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'" I>:H Q",O;3:<<:o.. >< ..:I o..U <<:f-<UOo..<<: f-< <n ~.~ L -=::.J ==-: .~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING 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 07-00000950 Date 335100 1014 CATHLEEN ST 06-30-01-7-7-0040-0000- GLENN-TERRA, INC. RES NEW SFR 2/18/09 . \\ .y~ -*,-e,. ~rA "(\:x~ ) \.. J 1~0'1 -\0 G \e.X' oq /0 '- ~S~ \ vJeS- RS9 RESDNTL SINGLE FAMILY 149176 Application desc ------~??:-~~-~~~~-=?:-~~-~==~~~~~-~~~-~~-~~~~~~-~~~~~-------------------- ~ O~~~ Ct\\OJ\~ ~~ ~ ()>~'Z-/ \'6,0"1 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 1779 SF SFR, 576 ATT GAR, 124 PORCH TOTAL % LOT COVERAGE 28.00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS V-N 1. 00 9001. 00 2479.00 2479.00 1.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 1779 SF SFR, 576 ATT GAR 109082 1300.25 9/07/07 4/22/09 Plan Check Fee Valuation 520.10 149176 nV1 t\. \e~ oZ-~( ~ 09 50.00 BASE FEE 5.6000 THOU BL-100,OOl-500K (5.60 PER K) Extension 1020.25 280.00 Qty Unit Charge Per Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 109769 115.10 Plan Check Fee 9/07/07 Valuation 4/22/09 .00 o Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 4.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 29.00 1. 00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 1. 00 10.6500 EA ME-FUEL GAS PIPING,l-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 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 1 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnslBuilding OivisionIBuilding 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 I Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor I Slab Rough-In Water Line (Meter to BldQ) Gas Line Back Flow I Water FINAL Date Accepted by AIR SEAL: Walls I Ceiling FRAMING: Joists I Girders I Under Floor Shear Wall I Hold Downs Walls I Roof I CeilinQ Drywall (Interior Braced Panel Only) T-Bar INSULATION: Slab I I Wall I Floor I Ceiling I MECHANICAL: Heat Pump I Furnace I FAU I Ducts RouClh-ln Gas Line Wood Stove I Pellet I Chimney Commercial Hood I Ducts FINAL Date Accepted by MANUFACTURED HOMES: FootinQ I Slab BlockinQ & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: ParkinClI UQhtinQ I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY I USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Enqineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit .~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Application Permit Additional Permit pin Permit Fee Issue Date Expiration Number . . . . . 07-00000950 pin number 335100 PLUMBING PERMIT Page Date 2 2/18/09 desc . number 109751 163.00 9/07/07 4/22/09 Plan Check Fee Valuation .00 o Date Qty Unit Charge Per BASE FEE 12.00 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 84.00 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 11:33 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 1578.35 1578.35 .00 .00 Plan Check Total 520.10 520.10 .00 .00 Other Fee Total 2947.50 2947.50 .00 .00 Grand Total 5045.95 5045.95 .00 .00 Separate Permits are required for electrical work, SEP A, 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 of laws 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:Fonns/Building Division/Building Penni! 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 Bldg) Gas Line Back Flow / Water FINAL Date Accepted by 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 I I Wall/ Floor / Ceiling I MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rouqh-In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footinq / Slab Blockinq & Hold Downs Skirting PLANNING DEPT. Separate Permit #5 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 I Engineering 417-4831 Fire 417-4653 PlanninQ 417-4750 Building 417-4815 02--'2., ,.....D4 J"" u.-- , e.y-rY\\ +- ~ S$V '" ---ex--~ - - See. preVIOUS p 10 r InS pe.c.f,' OV1 > T:Forms/Building Division/Building Permit eti oct D7 07 -tt> G let\t\ ~'(-to r- in 02--27-0Q ;:r:n c.. . C> ~ , ,-D ~t - o --- .J:. ~ ~ f :5 ~ V) ~ ~ .. VIKING BANK Adminiatl'O.tion Tel (206) '-98-2028 FAX (206) 283-0158 4 Nickerson Street Suite 200 Seattle. WA 98109 www.vikingbank.eom TO: Linda Pangrle FROM: Brian Robinson COMPANY: City o{PA Public Works Dept SUBJECT: Cathleen Estates PHONE: DATE: 2/18/09 FAX: 360417-4711 PAGES: 2 Linda, Here is verification that Pro-.Built Construction, 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: brianr@vikinrz:bank.com The information contained in this transmittnl mny be privileged and conf:idcr\ti~1 information intended (w file nnmcd rccipients only. If you are not the Intended recipient or the cmployee or agent rcsPQn~ible 10 deliver it to lhe intcnded recipient, YQU .~rc hcrcby notified that any dh;.;crninnliQn, di~trib\ltioll. or copying OftJlis communic81inn is SIdell)' pr(1hibilcd. {fyou have received ,hi, If>lIlsmi(lal ;~; ~rror. pJell.1C irnmcdintcly notify us br tolephone. . .. W Vll<ING BANK 206 7R4 9019 206 7113 12.95.... Admini5tratiun 1\. Nickcr~on !itreel Suite ;1.00 IW. Box 19087 Sc:mlc. WA 98] 09 www.vikingb,lnk.r.nm l,o(',t!. Per.rowtlizid, C:u..'uJ1tJt!r- Dri!JC/~. 