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Home My WebLink About224 Juniper Ln - BuildingPREPARED 11/10/09 8 30 26 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/10/09 ADDRESS 224 JUNIPER LN SUBDIV TENANT NBR JEFFREY /DANIELLE PICINICH CONTRACTOR SUNSHINE PROPANE PHONE (360) 683 4010 OWNER JEFFREY /DANIELLE PICINICH PHONE (360) 452 5321 PARCEL 06 30 15 7 8 0020 0000 APPL NUMBER 09- 00001054 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 11 /1 /09 JLL MECHANICAL GAS LINE TIME 12 30 November 10 2009 8 27 28 AM 1pangrle DANIELLE 206 355 3954 GAS LINE SHE D LIKE A 12 30 PM INSPECTION THE PROPANE TANK INSTALLERS PLAN TO BE DONE BUT STILL THERE AND WANT TO HOOK UP THE GAS LINE AFTER YOU INSPECT IT COMMENTS AND NOTES C CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00001054 Date 10/12/09 Application pin number 702778 Property Address 224 JUNIPER LN ASSESSOR PARCEL NUMBER 06 30 15 7 8 0020 0000 Tenant nbr name JEFFREY /DANIELLE PICINICH Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc TANK SET AND GAS LINE INSPECTION FOR GAS FIREPLACE Owner Contractor JEFFREY /DANIELLE PICINICH 224 JUNIPER LANE PORT ANGELES WA 98362 (360) 452 5321 DY2 O� Date Print Name T:Forms/Building Division/Building Permit SUNSHINE PROPANE 10853 RHODY DR PORT HADLOCK (360) 683 4010 Permit MECHANICAL PERMIT Additional desc TANK SET GAS FIREPLACE Permit pin number 154997 Permit Fee 100 00 Plan Check Fee 00 Issue Date 10/12/09 Valuation 0 Expiration Date 4/10/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 50 0000 HR ME INSPECTION MIN 1 HR 50 00 Fee summary Charged Paid Credited Due Permit Fee Total 100 00 100 00 00 00 Plan Check Total 00 00 00 00 Grand Total 100 00 100 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora 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 aermit doss not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of co.tst action. WA 98339 Signature of Contractor or Authorized (Agent Signature of Owner (if owner is builder) 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 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 Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit 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 IG_AQ Inspection Type FINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Date Accepted By m il I I -I I01 Applicant Property Property Contractor Contractor's License Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof pziHeat System Other Floor Areas Basement 1 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures N Site Coverage the amount of impe and other impervious surfaces (see Max. height of proposed structur: Will a lawn sprinkler system b: installed? Will a fire sprinkler system,. installed? T Forms/Budding Division /Bldg Permit.doc BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PROJECT ADDRESS p(-'IC UVII i 2GV ,(162_2 RyCAvVyQS, INS cI mIDa Residential +(Ink c Oo oas IJwp ME ik 2- �E aq 517_3)es Existing (sq. ft.) House garage other Phone (pO- /153- Phon &l l o Expires i n S'�2G�1 wac dov re- Heat pump wood burning stove gas fireplace pellet stove other Proposed (sq. ft.) /q ft. Lot size urface on a parcel including structures MC 17 94 135 for exemptions) ft. Occupancy group Occupant load --..Construction type APPLICATION Print in ink Signatur Phone E -mail For City Use Only Date Received IC) 1 Z'Oq Permit# I0S+ Date Approved Lot Zoning Multi family Commercial Industrial Abbe. d P�id`)or" G Dias ;re17 (Alt. I. 4e. A kWcus new SW doe El tear off re -roof ID lay over one layer V jx r L VALUATION per sq ft. sq ft. Lo coverage )o p ed driv ays sidewalks patios Site coverage bedrooms of I baths of hal 'aths have read and completed this application and know it to be true and correct I am autho 'zed to apply for this permit and understand that it is my responsibility to dete e wwhatpermits are required, and to obtain permits pri'r o wort on pro/cts. Date ID t� D°1 Print Name 1�1,�a Viol l Vt d 'V,,~. $fi~~ Da .......~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Number Applicat~on pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subd~v~sion Name Property Use Property Zon~ng Applicat~on valuation 07-00000806 Date 346618 224 JUNIPER LN 06-30-15-7-8-0020-0000- ELECTRICAL ONLY 7/15/07 RS9 RESDNTL SINGLE FAMILY o Owner Contractor MORRISON DAN PO BOX 3051 PORT ANGELES WA 983620338 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit Add~t~onal desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date . ELECTRICAL TEMPORARY SERVICE EL. SVC / TEMP SVC 106476 ELECTRIC SERVICE 40 00 Plan Check Fee 7/15/07 Valuat~on 1/11/08 00 o ~ \.J "" Qty 1 00 Unit Charge Per 40 0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.00 r "- ~ Fee summary Charged Paid Cred~ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 00 40 00 .00 .00 Plan Check Total .00 00 00 00 Grand Total 40 00 40 00 00 00 f' (: , 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-ll02.\S (4'96] '" Application Number Applicatlon pin number Property Address ASSESSOR PARCEL NUMBER. Applicatlon type description Subdivislon Name Property Use Property Zoning Applicatlon valuation 08-00000315 Date 268670 224 JUNIPER LN 06-30-15-7-8-0020-0000- ELECTRICAL ONLY 3/11/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor MORRISON DAN PO BOX 3051 PORT ANGELES WA 983620338 ABSOLUTE AIR INC 2820 E HI-WAY 101 PORT ANGELES PORT ANGELES (360) 452-8444 WA 98362 Permit Addltlonal desc . Permit pln number Permlt Fee Issue Date Explration Date ELECTRICAL NEW RESIDENTIAL ABSOLUTE/ T-STAT 122580 35 00 3/11/08 9/07/08 Plan Check Fee Valuatlon .00 o ~ N -L Qty 1 00 Unit Charge Per 35 0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Tota'L 35 00 35 00 00 00 Plan Check Total 00 00 .00 00 Grand Total 35 00 35 00 .00 00 ~ c L ~ ('N r r ~ .. SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN L FINAL ;fi( ~ OMMENTS: ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER. Tenant nbr, name Application type description Subd~v~sion Name Property Use Property Zoning Appl~cat~on valuation 07-00000807 Date 10/19/07 503391 224 JUNIPER LN 06-30-15-7-8-0020-0000- GLENN-TERRA, INC RES NEW SFR RS9 RESDNTL SINGLE FAMILY 165272 Owner Contractor GLENN-TERRA, INC 136 E. 8TH ST #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 2,037 SF SFR, 440 SF GRG, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 72 SF PORCH 23.00 V-N 2 00 11029 00 2549 00 2549 00 1 00 Permit Add~tional desc Permit pin number Sub Contractor Permit Fee Issue Date Expirat~on Date ELECTRICAL NEW RESIDENTIAL EL SVC / 1850 SF SFR 111773 ELECTRIC SERVICE 113 00 10/19/07 4/16/08 Plan Check Fee Valuation 00 o Qty 1 00 2 00 Unit Charge Per 69 0000 ECH 22 0000 5C Extension 69 00 44 00 EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Spec~al Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six ~nches high and be of contrasting color from the background All homes ~n 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 Associat~on (NFPA) 07/19/2007 05 22 PM SROBERDS --The proposal will result in a new sfr w/attached garage in the RS-9 zone for a total of 23% lot coverage The s~te DOES ~nclude an area that ~s designated as a buffer for the adjacent property. The rear 25' of yard should NOT be maintained with mechanized tools and the open d~tch 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 Electr~cal load calculations and elctrical perm~ts are required 'N N -L ~ C z =0 ~ r \ Z- . INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL COMMENTS: ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 . Application Number Applicatlon pln number 07-00000807 503391 Page Date 2 10/19/07 Speclal Notes and Comments Sanitary sewer connection inspectlon is required by Public Works prior to back fill of ditch 24 hour advance notice lS requlred Construct driveway and Sidewalks to City Standards Drlveway must be place mlnimum 7' 6" from property line No concrete with exposed aggregate allowed In the City road right of way An lnspection.by Public Works Engineering is required prlor 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 ----------------- ---------- ---------- ---------- ---------- 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 . SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: J 2-"f () B <A9 AL A<-. 