HomeMy WebLinkAbout1222 O St - BuildingPREPARED 5/05/08 9 47 39 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/05/08
ADDRESS 1222 0 ST SUBDIV
TENANT NBA GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
JOSH 808 1077
BLDG FINAL
BL99 02 4/30/08 JLL BLDG FINAL
4/30/08 DA April 30 2008 9 03 09 AM 1pangrle
JOSH 808 1077
BLDG FINAL
April 30 2008 4 56 56 PM jlierly
seal around ext door /impact post at w /h /cf lights on
exterior /sleeve gas line at fp /jll
BL99 03 5/05/08 JLL BLDG FINAL
May 5 2008 8 24 20 AM 1pangrle
JOSH 808 1077
BLDG FINAL
COMMENTS AND NOTES
cc r
Job Located at 1-,2_,2 5
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
Date
u r4--r
WO A-44-teyi
BUILDING DIVISION
Correction Notice
These corrections must be made and are not to be
covered until reinspection is made When co
have been made, please call f
for inspection
CITY OF PORT ANGELES
rb �4— u ,/,4 Seta./ aielfgenvt
Inspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 4/30/08 10 01 18 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/30/08
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA, INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 02 4/30/08
JOSH 808 1077
BLDG FINAL
BLDG FINAL
April 30 2008 9 03 09 AM 1pangrle
JOSH 808 1077
BLDG FINAL
COMMENTS AND NOTES
PREPARED 12/04/07 8 36 38 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/04/07
ADDRESS 1222 0 ST
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA, INC
OWNER ROLLING HILL HOMES LLC
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
DRW 01 9/05/06 JLL BLDG DRYWELL TIME 13 00
9/05/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 09/01/06 TIME 16 34 34
GREG 477 1862
09/01/2006 04 33 PM DYASUMUR
09/05/2006 04 34 PM JLIERLY
BL1 01 9/22/06 JLL BLDG FOUNDATION FOOTING TIME 08 00
9/22/06 AP ROD 908 5510
09/21/2006 11 14 AM DYASUMUR
09/22/2006 03 12 PM JLIERLY
BL2 01 9/27/06 JLL BLDG FOUNDATION STEM WALL TIME 13 00
9/27/06 AP ROD 908 5510
09/26/2006 11 25 AM DYASUMUR
09/27/2006 03 13 PM JLIERLY
DSD 01 10/09/06 JLL BLDG DOWN SPOUT DRAINS TIME 13 00
10/10/06 AP GREG 477 1862
10/09/2006 07 56 AM DYASUMUR
10/10/2006 08 58 AM JLIERLY
BL9 01 1/04/07 JLL BLDG SHEARWALL
1/04/07 AP 01/03/2007 01 43 PM PBARTHOL
SHAWN 621 9786
01/04/2007 03 28 PM JLIERLY
BL3 01 1/16/07 JLL BLDG FRAMING
1/16/07 DA 01/16/2007 10 45 AM PBARTHOL
01/16/2007 04 36 PM JLIERLY
over bend on hold downs/j11
PL6 01 2/21/07 JLL PLUMBING WATER SUPPLY
2/21/07 AP 02/21/2007 10 24 AM PERMITS
CRAIG 477 1862
02/21/2007 03 35 PM JLIERLY
BAIR 01 3/20/07 JLL BLDG AIR SEAL TIME 13 00
3/20/07 AP 03/19/2007 04 59 PM PERMITS
03/20/2007 04 21 PM JLIERLY
BL3 02 3/20/07 JLL BLDG FRAMING TIME 13 00
3/20/07 AP 03/19/2007 04 58 PM PERMITS
SHAWN 360 621 9786
03/20/2007 04 21 PM JLIERLY
BLI 01 3/30/07 JLL BLDG INSULATION TIME 12 00
3/30/07 AP 03/30/2007 08 51 AM PERMITS
SHAWN 360 621 9786
03/30/2007 04 14 PM JLIERLY
PW99 01 11/05/07 RV PUBLIC WORKS FINAL
11/05/07 AP November 8 2007 10 26 55 AM rvess
November 8 2007 10 27 23 AM rvess
FFNL 01 11/09/07 KDD FIRE FINAL
11/09/07 AP November 28 2007 10 00 35 AM kdubuc
November 28 2007 10 01 02 AM kdubuc
Fire final
BL99 01 12/04/07 JLL BLDG FINAL
December 3 2007 4 47 30 PM 1pangrle
JOSH 808 1077
PHONE (253) 853 3535
PHONE (360) 582 1899
CONTINUED ONTO NEXT PAGE
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Loca red at 'a`
Inspection of work revealed that the following is
not in accordance with the codes governing the work in
this jurksdiction
K—[c 3/�,��
c; i 1 -0s b
l is ),,12.r-•') ,e--
15.k Cr2 )P CA
cs
a p R c 4- t 12.-TJ -4 '�C. T' l._ L �1 1 ;AV) ,��rc
i U l �'r G z c, l r'- 1 /k_- �-T
These corrections must be made an re not to be
covered until reinspection is made When corrections
have been made, please call .I 7 E/7.€
for inspection 7
Date 2- Al L 7
(--TInspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 12/04/07 8 36 38 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/04/07
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA, INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLDG FINAL
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 1/31/07 JLL MECHANICAL GAS LINE
2/01/07 AP 01/30/2007 04 45 PM PERMITS
KEN 460 8896
02/01/2007 10 11 AM JLIERLY
ME5 01 3/20/07 JLL MECHANICAL DUCTS TIME 13 00
3/20/07 AP 03/19/2007 05 00 PM PERMITS
03/20/2007 04 21 PM JLIERLY
ME99 01 12/04/07 I, MECHANICAL FINAL
J�� -}1 December 3 2007 4 48 02 PM 1pangrle
JOSH 808 1077
MECHANICAL FINAL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 2/23/07 JLL PLUMBING ROUGH IN TIME 13 00
2/22/07 AP 02/22/2007 10 28 AM PERMITS
02/23/2007 09 26 AM PERMITS
PL99 01 12/04/07 JLL A PLUMBING FINAL
December 3 2007 4 48 32 PM 1pangrle
JOSH 808 1077
PLUMBING FINAL
COMMENTS AND NOTES
(11/28/2007) Linda Pangrle Re final fire inspections 15 a9e ''I
From Ken Dubuc
To: Linda Pangrle
Date: 11/28/2007 10 03 AM
Subject: Re final fire inspections
Good morning Linda
Sorry for the delay
06 -940, 06 -1059 and 06 -939 were all finaled on 11 09.2007 I have entered them in HTE.
I'm still working on the others you sent me.
