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Home My WebLink About1221 Campbell Ave - BuildingW A S H I N G T O N U S A Public Works Utilities Department February 3, 2009 Bank of Amenca Attn. Trina Cook 134 West 8t Street Port Angeles, WA 98362 Re Assignment of Savings Habitat for Humanity of Clallam County Public Works and Utilities has determined that Habitat for Humanity of Clallam County has completed the required dnveway and parking pavement improvements in accordance with PAC 14 40 N The assignment of savings under Account 22043326 in the amount of $13,000 00 copy attached) may be released to Habitat of Humanity of Clallam County 44 OP mss Step en S.trr, P.E. City Engineer File: Habitat for Humanity cc: Habitat for Humaity of Clallam County DCD Phone 360 -417 4805 Fax 360- 417 -4542 Website www cityofpa us Email publicworks @cityofpa us .3 2 1 Ea Fifth Street P 0 Box 1150 Port Angeles WA 98362 -0217 AECEOWEI FEB 132009 CITY OF PORT ANGELES Dept. of Community Development O 0 N N 3 cb ....oo o , o .... , .... 0000 t?E-< ..:..: "'0 >< ...: 00 H ...< E-< Men :':00 ~~ E-<..., Z .. 01>: HO E-<E-< UU 0000 "'''' en en ZZ HH r- ,., ,., '" oo en 00 -...< "'00 ot? ~~ .... 'E-< ....1>: o 0. o 00", 1>:0 ..: 0.>< 00E-:H o.U > H o gJ en 0000 ZZ 00 :>::>: 0.'" >< E-< ~ >< E-< H ~~ ...<:>: ...< 001>: III 0 0.'" 5;( E-< ....H NIIl :::~ E-< ..: , I>: E-<oo. 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I- BUILDING DIVISION CITY OF PORT ANGELES * * Job Located at /2-Z/ Correction Notice ~~6e.LL M Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: .~ (4-, /IJ'I;Jl7a hfL- uJ;1-r42- I-hA /c,'L SJ$l~L,.c ; '?:J eto:, of/cd 5TI4/~5 - 9'J 14/1()<< - 'Z- L.'i: u-.& U1 "- 6<>; H Q 0.'/ t;KT<il'IcJ/( !-uti! LlJ / Oft-/:[ . hAl/SH A/L;;;~ - k'ft-L- -I:;vCL;;;-;:~70~/ ~drt.. 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ZO ~ "" , Q E-< .~ , r>l'" cIl -U , ri N ri 1>:0 CIlE-<~ ..:I !-< 0 , 0 0 0 0< ~:i!E-<!HJ..:I H cIl , 0..>< ~ .... , r>lE-< Q1;115~~g: 0.. , ri ri '" I>:H >< , ..:I ..:I H o..u ~E-<UOO"O< "" E-< , 0.. 0.. 0.. s(;i W CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :UI EAST 5TH STREET. PORT ANGELES. WA 98362 '" Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 06-00000305 Date 262725 1221 CAMPBELL AVE 06-30-14-5-3-0346-0000- HABITAT FOR HUMANITY RES NEW SFR 6/02/06 RESIDENTIAL HIGH DENSITY 49500 Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 6.29 2.00 14400.00 906.00 1. 00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL HHCC/ 1245 76653 73.00 5/25/06 11/21/06 NEW RESIDENTIAL SQFT SFR Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 73.0000 ECH EL-R-SQFT FIRST 1300 Extension 73.00 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. 04/05/2006 12:08 PM SROBERDS -- The proposal is part of a 4-unit sfr cluster development in the RHD for a total of 9% lot coverage. No setback or land use issues are apparent. Electrical load calculations and elctrical permits are required. A cost estimate has been sent to Habitat for Humanity for u/g power estension. Connection fee of $713.00. 04/04/2006 10:40' AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Ditches & 12" c~lverts will be installed to City Stanards. See Public works Engineering for Standards. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. ~ ~ ,-- o ; ~ o. e- ~ %" Other Fees RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE 713.00 870.00 4.50 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECfION RECORD " CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO Ulll,;l1 WI IIlliH_IN / COVER ~hK V ll,;b FINAl //7/t>f3 I~ I . . GENERAL COMMENTS: PW.lI02.J' (4'96) . '. 'ti w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 98362 '" Application Number . . . . . 06-00000305 Application pin number -. . . 262725 Page 2 Date 6/02/06 Other Fees PW WATER SYSTEM USE FEE 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 73.00 73.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2787.50 2787.50 .00 .00 Grand Total 2860.50 2860.50 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD ... CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNU WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.1' (4'961 . I -. '. - . r Lf II I r - //N ~. I I 4x'4- ....-~ fYC$Surc I r~ I ~ ~t'"~ . \ I ~ l\ I I g-o j ) { IN! 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HOen t>Jt>J ~'rl U1 >< 100 '01>: 10"'0 I-< ":03: H :I: 't>J I-< ~~ \OZ H ><"" ~o.~ it t>JMen 10 ..:l0t>J N ..:l:I: ..:l '1>: o.en~ ..:l ":M Zen 10 t>J1>: ;> '10 "Ht>J .... 100 100 II: I>: 0.... en . M .... M ~I-< en ""0 9 * ....en t>J....0 t>J U..: Z '0 ....00 -..:l I-< t>J00 ~t>Jt>J \Ot>J .... H "MO 101-<1-< 0" NIO 13 ' , ent>J ~~ ~:li \0\0 :5!:l~ 000 0 0:>: ......1-< t>JO 101>: I>: I>: I>:I>:U 0 . 10 I>: .t>J 0. 0. ZO 10 10 0 I-< .~ t>J... en -U .... 1>:0 en 1-<": ..:lZ I-< 0 0 ..: ~~~&l!'.l..:l .... en 0.>< ~ ...... t>J1-< OZZZl>:o. 0. .... I>:H ~t>J03:":o. >< ..:l o.U I-< uo 0.": 0. I-< 10 I s ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EA'STSIliSTREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000305 Date 262725 1221 CAMPBELL AVE 06-30-14-5-3-0346-0000- HABITAT FOR HUMANITY RES NEW SFR 5/01/06 RESIDENTIAL HIGH DENSITY 49500 Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 6.29 2.00 14400.00 906.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 74674 715.00 Plan Check Fee Valuation .00 49500 10/28/06 Qty Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER Extension 715.00 Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date RIGHT OF WAY 74666 50.00 Plan Check Fee Valuation .00 49500 10/28/06 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 74682 110.00 Plan Check Fee Valuation .00 49500 10/28/06 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments Address numbers shall be plainly.visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 04/05/2006 12:08 PM SROBERDS -- The proposal is part of a 4-unit sfr cluster development in the RHO for a total of 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 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 state or local law regulating construction or the pelformance of ~~ -s-- /-O{ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.ISR [1I0S) 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 (Engineering Division) WATERLINE I METER SEWER CONNEcnON SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB &. GUTIER DRJVEW A Y APPROACH T BACK.FLOW DEVICE I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUcnON R. W.I PWI CONSTRUcnON - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Polic:ies\1102.15R (1105] ~ '9 ~ 'g- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EASTS1B'S1REET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000305 Application pin number 262725 Page Date 2 5/01/06 Special Notes and Comments 9% lot coverage. No setback or land use issues are apparent. Electrical load calculations andelctrical permits are required. A cost estimate has been sent to Habitat for Humanity for u/g power estension. Connection fee of $713.00. 04/04/2006 10:40 AM GMCLAIN -------------------~-------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. . Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 ..00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2949.50 2949.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating <:onstruction or the performance of <:onstruction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) . Date T:\Polities\1102.ISR [1105] ,. 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 NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECJ10N SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB &. GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCJ10N R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-46S3 FIRE DEPT. - PLANNING DEPT. 417-47S0 PLANNING DEPT. BUILDING 417-48IS BUILDING - T:\Policies\11 02.1 SR [IIOS] J "(i /,of~r~ '~,.~ L~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning , , , Application valuation 06-00000305 Date 262725 1221 CAMPBELL AVE 06-30-14-5-3-0346-0000- HABITAT FOR HUMANITY RES NEW SFR RESIDENTIAL HIGH DENSITY 49500 Owner Contractor DUNGENESS'VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS permi t . . . . , Additional desc , Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 75804 670.25 Plan Check Fee Valuation 10/28/06 Qty Unit Charge Per BASE FEE 25.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 75812 86.25 Plan Check Fee Valuation 10/28/06 Qty Unit Charge Per BASE FEE 5.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 75820 142.00 Plan Check Fee Valuation 10/28/06 Qty Unit Charge Per BASE FEE 9.