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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
GLENN TERRA
1011 CATHLEEN ST
PORT ANGELES
( 36) 477-9449
WA 98362
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
08-00000298 Date
904964
1011 CATHLEEN ST
06-30-01-7-7-0100-0000-
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
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Contractor
ABSOLUTE AIR INC.
2820 E. HI-WAY 101
PORT ANGELES
PORT ANGELES
(360) 452-8444
ELECTRICAL NEW RESIDENTIAL
ABSOLUTE/ T-STAT
122416
35.00
3/11/08
9/07/08
Plan Check Fee
Valuation
Qty
1. 00
Unit Charge Per
35.0000 ECH EL-LVT-FIRST THERMOSTAT
.. ... .
3/11/08
WA 98362
.00
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Extension
35.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 35.00 35.00 .00 .00
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TYPE DATE: RESULTS: INSPECTOR:
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SERVICE
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CML ENGINEERING
lAND SURVEYING
ENOVIC
& ASSOCIATES
30 I East 6th Street, Suite I
Pan Angeles,Washington 98362
(360) 417-0501
Fax (360) 417-0514
INCORPORATED
E-mail: zenovic@olympus.net
February 26, 2008
Mr. Jim Lierly, Building Inspector
City of Port Angeles Department of Community Development
321 East Fifth Street
Port Angeles, W A 98362
SUBJECT: SINGLE FAMILY RESIDENCE, 1011 CATHLEEN STREET
BPT:07-00000953
Dear Mr. Lierly:
Upon the request of Glen Terra Homes this office has provided an analysis of the floor
beam installation that deviated from the approved plans on the above mentioned
residence.
G
The use of GL T5 hangers to carry the transverse beams is adequate based on the loads
they are supporting. Additionally the GLB that the hangers attach to has been notched at
the bearing point to allow for the roof slope. Based on APA document # EWS S560E,
"Field Notching and Drilling of GLB Timber Beams", the remaining beam is adequate to
support the load. 2x studs should be installed to provide bearing to the concrete
foundation equal to the width of the beam.
-
---
If you have any questions, please feel free to contact me.
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Cc: Shawn Crow, Glen Terra Homes
Fc: IN 06308
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CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, W A 98362
Application Number
Application pin number
Property Address
ApSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001490 Date
197250
1011 CATHLEEN ST
06 - 30- 01-7-7 - 0100- 0.000-
GLENN-TERRA, INC.
FIRE SPRINKLER SYSTEM
1/15/08
RS9 RESDNTL SINGLE FAMILY
3050
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
11 7697
50.00 Plan Check Fee
1/15/08 Valuation
7/13/08
.00
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Qty Unit Charge Per
BASE FEE
Extension
50.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .. SO.. 00 50.00. .00 .00
plan Check Total .00 .00 .00 .00
Grand Total .50.00 50.00 .00 .00
~
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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 perm it.
j~0,4, B~(7 ~ 'is-kg ..
Signature of Con tractor or Au onzed Agent 6ate Signature of Owner (if Owner is builder) Date
~-
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FIRE PERMIT INSPECTION RECORD
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Ca11360-417-4655 for fire 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. ,...c
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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 10-30-0& K [)()
FIRE ALARM
Rough-in inspection
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test # I
Above ground piping inspection/pressure test Piping pressure test pSI
Tank (container) inspection Time initiated
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
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PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
t\ ~()
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Fire Sprinkler System Plan Review
~
Project Name: Private residence Address: 1011 Cathleen
-
Installer: Innovated Fire Protection Installer Telephone: 452-7583
Type of System: Open 130 13 RO 13 D~
Date: 12.17.2007 PAFD Permit #: 07-43
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all 13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFP A Standard. This 13D system will require a
measured flow test.
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Contractor
Reviewed by: V\,O~
\
Date: It. n. 0 7
Building Department
Fire Department
I DATE: 12-13-071
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~ FIRE DEPARTMENT
o PLANNING DEPARTMENT
o
o
PUBLIC WORKSIENGINEERING DIVISION
LIGHT DIVISION
o ENERGY
o ENGINEERING
o POLICE DEPARTMENT
o ADMINISTRA TI~N
o CITY CLERK
o RISK MANAGEMENT
I FROM: PUBLIC WORKSIBUILDING DMSION ~
RE: ADDRESS: \ 0 \ \ Ca.t\r\ \eeY\
NAME/CONTACT: V (' vtCevv\- Be-r+ j e('
PHONE: L.fC) 'L-7f5 g3 .