Thanks,
Ken
PREPARED 3/30/07 9 14 23 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/30/07
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DRW 01 9/05/06 JLL BUILDING DRYWELL TIME 13 00
9/05/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 09/01/06 TIME 16 34 34
GREG 477 1862
09/01/2006 04 33 PM DYASUMUR
09/05/2006 04 34 PM JLIERLY
BL1 01 9/22/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00
9/22/06 AP ROD 908 5510
09/21/2006 11 14 AM DYASUMUR
09/22/2006 03 12 PM JLIERLY
BL2 01 9/27/06 JLL BUILDING FOUNDATION WALL TIME 13 00
9/27/06 AP ROD 908 5510
09/26/2006 11 25 AM DYASUMUR
09/27/2006 03 13 PM JLIERLY
DSD 01 10/09/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
10/10/06 AP GREG 477 1862
10/09/2006 07 56 AM DYASUMUR
10/10/2006 08 58 AM JLIERLY
BL9 01 1/04/07 JLL BUILDING SHEARWALL
1/04/07 AP 01/03/2007 01 43 PM PBARTHOL
SHAWN 621 9786
01/04/2007 03 28 PM JLIERLY
BL3 01 1/16/07 JLL BUILDING FRAMING
1/16/07 DA 01/16/2007 10 45 AM PBARTHOL
01/16/2007 04 36 PM JLIERLY
over bend on hold downs/j11
PL6 01 2/21/07 JLL PLUMBING WATER SUPPLY
2/21/07 AP 02/21/2007 10 24 AM PERMITS
CRAIG 477 1862
02/21/2007 03 35 PM JLIERLY
BAIR 01 3/20/07 JLL BUILDING AIR SEAL TIME 13 00
3/20/07 AP 03/19/2007 04 59 PM PERMITS
03/20/2007 04 21 PM JLIERLY
BL3 02 3/20/07 JLL BUILDING FRAMING TIME 13 00
3/20/07 AP 03/19/2007 04 58 PM PERMITS
SHAWN 360 621 9786
03/20/2007 04,21 PM JLIERLY
BLI 01 3/30/07 BUILDING INSULATION TIME 12 00
03/30/2007 08 51 AM PERMITS
SHAWN 360 621 9786
COMMENTS AND NOTES
PREPARED 3/20/07 11 00 24 INSPECTION TICKET PAGE 13
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/20/07
ADDRESS 1222 0 ST
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC
OWNER ROLLING HILL HOMES LLC
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
ME6 01 1/31/07 JLL
2/01/07 AP
ME5 01 3/20/07
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
DRW 01 9/05/06 JLL BUILDING DRYWELL TIME 13 00
9/05/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 09/01/06 TIME 16 34 34
GREG 477 1862
09/01/2006 04 33 PM DYASUMUR
09/05/2006 04 34 PM JLIERLY
BL1 01 9/22/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00
9/22/06 AP ROD 908 5510
09/21/2006 11 14 AM DYASUMUR
09/22/2006 03 12 PM JLIERLY
BL2 01 9/27/06 JLL BUILDING FOUNDATION WALL TIME 13 00
9/27/06 AP ROD 908 5510
09/26/2006 11 25 AM DYASUMUR
09/27/2006 03 13 PM JLIERLY
DSD 01 10/09/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
10/10/06 AP GREG 477 1862
10/09/2006 07 56 AM DYASUMUR
10/10/2006 08 58 AM JLIERLY
BL9 01 1/04/07 JLL BUILDING SHEARWALL
1/04/07 AP 01/03/2007 01 43 PM PBARTHOL
SHAWN 621 9786
01/04/2007 03 28 PM JLIERLY
BL3 01 1/16/07 JLL BUILDING FRAMING
1/16/07 DA 01/16/2007 10 45 AM PBARTHOL
01/16/2007 04 36 PM JLIERLY
over bend on hold downs/j11
PL6 01 2/21/07 JLL PLUMBING WATER SUPPLY
2/21/07 AP 02/21/2007 10 24 AM PERMITS
CRAIG 477 1862
02/21/2007 03 35 PM JLIERLY
BAIR 01 3/20/07 BUILDING AIR SEAL TIME 13 00
03/19/2007 04 59 PM PERMITS
BL3 02 3/20/07 JL BUILDING FRAMING TIME 13 00
03/19/2007 04 58 PM PERMITS
SHAWN 360 621 9786
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
MECHANICAL GAS LINE
01/30/2007 04 45 PM PERMITS
KEN 460 8896
02/01/2007 10 11 AM JLIERLY
MECHANICAL DUCTS TIME 13 00
03/19/2007 05 00 PM PERMITS
COMMENTS AND NOTES
PHONE (253) 853 3535
PHONE (360) 582 1899
4
Plq,110
Apa$0filon 'Number
4ppjt%eat pin number
pxgRoigteAddres8
,A PARCEL NUMBER
TOW4b ,naite
ANIA04412op'tyl6e aesdr ion
Tc.*JA:oti4 NWme
0044W0se.
2*** Zonin
4,11144,ig. valuation
ROIJLENG1 HILL HOMES LLC
tit2Wftr
ST
),yAkti
v14.47 L 8 99
O info
TAS pe
thr Fees
We're! in"a y
;Mpfp+,•:.4t
WA 98660
„,,kaggit-rha de
ROxi 'number
'Da:te
'pcRecrxprK pate
Apeemax.:MOVes .and. Comments
Charged
CITY OF PORT ANGELES
FIRE DEPARTMENT 'PERMIT
3.21, Eat 5' Street, ,PortrAng9.tes, WA 98362
06 00.00.0940
114320
1222 0 ST
06 30 01 7 9 ooso 0000
GLEN "TERRA
RES NEW 8FF
Plan. Check Fee
Valuation
t
tf
il' 'F ,t_ 1. prior tq) back fill of ditch. A ,h0* advance
-i*Irg
ioeau:s required
,drimeway to City Standards No cOnerete with
exposedaggregate allOwed in the City rOaKtipait of way An
0 insp.O.eibA by Public Marks EngineerIng is l prior to
concrete
_:•t
RES uNppz0p641-;SOvIcE FEE
SEWER OSTM!s. CHARGE
STATE-
PW WATER SYStErOJSE FEE
Paid Credited Due
D 3/95./07
RS9 RESDNTI; .5140LE FAMILY
L
Contractor
GLENN TBRRA, INC
96 4 3:94 1,,AME NE 124
pot4so
(253) 853 3535
TOTAL t LoTiCO#RAGE
NUMBER 'OF STORIES
LOT' SIEEI
TOTAL OT coyOAGE
NUMBER OE mf$
FIRE SPRINKLER REBID
FIRE SPRINKLER, SYS
96255
00
3/05/07
9/01/07
nub shall be plainly visible f the street
igaleiNiu040'.pna1l be a, minimum of i siic inches high and be
hg'
color from the bac groulcl
1060 n :subdivisions that are outside of the Fire.
1 i A44411 minute response area shall be equipped with
4e fire sprinkler systems that comply with the
e Fire Code (IFC) and Nationa1 F2re Protection
(UA)
12 ,5,0 PM SROBERDS The proposal will result i
Wiatt g and pore0,..01 RS 9 zone
is 26% No laned use issues A.W.Tioed
't' 6,02161 load caldulations and elctrical permitn are
A! 1 .1* qued
rlipal- .connection fee of $713 00 required
0/2 8/006 03 59 PM ,GMCLAIN
ilwiwOU*-'cOnnedtion inspection! is requered by
WA 483707531
26 ,00
2 00
2901? oo
OD
1 1 00
713 00
870 00
4 50
1200 00
00
cw*P-7,57
A
trite%andO:ggirc of recogruied standafd4laws and inlIt ordinanCgoV,etning.this,e,0,4 vV,01
'el lit
W,ith h
Alke)er riot. The grantingethis.perm it does not presume to give
the) .,•of,,ari ®r local law regulating the Work specified in the permit.
-1. 4!:
i' '.,,t,'.. rr•
C-- 'C?