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 COl11:ractor to coordinate and complete the con.struction of the Cathleen Estates subdivision. The subject properties are listed as follows: Address 1002 Cathleen Street 1006 Cathleen Street 1010 Cathleen Street > 1014 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 0630017700200000 0630017700300000 0630017700400000 *- 0 [- q 50 0630017700500000 0630017700600000 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 cOlJtractor~ please extend Pro-Built Construction persOlll1el every courtesy with regards to accessing permit data, inspecting and issuing pennits, and any other steps as necessary to complete construction and obtain. final approvals for the above listed properties. Thank yo~ b-L- Bri.an Robinson Assistant Credi.t Administrator .~. ._,cl,qUI. 1".'11:;0;-;(; l.I'~'l_'~1 hiJ'MllI;1l I.,);\: . Street Lookup Parcel Number 0630017700400000 Site Address: 1014 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 4 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as SeniorlDisabled or Current Use programs (except Commercial Forestland properties). Land Value: 75,000 Improvements Value: 202,950 Total Assessed Value: 277,950 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.) L Bld9..-Iyp~.___ BldfL-SJyle Total S.I:.. _~t:;L _Jt~_ 01 House One Story 1967 3 2 Tax History Sales History Other parcels at this address: I Quit I http://apps.clallam.netlwe bsi tel si tis _ s. pgm ?address= 1 014 &street=CA THL EEN S T Page 1 of 1 ... 2/17/2009 - ....... "'~~ ,.y~... .,~ 'fJv-'r ,J :.',~_ ,.. 1'f':>f'F~'.~..' -, .. ~~. r'''~,''::'''_~. ...-,.;.... ~ ~ BUILDING DIVISION \ CITY OF PORT ANGELES * * Correction Notice Job Located at )0/4 (~~' . 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Application valuation 08-00000288 Date 097056 1014 CATHLEEN ST 06-30-01-7-7-0040-0000- ELECTRICAL ONLY 3/11/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor Glenn Terra, INC. 136 e 8 st #223 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 122283 Permit Fee 35.00 Plan Check Fee .00 Issue Date 3/11/08 Valuation 0 Expiration Date 9/07/08 Qty Unit Charge Per Extension 1. 00 35.0000 EC EL-LOW VOLTAGE 35.00 -.... o - --C. 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 ["'\ ~ ~ fT\ ? 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Q r>1~ ~O 0.>0 r>1E-:H o.U I>: 'r>1 III ... ~ ul - U ul"'~ ...:I ~~E-<&l!3...:1 Q&i51i~g: ~...uoo.<( I>: . III I>: ZO ul E-< Z r>1 Z~ 00 HU ..., o.ul HE-< !JS UlUl r>1r>1 lOll>: E-< ~o.~ o.ul~ Zul ClHr>1 :z: 1>:. H ~QQ ...:Ir>1r>1 0.E-<E-< Ulr>1 Or>1...:1 O~o. O:E r>10 I>:U ...:I 0. ... ~ 0. o ul , 0. >0 ... .... o .<:: JJ >< III .0 0. Q) .... >< m r:: III 0. .... ~ :E 0. N o M M <0 >O'D LO ...:1M 0.... o;tI 0.<0 ~ Zr- l? (f)C'--HO Z o 10 H O:::O:r:N ltl ~Ng ~~~ <( -0.........:1 ~CCO:::.--iMO" .... . l? l?><oZ Z~ZQ.l['H ~~~~\O~ ~E~~f:lg HtJHQJICCO o.Oo.Q"'1>: ...:I~ ...:10. ..,<(t-j t r-r-r- 000 '" CD"'N ............ '" OON ............ N .... o 0 'D N ...:I ...:I 0. 0. ul r>1 E-< o Z ~ ul ... Z r>1 :E :E o U CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 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 07-09001396 Date 12/10/07 751204 1014 CATHLEEN ST 06-30-01-7-7-0040-QOOO- GLENN-TERRA, INC. FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2669 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 INSTALL FIRE SPRINKLER SYSTEM 116525 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,will be required for all fire alarm systems, ..,. " 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 fir' 17<[/W 6< Y () ..P 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 r have read and examined 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. _Vr~J.j-~Al~i~1 12//<11;/ "- Signature of Contractor or Authori Agent € Date Signature of Owner (if Owner is builder) Date - ~.._~... -'! FIRE PERMIT INSPECTION RECORD 3 \ - Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate OJ or conceal any work before inspected and accepted. Post permit in a conspicuous location. ~ 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 (fl-2.N -o~ Kt ~f\ FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 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 - .......c \) ~ - ~ ~ 2/15/00 J) ~ V} \) ;1.. ')" 7\ ~l. GENERAL COMMENTS: 07-1396 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: 1014 Cathleen Installer: Innovated Fire Protection Installer Telephone: 452-7583 ,- Type of System: Open 130 13RO 13 D~ Date: 11.30.2007 PAFD Permit #: 07-38 We have checked this plan and find that it conforms to the requirements of the code. 1) Provide protection over the entrance foyer. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and ceriified 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 13D system will require a measured flow test. Contractor Reviewed by: -f'~ J)..O Date: ll, 30. OJ o @ o Building Department Fire Department I DATE: \' Zc., . . \ - <> ~071 [::J FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRA TI~N o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUlLDING DIVISION ~ -g o o RE: ADDRESS: 1 0 \4 LA. +h I eeVl S+- NAME/CONTACT: 'VtYlCeVlt Bettg~ PHONE: 4S'2--1~&3 PERMIT NUMBER: 01- \ '3 C( b PROJECT DESCRIPTION: .:rnS~ Re:-~.. Five SrhV\k\ev-- S~-km ~ NEW CONSTRUCTION o ADDITioN/ALTERNATION COMMENTS/CONDITIONS: ~REVIEWIRETURN o FILE 01-38 t BUILDING PERMIT - APPLICATION 1'01: OFfiCIAL USE ONLY: Date kec.iL --z..8"-07 l'cnnit t: 0/- \~9 Co D~IC J'.ppro\'ed" Fill out COMPLETELY and in Th'K. )" our application and site plan MUST BE COMPLETE to he accepted for review. If you have any questions, caU PERMITS ()<lO) 417-4815 FAX(360)417-4711 Vale lssued: Applicant or Agent: .r- Phone: LlS2- - 7 S 8,J' Owner: (-:> I.e. V\. V"\. T.J2 if v-~ ..L. k <:!....... Phone: Address: IJ(6 E p~~ i#=-Z2...;:J City: fa......f'o'-:S e/fl-..I' Zip: 9c8--Jb.2... ArchitectlEngineer: Phone: Contractor /N/Y'tJv;J-/"E.o f-IRR,tate License #: )/V/VOV;::SGl-lLffJLi!..xp: \1/ J"/.o~Phone:lfS -< -7SE;] Address: 8J N.2A...