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA. WATER HEATER Special Notes and Comments 5/01/06 6.29 2.00 14400.00 906.00 1. 00 268.10 49500 +c/ Extension 417.75 252.50 .00 o ~q~ 1_;, 0/ (), OJ2 Extension 50.00 36.25 .00 o Extension 50.00 63.00 7.00 15.00 7.00 Q QU~.. ~~.~ .~ SEP LLUIU. 1..1l~ES~;A':.Lt:s ,h.I," . Separate Permits are required .or electrical wo. ". A, Shoreline, , utlltles, pnvate 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 ~~ ~ S"'-GJ-oL Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] BUILDING PERMIT INSPECTION RECORD ,... or 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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDA nON DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . . T:\Policies\1102_15 building penmt inspectIon record05.wpd [1/4/2005] r 'fi~'; ..'"" ~...o~ . u,.~ 1!:c -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00000305 Application pin number 262725 Page Date 2 5/01/06 Special Notes and Comments Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 04/05/2006 12:08 PM SROBERDS -- The proposal is part of a 4-unit sfr cluster development in the RHD for a total of 9% lot coverage. No setback or land use issues are apparent. Electrical load calculations and elctrical permits are required. A cost estimate has been sent to Habitat for Humanity for u/g power estension. Connection fee of $713.00. 04/04/2006 10:40 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 898.50 898.50 .00 .00 Plan Check Total 268.10 268.10 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 3241.10 3241.10 .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 of180 days after the work as commenced. or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD . .- , . ." '... CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ~ 1 ~ \.f, INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: I fVv.r- .!.fn//O l.. FOOTINGS ~/-vtoc- ~ SHEAR WALLS/WALLS - , FOUNDATION DRAINAGE / DOWN SPOUTS :>/810l- 7t,v PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB S/t7/~h j<-v ir/ry", 7W ROUGH-IN gin/Of -:JLL- WATER LINE (METER TO BLOG) 7l1t()(P ~~ GAS LINE ~ID~OD DATE -::ILL ACCEPTED BY: BACK FLOW / WATER . AIR SEAL 2/u>1()7 "J"L-L WALLS CEILlNp I FRAMING ?, /2-0/07 ""J" Ll- JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS lit tI //)~ Jj...l/ WALLS / ROOF / CEILING ' . , DRYWALL (INTERIOR BRACED PANEL ONLY) ToBAR INSULATION (\ ~ 1-:1"2,/,,/ :1 Ll SLAB I , WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY ~--(O, agDATE "JU ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL' DATE ACCEPTED YES NO ELECTRICAL 0 LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION 0 R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 '--10-01; :ru- BUILDING ~ ~~ ~. ~ (:,~ ~ ~ ~ <:: T:\Po1icies\1102_15 building pennit inspection record05.wpd [1/4120051 BUILDING PERMIT 7 APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST C()IvIPLETE. to he accepleG fur review. IfYOli have any questions, C:111 PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent ~--':"'''' L T-2"'"" Owner: 'J)'o"J'-~'$ l/AIt /.46,"7:. ( C/I w.....4...vr7/- Address: ? G .Dc. y 19 s- r:> City: S-~ c5 ~, ;......., ArchitectlEngineer: ~/uG'-'t:e. ~ ASSocr/l7;..) Contractor rI".a /, -:r:;.., fL J.(,~~ State License #: ./!'f(r-_....-r , Address: AS ,d b6 v. c City: PROJECT AnDRESS: /-:17/ E. L'Ahfl>4ell AVT I LEGAL DESCRIPTION: Lot: 20. 2/ :2 e.. Block: 3 I . C~J.~: G70.. J.!7'f'l Phone: 3'c.c -t,. 61 - ~ ':>60 Phone: 5f:.O -~c 1- G f/c:: C) Zip: 96 SA? Phone: 4/'7- 0 s-a I A.I If. Phone:<!(~/-," 98 a Exp: '?fA N ~ Zip: ZONING: Subdivision: B~;'\-cc,v Kf/D A/'/ CLALLI\M COUNTY PARCEL NUJvlJ3ER: C L,. 60/4/S''3'' G 341~ TYPj: OF WORK: llYlZesidential ~ew Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRll'TION OF THE PROJECT: c> N C P/AAJ SIZEN ALUATION: .J ~.;F.@$ 45 /SF.=$_ S-~) 0/25 SF. @ $ /SF. = $ SF. @ $ /SF. = $ _ II TOTAL VALUATICW" $ -L'OlA<< $""....5k .J'~,{J ~c,,~o ;2S hnc.tS"c oj C 6-'.:> ~IvC PA rr.. c c- f , COMJVlERCLh..LIRESIDENTIAL: Occupancy Group: ~. 3 No. of Stories: ~LotSize: iHHC!?O ExisringSq.Ft. 0 Total lot coverage_51' 7 Z % '>( J.f :::.. ;2..;2, 88 % Occupant Load:_ Construction Type: V - N & Proposed Sq. Ft_f3J2 5 ,= TOTAL Sq. Ft.8.C?. 5 APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLAN1\TJNG USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 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 rime the building permit application and construction plans are submitted. All other permit fees are due at the rime of permit issuance. EXPIRATION OF PLAN REVIEW: lino permit is issued within 180 days of the date ofapplication, the application will expire. The Building Official can extend the rime for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 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 re uired not the City's, and that I must obtain such permits prior to work. Date: '6- '5/-c>C T:\Policies\BL-ll02_13.wpd Applicant: ~\~\o~ ~~~ ou. ~~I Ut"&-')U/~ - ~. , D ~~ /l .. ~ \...-. ~ '<<;;";<;;' <'--'>.:.'-":i?<''''':~~h ,~~tf' 1212 ~ " #",.'f'.~ ..:~~~:;~l!rr~-j \- ~~:~~t ~ if $ _1 s , l' ,,.,~,~ Ai 12~ " " -r ~).~ -,~~~, .;~?::.L:'.'_:." ;';,.'>X, ~~:<.,.~. ,Y:...S,'o.:'~~, ."---'-(;;:;:;t.,",'8*~'\,." ----~ f. j ff-o'P~v SliE I J ~ -" ~"'""~""."eampbe""A ve. --...-:", ~~~'::""4~~'*X"{''<<-'t!'::'3: 1212 ~~>l.'8;l 40 " This map is lIot imended to be used as a legal description. i "~ir I,.. ~~~~a~ Datum: ",A VD &&==--::-==~ ,,_~____ _=_",A re a-,M an-=~_~lJMfd!!,{1p.f.g!E.\\'i~lgj;.p_'Y~lIce_t( b,l' ,he .Ci~E[f.~~.t_~~ele~.[or i':.o'."~J .'!s~!1nd p~~= \~ ==r.o 11nrlZf1JUul Datum = NAD 8JI9/ .. r' J.... ",1'~I. ,,("~ ,.,'d"t; mnnftl""W/r"7 thnll unt lip ,lIP rpwnm:"uTlfl' ntlllp r,tll ~ =_:'C""-.-.:.=I fo.. City of Port Angeles Applicant Proj ect Review Sheet A pp Ii cant: c-;:;::: e>k.. fT f) ~. C7 4_ '-r'1f.A Owner: h"J b~A..i::S"S' vAl.l.I?Y 4A~lrAr . c:r.... )./"'" .....,.,.,.......,.{ Property Address: /"2? I E~~...... {;j 4.,.11 A~ Proposed Use: ~r^J h -PA-:':J ,t.k-t' Zoning: Rift:> Is the proposed use listed as a "permitted use" or an "accessory use" in this zone? Is this the only use (business, residence, etc.) on this site? Has there ever been a subdivision, shortplat, or PRO approved for this site, or has one been submitted and is pending approval? Does the proposed use require a new buisiness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does the project exceed the permitted height allowance or cause the property to exceed the allowed lot coverage in this zone? Does the project require any additional parking or special design/landscape improvements in this zone? Does the project eliminate any existing parking spaces? Is the project located within 200' of the shoreline? Are there any environmentally sensitive areas on or within 200' of the property, including: . wetlands or areas of standing water (year round or seasonal); . streams (year round or seasonal); . areas with a slope of 40% or greater; or . areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? ~ite Plan ar-t'onstruction Drawings o Parking/Drainage Plan 0 Civil Drawings o Energy Calc 0 Supporting Engr. Calc o Landscape/Lighting Plan 0 Other ~ok Ono: requires PD review ~s:ok o no: requires PD o yes: requires PD ~k o yes: requires CC ~:ok review o yes: requires PD ~ok review o yes: requires PD ~ok review o yes: requires PD ~ok review ~ o yes: requires PD review ~k o yes: requires PD review o yes: requires PD ~ok review If Planning Department review is required, the processing time may be extended. Ifit is determined a separate Planning Department permit(s) is needed, the Planninf! Department permit(s) must be approved prior to the issuance of any other permit. The information provided above is true to the best of my knowledge, I understand that in the event that any of this information is determined by the City to be incorrect, this project will be stopped until such time the City determines the correct information is provided and any sUbsequent~;I/ J:JJYi'ew~f1JJ!!Ji!v.f})p{!re completed and granted. ~~~~ 3-~-o~ Applicant Date Permit Category # Route to: 0 BD Staff Initials (see reverse side) Building Permit # Master Tracking # o CC 0 FD 0 LD 0 PD 0 PW 0 File 0 Other Date Completion of this form is required for all category J b, 2 & 3 permits. Completion is not required for T Roofs Overhang 2' Foundation line etbacks,- Foundations ~ - "'/ /" -~ --- ~ ~ c;> in N 7'-fJ" ~ in ...... 3' Sidewalks: 10'-0" I I I "'IJ _ Jer b I in N 7'..(1' - "l~r'Line""""""", " ~ Co .- I- \ 32'..(1' c;> c;> in -io N House N B 24'-0" Ij - -Paved1 58'-{}" 28'-0" Water Line <t. b M Cam~pbell St.--eenterline "' :! , .,.