:Yel,.=.-klr.-1.,"v.'"Ir -D i
!.01,gnatiirep Ant iled. Agent
Signature of Owner (if Owner isi?o,fla
aries null and void if votitk autfidirzed is n commenced Avlthin 18D days, 1f vvoilgIlhs0A40
a 1. bAd fo 180 days afer the Work'has-cOMmenced, or if required inspections `hay
1 4.0dlite I hereby ger* ihaighave read and exarritned thisappIicattpn
typ AlCI 60 AnOWIffit .same
CalVd. 10655 for fire inspections. Please provide a minimum 24-1100,notice It ts urtraWfiAto
or'iconre,ea'10 'Work before inspeCted and accepted. Post permit in a coris'px040iis IoCation.
tyt
4
ER
KEEP PERMIT CARD AND APPROVED PLANS AT .10)3, SITE
Date Passed Continents
Inspection Type
tJ
02
JaliNatu piping hydrostatically tested
l!piping flushed
4‘, .140-1..V.U4'
or tup tested
ltitahor Tingonspection
DiAt tested at 40:psi (24 hOurs)
'W"ftZiPsf:
Sprinkler-final
Roughon lfr•Spection
Alanfi
Undeigrobild'imping inspection/pressure test
p)111$ test
4.A
jank
n r)ht
4PP .1
I s
D 1 21 STORAGE TANK4'UST) ABANDONMENT
Rii ritriableicornbustile:
.abandoned
‘abandotitlinal
R(specify).
perm
GEM'N
FIRE PERMIT INSPECTION, RECORD
:TeSt
CUM. AlVted:ih:Sr Von'tfta'C'tur-
Test .4
Pigin§pressiiteiest :::!...7,:1
-ici-
Titilp.-41.ttlatod..,...
11.._
Piping preSsurtiteSt
Time initiated
ktoiot Lem Number
,40ta4at pin dumber
Fee Tbtal
'.7r 1D,9ieaV 000;k: Totaa
T.qt•4
h tY
*ast,
00
00
2787 50
2787 50
CITY OF PORT .410'.,E.4-:
FIRE bEPARTIvI8N:1:
321ast 5 th Street, POrt;,AtitteliWf:W A 98362
06, :6006684:0
11-452
J-
69,
2787 "§0
2787 50
A
if
fir
00
00
00
00
Page
Date
ta'z'• 2
3/'.4;'/•63
Qv
0.0
Tfifis`kkeitvbSornes pull and void if Work, aVtliblited is not comineiteell"v■ittliin 1804s.
16f
-.A
Abandoned for, .Apertod. Of 180 days afer the work 111 or if
P fl rorwthejast.inSpectio. n I hereby certifylikat read an ekatiatied thts
i
t' All provisions of recognized standArdSVIa*s and ordinanCesrgOverning 0
r
:e to give, tilithorotv
4trkAw. erf:Slie herein or pot. The granting :.44tIts,;:perm it does not
,presuip
5 illeptOkAiigit3ti& lif any state or local law regulating the work specified in the.;peripAt.
F.,
1- SlgriabutetfrOntractor of:Authorized Agent ,1)',o,to„ $ignature of Owner ,if _wriret„t.s upl
1.4^
FIR
Call 360417-4655 for fire inspections. Please provide a minimum 24-hour 'notice It is uttiaWfttl-f6iekNw *5111a:ft
or conceal 4ny work before inspected and accepted. Post permit in a.conspicuo4loCation.
0
KEEP PERMIT CARD AND APPROVED PLANS AT .10B SITE
Inspection Type
ER
UndergrOyndpiping hydrostatically tested
Undergrofincl.piping flushed
Intenorlpiping,hydrostatically tested
Interior, piping inspection
Dry .sytsIg tested at 40 psi (24 hour)
Sp rifildetiffital
k
z Roinspettion
Maimi
1,.f.prA
Urideloiguill-Olpirig-inspection/pressure test
Abov
ground piping inspectionipressute test
Tatikticatict er):MSpection
40
LE-44s,
uspedtio'n
Refiatival lailthilaritableicorntiustible liquids
TanRappropiiiatelyabdridoned
UST Ot,final
PEIVI:jAP (specify)
perrurir',yppA,
GENE4LMMENTS
4 4
4
FIRE PERMIT INSPECTION RECORD
I Date Passed
11- 1:01
STORAGE TANK :(UST) ABANDONMENT
Completed by Contractor
Test #1
Piping pressure test
Time initiated
Test #2
Piping pressure test
Time initiated
15'
psi
Project Name Private Residence Address 1222 "0" Street
Installer• Innovated Fire Sprinkler Installer Telephone 452 -7583
Type of System. Open
Additional Comments.
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417 -4650 FAX (360) 417 -4659
Fire Sprinkler System Plan Review
13
Date: 3.2.2007 PAFD Permit 07 -06
13R❑ 13D®
We have checked this plan and find that it conforms to the requirements of the code.
All systems, including underground mains, shall be installed by a state licensed and certified
company Systems shall be installed per the applicable NFPA 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 NFPA Standard. This 13D system will require a
measured flow test.
Contractor Reviewed by Qc
El Building Department Date 3. o?
Fire Department
%VII
%■11./7"
FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
ENERGY
Li ENGINEERING
POLICE DEPARTMENT
ADMINISTRATION
CITY CLERK
RISK MANAGEMENT
FROM. PUBLIC WORKS/BUILDING DIVISION
RE ADDRESS 1 r--- r 7
NAME /CONTACT Li n e i ra,?r
PHONE 1-lS 7 ,57?.3
PERMIT NUMBER. T 9 h/ a
PROJECT DESCRIPTION A Seri r11i frzyk
NEW CONSTRUCTION
ADDITION /ALTERNATION
COMMENTS /CONDITIONS
Ul REVIEW/RETURN FILE
d7 -OED
Fill out COMPLETELS and in INK.'i our application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent. Von C n r-- Phone: L'/ S 2 7S" a :3
Owner T:Q. v' yew L,
1n'v. Phone.
Address. I Qi-IL L. 7 3 City foe ,-1-- /�c_. .P Zip 3 2
Architect/Encmeer Phone:
ContractorillWdtiO State License 2/F.T0L 9 xp 3 12 hone: 2
Address: (9 AILA -L) City PG,i-% Zip _9 &'?‘2
PROJECT ADDRESS 2.2 a C) S
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK. STZF/VALUATION
Residential New Constr Re -roof Stove SF /SF
Multi- family Addition Move 0 Garage SF /SF
Commercial Remodel Demolition Deck SF /SF
Repair Sign Other TOTAL VALUATION 2_ 2_,(13, Gc.)
BRIEF DESCRIPTION OF THE PROJECT .L lc U -S pv k (.e S e
COMMERCIAL/RESIDENTIAL. Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage
PLANNING USE ONLY
OA
BUILDING PERMIT APPLICATION
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No 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 submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, 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 determine what permits are required ,not the City's, and that
must obtain such permits prior to wo .k.
TAFORMS\BIdgPermitform wpd Applicant: .1.04...4' Date: Z 2O I(1
Subdivision.
ZONING
Occupant Load. Construction Type:
Proposed Sq Ft. TOTAL Sq Ft.
FOR OFFICIAL USE ONLY
Date Rec. 3 -/-09'
Permit 6`" 040
Date Approved:
Date Issued:
APPROVALS
PLAN
BLDG:
DPWU
FIRE.