PERMIT NUMBER: C) 7..- \ L\.1 0
PROJECTDESCRIPTION~) SpNl'\klet ~:F~-\ew1
~ NEW CONSTRUCTION
o ADDITION/ALTERNATION
COMMENTS/CONDITIONS:
%REVIEWIRETURN
o FILE
~4\<=~ cn.'t3
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St, Port Angeles, WA 98362
(360)417-4815 fax (360)417-4711
For City Use Only:
Date Received I z,.... \3....0'1
Permit # O"l - IYtto
Date Approved
Applicant or Agent V ~ V\. c... <2..V1.
Ow n e r .e.. "^ V"\. -e... if' v-c-. V'\..
Owner's Address i .3 G (; _ 8+~ .s.f 22-3
Contractor/Engineer iNN 01/ A T ~/) 1=-1 )2.1= ~.P )L/M(l.~ILPhone
Contractor/Engineer's Address g I IV..e<....v fJ~ rJ..e '-\ L'-'.
License # Ilv'/V'tJ l/ FS 0 Lilt [) /~
'-I J 2. --7S' 93
Phone
Phone
'--/~ 2 - 7S 2.3
Expires
;J)/ct/08
Jt) II C ~+h l-e..--e"V\.
PROJECT ADDRESS
Parcel Number
Lot I {J
Zoning
Project Tvpe & Brief Description: J1(Residential o Commercial o Multi-family o Industrial
Check all that apply I h.S' .J...q II oS I) V. i.... l-r I J(.,-- S:.-, S -I-e ~
~ew Construction +/r.e.
o Addition , ./
o Remodel
o Repair
oRe-roof
o Demolition
o Sign o wall-mounted o projecting o freestanding Dawning o other
Total sign area sq. ft. Maximum allowed siqn area sq. ft.
o Heat System o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o Other
Floor Areas Existinq (sq. ft.) Proposed (sq. ft.)
Basement @$ pere $ 2.031
151 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ ,-\QSO. DO
Total footprint of structures
sq. ft.
Lot size
sq ft. = Lot coverage
%
Max height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ft
Occupancy group
Occupant load
Construction type
# of bedrooms
# of full baths
# of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
';~i:72-)0 J.] Print Name II', '^ C-'- .... -+ f) ~ If~ JI,- Signature J ~ /) , f3 f).~
T:Forrns/BuIJding Division!f3ldg Permit Appl.-2006 CorJe.doc
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001340 Date 11/20/07
474860
1011 CATHLEEN ST
06-30-01-7-7-0100-0000-
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
NEW VIEW INC.
13 3 MARIAH WINDS
PORT ANGELES
( 36) 477-9449
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
WA 98362
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
115469
ELECTRIC SERVICE
135.00
11/20/07
5/18/08
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
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135.00 135.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 135.00 135.00 .00 .00
-----,
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SPECTION ELECTRlCAL
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000953 Date
912559
1011 CATHLEEN ST
06-30-01-7-7-0100-0000-
GLENN~TERRA, INC.
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
175067
Owner
Contractor
GLENN-TERRA, INC.
136 E. 8TH ST. #223
PORT ANGELES
(360) 565-0100
Structure Information
Other struct info . .
GLENN-TERRA, INC.
136 E. 8TH ST. #223
WA 98362 PORT ANGELES
(360) 565-0100
000 000 2033 SF SFR, 744 ATT. GAR.,
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE V-N
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
3/4" DROP IN METER
109454
230.00 Plan Check Fee
9/07/07 Valuation
3/05/08
Qty Unit Charge Per
BASE FEE
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
109462
120.00
9/07/07
3/05/08
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
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 andelctrical permits are
required. Customer connection fee $713.00.
08/17/2007 11:35 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
9/07/07
WA 98362
370 PORCH
25.00
2.00
9001. 00
2240.00
2240.00
1. 00
.00
175067
-Extension
230.00
.00
175067
Extension
120.00
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 whet er 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.
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15R (1/05]
Date
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 LOCA nON.
