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Home My WebLink About220 Juniper Ln - BuildingPREPARED 2/11/11 9 15 50 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/11/11 ADDRESS 220 JUNIPER LN SUBDIV TENANT NBA C SMITH L FOSBENDER CONTRACTOR SUNSHINE PROPANE PHONE (360) 385 5797 OWNER COLIN D SMITH AND PHONE (360) '565 3031 PARCEL 06 30 15 7 8 0030 0000 APPL NUMBER 11 00000071 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 2/08/11 JLL 2/08/11 AP ME99 01 2/11/11 U MECHANICAL GAS LINE February 8 2011 8 42 17 AM pbarthol DAVE 360 643 3672 February 8 2011 4 40 45 PM jlierly MECHANICAL FINAL February 11 2011 8 56 05 AM pbarthol Lynn 565 3031 Call 15 min before inspection COMMENTS AND NOTES PREPARED 2/08/11 9 17 20 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/08/11 ADDRESS 220 JUNIPER LN SUBDIV TENANT NBR C SMITH L FOSBENDER CONTRACTOR SUNSHINE PROPANE PHONE (360) 385 5797 OWNER COLIN D SMITH AND PHONE (360) 565 3031 PARCEL 06 30 15 7 8 0030 0000 APPL NUMBER 11 00000071 MECHANICAL APPL PERMIT ME6 01 2/08/11 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL GAS LINE February 8 2011 8 42 17 AM pbarthol DAVE 360 643 3672 COMMENTS AND NOTES t. Er— vi CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC 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 Application desc PROPANE TANK SET FOR EXISTING GAS FIREPLACE Owner Contractor COLIN D SMITH AND LYNN A FOSBENDER 220 JUNIPER LANE PORT ANGELES (360) 565 3031 Qty Unit Charge Fee summary D1 J I to I I T /Building DivisioNBuilding Permit WA 98362 Permit MECHANICAL PERMIT Additional desc TANK SET GAS FIREPLACE INSP Permit pin number 180638 Permit Fee 100 00 Plan Check Fee 00 Issue Date 1/20/11 Valuation 0 Expiration Date 7/19/11 Per 11 00000071 Date 1/20/11 506298 220 JUNIPER LN 06 30 15 7 8 0030 0000 C SMITH L FOSBENDER MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 850 SUNSHINE PROPANE 10853 RHODY DR PORT HADLOCK (360) 385 5797 BASE FEE 1 00 50 0000 HR ME INSPECTION MIN 1 HR Charged Paid Credited Permit Fee Total 100 00 100 00 00 Plan Check Total 00 00 00 Grand Total 100 00 100 00 00 WA 98339 Extension 50 00 50 00 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction G v■ A 6 s 01) -40ovvk A t- 44...,t Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping SHORELINE. Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date 02.? FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by 3 /-L- Date Accepted By 5 P 344 O T:Forms /Building Division /Building Permit L. PROJECT ADDRESS 22-0 J v'n' -ex- Lane., Applicant Property Property Contractor Contractor's License Parcel Number Project Tvpe Brief Des Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other lea in vl -eM fki2-✓ Phone 3e e -y 5'1- riy'1 (4") Owner t,\, Foslo-Wce -tA✓ iota- t-t.k Phone 36o- Sb5 -3o'2‘ (w) Owner's Address v )vv\q1W Uw,x. fa -A.-t v/A 6.m6 nwie, Pro 94,v\e. Phone Address Expires E -mail cription. Total footprint of structures Site Coverage the amount of impervio and other impervious surfaces. (see PA Max. height of proposed structures Will a lawn sprinkler system be instal Will a fire sprinkler system be install d? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 4815 fax (360) 417 -4711 Residential Existing (sq. ft.) Proposed (sq. ft.) Date 0 2-4) 7 1) I I Print Name" I"' P T Forms /Building Division /Building permit application Occupancy group Occupant load Construction ty Lot Zoning Multi family Commercial Ta Yl k 5Q-t T7� Y c 'r e i s 1 i J o ot. S t 'e p\ (uCe'_ F; v�a 1C�Ge. a CLS we.►^e oaia +Dv on cPerrni+ r. 7 ^7 tbv r" A h No a5 1 e e in was do he House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other l V S50 sq ft.T Lot size sq Lot coverage ace on a parcel including structu s p l 17 94 135 for exemptions) Site coverage TOTAL VALUATION For City Use Only Date Received 1 2() Permit 11 -1 1 Date Approved per sq ft. of bedrooms of full baths of half baths Industrial I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Signature AMA^ gi 6'"A Clallam County Assessor Treasurer Property Details 68314 COLIN D SMITH AND Page 1 of 3 ClaIlam County Assessor Treasurer Property Search Results 68314 COLIN D SMITH AND LYNN A FOSBENDER for Year 2011 2012 Property Account Property ID' Geographic ID Type Tax Area: Open Space: Historic Property' Multi Family Redevelopment: N Township: Range. Location Address: 220 JUNIPER LN PORT ANGELES, WA 98362 Cycle 4 Res (City) 10953130 Neighborhood: Neighborhood CD' Owner Name. Mailing Address: Taxes and Assessment Details Property Tax Information as of 01/20/2011 Amount Due if Paid on: (:,`t##. Year Statement ID Taxing Jurisdiction 2010 50037 2010 50037 2010 50037 2010 50037 2_010 50037 2010 50037 2010 50037 2010 50037 2010 50037 2010 50037 2009 683142008 2009 683142008 2009 683142008 2009 683142008 2009 683142008 2009 683142008 2009 683142008 2009 683142008 2009 683142008 Values Improvement Homesite Value: Improvement Non Homesite Value: Land Homesite Value. Land Non-Homesite Value: Curr Use (HS)* Curr Use (NHS): Market Value: Productivity Loss. 68314 Subtotal: Senior Appraised Value Non Senior Appraised Value: Total Appraised Value. 0630157800300000 Real 0010 PA 121 PORT ST CNTY H2 L WMP N N ST SCH STATE SCHOOL CC -GEN COUNTY CLALLAM PORT PORT OF PORT ANGELES PORT ANG CITY OF PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK DIST CITY_STORMWATER CITY STORMWATER WEED_CONTROL WEED CONTROL 2010 60037 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY CLALLAM PORT PORT OF PORT ANGELES PORT ANG CITY OF PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 CITY STORMWATER CITY STORMWATER WEED_CONTROL WEED CONTROL 2009 683142008 TOTAL. N/A N/A N/A N/A N/A N/A Legal Description: JUNIPER COURT LOT 3 V15 P27 Agent Code: Land Use Code DFL Remodel Property' Section: Mapsco: Map ID: 2 COLIN D SMITH AND LYNN A FOSBENDER ,Owner ID' 220 JUNIPER LANE Ownership PORT ANGELES, WA 98362 Exemptions: NOTE. If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. N/A N/A N/A N/A Ag Timber Use Value N/A N/A N/A N/A 11 N N 194109 100.0000000000% First Second Half Half Base Base Amt. Amt. Penalty Interest Base Paid Amount Due $274.88 $274.87 $0.00 $0.00 $549.75 $0.00 $146.28 $146.28 $0.00 $0.00 $292.56 $0.00 $20.56 $20.56 $0.00 $0.00 $41 12 $0.00 $338.68 $338.69 $0 00 $0 00 $677 37 $0.00 $356.03 $356.04 $0.00 $0 00 $71207 $0.00 $42.50 $42.51 $0 00 $0 00 $85.01 $0.00 $60.01 $60.01 $0.00 $0.00 $120 02 $0.00 $19.10 $19.09 $0.00 $0.00 $38.19 $0.00 $36 00 $36.00 $0.00 $0.00 $72.00 $0.00 $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 $1294.86 $1294.86 $0.00 $0.00 $2689.72 $0.00 $287.02 $287.02 $0.00 $0.00 $574.04 $0.00 $145.26 $145.25 $0.00 $0.00 $290.51 $0.00 $20 58 $20.57 $0.00 $0 00 $41 15 $0 00 $318 62 $318.60 $0.00 $0.00 $637.22 $0 00 $354.96 $354.96 $0.00 $0.00 $709 92 $0.00 $42 21 $42.20 $0.00 $0 00 $84.41 $0 00 $59.57 $59.57 $0 00 $0 00 $119 14 $0 00 $36 00 $36.00 $0 00 $0 00 $72.00 $0.00 $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 $1265.04 $1264.98 $0.00 $0.00 $2530.02 $0.00 http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =68314 1/20/2011 PREPARED 5/23/08, 8 50'48 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 10 5/23/08 220 JUNIPER LN GLENN-TERRA, INC. GLENN-TERRA, INC. GLENN-TERRA, INC. 06-30-15-7-8-0030-0000- 07-00000799 RES NEW SFR 01 8/21/07 8/21/07 SUBDIV PHONE PHONE (360) 565-0100 (360) 565-0100 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLDG FOUNDATION FOOTING TIME: 09 00 08/20/2007 04 38 PM LPANGRLE TOMMY 477-0778 FOOTING REQUESTED A MORNING INSPECTION 08/21/2007 02 57 PM JLIERLY ---------------------------- 20' ufr 1n foot1ng ok BLDG FOUNDATION STEM WALL TIME: 09:00 08/22/2007 04 31 PM LPANGRLE