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Home My WebLink About1010 Cathleen St - Building µ,Rea CITY OF PORT ANGELES r.,,� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 CIS/ Application Number 11- 00001179 Date 10/19/11 Application pin number 629869 Property Address 1010 CATHLEEN ST ASSESSOR PARCEL NUMBER: 06- 30- 01 -7 -7 -0030 -0000- REPORT SALES TAX Tenant nbr, name RICHARD MEGAN WAGNER on your state excise tax farm Application type description MECHANICAL APPL. PERMIT J Subdivision Name to the City of Port Angeles Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 129 Application desc PROPANE TANK SET GAS FIREPLACE Owner Contractor RICHARD CHRISTIAN WAGNER JR PIONEER PROPANE LLC MEGAN ELIZABETH WAGNER 931 CARLSBORG ROAD 1010 CATHLEEN ST SEQUIM WA 98382 PORT ANGELES WA 98363 (360) 683 -9988 (360) 808 -1747 Permit MECHANICAL PERMIT Additional desc PROPANE TANK SET -GAS FRPLC Permit pin number 194902 Permit Fee 100.00 Plan Check Fee .00 Issue Date '10/19/11 Valuation 0 Expiration Date 4/16/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 50.0000 HR ME- INSPECTION, MIN 1 HR 50.00 Fee summary Charged Paid Credited Due Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 100.00 .00 .00• cl V\a/ 1 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction, kk -(q -t i, G• Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Bullding Division /Building Permit 1 BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOU■' NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backfiow Prevention inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOE SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts 1 Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by C AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling V y MECHANICAL: Heat Pump Furnace FAU Ducts Rough -in Gas Line /07249 Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 P. 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Date Received 10 i t Permit ‘t 11'1I City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5 St., Port Angeles, WA 98362 360 -417 -4815 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: I tA Phone: 2 0- c7�5►�J�, 1. c�(� -Rot tZ`{ Property owner: e_ Phone: Property owner's mailing ddres IOtO ccavAten coT PGrT' M SZ Co Contractor's business name: et— [�,-r, o Phone: c (or property owner's name if he he is going /o rsee g vie work) n "l Contractor's mailing address: Contractor's L &I license number: Expiration date: Project Address: 10 C l,ee t 1 t Pc T AnZyleS A CISS 3 Project Type: g esidential o Commercial o Industrial o Multi family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: house garage other tear off re -roof lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: house garage other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1. of 2 Swimming Pool or Spa (z 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage D other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition, Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency ORCAA) Demolition Permit Application. Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) G0.Akit1� '4 Gct.S �'�t1jD. �-e or. Oh We'ImC o agcl mew hpc�s lAc) cco Onspec,T' emu.$ euwcLov e. Qe k c,e is '121%.1r— 1 Set, o c_e_ s t n MS �Zcv�c� �czn cym O tht, rntT' e,�s1 (DO pet ?ertm Teck- LitiVka Project Valuation 1 'J I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date to --1,Q6- IL Signature Print Name f2-teke .l. C. Page 2 Clallam County Assessor Treasurer Property Details 63346 RICHARD CHRISTIA... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 63346 RICHARD CHRISTIAN JR AND MEGAN ELIZABETH WAGNER for Year 2011 2012 Property Account Property ID: 63346 Legal Description: CATHLEEN ESTATES V15 P21 LOT 3 Geographic ID: 0630017700300000 Agent Code: Type: Real Tax Area 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi- Family Redevelopment: N Township: Section: 6 Range: 1 Location Address: 1010 CATHLEEN ST Mapsco: PORT ANGELES, WA I' Neighborhood: PA Sublots Res Map ID: 3 Neighborhood CD: 5201000 Owner Name: RICHARD CHRISTIAN JR AND MEGAN ELIZABETH WAGNER Owner ID: 209628 Mailing Address: 1010 CATHLEEN ST Ownership: 100.0000000000% PORT ANGELES, WA 98363 Exemptions: Taxes and Assessment Details Property Tax Information as of 10/19/2011 Amount Due if Paid on: 1. n' NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 157543 $1198.22 $1198.13 $0.00 $0.00 $1198.22 $1198.13 Statement Details 2010 45820 $1145.79 $1145.77 $0.00 $0.00 $2291.56 $0.00 Values Taxing Jurisdiction r Improvement Building Sketch i Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 10/19/2011 3:50 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net /propertyaccess /Property. aspx ?cid =0 &year =2011 &prop_id =63... 10/19/2011 .,.", o , r- N , N WW "E-< <1:<1: 0..0 N'" .,..-1 coo 0'" , , CO.,. .,.CO COr- >< ..:1 ~ W H ..:1 E-< wen ><W ~~ E-<'":> Z .. 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E 0 ltl o QJ 0 ::J ltl tn 0 urn M )-i 00 00 Hr---r-- 00 M~ ~ ~ ~ n::l O'\~ ~ ~ ~ 00 00 ~~~ ~ ~~ ~~ ~ ~ ~ ~ 00 00 ~~~ ~~ ~~ N~ b o 0 0 0 0 U) 0 ..r-- Q M N N' 0 0 ~.... .. rl .. l--i I.l1 [' til I H ~ MHN~N~P::NNH~IH~OHNC""-Hb 00 ..:x:..n:s ..rtj~ n::l rtI0NNI<I:;NOOlC(N44~ I ~U) . ~CJ~~~~.~~~.9~.9~~~~~~~~~~~~~~~ Z~ 44 ~~N44N~UWQJ~QJ ~QJn::l~n::lN~Oo:l ZH ~ rl H~~ ~Z ~~ ~ WH ~!til'rlW'rlQJtilQJQJQJQJHOOCJO~CJO CJl--iZCJO::Ul lC( O::~~~~O::C~Cl--io:lu~Q~lC(Q~l--iQ~~O U) :x: H~'rl~'rlH~'rl~'rlOUUHU:X:HU'rlHQJOHtilO U)~~~~lC(~~~44~44o..00o:l0u)o:lOn::lo:l~~o:l:X:o.. 0 0 ..:1 rY 00.. 00.. >0.. ..:1<1: ><<1: ><<1: 1>:<1: '":>0 coco coco coco co 00 '" 00 00 00 00 0 " " " " , NO .,..,. .-1.-1 .,..,. r- 0.-1 NN NN NN N " " " " , .,..,. '"''"' 00 00 N .-1.-1 .-1.-1 .-1 N .-1 .-1 N 0 0 0 0 0 ..:1 ..:1 '" '" '" Z Z '" '" '" '" '" ~ ..:1 ..:1 '" '" 0.. CIl 01 u " .Q " '0 .lo: Ul Ul Ul Ul Q) QJ :> :> \.< \.< Q) rl \.< tn <: rtl 0. rl u " .Q " '0 .lo: u " .Q " '0 .lo: u " .Q " '0 .lo: ~~ ~ :>: 0.. :;: 0.. ~ ~ "''"' .-1.,. .-1 M M .,. o .-1 '"''"' NN r- N M o r- N 00 N '" N en E-< Z W :;: Z:;: 00 HU E-<' 0.. en HE-< 1>:..:1 UD en en WW 01>: E-< 0....:1 enD zen HW I>: 00 WW E-<E-< enw W..:1 Do.. 0:>: WO ~U o en , 0.. >< E-< .Q 0. , rl rtl <: .... '" en <I: >< ..:1 I>: <I: W en <I: Z 0 Q) H rl E-< \.: :;: o U .~ , ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 07-00000949 Date 2/18/09 Application pin number 565845 Property Address 1010 CATHLEEN ST ASSESSOR PARCEL NUMBER: 06-30-01-7-7-0030-0000- ~.e. \ Tenant nbr, name GLENN-TERRA, INC. ... 0' 'S~Ue4' Application type description RES NEW SFR ",q /01 .., r. S \ ~ c... Subdivision Name . . . . . . U '-'\ IJ-I "" I(tl.. Property Use (f\ \ 1..eJC) _____;~~~~~;~~~~~~;!