-I /Jo...u~ L","", City: Pdrf )):5 e,Le....r Zip: 0;6;] 6 2- PROJECT ADDRESS: I CJ ll-f C~ + ~ 1.J2.....e. V'\. S'::;- ZONLNG: LEGAL DESCElPTION: Lot: t{ Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: ~Residential D New Constr. 0 Re-roof D Stove o Multi-family 0 Addition 0 MoveD Garage o Commercial D Remodel 0 Demolition 0 Deck D Repair 0 Sign 0 Other / BRIEF DESCRIPTION OF THE PROJECT: J::'-'...s 'TQ.I/ SIZEJVALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTfL VALUATION, $ i.-Gf.;} 00 F ,. r Ii!.. -Sf""" \.-"lj<1 " ~ +Q VJ.-".. 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 SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-48 1 5 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 no permit is issued within 180 days of the date of application., the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International BuildingIResidentiaJ 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 permits prior to work. nfORMS\Bldgl'.-mi'f~wpd App!;"""t _ J~ ;P I 6 j) ~ Date: 1/ /2.&/07 'I ' Nr- o '- o N '- .... .... 0101 <':>E-< <t:<t: 0..0 00 00 ........ 00 , , II1II1 "'''' II1II1 :>< ..:l ~ 01 H ..:l E-< t>lUl ~r.l 8~ E-<'":> Z 00< HO E-<E-< UU 0101 0..0.. UlUl ~~ 00 "'''' "" "" :> H 0101 o ZZ III 00 ::> ::c::c U) 0..0.. '" "" ,~ 0'" oU) o 03= ,w . 0 Z f-4UUU-.:r UlZZZOU) HHHO~ Z , ~ W - r- 01 <t: <t: <t: , 0 ~O::O::O::t--U) ::r: 0:: 0:: 0::: 10'1 f-4~~~.--lO ,:::(f-4~f-lOO U I I I 10 ..~~~gg rl !1l !1l!1l I I O..:ll-=1HI..Ot- M~tJCloo N II1 '" U) 01 -..:l r-r.l 0<':> 6~ N '-E-< ....~ ....0 0.. o t>l'" ~O <t: 0..:>< OlE-< ~H o..U ~ ~ . III 0< . W ZO III Ul - t: . 1!5 UlE-<<t: ..:lZ ~~~gjtJ..:l OZZZo<o.. ~~8~~~ o o <ll ..r-< '" >< o 01 <: .. '" W 0. :;:.... 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OHHHl.Dt- ow,..:) "Ltl "'''' r- r- r-ielOOoo 0::>0. 00 00 ri ri ri 0:>: '-'- '-'- '-'- '-E-< WO 00 00 00 ria<: <>: <>: <>:a<:u riri riri riri ria . ~ <>: 'W 0. 0. ZO ~ ~ ...... 0 E-< .~ W'" UJ -U ri N ri ri <>:0 (fJE-<~ ..:1Z !-< 0 0 0 <> <> ~ ~~~~~..:1 H (fJ 0.>< ~ '- WE-< OZZZ<>:o. 0. ri ri 0 '" <>:H ~Wo~~o. >< ,..:) ,..:) (fJ ,..:) o.u E-<UOo.~ 0. E-< ~ ~ 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 07-00000950 Date 10/29/07 335100 1014 CATHLEEN ST 06-30-01-7-7-0040-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 149176 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 1779 SF SFR, 576 ATT GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 WA 98362 124'PORCH 28.00 V-N 1. 00 9001.00 2479.00 2479.00 1. 00 -....... () - permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL. SVC./ 2355 SFR 114041 ELECTRIC SERVICE 135.00 10/29/07 4/26/08 -C. Plan Check Fee Valuation .00 o ~ ~ ~ ~ l- Qty 1. 00 3.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 66.00 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 11:33 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 1000.00 INSPECTION ELECTRICAL TYPE DA TE: RESUL TS: INSPECTOR: DITCH SERVICE ROUGH - IN . FINAL COMMENTS: r- ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 07-00000950 Application pin number 335100 Page 2 Date 10/29/07 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135.00 135.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2369.50 2369.50 .00 .00 SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: nf ~ .,.r- MO ..... 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ZCIl .,. ~~~~~~ elHW M Z I>: :I: I>: 1>:1>: ,'" H .... f-l~tIltIlr-lO :3 ....CIl <(E-<E-<E-<oo W U , , , '0 HOO -...:I .,.~~~~g t:>WW .... ....W 1llE-<E-< 0 oel r-t tIl 00 I I CIlW , ~~ O~~~I.O[, :5gjp; .,. r-lCJCJCJOO 0 0 a:>i: , 'E-< WO 0 01>: I>: I>: I>:I>:U .... ....0 o lIll>: oW 0. 0. ZO III III 0 E-< o~ wo. CIl -U .... 1>:0 gjE-<~I>:r;jZ f- a 0 <( H CIl 0.>:~E-<WU...:I ~ , WE-< OZZZI>:o. 0. .... I>:H ~W03:<(o. >< ...:I o.U E-<UOo.<( 0. E-< III of ,ORT "'-'\00 l~~<;. ,.~ ~-- . ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 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 07-00000950 Date 335100 1014 CATHLEEN ST 06-30-01-7-7-0040-0000- GLENN~TERRA, INC. RES NEW SFR 9/07/07 RS9 RESDNTL SINGLE FAMILY 149176 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 1779 SF SFR, 576 ATT GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 WA 98362 124 PORCH 28.00 V-N 1. 00 9001.00 2479.00 2479.00 1. 00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 109439 230.00 Plan Check Fee 9/07/07 Valuation 3/05/08 .00 149176 BASE FEE . Ex.tension 230.00 Qty Unit Charge Per Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 109447 120.00 9/07/07 3/05/08 Plan Check Fee Valuation .00 149176 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 andelctrical permits are required. Customer connection fee $713.00. 08/17/2007 11:33 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 180aays after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I herepy certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102.15R [1105] PERMIT INSPECTION RECORD J .. 