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
SIDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R W.I PWI CONSTRUCTION - R W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PoIicieslI102.15R [1/05]
. f,ORT~
lO~~~
rea
1\..--
. ~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 07-00000953
Application pin number 912559
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
----------------- ---------- ---------- ---------- ----------
Permi t 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 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 ther specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any stat or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15R [1/05]
4 TO
Date
PERMIT INSPECTION RECORD
~
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R W./ 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:\Policiesl1102.15R [1/05]
rJ~ORT~G
(-""~~~
O~
it 'E!iII
. 11. --
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
07 -4S3
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
07-00000953 Date
912559
1011 CATHLEEN ST
06~30-01-7-7-0100-0000~
GLENN~TERRA, INC.
RES NEW SFR
9/07/07
I () II (} I!i1l1JMu
RS9 RESDNTL SINGLE FAMILY
175067
Owner
Contractor
~/~~
GLENN-TERRA, INC.
136 E. 8TH ST. #223
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 2033 SF SFR, 744 ATT. GAR., 370 PORCH
TOTAL % LOT COVERAGE 25.00
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
WA 98362
V-N
2.00
9001.00
2240.00
2240.00
1. 00
Plan Check Fee
Valuation
.00
175067
J~J
'1,/./oB
10/V
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS
3/4" DROP IN
109454
230.00
9/07/07
3/05/08
RES WATER SERV
METER
Qty Unit Charge
s~~;~~~;~~~~~~;;;-~~--------------~~
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
109462
120.00
9/07/07
3/05/08
Plan Check Fee . .
Valuation
.00
175067
Qty Unit Charge Per . E~";'~, J
1.00 120.0000 EA SAN SEWER HOOKUP .......--120.~
~ ~ ~ _ _ _ - - - - - ~ ~ ~ ~ ~ _ _ _ _ _ _ _ _ _ ~ ~ ~ ~ ~ _ _ _ _ _ _ _ _ _ ~ _ ~ ~ ~ ~ ~ ~ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ -L ~ ~ _ _ _ _ _
Special Notes and Comments
Address numbers shall be plainly visible fTom 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 11:35 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'day!; after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\ 11 02.15R [1105]
c!POI'lt>v;
, t;~"'(",
~.
11.... --
'\ii;;_
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
.
Application Number
Application pin number
07~00000953
912559
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
Due
Fee summary Charged Paid Credited
------------~~~~~ ---------~ ~~~~-~---- ----------
Permit Fee Total 350 .00 350.00 .00
Plan Check Total .00 .00 .00
Other Fee Total 2234 .50 2234.50 .00
Grand Total 2584 .50 2584.50 .00
.00
.00
.00
.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180'oa'yS 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 iaw regulating construction or the performance of
construction.
Date
Signature of Owner (If owner is builder)
Date
Signature of Contractor or Authorized Agent
T:\Policies\1102.15R [1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT.
REQUEST:
Date 11- I,?--O 7
Time
Received by
~I ..--
_ ,....- (phone, person)
, /
''''';00 of W"k '0 be ;o,p",.d /~ ~~ r
Name of person requesting inspection - -- ~
Address of person requesting inspection . Phone No.
~nspection (circle appropriate one): Permit No.
~Foundation Framing Chimney Plumbing Final Sewer Excav. Other
477-'iJ'/?O
t:J7- 9~
INSPECTION NOTES: .
Inspected: Date 11-- I~ -01 Time
Remarks: /lie u../ 5-eLU -<2-V- r =v>".e '- i,'"",
'jJrC>De.-t-" 1'~Ae "/P..-v- 7/// Pi/('
I / ;'
By "RV
f(\ e,',(l'sf,':5 (,.," Pyle:', of
, / .
:;- deeD, C./6 c.. +- k..ov....c;; e
t ' f
RESTORATION REQUIRED. . . . .. YES
NO X
,.;/"'
\l-V'
C:i L,~ -;
~
?/L-
~
t
,',-"
t
I
;;~
- - ,
,
,,,.
'16>1 ~ e
------
1'/1-
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel 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
(DATE)
te
.. --
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
07-46
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
07-00000457 Date
009063
1011 CATHLEEN ST
06-30-01-7-7~0100-0000-
PUBLIC WORKS UTILITES
5/01/07
"U2t4
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
NEW VIEW INC.