~~=~~~__________~::_~;;~~~_:::~~~_~~:~~____________~~ (;\~V\' Application desc 2037 SF SFR, 440 SF ATT. GAR., 72 SF COVERED PORCH ---------------------------------------------------------------------------- ~ e,j... au.) '(\ C\\(i,n~ ~c);Ol{' ~ (,0'(\ \~-oq 0""" Owner Contractor NICKERSON STR ASSOCIATES, LLC PO BOX 80565 SEATTLE (206) 784-9019 Structure Information 000 Other struct info . . WA 98108 PRO-BUILT CONSTRUCTION LLC 13410 111TH ST., COURT EAST PUYALLUP WA 98374 (253) 848-0842 000 2037 SF SFR, 440 SF ATT. GAR. & 72 DECK TOTAL % LOT COVERAGE 28.00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS V-N 2.00 9001.00 2549.00 2549.00 1.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 2037 SF SFR, 440 SF ATT. GAR 109058 1389.85 Plan Check Fee 9/07/07 Valuation 4/22/09 .00 165272 66.00 BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) Extension 1020.25 369.60 Qty Unit Charge Per 109074 129.50 9/07/07 4/22/09 Plan Check Fee Valuation .00 o hhqled de -2 2..0 '1 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.7000 EA ME-FURN/HP/FAU < OR = 5 TON 14.70 6.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 43.50 1. 00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 1. 00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting ofa 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnslBuilding Division/Building Penni! l t BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footinqs Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rouqh-In Water Line (Meter to Bldq) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL: Walls I I Ceiling FRAMING: Joists / Girders / Under Floor Shear Wall/ Hold Downs Walls I Roof / Ceilinq Drywall (Interior Braced Panel Only) T-Bar INSULATION: Slab Wall I Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rouah-In Gas Line Wood Stove / Pellet/ Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parkinq / Liqhtinq I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW / Enqineerinq 417-4831 Fire 417-4653 Planninq 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit .~ f ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page Application Number . . . . . 07-00000949 Date Application pin number 565845 Permit . . . .. PLUMBING PERMIT Additional desc . Permit pin number 109066 Permit Fee 177.00 plan Check Fee Issue Date 9/07/07 Valuation Expiration Date 4/22/09 2 2/18/09 .00 o Qty Unit Charge Per BASE FEE 14.00 7.0000 EA PL-PLUMBING TRAP 1. 00 7.0000 EA PL-WATER LINE 1.00 15.0000 EA PL-SEWER LINE 1. 00 7.0000 EA PL-WATER HEATER Extension 50.00 98.00 7.00 15.00 7.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). Electrical load calculations and elctrical permits are required. Customer connection fee $713.00. 08/17/2007 11:30 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 713.00 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1696.35 1696.35 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2947.50 2947.50 .00 .00 Grand Total 4643.85 4643.85 .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 has commenced, or ifrequired 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 oflaws 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnslBuilding DivisionIBuilding Pennit BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rough-In Water Line (Meter to BldQ) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists / Girders / Under Floor Shear Wall/ Hold Downs Walls / Roof / CeilinQ Drywall (Interior Braced Panel Only) T-Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts RouQh-ln Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab BlockinQ & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking / LightinQ I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Enqineerinq 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 02-2..7- DC( (j [L, 5 ee.. thre p rev} OU S fev- h'd+ is s ve.J o~ -0' -07 +n G l.en t1- T-e.Y''V't1.)::Jfi L . fr> r ,n S pe...t:H 0 ns fYI' or --to 02 - 2.7- <Y1 A T:Forms/Building Division/Building Permit (> . --l \ ~ ~ -D o .-- o ~ r ~ VJ ~ ~ " VIKING BANK AdminiRtrntion Tel (206) 298-2028 Fnx (206) 283-0158 4 Nieker,!)n Street Suite 200 Seattle. WA 98109 www.vikingbnnlc.com TO: Linda :Pangrle FROM: Brian Robinson COMPANY: City ofPA Public Works Dept SUBJECT: Cathleen Estates PHONE: DATE: 2/18/09 FAX: 360-417-4711 PAGES: 2 Linda, Here is verification that Pro-Built Constru.otioT.l, LLC, is serving as general contractor for the Cathleen Estates subdivisions. Thanks, Brian Robinson Assistant Credit Administrator Ph: (206) 298.2028 Fx: (206) 283-0158 Emai1: brianrltUvikinJ:!:bank.com The information contained in this transmiuol moy be privileged and eon (idcntja! information intended for rhe named recipients only. I[you are not the Intended recipient or the employee or ngcnt rcspon~ibJe to deliver it to the intended recIpient, you arc hereby notified that any dl";cminntion, c1i~trib\ltion. or copying oflhis eommunicotion is Slriclly prohibited. tfyol1 have received (hi:; lr811smittal in war, plen.qc immedi8tcly notify IJS by tole phone. . W VOONG BANK 2067849019 2067l!3 li.95~.. Admini.muiun -i Nickcrmn ~trl:el Suite ;>'00 I~O. Box 19087 Scattlc. WA ')8109 www.vildngb<lnk.r.om !.fJ''td. Pcr.r017.d.lizid. Cu.rt(17tJt!r. DrilJc7~. February 17,2009 City of Port Angeles Public Works & Utilities Department 321 East Fifth Street Port Angeles, Washington 98362 To Whom It May Concern, TIus letter is to serve as notice that Pro-Built Construction, LLC, has been retained by Viking Bank to serve as general cOlltractor to coordinate and complete the construction of the Cathleen Estates subdivision. The subject properties are listed as follows: Address 1002 Cathleen Street 1. 006 Cathleen Street > 1010 Cathleen Street 1 0 14 Cathleen Street 1104 Cathleen Street 1108 Cathleen Street 1109 Cathleen Street 1105 Cathleen Street 1015 Cathleen. Street 1011 Cathleen Street 1003 Cathleen Street Parcel No. 0630017700100000 063001.7700200000 0630017700300000:\:!. en - 9Y 9 0630017700400000 0630017700500000 063001.7700600000 0630017700700000 063001.7700800000 0630017700900000 0630017701000000 0630017701200000 Nickerson Street Associates, LLC, is a wholly owned subsidiary of Viking Bank. and is the legal owner of the above listed properties. In accordance with Pro-Built Construction, LLC's duties as general con.tractor, please extend Pro-Built Construction personnel every courtesy with. regards to accessing pennit data, inspecting and issuing permits, and any other steps as necessary to complete construction and obtain final approvals for the above listed properties. Thank yo~ b-~ J3ri.an Robinson Assistant Credit Administrator A ..~ l~qlJl\!. !.llHI:,I:\Il: 1.I~~'~_':_i MEMUhli. fP:l: Street Lookup Parcel Number 0630017700300000 Site Address: 1010 CATHLEEN ST PA I Quit I Taxpayer: NICKERSON STR ASSOCIATES, LLC PO BOX 80565 SEATTLE, WA 98108-2406 Title Owner: NICKERSON STR ASSOCIATES, LLC PO BOX 80565 SEATTLE, WA 98108-2406 Description: CATHLEEN ESTATES V15 P21 LOT 3 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 75,000 Improvements Value: 195,900 Total Assessed Value: 270,900 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 1113 THREE BEDRM Land Size (acreage): .21 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bldg. # for more details.) 