~ ; r- ~ N N House o 25'-0" c;> in N SPA -Easement /~- -. I 5'..o..J ";- N N 28'-0" 37'-0" -r 10'-0" iJ-. ~16'-O" 27'-0" 22'-0" 'i' b N .- 19.~0" \ r I r I 14'~0.. L 7'..(1' c;> in N b I in N E\ectrical ~ 10' . 10' 6'..(1' 06() 'tB V Il/J& 7'-17 ~o/(. J!vu.4~/I' -' ~f~ S~~ PtJ/6r 4-.k1~5 IteUf/t.- I /!tA-v ~ 6 U cf bU Cs 1~1tAre<) (J~S/t-v ~, S'1-/~-1/1/c ~ ()z '.Ll i' v hA....4 - N)O~ ~~L .5 ~t.-> - 26 fJ~ .,3\:>7 L... L!'V!IA-'v( - ;$CO N ~~ @ 2. ~ Uo/L fl) /r-JU') -4 t<. ~ [rf L) ( -ft-v 22. i( <1.6 XI<f>.lP -f ~4 [lb139 "';'1;)6~ -::- qS:b 13- SM(~ C V ~ J IS3 r{( CJ~ .f <S4~) :::- 2"':b D'L - ~6~ ~ xh-.I'U-~ u- ~ ~;Sl") zJ 2- -d '1 ~ Plfl- 20 SfJ "'c ct" '-f 4' I to1 ~<4 -g .PV- oi htz. dvll. Vv/ ~ 1-- r?;; tl/V~ ~ I//Z-t-'I ~ [p),..)o ~ e~ Q.)-6.f l q fi'f2 6Y06 + 4. -:>6~ -;;..26 <{L- V -- f/r~9 ( c; s70f 5"400+ L1Soo rf f f)q 0\ 'Z '6 b~ i=:- 5. C. ~~L ~ S"LI.s,1/\ J c.. .........", /,j - 2- ,.-L"lI--1., ~ ;C-(-J JL ~ ~ /'-t-uL I2hli"- : l.,J...-a- U- ; J 0 Pivtn ~~ : /..:; -{ ~4>t91.-. Vv'~ ~ < Vr-~ IIS-J B~oCj2EJ) '- ~ J?:ye (2-2. \ C-, q ) -=- CfS-7D /()('r-( 8\ 6 3.s) -;: ~~t)o I / td'C-( /8)( u) L- 4'~6-0 .-<. IJI'Y,- (16 \ L2-.q) --= 6960 IS~~ C ')) C / B \ :: 1 BqO /01 ~ C~ ~20) .t::z~.90 4QJ~ /1)63 L @ ~ j -'. -----=----- ; Q) FILE ~p~ Lj(fbJ -f:/":: 13' 1JvJ ... ~ ~ 250 W I~ Cfl//.A -: 8' ('3.) (-zso \::: 600 <5) y~- 1.1 ~l" JbUCl) f 15N-(1) = J.9s;Jlf RM. -- ~(3)7../2.- ~n Z~ H6"'L 6000 ..1')";6 = )k58~ ~ 4.~ 5~4C1"L ~ QbD -::: ?-So -;;;::~ g loc..k 4~ -iDc, t.- ( 2v /' // --- @~'2 'JQ~ wi 2 k; ~) <:..<:. o~ ~?, ,,~ \ J ' fJvJ ~~ -r;,t fA-A. '1-<., ';Iu,,'l -::. ") B 1..,J.4iO:J Lrv"u $) UO~ tC ,---" S"'lIS/l'ifL... a!)~~ --'> ) 'ISl ~ V,;u -t... 11~-I"L:: LfIJP//- 2-5' ( , --<- /'}y,,< rUt cJlr- 4A Cd r-J U SiP = '1 -f Lf .' '!:1 v cJ6ff9 Lii I / 2.--( /, Ld!:!S__( (- IL Cor/C tAJ 1.,..16 ->:, f -1- 3 t---) 8,l--/:;r J "'7:: I" (s z) (J 413) -f Lf C!(~- Of/-1q, )6) = 2h/so v-- /Is( '1}15~'6(~s6olz_-f 69QO-f/S1o +I/~Dolt-) ~ Lj2/bC=:--~DvfnS 'Vii- ~ l( 2, b -: (6tJ I(~ (~l /<-"<. ~~ ""2-') ______ ,_ . "~j) (<N(. -#S -=- ~. ~ .,I ?..J. Lf -- 1"'25" VL-V -- Lf-z./ to ':.. 2- l{ I Ih/c 1/.) 7 II b <( pt).Q/L-1'<) &f ~ 6(71 '/'1" ;g0>c.l<.~ (, 4-1 '-/1'].':'1.'" j>..? -'\iZ <.. ":'Jt-l( IJ6~' :t4v(S\ -; 7?zo If . ~. - fill CJ? /10 l'A,>../'-'!; r--- - LrN~ s CD i r:D Lov-1 UZ -I U/;?Jt/t. M L-z-{ Y 4;...'V.//f/lIlkJ.oL !4 1~4t /5'Z4Q"~( ~&/2... 64-4 yt.A.!JlZ.6 } L yv _ 11 I) I \ it.. (B~r<)L. ffl / /J/l/Y,{'-f~L .--l? S' l Lt 0 I~/L (J8!i-fZ) --:=-- 'zecv I "Y>5 LL /f 0' -l~ )hI 7'1. j\ tI~W<1'1 ~&:IL ""-'-0 ~)-;1't.LI"-'V )c.i--1V'd'.fv.v !1/V}'IvfJOvJ t/~/vy./G 31 4:l ~Z~..... T J-Bea~ 6.20 Serial Number: 7005106903 User: 2 4120/2006 12:17:36 PM Page 1 Engine Version: 6.20.16 main beam 5 1/8" X 12" Classic GlulamTM (24F - V4 DF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Overall Dimension: 25' 1 1 [!]~ I ~ 13' [If!! I ~ ~ I 1r 6 Product Diagram Is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: l' Primary Load Group - Residential- Living Areas (pst): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Point(lbs) Floor(1.00) Point(lbs) Floor(1.00) Uniform(plt) Roof(1.25) Live 1375 1375 275.0 Location Application Comment Dead 825 825 165.0 8' 17' 8' To 17' Adds To SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length LlveJDeadlUpllftfT otal 1 Stud wall 3.50" 1.50" 778 I 381 I 0 11159 By Others None 2 Stud wall 3.50" 3.85" 5216131751018391 By Others None 3 Stud wall 3.50" 1.50" 632 I 252 I 0 I 885 By Others None -Bearing length requirement exceeds input at support(s) 2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Shear (Ibs) -4279 -3698 12300 Moment (Ft-Lbs) -9436 -9436 23703 Live Load Defl (in) 0.084 0.428 Total Load Defl (in) 0.117 0.642 -Deflection Criteria: ST ANDARD(LL:U360, TL:U24O). -Bracing(Lu): All compression edges (top and bottom) must be braced at 21' 4" olc unless detailed otherwise. lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate member pattern loading. Control Passed (30%) Passed (40%) Passed (U999+) Passed (U999+) Location Rt. end Span 1 under Roof loading MID Span 2 under Roof loading MID Span 1 under Roof ALTERNATE span loading MID Span 1 under Roof ALTERNATE span loading Proper attachment and positioning of ADDITIONAL NOTES: -IMPORTANTI The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate. -Not all products are readily available. Check with your supplier or T J technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the T J Custom product listed above. -The analysis presented is appropriate for Classic Glulam TM beams by Weyerhaeuser. PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyright @ 2005 by Trus Joist, a Weyerhaeuser Business TJ-Beam@ is a reqistered trademark of Trus Joist. Classic GIuIam- is a trademark of Weyerhaeuser. \\Zen-server\data\Active Projects\06098 HABITAT FOR HUMANITY\ENGR\STR\beaml.sms ~ ~Ze?L..... T J-BeamG!l6.20 Serial Number: 7005106903 User: 2 4/20/2006 12: 17:39 PM Page 2 Engine Version: 6.20.16 main beam 5 1/8" X 12" Classic GlulamTM (24F . V4 OF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 12' Max. Vertical Reaction Total (lbs) 1159 Max. Vertical Reaction Live (lbs) 778 Required Bearing Length in 1.50(W) Max. Unbraced Length (in) 10.00" 8391 5216 3.85 (W) 256 11' 10.00" 885 632 1. 50 (W) 256 256 Loading on all Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) spans, LDF = 0.90 , 1.0 Dead 346 -1399 1336 377 -1619 1556 -659 788 -218 -248 377 381 2123 3175 3175 -3574 1115 248 252 Loading on all spans, Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) LDF 1.00 1. 0 Dead + 784 -2759 859 -3025 -1865 1.0 Floor 2773 3039 2111 -538 -614 859 871 4678 0.039 0.072 6064 6064 -7547 614 625 2752 0.021 0.035 ALTERNATE span loading on odd # spans, LDF 1.00 1.0 Dead + 1.0 Floor Shear at Support (lbs) 923 -2620 1521 -33 Max Shear at Support (lbs) 999 -2886 1741 -63 Shear Within Span (lbs) -1726 973 Member Reaction (lbs) 999 4626 63 Support Reaction (lbs) 1010 4626 65 Moment (Ft-Lbs) 5768 -5760 74 Live Deflection (in) 0.063 -0.026 Total Deflection (in) 0.096 -0.015 ALTERNATE span loading Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) on even # spans, LDF = 1.00 , 207 -1539 237 -1758 -799 1.0 2588 2854 1926 Dead + 1.0 Floor -723 -798 237 239 1032 -0.025 0.011 4612 4612 -5361 798 809 4199 0.046 0.060 PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyright ~ 2005 by Trus Joist, a Weyerhaeuser Business TJ-Be~ is a registered trademark of Trus Joist. Classic Giulam- is a trademark of Weyerhaeuser. \\Zen-server\data\Active Projects\06098 HABITAT FOR HUHANITY\ENGR\STR\beaml.sms ~ ~Zf!!l...... TJ-8eam4ll6.20 Serial Number: 7005106903 User: 2 412012006 12:17:39 PM Page 3 Engine Version: 6.20.16 main beam 51/8" X 12" Classic GlulamTM (24F - V4 DF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Loading on all spans, LDF = Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) 1.25 , 1.0 Dead + 1.0 Floor + 905 -3698 3531 980 -4279 4112 -1744 2085 1. 0 Roof -565 -640 980 991 5623 0.055 0.088 8391 8391 -9436 640 651 2958 0.023 0.037 ALTERNATE span loading on odd # spans, LDF 1.25 1.0 Dead + 1.0 Floor + 1.0 Roof Shear at Support (lbs) 1072 -3531 1949 3 Max Shear at Support (lbs) 1148 -4111 2327 -27 Shear Within Span (lbs) -1577 1009 Member Reaction (lbs) 1148 6438 27 Support Reaction (lbs) 1159 6438 29 Moment (Ft-Lbs) 6937 -7284 14 Live Deflection (in) 0.084 -0.032 Total Deflection (in) 0.117 -0.021 ALTERNATE span loading Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) on even # spans, LDF = 1.25 , 239 -2037 269 -2414 -767 1.0 3298 3879 1851 Dead + 1.0 Floor + 1.0 Roof -798 -874 269 271 1283 -0.022 0.014 6293 6293 -6669 874 885 4789 0.054 0.068 PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyriqht 0 2005 by Trus Joist, a Weyerhaeuser Business TJ-Be~ is a registered trademark of Trus Joist. Classic GIuIam- is a trademark of Weyerhaeuser. \\Zen-server\data\Active Projects\06098 HABITAT FOR HUHANITY\ENGR\STR\beaml.sms ~ '/iiN~..... TJ-Bea~6.20 Serial Number: 7005106903 User: 2 4/2012006 12:24:03 PM Page 1 Engine Version: 6.20.16 middle support for beam1 3 1/8" X 10 1/2" Classic GlulamTM (24F - V4 OF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED J .l L .