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Home My WebLink About529 W 12th St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 'moor 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000303 Date 5/03/12 Application pin number 766929 Property Address 529 W 12TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 4860 -0000- REPORT SALES TAX Application type description RES MANUFACTURED HOME on your state excise tax form Property Use Subdivision Name Property t the City of Port Angeles s Code Zoning RS7 RESDNTL SINGLE FAMILY- (Location Code 0502) Application valuation 15000 Application desc 1700 SF MANUFACTURED HOME Owner Contractor 1 OWNER 527 W 12TH ST tIVlt4t $.74 11- PORT ANGELES WA 983627502 Permit BL MANUFACTURED HOME Additional desc 1700 SF MANUFACTURED HOME Permit Fee 230.00 Plan Check Fee .00 Issue Date 3/27/12 Valuation 15000 Expiration Date 9/23/12 Qty Unit Charge Per Extension BASE FEE .230.00 Permit PLUMBING PERMIT Additional desc WATER LINE FOR MFD HOME Permit Fee 57.00 Plan Check Fee .00 Issue Date 5/03/12 Valuation 0 Expiration Date 10/30/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER LINE 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. March 22, 2012 2:59:25 PM sroberds. The proposal will result in placement of a mfg home in the RS -7 for total lot cov of 24% and site cov of 44 Above ground deck needs to be reduced in size to fit setback area. Electrical load calculations and electrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417 -4831 Fee summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 5/3i �E F J !U r� 4 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 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 LOCATION. KEEP PERMIT AND APPROVED PLANS AT 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 b AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W, PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T•Fnrmc /Riiilrlinn nivicinn /Riiilrlinn Permit a [4g1, CITY OF PORT ANGELES w`I►' DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION qq t 321 EAST 5TH STREET, PORT ANGELES, WA 98362 gyp, Page 2 ileh'; Application Number 12- 00000303 Date 5/03/12 Application pin number 766929 REPORT SALES TAX 6 wr Permit Fee Total 287.00 287.00 .00 .00 on your state excise tax form i" Plan Check Total .00 .00 .00 .00 Grand Total 287.00 287.00 .00 .00 to the City of Port Angeles 4., (Location Code 0502) 4 4 IW,a eI'. l R Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions .0 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. ti 1 1 i a Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MIN /MUM 24 -HOUR NOTICE FOR INSPECTIONS °fo? 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. d POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts L /1 Ct//t/ 1.41A Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In r- Water Line (Meter to Bldg) LA• q f7j• 3 LL• Gas Line 8.24 Mecepted by Back Flow Water FINAL Date AIR SEAL:- Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wal owns 1 ar' 'e) Walls Roo ei ing Drywall (Interior Braced Panel Only) itplagaMP 570/ T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by' MANUFACTURED HOMES: Footing /Slab pYev1.ou5 Blocking Hold Downs d' Skirting I a-• PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE chi Inspection Type Date Accepted By Electrical 417 -4735 Q Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 f p� Building 417 -4815 9.2J4 1 Z On T•Fnrmc /RniIdinn rlivicinn /Ruilrlinn Permit F pORrq,,, o `mN CITY OF PORT ANGELES .1� PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Ra� Application Number 12- 00000303 Date 5/03/12 Application pin number 766929 Property Address 529 W 12TH ST v ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 4860 -0000- REPORT SALES TAX Application type description RES MANUFACTURED HOME on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 15000 Application desc 1700 SF MANUFACTURED HOME Owner Contractor PENDERGRASS PAUL E OWNER 527 W 12TH ST PORT ANGELES WA 983627502 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 150.00 Plan Check Fee .00 Issue Date 5/03/12 Valuation 15000 Expiration Date 10/30/12 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 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. March 22, 2012 2:59:25 PM sroberds. The proposal will result in placement of a mfg home in the RS -7 for total lot cov of 24% and site cov of 440. Above ground deck needs to be reduced in size to fit setback area. Electrical load calculations and electrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417 -4831 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of 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 Signatur "'Owner (if owner is builder) ate T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 4174831 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 BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE 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 4-7- BUILDING 4815 T:Forms /Building Division /Public Works Permit N N 1 HI i 1 (N 1 N a Q H W W 1 a N 7 F 1 W rl Q Q I w P-1 L w z 0 Q A b a Q co r, W .N 10 >1 1 10 a) 1 o a C 1 W ..