1_ Bldg,-TYP~L_ Bldg. Styht________ Io_taLS.,.E, J~J:t J~A_ 01 House Two Story 2126 3 2 Tax History Sales History Other parcels at this address: I Quit I http://apps.clallam.netlwebsite/sitis_s.pgm?address=101 0 &street=CA THLEEN ST Page 1 of 1 ... 2/17/2009 ~.. ~_ -~~_ ..-:o~ ~,: ~~~ ......."'... ::?,,"';:-..;:-~ - .~. ~___ ~ ~ BUILDING DIV~SION c_ ~ CITY OF PORT ANGELES * * Correction Notice Job Located at / tJ / {;J C,4JJf L{i:C~ Sr Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ;/J,c {if .;:;;. )l5l1wlfold ~pa> #- 1Z ,f/lf/J}"L .4&/ ~ /Ih~~-; /1.0;1' o~ .7ZJ ~741/ J/I/tJ ~o~~/J. -r&a' )0 IL- Mn;/:; 1::~0' >0 These corrections must be made and are not to be covered until reinspection is ma~~hen/9orrectjons have been made, please call ~- W<;r for inspection./7/~ Date /0 ',?J O~ /}::q 7 /~ / Inspector for Building Division DONOTREMOVETH~TAG N'" o , '" N , o ..... 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Application valuation 08-00000287 Date 971719 1010 CATHLEEN ST 06-30-01-7-7-0030-0000- ELECTRICAL ONLY 3/11/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor Glenn Terra, INC> 136 e 8 st 11223 PORT ANGELES WA 98362 ABSOLUTE AIR INC. 2820 E. HI-WAY 101 PORT ANGELES PORT ANGELES (360) 452-8444 WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc ~ Permit pin number 122275 CY Permit Fee 35.00 Plan Check Fee .00 Issue Date 3/11/08 valuation 0 - Expiration Date 9/07/08 c::J- Qty Unit Charge Per Extension 1. 00 35.0000 EC EL-LOW VOLTAGE 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 \\ ::\ J:: I ~ ;> --- . . 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N 0 0 0 ~ H H .... <I; ..:l ..:l III III III CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001381 Date 12/10/07 551940 1010 CATHLEEN ST 06-30-01-7-7-0030-QOOO- GLENN-TERRA, INC. FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 3075 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST., #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 INSTALL FIRE SPRINKLER SYSTEM Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID FIRE SPRINKLER SYSTEM 116251 50.00 Plan Check Fee 12/10/07 Valuation 6/07/08 .00 o Qty Unit Charge Per BASE FEE Extension 50.00 Special Notes and Comments Call for cover inspection for all sprinkler installations. A full acceptance test,w.ill be required for all fire alarm systems. December 3, 2007 12:09:06 PM kdubuc. Add protection in the foyer. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 />1 J2 6, ~V ~~. (; 'cfl This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examinro this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the pennit. 1 )/:~o(oA +4.18 .eiL-i-// }Z'?O)OO;J .. Signature of Contractor or Authorize Agent . /Dat;/' , Signature of Owner (if Owner is builder) Date ... ......l I 5 , - VJ Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate \f::J. - or conceal any work before inspected and accepted. Post permit in a conspicuous location. FIRE PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final 1(0-2..4-0& KDI J FIRE ALARM Rough-in inspection Alann final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # I Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments - o - o ~ -- ~ If) 1- 2/15/00 :n ~ V') -0 }~ :5 ^ - ~'- GENERAL COMMENTS: r ,......"" ''',",,-'' '.~ t l ~ i t' ~." . ... ;." .. .. . .' .. BUILDING DIVISION CITY OF PORT ANGELES * * Job Located at 'Correction Notice (' ~~. Ie,,) I )0/0 . Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: e l>L I I 4, 'J!., a VI f'.. ~.- - --;--(L t::; -h A ,,,L c; ~~ MOJA- .s, R tJ -"2 "--, .~ r::-/ " t4 ~ ~'t&YbJe ~H I 0tl-oCG f?(l jl-I/&; r- These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call L ( I I - L /0--/ f- for inspection. Date 1;2 / l/ It: ] I I bx h ;(J ",( j Ib-d ~ DO NOT REMOVE THIS TAG '" . .,.r- o "- '" o "- N .... 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N o .... .... o 0 '" ..:I <Xl 0: H .., ..: ..:I <Xl <Xl cn 1-< Z ol z~ 00 HU E-<"- o.cn HE-< 0:..:1 U::> en en Olol 1-<00: i Pol E-< 0...:1 15 en::> zen HOl ~O: ~Olol :EE-<E-< cnOl ggJi 0:>: r>l0 o:u ~ I- Ol~:X:O :>:ocno: a r- o "- '" o "- N .... o cn "- 0. >< E-< .... o .... ol :E en ol E-< o Z o ~ en E-< Z ol :>: :E o U ... 07 - (~3 ( PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private residence Address: 1010 Cathleen Street Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13RO 13D[g] - Date: 12.3.2007 PAFD Permit #: 07-39 We have checked this plan and find that it conforms to the requirements of the code. 1) Provide sprinkler protection in the foyer. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 130 systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 130 system will require a measured flow test. Contractor Reviewed by: _~<.D.~.~ Date: lZ'1'o7 o ~ o Building Department Fire Department ,- \Or- o ...... \0 N ...... ri ri "'''' t'JE-< <(<( o.Q 00 00 riri 00 . , III III \0\0 III III >< ..:I D: '" H ..:I E-< "'Ul ~'" ~~ E-<'":l Z -- OD: HO E-<E-< UU "'''' 0.0. UlUl ~S 00 \0\0 "'''' ;': Q gJ Ul "'''' ZZ 00 :I::I: 0.0. o '" 'D: 00. oul o 03: .", - 0 Z E-<UUU'" UlZZZOul HHHOOO Z , D: '" - r- "'<(<(<(, '" H~~O::r--~ ::r: 0:: 0:: 0:: 1m f-lOOMM...-IQ <(E-< E-<E-< 00 tJ I I I I 0 o~!g~~;; ...-I M M M I I OHHH\Dr-- ...-iOOOOO o N o riUl '" -..:I r-'" 0t'J :;~ N ......E-< riD: riO 0. Q "'0. ~O <( 0.>< "'E-< D:H o.U D: ~ -Ill ~ - '" ZO III g)r:~ ..:I~ ~~~gj~..:I Q~15~~g: ~E-<uoo.<( ul E-< Z '" ::;: Z::;: 00 HU E-<...... o.ul HE-< D:..:I U::O UlUl "'''' QD: E-< .... ~o.~ P<ul::O Zul t'JH'" :z; D: .... ~QQ ..:I"'''' P<E-<E-< ul'" g~p; 0::;: "'0 ~U ..:r P< '"' i P< III III >< .. ..:Iri 0..,. 0. .. ::0 co ul r-r- 00 ............ "'.,. 00 ............ 00 riri o UJ ...... 0. >< E-< ri ri o 0 \0 N ..:I ..:I 0. 0. OJ .... H 01 a <1l Po .... OJ .... H 01 s:: <1l Po .... ~ ~ M ri o M ul '" E-< o Z co ~ "'Zr- t'J ZHO Z r-- H 10 H 0::0 H:I:N o:l ~~~~g ~~~ Id:: COHOl..O<Q'H ~ .....-to.dl::NMO" M 10.. I t'J r-::Ot'JHOZ Zlo-lf"-CJ)ZQ,ll'H ~~~o::~~\D~ ?i2f3~?i~~g ..:I UD:<(..:I 0<(0 o.Ot'J3:o.Z'":lD: ul E-< Z '" ~ o U III 0. 0.<( I DATE: 1(- 2-/' -07 ~ El ~ FIREDEPARTMENT o PLANNING DEPARTMENT o PUBLIC WORKS/ENGINEERING DIVISION o LIGHT DIVISION o ENERGY o ENGINEERING 0 o POLICE DEPARTMENT o ADMINISTRATION o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUlLDING DIVISION I RE: ADDRESS: lOlO CO..th~€;e-V1 Sf- NAME/CONTACT: V \"YlCenf- Beo-H 3-.eJr PHONE: 41:) 2- - 7 55? 3 PERMIT NUMBER: 0 L - l3 2 t PROJECTDESCRIPTION:---.f(e.5, Fi're. Sph'n f<Le.r- ~ S~ ~ NEW CONSTRUCTION o ADDITioN/ALTERl1ATION COMMENTS/CONDITIONS: ~VIEWIRETURN o FILE ~.fTr-t,) 0 i - ~ BUILDING PERMIT - APPLICATION FOI: OFFICIAL USE ONLY: Dale [tee.: \ \ - 2.b -07 l'cnnilli 6i-l'?