OTHER.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ROLLING HILL HOMES LLC
1312 MAIN ST
VANCOUVER
(360) 582 1899
Other struct info
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Qty
1 00
2 00
Other Fees
WA 98660
Unit Charge Per
69 0000 ECH
22 0000 5C
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000940
114320
1222 0 ST
06 30 01 7 9 0060 0000
GLENN TERRA
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
148685
Contractor
GLENN TERRA INC
9689 7TH AVE NE 124
POULSBO
(253) 853 3535
TOTAL LOT COVERAGE,
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ELECTRICAL NEW RESIDENTIAL
EL SVC 2259 SQ FT -SFR
95521
ELECTRIC SERVICE
113 00 Plan Check Fee
2/22/07 Valuation
8/21/07
EL R SQFT FIRST 1300
EL -R SQFT ADDITIONAL 500
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background
All homes in new 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)
08/31/2006 12 50 PM SROBERDS The proposal will result
in a new sfr w /attached garage and porch in the RS 9 zone
Lot coverage is 26% No laved use issues are noted
Electrical load calculations and elctrical permits are
required
Electrical connection fee of $713 00 required
08/28/2006 03 59 PM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway 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
Date 2/22/07
WA 983707531
26 00
2 00
'9000 00
2331 00
1 00
SEWER SYSTEM DELV CHARGE 870 00
00
0
Extension
69 00
44 00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
Dt1'CH
ROUGH IN COVER
SERVICb
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
COMMENTS
PW- I102.151+0961
Application Number
Application pin number
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000940
114320
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
113 00 113 00 00
00 00 00
2074 50 2074 50 00
2187 50 2187 50 00
Page 2
Date 2/22/07
00
00
00
00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
DI ICH b 7 ;acs I
ROUGH -IN COVER 3 -5 D Irr
SERVICE 1 3 3v -01 T
FINAL
INSPECTION TYPE
GENERAL COMMENTS:
ACCEPTED
YES I NO
COMMENTS
L 4
PW- 1102.13 )496)
PREPARED 2/21/07 12 16 11 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/21/07
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DRW 01 9/05/06 JLL BUILDING DRYWELL TIME 13 00
9/05/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 09/01/06 TIME 16 34 34
GREG 477 1862
09/01/2006 04 33 PM DYASUMUR
09/05/2006 04 34 PM JLIERLY
BL1 01 9/22/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00
9/22/06 AP ROD 908 5510
09/21/2006 11 14 AM DYASUMUR
09/22/2006 03 12 PM JLIERLY
BL2 01 9/27/06 JLL BUILDING FOUNDATION WALL TIME 13 00
9/27/06 AP ROD 908 5510
09/26/2006 11 25 AM DYASUMUR
09/27/2006 03 13 PM JLIERLY
DSD 01 10/09/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
10/10/06 AP GREG 477 1862
10/09/2006 07 56 AM DYASUMUR
10/10/2006 08 58 AM JLIERLY
BL9 01 1/04/07 JLL BUILDING SHEARWALL
1/04/07 AP 01/03/2007 01 43 PM PBARTHOL
SHAWN 621 9786
01/04/2007 03 28 PM JLIERLY
BL3 01 1/16/07 JLL BUILDING FRAMING
1/16/07 DA 01/16/2007 10 45 AM PBARTHOL
01/16/2007 04 36 PM JLIERLY
over bend on hold downs /j11
PL6 01 2/21/07 LL B PLUMBING WATER SUPPLY
02/21/2007 10 24 AM PERMITS
CRAIG 477 1862
t,1 COMMENTS AND NOTES
01 0612007 13 53 2532843183
February 6 2007
CASCADE RESIDENTIAL DESIGN INC
1901 Center Street
Tacoma, WA 98409
253.284 3170Fax 253.284 3183
Glenn -Terra Homes
136 East 8 Street, Ste 223
Port Angeles, WA 98362
Attn Andy Terra
Ref Plan 1819/2A at 1222 '0' St., 1108 Eckard Ave., 1209 Rolling Hills Dr
This letter is in response to your question about spelling a few of the foundation straps
for the above referenced plan.
According to the layouts you sent, the various straps around the buildings experienced
spalling up to 3" below the embedment line According to Simpson Strong -Tie's product
catalog, spelling between 1" and 4 below the embedment line results in the STHD
straps having 90% capacity We have reviewed the calculations for this plan, and find
that all the straps on the building would still have sufficient capacity to resist the design
loads.
If you have any questions, please give us a call.
Sincerely,
Mark Myers, P E
Project Engineer
EXPIRES. C.-
CAS RES NWAF TDM PAGE 63, 03
PREPARED 1/31/07 8 22 04 INSPECTION TICKET PAGE 18
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/31/07
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 1/31/07
N.
MECHANICAL GAS LINE
01/30/2007 04 45 PM PERMITS
KEN 460 8896
COMMENTS AND NOTES
PREPARED 1/16/07 12 00 01 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY
ADDRESS 1222 0 ST
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA, INC
OWNER ROLLING HILL HOMES LLC
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DRW 01 9/05/06 JLL
9/05/06 AP
BL1 01 9/22/06 JLL
9/22/06 AP
BL2 01 9/27/06 JLL
9/27/06 AP
DSD 01 10/09/06 JLL
10/10/06 AP
BL9 01 1/04/07 JLL
1/04/07 AP
BL3 01 1/ t /07 JLL
AM
AM
PM
PM
AM
SUBDIV
COMMENTS AND NOTES
PHONE (253) 853 3535
PHONE (360) 582 1899
BUILDING DRYWELL TIME 13 00
OVERRIDE TAKEN BY DYASUMUR DATE
GREG 477 1862
09/01/2006 04 33 PM
09/05/2006 04 34 PM
BUILDING FOUNDATION
ROD 908 5510
09/21/2006 11 14 AM DYASUMUR
09/22/2006 03 12 PM JLIERLY
BUILDING FOUNDATION WALL TIME
ROD 908 5510
09/26/2006 11 25 AM DYASUMUR
09/27/2006 03 13 PM JLIERLY
BUILDING DOWN SPOUT DRAINS TIME
GREG 477 1862
10/09/2006 07 56
10/10/2006 08 58
BUILDING SHEARWALL
01/03/2007 01 43
SHAWN 621 9786
01/04/2007 03 28
BUILDING FRAMING
01/16/2007 10 45
DYASUMUR
JLIERLY
FOOTING TIME
DYASUMUR
JLIERLY
PBARTHOL
JLIERLY
PBARTHOL
13
09/01/06 TIME 16 34 34
08 00
00
13 00
PAGE 13
DATE 1/16/07
Job Located at
BUILDING IVISION
CITY OF PORT ANGELES
Correction Notice
222 0 54,
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
7K
Lrz)--i
aO NOT REMOVE THIS TAG
These corrections must be made and are not to be
covered until reinspection is made When corrections
have been made, please call GI 1
for inspection
Date r/fcb /a C
Inspector for Building Division
PREPARED 1/04/07 9 04 05 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/04/07
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DRW 01 9/05/06 JLL BUILDING DRYWELL TIME 13 00
9/05/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 09/01/06 TIME 16 34 34
GREG 477 1862
09/01/2006 04 33 PM DYASUMUR
09/05/2006 04 34 PM JLIERLY
BL1 01 9/22/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00
9/22/06 AP ROD 908 5510
09/21/2006 11 14 AM DYASUMUR
09/22/2006 03 12 PM JLIERLY
BL2 01 9/27/06 JLL BUILDING FOUNDATION WALL TIME 13 00
9/27/06 AP ROD 908 5510
09/26/2006 11 25 AM DYASUMUR
09/27/2006 03 13 PM JLIERLY
DSD 01 10/09/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
10/10/06 AP GREG 477 1862
10/09/2006 07 56 AM DYASUMUR
10/10/2006 08 58 AM JLIERLY
BL9 01 1/04/07 L BUILDING SHEARWALL
(f �R 01/03/2007 01 43 PM PBARTHOL
1 i SHAWN 621 9786
COMMENTS AND NOTES
PREPARED 10/09/06 11 08 53 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/09/06
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DRW 01 9/05/06 JLL BUILDING DRYWELL TIME 13 00
9/05/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 09/01/06 TIME 16 34 34
GREG 477 1862
09/01/2006 04 33 PM DYASUMUR
09/05/2006 04 34 PM JLIERLY