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 17 5/23/08 224 JUNIPER LN GLENN-TERRA, INC. GLENN-TERRA, INC. GLENN-TERRA, INC 06-30-15-7-8-0020-0000- 07-00000807 RES NEW SFR 01 8/30/07 8/30/07 SuaDIV 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 08/30/2007 08 14 AM LPANGRLE TOMMY 477-0778 FOOTINGS AM INSPECTION 08/30/2007 04 35 PM JLIERLY ---------------------------- BLDG FOUNDATION STEM WALL TIME, 09 00 09/11/2007 04 21 PM LPANGRLE TOMMY 477-0778 STEMWALL MORNING INSPECTION 09/12/2007 11 39 AM PBARTHOL --------------------------- BLDG DOWN SPOUT DRAINS 09/21/2007 08 34 AM LPANGRLE JOHN 477-8190 "GUTTER DRAINS" 09/21/2007 04,56 PM BLDG SHEARWALL December 19, 2007 8,28 16 AM Ipangrle SHAWN 808-1078 SHEARWALL BLDG AIR SEAL February 4, 2008 8 58 43 AM Ipangrle SHAWN 808-1078 AIRSEAL February 5, 2008 8 33 28 AM pbarthol. BLDG FRAMING February 4, 2008 8 58.15 AM Ipangrle. SHAWN 808-1078 FRAMING February 5, 2008 8 33 28 AM pbarthol. BLDG INSULATION February 6, 2008 3 52 11 PM Ipangrle. SHAWN 808-1078 February 8, 2008 8,02 41 AM pbarthol. FIRE FINAL Aprl1 16, 2008 11.26 01 AM kdubuc Flre flnal Aprl1 16, 2008 11,26 38 AM kdubuc Flre flnal PUBLIC WORKS FINAL Aprl1 28, 2008 3 47 30 PM rvess. Aprl1 28, 2008 3 47,48 PM rvess ff BLDG FINAL May 23, 2008 8,15 54 AM Ipangrle. JOSH 509-209-1783 \ BLDG FINAL ------------------------- --------------------------------------------------------------------- BL1 BL2 DSD BL9 BAIR 01 BL3 BLI FFNL 01 PW99 01 BL99 01 01 9/12/07 9/12/07 JLL AP PB AP JLL AP JLL AP PB AP PB AP PB AP KDD AP RV AP JLIERLY ---------------------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 01 9/21/07 9/21/07 01 12/19/07 12/19/07 2/04/08 2/05/08 01 2/04/08 2/05/08 01 2/07/08 2/08/08 4/14/08 4/14/08 4/28/08 4/28/08 5/23/08 PREPARED 5/23/08, 8.50:48 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES LIERLY PAGE DATE 18 5/23/08 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER. 224 JUNIPER LN GLENN-TERRA, INC. GLENN-TERRA, INC. GLENN-TERRA, INC. 06-30-15-7-8-0020-0000- 07-00000807 RES NEW SFR SUBDIV' PHONE PHONE (360) 565-0100 (360) 565-0100 TYP/SQ REQUESTED COMPLETED INSP RESULT DESCRIPTION RESULTS/COMMENTS MEl 01 2/04/08 PB MECHANICAL ROUGH-IN 2/05/08 AP February 4, 2008 8 59:13 AM 1pangr1e. SHAWN 808-1078 MECHANICAL ROUGH-IN ~ February 5, 2008 8 33:28 AM pbartho1 5/23/08 MECHANICAL FINAL May 23, 2008 8 16 10 AM 1pangr1e. JOSH 509-209-1783 MECHANICAL FINAL ME99 01 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL6 01 9/21/07 JLL PLUMBING WATER SUPPLY 9/21/07 AP 09/21/2007 08'35 AM LPANGRLE JOHN 477-8190 WATER SUPPLY LINE 09/21/2007 04 56 PM JLIERLY ---------------------------- PL2 01 1/22/08 JLL PLUMBING ROUGH-IN 1/22/08 AP January 22, 2008 8:35:40 AM pbartho1 JAKE 670-3427 Jf January 22, 2008 4:29,05 PM ]l1erly PL99 01 5/23/08 PLUMBING FINAL May 23, 2008 8 16:28 AM 1pangr1e. JOSH 509-209-1783 PLUMBING FINAL -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/07/08, 11 57 19 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 3 2/07/08 224 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0020-0000- 07-00000807 RES NEW SFR PHONE PHONE (360) 565-0100 (360) 565-0100 SUBDIV PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/30/07 8/30/07 JLL AP BL2 01 9/12/07 9/12/07 PB AP DSD 01 9/21/07 JLL 9/21/07 AP BL9 01 12/19/07 JLL 12/19/07 AP BAIR 01 2/04/08 PB 2/05/08 AP BL3 01 2/04/08 PB 2/05/08 AP BLI 01 2/07/08 tiP- ~/7 BLDG FOUNDATION FOOTING TIME 09 00 08/30/2007 08 14 AM LPANGRLE TOMMY 477-0778 FOOTINGS AM INSPECTION 08/30/2007 04:35 PM JLIERLY ---------------------------- BLDG FOUNDATION STEM WALL TIME 09 00 09/11/2007 04:21 PM LPANGRLE TOMMY 477-0778 STEMWALL MORNING INSPECTION 09/12/2007 11 39 AM PBARTHOL --------------------------- BLDG DOWN SPOUT DRAINS 09/21/2007 08 34 AM LPANGRLE JOHN 477-8190 "GUTTER DRAINS" 09/21/2007 04 56 PM JLIERLY ---------------------------- BLDG SHEARWALL December 19, 2007 8:28 16 AM lpangrle SHAWN 808-1078 SHEARWALL BLDG AIR SEAL February 4, 2008 8 58 43 AM lpangrle SHAWN 808-1078 AIRSEAL February 5, 2008 8 33 28 AM pbarthol BLDG FRAMING February 4, 2008 8 58 15 AM lpangrle SHAWN 808-1078 FRAMING February 5, 2008 8 33 28 AM pbarthol BLDG INSULATION February 6, 2008 52 11 PM lpangrle SHAWN 808-1078 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/04/08, 9 47.06 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 4 2/04/08 224 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0020-0000- 07-00000807 RES NEW SFR PHONE PHONE (360) 565-0100 (360) 565-0100 SUBDIV PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/30/07 8/30/07 JLL AP BL2 01 9/12/07 9/12/07 PB AP DSD 01 9/21/07 JLL 9/21/07 AP BL9 01 12/19/07 JLL 12/19/07 AP BAIR 01 ~ ~ BL3 01 2/04/08 ~ if BLDG FOUNDATION FOOTING TIME 09 00 08/30/2007 08 14 AM LPANGRLE TOMMY 477-0778 FOOTINGS AM INSPECTION 08/30/2007 04 35 PM JLIERLY ---------------------------- BLDG FOUNDATION STEM WALL TIME 09 00 09/11/2007 04 21 PM LPANGRLE TOMMY 477-0778 STEMWALL MORNING INSPECTION 09/12/2007 11 39 AM PBARTHOL --------------------------- BLDG DOWN SPOUT DRAINS 09/21/2007 08 34 AM LPANGRLE JOHN 477-8190 "GUTTER DRAINS" 09/21/2007 04 56 PM JLIERLY ---------------------------- BLDG SHEARWALL December 19, 2007 8 28 16 AM 1pangr1e SHAWN 808-1078 SHEAR WALL BLDG AIR SEAL February 4, 2008 8 58 43 AM 1pangr1e SHAWN 808-1078 AIRSEAL BLDG FRAMING February 4, 2008 8 58 15 AM 1pangr1e SHAWN 808-1078 FRAMING PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 2/04/08 ~ II MECHANICAL ROUGH-IN February 4, 2008 8 59 13 AM 1pangr1e SHAWN 808-1078 MECHANICAL ROUGH-IN -------------------------------------- COMMENTS AND NOTES -------------------------------------- fJ PREPARED 1/22/08, 11 02'49 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR, JAMES LIERLY PAGE DATE 3 1/22/08 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . . APPL NUMBER 224 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC. GLENN-TERRA, INC 06-30-15-7-8-0020-0000- 07-00000807 RES NEW SFR SUBDIV PHONE PHONE (360) 565-0100 (360) 565-0100 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL6 01 9/21/07 9/21/07 JLL AP PL2 PLUMBING WATER SUPPLY 09/21/2007 08 35 AM LPANGRLE JOHN 477-8190 WATER SUPPLY LINE ~ 09/21/2007 04 56 PM J PLUMBING ROUGH-IN January 22, 2008 8'35 40 AM pbarthol. JAKE 670-3427 -------------------------- ---------- COMMENTS AND NOTES ----------------------------------____ JLIERLY ---------------------------- 01 1/22/08 PREPARED 12/19/07, 9'10.07 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 7 12/19/07 ------------------------------------------------------------------------------------------------ SUBDIV' ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL . APPL NUMBER: 224 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0020-0000- 07-00000807 RES NEW SFR PHONE PHONE (360) 565-0100 (360) 565-0100 ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 8/30/07 8/30/07 JLL AP ------------------------------------------------------------------------------------------------ if -------------------------------------- COMMENTS 01 BL2 9/12/07 9/12/07 PB AP 01 DSD 9/21/07 9/21/07 JLL AP 01 BL9 12/19/07 v{ 01 BLDG FOUNDATION FOOTING TIME: 09:00 08/30/2007 08.14 AM LPANGRLE TOMMY 477-0778 FOOTINGS AM INSPECTION 08/30/2007 04:35 PM JLIERLY ----------------------______ BLDG FOUNDATION STEM WALL TIME: 09:00 09/11/2007 04.21 PM LPANGRLE TOMMY 477-0778 STEMWALL MORNING INSPECTION 09/12/2007 11 39 AM PBARTHOL -------------------------__ BLDG DOWN SPOUT DRAINS 09/21/2007 08 34 AM LPANGRLE JOHN 477-8190 "GUTTER DRAINS" 09/21/2007 04 56 PM BLDG SHEARWALL December 19, 2007 8 28 16 AM Ipangrle SHAWN 808-1078 SHEARWALL JLIERLY ---------------------------- AND NOTES -------------------------------------- PREPARED 9/21/07, 9 02 38 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 13 9/21/07 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 224 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0020-0000- 07-00000807 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 8/30/07 8/30/07 JLL AP BL2 BLDG FOUNDATION FOOTING TIME. 09,00 08/30/2007 08 14 AM LPANGRLE TOMMY 477-0778 FOOTINGS AM INSPECTION 08/30/2007 04:35 PM JLIERLY ---------------------------- BLDG FOUNDATION STEM WALL TIME 09'00 09/11/2007 04:21 PM LPANGRLE TOMMY 477-0778 STEMWALL MORNING INSPECTION 09/12/2007 11:39 AM PBARTHOL ----------------------_____ 1'f BLDG DOWN SPOUT DRAINS 09/21/2007 08:34 AM LPANGRLE JOHN 477-8190 "GUTTER DRAINS" --------------~--------- ---------------------------------------------------------------------- 01 9/12/07 9/12/07 PB AP DSD 01 9/21/07 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ;~;--;;----;;;;;;;---~---!f~~!~:l;;::,:~;~--::~;;:;-------.------------------------- -------------------------------------- COMMENTS AND NOTES ------------------------------________ PREPARED 9/12/07, 8:52 28 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 11 9/12/07 ADDRESS TENANT, NBR CONTRACTO~ OWNER PARCEL APPL NUMBER 224 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0020-0000- 07-00000807 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 8/30/07 8/30/07 JLL AP BLDG FOUNDATION FOOTING TIME: 09:00 08/30/2007 08:14 AM LPANGRLE TOMMY 477-0778 FOOTINGS AM INSPECTION 08/30/2007 04 35 PM JLIERLY ---------------------------- BLDG FOUNDATION STEM WALL TIME 09:00 09/11/2007 04 21 PM LPANGRLE TOMMY 477-0778 STEMWALL MORNING INSPECTION BL2 01 9/12/07 -A\f -------------------------------------- COMMENTS AND NOTES -------------------------------------_ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date C\l~ QI Time c; --kfY\ .'( _ Received by L\ vJ4 --- -- - ( ( ~ r ( Lctvve 2.z.Y - :Tun I fer 10 'rfWY-)\ 6 person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. ~71- D77?5 Permit No. 01- 8C51 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: s-\eMwl1ll Inspected: Date Remarks: Time By RESTORATION REQUIRED. . . . .. YES NO oft- SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE D INCOMPLETE _ __ __..__........ ....:,.1......:,1: ...."'....."....,......"p,,\ ,...,..nr-r-T C"'llnr::r:Ur\ITr::I\Ir'\CI\IT In^T~\ PREPARED 8/30/07, 9 38 07 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 224 JUNIPER LN GLENN-TERRA, INC GLENN-TERRA, INC GLENN-TERRA, INC 06-30-15-7-8-0020-0000- 07-00000807 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 8/30/07 ~ BLDG FOUNDATION FOOTING TIME 09 00 08/30/2007 08 14 AM LPANGRLE TOMMY 477-0778 FOOTINGS AM INSPECTION PAGE DATE 12 8/30/07 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ",oJ.. o'f ~ORr AlvG~ U~~ if~ "- -=-:or ~ 'tSi~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicatlon Number .Applicatlon pin number Property Address ASSESSOR PARCEL NUMBER' Tenant nbr, name Appllcation type descriptlon Subdivislon Name Property Use Property Zoning . . Appllcation valuatlon 07-00000807 Date 503391 224 JUNIPER LN 06-30-15-7-8-0020-0000- GLENN-TERRA, INC. RES NEW SFR 8/02/07 RS9 RESDNTL SINGLE FAMILY 165272 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Informatlon 000 000 Other struct info GLENN-TERRA, INC. 136 E. 8TH ST #223 PORT ANGELES (360) 565-0100 2,037 SF SFR, 440 SF GRG, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 72 SF PORCH 23.00 V-N 2 00 11029.00 2549 00 2549.00 1 00 Permlt Addltional desc Permlt pin number Permlt Fee Issue Date Explratlon Date BUILDING PERMIT -RESIDENTIAL 2,037 SF SFR, 440 SF GRG 106559 1389 85 Plan Check Fee 8/02/07 Valuation 1/29/08 555 94 165272 Qty Unit Charge Per Extenslon 1020.25 369 60 BASE FEE 66.00 5.6000 THOU BL-I00,001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additlonal desc Permlt pin number 107532 Permit Fee 140 15 Plan Check Fee .00 Issue Date 8/02/07 Valuation 0 Explration Date 1/29/08 Qty Unit Charge Per Extension BASE FEE 50 00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 6 00 7.2500 ECH ME-VENT FAN 43.50 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 Permlt Additional desc . Permlt pln number Permit Fee Issue Date Explration Date PLUMBING PERMIT 107524 177 00 8/02/07 1/29/08 Plan Check Fee Valuatlon .00 o Qty Unit 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 ws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pr ume to give authority to Violate or cancel the proviSions of any state or local law regulating construction or the performance of con tructlo . Signature of Owner (If owner IS bUilder) Date T \Pohcles\1102_15 bUlldmg penmt II1spectlOo recOId05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD ~ , CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSUL4TE OR CONCEA.L A.NJ' ."VORl> BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCA TJON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES. NO FOUNDA TlON FOOTINGS SHEAR WALLS 1 WALLS FOUNDA TlON DRAfNAGE 1 DOWN SPOUTS PIERS I I POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FIN ilL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN HEAT PUMP I FURNACE 1 DUCTS I GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SIURTING PLANNING DEPT SEPARATE PERMlT#'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W 1 PW / CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T IPo11c1eslll02 IS bUlldmg penmt mspectIOl1 recordOS wpd [1/4/2005] ~'T'ORT A.o;. ~-l.O~~(<' 'CJ~lSI .. ,.~ L~ ~ l 'tOl<:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Appl~cation Number 07-00000807 Date 8/02/07 Application pin number 503391 Qty Un~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 Spec~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 six inches h~gh and be of contrast~ng color from the background All homes in new subd~v~sions that are outside of the F~re Department four-m~nute response area shall be equipped w~th residential f~re spr~nkler systems that comply with the Internat~onal F~re Code (IFC) and Nat~onal F~re Protection Association (NFPA) 07/19/2007 05'22 PM SROBERDS --The proposal will result in a new sfr w/attached garage ~n the RS-9 zone for a total of 23% lot coverage. The site DOES ~nclude 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 d~tch 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 perm~ts are required Sanitary sewer connection ~nspection is requ~red by Public Works pr~or to back f~ll of ditch. 