-1 1 0\ w N 0l 1 o 0 Z co E 0 a) 1) H 0 a) C CO F N r- 4) o H O U 7 m fa 0 O 0 0 T W H L N >1 0 N 0 1 r1 N 4) 0 H 43 a S-1 (a .-1 0 H Sa 43 0 H a 1 7 u 7 F, 1l V) (1) U S, 7 S a O U 7 S X 1 11 F Sa 1) a) al 2 'rl .S a) 4 a) L a) W 1 N w of N •rl U H r I -r1 of -r1 'O of -.i H 1> U C7 A 0 r-1 4 r-I 0 r-I C a) U H a H w w .c a x •r, X 4 r, 1 of a) F 1 OIz2 W Q Q 10 .0 n x10 CI v) rDn W co z £..0 C E F 01 0) 4 10 01 01 200 Q 4) f CO CD a F co a a.0 ti Q a 0 H W 1 3 a N [n d' 01 rl 2 F h 1 0 1.11 a 40 H 01 r r•1 W 01 01 01 a m m 3 0r a 40 r w r1 N 01 0 w 1.11 to a d H 0 N a in H 01 2 Oa 1 w 0 (1) 0Hr 01 rl w rl co 1 Ow H a, C a) 0r r H 0 1 (n a 01 z rl x 01 111 a m cn Cn In H N .H ,q )n r1 H F F 1 F O 3 N OJ C N O F N U u 4 W 01 a; ro O 0 1 m m r0 r1 01 0 CO Z a r, a m r0 r1 H 0 X. d' a F W W 1 0 W w r•1 W 0 a) H N 0 N ,o N 0 W W Q S, 1-/ E, N r•1 a s 1 0 4) Z N 0 N 0 N N N a 0 0 N 0 o F E F N ,7. 0 N al F l0 N 2 W Z W 0 0 H O H W H O 0 0 0 1 0 a N 0 F 0 0 Q 0 H 0 o 0111 0 Q 0 0 o H 4) 0) 0 H 2 2 00 HO 1 0 o W N Na Z H U 00 3 0 10 0 o r 0 -41 4) 30 w H 9 H U K N F H N N 0 N >1 0 Q d 2 N N 0 N 3 a) (0 1 N 0 w F\ KC r1 U 0 O 2 N 2 F\ 2 4) Q) Oi Z H 0 a w V) 10 0 Q1 4- w m 0 rlH w a v) 2 'H C H 4 10 01 CO N CO W H H w 11 (n H F H d' H 1' d' r DJ r H F 0 a m x co r, m a s W P] a) W fC 0 W CO U mum 0 uz� 0 43 10 430 4310v 0 Ca UM 0 U 00 a v 0 4.0X U (Da a a) x04 O wn) Qrt Q b1W wW a7a7w7N (no zz 5 z x04 3) wrx a l ,a r,hhaq ar, I'D l,a 01 4 A E £y w m n F a F a -crw as as 1 i w W r1 a z O) '-1 a .00111111•• H w a Q a Q a f s w 01 Hw ma as as IA 0 T, 1 00 a aQ 1-- <4 hQ 4rOP 1 Z a 00 9 KC F r1 I H U) I N H, F o o 3 w 0 0 a w w N N N N N N N 4 w w w a w N N N N N N N N W' 2 rl O I F F H H H H H H H a F F H H H H H H H H Cry 1 m 2 1 1 N W W W 2 1 N w \D N O w a o ff CO CO H H V. o w a C d' V' V' r r C •y■ Q tP rQ O H O 9 a M M 0 0 H H N O .7 a 0000 O O N \F 100 In 1n 10,0 W. CO 100 l0 to LO. O) W a 1 a 5 a u a a U 04 0 U PI w a w F W w 1 1 m U H H H H H H N N X o 1 U) a z F a o 0 0 o F a o 0 0 0 a aFWUa 0 F m x of m CAP I wzzaa W a x x s m g a fo co v)) m a H 1 woQ w a m a a w a s a a P..• U 1 Q u o a Q a F CO W w W a F a a a a PROJECT STATUS UPDATE Permit 12730 52G 12 Date: S /23 J Z I phoned the: Applicant Ji? Fi BeXineAi at (31'05CO3 Property Owner at Contractor at I (le a phone messa or discussed): The permit (has expired, or will expire soon). What is the status of this project? 1( Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. F 0 GW tut( V e ed f iitai Inasor ravaed 9ek T:Forrns/Building Division/Project Status Update M N H H H a a H W W 04 0 H W a q q a N w Lrl r 0 o a W o 0 o o co E H H W H o L H O U O O 0 N W r., N J."' N H W a L1 2 W E,1 W N ft O H H 0' 0 C' A 0 H ,A a H W W .0 0. 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F rn H CO i H H O O W F I o P Q Q r 3 woo l 0 (1 N N N N N NW Z 4m0 a H H H H H H H H 0 01 W Z u1 i N WON N 0 W u) 01 0000 Y' 0 oo 1 MOH o H O 0 0 \F WO 0 0 (010 a 1 a 1 0 1 w a a 0 W 01 Q F E 01 0 01 0 0 H H N 010 OZ H 0 o 0 0 a a F W U i m WP QzEaa a 10 m a WI-1 i a a E a 0 0 l� cc H N V H H d O w J\ aq W m V A o \P 0� N 0 m o O >4 ri N a H 7 U a H W W C Ui 0O: 2 2 H 2 e F a 0 a H co a ox 0 H O V7 cf) H u u W z a a 00 :n F r v x 2X 4 2 tio X 2.2 H 3 W o X H H Q N M O 1- a w 2 o 0 Q 2 a a h h 0 x F o H w m c1 F o H C aZa .e, v� o m w M t�H a N X f] 0 0 Ti 0.'i AI F H 01 0 0 0 V] H F 0 O o W W N W 2 o O a H E. H H H U' m 2 no W 2, 0 W SO N O W a <r C N MOH 0 Q a 0 0 o a 41 0 0 LD a x a O 0 W a a 0 m a 0 a wa Z N 0 H 0 O H Q 2 2 a a g a 0 0 a u 4 uu o a 4 a F a a W N H a a a H 41 41 a LD H w al Q 0 a a 0 W r w o a W o Q o 0 0 W x o •x u io N H rt N a O 1 H row H 0 0 H< 0Z2 W cn U H 2 a a 2 rC W O a,4 3 a Z H a o o O Q r, zzQ 0 2 0 0 0 Ho (0 art Z H H O .-3 2 UU W 2 xco o ri H 2 2 O 0 N Q o W cn U) x z£ ZHw E H H Q o o U z N H H 0 2 2 N U co H p 2 a C4 0 x 41 moz xQa m�� .a 0 NW a, a a w W H H W a m co a ri iQ z U] r W i r H w M ri x 11! p H ZEF N H 3 m N in oO ri m a X na a 5 a ,4 0 2 O 2 0.1 Q F W w U U H a 0 2 X a a w z p HH o WE 02222 2 X IX a00a4 (0 H tai roR BUILDING PERMIT APPLICATION Print in ink AP a°- CITY OF PORT ANGELES 11 For City Use On vir Attn: Building Permit Technician j Dat9Rec&vd 39t L 2. e ,31 •=:mur 321 E. Fifth St., Port Angeles, WA 93302 (360) 417 -4815 fax (360) 417 -4711 Permit 1/ `l Date Approve 's...0p1 Applicant Se FF 3 Ermeir Ph e' Property Owner Serf:- 3ENnrem Ph ne 3,46 god) act-3 Property Owner's Address c a q (d u l aT+t Contractor W. o,„,N)c2 ')1(NJ tr w Phone Contractor's Address License Expires E -mail N PROJECT ADDRESS 52 V) i 2 S Parcel Number Lot Zoning Project Type Brief Description: /Residential o Multi family Commercial Industrial Check all that apply New Construction Addition 010 I NG- r n o E t I C A o •v u T 2 Loc pea o+0 Remodel o Repair HIM IM M 4 I 1 0 e o Demolition Q*X Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump a wood- burning stove gas fireplace o pellet stove other ,Other Floor Areas Existing (sa. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor iii pt191 FV 2 Floor 3` Floor Gera e Carp. Cov u �00 Dec he. MAR 1 11 II Othe Il o CITY OF PORT ANGELES 1 BUILDING DIVISION 3-1 t9 1 y TOTAL VALUATION 15000 i t Total footprint ofstructures /700 sq. ft. -Lot size ,�(a$ sq. ft. Lot coverage .2 t Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewal s, p -tins, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) INCO SF 5raV2iSite coverage it 5cG1 Wrq l IC. Max. height of proposed structures 1' ft. Occupancy group of bedrooms a Will a lawn sprinkler system be installed'? Alb Occupant toad of full baths a Will a fire sprinkler system be installed? No Construction type of half baths ly I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it Is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 45)12. Print Name TE'I%F :Nmeer-- Signature T:Forms /Building Division /Building permit application A L.Lcq To T' ►E Nolz r4 !°mod f d, if -y, n A CITV OF PORT ANGELES Consxeuction Plans i The Issuance of this permit based upon these plans, specifi• I— calicos and other data shz'I not prevent the building official .i from thereafter requiring the correction of errors in said t plans, specifications and other data, or from preventing v building operations being carried on thereunder when in V i C 430 violation of all codes and ordinances of this jurrissdic ,y'` J 1 r 1 9-00 Q Approval Date 7 i2. B y w! I 11 V It MI dil,k woltic ,/i/b.)i/./V iht, c y 9 i..v.7 ki,f)sivi'st .NAl 4 4tzb v V 10.1( 14(ii...0. i \P"'" -c .6 ea-N.001 h N� of v ui 0 U� o� n SET ON PffrR tf Ams rite cave 01 a L 4.--__. 1 C A\ t 'Zy O 30 -Sol-- v 5loa 04 -To THE SOUT 3oc9- -3 40� Aci c...1 e 1 Powtez rw mcovrl SEFF ti_ fl 360 9(C1 0351,3 3Q =..N9wacFY..'tL it :n..:w w... ...e it (304_4_ Irr (c e..,y RLE t i ITY OF PORT ANGELES Construction Plans I T e Issuance of i° pbased ep these p lans, speufi :tions and othe� allEot preven the building official om- thereafter requiring the correction of errors in said ila s pecifications and other data, or from preventing l� f u ddi'ng operations being carried on thereunder when t 1 A a iolation of all codes and ordinances of this lurlsdic 'on. pproval-Da O By— L pie,040._ 1 toAr_s_47 aAc ,,a_27 ...„,j....1 _A 0 1 2 Fear \fAs20 nG. i k4. I( S1 p c' c (D 4- y 5 Sloe um,11 t 1 C D (2Li1 Clallam County Assessor Treasurer Property Details 59591 JEFFREY AND SHAE Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 59591 JEFFREY AND SHAE BENNETT for Year 2011 2012 Property Account Property ID: 59591 Legal Description: LOT 13 BL 348 Geographic ID: 0630000348600000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 91 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 529 W TWELFTH ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: PA West Res Map ID: 2 Neighborhood CD: 5151000 Owner Name: JEFFREY AND SHAE BENNETT Owner ID: 13531 Mailing Address: 665 DRYKE RD Ownership: 100.0000000000% SEQUIM, WA 98382 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Im provement Building Sketch I Property Image Land [Roll Value History I Deed and Sales History 1 Payout Agreement Website version: 9.0.32.2200 Database last updated on: 5/3/2012 3:51 2012 True Automation, Inc. All Rights AM Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =59591 5/3/2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 12- 00000664 Date 5/30/12 Application pin number 613320 Property Address 529 W 12TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-4860-0000- your excise tax form Application type description ELECTRICAL ONLY on Y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp feeder Manu. Home Owner Contractor BENNETT, JEFFREY SHAE JEDI ELECTRIC 665 DRYKE RD 331 FORS RD. SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 809 -0653 (360) 460 -0556 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 120.00 Plan Check Fee .00 Issue Date 5/30/12 Valuation 0 Expiration Date 11/26/12 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -0 -200 SRV FEEDER 120.00 Fee summary Charged Paid Credited Due Permit Fee Total 120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN g/34) 1 Z— 4Q IP FINAL 7 `C A COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BU ILDIN G 711 tai i N J CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL 6' i 5 I- --L Building Division/Electrical Inspections I NSPECTIONS o 321 East Fifth Street P.O. Box 11501 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: May 28 2012 1 2 Single Family Dwelling Plan Review May Be