HomeMy WebLinkAbout2805 W 18th St - BuildingPREPARED 3/15/07 8 32 01 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/15/07
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
3/02/07 DA 03/01/2007 01 50 PM PBARTHOL
03/02/2007 04 55 PM PBARTHOL
HANDRAILS STAIRS 6000LB
IMPACT PROTECTION ON HT EGARAGE DOOR SIDE OF THE WATER
HEATER
ME99 02 3/15/07 L MECHANICAL FINAL
I// 03/14/2007 02 31 PM PBARTHOL
PERMIT PL 00 PLUMBING P: IT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 02 5/17/06 JLL PLUMBING ROUGH IN TIME 13 00
5/18/06 DA PAUL 460 8896 05/16/2006 03 17 PM DYASUMUR
05/18/2006 08 38 AM PBARTHOL
fix leak at 2nd floor tub
PL2 03 5/23/06 JLL PLUMBING ROUGH IN TIME 13 00
5/23/06 AP PAUL 360 460 8896 05/22/2006 08 47 AM DYASUMUR
05/23/2006 04 15 PM JLIERLY
PL6 01 7/21/06 JLL PLUMBING WATER SUPPLY TIME 13 00
7/21/06 AP GREG 477 1862
07/20/2006 04 41 PM DYASUMUR
07/21/2006 03 37 PM JLIERLY
PL99 01 3/02/07 PB PLUMBING FINAL
3/02/07 DA 03/01/2007 01 50 PM PBARTHOL
03/02/2007 04 55 PM PBARTHOL
HANDRAILS STAIRS 6000LB
IMPACT PROTECTION ON HT EGARAGE DOOR SIDE OF THE WATER
HEATER
PL99 02 3/15/07 .ELI/ J PLUMBING FINAL
03/14/2007 02 31 PM PBARTHOL
COMMENTS AND NOTES
PREPARED 3/15/07 8 32 01
CITY OF PORT ANGELES
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT
TYP /SQ
BL1 01
BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
BL2 01 3/02/06 JLL
3/03/06 AP
DSD 01 3/10/06 JLL
3/10/06 AP
BL9 01 4/28/06 JLL
4/28/06 AP
BL3 01 6/19/06 JLL
6/19/06 AP
BLI 01 6/22/06 JLL
6/22/06 AP
PW99 01 3/01/07 RV
3/01/07 AP
BL99 01 3/02/07 PB
3/02/07 DA
BL99 02 3/15/07
PERMIT
TYP /SQ
2805 W 18TH ST
GLENN TERRA
GLENN TERRA INC
GLEN TERRA INC
06 30 00 1 0 9715 0000
06 00000017 RES NEW SFR
2/27/06 JLL
2/27/06 AP
ME1 01 6/19/06 JLL
6/19/06 AP
ME99 01 3/02/07 PB
ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV
PHONE (253) 853 3535
PHONE 36) 565 0100
BUILDING FOUNDATION FOOTING
02/27/2006 01 05 PM JLIERLY
02/27/2006 02 21 PM JLIERLY
BUILDING FOUNDATION WALL
ROD 360 908 5510
AM PLEASE
03/03/2006 08 20 AM JLIERLY
BUILDING DOWN SPOUT DRAINS TIME 13 00
03/10/2006 08 03 AM DYASUMUR
greg 477 1862
03/10/2006 04 52 PM PBARTHOL
BUILDING SHEARWALL TIME 13 00
ANDY 360 621 9433
04/27/2006 10 01 AM DYASUMUR
04/28/2006 04 03 PM JLIERLY
BUILDING FRAMING TIME 13 00
OVERRIDE TAKEN BY DYASUMUR DATE 06/16/06 TIME 16 45 56
ANDY 360 621 9433 06/16/2006 04 45 PM DYASUMUR
06/19/2006 04 20 PM JLIERLY
BUILDING INSULATION TIME 13
OVERRIDE TAKEN BY DYASUMUR
ANDY 360 621 9433
06/21/2006 10 52
06/22/2006 04 38
PUBLIC WORKS FINAL
03/01/2007 02 03
03/01/2007 02 03
BUILDING FINAL
03/01/2007 01 48 PM
SHAWN 360 621 9786
KEY FOR FRONT DOOR ON METER BOX
03/02/2007 04 55 PM PBARTHOL
HANDRAILS
IMPACT PROTECTION 0
HEATER
BUILDING FINAL
03/14/2007 02 31 PM
SEAN 360 621 9786
MECHANICAL ROUGH IN
OVERRIDE TAKEN BY
ANDY 360 621 9433
06/16/2006 04 46
06/19/2006 04 20
MECHANICAL FINAL
AM DYASUMUR
PM JLIERLY
PM RVESS
PM RVESS
PBARTHOL
PBARTHOL
TIME 13
DYASUMUR
PM DYASUMUR
PM JLIERLY
CONTINUED ONTO NEXT PAGE
00
DATE
06/21/06 TIME 10 52 29
STAIRS 6000LB
N HT EGARAGE DOOR SIDE OF THE WATER
PAGE 2
DATE 3/15/07
00
DATE 06/16/06 TIME 16 46 47
f
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
1��,
Job Located at OS—
/cg
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
Witit/ eS
C9OC.)D 1-13 r �I�'�c� S HOt)
7
These corrections must be made and are not to be
covered until reinspection is m ;de co,Erections