24 hour advance not~ce is required Construct dr~veway and S~dewalks to City Standards Dr~veway must be place minimum 7' 6" from property line No concrete w~th exposed aggregate allowed ~n the City road r~ght of way. An inspection by Publ~c Works Eng~neering ~s requ~red pr~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 Pa~d Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 1707 00 1707.00 .00 00 Plan Check Total 555.94 555 94 .00 00 Other Fee Total 2234.50 2234 50 00 .00 Grand Total 4497.44 4497.44 .00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA. utilities, pnvate and public improvements ThiS permit becomes null and void if work or construction authorized IS not commenced wlthm 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 herem 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 regulatmg construction or the performance of construction. Signature of Contractor or AuthOrized Agent Date Signature of Owner (if owner IS builder) Date T \Pohcles\1102_15 bUlldmg penmt mspectlOn recOId05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD .' t .., CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTJONS CALL 417-4807 FOR PUBLIC WORKS UTlLITlES , PLEA.SE PROVIDE A IvlINllvlUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY 1FORE BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA T10N KEEP PERMIT CARD AND APPROVED PLA.NS AT JOB SITE 0- .-J INSPECTION TYPE DATE ACCEPTED COMMENTS , YES NO FOUNDA nON 5~~\I 'i'V2Jj (YI PB FOOTINGS 9;13010c -::rLL- iF SHEAR WALLS) WALLS \,2..'- I~ -0 l -:rLL FOUNDA T]OI\ DRAINAGE / DOWN SPOUTS CJ -7..,/.....0'7 -:r~c.... PIERS I POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN C> { - 2Z,-02> Jt.-V WATER LINE (METER TO BLDG) '} -2.I-cq :JL-l,. GAS LINE FINALOS"- 2'3-<J8DATE ;JU- ACCEPTED BY BACK FLOW / WATER AIR SEAL WALLS I)...-J./ _ ~ Ill- CEILING -J.4 --/) {< J l.l.- u FRAMING JOISTS / GIRDERS . SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING Q.~Ji-o~ \ J I DRYWALL (INTERIOR BRACED PANEL ONLY) ~ C T-BAR :5 INSULATION 6'2.-()l-o~ ~u.- -, .. ~ SLAB ~ WALL / FLOOR / CEILING MECHANICAL ROUGH-IN 11--H-O~ , ~). HEAT PUMF IFURNACE/DUCTS I s:> GAS LINE FINAL 0'5- 23,.{) ~ DA TE 7J'-L- ::s ACCEPTED BY ~ WOOD STOVE / PELLET / CffiMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SlURTING :r PLANNING DEPT SEPARATE PERMIT #'s SEPA I (\.\ PARKING/LIGHTING ESA LANDSCAPING SHORELINE- \ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO '2 ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL E LIGHT DEPT CONSTRUCTlONR W /PW/ CONSTRUCTION - R W V) ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT 79 PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 IOS-2'3-~ -;r t..J.-- BUILDING cQ o -J \'J ~ ~ r -v - ~ '" ~ ~ T IPohc1esll J 02 15 bUl1dmg penmt llJSpectlOll recOJd05 wpd [1/4/2005] \ If pORT ~ lO~~~ ,. L -=-- ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appl~cation Number Applicat~on p~n number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Applicat~on type descr~pt~on Subdivision Name Property Use Property Zon~ng . Application valuation 07-00000807 Date 503391 224 JUNIPER LN 06-30-15-7-8-0020-0000- GLENN-TERRA, INC. RES NEW SFR 8/02/07 RS9 RESDNTL SINGLE FAMILY 165272 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Informat~on 000 000 Other struct info GLENN-TERRA, INC. 136 E 8TH ST. #223 PORT ANGELES (360) 565-0100 2,037 SF SFR, 440 SF GRG, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 72 SF PORCH 23.00 V-N 2 00 11029.00 2549 00 2549 00 1 00 Perm~t Add~tional desc Perm~t pin number Perm~t Fee Issue Date Exp~rat~on Date DRIVEWAY INSTALLATION 107094 170 00 8/02/07 1/29/08 Plan Check Fee Valuat~on .00 o Qty Un~t Charge Per BASE FEE Extens~on 170 00 Perm~t PUBLIC WORKS RES WATER SERV Additional desc 3/4" DROP IN METER Perm~t pin number 107102 Perm~t Fee 230.00 Plan Check Fee 00 Issue Date 8/02/07 Valuat~on 165272 Expirat~on Date 1/29/08 Qty Unit Charge Per Extens~on BASE FEE 230.00 Perm~t Additional desc . Perm~t pin number Permit Fee Issue Date Exp~rat~on Date RIGHT OF WAY 107110 50.00 8/02/07 1/29/08 Plan Check Fee Valuat~on .00 165272 Qty Un~t Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extens~on 50.00 Perm~t Add~t~onal desc . Perm~t p~n number SANITARY SEWER HOOK UP 107128 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 ws 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 cOl')struction Signature of Owner (if owner is builder) Date T.\Pohcles\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 I YES I NO PW UTILITIES (Engmeenng DIvISIon) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W I PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 4 17-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T \Pohclesll102.15R [1/05] f pORT ~ lO~\ ,. ~ -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Applicat~on p~n number Perm~t Fee Issue Date Expirat~on Date Page 07-00000807 Date 503391 120.00 plan Check Fee 8/02/07 Valuat~on 1/29/08 2 8/02/07 00 165272 Qty 1. 00 Un~t Charge Per 120 0000 EA SAN SEWER HOOKUP Extens~on 120.00 Spec~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 six inches high and be of contrast~ng color from the background. All homes in new subd~v~sions that are outside of the F~re Department four-minute response area shall be equipped with residential f~re spr~nkler systems that comply w~th the International Fire Code (IFC) and National Fire Protect~on Assoc~at~on (NFPA). 07/19/2007 05:22 PM SROBERDS --The proposal will result ~n a new sfr w/attached garage ~n the RS-9 zone for a total of 23% lot coverage The site DOES include an area that ~s des~gnated as a buffer for the adJacent property. The rear 25' of yard should NOT be maintained with mechan~zed tools and the open d~tch should be ma~ntained 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 calculat~ons and elctrical perm~ts are required. Sanitary sewer connection inspection is requ~red by Publ~c Works pr~or to back f~ll of d~tch 24 hour advance not~ce ~s requ~red. Construct dr~veway and S~dewalks to City Standards. Driveway must be place minimum 7' 6" from property l~ne. No concrete w~th exposed aggregate allowed in the City road right of way. An inspection by Public Works Eng~neer~ng ~s 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 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 'Clays after the work as commenced, or if required inspections have no! 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 \Pohcles\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engmeering DIVISIon) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W I PWI CONSTRUCTION - R. W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T \Pohcles\1102 15R [1/05] U~~~6/2007) Linda Pangrle - BUilding Application Review 7-10-97.- --..--r:>ag:~' ~':I From: Ron Becker 0 an ,c)!.f!x , To: Linda Pangrle 1'\6\"\ ,P U ~&\O~\('\~ 11 LI- \.., ...... -, , r - / \. ) ( A.-/. ) Date: 7/16/20078:03 AM -\ \, l rPf}.u @L^-".... vvv Subject: Building Application Review 7-10-07 '-J \3 ~ttot JThe follOWing permit number locations are outside the fire dept. response time of four minutes: 1. #07-8~l, 2. #07-ro7, 3. ~ , #07-803,4.