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. . II . 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 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:\Policies\1102.15R (1/05] f ,ORT ~ lO~\ ~ ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000950 Application pin number 335100 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 ----------------- ---------- ---------- ---------- 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 Due .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 "aayS 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] PERMIT INSPECTION RECORD . . CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORJ( BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ;, , KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANlT ARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK 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] . <1~Oln,...,.o "...~<'( ~~":. ,,- L~ ~ "'<<? CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07--qSO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER; Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Application valuation 07-00000950 Date 9/07/07 335100 1014 CATHLEEN ST 06-30-01-7-7-0040-0000- GLENN~TERRA, INC. RES NEW SFR /()14~ I RS9 RESDNTL SINGLE FAMILY 149176 Owner Contractor 6;<j'~ 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 1779 SF SFR, 576 ATT GAR, 124 PORCH TOTAL % LOT COVERAGE 28.00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 WA 98362 V-N 1. 00 9001.00 2479.00 2479.00 1. 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS 3/4" DROP IN 109439 230.00 9/07/07 3/05/08 RES WATER SERV METER Plan Check Fee Valuation .00 149176 _____~~~~~;~---~~~:-:~:~~:;~;~;;~A;~~~~E~~~;-;~--------____~3~-;~'~ Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 109447 120.00 9/07/07 3/05/08 plan Check Fee Valuation .00 149176 , .~ jl!1' 1 ,DB . /1; 10 Qty Unit Charge Per CExtension ~ 1.00 120.0000 EA SAN SEWER HOOKUP 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 11:33 AM GMCLAIN ----------------------- Sanitary sewer connection inspection is required by Separate Permits are requiredforelectricaJ 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, orif required inspections have not been requested within 180 days from the last inspection. J 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 Signature of Owner (if owner is builder) Date Date T:\Policies\JJ 02.J5R [1105] I ~l'ORr'4< t~(O~ .,. ,.. ~- ....C;;;;p CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000950 335100 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 ______~~:"~eering_is_required_prior_t~_~~~~~~:_~~~~~~~~:________~-- Other Fees . . . . .. . . . SEWER SYSTEM DELV CHARGE ~ ____________________________________~~~~;:;~~~~~_USE_FE~__~~:~ Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 350.00 .00 2234.50 2584.50 350.00 .00 2234.50 2584.50 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required forelectricai 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 vioiate or cancel the provisions of any state or locai 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] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . REQUEST: Date /0 ~ /9 ~ <:::>1 Time Received by 'Rv/ (phone. person) Location of Work to be inspected / () / '-I C CL't"'le..ell\. S + Name of person requesting inspection C,,>rej :r-r~.. <T Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Phone No. Permit No. 0'7 - 950 INSPECTION NOTES: Inspected: Date / 6 ~ . /'1 - 0 / Time Remarks: Ne/10 '-I /. PVc... s"'-w.e,,,. (C") vL,A-e. l,-f :CVL la+e.",,.-..J elL"t ~"'of>e..If<+\../ 11''v,e..- ( By +0 'j2V' ( f' eYIS <11.3 61/ ?VC RESTORATION REQUIRED. . . . .. YES NO X o II ,j.t, .- 31(1) .>l ~ ?' 4'> I '-II o dJ-v f 1;," f"/(., , ~\>A \b' 13". ;' Ai 1\ , ......- \ , -'I I ...,,.....,e. I 9 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 101'1. Ctdhl-eeVl 5+ 07-'150 " a~;:" '.''''. /1 i' I '::J;::: It ' 'If u? Ii /0/ 6 0'7 - q c:; Sf . .../It'., ..! ,:t''<i,:.'' <t:; j ..,.,.. JIi!.. 11." :i;"t ~"!..,' .;"-.:j.1<' .:-9 ~:. ;,. ~. ., .......> IDN Ca..'f-itl-eeu 0,- '150 Sf- APPLICATION FOR WATER City Water Division, Port Angeles, "VA [ssueddate: q-07-D7 Installed by &date:/t'1l 7-10~CI Permit # 07-Cft5{) I hereby apply for water to be furnished m accordance with rates and rules of the City for the following premises: O-l;O ;::'04 /07'1 APPhcantName&phone:qlPf1J11Pyra. ctJ1u 6&S-D1DO Site Address /o!~Or:l).fl{?;~ilt;;IlmgAddress /3 U E gU.:#~~ Blk _ Lot -1- Add, @arcel#' Ob~.J)1)177~CJ 4() Svc: Meter#'s C F ()C~ IC0'2'3' W/O#:' /( . ~a Fees:tZ5IJ+ 12.3U Restoration Required: P'. I .'~. C" ~\' , , . Svc: - ------ Remarks: ,353' N w ",P) E ll' ~ cJ :r,[, :s c:r \..J S G CITY OF PORT ANGELES . DEPARTMENT OF PUBLIC WORKS . . .. . INSPECTION REPORT. . . . . . . . v REQUEST: Date /D - 26-08 . Time Received by RV (phone. person) Location of Work to be inspected /6/ t.j ~1k /€€. I.L s t Name of person requesting inspection s:..kCl.-u vL- C-.....c W Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 07- 950 Sewer Foundation Framing Chimney Plumbing (Rn~ Sewer Excav. Other INSPECTION NOTES: Inspected: Date I {/ ~ 2.1 - 08 Time Remarks: Se.u..l<2-.- ID -fq - 07 J)o-u>\, ';;"p<'>ilis: -k. lJJQ.Q.r I.tck ;"1, CLI.