133 MARlAR 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
100537
.00 Plan Check Fee
5/01/07 Valuation
10/2S/07
".00
o
Special Notes and Comments
04/30/2007 11:44 AM RVESS ------------------------------
DRA 2005-1A $954.15 + City Admin $52.05
DRA 2005-1B._ $615 .18 + City Admin $33.87
Other Fees
CITY DRA %-
DRA FEES PLUS INTEREST
85.62
1569.33
Fee summary charged Paid Credited Due.
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 . do
Plan Check Total .00 .00 .00 .00
Other Fee Total 1654.95 1654.95 .00 .00
Grand Total 1654.95 1654.95 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1105]
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APPLICATION FOR WATER
City Water Division, Port Angeles, WA
!SSUeddate:j - ol-O"1,stalledby&da,e 2-1"":)-08 Permi,# 07-Q'63
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: 3&()-zotJ -/079
Applicant Name & Phone: cj/1/J Md Z;;/> 5~t)-OIOO
Site Address: /1)1/ (?a;lj;jJpkr\, U, MailingAddress /,;3;1 FR~..:L- Zzg
Blk:_ Lot: /f) Add:~[;a;to Parcel#: 0&7300770/0D
SVCON/@ Meter#'sC fk';~w/o# 3J31.Jc{;-~57
Svc: Size ~~ ~l'iiI;eSQ({tj'(;l7~/~3cJ - RestoratJonRequired I\JC
Signature. .~ llVV -e- Remarks:
N
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . . .
../
REQUEST:
Date I D - 26 - 0 ~
Time
Received by
~v
(phone, person)
Location of Work to be inspected /0 If ~4ik le~V\.. ~i-
Name of person requesting inspection -SLt ~ \N\A _ c:...1t-6W
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. o~-q53
Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date /D-'2/-68 Time
Remarks: s:ew'G..... t t -14 - c 7
--.DQlA.h'\~fY)u..k {", l.UQQfI"<>I~ "IIL c,uil'-b
By
KV
OK
RESTORA TJON REQUIRED . . . . .. YES
NO X
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
o INCOMPLETE
(Continue on reverse side if necessaryl
STREET SUPERINTENDENT
IDATE)
.. ~~ORT"'-Y.
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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
Owner
GLENN-TERRA, INC.
136 E. 8TH ST. #223
PORT ANGELES
(360) 565-0100
Structure Information
Other struct info . .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
9/07/07
07-00000953 Date
912559
1011 CATHLEEN ST
06-30-01-7-7-0100-0000-
GLENN-TERRA, INC.
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
175067
Contractor
000
GLENN-TERRA, INC.
136 E. 8TH ST. #223
PORT ANGELES
(360) 565-0100
000 2033 SF SFR, 744 ATT. GAR., 370 PORCH
TOTAL % LOT COVERAGE 25.00
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
WA 98362
V-N
2.00
9001. 00
2240.00
2240.00
1. 00
BUILDING PERMIT -RESIDENTIAL
2033 SF SFR, 744 ATT. GARAGE
109116
1445.85 Plan Check Fee
9/07/07 Valuation
3/05/08
578.34
175067
Qty Unit Charge Per
Extension
1020.25
425.60
BASE FEE
76.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
109744
115.10 plan Check Fee
9/07/07 Valuation
3/05/08
.00
o
Qty Unit Charge Per
BASE FEE
1. 00 14.8000 ECH ME- INSTALL 100- FAU
4.00 7.2500 ECH ME-VENT FAN
1. 00 10.6500 ECH ME-OTHER APPL. N/R
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
14.80
29.00
10.65
10.65
~
~~
/0 ~
~
y-
O
f:P
PLUMBING PERMIT
109736
177.00
9/07/07
3/05/08
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, jf 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 w er specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any tate r local law regulating construction or the performance of
construction. -~ ~ '11+ 0
Signature of Contractor or Authorized Agent
Date
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
"
CALL 417-4815 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 ANI' WOPJ( BEFORE
INSPECTED AN]) ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSI'ECTlON TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNOATJON:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDA TJON DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-TN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
-
ROUGH-IN
HEAT PUMY I FURNACE 1 DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE 1 PELLET 1 CHIMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SlURTING
PLANNING DEPT. SEPARATE PERMlU's SEPA:
PARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTIUCAL - LlGHT DEPT. 4\7-4735 ELECTRJCAL
LIGHTDEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT,
PLANNING DEPT. 417-4750 PLANNlNG DEPT.