TOMMY 477-0778 STEMWALL REQUESTED A MORNING INSPECTION, SO THEY CAN POUR IN THE AFTERNOON 08/23/2007 04.20 PM BLDG SHEARWALL November 16, 2007 9'05 21 AM Ipangrle. SHAWN 808-1078 SHEARWALL November 16, 2007 3:30 13 PM ]11erly BLDG AIR SEAL December 18, 2007 8:47'13 AM Ipangrle SHAWN 808-1078 AIRSEAL BLDG FRAMING December 18, 2007 8:45'55 AM Ipangrle. SHAWN 808-1078 FRAMING BLDG INSULATION January 4, 2008 8:19:54 AM Ipangrle SHAWN 808-1078 INSULATION PUBLIC WORKS FINAL Apr11 28, 2008 3 51 15 PM rvess. Apr11 28, 2008 3 54.18 PM rvess. FIRE FINAL May 5, 2008 11'20 39 AM kdubuc. f1re f1nal May 5, 2008 11 21 24 AM kdubuc. f1re f1nal '!t BLDG FINAL May 23, 2008 8 17 24 AM Ipangrle. JOSH 509-209-1783 BLDG FINAL ------------------------ ----------------------------------------------------------------------- BL1 BL2 BL9 BAIR 01 BL3 BLI PW99 01 FFNL 01 BL99 01 01 8/23/07 8/23/07 JLL AP JLL AP JLL AP JLL AP JLL AP JLL AP RV AP KDD AP JLIERLY ---------------------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 01 11/16/07 11/16/07 JLL AP ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- MECHANICAL ROUGH-IN December 18, 2007 8 46 41 AM Ipangrle. 12/18/07 12/18/07 01 12/18/07 12/18/07 01 1/04/08 1/04/08 4/28/08 4/28/08 5/01/08 5/01/08 5/23/08 12/18/07 12/18/07 PREPARED 5/23/08, 8 50 48 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . . : APPL NUMBER: INSPECTION TICKET INSPECTOR: JAMES LIERLY 220 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0030-0000- 07-00000799 RES NEW SFR PHONE PHONE (360) 565-0100 (360) 565-0100 TYP/SQ REQUESTED COMPLETED INSP RESULT ME99 01 5/23/08 :If- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT SUBDIV DESCRIPTION RESULTS/COMMENTS SHAWN 808-1078 MECHANICAL ROUGH-IN MECHANICAL FINAL May 23, 2008 8 17:38 AM 1pangr1e JOSH 509-209-1783 MECHANICAL FINAL DESCRIPTION RESULTS/COMMENTS PL2 01 11/29/07 JLL PLUMBING ROUGH-IN 11/29/07 AP November 29, 2007 8 26 12 AM 1pangr1e NO NAME WAS LEFT 670-3427 ROUGH-IN PLUMBING PL2 02 12/07/07 JLL PLUMBING ROUGH-IN 12/07/07 AP December 7, 2007 8:19 02 AM 1pangr1e. JAKE 670-3427 ROUGH-IN PLUMBING PL99 01 5/23/08 ~ PLUMBING FINAL May 23, 2008 8 17.56 AM 1pangr1e. JOSH 509-209-1783 PLUMBING FINAL PAGE DATE 11 5/23/08 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/04/08, 9 24 53 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 10 1/04/08 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER 220 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0030-0000- 07-00000799 RES NEW SFR SUBDIV: PHONE (360) 565-0100 PHONE (360) 565-0100 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 8/21/07 JLL BLDG FOUNDATION FOOTING TIME: 09:00 8/21/07 AP 08/20/2007 04: 38 PM LPANGRLE TOMMY 477-0778 FOOTING REQUESTED A MORNING INSPECTION 08/21/2007 02:57 PM JLIERLY ---------------------------- 20' ufr 1n foot1ng ok BL2 01 8/23/07 JLL BLDG FOUNDATION STEM WALL TIME 09:00 8/23/07 AP 08/22/2007 04 31 PM LPANGRLE TOMMY 477-0778 STEMWALL REQUESTED A MORNING INSPECTION, SO THEY CAN POUR IN THE AFTERNOON 08/23/2007 04 20 PM JLIERLY ---------------------------- BL9 01 11/16/07 JLL BLDG SHEARWALL 11/16/07 AP November 16, 2007 9 05.21 AM lpangrle. SHAWN 808-1078 SHEARWALL November 16, 2007 30:13 PM )11erly. BAIR 01 12/18/07 JLL BLDG AIR SEAL 12/18/07 AP December 18, 2007 8 47 13 AM lpangrle SHAWN 808-1078 AIRSEAL BL3 01 12/18/07 JLL BLDG FRAMING 12/18/07 AP December 18, 2007 8 45 55 AM lpangrle SHAWN 808-1078 ~ FRAMING BLI 01 1/04/08 BLDG INSULATION 1,1 January 4, 2008 8 19:54 AM lpangrle. SHAWN 808-1078 INSULATION -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/18/07, 9 07 51 CITY OF PORT ANGELES ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL APPL NUMBER 220 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0030-0000- 07-00000799 RES NEW SFR INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 4 12/18/07 SUBDIV, PHONE PHONE (360) 565-0100 (360) 565-0100 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/21/07 8/21/07 JLL AP BL2 01 8/23/07 8/23/07 JLL AP BL9 01 11/16/07 JLL 11/16/07 AP BAIR 01 12/18/07 ~ BL3 01 12/18/07 BLDG FOUNDATION FOOTING TIME. 09,00 08/20/2007 04 38 PM LPANGRLE TOMMY 477-0778 FOOTING REQUESTED A MORNING INSPECTION 08/21/2007 02 57 PM JLIERLY ---------------------------- 20' ufr 1n foot1ng ok BLDG FOUNDATION STEM WALL TIME. 09,00 08/22/2007 04 31 PM LPANGRLE TOMMY 477-0778 STEMWALL REQUESTED A MORNING INSPECTION, SO THEY CAN POUR IN THE AFTERNOON 08/23/2007 04 20 PM JLIERLY ---------------------------- BLDG SHEARWALL November 16, 2007 9 05 21 AM Ipangrle. SHAWN 808-1078 SHEARWALL November 16, 2007 30,13 PM )11erly. BLDG AIR SEAL December 18, 2007 8 47 13 AM Ipangrle. SHAWN 808-1078 AIRSEAL BLDG FRAMING December 18, 2007 8,45 55 AM Ipangrle SHAWN 808-1078 FRAMING PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS M"~~"'~~~"/,./"'~V~1'~~~~~~~~~;~~~~:::,::~AM~~',.n'"'.~~~~~~~~~~~~~~~~~~~~~~~~~~ PREPARED 12/07/07, 10 26 22 CITY OF PORT ANGELES ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL . APPL NUMBER. INSPECTION TICKET INSPECTOR JAMES LIERLY 220 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0030-0000- 07-00000799 RES NEW SFR SUBDIV PHONE PHONE (360) 565-0100 (360) 565-0100 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL2 01 11/29/07 JLL PLUMBING ROUGH-IN 11/29/07 AP November 29, 2007 8 26:12 AM Ipangrle. NO NAME WAS LEFT 670-3427 ~ ROUGH-IN PLUMBING PL2 02 12/07/07 PLUMBING ROUGH-IN (J December 7, 2007 8 19 02 AM Ipangrle. JAKE 670-3427 ROUGH-IN PLUMBING PAGE DATE 6 12/07/07 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/29/07, 10.18 13 CITY OF PORT ANGELES ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 2 11/29/07 220 JUNIPER LN GLENN-TERRA, INC. GLENN-TERRA, INC. GLENN-TERRA, INC. 06-30-15-7-8-0030-0000- 07-00000799 RES NEW SFR SUBDIV PHONE PHONE (360) 565-0100 (360) 565-0100 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED if-ESUL RESULTS/COMMENTS ---------------------- --- - ----------------------------------------------------------------~-- PL2 01 11/29/07 L PLUMBING ROUGH-IN November 29, 2007 8:26 12 AM 1pangrle NO NAME WAS LEFT 670-3427 ROUGH-IN PLUMBING -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/16/07, 10 49 23 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR, JAMES LIERLY PAGE DATE 7 11/16/07 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER 220 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC. GLENN-TERRA, INC. 06-30-15-7-8-0030-0000- 07-00000799 RES NEW SFR SUBDIV PHONE PHONE (360) 565-0100 (360) 565-0100 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/21/07 8/21/07 JLL AP BL2 BLDG FOUNDATION FOOTING TIME 09,00 08/20/2007 04 38 PM LPANGRLE TOMMY 477-0778 FOOTING REQUESTED A MORNING INSPECTION 08/21/2007 02 57 PM JLIERLY ---------------------------- 20' ufr ~n foot~ng ok BLDG FOUNDATION STEM WALL TIME 09.00 08/22/2007 04 31 PM LPANGRLE ,TOMMY 477-0778 STEMWALL REQUESTED A MORNING INSPECTION, SO THEY CAN POUR IN THE AFTERNOON 08/23/2007 04 20 PM f\LL BLDG SHEARWALL November 16, 2007 9 05 21 AM Ipangrle ~ SHAWN 808-1078 \,\ SHEARWALL -------------------------- ---------- COMMENTS AND NOTES -------------------------------------- 01 8/23/07 8/23/07 JLL AP JLIERLY ---------------------------- BL9 01 11/16/07 "~ "-"~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER. Tenant nbr, name Application type descrlption Subdivision Name Property Use Property Zonlng Appllcatlon valuation 07-00000799 Date 665687 220 JUNIPER LN 06-30-15-7-8-0030-0000- GLENN-TERRA, INC RES NEW SFR 9/09/07 RS9 RESDNTL SINGLE FAMILY 152826 Owner Contractor GLENN-TERRA, INC 136 E. 8TH ST , STE 223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 Other struct info GLENN-TERRA, INC 136 E 8TH ST #223 PORT ANGELES (360) 565-0100 1,804 SF SFJl.:)60 "SF G~Jl.AGE, TOTAL % LO! C~VERAGE CONSTRUCTION TYPE NUMBER OF STORlES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA'98362 120 SF PRCH 23.0'0 .. ~. 