~b By RV DF RESTORATION REQUiRED...... YES NO 'I- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) d"ORT~ ~ 11. -- ~i? CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07-488 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000458 Date 5/01/07 094422 1014 CATHLEEN ST 06-30-01-7-7-0040-0000- PUBLIC WORKS UTILITES Owner Contractor 1)(2f\ I0140~ RS9 RESDNTL SINGLE FAMILY o 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 100545 .00 Plan Check Fee 5/01/07 valuation 10/28/07 ".00 o Special Notes and Comments 04/30/2007 11:47 AM RVESS -------------------~---~------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-1B$615.1B + 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 .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 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 day>; from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction Or the performance of construction. " . Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) . T:\Policies\1102.15R (1105] , cI ~ORT ~Q t~~ ,. "-~ .-.-: to ~,,~ 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 07-00000950 Date 335100 1014 CATHLEEN ST 06-30-01-7-7-0040-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 14 9176 Contractor 000 GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 000 1779 SF SFR, 576 ATT GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 1. 00 9001.00 2479.00 2479.00 1. 00 WA 98362 WA 98362 124 PORCH 28.00 V-N BUILDING PERMIT -RESIDENTIAL 1779 SF SFR, 576 ATT GAR 109082 1300.25 Plan Check Fee 9/07/07 Valuation 3/05/08 520.10 149176 Qty Unit Charge Per Extension 1020.25 280.00 BASE FEE 50.00 5.6000 THOU BL-100,001-500K (5.60 PER K) permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 109769 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 PLUMBING PERMIT 109751 163.00 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, 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_15 building pennit inspection record05.wpd [1/4/2005] I BUILDING PERMIT INSPECTION RECORD ~ CALL 4] 7-48] 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES .J PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULA TE OR CONCEAL ANJ' WOFJ. EEFORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA T10N. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSI'ECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNOA TlON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TJON DRAn~AGE / DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL ROUGH-IN HEATPUMP/FURNACE/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 OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LlGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERlNG 417-4807 PW I ENGINEERlNG FIRE 4] 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUlLDING 417-4815 BUlLDING T:\Policies\II02 15 building pennit inspection record05.wpd [1/4/2005] , :fVORT~ J tO~~~ ". "- K;;...:IJ , ~ '.. 'l<i<,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000950 335100 Page Date 2 9/07/07 Qty Unit Charge Per BASE FEE 12.00 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 84.00 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 $713.00. 08/17/2007 11:33 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1578.35 1578.35 .00 .00 Plan Check Total 520.10 520.10 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4332.95 4332.95 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This Rermit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] _'$O~' ~~ _.s: ~ - ,- ~ S' ~ -, BUILDING PERMIT INSPECTION RECORD , . CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTR1CAL INSPECTIONS. r CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES .,I PLEASE PROVIDE A MIN1MUM 24 HOUR NOT1CE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' 1-VORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o .-J \ ...,S) \J\ C> - ~ s:: q: ~ l. ~ ~ -l V\ ~ /-\:) ~ V\ c:5 ~ cr- ? 60 INSI'ECTlON TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA nON: FOOTINGS i 0 -olf -Of 3U- 10- og-o, foetf(),{Tl.,L- (SHEAR WALLS) WALLS {I - 2/HJL "'TL.L FOUNDA TJON DRAINAGE I DOWN SPOUTS f()-I'"7-f1f ;TL-L. PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-fN /2.-\ '2..- 0/ -:r LL- WATER LINE (METER TO BLDG) /o-tg-D7 -;1Li GAS LfNE FfNAL (0 -ZLf...6 ~A TEf> B ACCEPTED BY: BACK FLOW I WATER AIR SEAL \-\L}.-:-D~ \LL- WALLS CEILING FRAMING \ -l '-l-o~ "J'LL JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS I ROOF I CEILfNG - IH _ (I) '?"J . \ l L ~ DRYWALL (fNTERJOR BRACED PANEL ONL Yl T-BAR INSULATION ~ SLAB ) WALL I FLOOR I CEILING I-I).n.ft)~ I I \ v MECHANICAL ROUGH-IN l-ILf~DR :r L-t..- HEATPUMY/FURNACE/DUCTS GAS LINE } 1}.-1J7-n'1 h..L. FfNAd 0 -2.4 -08 DATE P8 ACCEPTED BY: WOOD STOVE I PELLET I CHIMNEY MANUFACTURED HOMES FOOTfNG I SLAB , BLOCKING & HOLD DOWNS ~ SIURTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: I'ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL. LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT ~ CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W. ENGINEERfNG 417-4807 PW I ENGINEERING FIRE 4 17.4653 FIRE DEPT. PLANNING DEPT. 417.4750 PLANNING DEPT. BUlLDfNG 417-4815 ~. BUILDING o ....c. .c ~ ~ y ..,j ;- :z ~ () ~ I N o ~ ~ .:::> V\ V\ + -- f ~ ~ ~ '".... -1 i ";:) qJ "# ~ J5 z \f) ~ ~ T:\Policies\1102 15 building rennit inspection record05.wpd [1/4/2005] / :1 I I ,FOROFFIClALUSEONLY: BtLDING PE~R~IT - APPUPATION I 1;(:~1~~~.:g<b~I~-6~ Fill out COMP 'TELY and in K:. Your application land site plan MUST BE V,D t A ~ . ,. . a e pprove:. I> COI\1PLE E to be accepted f r.reView. If you ha~e an)' questions, cabl ' . U PERMITS (360) ~17-4815 FAX(360)117-4711 : Date Issued: GT~ CATA ~ {\"\"'~~( ! I S(pO "2oLj - /0 79 C.