Required, CComplet1 Electriea Plan Review Information Sheet Job Address: 529 we■112m L 4. i Building Square Footage: Description of above recannecl mob to home 20D amp 1 i ii 1 Owner Information Contractor Information Name: yen aenne6 Name: Jea Electric Mailing Address: 929 Westi2P Mailing Address: 331 Feard. V Je 96362 Cit Pon ki a State: We Zip: 98363 City: P ^^^9e'°■ State: Zip Y Phone: Fax: Phone: 36o-460435m Fax: License I Exp. License Exp. temee•a57cz Item Unit Charge 2y Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 120.00 1 $120.02 ServicelFeeder 201 -400 Amp. 146.00 ServicefFeeder 401 -600 Amp 205.00 Service/Feeder 601 -1000 Amp. 262.00 Service/Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/0 Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuits 1 -4 75.00 Temp. Service) Feeder 202 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. $149.00 Temp. ServicelFeeder 601.1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Horne Connection 120.00 Renewable Electrical Energy SKVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 120.00 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires aher six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check Credit Card X Jed Kl zey Dated: 5 `2' _la:, 11110112012 1 d BLTTS9SO9E XEJJ 13C213S131 dH WdL6:6 2102 62 ReW T•\Policies\ 1102.15R [1/05] Owner Contractor JEFF BENNETT 665 DRYKE ROAD SEQUIM WA SEQUIM (360) 683 2477 Other struct info WA 98382 Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP Fee summary CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5Th STREET PORT ANGELES, WA 98362 Application Number 06 00000389 Application pin number 288300 Property Address 529 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4860 0000 Tenant nbr name JEFF BENNETT Application type description RES MANUFACTURED HOME Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 10000 OWNER TOTAL LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE Special Notes and Comments Electrical load calculations and elctrical permits are required No electrical connection fee for new manufactured home because there was a previous electrical service 05/02/2006 01 30 PM GMCLAIN Sanitary sewer connection will be reconnected at property line at alley an inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Water meter requires an inspection by the Water Dept prior to making building water service connection Charged Paid Credited Date 11/27/06 16 30 1 00 7000 00 1144 00 1144 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 76695 Permit Fee 110 00 Plan Check Fee 00 Issue Date 5/11/06 Valuation 10000 Expiration Date 1/21/07 Due Permit Fee Total 110 00 110 00 00 00 Plan Check Total 00 00 00 00 Grand Total 110 00 110 00 00 00 Extension 110 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -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. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT. 417 -4750 I BUILDING 417 -4815 T\Policies \1 IO2.15R (1/05] PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS I I I I I I I I I I PREPARED 7/25/06 12 33 31 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/25/06 ADDRESS 529 W 12TH ST SUBDIV TENANT NBR JEFF BENNETT CONTRACTOR PHONE OWNER JEFF BENNETT PHONE (360) 683 2477 PARCEL 06 30 00 0 3 4860 0000 APPL NUMBER 06 00000389 RES MANUFACTURED HOME PERMIT BLM 01 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 5/12/06 JLL BUILDING FOUNDATION MONO SLAB 5/12/06 AP 05/11/2006 10 25 AM PBARTHOL 809 0010 05/12/2006 02 43 PM PBARTHOL BLMH 01 6/05/06 JLL BUILDING MANUFACTURED HOLDDOWN TIME 13 00 6/05/06 AP 06/05/2006 04 09 PM PBARTHOL 06/05/2006 04 18 PM PBARTHOL BLMH 02 7/25/06 BUILDING MANUFACTURED HOLDDOWN TIME 13 00 LYLE 460 2709 THIS IS A SKIRTING INSPECTION 07/24/2006 09 48 AM DYASUMUR COMMENTS AND NOTES PREPARED 11/29/06 9 53 29 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/29/06 ADDRESS 529 W 12TH ST SUBDIV TENANT NBR JEFF BENNETT CONTRACTOR PHONE OWNER JEFF BENNETT PHONE (360) 683 2477 PARCEL 06 30 00 0 3 4860 0000 APPL NUMBER 06 00000389 RES MANUFACTURED HOME PERMIT BLM 01 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 5/12/06 JLL BUILDING FOUNDATION MONO SLAB 5/12/06 AP 05/11/2006 10 25 AM PBARTHOL 809 0010 05/12/2006 02 43 PM PBARTHOL BLMH 01 6/05/06 JLL BUILDING MANUFACTURED HOLDDOWN TIME 13 00 6/05/06 AP 06/05/2006 04 09 PM PBARTHOL 06/05/2006 04 18 PM PBARTHOL BLMH 02 7/25/06 JLL BUILDING MANUFACTURED HOLDDOWN TIME 13 00 7/25/06 AP LYLE 460 2709 THIS IS A SKIRTING INSPECTION 07/24/2006 09 48 AM DYASUMUR 07/25/2006 04 37 PM JLIERLY skirting only /j11 BL99 01 11/29/06 J- BUILDING FINAL TIME 13 00 JEFF 809 0563 11/22/2006 10 48 AM PERMITS 11/27/2006 09 01 AM JLIERLY COMMENTS AND NOTES 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 JEFF BENNETT 665 DRYKE ROAD SEQUIM WA SEQUIM (360) 683 2477 Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary WA 98382 