11338 23 2584 1 DO, 00 00 00 00 ~ ~ o V-N Permit ~dditional desc . Permit pln number Sub Contractor Permlt Fee Issue Date Expiratlon Date ELECTRICAL TEMPORARY EL SVC./ TEMP SVC 106484 ELECTRIC SERVICE 40 00 9/09/07 3/07/08 SERVICE Plan Check Fee Valuation 00 o ~ ~ LA ~ f. - Qty 1 00 Unit Charge Per 40 0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40 00 tJt ~ r \) ~ Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six lnches high and be of contrasting color from the background. All homes in new subdivisions that are outslde of the Fire Department four-minute response area shall be equipped with resldentlal fire sprinkler systems that comply wlth the International Fire Code (IFC) and National Flre Protection Assoclation (NFPA). 07/19/2007 05 24 PM SROBERDS --The proposal wlII result In a new sfr w/attached garage in the RS-9 zone for a total of 24% lot coverage The site DOES include an area that is deslgnated as a buffer for the adjacent property The rear 25' of yard should NOT be malntalned with mechanized tools and the open ditch should be maintained to be open, not clogged THE PROPERTY OWNER SHOULD CONTACT THE CITY DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT IF THERE ARE ANY QUESTIONS REGARDING MAINTENANCE OF THE 25' BUFFER AREA Electrical load calculatlons and elctrical permits are required Sanitary sewer connection inspection is required by t COMMENTS/ ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS r YES I NO uITCH IHlI l~l-I-lN / COVER SERVICE FTN AT I I I GENERAL COMMENTS: PW.lI02 15 (4196) , "~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number 07-00000799 665687 Page Date 2 9/09/07 Spec~al Notes and Comments Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and S~dewalks to City Standards No concrete w~th exposed aggregate allowed in the City road right of way, An inspection by Public Works Engineer~ng ~s requ~red prior to prouring concrete Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE,FEE 1000 00 '4,- 50 ' 1230 00 Fee summary Charged PaId CredJ:ted 'Due ", ----------------- ---------- ---------- ---------- ---------- Permit ,- , ")0 Fee Total 40 00 40 00 i ~ oq Plan Check Total 00 00 00 00 Other Fee Total 2234.50 2234 5Q. 00 ".00 Grand Total 2274,50 2274 50 00 00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD , CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-lI02.1S (4'96) -.'t}i ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT A~GELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type descriptlon Subdlvlslon Name Property Use Property Zoning Application valuation 07-00000799 Date 665687 220 JUNIPER LN 06-30-15-7-8-0030-0000- GLENN-TERRA, INC RES NEW SFR 9/09/07 RS9 RESDNTL SINGLE FAMILY 152826 Owner Contractor GLENN-TERRA, INC 136 E 8TH ST , STE PORT ANGELES (360) 565-0100 Structure Informatlon Other struct info 000 000 GLENN-TERRA, INC 136 E .8TH,ST ~223 PORT ANGELES (360) 565"'0100 1,804 SF SFR, ""6'60 SF GARAGE; TOTAL % LOT COVERAGE CONSTRUCTION TY:PE' NUMBER OF S~O~IES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF l)"NITS WA,98362 223 WA 98362 120 SF PRCH 'i~ 00' V-N 2 11338 23 2584 1 00 00 00 00 00 N N o Permit Addltlonal desc Permit pln number Sub Contractor Permlt Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL SVC./ 1952 SQ FT 110593 ELECTRIC SERVICE 113 00 9/09/07 3/07/08 Plan Check Fee Valuation 00 o Qty 1 00 2 00 Unit Charge Per 69 0000 ECH 22 0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69 00 44 00 C1 t ~ 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 ln new subdlvisions that are outside of the Fire Department four-minute response area shall be equipped wlth residential fire sprlnkler systems that comply with the Internatlonal Fire Code (IFC) and National Fire Protection Associatlon (NFPA) 07/19/2007 OS 24 PM SROBERDS --The proposal will result ln a new sfr w/attached garage in the RS-9 zone for a total of 24% lot coverage. The slte DOES lnclude an area that is designated as a buffer for the adjacent property The rear 25' of yard should NOT be maintained with mechanized tools and the open ditch should be malntalned to be open, not clogged THE PROPERTY OWNER SHOULD CONTACT THE CITY DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT IF THERE ARE ANY QUESTIONS REGARDING MAINTENANCE OF THE 25' BUFFER AREA Electrical load calculations and elctrical permlts are requlred f""" :l7 ""I- r COMMENTS/ACTJON NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEI'TED COMMENTS I YES NO 1l1'l'( :H RUUUH-IN / CUVbK ShK VICE I I I GENERAL COMMENTS: PW-lI02 IS (4196) ~~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA98~62 Application Number Appllcation pin number 07-00000799 665687 Page Date 2 9/09/07 Speclal Notes and Comments Sanitary sewer connection inspection lS requlred by Public Works prior to back flll of dltch 24 hour advance notice is required Construct drlveway and Sidewalks to City Standards No concrete with exposed aggregate allowed In the Clty road right of way An inspectlon by Publlc Works Engineering is required prior to prouring concrete Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000 00 4 50 1230 00 . " - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -\- -,- - - - - - - -,-'>- - - - - - - - -,--, Fee summary Charged Pald ;'Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 113 00 113.00 .00 00 Plan Check Total 00 00 00 00 ,Other Fee Total 2234 50 2234 50 00 00 Grand Total 2347 50 2347 50 00 00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ... INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.lI02 1514'961 // PREPARED 8/23/07, 9 41 04 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 10 8/23/07 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 220 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0030-0000- 07-00000799 RES NEW SFR SUBDIV, PHONE (360) 565-0100 PHONE (360) 565-0100 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/21/07 8/21/07 JLL AP BLDG FOUNDATION FOOTING TIME 09 00 08/20/2007 04 38 PM LPANGRLE TOMMY 477-0778 FOOTING REQUESTED A MORNING INSPECTION 08/21/2007 02 57 PM JLIERLY ---------------------------- 20' ufr In footlng ok BLDG FOUNDATION STEM WALL TIME, 09,00 08/22/2007 04 31 PM LPANGRLE TOMMY 477-0778 STEMWALL REQUESTED A MORNING INSPECTION, SO THEY CAN POUR IN THE AFTERNOON BL2 01 8/23/07 Pf -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 8/21/07, 8,50 32 CITY OF PORT ANGELES ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL APPL NUMBER 220 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0030-0000- 07-00000799 RES NEW SFR INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE (360) 565-0100 (360) 565-0100 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 8/21/07 '\ I ~, Of BLDG FOUNDATION FOOTING TIME 09 00 08/20/2007 04 38 PM LPANGRLE TOMMY 477-0778 FOOTING REQUESTED A MORNING INSPECTION PAGE DATE 5 8/21/07 -------------------------------------- COMMENTS AND NOTES -------------------------------------- lhe.. 'J 'trn hilt - C f ICf 10-' Billy pvt p(;t~ 411 BUILDING PERMiT - APPLICATION ~1t~; Fill out COMPLETELY and in INK. Your applicatior. and site plan MUST B 1~ COMPLETE to be accepted for review. If you have any qnestions, calli 1\ Rt\X(360)417-4711 3 Glo - CD "L 11- Q'1 ].:r CE.l..t.. Appl1cant 01 Agent-A AJ D rt.f- W TE..:.IUl"l:S Phone: 3' {Qb - S-{oS-- 0 'I 0 V Owner ('"7 {...