have been made, please call ‘H 7 Y 7 S
for inspection
Date 3 W
Inspector for Building Division
flf MAT RFMAVF TIa1C TAP:
PREPARED 3/02/07 9 43 42
CITY OF PORT ANGELES
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/27/06 JLL BUILDING FOUNDATION FOOTING
2/27/06 AP 02/27/2006 01 05 PM JLIERLY
02/27/2006 02 21 PM JLIERLY
BL2 01 3/02/06 JLL BUILDING FOUNDATION WALL
3/03/06 AP ROD 360 908 5510
AM PLEASE
03/03/2006 08 20 AM JLIERLY
DSD 01 3/10/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
3/10/06 AP 03/10/2006 08 03 AM DYASUMUR
greg 477 1862
03/10/2006 04 52 PM PBARTHOL
BL9 01 4/28/06 JLL BUILDING SHEARWALL TIME 13 00
4/28/06 AP ANDY 360 621 9433
04/27/2006 10 01 AM DYASUMUR
04/28/2006 04 03 PM JLIERLY
BL3 01 6/19/06 JLL BUILDING FRAMING TIME 13 00
6/19/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 06/16/06 TIME 16 45 56
ANDY 360 621 9433 06/16/2006 04 45 PM DYASUMUR
06/19/2006 04 20 PM JLIERLY
BLI 01 6/22/06 JLL BUILDING INSULATION TIME 13 00
6/22/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 06/21/06 TIME 10 52 29
ANDY 360 621 9433
06/21/2006 10 52 AM DYASUMUR
06/22/2006 04 38 PM JLIERLY
PW99 01 3/01/07 RV PUBLIC WORKS FINAL
3/01/07 AP 03/01/2007 02 03 PM RVESS
03/01/2007 02 03 PM RVESS
BL99 01 3/0//07 .7�,L BUILDING FINAL
03/01/2007 01 48 PM PBARTHOL
SHAWN 360 621 9786
KEY FOR FRONT DOOR ON METER BOX
ME99 01 3/0
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME1 01 6/19/06 JLL
6/19/06 AP
PERMIT PL 00 PLUMBING PERMIT
R'QUESTED INSP DESCRIPTION
TYP /SQ JMPLETED RESULT RESULTS /COMMENTS
PL2 02 5/17/06 JLL PLUMBING ROUGH IN TIME 13 00
INSPECTION TICKET PAGE 11
INSPECTOR JAMES L LIERLY DATE 3/02/07
MECHANICAL ROUGH IN TIME 13 00
OVERRIDE TAKEN BY DYASUMUR DATE 06/16/06 TIME 16 46 47
ANDY 360 621 9433
06/16/2006 04 46 PM DYASUMUR
06/19/2006 04 20 PM JLIERLY
MECHANICAL FINAL
03/01/2007 01 50 PM PBARTHOL
CONTINUED ONTO NEXT PAGE
PREPARED 3/02/07 9 43 42
CITY OF PORT ANGELES
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA, INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
5/18/06 DA PAUL 460 8896 05/16/2006 03 17 PM DYASUMUR
05/18/2006 08 38 AM PBARTHOL
fix leak at 2nd floor tub
PL2 03 5/23/06 JLL PLUMBING ROUGH IN TIME 13 00
5/23/06 AP PAUL 360 460 8896 05/22/2006 08 47 AM DYASUMUR
05/23/2006 04 15 PM JLIERLY
PL6 01 7/21/06 JLL PLUMBING WATER SUPPLY TIME 13 00
7/21/06 AP GREG 477 1862
07/20/2006 04 41 PM DYASUMUR
07/21/2006 03 37 PM JLIERLY
PL99 01 3/0 J 03UM1ING 7INAL
03/01/2007 01 50 PM PBARTHOL
COMMENTS AND NOTES
PAGE 12
DATE 3/02/07
T•\Policies \1102.15R 1/051
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
GLEN TERRA INC
136 E 8TH ST #223
PORT ANGELES
36) 565 0100
Permit
Additional desc 80 BURIED
Permit pin number 85365
Permit Fee 00
Issue Date 8/23/06
Expiration Date 2/19/07
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
RIGHT OF WAY
PHONE LINE
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5Th STREET PORT ANGELES, WA 98362
06 00000924
575344
2805 W 18TH ST
06 30 00 1 0 9715 0000
PUBLIC WORKS UTILITES
RS9 RESDNTL SINGLE FAMILY
0
Contractor
Plan Check Fee
Valuation
Charged Paid Credited
Date 8/23/06
EXCEL UTILITIES CONSTRUCTION
54 MISTY LN
PORT ANGELES
(360) 452 1110
00 00 00
00 00 00
00 00 00
WA 98362
Due
00
00
00
0 0
0
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.
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
INSPECTION TYPE DATE ACCEPTED