#07-799:' Are they gOing to Install fire spnnkler systems, and are they gOing to be open or closed systems? Also are they planing on installing lawn spnnkler systems? Ronald D. Becker rbecker@cltyofpa.us --/ Th J g)q P J~Y) 01-0'1-07 a~l( e BUILDING PERMiT - APPLICATION en , -#Ie. ~, V\ ~6.. \1PLETELY and in INK. Your applicatior: and site plan l\1USt , I COMPLETE 0 cepted for review. If you have any questions, call PERMITS 417-4815 FAX(360)417-4711 -\ 9 FOR OFFICIAl USE ONLY 4 DateRec oi-O?r07 p-," O~ E I~ Aate ApplOved ,) 'n1 JPate Issued. 8~~?'fiJ :s (pO - (0 'F-) - 433 c,E-l-t. Applicant or Agent: . , Phone: :s (QO - s &S- - C!91 00 Owner: G LG.N.AJ- --rE(LR.A ~ T./VL! Phone: ~(OO - C:Cor - CI O{) Address' )..s to S, 8TH ST, :#::2 'Z..~ CIty: PO>LT AJfJ(.,tSt...C:~ L Zip: 9 8..16 "2- ArchIlecl/Ellgineer: C.-A.5o C.A p~ PL 4./\J S e.1<:.\J 'J: c,6. Phone: is-.3 - 2-fl'f - 3 I 70 .. L;L-E..NAI TX ..... /. 1/ _ S (Do- Contractor G I_G.AJAJ - -ri:-.lUl.A TA"[State LIcense #: cr 3hAJA Exp:~ Phone: G; '2.-/- 1'1 s~ Address' /10 E- 18TH- ST; ::t:I== '2..'2..3 ~ity: P-!').t'l:T 4AJh~Lf::."s ! Zlp: q J? 3' W '-... PROJECT ADDRESS: Z. L... Y :r- ~AJ:J:: P6~ LAAlE:.. :&ONING: LEGALDESCR-rPTION: Lot: 2- Block: .. SubdivIsion: ~l..u :J:~Ii.~ e.,... CLALLAM COUNTY PARCEL NUMBER: Co 3 0 I S- 7 g - C) 0 1-0 Credit Card Bolder Name: I Billing Address: City: I Credit Card Type VISA MC # I Exp. Date: T1TE OF WORK: SIZENALUATION: I -8(ResidentIal JiNew Constr. 0 Re-roof 0 Stove l.O'S 7 SF. @ $~/SF. = $ IS L-f crq.s-, J] o MultI-family 0 AddItion 0 Move ~Garage '-t ....0 SF.@$ 21..1!ljSF.=$ C-1)~I07. 2.0 o Commelcial 0 Remodel 0 Demolition ~~Po~c..t-4 -, 'Z. SF. @$ ILIO t? /SF. = $ $;(<09. 7rP o Reparr 0 SIgn 0 Other TOTAL VALUATION $ I fQ ~. L 72, "2. '1 BRIEFDESCRll'TIONOFTHEPROJECT: .L\JG.1A.J ('___,<')AJSTP-..v...c...,T:l'JAf .s FI e.. I I Occupant Load: ~ ;~r~ction Type:~ & Proposed Sq. Ft.~ = TOTAL Sq. Ft. Z,S 'f q o :I f -to l.f "(0 -r 7 7- I I COMM:ERCIAL/RESIDENTIAL: Occupancy Group: f<...3 No of Stones: L Lot SlZe: lll) ~q P EXlstmg Sq Ft.: Total lot coverage "2.. J % · APPROVALS: PLAN: BLDG: I DPVVU: : FIFlE: i OTHER:_ VALUATION 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 Buildmg DIvision to comply with cunentfee schedules Contact the Pernnt C ordinator at 417-4815 for assIstance. PLAN CHECK FEE' IF a plan check fee is due it must be submitted at the tune the buildmg permit a~plication and constructIon plans are subnntted. All other pemrit fees are due at the time of permit Issuance. I EXPIRATION OF PLAN REVIEW: Ifno permit IS issued within 180 days of the date ofapplicati~n, the application will expire. The Buildmg Official can extend the time for action by the applicant up to 180 daj's upon "Written request b~ the applicant (see Section R1 05.3.2 ofthe IntematlOnal BuildmglResidential Code, 2003). No application can be extended more than oucd. I hereby certify t0~t I have read .. exa 'ned this applicati~n and Irno~ the same to. b,e true and correct. I aJ authorized to apply for this permit and understand thai II IS my responsl My to del mew lis re reqUired ,not the City s, and that I must obtalro such permits prior to work Date: 7/o.s/2-b I PLANNING USE ONLY: ESA/W etland(s): 0 Yes 0 No SEP A Checkhst required? 0 Yes 0 No Other: T \PohCles\BL-1 I02_13.wpd / , . Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Building DepJrtment Use Only Permit #. 07",- <B 01 . I I ) i r- - I '1 , 'I. - '" J. Notes' Site Information Lot "/ Address 7...2. y .1:.-.AJ ~ ~&~ lA"" E: City FDfl..:-J .A-AJr..,lSL-~.s. State lAY A- Zip erg.:s to L- Contact.AA.J D RI=-./AJ 1M I /f.~1C.~:r:s. Phone. j' (00 - s;-roS-:-~/()() Phone2. :? to () - (0 '"2.-/- Cf Y s) Fax:r 00 - S(QS-- V IVI , <, -" . 'I .,. i' '\" ' >, ~d 1" -"-, _!, " l. _,' t T ~ The project .s wood frame OR all ofthe Insulallon .s Intenor or extenor of the framing ~AII bUlld.ng components meet the requirements listed in Table 6-1, Option III cy The project will meet all other prOVIsions' of the WSEC and VIAQ n mute azmg tlOn ny Glazmg Glazing U-Factor Door9 Wall Wall I Wall SIab4 Option Area10 U- Ceiling2 Vaulted Above Int4 Ext4 FloorS On % of Floor VertIcal Overhead I ] factor Ceilmg3 Grade Below Below Grade I Grad.e Grade ill UnlImIted t!!J e I .-=-- Group R-3 040 0.58 0.20 R-30 R-21 R-lO (<R-30 J R-IO Occupancy I '---' Only , See the code text for footnote references hi oject complies with the following: , The project IS a single family residence..er dtll-'I"'A. Table 6-1 I PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPRNCY CLIMATE ZONE 1 I (U r d GI O' 0 I ) , - ~ " - ,'" - {! - " , 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 602 6 Exception 2 Doors With a U-factor of 0 40 allowed without calculations, oJtlon III only. Location of the door(s) taking thiS exception I Ty'pr=:.. D F i-\GAt- SOI....fi'2..C-E'? FOlLr/~..r) 4:z:: 1C-1~1_~.L.......TB "L.r_ PlLOf.4A1e r::rR..E:.~LAc....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 ~ t+- o ~ ~ - I -:tJ?..cl:? - - ...-- .~\ l.oT z .~ ~ I to ~ t't' ' 1/, \-=t 2 ~ray 12e;,\~ 161~ 'N~(b ~ ~ \'('\ ,:,..J~ h /40 20 ~ Nt 0:P '. I\~ 'I ''"" .: ~ 3i .<.~ L 44.Y1 1".18 '~.1Z. 22~ -.:Jul'-\~ lANe 1'2. r ~... ' ... ~' " , ~.~ - ~ :S N~ v ._L~) ;' /~ [ ./ ~ lG 66.55 ,~ . 8237 'l r - I~ ~rlG ~ U1t: !g B~ ~ 14 '" 13 1;/'0184 so FT I~ '" 9023 sa Jj;:riL ...."' ~B' L5 b S 85"26',,- E r.,. 3171'_ L "'IS' ~r ~gl Q", 2:" 15 9606 so, FT L - - j. 17094' 8' NBS26'11"W Scale: SO' ," = 50' o I L I 100 N 87"58"1'. W ~. 75..0" -75.@ 7Sdii' lrJ lrJ ~ ;" '" -r-- -- ., 'r -- I s;- - -, sr- 0."- t I 10 I", I 9 r~il 12 :' 11 ., FT. ~ 9084 SQ FT. ~ t;tI 71 1-47 SO FT t~ ~I 11393 sa FT 1~~111640 sa J; L -.. I~~I I~ - B~ "-ls' L " I I" I - Js' L _ -.1s' L 7509' 7507 6238' b "> JUNIPER -~-------:-=:---- N 857.6'1J*' W 2B999' Sl 275.13' 446 07' LENGTH 1392' "'SW ~ 3524' 3if92' ~ 16S0 'so' JUNIPER LANE BDNG A SUB01ll1S/ON W1lH1N 7HE W 1/2 OF 7HE SW 1/4 SECTION 15, T 30 N, R 6 1'1., w.M CITY OF PORT ANGfLfS, CLALLAM COUNTY, WASHINGTON PREPARED FOR DANIEL & KELlE MORRISON 75.aiY ~ ., /sr- I", 1 B ~'4' ~oo lG lG '/~-'~ ~I 7 ~I ~ 12700 SQ FT. 1~ 75.00' 80.14' ~ I/Br- /.., I 5 I 6 11921 so n FT ~~(J') 11736 SO 115 ::1 ...."' Q- FT. '~1~111733 sa FT t~I~1 C\/_ f'f_ Q Q I" I I" I ~I~I Q- t .r:.tj /15 <!i 2:, 1"11 -.ls' L _ ~sj L /2:/1 JB. L -Js -1s'/ L L2 7500' 6939' C61cs C7 6406' 62.31' S 87'5S'30*' F '2262' C4 CJ s B7-S9-:;;9.~ ;;94r Sl C2 LANE ~_~ ---S-S;"9'42"E'"- ;26 4.]' CI S S7'SS'.]0" f: Sl 1291S' ----2!3 25.43' ']73" 1:; St-- 7520" !:: "- ~ 1:; '/S{- 1..,1 t;j~1 2 ~r~1 1 FT ~ ~ 11029 SO FT. ~ ~ 107S7 so /0-/ !o-I '< 2: ll:~";lt , 7SS9' 1(l '" :., ," "- s:> i! 2: WETLAND MITIGA TION - AREA 20750 SO FT "'/' 3 FT. @ ~I 71.338 so Q "" I "'I' b; ~l 4 ~ ~ 11711 SO 2:1 I L 1'<11 Js,lL JsJ L -.Js'/ L 1']'05' N~'W 10 .... 7500' 7500' ~ ~ ~ 10 '" ]500' 7061' 4']~ ZENOVIC & ASSOCI A TES INCQRPORA lED 301 E. SIX1H ST. S1E 1 PORT ANGaES. WA 98352 PHONE. (360) 417-0501 FAX. (360) 417-0514 12160' ~ ~Q, ~ ~~ Q .... "> l I~~ ",,,> FT 15 I ~ J SHEET 2 OF 3 DATE. 5/01/07 .J ~ I I I I i I I JOBI 01206 "I -~y~ , ly_._~ 1- ----- - --- - /: " . -' ~ ".~.. ^ ~mn o o lw__~_ C1 \ LB J~!_-'~ -= ~ ~ "'- ')' '-j f ( '--= ~~--- r~, ;:/''' i i I -I I / ) -- _.-- / ~-~~=~ "-'. ~w ~ ---.J--.. ~ -L __.____.. __. JUn.' per -.. -'r -_.~ -~----~_.--'".- I La.he. -- -- . -- ,-- - ---I I , , I[ ; (Jty I i Lot31T~t~t, O'filf~ \ s \ie- ___A~ N'_ _^ ___ -- - - - - --- -~~ ----. -~.~ -~. ill N ~~ _ _~ _ ~ _ ,,"-. ...".