BUILDING 4]7-4815 BUILDING
T:\Po]icies\1102 15 building penn it Inspection record05.wpd [1/4/2005]
~ ~ORT ~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 07-00000953 Date 9/07/07
Application pin number 912559
Qty Unit Charge Per Extension
BASE FEE 50.00
14.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 98.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00
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 11:35 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 1737.95 1737.95 .00 .00
plan Check Total 578.34 578.34 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 4550.79 4550.79 .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 w er specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any tate r local aw regulating construction or the performance of
construction.
Signature of Contractor or Auth9rized Agent Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
.
INSPECTION TYPE LJATE ACCEPTED COMMENTS
YES NO
FOUNDA TlON:
FOOTINGS I{i-I'-Of :ru...... I013010( fi.,,+1nj PC3
SHEAR WALLS / WALLS ''2..-11- 0-' :ILL
FOUNDA TJON (DRAINAGE! DOWN SPOUTS J 1l1'Slni PR
PIERS , , I
POST HOLES (POLE BLDGS.l
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN 1),-1-08
WATER LINE (METER TO BLDG) \ 1/9,/ c:tl -p~
GAS LINE ' J FINAL I () - z. '-{ ......08 DA TE JLL.,
ACCEPTED BY:
BACK FLOW (WATER
AIR SEAL 2.,- 1..:1---0 ~ :JL-L-
WALLS
CEILING
FRAMING z... - Zq rO ~ (5u--
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA nON z- ZCk() ~ 0" u.--
SLAB
WALL (FLOOR ( CEILING I
MECHANICAL
ROUGH-IN ,)-'/_7-0g CJ Li.--
HEATPUMY/FURNACE/DUCTS
GAS LINE 4,- ~-O)( ,L..L FINAd6-Z- Lf .-o&- DATE Ji..,L- ACCEPTED BY:
WOOD STOVE (PELLET / CHIMNEY .
MANUFACTURED HOMES
FOOTING ( SLAB
BLOCKlNG & HOLD DOWNS 'i1
SlURTING ~
PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA: \~
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESmENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL- LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTJON RW. / PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERING
FJRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNlNG DEPT.
BUILDING 417-48]5 o-Z4rm :\' u....-- BUILDING
CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL IN$PECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANJ' 1VORK BEFORE ~
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. ~
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. '"
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T:\Policies\1102 15 bUlldmg permit mspectlon record05.wpd []/4/2005]
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./ I j FOR OFF1ClAL USE ONLY:
BllLDING PERMiT - APPLi,CATION //)ateRec.: ~ -1'(-0-7
I : j ',Pemlit#: -
Fill out COMP. ETELY and in ~.K. Your applicatior: ;and site plan MUST BE . !.D.re APPm?;~l~ ~
~ COMPLE E to be accepted for review. If you ha'le any qnestions, call l' \1 J 7
PERl\lITS (360) 117-4815 FAX(360)417-4711 ','r5ate Issued: - .
Gt-L~ 3 N '
.ltQO- 2.O"1-IO-,q CGL.L.
Phone: :Seoo- S"CDS"-O I () 0
,
Owner: I, Phone: ~ '0 -s-Gr-O 100
Address: dity:~A." ANA.kt-e..t i Zip:-S...3 J lD 'Z.