~L L I Phone: .1 G;>O- C:-r(1J.- -DIDo Phone: :r~o-S-<.Or-CIDO i Zip: q g .s to, G s I Phone: S-OJ - GZL(- QS,.r.s- G State L, cense #: q8~AE- Exp: ~ //1& Phone: J t.O -1.0 'I- /D 77 -# Z '2..3 City: Po R~LF- J..- i Zip: 9 J ..]' te c... .. .. G I . I iONING: ~ct 5 00 ( _ r~b;~;O; tt;;;;E-iJ Esr-4T(:.( ~ I I I I City: I I ! o Stove a-Garage ~PDu-rl . o ollier Owner: Address: Contractor Address: Credit Card Bolder Name: Billing Address: Credit Card Type VISA MC I # TYPEOFWOPJ(: . I ~Resideutial ~ew Consu:. D~. e-roof o Multi-family 0 Addition Dove . o Commercial 0 Remodel 0 I emolition . 0 Repair 0 Jign BRillF DESClUPTION OF THE P -lOJECT: COMMERClALIRESIDENTIAL: . ccupancy Group:~ 1<....s No. of Stories: L Lot"size: Existing Sq, 1.' Total lot coverage 2. 6> Exp. Date: I occupan, Load: cdnstruction Type: V N & Proposed Sq, Ft. 2) '171 = TOTAL Sq. Ft.~ I I 7 Ti "+' S- 7 (g "7" rz..14 I I I I I ESAlWetland(s): 0 Yes 0 No SEP Checklist require . 0 Yes 0 No Othelj: 1 I i VALUATION OF CONSTRUCTIOffi"~: In all cases, a v,luation ~mount mustlbe entered by the a~Plicant. This figure will be 'reviewed and may be revised by the Building Div sio~ to cO~lply withfurren~ fee schedu~es. Fonta~t t~e PeIIni~ Soor~.ina.tor at 417-4815 f~r assistance. PLAN' CHECK FEE: IF. ~ plan check ee IS dU~lt must'b'9-'~*?Illitted at the tune the buildmg pemut apphcatlOn and constructlOll plans are submitted. All other pernnt fees are due at the tune of perrmtIssuance. I I ExrIRATION OF PLAN REVIEWi Ifno permit is issrled within 180 days ofJthe date of application, the application will expire. The Building Official can extend the time fI r action by the applicant up to 180 days upon written request qy the applicant (see Section RI 05.3.2 of the Intemational BuildingIResidenti 1 Code, 2003). No ~pplication can be extclnded more than onc~. 1. I ! I hereby certify that I have read ex ned this applicatiDn . nd knDw the same tD be true and cDrrect. I ain authDri:?ed tD apply fDr this permit and understand that it is my respDnsi ility tD de rmine at permits re uired ,not the City'1, and that I must Dbtaln such permits prior tD wDrk. I I 1 jJ I e: : It u..t.., I ~ I 7J?D 7 , I I I SIZEIV ALUATION: i /77~ SF.@$ -/fl1,rJ9/SF.=$ J3S"} sCoL-f./1 S"7UJ SF. @ $ 7 I,,~ ~ /SF. = $ I 2) J J Y. g g \'-Li! SF,@$ '.l,OIX'/SF.=$ 1) YQ7. Cf"2.. TOTAL VALUATION $ 14q J 17 c" cr I :.J:: .s PLANNING USE ONLY: . . ..... ......:......................-.....--....... _._.~ .-.... I I I m_.....__.... .......+ I APPROVALS: PLAN: BLDG: DPVVU: FIRE: OTHER:_ T:\PoIicies\BL-] l02_13.wpd /1 ?-I. 'l-('\j ~I~ :- 'l- ~~ V)/ I I I I I I I I I I' - FNfY. 2" BRASS CAP, STAMPED 10TH -Y~-NE~~:~:?344" ~ FND. ;'1/2" :::~4;~~~ . ~69'(~ iJ lWIH BRASS NAIL ;'.;. ]~ .~ ~ ~ --;;;;;r T;P.~~~~;~~W r'-'-'~ 0' I I ~o i fb@)'fi' UL 2: I ,lC) 9091 SO,FT. lC) ,;:.:.\ -;... g ! (#1002)! g I '~ ,I ~ 1 25' ! ! '::) \ :g 1 tlr _ . "-" ' -1 I ',v S 56'4527" E . 0 \ I 8' 100,45' ',0,' '-. l .oo, ._ " J'F . 10' X 10' POWER i Il.@'i! ~ 25' I I EASEMENT (5' EACH Ifci, 0001 SO,FT, 0 SIDE OF LOT LINE) '( r' (QOl' I~ IIi (#1006) , i ~ I , 25'. . ,~' J S 56'45Vh E I I I 100.46' 8 " r'~'-'l ,",'I... I I ,. I 4;::~; <\ I i UJ'i! Jj 25' I i 1I.@'i! U@ ,;:,'-' :::-:-:.... '~, 10 0001 SO FT ~ if; 01 Q SO FT' 0 I I ,-~\ .;) \.>',..';:,\ I ~ i' ' ;, oi i:tI ~ '(001 "~ I \.>' ,'.':;':':\;~""\' .' '~i (#1010) i ~:fI col i ( #1011) i ~I oE[ I ,.:;~" I ,:~e 'o~:,::;,'\ I 25' i8o' J' J:::: L5' is ~, J' 25' I (;,'-' . , ~ ...,. I f ~ 'F I S 56'4572'7''' E () S 56'4527" E I I 8' .100..46 100.d6' 8' l I ,.l.!.lJ':='l ' 25' I I , 10' X 10' POWER s'. 25 I I EASEMENT (5' EACH I. I fb(DJ1l' 4Jj 0 ~ ,I I /1,,@)1l' @ . I F SIDE OF LOT UNE) I~ ~OOI SO.Ft.::: I;; ~I ~OO1 SO.Ft. ~I .~.~ ~ i ( #1014) i co ~ ~I i (#1015) i ~ I ;!:I~ 25' '. 1'5' . , ~." ~"-'r=,J I ~"-'_IJ V) N 56'4527' W N 56'45'27' W I ~: r 1 DO, 46 )8 :; 3D' I 3D' 'J l C /00.46' ,8' : ''''~;; I ~ 125'1 UJ'i! IfJ 2S' (; ~: Y! \ U'i! ~ 25'1~ .... ~ I. 9 38 SO'fT. \92~8 SO.l.T. . I ~ I U)I~. It#1104~1 f! ~ir#1105i ~I'a, 10' X 10' POWER J I 10 WID I I - I B' . r EASEMENT (5' EACH I ''1. t. N~ I I SIDE OF LOT LINE) I ~\~6€\~ ~' ~;: h ~;a~~6'~ ~, I :, g5:'b-- . . \. . "~<.J" 'Jr ..?'" / ~ I . 18('- !bfPJ1l' ~"''-J'~8r~/{j,@'i! 'I ")'1,-1 L 12465 SO,FT, "'g' 12467 SO,FT, I~l I ,'l' C#11 08) ;!: iii' (#11 09 ) 'it, >:tL._._ ._._._._.8'::) L._._._. _._._.J8! - <: . I N56'45'OJ"W lC) lC) 260.9J' lJO,46' ('\j ('\j lJO.46' I c - 10'ii:9Y - -1. ~. ~ ~ .~O~:J" ... - ----ao:oo' a ....;r1Llt~: :"'L,<-~ 1 U!. _~ _, o STREET 1:m~' ~ )6J/~ . ~ 26 .90' I ~10D.45:--~- . r'-'-', M,I 5 'fb@)'i! U~ 25 I ~I ~091 SQ. FT. ~'II g, ! (#1 OOJ)! g I I ./ I rs ,r!!.', _ , _ ",j 1 S 56'45'27 . [ 100,45' 8' I ,'-'-'l I . . . I I /1,@}1l' BY ., ~I ~001 SQ,FT ~ ~ ~I i (#1007) i ~: ~ f5' . . 25', l2 ~'._._.J N 56'45'27' W I ' 100..46. 8' 8 ~ I ' l2 'l- II 10 CA T. . TO' PUB POV\ ARE POR I , I I I I , I I I I '> "- '2: I 111. (00 t ~ f----- .~~ .._._._--~~_.~- .._~-- - 0- ,.....