~..NA1- Il=- (L~A \ TAlC Phone: ..31& 0 -...s- cos- - 0 10 0 Address Is to E:.. ( 8' T Us T:-=ti=- L. L:S CIty" P c9 ~ T A-.AJ G tS:. L-E=. .s I Zip' 9 cP .:s (p ""2- C' ' I ArchI1.ect/Ellgineer. .,...::) u..AI T6. L De~.:J: c.., tV Phone: S-oJ -Co z...,.. OS-S-~ C7(.,€,IVAI.x I s&20 - Contractor b L.c..NAJ -7f.-R.f? A T>t.CState LIcense #: qRfo.AJA- Exp: frl/f()1? Phone: (Q V. - q L/.1.J Address J.s 0 6- 18TH -ST. :::t:F-L2..3 CIty: PO(L../ AAJ (<?E;/....~..s 1 ZIp: 9 g s W 7 PROJECT ADDRESS: Z. 2..0 ~),. Al:cre-,.., L~ l\Ig iONING: LEGAL DESCRIPTION: Lot: ~ Block: SubdlvlsIOn: :riA.AJL:P&lC:.. t,-r: CLALLAM COUNTY PARCEL NUMBER: Co l 0 J S- 7 ~ - ~ 0 .3 01 I Credit Card Bolder Name: I Billing Address: City:_ I Credit Card Type VISA MC # I Exp. Date: T~ OF WORK: SIZEIV ALUATION: I ..B("ResIdenTIal ~w Constr, 0 Re-roof 0 Stove -1~ SF, @ $ 7 (p ,Dfl /SF. = $ I S 7 ~ "2. fa fo. S ~ o MultI-family 0 AddITIOn 0 Move ~Garage Co GJ 0 SF. @ $ t \ I 3'$? /SF. = $ 11...1t4 ~ I (), '8 () o Commercial 0 Remodel 0 Demohtion ~~ ~J,.C." I 2..0 SF. @ $ \?.... 0 f? /SF. = $ I) _ 'J, Cb () o RepaIr 0 Slgn 0 Other TOTAL VALUATIqN $ toe:" 2. i P'Z-(t:>. 7(;, BRIEF DESCRIPTION OF TRE PROJECT' ;U E-- W C--.c>/V...s T Il-LA c-, rn Ai -S F TC.- wi 6d:tJ.d\e.t\. G~ Occupant Load: I cobstruction Type: \) !l/ I & Proposed Sq. Ft. l, s-a '1 = TOTAL Sq Ft. Z J r~ &.J Iro"'l I..... (D~O -r 12.0 - I I I I I I I I 1 I VAL VA TION OF CONSTRUCTION In all cases, a valuation amount must be entered by the aJplicant This figure WIll be reVIewed and may be revised by the Buildrng DlVlslOn to comply wIth current fee schedules. Contact the Pemllt C~ordmator at 417-4815 for assIstauce. PLAN CHECK FEE- IF a plan check fee IS due it must be submrtted at the tIDIe the bmldmg pemnt a~plicatlOn and construCTIon plans are subnutted All other perrrut fees are due at the tune of p,ermit Iss~ance, . I .. EXPIRATION OF PLAN REVIEW: lfno pemnt IS lssued Wlthm 180 days of the date of apphcatl(jln, the apphcatlOn will expire. The Bmldrng OffiCIal can extend the tune for aCTIon by the applIcant up to 180 days upon written request by the applIcant (see Section R105.3.2 of the InternatIOnal Buildrng/Resldentlal Code, 2003). No apphcatIon can be extended more than oncd. this appllcatio and know the same to be true and correct I aJ authorized to apply for thiS permit and e; s are required ,not the City's, and that I must obtain such permits prior to work Date: 7/03 /z,b I I I ~ FOR OFFICIAL USE ONLY DateRec -, -3- 07 PI1111t#~. <1 ate ApplOved Date Issued - )J ~ COMMERClALIRESIDENTIAL: Occupancy Group:-.J2.-2 No. of Stones. 2. Lot SIZe' ~ EXIstIng Sq Ft. Total lot coverage '- ~ % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DP\VU: FIRE: OTHER:_ ESAlW etland(s). 0 Yes 0 No SEP A Checldist required? 0 Yes 0 No Other. T \Pohcles\BL-l 102_13 wpd / I~ . , Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Building DepJrtrnent Use Only Permit #: .- '0 7-;"'" ~ ~G\" - - " I I 'J _:" ,';, ,'., -,' 'r j " J ~ ' , - ,If f, Site Information Lot: :5 Address, 2.7 0 ::s- u...AJ 3: P ~It... LANE. City,fnl'l--' AAJr~E::.L-6 S State JAJ A Zip q If s Co L Contact: A.JJ 1) YLF:: /AJ .M, ~rz...(L~ r '7 Phone ::.? (I) () - s:-ro S- -0 I C) 0 Phone 2, .:r ( 0 0 - Ce L I - q '-I X 3 Fax' .s (of) - S;-(oS- - 0 J D I Notes' .JI. ,_r , ,'. I ~', :;.. -, "'1'_ lj- T n ill1Ite azmg tion ny Glazing Glazlllg U-Factor Door9 Wall walll Wall SIab4 OptlOn AreaJO U- Ceiling2 Vaulted Above Int4 Ext4 Floors On % of Floor Vertical Overhead II factor Ceiling3 Grade Belo Below Grade I Grad~ Grade ill UnlImited B @ I @ Group R-3 040 0.58 0.20 R-30 R-21 R-I0 R-IO Occupancy I Only See the code text for footnote references his project complies with the following: The project is a single family residence -er eltJplex Table 6-1 I PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUP ~CY CLIMATE ZONE 1 I (Ur'dGl' 0' 01) " :1 -" ,," " : "',. '" ~< ,-= ,=,q.:". ~ ,',\,," ,~~".'" __ ~"~<~: J~- ':.' _~- - - \ " ': '~"-;,' I -;, ~,.~ ~ \- .,~j,~, ~" ,I ;:..~~ ,!'r:j~~"ll'~'3 ~' '_, ".,', ~~f~ t"o~~<~=: -',:-,=,_,' ,'.'~ ' ~ \ ;.~ ,:"_',l:'~t',,~ l'~~-~~: ~i'_1 ~l ~.',':~~' ~ The project IS wood frame OR all of the insulation IS Intenor or extenor of the frammg ~ All bUlldmg components meet the requirements listed in Table 6-1, Option III. (f/ 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 stand~rds IS allowed Location of the door taking thiS exception I o 6026 Exception 2 Doors With a U-factor of 0 40 allowed Without calculations, O~tlon III only, Location of the door(s) taking thiS exception I T)"pE.. D F ,l-'SAt- SO()K-(:..E" ( FOIt.LE:.J) A I: tL I ~ I_Fc..-TfLIC::__ P 11-0 PIt,VE.. F .:r-Fl~ f {... .A-c-E=. COPYright 2002, WSUCEEP02-056 Copied by permission from the Washington State University ExtenSion Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 \ ~ : I~ " -;t5-. Q) - t \SS ~ - 1\ ~ s. ,.~- --------, LtTf ~ 1 10' ~~ 2.\ q Z z~~, ~ . ~ lA"4~1 L!- ~ I .2& ~ ?~~,.. ~. .. " fit .N ~ 2,0 I () 5~ ~N . h .. ,- .~- ~ ~ ~~~1~~5'~ ! , , .~c: ttI...., ~__ - ~ '. ~ 1C.J.Zo' ,. . 220 .::fvt-.\ \ ~ ~a () ~ ~ ~ - it Nt 66.55~ '" 82.37' ., Q~ .... '" t :/. r - i! ... g/ 14 l~ 13 ~ 10184 SO FT ~ !e 9023 sa .... L J~~L "'s J5 "'18' ~r e8/ "'.s "''' b S 85"26',,- E ~ 99 71'-= 15 9806 50 FT. l - _.~ 170!U' s' N 8526'11- IV Scole 50' 1" = 50' 100' o I __~_____l I 1~lsr- r; ~I 12 /I"", FTj; LS4SO FT. LENGTH lJ 92 --:5:Oi 2559' 3S]:f 3092 Jfi'i 165D 150' N S7SIrW w '7S"06. ~ ~ ~ 75.09' 75.01 75.00' ., ISr- I~II 9 FT. :,,~ 11640 50 I~~I ....'" "',- 1"'11 -18~ L 75.01' b .., JUNIPER N BS76'I7IY- - - - - 2699S:-- _ b .., CUR\IF c;-- Ci CJ N E C6 C7 C6 C9 CfO e;;- rn ClJ Cl4 RADIUS 200.00' 200 00' 200 00' r7if{jff" 2JO 00' 2301iO 17000 2Doo' 4650 4650 46SO 4650 7707Xi T3000 lENGD< 14.30' 14.55' sg;;: 12.16' "i'f"T2i 56" TIer 2086 S736 33.39 2042 B:i4f'1 12.J7' 164S' 27513' "'6.01' ~ 75.00' 7500' 754.14' ~ ~ 75 00' 75 DO' ., ISr- ., jsr- FT ~: ..11l736~O I~:I B~ ., sr- I~ I 7 rr ~ ~ 11733 so 1...../ -,.; s:>'" ",- I'" I -.l8 L 1"'11 -Js'/ L 62.38' L2 7500' 69J9' C7 ~ I~II 6 .., JUNIPER LANE BDNG A SUBOMSlON "'THIN THe W 1/2 OF THe SW 1/4 SeCTION 15, T. .30 N., R. 6 W. W.M. CITY OF PORT ANGELES, CLALLAM COUNTY. WASHINGTON PREPARCD FOR DANIEL & KELlE MORRISON 80.'4' ~ '/sr- /.. I 5 I ~ /sr-l8;- l~ 11 '" I 10 ~ ~11lI47 so FT, f~ ~I 1139J 50 /plC _~ S;!I ,~- '" '" I ~S L - Js'L 1"'11 -.l8,1 L C61es 6406' I"') I J8 L -.1s 62.31' C4 5 87'55'30" < 122.62' CJ 5 S7S9"i9"r- U947' C2 LANE ---s-e;'4g:;,2~ ;2'6 iT ~ Cl3 129. IS' 25.<3' 1:) ~I s'r- WETLAND '" I MITIGA TION "', . AREA ~~l 4 ~ 20750 SO FT ~:!? "711 so "'I ~ ~ '" I il 7500' 135 OS' N S7'59'49" W 37;]1' , 7520' iG 'r I", I lilb 3 n: r~ ~ J13.38 so '" I'" -1s" L '2 ~ ~ Cl 5 S7'55'Ja" < 121,60' L1 C74 +4.69' il llSllrr '" f.",J FT I~ j, 11 029 so , 75.S9' lG 2 ~~~I 1 FT ~ ~ J07!H so 15-/ '" Js,/L JsJ L 7500' il 7500' il ----1!liI 430. 72' ~. p~ ~~ :.n ~~~ ZENOVIC & ASSOCI A TES lNCORPORA lED 301 E. SlX1H 5T, 5lE. 1 PORT ANGELES. WA 98362 PHONE. (360) 417-0501 FAX. (360) 417-0514 ~ ... ., I 1 I 1 i I I ~'" Sl ~ ~~ ~ l I~:" .'" IT. i5 I.... -'" .., It Js SHEET 2 OF 3 DATE:' 5/01/07 JOBI 01206 ~ I I I I I ! I I I I I I I I I I I I I i I .J I I I I I I I -.~i~__~ _J 1 ; I ! -!- I I I i I L__" I I I -. -"', "').' I i I I I! 100----- ----.1 : '" j I' I I 'I " ' i ,: I, I I ~.~~--.~--._._l I I I I , \ . ------..-----_.____1__ _ _. I I --.. ~- ----~----.--------."I'l!-~.\ eer __ _~ ~ --'. -" - : " r -.-.--T-". I , I' j I :! -- I , /; i (ofu ! Lut3 I' J,/- &ID I i I I f I' <0, 2 L I r- .--------. -- ' , I J I ~tll I ________ J I I I I '- --------1-____---1-- _-1 ____.L____.. _1_, : II I I (J'{D~O~ : i, \ c~\P. Iii J'~ III I i I I ! I i ! 1 .,!,i '" I , I j. I' , t " i. ~' f ,.-' ~~~- - ~- \ID I j I !' --1---' ~._.