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST 5TH STREET PORT ANGELES. WA 98362 06 00000389 288300 529 W 12TH ST 06 30 00 0 3 4860 0000 JEFF BENNETT RES MANUFACTURED HOME RS7 RESDNTL SINGLE FAMILY 10000 Contractor OWNER TOTAL LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE ELECTRICAL NEW RESIDENTIAL JEDI/ MOBILE HOME SVC +FEEDER 81208 JEDI ELECTRIC 78 70 7/05/06 Valuation 1/01/07 Plan Check Fee Special Notes and Comments Electrical load calculations and elctrical permits are required No electrical connection fee for new manufactured home because there was a previous electrical service 05/02/2006 01 30 PM GMCLAIN Sanitary sewer connection will be reconnected at property line at alley an inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Water meter requires an inspection by the Water Dept prior to making building water service connection Charged Paid Credited Permit Fee Total 78 70 78 70 00 Plan Check Total 00 00 00 Grand Total 78 70 78 70 00 Date 7/05/06 16 30 1 00 7000 00 1144 00 1144 00 Qty Unit Charge Per Extension 1 00 78 7000 ECH EL MANF HOME SERVICE FEEDER 78 70 Due 00 00 00 00 0 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVED INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB Sim INSPECTION TYPE DATE ACCEPTED YES I NO DITCH I I ROUGH -IN COVER I I SERVICE I I I FINAL I °7 -°a- o c I I I I I I I I I I I I COMMENTS PW -I 102.I f4111961 PREPARED 6/05/06 11 22 22 CITY OF PORT ANGELES ADDRESS 529 W 12TH ST TENANT NBR JEFF BENNETT CONTRACTOR OWNER JEFF BENNETT PARCEL 06 30 00 0 3 4860 0000 APPL NUMBER 06 00000389 RES MANUFACTURED HOME PERMIT BLM 01 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV COMMENTS AND NOTES PHONE PHONE (360) 683 2477 PAGE 10 DATE 6/05/06 BLM 01 5/12/06 JLL BUILDING FOUNDATION MONO SLAB 5/12/06 AP 05/11/2006 10 25 AM PBARTHOL 809 0010 05/12/2006 02 43 'D4.- RTHOL B O1 6/05/06 JLL BUILDI ING HOLD DOWNS TIME 13 00 RO 8Qg1 09 0010 (PERMIT ON FRONT DOOR) 06/02/2006 10 34 AM e llAlki DYASUMUR tit c-c) inkkiu F ZZJizet_4o 31,1444 ,Q 't b PREPARED 5/12/06 10 21 34 INSPECTION TICKET PAGE 23 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/12/06 ADDRESS 529 W 12TH ST SUBDIV TENANT NBR JEFF BENNETT CONTRACTOR PHONE OWNER JEFF BENNETT PHONE (360) 683 2477 PARCEL 06 30 00 0 3 4860 0000 APPL NUMBER 06 00000389 RES MANUFACTURED HOME PERMIT BLM 01 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 5/12/06 JLL s/ 2 l Jc? BUILDING FOUNDATION MONO SLAB 05/11/2006 10 25 AM PBARTHOL 809 0010 COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 loxwzgo FP Application Number 06 00000389 Date 5/11/06 Application pin number 288300 Property Address 529 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 4860 0000 Tenant nbr name JEFF BENNETT Application type description RES MANUFACTURED HOME Subdivision Name Property Use HIAAL6ra V1' Property Zoning RS7 RESDNTL SINGLE FAMILY C Application valuation 10000 1 1 1 i Owner JEFF BENNETT 665 DRYKE ROAD SEQUIM WA SEQUIM (360) 683 2477 Other struct info Permit BL MANUFACTURED HOME Additional desc Per it pin number 76489 Permit Fee 230 00 Plan Check Fee 00 Issue Date Valuation 6000 Expiration Date 11/07/06 Qty Unit Charge Per Permit PLUMBING PERMIT Additional desc Permit pin number 76497 Permit Fee 72 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 11/07/06 Qty Unit Charge Per BASE FEE 1 00 7 0000 ECH PL EA INSTALL WATER PIPE 1 00 15 0000 ECH PL- EA BLDG SEWER Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98382 TOTAL s LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE BASE FEE OWNER SANITARY SEWER HOOK UP 76695 110 00 11/07/06 Contractor Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP Special Notes and Comments Electrical load calculations and elctrical permits are required T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 16 30 1 00 7000 00 1144 00 1144 00 Extension 230 00 Extension 50 00 7 00 15 00 Plan Check Fee 00 Valuation 10000 Extension 110 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 ordiin�ces g vernin�thist p- o work will be complied with whether specified herein or not. The granting of a permit does not presume to give autho y ola r 'ancel the provisions of any state or local law regulating construction or the performance of construction. 