~ [j, ,[] , , 0-- 3' 6"---0 Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: l' Primary Load Group - Residential- Living Areas (pst): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 5216 3175 2' SUPPORTS: Input Bearing Vertical Readions (Ibs) Detail Other Width Length Llve/DeadlUpl1ftlT 0181 1 Stud wall 3.50" 2.74" 2266/1372/0/3638 By Others None 2 Stud wall 3.50" 3.74" 3090/1873/0/4963 By Others None -Bearing length requirement exceeds input at support(s) 2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Shear (Ibs) -4953 -4893 5250 Moment (Ft-Lbs) 6551 6551 11484 Live Load Defl (in) 0.011 0.106 Total Load Defl (in) 0.017 0.158 -Deflection Criteria: STANDARD(LL:U360,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 3' 6" ole unless detailed otherwise. lateral bracing is required to achieve member stability. Control Passed (93%) Passed (57%) Passed (U999+) Passed (U999+) Location Rt. end Span 1 under Floor loading MID Span 1 under Floor loading MID Span 1 under Floor loading MID Span 1 under Floor loading Proper attachment and positioning of ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate. -Not all products are readily available. Check with your supplier or T J technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONL YI PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the T J Custom product listed above. -The analysis presented is appropriate for Classic Glulam 1M beams by Weyerhaeuser. PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyright ~ 2005 by Trus Joist, a Weyerhaeuser Business TJ-Bearn@ is a registered trademark of True Joist. Classic Glulam- is a trademark of Weyerhaeuser. ~~~..... TJ-Beam4!l6.20 Serlal Number: 7005106903 User: 2 4/20/200612:24:04 PM Page 2 Engine Version: 6.20.16 middle support for beam1 3 1/8" X 10 1/2" Classic GlulamTM (24F. V4 OF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 3' 2.00" Max. Vertical Reaction Total (lbs) 3638 Max. Vertical Reaction Live (lbs) 2266 Required Bearing Length in 2.74(W) Max. Unbraced Length (in) 42 4963 3090 3.74 (W) Loading on all spans, LDF Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) 0.90 1.0 Dead 1348 -1850 1368 -1870 -1843 1368 1372 1870 1873 2475 Loading on all spans, LDF = 1.00 , Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) 1.0 Dead + 1.0 Floor 3568 -4893 3628 -4953 -4873 3628 3638 4953 4963 6551 0.011 0.017 PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyright ~ 2005 by Trus Joist, a Weyerhaeuser Business TJ-Beam@ is a registered trademark of Trus Joist. Classic GIuIam- is a trademark of Weyerhaeuser. l;~" ~ '~ :) , i J J .......~ fILED FOR RECORD A r THE.iIE:OUE~~ OF_Q. Cha m O-e( S' ~ECOR.O!:O :;7~C(';;;.Ol>/r.L.\LlAH CO. ((ekv(\ To '. OUYlS'{Y\css\Jl\ \ le-.J ' ~ kJd,Otff I) If Humllrh.-kt {)v 6o^ \QS, ~-eqLti m I \AJ J4 q <6~ ~2- 1llllll~ 11111111 !llll~ III III II I! 2006 1177075 Clallam County 2006 HAW24 AM 8: 3"2' @ ZONITNGLOrCOVENANT I1WE the undersigned owner(Ei) of the following described property: (Insert legal description here) Beacon Hill Addition Lots 20-22 BL 3 Parcel # 063014530346 do hereby covenant that said property sholl be designated 8S one zoning lot as defined in Section 17.08.032 "Z" oflhe Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed tlu'ough cOl11p1i~nce with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as ~mended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), hdr(s), nssign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land \ISe lmd building regutations. This covenant may be enforced by injunction or other ll\wful procedure llnd covenant by the recovery of any damages resulting from non.compliance. . DATED this ??nn day of Mt=lr~h . 20'.1..6-. DUNGENESS VALLEY HABITAT FOR HUMANIT~ . . (Owner) . ' (Owner) G?~~ Richard L. Chambers Executive Dir. STATE OF W ASHTNGTON ) COUNTY OF CLALLAM ) I., U A-L-\ M . G~~~ Notary Public in and for th~ State of Washington, do hereby certify : t\\at 0\\ thiS ZLv.-. day of M~~ _~ 20S;1Q.personally appeared before me -:s.~~ w. TAFT ' lInd \c..o.lA.I2..C> L. ~ .L~ to me known to be tlle individuates) desribed in and who executed thll within instrument and acknowledged tbat T~ ~ signed and sealed thll SIlDlllllS ~t..~t.. frell and voluntary act and deed for the purposes herein menlloncd. ss '~~~\~H" " ~ GIVEN UNDER MY HAND AND OFPICl~...(~~II~~~r-;. day oC -\V\~ ':::-.t":L "'''\\\\\1\'1 C:L: I - -"" ......... ION II,'~ I = ~$"':!.'OS ~-+:"II'? ~ :::=~~~O"''1.~)...~J~(''~.' '.',' ' ~ " [8' '. ..,.' ~~ ~ \' \ \ k \, \ (\ n , .. , ,. U- ~ ~ . ~ ~''i -.iUfH..\0 l~ E NOTARY PUBUC in,and for thll Statll of 'I~ ?}III!,O-05-0't......~Off Washington residing at Port Angclca. I" ~ Oh"I\\\",,""'~6~ , "!ci\~i!'~ H:. this g:j day of : j~\'*!i~'<'?fi!!{~,)"{~~ ~ .... c .. .;"..?)~VJ1.~rrOR 20,gp AUUlTOR'S CERTIFlCA1]3 . Filed for record at the request of QJra ~ ".' V1V " :_'. . f. NORTH c (.A (2 rz~;v'" '13 e'" A co^-'> ;.J, / / .A tJ J,L, c;"" J.c.:r~ ~c.-~;t 16~ "3 120'.0. 35'.0. 40'.0' 40'.0. 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I _____ ~ ..o~-,eJ.""""'1 __ ~ --- ~ 7 I I I - - ~- - (:) 1 I I k. ~,_I v T I.', ..~~ J)-,,~ .w .~ ..i ....: ~ ....-s- ~ .~. t ! ::1 CD '- 1 ~g "C . oS r::r Ji-I)f;, r .. .... .. ... . .~ -+.-' ,".~ (f) '. - .. - Q) ..0 p.. E CO CD' e ::J' . " , . -. ~ . . , ..o-.s~ '. .' ','" ...... .....,. "0". ::'. ......- -....----- ......!...;... ";'0;:"'::: . ~" . : ~:. .:; "::j':',\\~;,;.;' .. . :::::.\. '. . .:;~ ::: :;;;;;i;;~:;::::.;. . .. ;.':'.... ... ':;.: '.'~:::Fi!i~:~~:' :'" ';.;':',':' ,,:::~:::; ~/;. ' . . ....~ :;; ':;::' . .:<{l:~:i; ~,' .". . . .. ,... . ..-" ..-_._.-..~..._-~ . ..-. ...--.--. ... HABITAT FOR HUMANITY \ Zz/ CAMPBELL AVE [\2/2/2009) Trenia Funston - Habitat-release money Page 11 From: To: Date: Subject: Roger Vess Trenia Funston 1/29/2009 10:43 AM Habitat-release money Trenia, Ron Pope is asking to release bond/assignment of savings. I have inspected the parking lot, paving, stripping, and bumper stops are completed and installed per the approved plan. This was all I know of left to complete. Ron's phone number is 681-6780 Thank you, Roger fJ~ ~ "\~ ,.. d~ ~ I-Z'1-04: IZ/-5{]~-~ /, /ziY/ IZ~I l~z7 II II II II II ~ORTAN-GEtES WAS H I N G TON, U. S. A. Public Works & Utilities Department Febmary 3, 2009 Bank of America Attn: Trina Cook 134 West 8th Street Port Angeles, W A 98362 Re: Assignment of Savings Habitat for Humanity ofClallam County Public Works and Utilities has determined that Habitat for Humanity ofClallam County has completed the required driveway and parking pavement improvements in accordance with PAC 14.40. The assignment of savings under Account # 22043326 in the amount of$13,000.00 (copy attached) may be released to Habitat of Humanity of Clallam County. cc: Habitat for Humaity ofCbllam County DeD File: Habitat for Humanity Phone: 360-417-4805/ Fax: 360-417-4542 Website: www.cityofpa.us / Email: publicworks@cityofpa.us 321 East Fifth Street - P.O. Box 1150/ Port Angeles, WA 98362-0217 ASSIGNMENT OF SAVINGS THIS AGREEMENT is far the purpase .of fulfilling the fallawing requirements: ?A V 11\)<" c> r-: A I 120'1 , -}\4- E I<_I~ . , D~lVEWPo.Y<; ~ :Pt\~l<.1 k)<; PA'b 12.2 I .i" Iz.z-/ ('~JjW1I'FZ,I=lL i:>.UE ?Ll ,. I The undersigned daes hereby assign, transfer, and set aver unta the City .of Part Angeles all right, title, and interest in and ta , ~. noO . dallars ($ I ~i 000. 00 ) with full pawer and autharity ta demand, callect, and receive said depasit, and ta give receipt and acquittance therefar, far the uses and purposes prescribed by said City .of Part Angeles. If the .owner (s), HABITA,- l=oe.. l-1uM4,.;.,-r-y .. ., "" e.... <lL.L U..-1 C'~ 0.0 (es) nat perfarm the abave stated reqUIrements and Improvements by 6!:~o/ 0 ~ , ta City Standards as required by the City Engineer, then the City may withd~aw fr~m the savings accaunt the amaunt necessary ta camplete the improvements up ta and including the entire amaunt set farth in this assignment .of savings. It is understaad and agreed that ISA /J K R/Yf c /2.1 e. d halds the savings accaunt in its passessian in accaunt # d~O '-t :'32.<.., and agrees ta hald ~.)!...~ -;:-0(I..0.L--c::-- dallars ($J 3, 000. of) ) until a release .of this assignment is received far the City .of Part Angeles. By: Stephen OWNER (S): /11;1.31"714 J ~cdL I-I-UIL1l4'/.:WTy of'" C!-L-IA c-L.U it-? r!..ouv T)I By /?Z~~c?_ 1//~08 Name Date Bank~,~ ~ l) ~ By: ... ~r. (' rf>"-.. Name, Title Name Date ~..:,(,n. fb('~~(\.A.(12n..r- Date \ - \\ - D8 Accaunt # 'd'd- b '-\ ~:) ~ l.., Ad~s: \6~~"t::: _ ~""\ ~_ ',,,,,- qq,;:)<c.) Telephane: ~\"'O-'-I.<;-]-L0l , Certificate of Deposit Receipt INVESTOR(S): BankofAmerica ~ ~.- ..-.:;; C) /-# -a?5 If) - o7-ro f.JM~ ~ ~ Bank (If America National Assuciation (hereinafter rcfcrn:J to as "Bank") accepts fordcpI1sit the sum of$ /1; ao . a-:? as t'videnced by this receipt and will pay the alllollnt of the deposit plus interest 10 the illvL'stor(s). suhject 10 the terms of the customer agreement. You have purchased a fixed fall' CD, The interest rale on your CD is 3.CfB % with an annual percentage yield of ~ %. You will he paid this rate until the maturity JaIl' showll anovl'. The ntlllua] pcrccI11agc yield assumes interest remains on deposit until maturity. A withdrawal will reduce earnings. ISSUE 7 a~ -')~~ 1/ h . -k-f rdr /IU>rI/l'7; ff ~t2t1.