- G " i E1 ---:- ------~~~- 1 rn "---~ "- --~---- "-" -----"---~ r------- -- - I".. I ~- \ \ \ \, r I -- - j j I ~- \ ;:EI :EI OJ j I j I I I j i I I j i i j i I i I , I ~!I , I , I I i I , I I I , I II I I II I -------~ - --- - ~~~ .-- Ii #. " ~~ORT~f: tO~~~ .~,. "-~ ~ /'tSi:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER' Tenant nbr, name Appl~cat~on type descr~pt~on Subdivision Name Property Use Property Zon~ng Appl~cat~on valuat~on 07-00000799 Date 665687 220 JUNIPER LN 06-30-15-7-8-0030-0000- GLENN-TERRA, INC RES NEW SFR 8/02/07 RS9 RESDNTL SINGLE FAMILY 152826 Owner Contractor GLENN-TERRA, INC 136 E 8TH ST , STE 223 PORT ANGELES WA 98362 (360) 565-0100 Structure Informat~on 000 000 Other struct ~nfo GLENN-TERRA, INC 136 E. 8TH ST #223 PORT ANGELES (360) 565-0100 1,804 SF SFR, 660 SF GARAGE, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 120 SF PRCH 23.00 V-N 2 00 11338.00 23.00 2584.00 1. 00 Perm~t BUILDING PERMIT -RESIDENTIAL Add~t~onal desc 1,804 SF SFR, 660 GARAGE Perm~t p~n number 106385 Perm~t Fee 1317.05 Plan Check Fee Issue Date 8/02/07 Valuat~on Exp~rat~on Date 1/29/08 526 82 152826 Qty Unit Charge Per Extens~on 1020.25 296 80 BASE FEE 53 00 5.6000 THOU BL-100,001-500K (5.60 PER K) Perm~t MECHANICAL PERMIT Add~t~onal desc Permit p~n number 107557 Perm~t Fee 132 90 Plan Check Fee .00 Issue Date 8/02/07 Valuat~on 0 Expirat~on Date 1/29/08 Qty Un~t Charge Per Extension BASE FEE 50.00 1 00 14 7000 ECH ME- INSTALL 100- FAU 14 70 5.00 7 2500 ECH ME-VENT FAN 36 25 2.00 10.6500 ECH ME-OTHER APPL N/R 21 30 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10 65 Permit . . . . . Add~t~onal desc Perm~t p~n number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 107540 177.00 8/02/07 1/29/08 Plan Check Fee Valuation 00 o Qty Un~t Charge Per Extension 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 resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of nstruc n. '~1 Date Signature of Owner (If owner IS builder) Date T \Pohcles\1102_15 bulldmg penmt mspectlOn recotd05 wpd [1/4/2005] Bun,DING PERMIT INSPECTION RECORD ~ CALL 417-48]5 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES " PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSUL/,TE OR CONCEAL ANI' WORiI: BEFOFtE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TJON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYI'E IJA TE ACCEPTED COMMENTS YES NO FOUNllA TlON FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAfNAGE/ DOWN SPOUTS PfERS POST HOLES (POLE BLDGS) PLUMBING UNDER FLOOR / SLAB ROUGH-fN WATER LINE (METER TO BLOG) GAS LiNE FINAL DATE ACCEPTED BY BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JorSTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEIUNG DRYW ALL (fNTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-fN HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTiNG / SLAB BLOCKING & HOLD DOWNS SKJRTfNG PLANNING DEPT SEP ARA TE PERMIT #'5 SEPA PARKfNG/LIGHTfNG ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUfRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL- LIGHTDEPT 417-4735 ELECTRJCAL , LIGHT DEPT CONSTRUCTIONR W /PW/ CONSTRUCTION - R W ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 417-4653 TIRE DEPT PLANNfNG DEPT 417-4750 PLANNfNG DEPT BUILDiNG 4]7-4815 BUILDING T \Pol1c1es\1 102 15 bUlldmg penDlt mspectlOn record05 wpd [1/4/2005J \ ~f'ORT~ t4.0~~~ ,.~ If ... "- -=-- ~ - 'tOt<:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Page 2 Appll.catl.on Number 07-00000799 Date 8/02/07 Appll.catl.on pin number 665687 Qty Unl.t Charge Per Extension BASE FEE 50 00 14.00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 98.00 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 Specl.al Notes and Comments PLEASE CONTACT RON BECKER AT 417-4886 REGARDING BACKFLOW PREVENTION, IF A FIRE SPRINKLER SYSTEM OR LAWN SPRINKLER SYSTEM WILL BE INSTALLED Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of Sl.X l.nches hl.gh and be of contrastl.ng color from the background. All homes l.n new subdl.visl.orts that are outsl.de of the Fire Department four-ml.nute response area shall be equipped with res1dential fire sprinkler systems that comply w1th the Internat10nal F1re Code (IFC) and Nat10nal Fire Protect1on Association (NFPA) 07/19/2007 05'24 PM SROBERDS --The proposal w111 result in a new sfr w/attached garage in the RS-9 zone for a total of 24% lot coverage The site DOES include an area that 1S des1gnated as a buffer for the adjacent property The rear 25' of yard should NOT be maintained w1th mechanized tools and the open ditch should be ma1nta1ned to be open, not clogged. THE PROPERTY OWNER SHOULD CONTACT THE CITY DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT IF THERE ARE ANY QUESTIONS REGARDING MAINTENANCE OF THE 25' BUFFER AREA Electr1cal load calculations and elctr1cal permits are required. San1tary sewer connect1on inspection 1S requ1red by Public Works prior to back fill of ditch 24 hour advance not1ce 1S required. Construct driveway and S1dewalks to C1ty Standards No concrete w1th exposed aggregate allowed 1n the City road r1ght of way. An 1nspect1on by Public Works Engineer1ng is requ1red pr10r to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4 50 1230 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm1t Fee Total 1626 95 1626.95 00 00 Plan Check Total 526 82 526.82 00 00 Other Fee Total 2234 50 2234 50 .00 .00 Grand Total 4388.27 4388 27 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 IPohcleslll02_15 buIldIng penmt II1spectlOn record05 wpd [1/4/2005] BUll,DING PERMIT INSPECTION RECORD I '0 ~ ~ -D ...c CALL 417-48]5 FOR BUILDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL AN}' WORJ. BEFORE INSPECTED A,ND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TJON KEEP PERMIT CARD AND APPROVED PLANS AT lOB SITE INSPECTION TYI'E DATE ACCEPTED COMMENTS YES NO FOUNDA TlON S-\etnW 0.,\\ 08 (23/07 TL-L FOOTINGS 03/2-11 01 :-rU- I' SHEAR W ALLD WALLS \\-'I~'-(jtl :ILL FOUNDA TION DRAINAGE 1 DOWN SPOUTS I PIERS I I POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB Plllm~I ROUGH-IN 1\ -2. C:kol "J""LL.. t2.-07-o1 R O\lg - n J'LL WATER LINE (METER TO BLDG) GAS LINE FfNI>"LD!i-"23-0g D4TE 0'LL- ACCEPTED BY BACK FLOW 1 WATER AIR SEAL 1''2.--1& - 07 pf1 WALLS CEILING FRAMING 1'2- \ 8,.07 PS JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF 1 CEILING ~\ DRYW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR ::s ,.. INSULATION <:) l ;..ct;.:..og :\ l..L . SLAB ~ WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN 12-1&-07 f'B ;5 HEATPUJ\1Y/FURNACE/DUCTS I ~ GAS LINE FINAL or; -23 -og DATE JL.L ACCEPTED BY WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS ~ SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO t ELECTRICAL - LIGHT DErT 417-4735 ELECTRJCAL LlGHT DErT V") CONSTRUCTIONR W /PW/ CONSTRUCTION - R W ENGINEERJNG 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 4J7-4750 PLANNING DEPT BUlLDING 417-4815 05-2:3-08 ~LL- BUILDING N ~ " ~ ~ ..-- ~ 'If) ~ "3 ~ ~ ~ zS ~ T \Pohcles\] 102 15 buJldmg penTIlt mspectlon recOld05 wpd [1/4/2005] .'" f?ORT~ lO~\ ,. ~ -- ~~ 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 Appl1cat1on type descr1pt1on Subd1v1s1on Name Property Use Property Zon1ng Application valuation GLENN-TERRA, INC. 136 E 8TH ST , STE 223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 Other struct 1nfo . . Owner Permit Addit10nal desc . Permit pin number Permit Fee Issue Date Expiration Date 8/02/07 07-00000799 Date 665687 220 JUNIPER LN 06-30-15-7-8-0030-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 152826 Contractor GLENN-TERRA, INC 136 E 8TH ST. #223 PORT ANGELES (360) 565-0100 1,804 SF SFR, 660 SF GARAGE, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 120 SF PRCH 23.00 V-N 2 00 11338.00 23.00 2584.00 1. 