5A IC- Signatu of contractor or Authorized Agent /Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD YES I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I NO FINAL FINAL SEPA. ESA. SHORELINE: DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I I I I BUILDING T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] I I I I I I I I I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION AllarY 321 EAST 5TH STREET PORT ANGELES, WA 98362 'Um vce Application Number 06 00000389 Application pin number 288300 Special Notes and Comments No electrical connection fee for new manufactured home because there was a previous electrical service 05/02/2006 01 30 PM GMCLAIN Sanitary sewer connection will be reconnected at property line at alley an inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Water meter requires an inspection by the Water Dept prior to making building water service connection Fee summary Charged Paid Credited Page 2 Date 5/11/06 Permit Fee Total 412 00 412 00 00 00 Plan Check Total 00 00 00 00 Grand Total 412 00 412 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of 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 Due 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] CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOOTINGS I 5 2 ei! 61 t.. y al SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS I ,S /I io& I ,2l/ -r q O L PIERS POST HOLES (POLE BLDGS.) I I PLUMBING UNDER FLOOR SLAB M ROUGH -IN I C n I t 41Cial p 0V WATER LINE (METER TO BLDG) I GJ I 12171 (0 I Jt�C GAS LINE I I v FINAL DATE ACCEPTED BY. BACK FLOW WATER I I AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB I I BLOCKING HOLD DOWNS 1 SKIRTING I FOUNDATION: PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 T- \Policies \1102_15 building permit inspection record05 wpd [I,I1 /2005] BUILDING PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT SEPA. ESA. SHORELINE. CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I (5/5/2006) Sue Roberds Building Permit R nd From Kathy Emery To: Becky Horton Date: 5/5/2006 1 53 PM Subject: Building Permit Refund CC: Becky Shea Bennett 665 Dryke Rd Sequim, WA 98382 Thanks Kathy Sue Roberds Please do a JE crediting $210` 001- 0000 239.9000 and debit cash fro BP #06 -389 Customer was charged incorrect amount. Sue is issuing an FPO, 0 Page 1 I CITY OF MEMO DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT Mark E. Madsen City Manager 417 -4501 Sue Roberds Planning Manager 417 -4750 Nathan West Principle Planner 417 -4751 Scott Johns Associate Planner 417 -4752 Jim Lierly Building Inspector 417 -4816 Dave Yasumura Permit Technician 417 -4712 Patrick Bartholick Permit Technician 417 -4815 Fax. 360 4174711 W A S H I N G T O N U S A May 5, 2006 TO Barb Fingno, Accounting FROM. Sue Roberds, Planning Manager RE Refund I will be issuing an FPO to Jeff Bennett for $216 95 The refund is issued due to the withdrawal of Building Permit #06 -389 Thank you, rr PLANNING USE ONLY oL r U! r< I I V v.-A-r I LA COMMERCIAL/RESIDENTIAL. Occupancy Group T•\FORMS\BIdgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: Owner TF_FF e*f4IC1t Address: (-.4(7: 7)17 U -F (Zr) Architect/Engineer Contractor State License Address: City PROJECT ADDRESS 5a`1 tu a- T LEGAL DESCRIPTION Lot: I7 Block. '3 St CLALLAM COUNTY PARCEL NUMBER. 02-4 City SEQ. i ;,v K._,vrr LI ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone: Phone. G512 at-t7) =5204 656 Zip G2.01- Subdivision. Phone: Exp Date: LI FOR OFFICC� USE�NL kb ate Rec.�f t Permit to Approved: ate Issued: Phone: Zip ZONING Q.. TYPE OF WORK. SIZE/VAIJJAT ON Residential New Constr D Re -roof Stove j2 I0 SF /SF 1 oOJ Multi- family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION 01 BRIEF DESCRIPTION OF THE PROJECT 6A1. u FAcrF+gs. A Occupant Load. Construction Type: No of Stories: Lot Size: c6r 1i-to Existing Sq. Ft. Proposed Sq Ft. 1 1 4 -I LI TOTAL Sq Ft. Total lot coverage APPROVALS PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that I have 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. -r I 417Y OF PORT ANGELES Construction Plans e Issuance of i; permifbased upon tnese plans, speufi= tions and othe kiit51&t prevent the building official mm.ingreafter requiring the correction of errors in said �.t lan .pecifications and other data, or from preventing uiltiiitg operations being carried o`n thereunder^When in iolation of all codes and ordinances of this lurlsdic'on emproval Lc r WV- PAakfitu- t I 2b SEA A Fit T 5t 4+ -3o c9 -o -3 r 4S Io /o`ee Pow>✓emet,Icoorre '3 FF 36c) 209 -0563 4j` 0 AR-D ra tU Si a it 6, tfl_ y 5` Si t; um44,_ r Z rav AtlE l This is a block and tie down spec for a Double Wide. Triple Wides are set the same per Karsten Homes. See attached letter r �'�II- _LI IT 1L —PIE= NOTES: T. FRAME TIE -DOWN SHOULD BE IRS 10 PROPERLY SECURE THE HOME. 2. OVER-DIE-ROOF TIES ARE NOT REQUIRED WITH PROPERLY SPACED. AND INSTALLED FRAME 11EDOWNS HOWEVER, IF OVER- THE -ROOF TIEDONNS REWIRED BY THE LOC./4. JURISDICTION, THEY WY BE INSTALLED: OVERTHE -ROOF TIES REQUIRED) WY BE SECURED TO THE SALE GROUND ANCHORS AS THE FRAME TIEDOWNS. 4. FINALE T1FPnWNS. AND-ANCHORS ARE NOT SUPPLIED S OM- THE -ROOF STRAPS C*1-€t REQUIRED) ARE SUPPLIED x ANCHORS AND END 1REATIMEHIS ARE TO BE SUPPLIED BY OTHERS EL GROUND ANCHORS AND FRAME TIES SHALL BE CAPABLE OF RESISTINO A TENSILE LAID OF 472S POUNDS AND ARE TO BE INSTILLED PER THE WHUFACTUREWS INSTALLATION 9LSTRUCIIONS, BUT ARE NOT TO DCIDID BEYOND TIE S1DETi1ALL OF THE HOME. 7. STEEL ANCHORING EQUIPMENT EXPOSED TO THE WEATHER SHALL $E PROTECTED WIM AT LEAST 030 'OZ OF ZINC PER SQUARE FOOT OF STEEL. 