-...-- -- -'_". ...u ( - - - ~ :J r ~ "-- H':' ~ a -t",1 ~ CJ I - I i I I L / ~ 5 4f; '2 \ (P\"~ ^ -. \Z I \) I 0 2~ . 4- I \ . ''--'-4 .n 1.. ~ \\Z r-- ~~ - :~~ ~ 11. U ~ ! ~ 'fBp&f.l-:l -. ' - ~, #~' ~-,~ ~\ ~\ · ~~~ J ~ ~\ ~~ - -' .. ....~ .. t.2. I ~ \- 2ft, GO' lo\4 ~~ ~~ I Lot: i il Prescriptive Approach - Sim~le Form ,'1 lor the Washington State Energy Code (2003 Edition) I Climate Zone 1 . 'I I [ I Site lnformatr'on i ' ,Building Dep:1rtme~t Use Only per'init'#:" .....O.-1I-a50'. , ""., '.. ij ,.1.. 'Notes:' . !": ...."......',;1...... .......... I :~,. t: ,. i.', :.... i:',:,j.- ".' . ~. .' ., '. _," ".: ," .. . ...... '.'" .'. ""'f: S-r, n lIllIte azmg )~ tlO11 [ 11 Y Glazing Glazhlg U-Factor Door9 i Wall wall Wall SIab4 Option Area 10 V'"t- U- Ceiling2 Vaulted Above Int4! Ext4 Floors On % of Floor Overhead I ] factor Ceil:ing3 Grade Below Below Grade . Grade Grade ill Unlimited OAb ; B e R-211 @ Group R-3 0.58 '0.20 R-30 R-IO R-IO I I Occupancy I ! Only i i , 1,;i.;.,::..~.I.~!'..::;.,,,',.:;.;:::L::),.\::'::'.::.m"~,::~~>~...:g,:;...!..!.: ';';;'.,:.':...;'iAj~~~':6~.:~:'~:} >c.: ".r'~:',t'.:"::"".':" :..'.'.,..,..:!t:,:.......?.. :,,:.: .. ..' '. ,. c. ":".ti~":::':'::" .,',., i . '_~ . . ''':' ,ji ".':"'.,.:1.,. . '.' ,il'j "i:' . ..:..,.."..... '.d "'1' '-'.'1" I..' ',. ;.1"..... I '.Je;" . .:;, .: .....' ;'. . '-:'.' ~..~. ".: . :'." ';~ ~ t ,ji;:: ~ ii';;::~ :');';;'1:.1 ",~; .,' .~.: :"!- ..~11' '..'~,". "<'.H4;J:;l:;c",',',"~;;~' . ',.!,,'. "J":'" '.' ;.. ..'....,. ......:." :.:. ......... I.' ~,:. :" ....:, ...~,.....,.. ,,:'>c'.'~.",'~,., ,!."., ,'. ....,.....,:..~..~...;,.. ..... . ..:';.. "': .. ." ..:. . . . .... '" .~."" ,~.i:': ~:';::,:. '....~... '.:,.:-":'i~1:;;j:if:":';.' :,';.~fi . :;:1'I,::;';li~:),:~;,:,t;.~.:1:l~:,~~.f:'::':'~!~'::~:,:R,',",';;g, ,'. .:,....'; .':':,.,;;. '~'.T>i;j',:,:""i,'j'l I (,i1" I" :';'.U' It 1}>....lj..',;t I:. \i!~l I,! (r.'~ l::d',,'. I,. ~= '\"1' a \,1. ltl! .1 I "h!:Jl/l.'I,;,lj.f...t' t t . '1' Table 6-1 ";,"'" ';~,., ,~.' ""'~' "..>;, ""....'.: ,..,.:" '..'",'.''''" "0'" !,,,,,,,,,-"''''..' .,,~! PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R occupLcy I CLIMATE ZONE 1 : I (U I' . d GI . O' 0 I ) Phone 2: Fax: I See the cO,de text for footnote references Thi roject complies with ~he following: : I' The project is a singl~ family residence ~ Ju/-,It:A. ~ ; All building compone ts meet the requir~ments listed in Table 6-1, Option III. I The project will meet rll other provisions of the WSEC and VIAQ. i ' I The project will take advantage of the following exceptions to the prescriptive option: o 602.6 Exception 1. Ohe door, that is 24 ~. 2 or less, that does not meet the stand1ards is allowed. Location ~f the door takin this exception I i :1 o 602.6 Exception 2.0 ors with a U-factJ of DAD allowed With[out calculations, Obtion III only, .' . I . ~o'ation of the door(s) ta ing this exceptionl .1 TYpE- IDF '1-\~rlAt- S00~C.,.E' ( -FOIl.G~. b A I:e... tfLt:..C-/R.Te- ! o~' . Copyright 2002, WSUCEEP02-056 I: ~ Copied by permission from the Wash ngton State University Extension Energy Program . ~ prescriPuJe - Simple Form - Climate Zone 1 7/26/2004 I I J~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. 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 07-00000789 Date 883348 1014 CATHLEEN ST 06-30-01-7-7-0040-0000- ELECTRICAL ONLY 7/10/07 RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 133 MARIAH WINDS PORT ANGELES ( 36) 477-9449 WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE EL. SVC./ 60A TEMP 106195 ELECTRIC SERVICE 40.00 Plan Check Fee. 7/10/07 Valuation 1/06/08 .00 o Qty Unit Charge Per 1. 00 40.0000 ECH EL-TEMP SRV - 0-60 SRV. FDR Extension 40.00 ........ ~ "- ':\ ~ {~ ~ ~. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 tI) ,1 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-llD2.iS (4'96] do ,O'IT ~ ti ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o ~ 1 ,...c \S\ c::IJ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000458 Date 5/01/07 094422 1014 CATHLEEN ST 06-30-01-7-7.-0040-0000- PUBLIC WORKS UTILITES RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 133 MARIAR WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit RIGHT OF WAY Additional desc DRA PROCESSING PERMIT Permit pin number 100545 Permit Fee .00 Plan Check Fee ".00 Issue Date 5/01/07 Valuation 0 Expiration Date 10/28/07 Special Notes and Comments 04/30/2007 11:47 AM RVESS ------------------------------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-18 $615.18 + City Admin $33.87 ..- Other Fees CITY DRA % DRA FEES PLUS INTEREST 85.62 1569.33 a .-- ..+: 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:\Policics\1102.ISR [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 LOC.~TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I 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 I I . I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED I YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-46S3 FIRE DEPT. PLANNING DEPT. 417-47S0 PLANNING DEPT. BUILDING 417-481S BUILDING - T:\Policies\1102.lSR [IIOS] 0^vY ~~" ""-,;:"" ~~~ ,~ ~... -.. ELECTRICAL WORKPERMlTAPPLICATlON Job wired by CJ Owner Installation description a Commcrcaal ~~I License number Date Expires .... !......?