00 DRIVEWAY INSTALLATION 107177 170.00 8/02/07 1/29/08 Plan Check Fee Valuation 00 o Qty Unit Charge Per BASE FEE Extension 170.00 Perm1t Additional desc . Permit pin number Perm1t Fee Issue Date Exp1rat1on Date PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 107185 230.00 Plan Check Fee. 8/02/07 Valuat10n 1/29/08 00 152826 Qty Un1t Charge Per BASE FEE Extension 230.00 Perm1t Add1t1onal desc . Perm1t p1n number Perm1t Fee Issue Date Exp1rat1on Date RIGHT OF WAY 107193 50 00 8/02/07 1/29/08 Plan Check Fee . Valuation .00 152826 Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit . . . . . Add1t1onal desc . Perm1t p1n number SANITARY SEWER HOOK UP 107201 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 Clays after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not sume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of co tructi n. T.\Pohcles\1102.15R [liDS] ~ Signature of Owner (if owner is builder) Date r Authorized Agent Date PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engmeenng DIVIsIon) WATERLINE I METER SEWER CONNECTiON SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTiON R W. I PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T:\PohclesllI02 15R [1/05] c/ pORT ~Q . ,I,.~~<., Uha~ L~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Perml.t Fee Issue Date Expl.ration Date Page 07-00000799 Date 665687 120.00 Plan Check Fee 8/02/07 Valuation 1/29/08 2 8/02/07 .00 152826 Qty 1 00 Unit Charge Per 120.0000 EA SAN SEWER HOOKUP Extension 120.00 Special Notes and Comments PLEASE CONTACT RON BECKER AT 417-4886 REGARDING BACKFLOW PREVENTION, IF A FIRE SPRINKLER SYSTEM OR LAWN SPRINKLER SYSTEM WILL BE INSTALLED. 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 l.n new subdl.vl.sl.ons that are outside of the Fl.re Department four-minute response area shall be equl.pped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and Natl.onal Fire Protectl.on Assocl.atl.on (NFPA) 07/19/2007 05.24 PM SROBERDS --The proposal will result in a new sfr w/attached garage in the RS-9 zone for a total of 24% lot coverage. The site DOES l.nclude an area that l.S designated as a buffer for the adjacent property The rear 25' of yard should NOT be mal.ntained wl.th mechanized tools and the open ditch should be mal.ntal.ned to be open, not clogged THE PROPERTY OWNER SHOULD CONTACT THE CITY DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT IF THERE ARE ANY QUESTIONS REGARDING MAINTENANCE OF THE 25' BUFFER AREA. Electrical load calculations and elctrical perml.ts are required Sanitary sewer connectl.on inspection l.S required by Public Works prl.or to back fill of dl.tch. 24 hour advance notl.ce l.S required. Construct driveway and Sidewalks to City Standards. No concrete wl.th exposed aggregate allowed in the City road rl.ght of way. An inspectl.on by Public Works Engl.neering is requl.red prl.or to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000 00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perml.t Fee Total 570.00 570 00 .00 00 Plan Check Total .00 .00 .00 00 Other Fee Total 2234.50 2234.50 00 00 Grand Total 2804 50 2804.50 .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 -aays 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 \Pohclcs\1102.15R [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 (Engmeenng DIvIsIOn) WATERLINE / 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 / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T'\Pohcles\ 11 02 15R [1/05] [_(~~! 6/2007) Linda Pangrle - Building Application Review 7 -10-07 > Page -}J From: Ron Becker ~cJ...vr , To: Linda Pangrle fZt> V\ ,.P L\ ~g \0 ..i. \ ~ ~ D Date: 7/16/20078:03 AM !.\ ~1 / (€fj(~V" ~..(.) JeW Subject: Building Application Review 7-10-07 .t \?> ~ttOI JThe following permit number locations are outside the fire dept. response time of four mmutes: 1. #07-801,2. #07-'107, 3. ~ . #07-803, 4.#07-799:' Are they gomg to mstall fire sprinkler systems, and are they gOing to be open or closed systems? Also are they planmg on Installing lawn sprinkler systems? Ronald D. Becker rbecker@cltyofpa.us eM~ '" ~ ,~<\:~,,.., ""~;; f't- .:.,'-~":v;J ~ CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 Application Number Application p~n number Property Address ASSESSOR PARCEL NUMBER. Tenant nbr, name Applicat~on type descr~ption Subdiv~sion Name Property Use Property Zon~ng . Appl~cat~on valuation 07-00001395 Date 12/10/07 666855 220 JUNIPER LN 06-30-15-7-8-0030-0000- GLENN-TERRA, INC FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2673 Owner Contractor GLENN-TERRA, INC 136 E. 8TH ST. #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Informat~on 000 000 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 INSTALL FIRE SPRINKLER SYSTEM Permit Add~t~onal desc . Permit p~n number Permit Fee Issue Date Expirat~on Date FIRE SPRINKLER RESID INSTALL FIRE SPRINKLER SYSTEM 116517 50 00 Plan Check Fee 12/10/07 Valuation 6/07/08 00 o Qty Un~t Charge Per Extension 50.00 BASE FEE Special Notes and Comments Call for cover inspection for all sprinkler installations A full acceptance test.wlll be required for all f~realarm systems. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50 00 50.00 .00 .00 plan Check Total .00 00 .00 .00 Grand Total 50 00 50.00 00 .00 ~. '''7 . C?/ o ~ 5" , 0: ~ 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 ofrecogmzed standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the(ovisiolls of any stateor local law regUlati~~ thework spc>c~~~>in the permit 11~:f hi ,15 .e~i-.. Iz//d~?>'''' .> Sig~aiure of Contractor or Authori tl Agent. ~ Date .: S}gnature of Owner (if Owner is bUIlder) . Date ~ t:ti.;:)~ "::.,,;.;,,m FIRE PERMIT INSPECTION RECORD ~ , - Call 360-417-4655 for fire mspections. Please provide a mimmum 24-hour notice It is unlawful to cover, insulatetJ.) or conceal any work before inspected and accepted. Post permit m a conspicuous locatIOn _0 V"\ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatIcally tested Underground piping flushed Intenor pipmg hydrostatically tested Intenor piping inspection Dry system air tested at 40 psi (24 hours) Spnnkler final 05-0(-D~ kPI> FIRE ALARM Rough-in mspection Alann final LP-GAS Completed by Contractor: C :5 Underground pipmg inspection/pressure test ."... Test #1 Above ground piping inspection/pressure test Piping pressure test pSI ~ Time initiated Tank (container) inspection Test #2 Appliance Illspection Piping pressure test pSI Time initiated LP-gas final :s UNDERGROUND STORAGE TANK (UST) ABANDONMENT ~ Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final ~ Inspection Type I Date Passed I Comments ~ ti t-\ .,. $: 1:\ 2/15/00 ~ ; r-.... ) L ~~ GENERAL COMMENTS: 07-1395 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private residence Address: 220 Juniper Lane Installer: Innovated Fire Protection Installer Telephone: 452-7583 u .... ~ . Type of System: Open 130 13RO 13D~ Date: 11.30.2007 PAFD Permit #: 07-37 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. Contractor Reviewed by: rmaJ Date: If .lo. 07 o ~ Building Department o Fire Department I DATE: II-L~-Oll E:l FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRA TI~N o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUILDlNG DIVISION' fa /0 o o RE: ADDRESS: ~2CJ "J""Un;feK' L(l'()e NAME/CONTACT: yt", (ev\;t- Be.-*:3 ex- PHONE: If t.? 2. -75 g '3 PERMIT NUMBER: 07 - I 3 Cf 5 PROJECT DESCRIPTION: XnsW( Re5.. R re. Sph'V\Kler- S':j-~ ~ NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: ~~VIEWIRETURN o FILE Or --31 BUILDING PERMIT - APPLICATION 1'01, OrnCIAL USE ONLY Dale/tee. 1\-Z8-6[ l'cnmt Ii 6"1 - \ '3CJ' 5" D~lC JI.pplOv::d Dale Issued PiII out COMl'LETEL Y and in Th'K. Your application and site plan MUST B[ COMJ'LCT[ to he accepted for revIew. If you have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4711 , ~c..1LV\. +- - - I -R. 