0. PLACEMENT Of FRANC 11EDOWN STRAPS AND ANCHORS WY BE OFFSET -UP TO FOUR FEET TO ALWW ALIGNMENT WITH OVER- THE -ROOF STRAPS PROVIDED NO DECREASE W THE TOTAL NUMBER OF FRAME TIEDOVMS RESULTS 9. DESIGN BASED ON 99 t/2 EAM 1 -B SPACING MD A MAXIMUM SloavALL.HOcHr OF 7•-N: 10. ANCHORS SHOULD BE CERTIFIED FOR THESE CONDITIONS BY A PROFfSSIOIUL ENGINEER. ARCHRECT OR A NATIONALLY RECOCNRED TESTING LABORATORY AS TO THEIR RESTS BASED ON, THE INSTALLED ANGLE OF DIAGONAL TIE AHO /OR VERDUL TIE LOADUIC AND ANGLE OF ANCHOR' INSTALLATION. AND TNPE` or 506. IN WHICH THE ANCHOR 1S TO BE PISTA I ETM 11. GROUND ANCHORS SHOULD BE ElIBEDDED BELOW THE FROST ERNE AND BE AT (FAST 1Y ABOVE THE WATER TABLE AND 12. GROUND ANCHORS SHOULD BE INSTALLED TO THEIR FULL DEPttt ANB STABILIZER PLATES SHOIRD BE INSTALLED TO PRONDE ADDED RE9STANCE TO OVERTURNING OR SLHDI+C FORCE 13. ANCHORING EQUIPMENT SHOULD BE CERTIFIED BY A REGISTERED PROFESSIONAL ENGINEER OR ARCHITECT TO RESIST THESE SPECIFIED FORCES W ACCORO+WCE WITH TESTING PROCEDURES W ASTM STANDARD SPECIFICATION 03313 -9I, STANOARB SPECJF1CA110N FOR STRAPPING, FLAT STEEL AND SEALS 14. STRAPPING TO BY TYPE 1. FINISH B. GRADE 1 STEEL STRAPPING. 1 -1/4" WIDE AND .035 INCHES IN THICKNESS., CERTIFIED BY A REGISTERED PROFESSIONAL ENGINEER OR ARCHITECT .AS CONFORMING WITH ASTIN STANDARD SPET3FIG1- DON 03953 -91, STANDARD SPEGFHGIION FOR STRAPPING. FIAT STEEL AND SEALS •I REAR TIEDOW$ 1KDOMN x....... T9DOof SP) ID TIEDOWN SPACINC T1EDOW 1 SPAGHG T� MAX 1 PER CURT 1 PER ENART 1 PER CHART I .PER CHART try,. IaYPiceaga3' SEICAONS ,SHOWING TIEDOWNS EMBED a NOV 2 /1997 e wcSia aIai at cage eARIALtaGtera TYPICAL SIDE ELEVAT)OM SHOWING TIEDOWN SPACINGS O.ER•- THE -AMT 1 stRAPs c ma slaty Standards WIND ZONE 1 (15 PSF LATERAL) 1EDOVI SPACING Moro' T1EDOwh PER QVRT 1 r U FIGURE 5.10 RECOMMENDED 11EDOWN SYSTEM cu /ONAL FLOOR wS5D118LY .,.......•''I, nNASS'es r 1 7 r AN Att MI IEIONI INCIID73 0170$ Of F-■CA• FRAME TIEDOWN SPACING CHART FLOOR lEAVE WIDTH{ I OVERHANG 13'-4: SINGLE 12- WX 15•-NF SINGLE MAX IS 10 SINGLE MAX 26' -5 16 MAX 31• 0OU 1C INAX TIEDOWN MAX SPACING PIER HEIGHT 1O' --0• 42' 10•-0_ S 10•-0 47' 10 5Z' C {N LIEU OF MANUFACTURER'S RECOMMENDATION! WIND ZONE 11 -25 PEF 4 4 4 4 Via.-------- b b b 4' I$ I 1 1 4 'MAXI MAX 1 MAX 1 MAX IMA10 BINOLEWIDE 4 c.d. w_--_w b b I b 6 4 S I I 4' MAW MAX I MAX I f1 AX IMAX DOUBLEWIDE WINO ZONE 11 TIIDOWN SUMMARY ACTUAL NUMIEH OF TILDOWNI HOME LENGTH IILQUIRLD EACH SIDE PIER H1 I {HT MAIN FRAME MAIN FRAME l ITIO TIEDOWN STRAP ANAL■ X PANS/ s IN4LIWIDI DOU11L111 IDe :0411 1 10 411 11 1!0N( 1 ION! I T 11" I) 11 11 -11 -10 13 -11 10" 17 61 11 .61• 1 13' ■1S 10" 17 IS 31 SS 1 .411 13 -46 i X' #44\-.... D U TIEDOWN SECTION To Skyline Corporation Oregon (FOR USE ONLY BY AUTHORIZED AGENT) Owner Address Msg Phone SGC# HUD #1 C E'30723 HUD #2 0p, 30773 7 QUALIFICATION CRITERIA HOME INFORMATION Lyster /Southmayd Lyle P /Janee Lone Pine Road Port Angeles WA 98368 05973 Received Date Production Date Dealership Buy -Rite Homes Sequim Manufacturer Skyline Corporation Oregon Phone (800) 235 -2003 This home qualifies according to SGC Technical Specifications using SGC prescriptive path 1L (A record of approval is on file at the Oregon Department of Energy) Floor 1 R -11 blankets under entire belly 2 R -11 blankets between I -beams 1 R -19 batts from rim past I -beam Wall 1 R -21 wall batts x R xx insulated sheathing Ceiling /Roofs Flat x R -xx oversized batts Slope x R -xx oversized batts The manufacturer certifies that this home has been built in accordance with Super Good Ce, Technical Specifications Manufacturer _122 !'P! t Date IPIA /SEO Agent Signature From Oregon Department of Energy 3 -14 -96 9 OBam p 3 of 4 Oregon Department Of Energy s S U P E R G O O D C E N T S CERTIFICATE OF COMPLIANCE HUD #3 HUD #4 IN -PLANT CERTIFICATION Serial# 2T91- 0926 -I Model# SGC CFA 1188 0 3/13/96 3/25/96 CL35 Window Glz CL40 Window Glz CL45 Window Glz Skylight Area SGD Area Total Glazing or R -49 bags or R -38 bags [IPIA /SEO USE ONLY] Date _3 134 Oft 0 Oft 0 Oft 7 lft 0 Oft 134 0f t 0 a 0 1 4. CO 1 MAX. 1 1 MIN. TYP M Tr: 4 3 A AX. 16 4 -0" SECTION d a 4 e a 4 4 a 2 #4 CONTINUOUS W /#4 CORNER BARS 4 4 4 a a a 4 4 4 e .4 a 4 a 4' -0" a 4 4 a d 4 a TIEDOWN AS REQ'D O PER INSTALLATION MANUAL \NI\ 4 .--4 d 4 a I a 4 a e 4 4 a e a 4 4 d o a 4 d MA1'II UNE A a \c vv G�� C;° LONGITUDINAL \)C a 4. 4 a 4 4 4 5' MAX. 11 1t -1 1.�= 11.E d a a 1. 