Architect/Engineer: S S:rl I Phone: I~l- to '2.. 4- osrr-
I [L.' 't.r '
Contractor GL.t:NJU.. 76.1t.R.AJ IN C. State Llcense #: qj'c" AlA_ Exp: 8/ IIO! Phone: ~ r.t>-lo"i..../fJ7
Address:j i~ 6. 5?'nt~T. J=.I 2. 2.. .:s l City:.foR..r AAld6L.E.~ ! Zip: q S> ~ to "2-
PROJECTADDREss:IDl/t4"'~L~kN ~r. I ZONING:
iEGAilmsciillrioN:L;i':' '1, 0 Bloct bubdivision: ~.)~, f-ILf. F-AJ ~ .rTAT~S
I I I
C~LAMCOUNTYPARCELrmER: QICosOD1- 17- OiOO
Credit CarlHolder Name: I I
Billing Address: I I
Credit Card Type VISA MC I # I
TI.TE OF WORK: I I SIZE/VALUATION:
~esidential ~ew Constr. 0 ~e-roof 0 Stove "Z..O:s31 SF. @$ 7(0 ,dq /SF. = $ I S"'1) (P CfO I q 7
o Multi-family 0 Addition 0 Move . ~darage 7 If '1 I SF.@$ Z/, ~R/SF.=$ ~Sj C{aC,,77...
o Commercial 0 Remodel 0 eemolition .(S("-BbkrDJL<-H 370 I SF. @$ /7.. ,OR /SF. = $ ~ ~~; to ~
o Repair 0 Sign 0 ollier TOTAL VALUATION $ J7__. _ --4-' 2.-+
BRIEF DESCRIPTION OF THE p10JECT, I\) f:: t COAl.s T ~\,<:- r:w-,N J S FR. I
COMJ.\1ERCIAL/RESIDENTIAL: dccupancy Group: I /<-;:s Occupan~ Load: Co.ru;tructinu Type:----UL1L- .. Ii 0
. I I I. ~,2'to ~Al..~
No. of Stories: ~ Lot Size: I Existing Sq. Ft., & Proposed Sq. Ft. t~ = TOTAL Sq. Ft. .J ~
Total lot coverage <z>j \lD/~1n..~S.\2V' ~, 2'" 1, l\"t.6 .~.,.. 7'1'/ +-'::170 .
'\ C, ~I ~ '- T1 0 SF , . . -
b\lt'C \^_\~ I
I ~'\IoI I
I
'....'--" . '.".""--'....- -. - ---I."
I
I I I
ESA/Wetland(s): 0 Yes 0 No SEP Checlclist Tequ:iJ:ed~ 0 Yes 0 No Otheri:
I !
VALVA TION OF CONSTRUCTI ON: In all "'os, a J n.tion .monn' mnstlb' ,ntmd by th, a~Plionnt Till, figu" will b",vi""d
and may be revised by the Building DiV~SiO~ to cO~lply wit~ lcu;:ren~ fee schedu~es. Fonta~t t~e Permi~ Coor~ina.tor at 417 -4815 for assistance.
PLAN CHECK FEE: IF. a plan check [fee IS due It mustbesubrrntted at the tnne the buildrng peront applicatIOn and construction plans are
submitted. All other permit fees are dub at the time of perdnt issuance. I .
ExrIRATION OF PLAN REVIEW:I Ifno permit is issJed within 180 days o~the date of application, the application will expire. The
Building Official can extend the time f~r action by the applicant up to 180 days upon -written request by the applicant (see Section Rl 05.3.2
of the Intemational BuildingIResidenti11 Code, 2003). No ~pplication can be extcinded more than ond~.
\ I I i
I hereby cerlify that I have read and ned this application and know the same to be true and correct. I a~ authorized to apply for this permit and
understand that it is my responsibilit to de mine what permi req 'red ,not the CitY'f' and that I must obtain such permits prior to work.
.A I
Date:; . ~.I '1,2-007
,
City:
Exp. Date:
PLANNING USE ONLY:
~ ~cl
'. \.)
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APPROVALS:
PLAN:
BLDG:
nr-wu:
FIRE:
OTHER:_
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lor the Washington State Energy Co~e (2003 Edition)
, Climate Zone 1 ' I
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Contact:
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Phone 2:
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Glazing Glazing V-Factor Door9 , Wall Walj Wall SIab4
,
Option Area 10 v- Ceiling2 Vaulted Above Int4j Ext4 Floor5 On
%ofFloor Verti al Overhead 11 factor Ceiiing3 Grade Below Below Grade
Grade Grade
III Unlimited 1 B ~ ~
Group R-3 0.4~ 0.58 :0.20 R-30 R-21 R-IO R-IO
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Occupancy I
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Table 6-1 i .