'V ~ c..... ..1- '-'- L Ph on e Address I J b E ~J+ L., tj;. 22--1 City P~.,..f ,l)t-"j ~ l(LS ArchltecUEngmeer Phone ContractorLA//Vdl/,g.... T.GLJ p/ Jl~ State License # J NNO VSt=o""OIl.. Exp y~~ Phone: '1S,z - )...f" ~7 Address' a I /)/Jl.A...J 1l~11€A-. L".... CIty.P-iT......J- 4t.-.J ~ lL.P ZIp. 90362 PROJECT ADDRESS 2..2-n ~~'-';r.Ar- L~~ ZONING: LEGAL DESCRIPTION' Lot .s Block: SubdivIsIOn: CLALLAM COUNTY PARCEL NUMBER: ApplIcant or Agent Owner.----.GJ..e.. V1. V\ r- Phone' LIS 2. -7S83 ZIp 9g-J~2. ~E OF WORK: SIZEIVALUATION: ~~esldentIal D New COllStr D Re-roof D Stove SF @ $ /SF. = $ o Multi-family D AddItIOn D MoveD Garage SF @$ /SF = $ o Commercial D Remodel 0 DemolItion 0 Deck SF, @ $ /SF = $ o Reparr 0 S'gn 0 Oth", TOTAL V ALUATlON $ Z. '- 7;. <> c) BRIEF DESCRIPTION OF THE PROJECT. ::r......,.r+CiII F/."...e.. .sp-v:..../<1.e- -S' ~/-.e.'v.-.. COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft Total lot coverage % Occupant Load: & Proposed Sq. Ft ConstructIon Type: = TOTAL Sq. Ft PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building DIvisIOn to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for asSIstance. PLAN CHECK FEE. IF a plan check fee IS due it must be subillltted at the time the building permit application and construction plans are submitted. All other penmt fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno penmt is issued withm 180 days of the date ofapplicatlOll, the application will expire. The Building OffiCIal can extend the tune for action by the applIcant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International BuIlding/Residential Code, 2003). No application can be extended more than once. I hereby 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 determme what permits are required ,not the City's, and that I must obtain such permrts pnor to work T"""RMS\IlidgJ'_f~wpd Apphoanl -V ~ j) I 1S ~ Date: /J J2LJ/o7 / , ~ ~ Application Number Appl~cat~on pin number Property Address ASSESSOR PARCEL NUMBER Appl~cat~on type descr~pt~on Subd~v~s~on Name Property Use Property Zoning Appl~cation valuation 08-00000314 Date 188452 220 JUNIPER LN 06-30-15-7-8-0030-0000- ELECTRICAL ONLY 3/11/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor TERRA, GLENN 220 JUNIPER LN PORT ANGELES WA 983620338 ABSOLUTE AIR INC 2820 E. HI-WAY 101 PORT ANGELES PORT ANGELES (360) 452-8444 WA 98362 Permit Addit~onal desc Perm~t p~n number Perm~t Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL ABSOLUTE/ T-STAT 122572 35 00 3/11/08 9/07/08 Plan Check Fee Valuation .00 o ~ ~ Qty 1 00 Unit Charge Per 35 0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35 00 00 00 Plan Check Total 00 00 00 .00 Grand Total 35 00 35 00 00 00 6{ c ]:... ;) r ~ L ~ . SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN 1211z1 en ~ FINAL OMMENTS: <11Q1lT~G ,l'~~"'t. .~ .. -- .- ,"tIi:c';;i!P CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o 7-7Qc:; Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Proper-ty Use Property Zoning Application valuation GLENN-TERRA, INC. 136 E. 8TH ST., STE. 223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 Other struct info Owner Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 8/02/07 07-00000799 Date 665687 220 JUNIPER LN 06-30-15-7-8-0030-0000- GLENN~TERRA, INC. RES NEW SFR -ZZO ~ RS9 RESDNTL SINGLE FAMILY 152826 Contractor ~ GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 1,804 SF SFR, 660 SF GARAGE, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 120 SF PRCH 23.00 V-N 2.00 11338.00 23.00 2584.00 1. 00 DRIVEWAY INSTALLATION 107177 170.00 8/02/07 1/29/08 .00 o . ~(liJ . 'f;))g 4J'U Plan Check Fee Valuation Qty Unit Charge Per BASE FEE , Extension 170.00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date . . PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 107185 230.00 plan Check Fee 8/02/07 valuation 1/29/08 .00 152826 Qty Unit Charge Per Permit Additio~al desc . Permit pin number Permit Fee Issue Date Expiration Date BASE FEE Extension 230.00 RIGHT OF WAY 107193 50.00 8/02/07 1/29/08 Plan Check Fee . valuation .00 152826 Qty 1.00 Unit Charge Per 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit Additional desc . Permit pin number SANITARY SEWER HOOK UP 107201 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private arid 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-ilays 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 appiication and know the same to be true and correct All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructio'n or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\ II02.15R [1/05] -- - rlI'ORT"-\, t'~ r. 1L ~.- .- ~"4\(;~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Permit Fee Iss.ue Date Expiration Date Page 07-00000799 Date 665687 120.00 Plan Check Fee 8/02/07 Valuation 1/29/08 2 8/02/07 .00 152826 Qty 1. 00 Unit Charge Per 120.0000 EA SAN SEWER HOOKUP Extension 120.00 Special Notes and Comments PLEASE CONTACT RON BECKER AT 417-4886 REGARDING BACKFLOW PREVENTION, IF A FIRE SPRINKLER SYSTEM OR LAWN SPRINKLER SYSTEM WILL BE INSTALLED. 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). 07/19/2007 05:24 PM SROBERDS --The proposal will result in a new sfr w/attached garage in the RS-9 zone for a total of 24% lot coverage. The site DOES include an area that is designated as a buffer for the adjacent property. The rear 25' of yard should NOT be maintained with mechanized tools. and the open ditch should be maintained to be open, not clogged. THE PROPERTY OWNER SHOULD CONTACT THE CITY DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT IF THERE ARE ANY QUESTIONS REGARDING MAINTENANCE OF THE 25' BUFFER AREA. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Cha rged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 570.00 570.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2804.50 2804.50 .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 Ii.ot 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 iaw regUlating constructio'n or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\11 02.15R [1/05] -l ! '7 I Issued date: ~-I-Dl APPLICATION FOR WATER City Water Division, Port Angeles, WA Installed by & date: IIJi-07/C-tJ-i.-J Pennit # ot~ 7qq I I hereby apply for water to be furnished in accordance with rates and rules qr the City for the following premises: Applicant Name & Phone: (tle.hh T-e.vY'a...:::IN:., ~~-Ol 00 SltcAddress "ZZO .f~ 11/ r7PV I tJl1~ MailmgAddress /;:;I.P E 8~ / Blk. Lot.=3 Add Ju VI \ feY If-- Parcel # a7301~ - 7 A -~ r4 F ~t 7 ~oH WIG# ~D 3l..f3) ")')0 ees: Uo -~ (z..:so- Restoration Required: Remarks: . ,,,,,-,. '~..J.<~ . N w E ."" ":jJ hOt , s -- - CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date Ci- 4- 67 Time Received by (phone, person) Location of Work to be inspected 220 Jun '\ pe r L.?1" e. Name of person requesting inspection Address of person requesting inspection Phone No. 477 -/~(,2- Type of Inspection (circle appropriate one): Permit No. 0'7 -7'14 ~wV Foundation Framing Chimney Plumbing Final Sewer Excav. Other Inspected: Date Remarks: INSPECTION NOTES: {(-4- 07 Time '?M By E;r,'L RESTORATION REQUIRED...... YES NO X ~ j ----- - - - - zq'3~ . - --."-' ---- - - f 'E:S-tl-/ N :5 ~ ~~ 6- 1 \) '3o! 0 a..J ...:hJl\lfer LZ\"\€. Lu...b 12- - ~ .~ f2-!vJ - P'of c.,. "- ., i - - . -f--oo - ~I\~ - - - - /' I ~ h b,;;.J:..!>.(...., ) -d ~ '2-\l., /~ I~<(li 1"0*,0 a 'bOd /Q" ..,c 'f', ZZO I {. !! 