~. _~" _~ _~ _~_ ~ " B ----. -~ __h_ ~__. ___._ ___ ~ &. #. CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 ~ Applicatlon Number Appllcatlon pln number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appllcatlon type descrlptlon Subdlvision Name Property Use Property Zonlng . . Application valuatlon 08-00000068 Date 555940 224 JUNIPER LN 06-30-15-7-8-0020-0000- GLENN-TERRA, INC FIRE SPRINKLER SYSTEM 1/24/08 RS9 RESDNTL SINGLE FAMILY 2728 Owner Contractor GLENN-TERRA, INC. 136 E 8TH ST #223 PORT ANGELES WA 98362 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 INSTALL FIRE SPRINKLER SYSTEM Structure Information 000 000 ---------------------------------------------------------------------------- Permlt Addltlonal desc Permit pln number Permlt Fee Issue Date Explratlon Date FIRE SPRINKLER RESID FIRE SPRINKLER SYSTEM 119230 50 00 Plan Check Fee 1/24/08 Valuatlon 7/22/08 .00 o Qty Unlt Charge Per Extenslon 50 00 BASE FEE ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 50 00 50 00 00 00 Plan Check Total 00 .00 00 00 Grand Total 50.00 50 00 00 00 ~ ~ 0.>- 'C/ ~ k qp TIllS 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 examimd 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 or local law regulating the work specified in the perm it. 0;e:;]-~ , (jJ~ I k Y/ofr'" .. . S igii'ature of Contractor or Authoriz tl Agent I Date Si gnature of Owner (if Owner is hu i Ider) Date r., ~L.i:::.~':4'!~...at<~.~~-L ~'"~;;::'':!h,j', . . t -, .~ Ji"-....<.~.~"l,...,-=-. ~~- ;;;.,<,A 1l!ba' lf~ .......-.,'IoW.<Iol'.. } ~ ~ '..'.~~ ....'" ~~ , U' Ca11360-417-4655 for fire inspections. Please provide a minimum 24-hour notice It is unlawful to cover, Insulate 05\> or conceal any work before inspected and accepted. Post permit In a conspicuous location FIRE PERMIT INSPECTION RECORD () Ch> KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested Underground pipmg flushed Interior pipmg hydrostatically tested Interior pipmg inspection Dry system air tested at 40 psi (24 hours) Spnnkler final 04..../ t.i -Dg t-Lt D FIRE ALARM Rough-in mspectlOn Alann final C LP-GAS Completed by Contractor: ;; - Underground pipmg inspection/pressure test Test # I ~ ~ Above ground pipmg inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance Inspection Piping pressure test pSI :5 Time imtiated f LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final ~~ Inspection Type I Date Passed I Comments ~ y ?' r: Jl 2/15/00 If\ ~ 5_ :; 7\ a GENERAL COMMENTS' < 08-68 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: 224 Juniper Lane . .... , ..... Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13RO 13Di:8J ~ ""- Date: 1.16.2008 P AFD Permit #: 08-04 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 all13D 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 13 D system will require a measured flow test. Contractor Reviewed by: \&(.:J lAQ Date: l' \ 10 . Z.oc8 o ~ o Building Department Fire Department I DATE: 1- \B-o"fs I El ~ FIRE DEPARTMENT o PLANNING DEPARTMENT o o PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING RISK MANAGEMENT I FROM: PUBLIC WORKSIBUILDING DIVISION I o o ADMINISTRA nON o CITY CLERK o POLICE DEPARTMENT ., RE: ADDRESS: 2-'2t{ "0Uh ~ r'€Ar LCAX) e... NAME/CONTACT: V\/I1rklVl-t-- Be.,t-+-3 er PHONE: Lf 7> 2--75~3 PERMIT NUMBER: 0 S -(0 <3 PROJECTDESCRIPTION:~s+tvlLFV'f'/ 5fh\f/l/<Jer ~5~ ~ NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: AREVlEWIRETURN o FILE ~ ~-O4 Ap phea nt or Ag e nt 1/ ~ v\.cc .. ""+ 8, J1. tf- J}!" Owner G' R.,V"~ TJLu-.rc- ~~ Owner's Address /'3 G IE e-;...~ S f-~ #: 2.2.-.1 Contractor/Engineer I.h~("Jv~+exl ,c/v~ ~vk Phone Contractor/Engineer's Address 8 ( N e. '-'-' !-Icq/ e. ~ LV'\. License # J N /y"CJ l/ r= SO Y'i D ~ Expires BUILDING PERMIT APPLICA TION Print In Ink CITY OF PORT ANGELES Attn BUilding Permit Technician 321 E Fifth St , Port Angeles, WA 98362 (360)417-4815 fax (360)417-4711 For City Use Only Date Received \ -f5-o g Permit # _ - 08"-- bg _ Date Approved Phone Phone l-I s 2 -- 7 S .3 'iS2.-7S83 3//CZ/08 , r 2.2- Lot 2- Parcel Number PROJECT ADDRESS Zoning Proiect Tvpe & Brief Description: Check all that apply )::New Construction o Addition o Remodel o Repair oRe-roof o Demolition o Sign o Heat System o Other o Multi-family o Commercial o Industrial o wall-mounted 0 projecting 0 freestanding 0 awning Total Sl n area s ft MaXimum allowed Sl n area s ft o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas Existinq (sq. ft.) Proposed (Sq, ft.) Basement @$ per sq ft = $ 1 sl Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALVA T/ON $ 2728c-S"o Max height of proposed structures Will a lawn spnnkler system be Installed? Will a fire spnnkler system be Installed? Total footprint of structures sq ft Lot size sq ft = Lot coverage % ft Occupancy group Occupant load Construction type # of bed rooms # of full baths # of half baths I have read and completed thiS application and know It to be true and correct I am authorIZed to apply for thiS permit and understand that It IS my responsibility to determme what permits are required, and 0 obtam permits pnor to working on projects \ J' 'r:2 +t J '- L ~ If? Date' (::)8 Print Name V\ V\.c. Q V\.... J \...) ~ J JV- Signature ~ ~ I' ~. c1PORT"", .....~a...(... iJ,______.-.:.~ I If' 'E!iI ." IL -- "'ic;;;i>' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07- gO] Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-0C000807 Date 503391 224 JUNIPER LN 06-30-15-7-8-0020-0000- GLENN-'TERRA, INC. RES NEW SFR 8/02/07 RS9 RESDNTL SINGLE FAMILY 165272 ;:2;? <I ~ 6/~~ Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT .~GELES 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 2,037 SF SFR, 440 SF GRG, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 72 SF PORCH 23.00 V-N 2.00 11029.00 2549.00 2549.00 1. 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 107094 170.00 8/02/07 1/29/08 Plan Check Fee Valuation .00 o Qty Unit Charge Per c:f)X' , , BASE FEE 1.7 .00 . - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc. 3/4" DROP IN METER Permit pin number 107102 Permit Fee 230.00 Plan Check Fee . . .00 Issue Date 8/02/07 Valuation 165272 Expiration Date 1/29/08 ~//) BASE FEE Qty Unit Charge Per Permi t Additional desc Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 107110 50.00 8/02/07 1/29/08 Plan Check Fee Valuation .00 165272 ________~~~~___~~'~=~~~~~~_~~;~__R~~~:_~:_~~:_:~~~:_~__________~~~~ Perm~t SANITARY SEWER HOOK UP --- -- Additional desc Permit pin number 107128 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 wiil be complied with whether specified herein or not. The granting of a permit does not presume to give authority to vioiate or cancel the provisions of any slate or locai law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date Date T:\Policies\l I02.15R [1/05] d:'OIIT~ t ~'''.''~:r..... ,,~. ~ .....~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 . Application Number Application pin number Permit Fee Issue Date Expiration Date Page 07-00000807 Date 503391 120.00 Plan Check Fee 8/02/07 Valuation 1/29/08 2 8/02/07 .00 165272 Qty Unit Charge Per ~xtensi~ ________::~~______:~~:~~~~_~~____S~_S~~R_~~~~~p________________~ 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 05:22 PM SROBERDS --The proposal will result in a new sfr w/attached garage in the RS-9 zone for a total of 23% 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. Driveway must be place minimum 7' 6" from property line. 