BL1 01 9/22/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00
9/22/06 AP ROD 908 5510
09/21/2006 11 14 AM DYASUMUR
09/22/2006 03 12 PM JLIERLY
BL2 01 9/27/06 JLL BUILDING FOUNDATION WALL TIME 13 00
9/27/06 AP ROD 908 5510
09/26/2006 11 25 AM DYASUMUR
09/27/2006 03 13 PM JLIERLY
DSD 01 10/09/06 BUILDING DOWN SPOUT DRAINS TIME 13 00
GREG 477 1862
10/09/2006 07 56 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 9/27/06 10 54 07 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/27/06
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DRW 01 9/05/06 JLL BUILDING DRYWELL TIME 13 00
9/05/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 09/01/06 TIME 16 34 34
GREG 477 1862
09/01/2006 04 33 PM DYASUMUR
09/05/2006 04 34 PM JLIERLY
BL1 01 9/22/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00
9/22/06 AP ROD 908 5510
09/21/2006 11 14 AM DYASUMUR
09/22/2006 03 12 PM JLIERLY
BL2 01 9/27/06 JLL BUILDING FOUNDATION WALL TIME 13 00
ROD 908 5510
09/26/2006 11 25 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 9/22/06 9 26 25 INSPECTION TICKET PAGE 20
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/22/06
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DRW 01 9/05/06 JLL
9/05/06 AP
BL1 01 9/22/06 JLL
BUILDING DRYWELL TIME 13 00
OVERRIDE TAKEN BY DYASUMUR DATE 09/01/06 TIME 16 34 34
GREG 477 1862
09/01/2006 04 33 PM DYASUMUR
09/05/2006 04 34 PM JLIERLY
BUILDING FOUNDATION FOOTING TIME 08 00
ROD 908 5510
09/21/2006 11 14 AM DYASUMUR
COMMENTS AND NOTES
Application Number 06 00000940
Application pin number 114320
Property Address 1222 0 ST
ASSESSOR PARCEL NUMBER 06 30 01 7 9 -0060 0000
Tenant nbr name GLENN TERRA
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
ROLLING HILL HOMES LLC GLENN TERRA, INC
1312 MAIN ST 9689 7TH AVE NE 124
VANCOUVER WA 98660 POULSBO WA 983707531
(360) 582 1899 (253) 853 3535
Other struct info TOTAL LOT COVERAGE 26 00
NUMBER OF STORIES 2 00
LOT SIZE 9000 00
TOTAL LOT COVERAGE 2331 00
NUMBER OF UNITS 1 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4 DROP IN WATER METER
Permit pin number 86074
Permit Fee 195 00 Plan Check Fee 00
Issue Date 9/11/06 Valuation 148685
Expiration Date 3/10/07
T \l102.15R [1/05)
Qty Unit Charge Per
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 86066
Permit Fee 110 00 Plan Check Fee 00
Issue Date 9/11/06 Valuation 148685
Expiration Date 3/10/07
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
pr sume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
co trucf'n.
gnature of Contractor or
Qty Unit Charge Per Extension
1 00 110 0000 EA SAN SEWER HOOKUP 110 00
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background
All homes in new subdivisions that are outside of the Fire
Department four minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA)
08/31/2006 12 50 PM SROBERDS The proposal will result
in a new sfr w /attached garage and porch in the RS 9 zone
Lot coverage is 26% No laved use issues are noted
Electrical load calculations and elctrical permits are
required
Electrical connection fee of $713 00 required
08/28/2006 03 59 PM GMCLAIN
i <1 f f'.
BASE FEE
thorized Agent bate
CITY OF PORT ANGELES
PUBLIC WORKS UTILI IES DIVISION
321 EAST STH STREET PORT ANGELES, WA 98362
RS9 RESDNTL SINGLE FAMILY
148685
Date 9/11/06
Extension
195 00
Signature of Owner (if owner is builder) Date
CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORN' BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R 1 /05)
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
I I I
I I I
I I I
I I 1
I I I
I I 1
I I 1
I I I
I
1 I
I I I
I I I
I I I
1 I I
I I I
I I 1
i 1 1
I I 1
I I
I
1 I 1
I 1
I I I
I I I
I 1 I
I I I
I 1 I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT
BUILDING
COMMENTS
I I I
I I I
1 I
I I
Application Number
Application pin number
Special Notes and Comments
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway to City Standards No concrete with
exposed aggregate allowed in the City road right of way An
inspection by Public Works Engineering is required prior to
prouring concrete
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
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•\PolicieAl 102.I5R 1/05]
Charged Paid Credited
305 00 305 00
00 00
2074 50 2074 50
2379 50 2379 50
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST3TH STREET PORT ANGELES, WA 98362
Page
06 00000940 Date
114320
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
00
00
00
00
9/11/06
870 00
4 50
1200 00
Due
00
00
00
00
2
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
T•\PolieiesU 102.15R (l/05)
RESIDENTIAL
CONSTRUCTION LW PW/
ENGINEERING 417-4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
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
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I I
I 1
CONSTRUCTION KW
PW ENGINEERING
I FIRE DEPT.
I PLANNING DEPT
BUILDING
I I 1
I I I
I
I I
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000940 Date 9/11/06
Application pin number 114320
Property Address 1222 0 ST
ASSESSOR PARCEL NUMBER 06 30 01 7 9 0060 0000
Tenant nbr name GLENN TERRA
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 148685
Owner Contractor
ROLLING HILL HOMES LLC GLENN TERRA INC
1312 MAIN ST 9689 7TH AVE NE 124
VANCOUVER WA 98660 POULSBO WA 983707531
(360) 582 1899 (253) 853 3535
Other struct info TOTAL LOT COVERAGE 26 00
NUMBER OF STORIES 2 00
LOT SIZE 9000 00
TOTAL LOT COVERAGE 2331 00
NUMBER OF UNITS 1 00
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 85654
Permit Fee 1294 65 Plan Check Fee 517 86
Issue Date 9/11/06 Valuation 148685
Expiration Date 3/10/07
Qty Unit Charge Per Extension
BASE FEE 1020 25
49 00 5 6000 THOU BL -100 001 500K (5 60 PER K) 274 40
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 86306
Permit Fee 129 50 Plan Check Fee 00
Issue Date 9/11/06 Valuation 0
Expiration Date 3/10/07
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
1 00 10 6500 ECH ME VENT SYSTEM OTHER 10 65
1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65
Permit PLUMBING PERMIT
Additional desc
Permit pin number 86314
Permit Fee 170 00 Plan Check Fee 00
Issue Date 9/11/06 Valuation 0
Expiration Date 3/10/07
Qty Unit Charge Per Extension
BASE FEE 50 00
13 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 91 00
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00
Signature of Contractor or Authorized Agent
T\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
7
sQ
Separate Permits are required forelectrical 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 as commenced, or if required inspections have not been requested within 180 days from the last
Inspection. l- hereby certify -that 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
esume to give authori to violate or cancel the provisions of any state or local law regulating construction or the performance of
c istruc
Date Signature of Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
BUILDING PERMIT INSPECTION RECORD
1
1
I
1
1
1
1
1
1
1
1
1
1
I
1
1
I
1
1
1
1
1
1
T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
YES I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
F-
DATE ACCEPTED BY.