-? t.l'M'A.:P{JRrIV Ita /. DATE I .4 L TERM OF /jsS"qJ41ePT /1'&/7 INVESTMENT d;;(OI/55Zcp %! 3 - 12 Month Term (J65IJ65 IJ66 days in a leap year] Method) Vou may have interest creLlitcd to your Bank checking or savings account or relluest that a cashier's check he rnaileLl to you: 0 Monthly 0 Quarterly ~ At Maturity If you do not select any or those options. interest will automatkally he credited to your CD halance at maturity. o 1 - 10 Year Term (J65/J65IJ66 days in a leap year I Method) Vou may have interest credited to your Bank che(.'king or savings account or request that" cashier's check he mailed to you: 0 !....lo11thly 0 Quarterly If you do llot select either of those options. interest will automatically he credited to your CD halance quarterly, o .Jumho eH: Term 14 Hays. .165 Days (.165/.1611 Method) You may have interest credited to your Bank checking or savings account or request that a cashier's check he mailed to you: 0 r>.'lonthly 0 Quarterly 0 Semi-Annually 0 At Maturily If you do not select allY or those options, interest will automalically he credited to your CD hnlunce at maturity. o Jumho CD: Term ]66 Days - No l\:laximum 065IJ60 Method) SIMPLE INTEREST You may have interest credited to your Bank checking or savings account or request thm a cashier's check he mailed to you: 0 Monthly 0 Quarlerly 0 Semi-Annually If you dOllot select allY of those options, interest \','ill automatically he credited to your CD halance semi-annually. COMPOUND INTEREST D Interest will h~ cr~dited to your CD Balance semi-annually. Interest Crediting Method o Cr~dit to checking account nurnher D Credit to savings account numhcr D Cashier's che<:k Method of Payment Charge 0 Checking o Savings Signature Thank YOII for investing with Balik of America -l.7.1..J.-:'i:'iflHNSB ,I-lOll I NON-TRANSFEI~ABLE A Rocycled ~Pape' [(10/20/2008) Trenia Funston - Re: Habitat for Humanity paving on Campbell Page 11 cc: Roger, Thanks for the update. When you have a chance and after you've taken a look at the work, please give Ron Pope a call and ask him what his plans are for completing the remaining work. If he's got a plan, and the paving looks good, we can go ahead and release the funds. Fu nston, T ren ia ~ab(!J . {! tlmtptdt From: To: Date: Subject: Steve Sperr Vess, Roger 10/20/2008 3: SS PM Re: Habitat for Humanity paving on Campbell > > > Roger Vess 10/20/2008 3:48 PM > > > Steve, Just so you know, Lakeside paved their parking lot a couple of weeks ago, Habitat still needs to put in bumper stops, paint the lines and grade along the edges of the asphalt and ditches. Trenia will not be releasing the funds till work has been inspected and approved. Roger >>> Steve Sperr 9/2/20081:42 PM >>> Roger, In your travels, could you check to see whether they have paved their parking and driveways for the 4 houses they built on Campbell just east of Porter? They submitted an Assignment of Savings in January, committing to pave by June 30. CCI"tilicate of Deposit Receipt INVESTOR(S); Bankof America ~ ~; ;'llli./' -IzJ 0f J!.."- ,1 (,'/, ,,'" "./ /1d<~,I~ fj d '-)7-"'" /c' ,u I ' ISSlIE I I / .'1/'<>; /i, , /.' DATE I I .._/, {'-' cl..-'it['t;;/{ :..~r::'j ,-lu_rFl,;lr?/,l'~' 1" I '\. '';''~'IAJ'URITY , DATE TERM OF INVESTMENT <.) I-I/! [.:;A ~, j' ,. -,'7 ,,'..-', (_' . t..---,., --O,~:J ,''') LI..-,;<1", I . . ", .-, -, .... 'J "/\(/ c 5", (". ..: ,,;, c....' _J~ - "*"" /-/ t /C&-~L ,~ j.,;, " .. I .r ..?'_'~__ "'1 Balik of Anwrica N:llion:lt AssilCiali(lll (hereinafter I"elt:rred III as .'Hank") accepls for Ul'I}(JSil Ihe slim of $ / l' c~Y,D . f.:V) as evidenced hy Ihis receipt :lIlU will p:IY lhe aIllOIlI)! ol the deposil pillS interest III lhe invI.'Slur(s), suhjecll(l the llcl"lllS of the ClIslOllll.'1" :lgrL'L'JllL'J11 YOllllave purchased a fixed rille CD. The interest raIl.' on your CD is -3c.}E~ (;:, with all alllHI:J1 percell!:lge yield 01" ..i/>/) (;;'. You will he paid this raIl' lIn1il [he llla\tlrity d(lle shown above. The :lJlIlual rerccntage yield assullles interest I"L'lllains 011 dqJOsit 1111[ilmaltlrity. .'\ withdrawal will reduce earnings. ~ .,. 121\Iulllh Tt'rm (365IJ()5 [l6() days in a leap year[ i\'1eIIHldl , You lIlay have interest cn:diled III your Bank checking or savillgs accounl or nX]lIL'sllha! a cashier's check be Illaikd to you: D 1\lol1ll1ly D Quarterly ~ At t\'lalUrity I r YOIl do not select <lily 01" those uptions, intereSI \\'ill :lIl[olll:ltically he credited [0 Yilur CD Iml:1I1L'C :It 1ll;l[llrilY. D 1- 10 Yl~ar Tenll (l6:'i1165 13M) days in.. leap year] Method) You may have interest credited In your Bank checking llr savings accnunt or request that il cashier's check he mailed to you: 0 1'\'lonlhly D (Juanerly I I" yOIl do llot select either nr Ihose optiuns, interest will :lulOlll:l[icllly he credited 10 your CD halance quarterly. o .Jllmho CD: Term 14 Da,)'s - 365 Days (365/160 Ml'lllod) You may have inlerest crediled tll your Bank checking ur savings an:Olult nr r,~qucs[ Iha[ ,1 cashier's check he lllailed 10 you: D 1\'lonlhly D Quarterly D Semi-Annually D AI 1\-!a[urity I r Yilt! d(\ Illl! s,:kct allY or Illllse opti(Hls, interest will ;llllo111atically he crediled to YOllr CI) h:llance a[ lllalllrity. o .JulIlhu en: Tenn J66 Days ~ No I\laxillllllll (l()5f.\60 ~h;lh()d) SIMPLE INTEREST YOll Illay have inlerl'S[ crediled tn your B:lIlK checking or savin!,!s :KTOUllI or reqllL'stthal :1 cashier's chl'cK he mailed 10 you: D Monlhly D ()uarterly 0 Semi-Annually Iryou do not selec[ :111)' ol"those op[ions, intcrl~st will :lll\oll1:ltically he creditl'd 10 y()ur cn halanu: semi-annually. COMPOUND INTEREST D Illterest will he credited [0 YUill" CD Bnlancc sell1i-anrlllally. Inleres( Crelliling Methllll D Credit 10 checking accoulI[ !lumber D Cn:dit to savings account Ilumber o Cashier's check Method or l'a)'lIIent Charge 0 Chcdilll! DSavings Sigmlturc Thank .von 1'01' investing wilh Bank or Alller;,.a ~7~1.1-5:'if,SNSIl .I-:WOI N()N-TRANSFERAHLE ^Recycle<l ""Pap&( @LAKESIDE INDUSTRIES ACCT.lADMIN. OFRCE: P.O. BOX 7016 ISSAQUAH, WA 98027 "AN EQUAL OPPORTUNITY EMPLOYER" PROPOSAUCONTRACT AGREEMENT (425) 313-2600 PORT ANGELES DIVISION. BOX 728 PORT ANGELES, WA 98362. (360) 452-7803 FAX (360) 457-7932 Date: January 11. 2008 CONTRACTING PARTY mmI!! Habitat for Humanity c/o Ron Pope LOCATION & TYPE O'WORK, Campbell Ave. - Port Angeles Asphalt Paving Phone # Approximate Unitef Bid Item Quantity Measure Description Unit Price Total Price 3,630 Sq. Ft. Grade existing gravel base material for best drainage. Add new crsuhed rock paving base and compact. Apply weed barrier. Provide and install 2 inch lift of HMA 1/2 inch asphalt pavement and seal new asphalt joints. Includes traffic control. lumD sum $ 8,893.50 . APPROXIMATE TOTAL (Plus sales tax where applicable) $ 8,893.50 Total price to be based on actual quantity or measurement unless ctherwise specified. Does not include: Engineering, testing, permits. excavation. paint striping, tire stops or sales tax if applicable. Lakeside Industries cannot guarantee complete surface drainage where designed slopes are less than 1 %. Lakeside's proposed prices herein assume that lakeside's work hereunder will be substantially complete on or before: June 1. 2008 Unless Contracting Party has signed and returned this Agreement within thirty (30) calendar days of the date first stated above, Lakeside's proposal shall be null and void. CONTRACTING PARTY'S SIGNATURE ON ONE COpy RETURNED TO LAKESIDE INDUSTRIES WILL RENDER THIS A LEGAL CONTRACT FOR THE PERFORMANCE OF THE ABOVE WORK. CONTRACTING PARTY'S SIGNATURE ALSO ACKNOWLEDGES RECEIPT OF LAKESIDE'S 'NOTICE TO CUSTOMER' STATEMENT ATTACHED HERETO. APPROVED BY CONTRACTING PARTY: BY: --------:> ;.;e C)~ -:- c/. Of' M~ L LAKESIDE IND1rRIES WA. CONTRAc;r 's REG. LAK OR. CCB 10854 /1 BY: aye Church, estimator TITLE: SUBJECT TO THE ATTACHED GENERAL PROVISIONS L1GONT06.08.1Q 10f3 .' General Provisions / c,;" DEFINITIONS. As used herein, (i) ~Contractor" shall mean Lakeside ./ Industries or any division thereof; (ii) "Contrac~ing Party" shall mean the person or entity purchasing materials and/or ServiCes as set forth on the front page hereof and pursuant to these General Provisions; and (iii) KAgreement" shall mean the contract formed between Contractor and Contracting Party by Contracting Party's acceptance of those terms and conditions set forth on the front page hereof and these General Provisions and/or materials and/or services provided to Contracting Party by Contractor. 