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
RESIDENTIAL
CONSTRUCTION KW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
T•\Policies \1102.15R [1/05]
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
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 KW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
I I I
I I I
I I
I I
PREPARED 7/21/06 8 15 52 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/21/06
ADDRESS 2805 W 18TH ST
TENANT NBA GLENN TERRA
CONTRACTOR GLENN TERRA INC
OWNER GLEN TERRA INC
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06- 00000017 RES NEW SFR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 02 5/17/06 JLL
5/18/06 DA
SUBDIV
PHONE (253) 853 3535
PHONE 36) 565 0100
PLUMBING ROUGH IN TIME 13 00
PAUL 460 8896 05/16/2006 03 17 PM DYASUMUR
05/18/2006 08 38 AM PBARTHOL
fix leak at 2nd floor tub
PL2 03 5/23/06 JLL PLUMBING ROUGH IN TIME 13 00
5/23/06 AP PAUL 360 460 8896 05/22/2006 08 47 AM DYASUMUR
05/23/2006 04 15 PM JLIERLY
PL6 01 7/21/06 LL PLUMBING WATER SUPPLY TIME 13 00
fi fi b AL` GREG 477 18 6 2
07/20/2006 04 41 PM DYASUMUR
COMMENTS AND NOTES
PREPARED 6/22/06 11 03 25 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/06
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA, INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/27/06 JLL BUILDING FOUNDATION FOOTING
2/27/06 AP 02/27/2006 01 05 PM JLIERLY
02/27/2006 02 21 PM JLIERLY
BL2 01 3/02/06 JLL BUILDING FOUNDATION WALL
3/03/06 AP ROD 360 908 5510
AM PLEASE
03/03/2006 08 20 AM JLIERLY
DSD 01 3/10/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
3/10/06 AP 03/10/2006 08 03 AM DYASUMUR
greg 477 1862
03/10/2006 04 52 PM PBARTHOL
BL9 01 4/28/06 JLL BUILDING SHEARWALL TIME 13 00
4/28/06 AP ANDY 360 621 9433
04/27/2006 10 01 AM DYASUMUR
04/28/2006 04 03 PM JLIERLY
BL3 01 6/19/06 JLL BUILDING FRAMING TIME 13 00
6/19/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 06/16/06 TIME 16 45 56
ANDY 360 621 9433 06/16/2006 04 45 PM DYASUMUR
BLI O1 6 22/ 6 N.°
06/19/2006 04 20 PM JLIERLY
BUILDING INSULATION TIME 13 00
OVERRIDE TAKEN BY DYASUMUR DATE 06/21/06 TIME 10 52 29
ANDY 360 621 9433
06/21/2006 10 52 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 6/19/06 10 46 47 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/19/06
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/27/06 JLL BUILDING FOUNDATION FOOTING
2/27/06 AP 02/27/2006 01 05 PM JLIERLY
02/27/2006 02 21 PM JLIERLY
BL2 01 3/02/06 JLL BUILDING FOUNDATION WALL
3/03/06 AP ROD 360 908 5510
AM PLEASE
03/03/2006 08 20 AM JLIERLY
DSD 01 3/10/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
3/10/06 AP 03/10/2006 08 03 AM DYASUMUR
greg 477 1862
03/10/2006 04 52 PM PBARTHOL
BL9 01 4/28/06 JLL BUILDING SHEARWALL TIME 13 00
4/28/06 AP ANDY 360 621 9433
04/27/2006 10 01 AM DYASUMUR
04/28/2006 04 03 PM JLIERLY
BL3 01 6/19/06 ILL BUILDING FRAMING TIME 13 00
LL J OVERRIDE TAKEN BY DYASUMUR DATE 06/16/06 TIME 16 45 56
1 A NDY 360 621 9433 06/16/2006 04 45 PM DYASUMUR
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME1 01 6/19/06 JLL MECHANICAL ROUGH IN TIME 13 00
1. �1 OVERRIDE TAKEN BY DYASUMUR DATE 06/16/06 TIME 16 46 47
ANDY 360 621 9433
06/16/2006 04 46 PM DYASUMUR
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
06 00000017
786700
2805 W 18TH ST
06 30 00 1 0 9715 0000
GLENN TERRA
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