DATE ACCEPTED BY.
Application Number
Other Fees
Fee summary
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
06 00000940 Date 9/11/06
Application pin number 114320
Qty Unit Charge Per Extension
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00
1 00 7 0000 ECH PL EA WATER HEATER 7 00
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high Acid be e. f
of contrasting color from the background v 1 4‘.
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)
08/31/2006 12 50 PM SROBERDS The proposal will result
in a new sfr w /attached garage and porch in the RS 9 zone
Lot coverage is 26% No laned use issues are noted
Electrical load calculations and elctrical permits are
required
Electrical connection fee of $713 00 required
08/28/2006 03 59 PM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway 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
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
Permit Fee Total 1594 15 1594 15 00 00
Plan Check Total 517 86 517 86 00 00
Other Fee Total 2074 50 2074 50 00 00
Grand Total 4186 51 4186 51 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
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE k,DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
T• \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
I 1_,41.--1- I I
I I I
I/- -e'I -o7 I. I
E444& q/ /a
FINAL i -2- -6 61 DATE
FINAL 1 A. -d -O7DATE 'a ACCEPTED BY.
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT I
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I
BUILDING 417 -4815 1 5 5-- 0 a I r b I 1 BUILDING I
ACCEPTED BY.
PREPARED 9/05/06 10 44 36 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/05/06
ADDRESS 1222 0 ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER ROLLING HILL HOMES LLC PHONE (360) 582 1899
PARCEL 06 30 01 7 9 0060 0000
APPL NUMBER 06 00000940 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DRW 01 9/05/06 yZLL BUILDING DRYWELL TIME 13 00
OVERRIDE TAKEN BY DYASUMUR DATE 09/01/06 TIME 16 34 34
GREG 477 1862
09/01/2006 04 33 PM DYASUMUR
COMMENTS AND NOTES
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417-4711
FOR OFFIC USE O Y
I Permit U6 4o
Date Rec.
Date Approved:
r Date Issued ed r
ALL TGAirt_x L¢ O Co I Applicant or Agent: A N p S Phone eo D S( =0 0
Owner t o L AJAl "T c.: mil ,4 "L U C—
Phone: 3 Co 0 -S(o S- re) f D CD
Address. 1 Ca e I ST". *k 22_1_ City. Po o•r G. -Es Zip
Arclutect/Enb Weer• r. A S L,4 D t= Ft_.. -u S f U G Phone. Z-S Zg t-/- 3 /70
GLs^ NTs. u
Contractor EVA) T Risk MAX. State License 9 'ro NA Exp A/ I /Q� Phone. CQ z I 43?
Address 1 3 G 8T r. k Z. 3 City' Po i Iti eP; .ES
PROJECT •ADDRESS I Z Z .1(
LEGAL DESCRIPTION Lot: Gp Block:
CLALLAM COUNTY PARCEL NUMBER. C) CD .1 0 1
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC
TYPE OF WORK.
e K Residential pt New Constr Re -roof Stove
Multi- family Addition Move f$ Garage
Commercial Remodel Demolition -Peele Poite4
Exp. Date.
SIZE/VALUATION
5_ SF Q109 /SF
N '40 SF t .1. t /SF
2- SF 7.'057/SF
TOTAL VALUATION
BRIEF DESCRIPTION OF THE PROJECT /(JFw F
Occupancy Group g,
No of Stories: 2- Lot Size: 4000 id Existing Sq. Ft.
Total lot coverage 7
PLANNING USE ONLY
ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other
T•Wolicies\BL 1102_13 wpd A
Repair Sign Other
sibility
City.
Zip ���I Z.
ZONING
Subdivision. �Z- ,U
7 GI ro c
Occupant Load: Construction Type:
---,Date: S 24 067
rLL.S
$_1 3 Q, -107, 7/
q 1 1.07, 2.0
t 1 /V
Proposed Sq Ft. 2.331_ TOTAL Sq Ft. 2_3 3 1_
1819 h No +7Z
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 submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003) No application can be extended more than once.
I hereby certify that I have re. 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 respo ete ne wha are equired ,not the City's, and that I must obtain such permits prior to work.
_►.111 \7��
Site Information
Lot: 1 D
Address. 1 Z, z, O S r,
City ZT A �L�S
State: l J A Zip A)_? (Q Z
Contact:_A A, D la. W 4 7 itRL�
Phone. (o 0 S .S O 0
Phone 2: (o 0 (0 2. I 4- 1,?3 G&W-
Fax: 3 Q" s QI L
Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazing I Glazing U- Factor Door Wall Wall Wall Slab'
Option Area U- Ceiling' Vaulted Above Int Ext Floor' On
of Floor Vertical Overhead" factor Ceiling Grade Below Below Grade
Grade Grade
Unlimited
Group R 3 0 40 0.58 0.20 38 R 30 f 21) R 21 R 10 I' -30 R 10
Occupancy
Only
Prescriptive Approach Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
See the code text for footnote references
Thi oject complies with the following
The project is a single family residences
The project is wood frame OR all of the insulation is interior or exterior of the framing
All building components meet the requirements listed in Table 6 -1 Option Ill
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
602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards is allowed.
Location of the door taking this exception
602.6 Exception 2. Doors with a U- factor of 0 40 allowed without calculations Option III only
Location of the door(s) taking this exception
Ty p c- F I--1 Z
Copyright 2002, WSUCEEP02 -056 PP-0 PA-Ai
Copied by permission from the Washington State University Extension Energy Program
Building.. D.epartrnent..Use Only
Permit:
Notes:.
Prescriptive Simple Form Climate Zone 1 7/26/2004
Sincerely
CASCADE RESIDENTIAL DESIGN INC
102 S 26 Street
Tacoma, WA 98402
253 284 3170 Fax 253 284 3183
August 17 2006
Attn Port Angeles Building Department
ax
Building Location 12 '0' St. Port Angeles WA
Glenn Terra Homes is authorized to construct our plan 1819/2A for a single use
on the site address referenced above based on the criteria in the accompanying
construction documents and calculations Any revisions or alterations must be
authorized by Cascade Residential Design, Inc prior to commencing work
Mark Myers P E
Project Engineer
\To ‘99\ot 14A,
.,u /MAY /03 /WED 03 20 PM CITY OF PA BLDG DEPT FAX No 360 417'111 P 001 /001
NW CORNER S56 45S1i E
SUBURBAN LOT 68
"I I CURVE TABLE NOTE R.O. S N. 53. P. 12 HAS INTERPRETED THE
1- DE60 DIMENSION ALONG THE NORTHWESTERLY
CURVE 1 LENGTH I RA0IIJS I MU: SOUNDARY (240 F1* TD BE A MORE -OR -LESS r
Cl 15.A1 11.001 wane CAtI..RE L TING IN A POSITION FOR THE' f1� •ay •Of$� 1�
4.471 10.001 4011.2 SDUTNW# CORNER OF FHE SURVEYED PARCEL V...^'....3.. L
FNC: (6/05) 112"
REBAR/OAP 15 22 29'
tst
533 07'4s'N 14.47' 9748 SO" 1 $I I
I
FROM CALCULATED 1 I h I 1 1 w .1 I 9000 SCSI 1 25' g I 9000 STIFT. I u, I
s56woTsn y g Tb L��� __I 4• J
CORNER POSITION L I' I. I I I I 11s'i
5 03'07 E 8'
3 ,1 0 /1-E.5
V .1.11
n I'
F1N0. (6/05) 1/2'
RERAR /CAP LS 22329
569719'251y, 0.35'
FROM CALCULATED
CORNER POSITION
61.701 90. 7 14
76.901 31,001
99.501 30.001 a,4
2.071 10.001 11'.•11'0
11.111 10.00
15.711 10.00
12311 10.001
22111 30.001 35
58.491 &Loot
rw
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a•
A. f
41.491 WW1 4742= �"p
24.9.11 50.001 41x1
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5.7i1 10.001 99j91Y�' m c I
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h
1
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m
y „7;• z 025'1 9427 SO.FT. 1
P.::13- w I
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25 1 72014 SQ.FL W 23' I I I
2' I 0 1 z_ I
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5494' w 12.120 1 w NI �I �645a e s 0.r
b L 25 I io' b
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t I woo SQ•FT 4 D tT I 900 SQ I b I
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$I I u11�
ti 9144 sort
1 1 I oI o
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IRS',
634.97'
THAT 1S S 3]'0749' W, 14.47 FROM ME
POPOSITION ON DETERVINED BY 11115 OFFICE, *Mal rf E 1 I
NORTHWEST CORNER OF SUBURBAN L ot 68. 6 mil
I 9.300 &In 1
A COMPREHENSIVE REVIEW OF THE CHAIN OF r r 'I
9
HOLDS THE DEED CALL OF 240 FEET FROM THE y$ 25• I
b
I.