2. ACCEPTANCE. Unless Contracting Party has signed and returned this Agreement to Contractor within thirty (30) calendar days of the date first stated on the front page hereof. Contractor's proposal shall be null and void. Contractor hereby objects to any conflicting, additional and/or different tenns contained in any proposal or other writing issued by Contracting Party for purposes of accepting the proposal set forth herein ~nd t~~ same shall not become a part of this Agreement unless agreed upon In wntlng by Contractor and Contracting Party. 3. COST ESCALATION FOR ASPHALT. Contractor's proposal herein is based upon local vendor posted prices for liquid asphalt as of the date of Contractor's proposal. In the event the actual prices exceed such posted prices, the Contract Price shall be equitably adjust~ by chang~ order ~o reflect such increase. Contractor reserves the nght to terminate thIS Agreement if an equitable adjustment cannot be agreed upon by Contracting Party and Contractor. Payment for any such adjustment shall be made in accordance with the terms and conditions of this Agreement. 4. CREDIT VERIFICATION. This Agreement is subject to Contractor's verification of Contracting Party's credit and Contractor's determination that such credit is adequate or satisfactory to Contractor. Contractor reserves the right to withdraw its proposal should Contractor reasonably determine that such credit verification is unsatisfactOf)' or inadequate. 5. TERMS OF PAYMENT. Unless otherwise provided for herein, payment shall be due to Contractor within ten (10) days of the date of any invoice issued by Contractor to Contracting Party. Interest shall accrue on all overdue invoices at the rate of 1-1/2% per month (18.00% per annum) or the highest rate allowed by law. 6. SCHEDULE. This Agreement is subject to Contractor's review and approval.of Contracting Party's schedule. Contracting Party shall coordinate other contractors' and subcontractors' work to prevent any delay or interference with Contractor's work. 7. CHANGES. .Contracting Party, without invalidating the Agreement. may order changes in the scope of the work provided for by this Agreement. with the cost of the work and the time to complete such work being adjusted accordingly. Such changes in the work shall be authorized only by written change order signed by Contracting Party and Contractor. 8. PROPERTY LINES. Contracting Party warrants that Contracting Party knows the actual location of alllega! property lines and that Contracting Party, prior to commencement of work hereunder, shall place stakes clearly indicating such property lines. 9. PERMITS. Any pennits that must be secured prior to commencement of the work hereunder shall be secured and paid for by Contracting Party. 10. DELAYS. If Contractor is delayed at any time in the commencement or progress of the work by any act or neglect of Contracting Party, or by any employee or agent of Contracting Party, or by any sep~rate contractor employed by Contracting Party, or by changes ordered In the work by Contracting Party, or by labor disputes, fire, abnormal adverse weather conditions, force majeure, unusual delay in transportation, fuel, material, or labor shortages or unavailability, action or inaction of public authorities not arising out of the fault of Contractor, casualties or any other causes beyond Contractor's reasonable control, then the Contract Time shall be extended by change order for a period of time reasonably necessary to alleviate the effect of such events on Contractor. Delays beyond Contractor's reasonable control shall be compensable to Contractor and such equitable adjustment of the Contract Price shall be made by change order. Contractor reserves the rig.ht to terminate this Agreement if an equitable adjustment cannot be agreed upon by Contracting Party and Contractor. Payment .f?" any su.ch adjustment shall be made in accordance with the terms and conditions of thIS Agreement. 11. HAZARDOUS SUBSTANCES. Contracting Party agrees to indemnify, defend and hold harmless Contractor and its employees and subcontractors from liability related to the existence of hazardous substances at the project sije, unless such liability results directly from hazardous subst.ances brought on to the project sne by Contractor or its subcontractors or anses out of the negligence or wrongful act of Contractor or its subcontractors. If Contractor encounters a substance on the project site which Contractor believes is a UCONT06.0B.10 20f3 hazardous substance, Contractor shall immediately notify Contracting Party and shall cease work in whole or in part and any delays (and costs arising therefrom) shall be Contracting Party's responsibility. 12. TERMINATION FOR CAUSE. Contractor has the right to terminate this Agreement if Contracting Party fails to comply with any of the other provisions herein; provided, further, Contractor may terminate this Agreement in the event of the happening of any of the following: (a) insolvency of Contracting Party or Contractor; (b) any act of bankruptcy by Contracting Party under any provision of the Federal Bankruptcy Act or filing by Contracting Party of a voluntary petition under any law providing for relief from the claims of creditors; (c) the filing of an involuntary petition to have Contracting Party adjudicated as bankrupt under the Federal Bankruptcy Act or for reorganization of Contracting Party under that Act or under any law providing for relief from the claims of creditors which is not vacated within thirty (30) days from the date of such filing; (d) the appointment of a receiver or trustee for Contracting Party or Contractor which is not vacated within thirty (30) days from the date of such appointment; (e) the execution by Contracting Party or Contractor of an assignment for the benefit of creditors: or (f) any other event occurring which under the applicable law would entitle Contractor to cancel and terminate this Agreement. Such termination shall not prejudice any claims that either party may have against the other. 13. INDEMNITY. To the fullest extent permitted by law, CO'"!tractor shall indemnify and hold harmless Contracting Party from and against claims, damages, losses and expenses, including but not limited to attorneys' fees, arising out of or resulting from. performance of the work hereunder, provided that such claim, damage, loss or expense is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property, including loss of use resulting therefrom, but only to the extent caused by negligent acts or omissions of Contractor, a subcontractor, anyone directly or indirectly employed by them or anyone for whose acts they may be liable. Contracting Party shall indemnify and hold harmless Contractor from and against claims, damages, losses and expenses, including but not limited to attorneys' fees, to the extent caused by negligent acts or omissions of Contracting Party, or anyone directly or indirectly employed by it or anyone for who:se acts it may be liable. 14. WARRANTIES. Contractor warrants and guarantees all work and/or materials provided under this Agreement shall be of good quality and workmanship, free from faults and defects and in conformance with this Agreement. Contractor further agrees to make good, at its own expense, any defect in materials or workmanship which may appear within one (I) year of Contractor's substantial completion of its work hereunder. Except as otherwise provided herein, Contractor makes no warranties or representations of any kind, express or implied (including no warranty of merchantability or fitness for a particular purpose) and none shall be implied by law. Contracting Party agrees that oral agreements, statements and representations made by Contractor, its employees or its agents shall not constitute a warranty of any kind. 15. TIME LIMITATION ON CLAIMS. Any action arising out of Contracting Party's purchase of materials or Contractor's provision of services to Contracting Party, including any action arising under this Agreement, must be commenced within one (1) year after substantial completion of Contractor's work hereunder, and no such action may be maintained which is not commenced within such one-year period. 