PREsel RlPTIVE REQUIREMENTS 0,1 FOR qROUP R OCCUPANCY
: CLIMATE ZONE l' 'I
(V I; . d GI ' O' ci:> I ) I
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I See the code text for footnote references
reject complies with ~he following: :
The project is a sing'r family residence~r ch:l)5lsJL . i I
The p:oj.ect is wood f~ame OR all of th~ linsulatio~ is in.terioror exterior ~f the fralning.
All bUIlding componefts meet the reqUlr~ments listed In Table 6-1, Option III. I
v':: The project will meet rll other provisions of the WSEC and VIAQ. I
The project will take advantage of the fOIlOWi!ng exceptions to th~ prescriptive optIon:
o 602.6 Exception i. Ohe door, that is 24 ft.2 or less, that does not meet the standbrds is allowed.
Location ~f the door takin this exception I . . I 'I
o 602.6 Exception 2. Dol's with a U-factJ of 0.40 allowed withlout calculations, obtion III only.
I . I
Location of the door(s) ta ing this exception! I
T'. \p I I' Lei '? b '~ t-
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i P~PAAJG F .:J:.~E- L.Ac.E-
Copyright 2002, WSUCEEP02-055 I :
C~pied by permission from the Washlngton State University Extension Energy PrografTI
, P"""Pllt - Slmpl, F,~ - Cllm,te z,", 1
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7/26/2004
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CITY OF PORT ANGELES
PUBLIC WORKS - UTll..ITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000457 Date 5/01/07
009063
1011 CATHLEEN ST
06-30-01-7-7-0100-0000-
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
100537
.00
5/01/07
10/28/07
Plan Check Fee
Valuation
..00
o
-
Special Notes and Comments
04/30/2007 11:44 AM RVESS ------------------------------
DRA 2005-1A $954.15 + City Admin $52.05
DRA 2005-1B $615.18 + City Admin $33.87
o
-.
-
Other Fees
CITY DRA %
DRA FEES PLUS INTEREST
85.62
1569.33
n
~
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~
:s
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
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder) .
Date
T:\Policies\1102.1sR [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH I
BACK-FLOW DEVICE I T
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING -
T:\Policies\1102.15R [1105]
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ELECTRICAL WORK PERMIT APPLICATI9N'
"
Job wired by
f/!l Electrical Contractor 0 Owner
Installation description
o Commercial ~ResideDtial
~EL;cal *nt'"~to' na~. U"nsc numb" Date Exp;'cs
('/ ~\v ,nf)~)1:nc.- EL~c.:t.!;;tl~21l
purChaS~ilin 'drcs~, r ~ )k
Cit State ZI
Le.s- \v (0
Telepho c number FAX number
-'2.'5' ~ 'i 6?--&,Ltv
~c....--
~Sl\ect;on C +W II
o . \ Q.. Q.t,.n Sr
Citv t '1"\"
. O. f\ 'C\ ~ .e...t..e ~
Phone number ~ SChe~u1.~ s e~o I:
Owner as defined hy.RCW19.28.26J:(J) Owner will OCC/iPY the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
coll1raclor if above .wid property is for sale. relIT 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 thc clcctrieal instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature
New
Q Altered/Addition
2.0 0
UV\Il.r
S e.,rV Let..,. .
20'3 '3
-ri"IL-}
z. ..., 77
.~q .(i.j-.
)/
prcmiG orner's name ~
::> .e...Y\ n I e:crct,
/
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Expiration Date
of card
Inspection fee
$ /3~
~o
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
Q Baseboard KW
~ Furnace LDKW Q Overhead Service
o Heat Pump Ton LAR (J Temp Service
o Fan-Wall KW ~ Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
Service Information
00 />Cft.A~
Voltage 1 ~ ~ /~'tD
6 I l!.l2-tlCK6. Phase 0 1 0 3
Service Size: ~
Feeder Size:
ROUGH-IN -" THERMOSTAT SERVICE "
;)-Io-afJ dti2- ,).. &- 08 ,kf)
Dale Approvcd By " Dalc Approvcd B}' Dale ApproveU By
FINAL DITCH FEEDER
~ !i'ti" //-/h- f71 r~ ,
'( Date Approved By ../ Datc Approvcd By
Inspection Area, Building or Equipment Inspected Action Taken Electrical ~'
Date Inspector
II Ib-m /I.~" ' IIJ~. ' \ 1'"=~. di -"0 - 0'a./
715- ,
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Of'\ -1...q B
Job wired by
~EI
,
EI',n;ER APP.