1- S•1pri 4'7' Jr I
NILE..F.DR &L d o 68 SHOWS CONSISTENCY OR I w I 2
THE 240 FOOT CALL
W
DAP EL
r I I Llt 1 211' I 1 1
CP 3
56, 150,00'
•-•l m 124.111- -1
10' I I�' 1
-13 I�o1
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I 25' I .10. J 1, w
_.56'45 ,-,--1
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r a
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pJ 06 I 25' o I I I2./ 1 z�' i
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n 4
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1' 25' o I 4 I' g
7. 9000 S0J•7
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ROLLl1rQ !'a.1 -5 GQl1RT 'ry Ik yy I •I
01_9
N56'45'4 W 1'
1 6 8.75 5364"Nr -!!'9'
A r~., Err,- I I 1 I 131' 125' I 13/ I I ly'
I 1 Imo sarr. 1 h I 9000' Sari I 1.4
1� rte- e� JAPE.
I L
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1 1 I 1r d I
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6
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1 7900'. 7777' 79Y5 0.' W M1I 1 9000 Sari I n I 9000 sat IPA x
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in 904 SOFT. Ir.� 90 2 0 5D. F7. 9700 50.FL I Iff I 25. 153 I T t 4
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sZ I
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Lard. 'IQ's 1 77.751
55545'4T'E
FROGE-013R -E-5:
THIS RECORD OF SURVEY IS BASED ON A GROUND SURVEY
UTILIZING CONVENTIONAL TRAVERSE METHODS
11- .iO4111 411DD'5> 11000
222 1' 556 45117 E
n 10' I11OE POWER ESM7
q N56 45'47'W
W. 1417-1 STREET
1 R
n I I m
X01 f y a1r r 1• I 21W SUFI I1r
L J 30' I +�D L 25 L J
I, BRADLEY R. LYMANGROVER, REGISTERED AS A LAND
SURVEYOR BY THE STATE OF WASHINGTON, CERTIFY THAT
THIS SURVEY MEETS OR EXCEEDS THE STANDARDS THIS LAND SUBDIVISION 1S BASED ON AN ACTUAL SURVEY -OF
TH
CONTAINED Ihl WET 3 0. THE LAND DESCRIBED HEREIN CONDUCTED BY ME. OR UNDER
MY SUPERVISION; AND DECLARE THAT THE DISTANCES,
EQUIPMENT' COURSES AND ANGLES ARE SHOWN HEREON CORRECTLY; AND
THAT MONUMENTS OTHER THAN THOSE MONUMENTS
TOPCONO MODEL G 603 5 TbTAL NATION:" APPROVED" FOR' SETTING -47'71 174 -HAVE BEEN-
A.T.L'Q.T,"
.C,OR. NERS :STAKED bN. 11:(E ;GROUND /IS DEPICTED ON
DA.T --OF SURVEY' THE PLAT.
1
1 11
T
SEE
110.00'
x20.00'
534.91' I) An FOR
310.00' PER
A
(/Y
..
~_.
;:~
,:-'\ '-~'!j
,- 'IQiii~
"
ELECTRICAL WORK PERMIT APPLlCATIOJ',i:'
~':
Job wired by
~I Contractor 0 Owner
Imilllllation description
a Commercial t:L- R.."IUClllUlI ~
,,1
Electrical contractor nanle
is',~~ <;.u.,,~',,-
Purchaser's malhng address
SL- U~~
C,ty ~OfT A-a-h.
Telephone number
Ll .;' 1--....'1">- "
License number
Dutc Expires
o New
.-t.. .!':LllcrS'1 ~
.
~~ R.o
W-..- q~~bL
o Altered! Addition
'Ldoo ""7
..t-J-..
.
"
"remises owner's name
ftr1
'1'10
.
?-2_:> r
Address of imp\!ctioll
I"> ~ <; "'0"
CUy Q A-
!-,1\ &,
Phonr- number to schedule Inspectlun:
Owner as defined by RCW./9.28.1M :(/) Owner 1"'111 oeelllJY the ,~/ntcturc for two
years aller this electncal permil f.~ finalized, (2) OWller is required fa hire an electrical
cnntractor if above said properly is for sule. rent or lease.
After reading the above statement, I hereby certiry thul I urn the owner of the above
named property or a licensed electrical l.:unlraclor. I am muking thc clectrical 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 Angelc'i Municipnl Code, and
Utility Specifications.
Signal e lJ owner.~trIU'Aontrllctor or electrical admirJJstralor
X ~ Date: to II. ,
Electrical Load Addlllon. and Dr subtractions
o NO lOAD CHANGES
o Baseboard _ KW
~e J-llKW
o Heat Pump _ Ton _ LAR
o Fan-Wall _ KW
CJ Cash CJ Check #
if- S /'/L-
Cl Credit Card Visa Mastercard Di.cover
C~#__~_-{:Q.~___~____
Expiration Date
of card
CJ Overhead Service
OTe~
~de,ground servICe
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
~GH.:&!2
^l~roved Uy
THERMOSfAT
DatI:
Approved lly
FINAL
NIJp7 --en.
Inspection
Dale
Area, Building or Equipment Inspected
2-'20- 01
y~
~
$1\0
I1LI7LH':Ol
1721792S17
3)I~~3S )I~1)3l3:WO~~ ~T[:60 17002-171-83~
SerVlce'~nlormallon
Voltage I ~~ (2.v"
Phase tII-"'f'C, :y
Service Size: - l..ou
Foodor Siza; "Tiilii
0"
SERVICE
~+:P
Approved By-
<>
FEEDER
DAle Approved By
~
,;
Actio~.J3ken
Electrical
Insper.::tor
.
,
."
1Ll4Ecl'rz ~
ADDRESS
--
ELECTRICAL INSPECTION- --
'"
WIRING REPORT '
417-4735
"
o
~~/~
S
APPROVED NOT AP ROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. .. . .. . . . . .. . . . . ROUGH IN/COVER. . . . ... . . . . .. . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D............... ...... FINAL. ...... ............~
CORRECTIONS NEEDED:
-3 )TLH.~N
C:/>iB-l N E::\
E>19TU7IS> V;.r::.:J. 'YoLAQ lT~
~. 31y.20 $1-1~L.I>.