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 Fee summary Charged Paid Credited ue ----------------- ---------- ---------- ---------- ---------- Permi 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'cayi; 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 bulider) Date T:\Policies\11 OZ.15R [1/05 J .~_"~ APPLICATION FOR WATER '7 City Water Division, Port Angeles, \VA Issued date" 6- \ ':'0"1 Installed by & date:10--o1( (/lL.,Jpermn # ()7- 8~- I hereby apply for wakr to be furnished In accordance with rates and rules of the Clty for the followmg premIses: Appileant ;;ame & Phone: ttl'Bh h -1f, jI'\f'tl. InG 3~D- ~5 -0 I 00 Site Address zz4J/{n,tfJ@'(L.J.') :Vla:lmgAddrcss: 1-3(?J E:.S~ :2- Add011 LiI.\paV 4-Pareei"O~~O~ ~OD?,O SV@OFF :Vletcr#"sC FOIv 7/al-1 '1.'0# "\3 Lf<{, Slgnatur Remarks: Blk: Lot: N " w E 1-- cbl I s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . INSPECTION REPORT. REQUEST: ~~Z-/-P7 Date Time ;;;2!Jl Received by (phone. person) /r I ; Location of Work to be inspected ~::z:-~qJ~~-y'" IA/ ~ _ Name of person requesting inspection -~f h./JIJA~ - x6/. /~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 07-301' C~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date tj'c) ~-~ 7 /1 ' Remarks;llew 'f, PVC; Coon n eC+lo.., t?n-, Time fo e>,(:sf~ t3 By I/' PV('. ~i~vo.l cd P/L , RESTORATION REQUIRED . . . . .. YES NO X ~"''''f'~''' L... 1- " M.o..\v.. - . :h;..j N ~I~.puc..- -iI , '..,,- ,,~.,. ~$~ -fl"'..... - y"rv(!., I ~7 I -<- 0:,0."'&5 2'7.<0 2~11r J.A,IA;P~" l-,^ )v-~.f '/' So..< e.s,..... l' 'Yo ,,,,' So~o 'ad <Pf :r'\L pIt..- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC 0 Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . ./ REQUEST: Date '-/ - z s . ()~) Time Received by RV (phone. person) \ Location of Work to be inspected 2. 2. 'f J v..,^-\ ~.- L V'\ Name of person requesting inspection ~6.5.k Address of person requesting inspection Phone No. 80~- C / -,-, Type of Inspection (circle appropriate one): Permit No. 67 - 807 Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other INSPECTION NOTES: Inspected: Date --.!:J - Z'i:3 - 08 Time Remarks: ,<5~~'l'- 9-'2.1.-/-07 :32'~5l)O~ t- ~u... 1> . ill'ewo.; 4' -2$ -DB 2\/ O{{ By RESTORATION REQUIRED . . . . .. YES :P~'k.h L.."<i-b -- J)OU.l....spoLA..f weeph<3l.e..- NO~ SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) " G-~7 ~"'" ~"'~"t; '\. '#-.. ...... ELECTRICAL WORK PERMIT APPLICATION Job wired by ~iCDI Contractor 0 Owner Instnllution description o Commercial ~ ElectricAl contractor name ~ l . . ,_~ '--"- purcgl:. matkd;ess C;t'l~r Telepho9c._number "'{rZ--c;.." ~ V " _ r 1 . .SI".WZ _ ~. ,- 4'f}6'L FAX nun~r C,. _ l.. L l..( """'L.f'I Licensc number t( l~c.. 'J' ((f) Dale Expires IJ New Cl AUered/Addidon '>':1.'",- . u,)t) ~<f rP- r....~ .~..,. premiSe;, o","e r .:!.!!Juue (y...~' "-VorL< Address or In,p"tlon ;;: . "kl..'--( . ~\..I" .-- City Y Phon. nllmher to schedule Inspection: Owner us c/efilled by RCW.J9.28.26/;(I) Owner will ouupy the _Slrtutllrt' Jor two years aJler tlris e!{!c/ricnl/l/:'rmit is jilralized. (1) Owner i,)' required ro hire an dec/rical conlracfor if abovl? said properly is Jor sak relit or lease After rcadin!; the above statement, I hereby certiry thai I am the owner or the above ~rtam('d pro~rly or a licensed dcctrical contractor. I llln making the electrical instal. iation or alleration ill compliance with the electric;)1 laws. N.E..C.. RCW, ChDpter 19.28. WAC. Chapler 296-463, The City or Port Angelcs Municipal Codc, and Utility Specilications. Signature of n 'r, electric CI Cosh CI Check # ~nr~:diICard _~:a~~:o:r__ x Date: Expiration Date of card Electrical Load Additions and or subtractions IJ NO LOAD CHANGES ~ Bas!!!9ard .,.,. KW lJl.PcIfOac9 ~ KW Cl Heat Pump Ton LAR IJ Fan-Wall KW l:l Overhead Service o T~rvice IJY"Und~rground Service t7l> Service Information VOltage I L~""~O PhasoCil"'1IJ 3 Service Size; J,.iX) Foodor Sizo: .!:/-ItJ '-" SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 . ROUGH-t&Q I ~.J.'1.t)f1>r1rJ. a.lc Approve" By ODIC Approved Uy I~?f-ff& D" THERMOSTAT ANAL ~~"Y FEEDER UDIC O.IC /tI'PIVycd liy Inspection Ollie Area. Building or Equipment Inspected Action Taken Electrical Inspector 9 - 2.' - 01 -t 71 ). DO C,tJ-=-T A' b<: ~1Dl 2/2'd 6 -o~.6" TT2.172.T17 :01 1721792S17 3JI~~3S JI~lJ3l3:NO~~ ~9S:2.0 17002-6,-d3S . DATE j- J.. OWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT ... 417-4735 PER{J7 - 80 APPROVED NOT APPROVED ~. . . . . . . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 ):: . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 )r. . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: (fJ (AJ05e- mA7/V 40NiJ 5?!.1Zd:.-uJ -0 C,/ /UU / r # z;- ?UI ~ t.(?79~tf- - ( 1"--<?(f"--"AlAJ;lff)) Do5.' I / .- / 1'7 ,<. c:Jr~ &!,,-I!,~/<:(~ //V-Y~ /oA.! /#le#1/T -5/0.N- - - (};; l/v/f-rA/C?~1 "c- r-L.5 ~4J E-D { NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ~ .$ ELECTRICAL WORK PERMIT APPLICATION Job ..-ired by ;:) Ilectrical Contractor 0 Owner Installation description CJ Commercial CJ Residential Elecmcal contractor name License number Date Expires aNew a Altered! Addition .~\ l. <"\ . .'>_....'-....0. r Purchaser's mailmg address J,) r.1v~-. City ;'.._--; ~ WyT 11' Telephone number 4il- Premises owner's name 61-"" --ro:V"- Address of inspection State ZIP FAX number ') ) \..( ~ .~ ,/' r Phone number to 5(bedale iaspecUoo: City x ..""," ]!ate: ~ - Owner as defined by RCw..J9.28.261:(J) Owner will occupy the structure for two years after rAis e1ectrK:aI ptmIfiJ is fUUllized. (2) Owner is required to hire an electrical CQlfuactor if abm'f! said property is for sale, rem or lease. :\~ reading the above statement, I hereby certify that I am the owner of the above ~ property or a licensed electrical contractor. I am making (he electrical instaJ- la:lCn or alteration in compliance with the electrical laws, N.E.C, RCW. Chapter 19.28, WAC. Chapter 296-46B. The City of Pan Angeles Municipal Code, aqd. 1).li!i!rSpecifieatioos. ~ Sigll1llute or r, electrical coDtrador or tledricai adliliiifstr"ator ~- - Electrical Load AddlIIons and or subtractions :J NO LOAD CHANGES :J ""=l>nord _ KW I;l ry,mee ..lU KW CrHeat Pump _ Ton _ L.AR a Fan-WaIl, KW ~ (J Overhead Service [J T~ervice ~nderground Service Voltage ' PhaseP-1U 3 SeMce Size: ~ Feeder Size:, " I - SAME DAY INSPECTION, CALL BEFORE 7'00 AM 360-417-4735 , / / / SERVICE ,I. ROUGH-IN~.A:: TIIERMOSTAT - I. '.a/..o . f) 1-~'l-DI3 ~ V D.... ~ppfovod"'l'JSl' "- Date Approved By \:.. oar roved By FINAL '\ / '\ DITCH FEEDER Date Approved By ""/ "- Da.te 4c:t2.,. '- "'" Approved By Inspection , ~a, Building or Equipment Inspected Electrical Date Action Taken / I Inspector / / ! &~Io 1 (9-. "'~.. ,~- "\. 'J'l ...... ELECTRICAL WORK PERMIT APPLICATION Job wired by Electrical Contractor 0 Owner Installation descriptio~_ ....".- lJ Commercial lr"Residential " License number Date Expires <i..L \'l..cI$ \ \ ~~ CJ New CJ Altered! Addltlon City w..... ,.... -t-,,<, TClcur n~ber to '-f 21./ FAX number PremiS?"'rner'~ (9"-'- 1......,........- Address or inspection \.. '(."l.-~ .~\plU- L", Clly P 4- Phone number to schedule Inspecllon: OWI/er as defined hy RCW/9.28.26!:(1) Owner wtll occupy '"e ,~truclllre for two years lIfie,. this electrical (lermi' is finalized. (2) Owner is reqUired to hire an dUfficoi contractor if above said property is for sale, rent or lease. Aner reading the above statement, I hereby cenify that I am the owner of the above named properly or a licensed eiectriclll conlraclor. 