> R" 1 Fill out COMl'LETEL Y and in INK. Your application and site plan MUST BE COMPLETE to he accepted for ,'eview. If you have any questions, caU PERMITS (360) 417-4815 FA.X(3(iO)417-4711 Dale J'.pprovec: Uale Issued: Applicant or Agent: ~ 1(..,- Phone: LIS' 2.. - 7S83 Owner: G l-e '^ """- T -e V- V "- T ""-~ Phone: Address: 13G E e..J..'--t #-2.<-3 City: ryov-d- /J L-,j .e"lIL...r Zip: D;Bs(O <- ArchitectJEngineer: Phone: Contractor /N/Vdil/J.-T-GO FJR.~ State License #://Y/vOJ)~...sCJ"'iO/lJ3.xp: ~../J%102lPhone: GIS:Z-7S E-J Address:<:91 /1).e,,'-'U h2~u~ L,qty: ~v.J /).t-.J.f./lw Zip: '183'-b:2.- PROJECT ADDRESS: 10/0 c... c.. 1- 1., 1-e....I2.. '-l.. S 7- ZONING: , LEGAL DESCRIPT10N: Lot: _ 1 Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: ~esidential D New COliStr. D Re-roof D Stove D Multi-family D Addition D MoveD Garage D Commercial D Remodel D Demolition D Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: SIZEIV ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ k' CJ 75". 0 () '7 '-L..J" ~ /1 F,' V-J<.. oS cP......:...... . ,-- S'7 ,) -J-e w.-, COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft Occupant Load: & Proposed Sq. Ft % Construction Type: = TOTAL Sq. Ft PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ VALUATION OF CONSTRUCTION: In aU 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. EXPIRA. TION OF PLAN REVIEW: If DO 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 BuildingIResidential 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 I must obtain such permns prior to "':'t -'- T:\FORMS\BJdgPcnnitform.wpd Applrcant: ~-;) I JJ-PJ)L", L Date: J 1/ I '7/ () 7 r-r- o , ri o , ri ri WW l'JE-< <(<( 0..0 00 00 riri 00 , , ltlltl IDID ltlltl :>< ,..:j I>: W H ,..:j E-< WOO lGW ~:ii E-<':l Z 00 01>: HO E-<E-< UU WW 0..0.. 0000 ZZ H H 00 IDID ..,.., 2: o ~ (J) WW ZZ 00 :X::X: 0..0.. r- .,. II>: 0"- 000 o 0:<: IW . 0 Z E-<UUU.., OOZZZOOO HHHOOO Z , I>: W - r- ~~~~~~ ::x: 0:: 0:: 0:: .0'\ f-l~~~,.....jO ~f-lE-4f-lOO U I I I 10 O!a!a!a~g ..-i M MM. I O~~~I.Dr-- r-it?t?t?oo .,. ri o riOO W -,..:j r-W 0l'J ~~ o 'E-< ril>: riO 0.. o W"- 1>:0 <( 0..:>< WE-:H o..U I>: I>: . OJ I>: . W ZO OJ 00 -tJ .~ OOE-<<( ,..:jZ ~~~&irJ,..:j OZZZl>:o.. ~~8~0':~ , , , , I I I , , , , I I , , , , I I I I I I I I I , '0 10 O'\Q) QJ I .. 0 r-l r-l 10'\ lo.l lo.l I 0 .. O'l en I M I:: !::: I .. 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'"' ~ ul M E-< o Z o ~ M Z H ...:I ul E-< Z M :;: :;: o U E-< ~ ll< '"' o o ul , 0. >< E-< \D ...:I 0. ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000949 Date 10/29/07 565845 1010 CATHLEEN ST 06-30-01-7-7-0030-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 165272 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST., STE. PORT ANGELES (360) 565-0100 Structure Information Other struct info . . 000 GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 000 2037 SF SFR, 440 SF ATT. GAR. & 72 DECK TOTAL % LOT COVERAGE 28.00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 223 WA 98362 WA 98362 V-N 2.00 9001.00 2549.00 2549.00 1. 00 permi t . . . . . Additional desc .- Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL. SVC./ 2477 SQ FT SFR 114033 ELECTRIC SERVICE 135.00 10/29/07 4/26/08 Plan Check Fee Valuation .00 o Qty 1. 00 3.00 Unit Charge Per 69.0000 ECH 22.0000 5C Extension 69.00 66.00 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). Electrical load calculations and elctrical permits are required. Customer connection fee $713.00. 08/17/2007 11:30 AM GMCLAIN ---------------------------- sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. - Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees SEWER SYSTEM DELVCHARGE 1000.00 ""'"'- G' - () (\ ~ ~ &\ (' - INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL COMMENTS: L I ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 07-00000949 Application pin number 565845 Page 2 Date 10/29/07 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1230.00 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 135.00 135.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 Grand Total 2369.50 2369.50 .00 Due .00 .00 .00 .00 SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH A-L SERVICE aJL} Dc rAP OUGH - IN r2-- FINAL OMMENTS: "'r- o , .-< o , o .-< t>lt>l Clb <(<( 0..0 00 00 .-<.-< 00 , , "'''' \D\D "'''' >- ..:! ~ t>l H ..:! b t>loo ""t>l ~~ b,:> Z .. O~ HO bb UU t>lt>l 0..0.. ooUl ZZ H H 00 \D\D M M ;': o ~ 00 t>lt>l ZZ 00 "'''' 0..0.. 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I M O>:H ~rilO:3:";o. >< I -l o.U E-<UOo...; '" E-< I III . _~ ,ORT ~ ~U'~~'1. ,. ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 J -_ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 9/07/07 07-00000949 Date 565845 1010 CATHLEEN ST 06-30-01-7-7-0030-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 165272 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST., STE. PORT ANGELES (360) 565-0100 Structure Information Other struct info . . 000 GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 000 2037 SF SFR, 440 SF ATT. GAR. & 72 DECK TOTAL \ LOT COVERAGE 28.00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF .uNITS 223 WA 98362 WA 98362 V-N 2.00 9001. 00 2549.00 2549.00 1.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 109421 230.00 Plan Check Fee 9/07/07 Valuation 3/05/08 .00 165272 Qty Unit Charge Per "Extension 230.00 BASE FEE Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 109413 120.00 9/07/07 3/05/08 Plan Check Fee Valuation .00 165272 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extension 120.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be 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). Electrical load calculations and elctrical permits are required. Customer connection fee $713.00. 08/17/2007 11:30 AM GMCLAIN ---------------------------- ,Sanitary sewer connection inspection is required by 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 er 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 T:\Policies\1102.15R [1/051 L PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, -f INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] . _c.'PORT~ (;U~~~ ,. ~ -- "tttC~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000949 Application pin number 565845 Page 2 Date 9/07/07 Special Notes and Comments Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE. 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 350.00 350.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2584.50 2584.50 .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 180aayS 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 w her specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of an state r local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\1102.ISR [1/05] '1 PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ,. " KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Po1icies\1102.15R [1/05] ~' dI'ORT.......q l~~~ ,.