16. LIMITATION OF LIABILITY. Contractor's sole liability and Contracting Party's sole and exclusive remedy for any and all damages, special, direct, incidental or consequential, sustained by Contracting Party or others arising of Contractor's performance of this Agreement shall be limited to correcting defective work. In no event shall Contractor be liable to Contracting Party or any third party for more than the amount of Contractor's proposal, or for any delay damages. Under no circumstances shall Contractor be liable for (i) damage to or breakage of underground pipes and/or conduits and cables not visible from the surface of the ground nor for any damage to approaches (including sidewalks) from the street to the property line; (ii) damage to the completed pavement surface due to the action of petroleum product spillage; (iii) subgrade failure or utility ditch failure; or (iv) growth of horsetail weed, morning glory, deep-rooted ferns or perennials subsequent to the application of soil sterilization (weed killer) that have not reached maturity prior to such application. Any soil sterilization provided for in this Agreement shall be applied at the rate specified by the manufacturer thereof. 17. ARBITRATION/ATTORNEYS' FEES. Contracting Party and Contractor agree that all claims, collections, disputes, or other controversies arising under this Agreement or related hereto, shall be settled by and subject to binding arbitration with a single arbitrator pursuant to the Construction Industry Arbitration Rules of the American Arbitration Association (~AAA"). Any such arbitration shall be commenced by delivering to the AAA a written demand for arbitration, and a copy of such demand shall be delivered to the other party. Contracting Party and Contractor agree that the location of any arbitration proceeding commenced with respect to this Agreement shall be at the Seattle, Washington AAA office. In any such arbitration, the prevailing party, as determined by the arbitrator, shall be entitled to its arbitration costs and reasonable attorneys' fees and other costs. Any arbitration award by the arbitrator shall be finat and binding on the parties and subject to confirmation and reduction to judgment pursuant to RCW 7.04 in the King County Superior Court. 18. GOVERNING LAW. This Agreement shall be governed by and construed in accordance with the laws of the State of Washington. 19. SEVERABILITY. In the event that any paragraph, part. term, or condition of this Agreement is construed or held to be void, invalid or unenforceable by an arbitrator or court of competent jurisdiction, the remaining paragraphs, parts, terms and conditions of this Agreement shall not be affected and shall remain in full force and effect. .~ --. 20, VOLUNTARY CONTRACT. Each of the parties to this Agreement has carefully read and fully understands the terms and conditions hereof, has had full opportunity to consult with legal counsel regarding its meaning and effect, and is entering into this Agreement freely and voluntarily, through a representative who is fully authorized and empowered to sign on its behalf. 21. ENTIRE AGREEMENT. Contracting Party and Contractor intend that the proposal and those terms and conditions on the front page hereof and these General Provisions shall constitute the final, complete and exclusive Agreement between the parties. This Agreement supersedes all other prior or contemporaneous agreements, representations. understandings and promises. oral and/or written, by or between the parties with respect to the subject matter hereof. Contracting Party further acknowledges and agrees that in entering into this Agreement. Contracting Party has not and is not relying upon any contemporaneous agreements, representations, understandings and promises, oral and/or written, made by Contractor. No course of dealings between the parties shall be relevant or admissible to explain. supplement or vary the terms of this Agreement. No amendment or modification of this Agreement shall be effective or binding upon the parties unless made in writing and executed by Contracting Party and Contractor. State of Washington NOTICE TO CUSTOMER(RCW 18.27.114) Lakeside Industries is registered with the State of Washington, Registration No. LAKESI*274JD, and has posted with the state a bond or deposit of $12,000 for the purpose of satisfying claims against Lakeside Industries for breach of contract including negligent or improper work in the conduct of Lakeside Industries' business. The expiration date of Lakeside Industries' registration is July 31 st. THIS BOND OR DEPOSIT MIGHT NOT BE SUFFICIENT TO COVER A CLAIM THAT MIGHT ARISE FROM THE WORK DONE UNDER YOUR CONTRACT. This bond or deposit is not for your exclusive use because it covers all work performed by Lakeside Industries. The bond or deposit is intended to pay valid claims up to $12,000 that you and other customers, suppliers, subcontractors, or taxing authorities may have. FOR GREATER PROTECTION YOU MAY WITHHOLD A PERCENTAGE OF YOUR CONTRACT. You may withhold a contractually defined percentage of your construction contract as retainage for a stated period of time to provide protection to you and help insure that your project will be completed as required by your contract. YOUR PROPERTY MAY BE LIEN ED. If a supplier of materials used in your construction project or an employee or subcontractor of Lakeside Industries or its subcontractors is not paid, your property may be Iiened to force payment and you could pay twice for the same work. FOR ADDITONAL PROTECTION. YOU MAY REQUEST LAKESIDE INDUSTRIES TO PROVIDE YOU WITH ORIGINAL "LIEN RELEASE" DOCUMENTS FROM EACH SUPPLIER OR SUBCONTRACTOR ON YOUR PROJECT. Lakeside Industries is required to provide you with further information about lien release documents if you request it. General information is also available from the state Department of Labor and Industries. LI CONT 06.08.10 j of3 . (9/3/2008)Trenia FLlnSto~: l:iabitat for_liulllanity p"ving <.:>n _Campbell Y~ge 1~ From: To: Date: Subject: Roger Vess Steve Sperr 9/3/2008 7:28 AM Re: Habitat for Humanity paving on Campbell cc: Trenia Funston I talked to Ron Pope a few weeks ago about the paving, there are questions about what happens to the asphalt grade of Campbell Ave for the future improvements that Green Crow will be making. When you have minute can we talk. Roger >>> Steve Sperr 9/2/20081:42 PM >>> Roger, In your travels, could you check to see whether they have paved their parking and ' driveways for the 4 houses they built on Campbell just east of Porter? They submitted an Assignment of Savings in January, committing to pave by June 30. ~ Habitat ~ for Humanity'" of Clallam County D ~~~D"'~ n . JAN 1 0 2008 . U or umanity of Clallam County 1/9/08 Stephen Sperr City Engineer City of Port Angeles Dear Stephen Habitat for Humanity of Clallam County requests a postponement until June 30th, 2008 to complete the paving of the parking pad and driveways for our properties at 1209, 1215, 1221, and 1227 Campbell Ave. An assignment of savings account will be set up with Bank of America in the amount of 150% of the estimated cost from Lakeside Industries to complete the project. We are trying to get a C.O. for our last house at this location. Public works sign off-on the building permit is holding up the final inspection. Sincerely ~ Ron Pope Operations Manager 681-6780 "t~ t~ ~""" CITY OF PORT ANGELES PUBLiC WORKS - UTILITIES DNISION 321 EAST STHSTREET, PORT ANGELES, WA 98362 0&-305 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Application valuation 06-00000305 Date 262725 1221 CAMPBELL AVE 06-30-14-5-)-0346-0000- HABITAT FOR HUMANITY RES NEW SFR 5/01/06 /ZZ-I Cbmtf~ ~ Owner Contractor ,() LU1tj U1 Q$S ()~ ~ab -~ RESIDENTIAL HIGH DENSITY 49500 DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 6.29 2.00 14400.00 906.00 1. 00 Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 74674 715.00 Plan Check Fee Valuation .00 49500 10/28/06 Qty Unit Charge Per Extpn~;nn ________=~~~______~=~~~~~~~~~____:~_~~~_=~_:~~~_=~~~_~~=~~_______~. 715.00~ Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 74666 50.00 Plan Check Fee Valuation .00 49500 10/28/06 Qty Unit Charge Per ~xt . 1.00 50.0000 ECH RIGHT OF WAY PERMIT 50 _ 00 -------~----------------------~----------------------------------- - Permit . . . .. SANITARY SEWER HOOK UP Additional desc . Permit pin number 74682 Permit Fee 110.00 Plan Check Fee .00 Issue Date Valuation 49500 Expiration Date 10/28/06 oJ JJI'l .J:'"1 V\. I/V Qty Unit Charge Per ~xt ._~ 1.00 110.0000 EA SAN SEWER HOOKUP . 110.0~ ---------------------------------------------------~~-----------~- --- 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. 04/05/2006 12:08 PM SROBERDS -- The proposal is part of a 4-unit sfr cluster development in the RHD for a total of 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, ff 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. 