1 am making the clcelrical instal. lalion or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter [9.28, WAC. Chapter 296.468, The City or Port Angeles Municipal Code, and Utility Specifications. Slgna'u e or ow o Cash 0 Check # o Credit Card Card # ~~ Discover x Date: "( I cJ Expiration Date of card EJectrlcal Load Additions and or subtractions D NO LOAD CHANGES a Baseboard _ KW Q Fumace KW I:J Overhead Service CI HealPump _ Ton_LAA 0 TempService o Fan.Wall KW 0 Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Service Information Vollage "z..o {......... \a Phase avf D 3 Service Size: J.a.o.- Feeder Size: "1- ~"-"+ ROUGH-IN /' THERMOSTAT SERVICE Omlc APPlovcd By "- O..le Appro~ "- DlllC AI'ProvcdB~ '\ /' 7 ~t/n~'rN~ DITCH FEEDER .. Dill: AI'PIO.~t1l:ly Dlllc App",.~ll By lrJ5pection Area, Buildingor Equipment Inspected Elcctrical Dale Action Taken Inspector 7-/3-0) 17/,.<K> L:.::.,v".JCl T J=A~ AfPiZvVdJ 1>;z: Ht:\';t:ft liED "" n n ?hn~ ..-.- 9/["d HL!7LT!7 :01 !72!792S!7 3JI~d3S JIdlJ3l3:WOdj ~[2:80 !7002-[-lnr ~ ELECTRICAL WORK PERMIT APPLICATION CJ (J; Job wired by o Eleetncal Contractor 0 Owner Installation description Cl Commercial OIl Residential \)J U\ A~\v\c It-\iL\I'\(_ Purchaser's mailinc address '1 \-\1 ',. t-?:'7[) F, .J~ \v\ Ci~ ' \ ~I "" iJ,j!\ Telephone num )- ,;t.-"t9-\'-i License number Date Expires EUnA~r-.SbLA\qqDt0N H'bifi o New o Altered/Addition El~trical contractor name State ZIP Qf\'6lJ7L FAX number \rw \kil-\n~~t }TVlt(fY\OStTJ- Premises owner's Dame GlfX\nTrcrC\. Address of inspertion 7-'2..1-\ ,)l)f\\?f:~ LI').J1P , Ci~ ffi (l,- ~ d..t:o. Phone Dumber to scbedule inspection: 3i.o L\ Owner as defined by RCW/9.28.26/:0) OHtner will QCcuPY the $,ructurefor two years after this electrical permit is finalized. (2) Ow"er is riUfUired to hire an electriroI contractor if above said property is for sale, rent or lease. . After reading the above statement, I hereby certify that I am the owner of the above nlUIled 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 296-46B, The City of Port Angeles Municipal Code, ilnd Utility SpecificatioDs. Sigoature of 0 Dir.'fledrie:al uotrador or electrltal administrator X ' V} Date: 3-4 -DI, I I Q NO LOAD. CHA . ES Q Baseboard KW Ia Furnace lL KW CJ Heat Pump Ton CJ Fan-Wall KW ""'. lo\ 2- o Cash o Check # o Credit Cani Card # v... Mastercard Discover Expiration Date of card ServIce information LAR Q Overhead SeMC& a Tamp Service o Underground Service Voltage PhaseQl03 SeNtee Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 /' ROUGH-IN /' THERMOsTAT /' SERVICE Dale Approved By I/:c>t loe ~. Dille Appmved By ./ OllIe Approved By '-tJZ)Jo;;~ DITCH FEEDER '-...~ Approved By "- Oalc: Approved By../ 0'" .........,B, Inspection ^':eo, Building or Equipment 1I1SpeCIed Action Taken Electrical Date .~ Inspector o 1 -Clo07 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 16-00000611 Date 4/26/16 Application pin number 503220 Property Address . . . . . 224 JUNIPER LN ASSESSOR PARCEL NUMBER; 06-30-15-7-8- 0020 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Heat pump Owner Contractor DANIELLE DAWN PICINICH OWNER 224 JUNIPER LN PORT ANGELES WA 98362 (360) 460-5039 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 63.00 Plan Check Fee .00 Issue Date 4/28/16 Valuation . . . 0 Expiration Date 10/25/16 Qty it Charge Per Extension 1.00 63.0000 ECH --EL-R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 00 1,00 Plan Check Total .00 .00 .00 1100 Grand Total 63.00 63.00 00 00 REPORT SALES TAX .on your excise tax form to the City of Port Angeles L— (Location Code 0502) PERMIT, WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X GAEXCHANGEWILDING Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 1 & 2 Single Family Dwelling * Plan �u r d (Ofuan Sh g q g lec Ica/ In Review �oba,ddreevlew�� '�e��l��e �� , �� +, Building Square Footage- Description e: Description of above t Owner Information Name: C f-0 W S �/ Contractor Information Name: Mailin g ddr Cr : Mailing Address: Zi p Cu � � �Sdate: State: Zip: r Fax _. _ Phone: Fax: License # / Exp. IT _,, License # / Exp. Item Unit Charms Qty Total ,_t y Multiplied lied b Unit Char e Service /Feeder 200 Amp. $120.00 $_ Service /Feeder 201 -400 Amp. $146.00 �IT $.— .- .................. Service /Feeder 401 -600 Amp $ 205.00 � ............. $ Service /Feeder 60 1 -1000 Amp. $ 262.00 $ Service /Feeder over 1000 Amp. $ 373.00 $� Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service /Feeder 201 400 Amp. $110.00 $ Temp. Service /Feeder 401 -600 Amp. $149.00 $ Temp. Service /Feeder 601 -1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $_ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 _ $.._ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $_ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check edit CrCard #, 0110112012 ^!� ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 16-00000269 Date 2/26/16 Application pin number , . , 839288 Property Address . . . . . 1 224 JUNIPER LN ASSESSOR PARCEL NUMBER: 06-30-15-7-8-0020-0000- REPORT S TA TE SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . Property Zoning . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application desc Heat pump / air handler Owner Contractor DANIELLE DAWN PICINICH AIR FLO HEATING CO INC 224 JUNIPER LN 221 W. CEDAR PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 460-5039 (360) 683-3901 Permit ELECTRICAL LT.TRP T?P..qTnP.TTTTAT. Additional desc Permit Fee 56.00 Issue Date 2/26/16 Expiration Date 8/24/16 Plan Check Fee 00 Valuation 0 Qty Unit Charge Per Extension 1100 56.0000 ECH EL-LVT-THERMOSTAT 56.00 Fee summary Charged Paid Credited DLAC Permit Fee Total 56.00 56.00 100 '00 Plan Check Total .00 .00 .00 00 Grand Total 56.00 56.00 Signature of owner or Electrical Contractor X - . . .................... ........... . Date: N.- 40, MA. CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: * Plan Review Ma Be Required„ Job Address m Building Square Footage_ Description of above Name:_ fit, jt�t Owner ormat']oin Marl A dress 2_2 � Cott' I, tare: ip: Phone: ax: License # / Exo. Multi- Family or Commercial* Electrical Plan Item Unit Char Service /Feeder 200 Amp. $132.00 Service/Feeder 201 -400 Amp. $160.00 Service/Feeder 401 -600 Amp $ 225.00 Service/Feeder 601 -1000 Amp. $ 288.00 Service/Feeder over 1000 Amp. $ 410.00 Branch Circuit W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 14 $ 86.00 Temp. Service/ Feeder 200 Amp. $102.00 Temp. Service /Feeder 201 400 Amp. $121.00 Temp. Service/Feeder 401.600 Amp. $164.00 Temp. Service/Feeder 601 -1000 Amp . $185.00 Portal to Portal Hourly $ 96.00 Sign /Outline Lighting $ 88.00 Signal Circuit) Limited Energy - Multi- Family $ 64.00 Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 Thermostat $ 56.00 Note: $5.00 for each additional T -Stat r t ; key �✓ i Cmir r, I Street Contractor Inform ion Name: — - - —. Mailing Address: City: State: Zip Phone: Fax: _ ....... License # / Exo.. O Qty Total (Qty Multiplied by Unit Cf @LW $ $ $ $ $ m $ $ _..._....w.. $..— ...- ....... _ $ $ $ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29646B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner lectrical contractor or electrical administrator: ❑ Cash ❑ Chp4 L Dated: J-1� El Credit Card #...� ..__ 0110U b is V p- N