdeatlal
)il~9K'.. OAllerodlAddltlOb
/ iI~f' . ·
,,;;t}.... /00 ~
~ ~ d-tO)V
D ('-ash D Check #
D Credit Card € M.st.....rd Discover
Card# ____.-____-_____.____
Expimtio. Dale
of card
f~'o;Jt
a O\t'8fflsad Service
~Tomp Service
o Underground SeMce
Voholl'l
Phl>...O 10 3
Service SIZo: _
Feeder Slza:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 3604\7-4735
· ROUGH-IN r' THERMOSTAT
D~r(l ^,,""'''I'(l~ By 6r.J~ Arllt\O\'1II1 By
FlNAL
7~
DITCH
S1l.RYlCE
Otole ^PI'"".....1 Ry
...t!:(!.;IJ'tJK
\llI1t I\pprcrn:d 8r
ln~pection
ntlte
AreI1. Building or Equlpmcnt 11l8pected
1Jllt~ Allttl'\'Wll fly
ActiOll TAlc:l!;n
ElectriCAl
Inspector
UQlfTOEPT.