T<IiJ:rt'ANJ::<EVIEW
R URN FROM p'LAj)J.iREVIEW(APPROVED)
R GEIPT TO..CASI'IIER
PAID j~tf :dl
PERMIT~ISSUED i,n,7"
F.AXED'TO CONTRAGffiG!R;::,.,
INSPECTIONS b\" -. ~~
FI_NAL t~ ,~~
~'I ~i
~
Premi~ olwner's name ~. .
t T'.e-.Y\ \, I t\'\C(J
:]:QJ',\eclion c ct ihj Q.~n
City Port AY\~el~~
Phone number ~ sChe~ulns Cg.i~l:
Owner as defined by.RCW 19.28.26l:(J) Owner wit! occupy the strllcfllre for two
years after this electrical permit isjinolized. (2) Owner is required 10 hire 011 eleclrical
cOlltractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
latiOll or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
] 9.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature
~')z-- .
sl
+( ...., 1...)
ll(t
)'
/
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Expiration Date
of card
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
~ Furnace !DKW 0 Overhead Service
o Heat Pump Ton LAR 0 Temp Service
o Fan-Wall KW ~ Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
Service Information
Voltage 1'2.. ij 1~'flJ
PhaseD 1 D 3
Service Size: 'J t'){)
Feeder Size:
ROUGH-IN ." / THERMOSTAT / SERVICE
Dale ApprovedBY " Dale Approved By "- Date Approved By
/ FEEDER
F1NAL DITCH
1l11l,,!D") ~OVedBY \" Date Approved By.-/
"- Dale Approved By '- D:ne
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
ll,lJ~I", W''<f''c..M ~"f '{m
.-"'-,
o
~
~
cB
.
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o Electrical Contractor Q Owner
Installation deseription
o Commercial Ilil Residential
Electrical contractor name
~\v\c- i't-,Q...,-,,( ,
Purchaser's mailin~ address
l'{,7[) F_ j],iU \0\
City ,J
~ 1\rnp\ c"" ViA
Telephone ~
)- . ~-<t;l-Iy
Premises owner's aame
G \fXln Tf Ire,-
Address or inspe('tion (\ .
ID\\ LQ\-h\Ut\
C-~
. -\1) ( \- IWYJ t:leJ.
Pbone Dumber to .cbedule inspec:ttob:
3~4
Owner as defined by RCWJ9.28.26J:{J) Ow"er will occupy the $Uwturefor ~o
years after Ihis electrical permit is fin41iud. (2) Owner is required to hire an electrical
contractor if above .taid property is jVr sale, rent or lease. -
After reading the above statement, 1 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. Cha~ter 296-46B, The City of Porl Angeles Municipal Code, and
UtiJity SpecificatioQs.
SfgoatDr OWbe electrl~ COQtractor or electrical .dmlul,trator
X .. ~ Date: 3--4-0'6
License number Date Expires
t:C'--\nA{:\t+.:l',L1\IQqOf\)f\) 'aZ~
ON...
a Altered/Addition
State ZIP
'Tr;-CLVL.
~J 1k)t1n~'jC }\nf(mDSv-.J:--
FAX number
~'.
1,.,-\-\0
o Cash 0 Check #
o Credit Care!. VISa
Card #
Mastercard
Discover
----------------
Expiration Dale
of card
10
ServIce .nformallon
o NO LOAD CHANGES
o Baseboerd KW
III Furnace 1Jt KW
Q Heat Pump _ Ton _ LAR
o F..,..Wall KW
o Overllead Service
o T omp Service
Q Underground Service
Vo~
Phase 0 1 0 3
Service Size: _
FeederSIz.:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGIHN " THERMosrAT " SERVICE
"'~ Approved 8y ~/rr,(d6 '. -Arc O.le
'- D.te Awrove(l8y '- Approved By
7r:JIYiJ FINAL " DITCH " FEEDER
7 \tW ApplOYed B,)I
Dale ApProved By D.. "'~ Appn;wedBy./
Inspection Area, Building or Equipment Inspected Action Tal(co Electrical
Date Inspector
-
b7-1340