~ ~ "".~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ()744 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name property Use Property Zoning . Application valuation 07-00000949 Date 565845 1010 CATHLEEN ST 06-30-01-7-7-0030-0000- GLENN-TERRA, INC. RES NEW SFR 9/07/07 RS9 RESDNTL SINGLE FAMILY 165272 /t///)~ 6~ Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST., STE. PORT ANGELES (360) 565-0100 Structure Information Other struct info . 000 GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 000 2037 SF SFR, 440 SF ATT. GAR. & 72 DECK TOTAL % LOT COVERAGE 28.00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 223 WA 98362 V-N 2.00 9001.00 2549.00 2549.00 1. 00 plan Check Fee Valuation ,00 16527i ~ j .DV \/ jo,7J Permit Additional desc Permit pin number permit Fee Issue Date Expiration Date PUBLIC WORKS 3/4" DROP IN 109421 230.00 9/07/07 3/05/08 RES WATER SERV METER BASE FEE . Extension 230.00 Qty Unit Charge Per Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 109413 120.00 9/07/07 3/05/08 Plan Check Fee Valuation ,00 165272 Qty 1. 00 Unit Charge Per 120.0000 EA SAN SEWER HOOKUP Extension 120.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. AI~ 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). Electrical load calculations and elctrical permits are required. Customer connection fee $713.00. 08/17/2007 11:30 AM GMCLAIN ---------------------------- sanitary sewer connection inspection is required by 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 orwork 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 he(eby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)' Date T:\Policies\1102.15R [1I0S} ~?C'''r~ lC'~~'t. r. ~ ""<- CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000949 565845 Page Date 2 9/07/07 Special Notes and Comments Public works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and ,Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------- ---------- Permit Fee Total 350 .00 350. 00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234 .50 2234.50 .00 .00 Grand Total 2584 .50 2584.50 .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 suspendedor 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102.15R [1/05] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . .. . . . . J 0 I D ~ xft;;.u:t ~eCbt '"'R<IES1 Phone No. 477-18b2.-..- Permit No. D744:zt REQUEST: /v-~ -01 Date Time Received by Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): (Sevoundation Framing Chimney. Plumbing -r- ,...... I I (phone. person) Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date J tl -3 -07 Time By Remarks: fi re11 -fo YnP4 ">q re t7 /J d 9 / ve.- ~~ 14 .5.r~ n>-~~{)7 141-. M::> 'Pf.A.o-fc's New se..ve.r ;:..o",,,,ed.'ov\ to e)(;s1:"5 "" PI't laf.eYcj GtT ~of>evty ,,'we... Ne.w "f'l' pvc. s-/s"""tkof N t.- ,orc>~eAy Cc.,,€.v- -/0 lIokS<>- , , ' RESTORATION REQUiRED...... YES 'PIt-- ;;> ~,' 1.......9' ~.J .' N"~ "PVe... '-17-' -<>tG! I C\O c...cj",,-'Q..%""- lL- "f"-'''''') rt~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC , 11: 0 Repaired by City Work Order # ~ [] Repaired by Permittee 0 COMPLETE o No Damage Found 0 INCOMPLETE ILjy.f(P NO >Z N t \!LeV' C. 6.~" It>>' '"'---- ~MIH o Other (Continue on reverse side if necessary) (DATE) STREET SUPERINTENDENT r::. . I fI. 0 /VI . ~A!\J CROW I/?/O! j .-- "">.j I ~ \ C 4 \' ;,. 1\ I,ll-' L ~ ~~" \ f-? '2-- <> o i c ~ " l-jS ~ "\ ~' ~' y~t ~ l~ i<O~.j "sJ! \ si v-S )'J ~~o~~ ~ ~ ~()(, ~~ ,\e.. "J' 10 I D trtTHLE.CJJ ~ 7', L LoT ~ ) G L.E:NAI- T'i R-Rrt):I:" NC--, ..~:,,~~~~ ~~~,./;;j;...~,/ ,,,:~,, . 4'" "':'; ... ,- ",'~~;I ~; < ~ ' ,1'.- ',.r',:,. '/r"-'~",~,:~~!p .;f'.... ';:'~i;';~'. )0 10 c.ttl H /...i'E ~NS.-r. ., ",j', - ~~':'l:":-' >;It'''+r~\:-, ~r ~\:,;:--... . ',..""U'l" i-" ,.,;...~ ":, ..:~v,,\""'..-t.:.::'" .........T.'., , "._._ ...:~ .". .~ " "'k''' :'':i! h: ~ ',y; / , '-~ /0/0 CAIH L.6E.N S-r; APPLICATION FOR WATER City Water Division, Port Angeles, WA Issued date: q-o 7-0 1 Installed by & date: 71<6 ,-10-0/ Permit # 07- q..q Cj I hereby apply for water to be Furnished in accordance with rates and rules of the City for the following premises: 3t;,o-Zo.q-lo11 6-(p5" - 0 I 00 ~.:li; /OID('I(~lpPh MailingAddress: \::Sl, E8- 2.2.3 Add: Ca..M-. k"", r'.:>( Parcel #: t"':M ~ 00 J - 7 7-DD30 I F (;(07 lCO Z4v/o #: - ees: q, 'Z~ :/1 'Z8D Applicant Name & Phone: aIPJ1h 7er-rt:{II?c- Site Address: Elk: Lot: Z~2; Restoration Required: Remarks: N {;:::-o N .:;, ~\ s= . " "- .) eo w E I c.) tvt \ s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . ,/ REQUEST: Date /0 -20 '"' 08 Time Received by i2. V (phone, person) Location of Work to be inspected / D '0 C a fk leeM S t Name of person requesting inspection 5 Ji.cu.LA. ~"'"ow Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. C:l7 - <J l..J 9 Sewer Foundation Framing Chimney Plumbing cfi~ Sewer Excav. Other INSPECTION NOTES: Inspected: Date In'" 2../- a~ Remarks: Sewe ,.. I () - s. - C'7 ~;\Sf'"'u.,-t:S i.. l>.lQ...Q..f 'hole.. \ '" c u /"'-6 By Rv , 6t< NO . X Time RESTORATION REQUIRED . . . . .. YES SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC 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 (DATEI of'ORT~ t:~. L -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TIISTREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000456 Date 923704 1010 CATHLEEN ST 06-30~01-7-7-0030-0000- PUBLIC WORKS UTILITES 5/01/07 0/-45 7JeIt IOID~ RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 133 MARIAH WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit . . . . . Additional desc Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY DRA PROCESSING PERMIT 100529 .00 Plan Check Fee 5/01/07 valuation 10/2B/07 ..00 o Special Notes and Comments 04/30/2007 11:42 AM RVESS -----------------------------~ ORA 2005-1A $954.15 + City Admin $52.05 ORA 2005-1S $615.18 + City Admin $33.57 Other Fees CITY ORA % DRA FEES PLUS INTEREST 85.62 1569.33 Fee summary Charged Paid Credi ted Due Permit Fee Total Plan Check Total Other Fee Total Grand Total .00 .00 1654.95 1654.95 .00 .00 1654.95 1654.95 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, uUlilies, 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 granUng of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. . Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1I05J :f ~ORr ~ tO~~~ 11-- I' 'EiI .. ~ ---- ~IC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 07-00000949 Date 565845 1010 CATHLEEN ST 06-30-01-7-7-0030-0000- GLENN-TERRA, INC. RES NEW SFR 9/07/07 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 presume to give authority to violate or cancel the provisions of any ate r local law regulating construction or the performance of construction. 