-€T .s I \ 3.2. '""" CI New CI Altered/Addition CJFHc:... l-c'o/) <;~ w- Tclephpn~ number L-f ) 1-- L. If L'- << Preml'!p t~ner'..&-DJIJ)le Go \c...-.-<- AddTo1lq..tIOOC C! te--lsza..... Clly P A- , . PhQne number to schedule Inspectlun: 177 '! 5"7(g 2-..3 S $" .sf Owner (J.f defined by RCJY.19,28.26/:(/) OWller will occupy the strt/clllre Jor two years ajler lhis elecfrical permit is finalized. (2) OWIll!r is required to hire un electrical con/ructor if above said pmperty is lor .~Qle. refl' Qr "'use, Aficr reading lhe above statement, I hereby certify lhol I am the owner or the above named properly or a licensed electrical contractor. I am mllkin~ the electrical jnstnl- lation or altcJ11tiol1 in compliance with the electrical laws, N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296.460, The City of Port Angeles Municipal Code, llod Utility Speci cations. SI;natu (J Cash (J Check # ~ar~:ditCard 6~ ~r~ar~_~i:ove~_ Date: Expirelion Date of card x Electrical Load Additions and or subtractions CI NO LOAD CHANG ES CI ~.eboard _ KW Q"Fumace \..L:JKW a HeatPump _ Ton _ LAR CI F3I1-Wall KW CI CI CI SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 Overhead Service Temp Service Underground Service Service Information Voltage t LO I,.. ~ ") Phaso 01...-6 3 Service Size: 2-<:0 Feoder Sizo: 'fJO Palo Appnngd By SERVICE rzhtJOt ~ Ollc Approved By --_.- For< "-- ~ THERMOSfAT ~ Approved By FEEDER vd:5? 01.' Appro~cd Oy Inspection Date Area, Building or Equipment I ected Action Taken Electrical Inspector If.) n J lPJlE~lE~ 2/2'd ~-z'28 llLI7!..l17 :01 1721792517 3)I~d3S )Id1)3l3:WOd~ ~[[:L0 17002-6!-1)0 QS-OZ88 . ELECTRICAL WORK PERMIT APPLICATION ~ Job wired by o Electrical Cootractor 0 Owoer Installation description a Commercial Ql Resldootlal Elc-cmcal contractor name ~\v'tc- Cr,IL,',,! , Purchaser's mail ins address l"67n F, \-Ii,,,,, \0\ City ,J WIr\- f.\rrv.;P\ G"o 'vJA Telephone num11J i' ' :t--"&LlY License number Date Expires t:t\oA(:\t:bDLA\QQDiIJ!\l ~'Zlr<fi aN... a A1lendiAddltloo I r" \J' r:P State ZIP qP;6ltL- FAX number . \fu) \klHn~'jC ) \V1I'(mDstr..f Premises owner's aame G \~(\(\ Tf ('rC, Address of inspection C ,. tOlL! Clm\U{\ Cl~ ) (\- ~(;leJ, Phone Gumber to ac::bedule inspection: 3i.o 4 Owner os defined by RCw"19.28.16J:(J) Owner will occupy the structure for two yean after this electrical pennit is finalized. (2) Owner is required to hire on elecrrical conJraClor if above .fold property is fer sale, rent or lftUe. - After reading the above statement, J hereby certify that I am the owner of the above named property or a licensed electrical eonb'8ctoT. I em making the electrical instal. lation or alteration in compliance with the electrical Jaws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Spe<:ificarioos. Slgnatare f' own -'6'Yc{-- l.:,+y ~ o Cash 0 Check # o Credit Carq VISll Card # Mastercard Discover ---------------- x Date: ::, -4 -0'6 Expiration Date of card a NO LOAD CHANGES a Baseboard KW III Fumace ~ KW Q Heat Pump Ton Q Fan--WaU KW ServIce Information LAR lJ Overhead SeIVico a Temp Service a Underground Servlco Vo"- Phose a , a3 Service Size: _ F_ Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ;' ROUGIHN THERMOSTAT ;' SERVICE 12!-:l/P7.. ,~ "- 0"", Approve4 By Dale Appl"l)VecI 8~ "- Date Approval By ANAL ;' DffCH ;' FEIIDFR trin/7fJ 'lPP Oala "", Approved By " ApprovtldB,)' "- "", _ay Inspection Area, Building or Equipment J"-'j>ecled Action Taken Electrical Dale Inspector (Y7 -'1~D ;!\ G,'t'V 1)4 r ~OJltractor Installation deSCriPliO~ Job wired by Q Owner Q Cummercial csidentlal EIc:cl(ical contractor ~: -L License number Dale Expires Q New Q Altered/Addition ~"- e'-4<-"""" l"l,w-.. rur;as;: mQili~a:dress V ~ e~ Ci'2 ~ Stat. ZIP <70%,- \00 f'..J-\,p ~ (Y"'T' '" l.AJ\oO"" Telephone number fAX number 4 ,.... -lD-(~ L( ~<--J Premises owner's namc_ <O~ \ a...;r---- Address or InspeCIlORU l , 0 \ c..( '""'- ..u.- City PA-- Phone number to schedule In,pectlo.,: Owner OJ defined hy RCw'J9.18.26J:(I) OWIH.'r will occupy rile strllcrure for IWO - years after Ihis e/ec/rical permiJ is finalized. (2) Owtler i.'i reqll/red to /rire an electrical controctor if above said property i,r for ~;(Jle. rem or /ecuc. 0 Cash o Check # After reading the above statement, I hereby certify thai 1 am the owner or the above named properly or a licensed electrical COlltr:lctor. I am making the electrical instill- o Credit Card Visa Mastercard Discover lalion or alteration in compli:lnce with the electric::!1 laws. N.E.C., RCW. Chapler 19.28. WAC. Chapter 296-468. The City of port Angeles Municipal Code, and Card # . - - Utility Speci fications. ---------------- Signo'." .{:20', "'<lr(2.lJ"o".r ., .Ieetri..' odmlni,trotor -. Expiration Date X · - Dote: of card (InSpection fce..---'" \. $ - S" ~~~ 1\.. '1''' ...... ELECTRICAL WORK PERMIT APPLICATION. Electrical Load Additions and or subtractions CJ NO LOAD CHANGES Cl Baseboard _ K)N CJ Furnace _ KW a Heat Pump _ Ton _ LAA Cl Fan-Wall _ KW ce Service Information Voltage ,........~... ~ Ph... '!:r'1 CJ 3 Service Size: 700 Feeder Size: ~ SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT Oal~ Approved lJy U.le ApproVCtl By FINAL DITCH 7~ Dille Approved By SERVICE Dale AfI(lroved By FEEDER Dlll~ Approved By Area. Building or Equipment Inspected Action Taken Electrical Inspector "2~ ,>['d nL~H~ :01 ~2~92S~ 3Jl~~3S JI~lJ3l3:WO~~ ~00:01 ~002-22-Nnr