"::-.:.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
o
IN~~
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
o. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
O. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
~ . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
!t
~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
7/8
5T OF WA L&I
09:15:13 a.m. 04-02-2007
3604172733
PAGE ell
pon ANGELES CITY L T
. ~"~313e1/2e1e17 68:56 36e14174729
CITY OF PORT ANGELES
LIGHT DIVISION
s
FAX TRANSMISSION COVER SHEET
j-;
"
H
3/30/07
Labor & Industries
417"2733
Inspections
Kathy Trainor
Phone: 417-4724
Fax: 417-4729
Date:
To:
Fax:
Re:
Sender:
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360)417-4724,
,
,
Please inspect for:
~~e~
(Jb- fro)
~ z:#v/eC/~
1222 '0' St.
Service
Thank you,
Kathy
~
,r~
~;;;o>
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
O-v440
06-00000940 Date
114320
1222 0 ST
06-30-01-7-9-0060-0000-
GLENN-TERRA
RES NEW SFR
9/11/06
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr. name
Application type description
Subdivision Name
Property Use
property Zoning .
Application valuation
RS9 RESDNTL SINGLE FAMILY
148685
Owner
Contractor
ROLLING HILL HOMES LLC
1312 MAIN ST
VANCOUVER WA 98660
(360) 582-1899
Other struct info
GLENN-TERRA, INC.
9689 7TH AVE, NE"#
POULSBQ
(253) 853-3535
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
12.
WA 983707531
26.00
2.00
9000.00
2331. 00
1. 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4 " DROP IN WATER METER
Permit pin number 86074
Permit Fee 195.00 Plan Check Fee .00
Issue Date 9/11/06 Valuation 148685
Expiration Date 3/10/07
_________~:~___~~~:_charg:__~::__~~~~_:~~________________________~~:~
Permit . . . .. SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
86066
110.00
9/11/06
3/10/07
Plan Check Fee
Valuation
.00
148685
Qty Unit Charge Per ~xte .
1.00 110.0000 EA SAN SEWER HOOKUP 110.00
--------------------------------------------------------------- -----------
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
08/31/2006 12:50 PM SROBERDS -- The proposal. will result
in a new sfr w/attached garage and porch in the RS-9 zone.
Lot coverage is 26%. No laned use issues are noted.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee of $713.00 required.
08/28/2006 03:59 PM GMCLAIN ----------------------------
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Separate Permits are requiredforeleclrical 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 goveming 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 ,;tate or local law regulating constructio.n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Date
Signature of Owner (if owner is builder)
T:\Policies\ll0Z.ISR (1I0S}
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EASTSTH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
06-00000940
114320
Page
Date
2
9/11/06
Special Notes and Comments
Sanitary sewer connection inspection is required by
Public works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway to City Standards. No concrete with
exposed aggregate allowed in the City road right of way. An
inspection by Public works Engineering is required prior to
prouring concrete.
----------------------------------------------------------------- --
Other Fees . . . . . SEWER SYSTEM DELV CHARGE C=B;;.OO~
STATE SURCHARGE . ~
PW WATER SYSTEM USE FEE 1200.00
-----------------------------~------------------------------- ---------- --
Fee summary Charged Paid Credited ue
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
305.00
.00
2074.50
2379.50
305.00
.00
2074.50
2379.50
.00
.00
.00
.00
.00
.00
.00
.00
Separate Permits are required for electrical work, SEPA, Shoreline;ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and cOrrect. All provisions of
Jaws 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 (ffowner is builder)
Date
T:\Policies\II02.15R (I/OS)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
/
REQUEST:
:;z.-zl~01
I
Date
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No.
~undation Framing Chimney Plumbing Final Sewer Excav. Other
171..2- S
~ f?r; .,os,
II 0 "
Phone No. Yb/~3<\'?S
('Jf, - 9' YG
INSPECTION NOTES:
Inspected: Date 2..-22.-
Remarks: Nevv L-j'/ PVc..
c.+ ? v-o(>ert" it '", e-
f
67 Time
Cd ",,,,-e.0"I.'O"l +0
By
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i<.v
b" rvc..
,
1C<..I-cvQ..{
RESTORATION REQUIRED. . . . .. YES
NO K.
f(L
'PfL
NO 'PhorGJs
,
All.. ,I'
, .-.-., r vc..
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC
o Other
15
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o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
j
(Continue on reverse side if necessary)
STREET SLJPFRINTFNnFNT
InATEI
ECEIVED
SEP 1 1 2006
,20
CITY OF PORT ANGELES
I hereby apply for water to be fumished in accordance with ra ' for t
; following premises: rIJ J~ -r;
,/ ____ /'ff,dr&U /{>yrJ5'
\ Name of Applicant: () /fJJ1/1 7.pVY.:lZ-- . as:-O JaJ
Address: IvZu '5,;1IJ/, IitY/:;rtMf
_ ~ ~(ZJ17'9tPW,tJt1? 1/ ,J/'A A
Renewal 0 New Servic,.....,..._ Lot t;J Add fJ../J///n1 ~
I,} 7L I/} . .:tf
Size of Service X'I.4 (If'ljJlI7 Met r Num r OS-fi 791
Service Left On 0 ServiceL~ft ~ Sign
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W.D. >D~'te-Z'tl
APPLICATION FOR WAT
City Water Division
Port Angeles, Washingto
C()iJODO
Installed by
Remarks:
Perwt/r-f}u-t14D
$ /0/ S-!!1-;- /; /2 (X) dJP
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . .
REQUEST:
..-
Date //-5". III
Time
Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one): _~ Permit No.
Sewer Foundation Framing Chimney Plumbin~Sewer Excav. Other
f/M/
I~ S'/~//~
'- /-~-U~ ~
-.,1 .~
Phone No. ?CJti- /077
DIP -4?'D
INSPECTION NOTES:
Inspected: Date /1- S:--o7
Remarks: 5eu..J~..... 2.-Z)~- D7
Dr-I'! re., ocn y //- S -D"7 8":5 ~:~
(
Time
By
R.v
h',..Q.l
ok R'V
RESTORATION REQUIRED . . . . .. YES
NO '>L-
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel D Asphalt D PCC
D Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
[] COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
C:TDJ:I:T C::::IIDt:DII\ITCl\lnCI\IT
InATJ:\
,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . .
REQUEST:
Date
Time
Received by
(phone, person)
Location of Work to be inspected ~[ I ; Y'- c,
. . I
Name of person requesting inspection . . V\.
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
L()~ 10 u,!-( Ib};Z, ~/I{) I yJ_
Phone No.
Permit No.
Fin~r Exc00ther
INSPECTION NOTES: ~ /J
Inspected: D,ate / Q - / fJ -0 S Time.:;2.' ;3.Q /frI_ By ~.i:::tJ
Remarks:77-1I" /,-1 ~ O~ck(m '-</'4":> COM nle~~ bj W,4 t 0.(1. C< 0" <; de U i'Si +- ClH c11-u/l~
f' ,/ , .
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PilC-U-Y9 ~ (-2-351\,.s,ou.:!'1" ~ t')'\.4. q,.t-l~ "+O+.Cv"d. Aprd)<. 1"b'DEep'. &,I'PI/( ~~;
/O"Jk <::: '1/-15l jJrofJUil I/JE _'/l <:..f<</Ircl '-/;</f /',.>,,:>1<
. RESTORATION REQUIRED . . . . .. YES NO X.
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
()
f)'
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
IDA TEl