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 165272 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST., STE. 223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 Other struct info . . GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 000 2037 SF SFR, 440 SF ATT. GAR. & 72 DECK TOTAL % LOT COVERAGE 28.00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 V-N 2.00 9001.00 2549.00 2549.00 1. 00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 2037 SF SFR, 440 SF ATT. GAR 109058 1389.85 Plan Check Fee 9/07/07 Valuation 3/05/08 .00 165272 Qty Unit Charge Per Extension 1020.25 369.60 BASE FEE 66.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 109074 Permit Fee 129.50 Plan Check Fee .00 Issue Date 9/07/07 Valuation 0 Expiration Date 3/05/08 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70 6.00 7.2500 ECH ME-VENT FAN 43.50 1. 00 10.6500 ECH ME-OTHER APPL. N/R 10.65 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 109066 177 . 00 9/07/07 3/05/08 plan Check Fee Valuation .00 o Qty Unit Charge Per Extension Signature of Contractor or Authorized Agent Date T:\PoliciesIlI02_15 building pennit inspection rccord05.wpd [1/4/2005] cr} Date BUILDING PERMIT INSPECTION RECORD CALL 4] 7-48 15 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFOR~ INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTlON TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRATt,AGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.J PLUMIlING UNDER FLOOR / SLAB ROUGH-fN WATER UNE (METER TO BLOG) GAS LlNE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALIJHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL ROUGH-fN HEAT PUMY lFURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING 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 ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT . CONSTRUCTION R.W./PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNfNG DEPT. BUILDfNG 417-4815 BUILDING T:IPoliciesll J 02 15 building pennit Inspection record05.wpd [1/4/2005] ~ ~ORT ~ ,.;lO~~ ''''h~~ iif'~ '"-~ ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32 I EAST 5TH STREET, PORT ANGELES, W A 98362 11 Application Number Application pin number Page Date 2 9/07/07 07-00000949 565845 Qty Unit Charge Per BASE FEE 14.00 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 Extension 50.00 98.00 7.00 15.00 7.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). Electrical load calculations and elctrical permits are required. Customer connection fee $713.00. 08/17/2007 11:30 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1696.35 1696.35 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 3930.85 3930.85 .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 s e r local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] q -c~. ~..{:-~ I BUILDING PERMIT INSPECTION RECORD """"-. -~ ~<:{ CALL417-4S15 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. _~ ~ ~, CALL 417-4807 FOR PUBLIC WORKS UTILITIES . 0 i./::. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK EEFOR~ ,..J INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. Q) KEEP PERMlT CARD AND APPROVED PLANS AT .lOB SITE. I ~ i ~ INSPECTION TYPE DATE ACCEPTED COMMENTS !. YES NO t.p.. FOUNDATION: V FOOTINGS l11-z...1 ( O'l :SCL. SieMwtt\\ 'D/O\JCn JL.L .J SHEAR WALLS / WALLS I ...J FOUNDA TJON DRAINAGE I DOWN SPOUTS lo-o3-6'l pp, :' PIERS \J ~ POST HOLES (POLE BLDGS.) v\ tI\ PLUMBING <( UNDER FLOOR / SLAB ~ ROUGH-IN 11-'2h-DI :ILL WATER LINE (METER TO BLDG) '0 -/)3-D7 Pri: GAS LlNE FlNAL t 0-24'" ~A TE ~JS ACCEPTED BY: ~ l:) BACK FLOW I WATER ~ AIR SEAL i21 Illn, -:\LJ- ~ WALLS , CEILING - FRAMING I J...llll 0' ":)t,L- "2 JOISTS / GIRDERS l ~ SHEAR WALL/HOLD DOWNS WALLS I ROOF / CEILING a- DRYWALL (INTERlOR BRACED PANEL ONI. n 0 \ T-BAR t1J INSULATION \"z-/ul en -;r t..-(,., - \ SLAB I '" I 0 WALL / FLOOR / CEILING ~ MECHANICAL ROUGH-IN l2.r(l-c>t ::n.L- ::> (j\ HEATPUMY/FURNACE/DUCTS V\ if -~-OS? -:T/l FINAL I O-llf-o& DATE PB ~- GAS LINE ACCEPTED BY: + WOOD STOVE / PELLET / CHIMNEY ,. -' f MANUFACTURED HOMES .~ ~ FOOTING / SLAB 0- BLOCKING & HOLD DOWNS ~ SKJRTfNG PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKING/LIGHTING ESA: ~ LANDSCAPING SHORELINE: ::) FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE Q) RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED ...c + YES NO Q) ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL Q) LIGHT DEPT V) CONSTRUCTION R. W. /PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING * FIRE 4J7-4653 FIRE DEPT. PLANNING DEPT. 4J 7-4750 PLANNING DEPT. BUlLDfNG 417-4815 ~. BUlLDING o o n 5t I ~ z: t \f) ? T:IPolicies\] 102 15 building penni! inspection record05.wpd [1/4/2005] Owner: Address: Address: ..PROJECTADDlillSS: .. .,.... .-....,...,.."1........:: . .-. '. ....~.: .; '.~'.~.'" LEGAL DESCRlPTION: Lot: CLALLAM COUNTY P MCEL :,," . Credit Card Holder Name: Billing Address: Credit Card Type VISA Mcl # Tl'PE OF WORK: I XResidential ~w Consb:. D~. e-roof o Multi-family 0 Addition Dove . o Commercial 0 Remodel 0., emolition o Repair 0 Jign BRIEF DESClillTION OF THE P _jOJECT: City: Exp. Date: 1&';)-:2.12. I COMMERClAL/RESIDENTIAL: occupan~ Load: cdnstruction Type: V N . . . No. of Stories: z... Lot-~e: Existing Sq. & Proposed Sq. Ft. 2. fS.illt1 ~OTAL S9.. Ft. 2.1~ Totallotcoverage~ 1 ~,-r(l)~ P~~~-~-?~Y~~l-- ------i i ~tALs: -l FIDE: ESA/WetIand(s): 0 Yes 0 No SEP Checklist require . 0 Yes 0 No Othelj: OTHER:_ VALUATION OF CONSTRUCTION: In all cases, a v 1 natlen amenn' mnsLe ""ered by the aLliC_ This fign" will be -reviewed and may be revised by the Building DiV~iO~ to co~ply w~~ _ llP". en~ fee schedu~es. ~onta~t t~e penni: Soor~ina.tor at 417 -4815 f~r assistance. PLAN CHECK FEE: IF. a plan check ee lS dnelt must bs*bnntted at the tune ~he buildmg pemllt ~pplicatlOn and cOnstruChOIl plans are submitted. All other permit fees are du at the time of perrlntissuance. I I EXPIRATION OF PLAN REVIEWi Uno permit is issded within 180 days ofjthe date ofapplication, tile application will expire. The Building Official can extend the time fi r action by tile appl!cant up to 180 days upon written request 9Y the applicant (see Section Rl 05.3.2 of the International BuildinglResidenti I Code, 2003). NotpPlication can be extjllded more than OllCF' I hereby certify that I have read and exa ed this application nd know the same to be true and correct. I a~ authori?ed to apply for this permit and understand that it is my respons ility to de e mine at . s re uired ,not the City'1. and that I must obtain such permits prior to work. J A I Date:LctI1~J 1'1) foD 7 i I SllEATALUATION: . ~SF.@$ 7t.()~ /SF.=$ ~SF.@$ 7_1,516 /SF.=$ _~~SF.@$ I"L,OS ISF.=$ tOTAL V ALUATHbN $ I , T:\Policies\BL-II02_13.wpd j~ '- F'ND. '2" BRASS CAP, STAMPED ~:n-NES~~;.