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 Date Signature of Owner (if owner is builder) T:\Policies\1102.JSR {IIOS] . "s. ,,.~ ~ ~iil" CITY OF PORT ANGELES PUBLiC WORKS . UTILITIES DNlSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000305 Application pin number 262725 Page Date 2 5/01/06 special Notes and Comments 9% lot coverage. No setback or land use i~sues are apparent. Electrical load calculations and elctrical permits are required. A cost estimate has been sent to Habitat for Humanity for ujg power estension. Connection fee of $713.00. 04/04/2006 10:40 AM GMCLAIN --~------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour adv~nce notice is required. Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public works Engineering is required prior to prouring concrete. - -- - -;~~~~ - ;~~~- - ~ - ~ -~ - ~- ~ -~ - ~- ~ - ~- -~~~~~ - ;;;;;~- ~;~;- ~~;;- -C 870. 00 ~ STATE SURCHARGE ~ PW WATER SYSTEM USE FEE C1200.~~ -~------------------------------------------------~~----------- -------~~ Fee summary charged Paid Credited Due ---~------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 ".00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2949.50 2949.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructlo.n or the performance of construction. . Signature of Contractor or Authorized Agent Date -Signature of Owner (if owner is builder) Date T:\Policies\II02.15R {1I0S] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date t.j-:).~.,-65 Time Location of Work to be inspected I ~ a I C- 0...., r? IJ-e (I .i:\ '-'L Name of person requesting inspection C-+:\ EX.c..AvA-I-io--.l Address of person requesting inspection Type of Inspection (circle appropriate one): Received by Tr (PhOne,~ ( (-1.0 "'\1\\.-.0 ~ 1-1""-::>,'-"1 \ Phone No. Permit No.O(o- 50S- ~ EX~ Other 10~l..Ll Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Inspected: Date ~ _/6-()b Time 3', eS1 f/'l1 B~~ (Y\-o~ ./ Remarks: c...o",h--Ac-k~ lOLA\'"("'c\ t)" Pill:- SeuJ-<r /11"''-'0 & lo'd.,...../!. Tn <;IA-(/~.j Q 10" -t- 9 t, LVY -c <;/4 ,ld I..,. (Q /97' t=/o 111-1 OAJ ~r.k/ s7. k 5tl4ll"j 'Iso 6 f>,v) o~.L RALJ ~" ~';c..- 5,'):r;[:(T"'slJ4l1~d iP"/lI"wyc.. R-AtV 4"lilc..~ 13'''c-I<(?I()<A..Jd'-u,<:.L ChJ ~.b. (,vo+-~\: r",-<;l-",Il~~ rIb";llf"Yc-d,(~-<!.- & <;:;3'- !/id""wJ /;;;0'1 CA"'Obel, I.-V ,'II ~ k",-...~ C\ (':0y1-'\ w'-<,,"-' s--er""'<---eUc..UrCt.- \ . ' RESTORATION REQUiRED...... YES ~ ~ ~ e, Add~ 1"'"'-' \,,,DE,v if-U c.o. 'I ~,o ( ( I~~I 'I' 1- l- V) Cl( ~ I\J \) Q NO " ,-/"PIIL_.fer'" /:JO'1 CA""ph-dl Au<- ----- '-/'~Ie" /Lt--J..n"- (Q 53 I / 5'.'{ (PolL ,-'1; - 'I " f ve- - ~ 5()"l,,"pvc. 1- 'I ~ l/3qt & FLow ):> w,p eLL/>.l.J'>o SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Repaired by City o Repaired by Permittee o No Damage Found o Other Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) (DATE) STREET SUPERINTENDENT t(e,::> ~ W.O. '503<{8-(&D APPLICATION FOR WATER City Water Division Port Angeles, Washington oS - 3 , 20..a.:= I hereby apply for water to be furnished in accordance with rates and rules of the City for the tollowing premises: KlcJ-,~ c.hc\kn~ V (,f,{]-fe,7l!:(. Narne of APPlicant])1A V\41l nPSS a.[~ttlo'TA-r. ~l'>1a.hl~ Address: [Z"'Z;\ CAM1p b~ -A..).J) /=>l.oL(Se. eo) ~ Renewal 0 New servicepslk. 3 Lotzq/Zl/J!~:c;f::;g;; .IJ Size of Service j X ?7,t" Meter Number (?08(,<jof!) ~()Oi!)D Service Left On 0 Service Left Off 0 Signed ~ ~ ~ Installed by Remarks: "PeYfnfr# atp-.30s J, 7/&SttE. +~I ZfX) - N ~ ~ t ~ " ~ Y,4(. si du W C,,,,, k{( I}vc II If ' E : .'-T~ s !T ~. /" -' , ~ ~...--- : . ...A\ .:~' , 'r ./ ." " l --' ,~: ..;J..J' ..~ I'~-, ,. I";~~~~' '::~~"\< :-~-':f'l ~ :. ,ii.,: . ....:::0, .~', ~:~~t~~.-;, Ie f ~~).J~t-~ij:~:;:.. . . :_ . ,~ ._ .+.<<..c,',:J.' ~~. ' . ~ I ..' - ~ ~ ~.' .,... .... ...._-=, .,: ~":.~1.l;~~~,:',,;'~"{fl:"4'~i~;- ~ ';P' c..-~"" -j,"';: :?,'~" }3./.--J ....-_-1: _. . . "........., "J..... .:,'~ ...,.- '. J.....' ,..........--.;r.- <' ..' ;' .....,. _, -::J....... '.. .1'0' .. .' ~ ..... ~ . ,~ <' ..... ".. .............:'......-."': ,~ ' ... 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'. -'''-:' , ",,~.'!.,~... ::53~' e'''''r~ \':,,' , . . -, .:. ';;::'_'~' n:l\ ':'_""'\~_; B;: ~'L~.., (""'2,"';';' '.,- rc'o .~.;,> ..0"'''.7;'. '-'~":'\'J jf;''-:';!\~L..,J.' J.;.l..::..~f'_;,~:- .,' "~~"'" .;4...... '......'j r" "'!t:.-.\i':'f:':"".., ",.. "_._ ,''';..'_.. ""1:'," "\'.7.:, ~.- '~'" .'.> :~. ''I.n, ':';;'\:~\-:' :. ."1"..,..... ''': " .' .;, I ,"','" ':',,;;~, :" . r~~!"'.li:~. '~'" _ ,~. 4~" ........ ..~..r:':".... ~'; ""-...:~~J";,.... '''-' 1_. l;>':'_~~ '"'I..:f"'~',. ..""":;-........c. "''1'"';:''' ""',' 'n". -"""'~":""V~''';'~' .. ......... ."l,.~ .......t> ...~~ 1,_". \i~.',,( '\t~! ...~:..o-\ ':::'-:, ~..l>~I~\"",.:',;~_~ ~...._ "\?;;-r!8:;' ~;\,,:~).~(~;;'..-;':::::<:<. ....."'..,..,,,.,\.+~...,.,,, ,.:-,. 0" , " ._~ '~~'~~(f~~ .,,, .' .. '" '. ." ......._-~- " ~ 't , i CiTY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . .. . INSPECTION REPORT. . . . . . REQUEST: Date /51- /;;;-07 Time Received by ---r-r (phone. person) Location of Work to be inspected /5(l'5 //22-/ &~..,{tlP/AJ.tU./ Name of person requesting inspection ad /:;jlk , Address of person requesting inspection Phone No. 4IPo -;;>375 Type of Inspection (circle appropriate one):~' Permit No. C, "'-- 2... 97 . C6~sd~ Sewer Foundation Framing Chimney Plumbing Fina ewer Excav. Other - INSPECTION NOTES: Inspected: Date /;;1";:;;' -07 Time o . .. / \ . I ( Remarks: f7LA-y....D.". r- Sfoo5:. a ucJ Str!f3PIVl'3 1-2cr-tyj' F)v1ctt' . Ok.. 12. By .J /tC)Tc:..c.~;J/-et€- /2-(2:-07 , RESTORATION REQUIRED. . . . .. YES NO lC . SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) u' , "-) ....x-~ \.J~ ~ -\ \l' J \1, \+\ ~, '0 <J .\ I -F( s ~ I . - \ ~ I ~ -' ~ >- ... 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" .J '--1 ,- _ _ -( -, '- -"--- ----~-.;------- ~ \...i.l -< \0 \') .:! -3 If! I I I ,. I l , 1 J I ...1 '" I ) , ,ot I 1 - -:'1 :, '7 ~<J<::JJ , , : 1 ,~ "'2.. ~ .1.. "-::~ ~ - ~' -~('... ~ ~, r L. "'~ ,,) / : I ._- , , ~~I&1 ... ij ~I \-.1 ~, -, ~ " .1 ~, :/ 'I " Ii .>> '1. " > " I I " :, '\ -' ,- 'I Orl: {)lli. ' all ~~II I, , QII jI' , I I ~ , , I . ., '. 'I \' I ,I ,I j;=f. ~ _ ~:J l I \ \ I' , '. - -. -l \ \, ' ',' '/:>~f6~'''' l __ ~ J! .'1: _n___. .- , .4 e \t ..- " l \'1 \1 14 \ , - - '" - - -", "--.. " , 'I I<- <- (-~-- \ J\ 0' ~, i;, \J' >1: /.\ . , . \ \\ r'Z -"""'.L'~ ~ ...... 4~ / I I I --"-- , "! ~ ~ G(Q'\ ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor 0 Owner Installation description Q Commercial ~dential Electrical contractor name ~ It License number EX ~u~l'T- A i, -..J (-'.... ",.M Z; Purchaser's mlmg address --PO. '(3", x: City V-E~urff1 Telephone number 'aGe. -lS,.EI:/-' ?6c Date Expires ~ o Altered/Addition I 9,':;-7 State ZIP LA..> A "8ae? FAX number 8{, -({.0/-6960 l' cl.l./I"... !.X Premises owner' ame J/ -un p" Address of inspection ;/;;?;;? / ~_ t!A1U pI:.", II Au r:- .t I cr?T ANcyc/...s Phone number to schedule inspection: Bl,G- 4<::0- 3' 37. ...-.- '" /.,:l ,/:5 .5 0 tc=r .5r""-~ Owner as defined by RCw'19.28.26J:(J) 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 properly is for sale. rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration i~ compliance with the electrical laws, N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical co ract or electrical administrator X~ ",_ I Date:~ 8-c' Electrical Load Additions and or subtractions o NO LOAD CHANGES a Baseboard KW a Furnace KW a Heat Pump Ton LAR o Fan-Wall KW o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Expiration Date of card Inspection fee $ 73,00- Service Information a Overhead Service a Temp Service Q Underground Service Voltage PhaseD 1 03 Service Size: ~ Feeder Size: '. J , SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Dale Approved By SERVICE ~/h 7 1;!:?, FEEDER ROUGH-IN k2y THERMOSTAT FINAL /hlf:RJ ~ , Dale Approved By DITCH S-,;1<f-t7b AzD Date Approved By Dale Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical 41nspector 6- , -,-, <1.- ,~ / , ~19/tJ6 --- ELECTRICAL iNSPECTlON., WIRING REPORT 417-4735 ADDRESS APPROVED NOT APPROVED o """""""""" DITCH, , , , , , , , , , , , , , , , , , , , 0 ~ ' , , , , , , , , , , , , , , ROUGH IN/COVER, , ' , , , , , , , , , , , , 0 )l(' , , , , , , , , ' , , , , , , , , , , SERVICE, , , , , , , , , ' , , , , , , , , , 0 0, , , , , , , , , , , , , , , , , , , , , FINAL, , , , , , , , , , , , , , , , , , , , 0 CORRECTIONS NEEDED: @ I1?UtJ /Z-( ~6 r~J? b~ (2"'0 ('.n-V N€ {Z77o"6 @ h?A1:::., -' - IA L/ .~-Af~ 771'7..5 . 7 Kbzrw1 @ . 57Mz/J ~~l/ UJ~O/.?/ r /11~...... ~,f_ ? NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381