11= 11 1= 11 =11 =1 X 11- r-iI-II-II- 11- II-11- -I 11'�' -I 11- .11:.1 1 1- .IL .11 II #5 TIE DOWN HOOK 3 #5 CONTINUOUS kxc J tI.IIVN A/1 OPTION IF HOOKS ARE TO BE TURNED OPPOSITE DIRECTION) 1 4 4 4 9 a. d a a a b 4 4 a 4" CONC. SLAB OR PIT RUN 4 a 4 4 a HOOK TO BE CONTINUOUS OR PROVIDE #5 X 42" TIED TO HOOK AND EXTENDING UNDER LONGIITIDINAL PFINF(1RPJN!2 AC 3 #5 CONTINUOUS a —4 4 4 d4 a /4" CONC. SLAB .4 4 a CO a 4 e 4 4 4" CONC. SLAB OR PIT RUN A a #5 TIE DOWN HOOK SPACED AS NOTED ABOVE 1 MIN. TYP 4 I a 16 a• a MAX _a a a a d 4 4 B a a 4 d 4 a d 4 4 4 d e d 4 —d a 4' 4 #4 0 6" EACH SIDE OF CENTER OF FRAME 4- a 4 a. 4 4 a a a 4 4 a n \\O #5 TIE DOWN HOOK- 0 EA. CORNER 1 3 #5 CONTINUOUS #4 0 6" EACH SIDE O P�• CENTER OF FRAME 2 #4 CONTINUOUS G j 4 a h CORNER BARS A �d. e d d o d 4• 4 \C-' [g d 'S \\14 4 a 4 .1 a 4 4 #4 CONTINUOUS. 0 CENtR INSTALL #5 CORNER BARS (TYP N 24 d a 4 a 4 a e a #5 TIE DOWN HOOK 5' MAX./ 3 #5 CONTINUOUS 1 i -11 i .II 'II =II-si =11= 1 =11= I -It II::II II II II II II II I I 11-11- 1- 11:: -11- #5 EACH SIDE M 4' -0" OF HOOK SECTION OPTION �A 4 NOTE: USE THIS OPTION IF HOOKS ARE TO BE TURNED OPPOSITE DIRECTION. a 1 0 a a 4 4 a 4 a 4 A a 4 A a• d a m riU LVAUINIi tlAJWU UN: WINO LONE 1 SEISMIC ZONE. D3 PER I.R.C. SOIL BEARING CAPACITY 1500 PSF 1000 PSF SEE NOTE BELOW MANUFACTURED HOME REQUIREMENTS 28' DOUBLE WIDE 99 1/2" FRAME SPACING STRAP ANGLE 40' MAX. 24" MAX. PIER HT. SIDEWALL FRAMING HT. =8' MAX. 2. CONSTRUCTION SHALL CONFORM TO THESE PLANS. ALL APPUCABLE CODES AND ORDINANCES INCLUDING THE 1997 EDITION OF THE UNIFORM BUILDING CODE AND THE MANUFACTURED HOME INSTALLATION MANUAL CONCRETE NOTES 1 CONCRETE SHALL BE A COMMERCIALLY AVAILABLE TRANSIT- MIX PROPERLY PROPORTIONED AND DELIVERED TO THE SITE IN READY -MIX TRUCKS. AGGREGATE SIZE SHALL BE A MAXIMUM OF 1 -1/2" IN FOUNDATIONS AND 3/4" AT ALL OTHER LOCATIONS. LUMP SHOULD NOT EXCEED 4" CURING COMPOUND SHALL BE SPRAYED ON ALL EXPOSED SURFACES IMMEDIATELY AFTER FINAL TROWELLING. 2. ALL CEMENT SHALL CONFORM TO ASTM STANDARD C -150. ALL AGGREGATES SHALL CONFORM TO ASTM STANDARD C -33. ALL REINFORCING BARS SHALL CONFORM TO ASTM STANDARD A -615 AS FOLLOWS: #3 #5 BARS AND WWM GRADE 40 3. CONCRETE USED FOR FOUNDATIONS AND SLABS ON GRADE SHALL HAVE A MINIMUM 28-DAY COMPRESSIVE STRENGTH OF 3000 PSI. PER CHAMPION HOME BUILDERS CO. MANUFACTURED HOME INSTALLATION MANUAL. AND SHALL NOT CONTAIN LESS THAN 5 SACKS OF CEMENT PER CUBIC YARD. 4 SPUCES IN CONTINUOUS REINFORCEMENT SHALL LAP AS NOTED ON THE PLANS OR AS FOLLOWS: GRADE 40 REINFORCING BARS: MINIMUM OF 32 BAR DIAMETERS. 5. UNLESS SHOWN OTHERWISE. THE MINIMUM CONCRETE COVER FOR REINFORCING SHALL BE 2" EXCEPT WHEN CONCRETE IS TO BE PLACED DIRECTLY AGAINST EARTH WHERE IT SHALL BE 3" NOTES. 1. MAX. PIER LOADS: 4000 LB W/ 1000 PSF ALLOWABLE SOIL BEARING. 5800 LB W/ 1500 PSF ALLOWABLE SOIL BEARING W/ 128 SQ. IN. PIER BASE AREA. 2. THIS DESIGN DOES NOT APPLY TO OVER- THE -ROOF STRAPS. 3. SLAB TO BE SLOPED 1/16" PER FOOT (FROM CENTER TO OUTER EDGE) TO PREVENT STANDING WATER. 4. REFER TO KARSTEN HOMES INSTALLATION MANUAL FOR PERIMETER BLOCKING SUPPORT REQUIREMENTS. IF NECESSARY LONGITUDINAL TIEDOWN PER SHEET 5 -21 OF SETUP /EACH END OF EACH MANUAL, ONE AT 1 TIP MIN. SECTION CD 15 EACH SIDE OF HOOK 11 =11 1 -11` II =11 F d a 4 =11= L :11-11 11:: =,7 :ii =11. I1 =IL• =II%= 11=11: 1 1 :11 :II::I1 :11::11::11. 11::11::11: a::I 11. =11= 24± CLIENT: BUY —RITE HOMES 259403 HWY 101 SEQUIM, WA 98382 NTS #5 TIE DOWN HOOK 3 #5 CONTINUOUS 4' -0" SECTION JOB NO 04316 DATE 1111- MANUF HOME FOUNDATION PLAN FOR BUY -RITE HOMES CLALLAM COUNTY, WA MUNDA770N DE AL8 AND 7E8 DRAWING: D: /04316 BuY- Rt1E/04316- FOUNDA11 4 SHEET ~~ . ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor 0 Owner Installation description o Commercial ';;"l.Residential Electrical contractor name '0"BDI G-lec.:r:nL- Purchaser's mailing address (J,(I.Box .J,Se- Ci)X. {-(lIT A-~Se{~( Telephone number v hJ-o S0 p,sec:F.:(:"s n.,rsc V1 v1 e-TI Address of inspection . Th 52.'1 we.> -r 0- City Pori !t-(/L7e (e f Date Expires -::\E l)\ ,':OF 'Ji.-clr:; 7&2- License number ~ew , Q Altered/Addition State ZIP We- Qzf]t2 :J-o () ~ V'VI f !:ervlCF r?? 6&'/ Ie- /fiJf'V1G, , FAX number -(907 Phone number to schedule inspection: Owner as defined by RCW.19.28.261:(1) Owner wilt uccupy the structure for nt/a years after this electrical permit is finalized. (2) {P,vner is required to hire an electrical contractor if above said 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 the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter ]9.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover leal contractor or electrical administrator x Date: Expiration Date of card Inspection fee $ 78 70 Service Information Electrical L d Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan,Wall KW o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN " THERMOSTAT SERVICE Dale Approved By "- Date Approved By Dale Approved By FINAL " DITCH FEEDER t-S'Ob An Date Approve By "- Dale Approved By Date Approved By/ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector W - 3,.')-0(" I-Jo ('"n"", C'" -"0,) F.:-,-."" - PC"'=', )(f",S Ate T .- h,"' 0 I. / J/GW. 6; #f / f/ 6