1)...." /[,. . I. I '<5 ~Ar~ 4" /1 (-;~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City - o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT InATI::' ~~!i . , "./. ;~:" :~f'~ >~,." }-' ~~ _" ,";c,', '. :~"~:;i;~:.:;"!:'} .'. J,~~[":;~r, ''*"":~', k '~:~':it:F;f~> ;':1~' ~- -', , ".'J:"""." .d ,'''.-;,: e" <" CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . . . ~ REQUEST: Date fJ - 2..B - oP:- Time Received by 12v (phone, person) , Location of Work to be inspected 2'2. 0 .J LAY\.., f>~ f" Name of person requesting inspection .:r~ k Address of person requesting inspection Type of Inspection (circle appropriate one): LV\ Phone No. ~~'-O If? Permit No. r<i7-j1e:J9 ~sewer Excav. Other Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: Inspected: Date 1-28 -D8 Time Remarks:.<:;e~Q.,... 'i - J-f -07 ~~ ~~~ J~ ~iof'1I-t t'?Q.. be1weBo.t ))1'..1<<. -28-08 By R v' 22,,0 e 2.1(" {}/< RESTORATION REQUIRED. . . . .. YES NO Y- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary I STREET SUPER!NTENDENT (DATE) Electrical contractor name I\~\vl-c- A-\i2...;"L Purchaser's mailin~addreSS 1'l':,7D p, ,j~ Ci~ ' ~\"~ Telephone numtl :2-- y License number Date Expires Eu"A\\SST>l--AlqqOl\ltV ~-Z~ ON... o Altered/Addition 0- ~ I \)J - -J::.. ti ELECfRlCAL WORKPERWT APPLICATION Job wired by o Electrical Contractor Q Owner Installation description 1:1 Commerdal III Resldeattal \0\ \()vJ \In tin ~ t }TVlf.(mo StTJ;- State ZIP 0JA qP;oLCL FAX number Premises owner's Dame Glt(\(\ Tf(r""- Address of inspection '2'20 , )l) l\\?f: I' V)jlP _ Ci~(\- ~-f,l.v" Phone number to sC'bedulc IDspectlon:. -'644 -- ~. li>\--s Owner as defined by RCW/9.28.26/:0) Owner will occupy the structure for two years qfiu this electrical permit is finalized. (2) Ow"er is requjr~J to hire an e/eclrical controctor if above said properry ;$ for sale. 'ern or leose. ~ After reeding the above statement. I hereby certify that I am the ownet' 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 296-468, The City of Port Angeles Municipal Code. and Utility Specifications. SllDature or o Cash Q Check # o Credit Carq VISl1 Card # Mastercard Discover x Date: 3-Y-DS Expiration Dale of card Inspection fee $ ServIce Information CI NO LOAD CHANGES o Baseboard KW Ia Furnace & KW a Heat Pump _ Ton _ LAR o Fan-Wail _ KW o Ove.-d Service a Tamp Service a Underground Service Voltago PhaseCl1C13 Service Stze: F_ SIze: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT /' SERVICE ~17b{ -~.BY ".~ AppNved By OllIe '- O,le Approved By FlNAL /' DITCH /' FEEDER ~h::!(}ro ~, "- OM. Approved By "- do< ~B)'/ Inspection Area, Building or Equipment Inspected Action Taken Electrical Dale -- Inspector -~ ~{ -0 7 ?a[ Gr- 07 ~--" t ',' ~. ~: ";Ii ...... ELECTRICAL WORK PERMIT APPLICATION . Job wired by )Q Electrical Contractor 0 Owner Installation description [J Commercial &i(Resideotial Electrical conlraclor no me License number Date Expires \ ......,..("~ !...r_ ELFc..:r5n3~)'l1 Purchaser's 'mailing ad~ss . . (ftt' ~ J} 81.. j..)ra@Ar Vet- _ ~1!. City Slate ZI td W FAX number ~ n.J(.., @New o AlIered/Addltion nc: '\Ai Y-'2 \cr5':Z :200 s ; tL.It\U s)-tr t..vv( . Premi... o'}'\erI n.... ~ 17 ..e h ~ t" ("<'''t Adrlrl'ss of Inspection J . '2.?...0 tJn.\p~r City e.t B: h 0, . f)~a. -\~ Phone lIuRlber to schedule ln5peCllcn OW/le,. Wi defined by ReW 19.28.261:(1) OWIU'r wifl OCCIIPY Ole struclurr for Iwo years afler lhis electrical penJlit is fi/wli2l?d. (1) Owner is required to hire an electrical contractor if above said propel't)' is for ~'1I/(!. relit or ICCI,fl!. Aller reading the above stalement, I hereby ceniry lhat I am the owner or the above named property or a licensed cle,c1riclIl contractor. I am makinll the electrical instal. lalion or aheration in compliance with the electrical laws. N.E.C.. RCW. Chapter 19.28. WAC. Chapter 296-468, The City or POll Angeles Municipal Code, and Utility Specifications. Signature 0 woer, electrical cont o Cash 0 Check # o CreditCard OVisa Card # . h MaJ}aev Discover Expiration Date of card x Electrical Load Additions and or subtrActions IJ NO LOAD CHANGES Cl Baseboard KW Q Furnace Jo<w o Heat Pump _ Ton _ LAR IJ Fan-Wall KW Service Information Vollago Ic:l O/-:J.':IO Phase 0.-10 3 . Service Size: ~ Feeder Size: o Overhead Service Cl Temp Service , UndergrQund Service SAME DAY INSPECTION, CALL B.EFORE 7:00 AM 360-417-4735 D~te APIl'O~cd ~y SERVlCE (2{~!rn. ~ FEEDER ROUGH-IN J?ltyo'7 Dale: -/ A''fHO~ttJ Dy THERMOSTAT FINAL ~frl)7fj 'vJf' Date Appro~cd By DIT~ ^ppro~ro l:Iy D~te: Approve:d 9y " , Inspection Dale Are:J, Building or Equipment Inspected Action Taken Blectrical I n!:pcctor f 7 ( ... c.,J.Jli'l-r /7I<r I2.z> LJ b1-L ,,}-/<I tJ7 A;J fl;- LIGHT EPT- 2/2-d J L!.bHb:01 b2b92Sb 3JI~d3S JldlJ3l3:WOdj ~20:80 b002-0[-9n~ ~"ORT<4+. ....O~Q~ " -~<~ (} ,--- . ~ ~ V~ '!~-~tf1 ~...C'~$ "'O~KS"'",j<" ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE OWNER/CONTRACTOR L-L IC-C ADDRESS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . ~ O. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 O.....................RN~....................O CORRECTIONS NEEDED: h. 0 t:l~ '< 1z.,1 MAIN F r2...D f'/\. F1-..06f2:. ~b-\f) I-<'E LJ ~L...L- , " STAf'" WE.- -:? 0 Y\.1'C....X tJJ~~ L l/~K.. Ilk..l. blA,)2.~~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 &,&,1 b-~ Contractor ""'\ (Instllllation dcscriPtio~ Job wired by a Owner CI Commercial . esidential l::lcctrical contractor na~ ~ License number Dale Expires O.New (J Altered/Addition ~" ~<Zc..,.. ,>, \~l..()o. . PU(CI~rLm;Jilj~ddrCS~ Vrh f2d . City VA , S"'"~~3(i,''''' ~ ielephone numhcr FAX number 4{"~-"'4L"'( -S~ prem'(; c;.::IS~_... ... Address of lR$peCtl~ L..... J:Z.,~ I PEL LN (eb~S 6~ '2-20. ~""t'-' t)L-D /. CIty pAr. -- Phone number to !jchedulc Inspection: OWI/cr as defined by RCW/9.28.261:(I) Owner will oct/lpy rile strllctllre for two year.~ aftcr IIIis e1ectr;r;al permit is fllUlJized. (2) Owller is reqUIred /0 Iljrj' an electrical contractor if above said property is for sale:, relit or lellse. a Cash a Check # After rcadinM the above stalement, I hereby certify that J am the owner of lhe above named propeny or a licensed electrical contractor. I am making the dectrical iustal- a CceditCard Visa tr4:rd Discover lalion or alteralion in compliance witl1 the electrical laws. N.E.C., RCW. Chapter ()v:-\.. 19.28. WAC. Chapter 296.46B. The CilY of Pan Angeles Municipal COdl;, and Cnrd# - Ulilily Specifications. ---------------- rSignol"ro ~ e1erz::.;oaclor or ,lectrl,,1 adminl,trotor Expiration Date \. X Date: -, {, <..J of card ( snspcction fee ~~. ~'~---w ". . ........ ELECTRICAL WORK PERMIT APPLICATION.. '\ ~ Electrical Load Addlllons and or subtractions o NO LOAD CHANGES o Bas aboard KW CI Furnace KW o Heat Pump Ton o Fan-Wall KW LAR Overhead Service Temp Servico Underground Sorvice Service Information VoUnge L u> I'" ..~ Phasa Ct"'l1::l 3 Service Size: <D-6 Feeder Size: ~"1 o (J o SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-h'l '\ THERMOSTAT--- -, r SERViCE "- Dale Appro'-roB}' Dlllt Appfovcd 1.1) 'C Daft ^pelroved By / l:z/~,~./~7AL~ DITCH t];;EDER "- DlllC Approval By Dalc Approved My lnspectiol1 Area, Building or Equipmcnllnspected electrical Date Action Taken (nspector 7c/3- 07 $7/3"" lh,otJE:<-r /7c7 i/,-I1?M:fl j]X . . ~n=........ U R Ff'i"l\ YlIIia 'b9 e.. U 'iJ I6IY1 JUL 0 9 200 . ... 00l<< DEPT 9/2 d 11 L17,u 17 :01 1721792S17 3JI~d35 Jld1J313:WOd~ ~22:80 17002-[-lnr ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN / COVER SERVICE FINAL CORRECTIONS NEEDED: NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 7/12/2024 24-571 TMC OWNER Contractor Daves Heating & Cooling Services ADDRESS 220 Juniper Ln