~:;344. ~ FND ;112. :~:~4, ;~~~ . ~6~(~ ~E~~j , FWlN] i!l KIm BRASS NAIL ::.;, ]~ n.... r=- ~ + --;;;;;;:- T~_N!2:;~5;~~W ~ '~:S~:'--:r _ I 30' I 30' ~ 0' r'-'-'" 1"-'-', , I I . /!,@'f( N' 25' 5 . 1LIff/'f( N:?I 25 I I .:' I j~ t~~~D~~Fr ~ ~: t~~o~O(r ~i I ';: . I ~ I 25' ! ! h I I , I '::) , ~ I ur _ . ~ ' ..J ':2 rB,r!'. _ , _ , j I "~' S 56'45'27" E ~ S 56'45'27" E ,,'/ I B' 100.45' l I r' 100.45"lB' I 'i':~ . 10' X 10' POWER 1 /!,@'f( aj 25' . Iii I. . I I EASEMENT (5' EACH ,~ 0001 SO,FT. ~ ~ ' ~I ~o~~TfSO.~~ ~I, SIDE OF LOT LINE) ,~'f r' oi 0)1 I' r' 0) ~ ,.... i (#1006) ,j D;) D;) i (#1007) j D;):~ I , 25'.. f5' . . 25', ~ '~'._._"J @',_, .J Is 56'45'27 E N 56'45'27' W ,-:-: I r ' lQO..46"l8 I . 100.46. 8' I ,', 4;\; -.;' I. i U'f( 3i 25';;:: ,I i U'f( N& a I I .;:,'-' ,', ~,-,.:;-:,. '.:. :O)~. ~007 50.FT ~!Jj ~I ~007 SO.FT- ~ I ,-:\ ',' ',' ,w' 0; UJ ~ ~ Of[ ".>' '(;',':;~".,\. " ID;),' (#1010 ),' D;) ~~ D;)I /' C #1011),' D;)I It... -\1 , f ";',' ,',:\'.' ";':, , I 25' ~'B' J' " , ' " " I-'?' I 5' '8 ~, J 25 I (;;~ 'i.Y I S 56'45'27" E ~ !1' 56'45'27" E I 8' . 100..46 100 A6' B' l I r.LU.!":u.!.'l . . 25' I 10' X 10' POWER 3::'. 25' I I EASEMENT (5' EACH I. I Il..(ffJTf .fA b ~ ,I I Il..ffl]Tf @ . I i" SIDE OF LOT LINE) l~ ~OOI SQ,Ff. ~ I;;' ~I ~OOI SQ.Ff. ~I ,~'J:l '" i (#1014 ') i '" ~ "'J I (#1015 ') i "', ;:/;!; 25' '. 1'5' . . I ~.r--. ~"-'_IJ I I~ J lI) N 56'45'27' W }/~6'45'271' W I ?': r 100,46'J :; 30' I 30' ':il C 100.46' ,B' : Sf:!;; I ~125'l U'f( 7i <So (; "':y! \U'f( ~ 25'1~ .., ~ I. 9z38 SO'fT. \92,18 SO,lT. , I;: ~I~ t r ~ ~ I -Ed \ #1104 ~ tJ ~ i f #11 05 ) d" a ~ I. J. I ~ , 10' X 10' POWER . -4 I B' . y 10 WID EASEMENT (5' EACH I I . ~E. - No..:;:. , I i I SIDE OF LOT LINE) I l%.;6B\~ Jt ..... B' J<:?)-.. . ~,' I 5' 2.) - " ~U'. y-...".9a J~ " I S j,B:~' \, /' '~.?J' "Jr . ~ I ' IBr' - fb@}Tf&"......J'~ Bi- / / U'f( 1 ')'1," LI 12465 SO,FT. "'2 12467 SO,FT, i~l I I~' (#110B) ~~I (#1109) ;(, ""L._._._._ '_'_. B':;J L '-'_'_'_'_ ._.JB! . <: I N56 '45 '03"W Kl it) 260.93' 130,46' C"l 130.46' I c -j'0D.9J' - -1, ~. ~ _ .~.o~:].. ..' - ---;'0:00' a :,t1l..'t{ 1 f'I.,,",, J L'J.-!-' c::i 8 10 CA T. ' TO ' PUB ~I. ~ C"l ~I~ r- ~ r:i~ U)/ I I I I I I 1 I I I POI1 ARE POR I , I I I , , , I I r ! . "-- 2 1f~. COF' ~ r---- ---------------------..---2a"' t I ~ .::r- i ) I i ( I I t,t)' ~.... a -..... L 1 , , 1\~Vtj f./Z 'N/~~ ~S ~ \z' N 2 cA;.f!- r .. .~ -~ N ~ ro~-:. ~ 12. " Z1- - . --------------------- " ~:' #".. ~ ~~F< ~ \ ~ L-~)- ~. -" gi.GO' ~ -- \) o . ~ f;' , I " -WL j' \<0 "0 JL l', CA-n.\ ~ FILE \ f~ "TV ~rORT ANGEL S - Construction f'1:ms T~~ IsslJan~ of this permit bi! ed upon these plans, specifi- cpllon, aM a.her ala S 1 ''', I"" "' '" ilding official i'"r.l thereafter requiring the correction of errors in SJid J' -,S, specifications and oU Jr data, or from preventing '1li!lrlmg operatinns being ca ried on lhefeunder when in "'81:tlO~, o! :i1 codes and ordinances of this iu~~~. ~,. ...L, I 1'4 ~.v .. n orm ~ d"fLl...-- By V/~ ~- - ~~~ S~fe> [/I~ MGl{. .~ ~~ tIJANT \. I' :",1 .. . . ...~ , ,:. '.", .' . ,/-,:,.,: nrml e azmg JpllOn ' n y Glazing Glazblg U-Factor Door9 , Wall wall Wall SIab4 i Option Area 10 V'"to] U- Ceiling2 Vaulted Above Int4: Ext4 Floors On Ceil:ing3 I % of Floor Overhead 11 factor Grade Below Below Grade Grade Grade ill Unlimited 0.4~ 1 @ ~ II @ Group R-3 0.58 :0.20 R-30 R-'I R-lO R-10 Occupancy I i : i Only , I 'I Table 6-1; i. PREsel RIPTIVE REQUIREMENTS 0,1 FOR <{ROUP R OCCUPANCY : CLIMATE ZONE 1 ' :1 (D I! 't d Gl . 0 f b I ) . ~~/i~,t~:~~:~t ~.~~,r~l: ~il::~,~,i~lt ~~"i,~~:/;:~;'r~;lIJ t~!~.'~t t' ~li;!:!~:J!;~~~;,Lt~1t'\\!::f::: ~l~ ~i;.);i; ~:~ll..: ,i ;l~ !~~~'!~}:ib~f~~~:l:~jt::~':i,~,f~~l:it~! ~~ . f See the c;de text for footnote r;ferences roject complies with he following: I , , The project is a singl family residenceJ..." I'. ., .1 The p:oj.ect is wood ftame OR all of th~ Ii nsulatio~ is in.terioror exterior ~f the fralning. All bUildIng compone ts meet the requirements listed In Table 6-1, Option III. I ' V':; The project will meet rll other proVisioni of the WSEC and VIf'Q. The project will take advantage of the followi,ng exceptions to th~ prescriptive option: o 602.6 Exception 1. Ohe door, that is 24 ft.2 or less, that does not meet the standbrds is allowed. Location qf the door takinb this exception I . i 'I o 602.6 Exception 2. oLrs with a U-factJ of DAD allowed with!out calculations, O~tion III only. I I : I Location qf the door(s) taking this exceptionjl ; I. : \. I \ I L.? I TYpE- DF . \-n;r-A1 S.OOi4..c...E' rOJ'-G.E.bA"J::'<- ELEGTIL~C- PILO!PAAJ c F (<.G Pi-A c.E. Copyrighl 2002. WSUCEEP02-056 . Copied by permission from the Washington Stale University Extension Energy Program prescriPli~e - Simple Form - Climate Zone 1 I I 7/26/2004 l{i ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o .-./.. , ....t:. V\ 6"' Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use property Zoning . . . Application valuation 07-00000456 Date 5/01/07 923704 1010 CATHLEEN ST 06-30-01-7-7~0030-0000- PUBLIC WORKS UTILITES RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 13 3 MARIAH WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY DRA PROCESSING PERMIT 100529 .00 5/01/07 10/28/07 Plan Check Fee Valuation ..00 o Special Notes and Comments 04/30/2007 11:42 AM RVESS ------------------------------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-1B-$615.18 + City Admin $33.57 Other Fees CITY DRA % DRA FEES PLUS INTEREST 85.62 1569.33 - <:> <- o Fee summary Charged Paid Credited Due' ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1654.95 1654.95 .00 .00 Grand Total 1654.95 1654.95 .00 .00 (") ~ f -~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructio'n or the performance of construction. . Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder). . Date T:\Policies\1102.1SR [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 YES NO PW UTILITIES (Engineering Division) WATERLINE I METER I SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION. R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\1102.15R [1/05] Og-O 2R7 ~ ELECTRICAL WORK PERMIT APPLICATION Eleo;:trical contractor name ~\v\c- A-\~\-(\( , Purchaser's mailin~ address 17:,7D F. J:\],JU \0\ City ,J ThY\- ~P\ "" 0lA Telephone numb~ ] - ':),-"'64 Y License number Date Expires t:wA4 -e,SiJL.A\QQC\l\l!0 ~-2lrif1 QNew o A1leredJAd_n <J oa , Job wired by o EledriC31 Cnntnoclnr 0 Owner Installation description o Commercild /If. Residential State ZIP 'Tr;'61O'-- FAX number \()uj \ k! tin ~j ( }lnf(mo"trJ- I'l 0> -J Premises owne..-'s oame G\f:nn TUrC,- Addr",\ (; '\'Oe<t1on t o..J-n \-et:(\ lo-\ 7, c~ I ft! (\- ~ t;lv, Phone number to scbedule inspeetlon: ~ Own.er as defined by RCW./9.28.Z61:(l) Owner will QCcupy the structure for two years after this electrical permit is finalized.. (2) Owner is required to hire an electrical contractor ~r above said property is for salt!, renl or lea:Jt!. After re,:tding the above statement., I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws. N.E_C, RCW. Chapter 19.28. WAC. Chapter 296-468, The City of Pori Angeles Municipal Code. and Utility Specifications. SigDatore or 0 Dei1et:trie81 t"ootracto~ or electrical administrator X Va ~ Date:2rLf-OCj, I o NO LOAD CHANGES o Baseboard KW ~ Furnace 1L KW Q Heat Pump Ton o Fan-Wall KW o Cash 0 Check # o Credit Car<!. VISl Card # Mastercard Discover ---------------- Expiration Date of card Dspection fee $ 5.00 Service Information LAR o evemead Service o Temp Service Q Underground Service Voltage Phase 0 , 03 Service Size: FQeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGHrn THERMosrAT SERVICE rZh/rJ7 ~. D.~ Approved By "- Date Appl'()YOO By D... Approved By FINAL DITCH / FFEDFR 10 h7(rp, ~ Du, Approved By Du, ApPl'tIvN By 0." Approved By.../ Inspection Area, Building or Equipment Impected Action Taken Electrical Date Inspector 07-'1<{ '1 0V ELECTRICAL WORK PERMIT APPLICATiON Job wired by d--Ei;;;'trical Contraclor CJ Owner Installation descriptiOI~ ______ o Cummerdal ~:ddentiaJ Dale expires \ ~'2-~",", o New o AU.red/Addition tRo City Slate ZlP LJ '" e:; ~ J{ L \"0(' ') Cr l""~. . Tcleply:me number 4;-1" L -l.o ... 2- V fAX number Prcmhu?f'fer's na~ U:>~ \..(..."""..t.\. Address of InspectIOC'"'. f. (1 'OlD ~~ City 'f A- Phone IIl1mber to schedule inspection: t-O,~ 'i'(tJ 2.~11 Owner as defilU!d by RCW./9.28.26/:(J) OW/ler will occupy tl'l! sl,'ucture for lwo years after this electrical permit is finu/izecl. (2) Owner ;s rftquired to IIire an electrIcal contractor if abuve said property is Jar :ru/t!, rent or /(!(1Ji(! After reading the above statement, I hereby certify that 1 am the owner of the above named properly or a licensed electrical contractor. I am making Ute electrical instal. lation Qf alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.468. The City of Port Angeles MuniCipal Code, and Utility Specifications. Signatar: trodor or elet:trical admlolslrnlor CJ Cash Q Check # CJ CmlitCard Visa ~rd Card# __ d""'-____,____-____ Discover Date: Expiration Date of card \ " x SAME DAY INSPECTION o Cl o CALL BEFORE 7'00 AM 360-417-4735 Overhead Service Temp Service Underground Service Service Information Vollag. 1 }..M'l--'""O Ph... at"'f 0 3 S.rvic. Siz.: ~ Feeder Size: '1( ;) Electrical Load Additions and or subtractions o NO LOAD CHANGES o Jaoeboard KW ~Furnac. IDw LJ HeatPump _ Ton_LAR (J Fan.WaJI KW . /' ROUGH-~ I THERMOSTAT SERVICE 12-l.{ -oi :2R, ~ ~ IA-~-c7 ODIC Approvtd lIy / OIIC Dale FINAL DITOI FEEDER /01z."?{ff6 ~~ //-.2 -/7 '7 ..JzO Dale "- Dale Approved Oy.../ Oale Appt'DvedBy./ Inspection Area, Building or Equipment Inspected Electrical Dale ,..... Action Taken Inspector ID ht:(; tX? CiUJ , , tf',-r,., '" '"' - ( \.l\...\\-Y 11,:;;' C90 tk-~ ; "-,,.f) 1.A'",:.:.p , '. 1 ==~~ .. .- . ~.Wl1 ~I!J OCT 2 5 2007 ... ~ . . UBHTDEPT. . ,. 2/1 'd TTLbLTb :01 b2b92Sb "'"''' "'"'''''""'' ""'" ""'-"-,~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 OWN ERIC NTRACTQR :bl'2..l. C- S ADDRESS /6 0 C,..,TI-! \-\E...l'r-r-.I lC~ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . .. . . . . . . . 0 D...................R~.................... CORRECTIONS NEEDED: t...\'" >-4.... r:LN.\lZ.. Y 1Z.1EL.E:.'i"Ti<\~ LfZ<::: NOT wo/l.k.l ~ b N~<-- IiO NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452.1381 i~ORT~ .\,O~C'(C': S,____~ ~ r~ .., Wo....--=="":'I'I.:I c:. '- ~ ~/C'~_"'S "'ORKSe.\)' ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE INSPECT~ ~,.- . Ic 12VIC'fE-. AVH~N APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 .x.. . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 ~ . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: ~s..N 1.NJ~ ~LJ::1t-YV~ l.Pe~ AI 1....),gE. fi'Sj2, :t=="OE'N1>.-C.€" NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 Application Number . . . . . 23-00000046 Date 1/28/23 Application pin number . . . 400458 Property Address . . . . . . 1010 CATHLEEN ST ASSESSOR PARCEL NUMBER: 06-30-01-7-7-0030-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Furnace / Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICHARD CHRISTIAN WAGNER JR & CASCADE ELECTRIC & VAC INC MEGAN ELIZABETH WAGNER PO BOX 369 1010 CATHLEEN ST PORT HADLOCK WA 98339 PORT ANGELES WA 98363 (360) 379-5347 (360) 808-1747 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee . . .00 Issue Date . . . . 1/28/23 Valuation . . . . 0 Expiration Date . . 7/27/23 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$120.00 $ Service/Feeder 201-400 Amp.$146.00 $ Service/Feeder 401-600 Amp.$205.00 $ Service/Feeder 601-1000 Amp.$262.00 $ Service/Feeder over 1000 Amp.$373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp.$93.00 $ Temp. Service/Feeder 201-400 Amp.$110.00 $ Temp. Service/Feeder 401-600 Amp.$149.00 $ Temp. Service/Feeder 601-1000 Amp.$168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet``$40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 1/17/23, 7:55:31 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000046 1010 CATHLEEN ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 75.00 TOTAL DUE 75.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Heat pump system NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/14/2023 23-46 TAP OWNER CONTRACTOR Cascade Electric PROJECT ADDRESS 1010 Cathleen St Application Number . . . . . 22-00001538 Date 12/13/22 Application pin number . . . 319016 Property Address . . . . . . 1010 CATHLEEN ST ASSESSOR PARCEL NUMBER: 06-30-01-7-7-0030-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RICHARD CHRISTIAN WAGNER JR & AIR FLO HEATING CO INC MEGAN ELIZABETH WAGNER 221 W CEDAR ST 1010 CATHLEEN ST SEQUIM WA 98382 PORT ANGELES WA 98363 (360) 681-3901 (360) 808-1747 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee . . .00 Issue Date . . . . 12/13/22 Valuation . . . . 0 Expiration Date . . 6/11/23 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □ Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$120.00 $ Service/Feeder 201-400 Amp.$146.00 $ Service/Feeder 401-600 Amp.$205.00 $ Service/Feeder 601-1000 Amp.$262.00 $ Service/Feeder over 1000 Amp.$373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp.$93.00 $ Temp. Service/Feeder 201-400 Amp.$110.00 $ Temp. Service/Feeder 401-600 Amp.$149.00 $ Temp. Service/Feeder 601-1000 Amp.$168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet``$40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□ Owner □ Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] PREPARED 12/12/22, 8:25:59 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001538 1010 CATHLEEN ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 56.00 TOTAL DUE 56.00 Please present reciept to the cashier with full payment