156410
Owner Contractor
GLEN TERRA INC
136 E 8TH ST #223
PORT ANGELES
36) 565 0100
Other struct info
Other Fees
WA 98362
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Date 6/13/06
GLENN TERRA INC
9689 7TH AVE NE 124
POULSBO WA 983707531
(253) 853 3535
TOTAL LOT COVERAGE 08
NUMBER OF STORIES 2 00
LOT SIZE 28497 00
TOTAL LOT COVERAGE 2242 00
NUMBER OF UNITS 1 00
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc EL SVC 2586 SQ FT SFR
Permit pin number 79954
Sub Contractor ELECTRIC SERVICE
Permit Fee 143 20 Plan Check Fee 00
Issue Date 6/12/06 Valuation 0
Expiration Date 12/09/06
Qty Unit Charge Per Extension
1 00 73 0000 ECH EL R SQFT FIRST 1300 73 00
3 00 23 4000 5C EL R SQFT ADDITIONAL 500 70 20
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
A residential fire sprinkler system installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm
01/17/2006 05 19 PM SROBERDS The proposal will result
in new s f r construction in the RS 9 zone for total lot
coverage of 08%
Electrical load calculations and elctrical permits are
required
Contact Gail in Engineering for electrical service method
and cost of connection fee
01/06/2006 09 09 AM GMCLAIN
Prior building permit issuence a copy of the approved
septic permit from Clallam County Health Dept is required
Ditches 12 culverts will be installed to City Stanards
See Public Works Engineering for Standards
STATE SURCHARGE 4 50
DITCH
ROUGH -IN COVEk
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA 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 ACCEPTED
YES I NO
I I I
I I I
I I I
I I I
COMMENTS
PW- 1102.13 (4961
Application Number
Application pin number
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000017
786700
Page 2
Date 6/13/06
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
143 20 143 20 00 00
00 00 00 00
1204 50 1204 50 00 00
1347 70 1347 70 00 00
0
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECPION TYPE DATE ACCEPTED COMMENTS
YES I NO
DITCH 17-to o b
ROUGH -IN COVER 16.2 -9 ob
SERVICE Ieu 91, 4 r
FINAL I z 1 5 I
GENERAL COMMENTS:
Pw- I102.131 1
PREPARED 5/23/06 11 02 06 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/23/06
ADDRESS 2805 W 18TH ST
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC
OWNER GLEN TERRA INC
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
PE RMIT PL 00 PLUMBING P ERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 02 5/17/06 JLL
5/18/06 DA
SUBDIV
PHONE (253) 853 3535
PHONE 36) 565 0100
PLUMBING ROUGH IN TIME 13 00
PAUL 460 8896 05/16/2006 03 17 PM DYASUMUR
05/18/2006 08 38 AM PBARTHOL
fix leak at 2nd floor tub
PL2 03 5/23/06 PLUMBING ROUGH IN TIME 13 00
PAUL 360 -460 8896 05/22/2006 08 47 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 5/17/06 13 37 44 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/17/06
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/27/06 JLL BUILDING FOUNDATION FOOTING
2/27/06 AP 02/27/2006 01 05 PM JLIERLY
02/27/2006 02 21 PM JLIERLY
BL2 01 3/02/06 JLL BUILDING FOUNDATION WALL
3/03/06 AP ROD 360 908 5510
AM PLEASE
03/03/2006 08 20 AM JLIERLY
DSD 01 3/10/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
3/10/06 AP 03/10/2006 08 03 AM DYASUMUR
greg 477 1862
03/10/2006 04 52 PM PBARTHOL
BL9 01 4/28/06 JLL BUILDING SHEARWALL TIME 13 00
4/28/06 AP ANDY 360 621 9433
04/27/2006 10 01 AM DYASUMUR
04/28/2006 04 03 PM JLIERLY
PERMIT
TYP /SQ
PL2 01
PL2 02
PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS /COMMENTS
5/17/06
X5/17/0. JL
PLUMBING ROUGH IN TIME 13 00
PAUL 460 8896 05/16/2006 01 15 PM DYASUMUR
BING •sGH I TIME 13 u0
PA 896 05/16/2006 03 17 PM DYAS
COMMENTS AND NOTES
for inspection
Date
BUILDING DIVISION
CITY OF PORT ANGELES
Correcti Notice
Job Located at Ul I
Inspection of your work revealed that the following is
not in accordance with. the codes governing the work in
this jurisdiction
It; A /..SH.evac,
9.e7
Inspector for Building Division
DO NOT REMOVE THIS TAG
These corrections must be made and are not to be
covered until reinspection is made When corrections
have been made, please call .57e/f-
PREPARED 4/28/06 12 15 31 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/28/06
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/27/06 JLL BUILDING FOUNDATION FOOTING
2/27/06 AP 02/27/2006 01 05 PM JLIERLY
02/27/2006 02 21 PM JLIERLY
BL2 01 3/02/06 JLL BUILDING FOUNDATION WALL
3/03/06 AP ROD 360 908 5510
AM PLEASE
03/03/2006 08 20 AM JLIERLY
DSD 01 3/10/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
3/10/06 AP 03/10/2006 08 03 AM DYASUMUR
greg 477 1862
03/10/2006 04 52 PM PBARTHOL
BL9 01 4/28/06 J� BUILDING SHEARWALL TIME 13 00
ANDY 360 621 9433
v 04/27/2006 10 01 AM DYASUMUR
COMMENTS AND NOTES
PREPARED 3/10/06 12 59 28 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/10/06
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/27/06 JLL BUILDING FOUNDATION FOOTING
2/27/06 AP 02/27/2006 01 05 PM JLIERLY
02/27/2006 02 21 PM JLIERLY
BL2 01 3/02/06 JLL BUILDING FOUNDATION WALL
3/03/06 AP ROD 360 908 5510
AM PLEASE
03/03/2006 08 20 AM JLIERLY
DSD O1 3/ JL,. BUILDING DOWN SPOUT MRAINS TIME 13 00
03/10/2006 08 03 AM DYASUMUR
greg 477 1862
COMMENTS AND NOTES
PREPARED 3/02/06 11 42 44 INSPECTION TICKET PAGE 13
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/02/06
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/27/06 JLL BUILDING FOUNDATION FOOTING
2/27/06 AP 02/27/2006 01 05 PM JLIERLY
02/27/2006 02 21 PM JLIERLY
BL2 01 ROILDING FOUNDATION WALL
ROD 360 908 5510
AM PLEASE
COMMENTS AND NOTES
PREPARED 2/27/06 13 08 14 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/27/06
ADDRESS 2805 W 18TH ST SUBDIV
TENANT NBR GLENN TERRA
CONTRACTOR GLENN TERRA, INC PHONE (253) 853 3535
OWNER GLEN TERRA INC PHONE 36) 565 0100
PARCEL 06 30 00 1 0 9715 0000
APPL NUMBER 06 00000017 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 /27/0 JLL BUILDING FOUNDATION FOOTING
'2. D er 02/27/2006 01 05 PM JLIERLY
COMMENTS AND NOTES
e OF pORiq,,,C
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
GLEN TERRA INC
136 E 8TH ST #223
PORT ANGELES
36) 565 0100
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T \Policies \1102.15R 1/05]
WA 98362
68841
715 00
1/19/06
7/18/06
Qty Unit Charge Per
1 00 715 0000 EA
RIGHT OF WAY
Signature of Contractor or Authorized Agent
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000017
786700
2805 18TH ST
06 30 00 1 0 9715 0000
GLENN TERRA
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
156410
Contractor
PUBLIC WORKS RES WATER SERV
68858
715 00 Plan Check Fee
1/19/06 Valuation
7/18/06
Qty Unit Charge Per
1 00 715 0000 EA PW W/M 1 SERV 5/8 METER
Plan Check Fee
Valuation
PW W/M 1 SERV 5/8 METER
Date
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
A residential fire sprinkler system, installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm
01/17/2006 05 19 PM SROBERDS The proposal will result
in new s f r construction in the RS 9 zone for total lot
coverage of 08%
Electrical load calculations and elctrical permits are
required
Contact Gail in Engineering for electrical service method
1/19/06
GLENN TERRA INC
9689 7TH AVE NE 124
POULSBO
(253) 853 3535
TOTAL LOT COVERAGE 08
NUMBER OF STORIES 2 00
LOT SIZE 28497 00
TOTAL LOT COVERAGE 2242 00
NUMBER OF UNITS 1 00
WA 983707531
00
156410
Extension
715 00
00
156410
Extension
715 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 an r5tate or local law regulating construction or the performance of
construction.
Date nature 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
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T- \Policies \1102.15R [1/05]
RESIDENTIAL
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
PERMIT INSPECTION RECORD
YES I NO
I
I I
I I
I I
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
Application Number
Application pin number
Special Notes and Comments
and cost of connection fee
01/06/2006 09 09 AM GMCLAIN
Prior building permit issuence a copy of the approved
septic permit from Clallam County Health Dept is required
Ditches 12 culverts will be installed to City Stanards
See Public Works Engineering for Standards
Other Fees
Fee summary
T• \Policies \1102.15R (1/051
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000017
786700
Page 2
Date 1/19/06
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
Permit Fee Total 1430 00 1430 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 1204 50 1204 50 00 00
Grand Total 2634 50 2634 50 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
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 \1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE I
DATE YES NO COMMERCIAL DATE ACCEPTED I I
YES NO
I I
I I
I I
I I
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000017 Date 1/19/06
Application pin number 786700
Property Address 2805 18TH ST
ASSESSOR PARCEL NUMBER 06 30 00 1 0 9715 0000
Tenant nbr name GLENN TERRA
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 156410
Owner Contractor
GLEN TERRA INC GLENN TERRA, INC
136 E 8TH ST #223 9689 7TH AVE NE 124
PORT ANGELES WA 98362 POULSBO WA 983707531
36) 565 -0100 (253) 853 3535
Other struct info TOTAL LOT COVERAGE 08
NUMBER OF STORIES 2 00
LOT SIZE 28497 00
TOTAL LOT COVERAGE 2242 00
NUMBER OF UNITS 1 00
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 69047
Permit Fee 1339 45 Plan Check Fee 535 78
Issue Date 1/19/06 Valuation 156410
Expiration Date 7/18/06
Qty Unit Charge Per Extension
BASE FEE 1020 25
57 00 5 6000 THOU BL -100 001 500K (5 60 PER K) 319 20
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 69070
Permit Fee 36 40 Plan Check Fee 00
Issue Date 1/19/06 Valuation 0
Expiration Date 7/18/06
Qty Unit Charge Per
1 00 36 4000 EC EL LOW VOLTAGE
Extension
36 40
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 69062
Permit Fee 111 60 Plan Check Fee 00
Issue Date 1/19/06 Valuation 0
Expiration Date 7/18/06
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 7000 ECH ME INSTALL 100- FAU 14 70
5 00 7 2500 ECH ME VENT FAN 36 25
1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65
Permit PLUMBING PERMIT
Additional desc
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 tIer specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of an state\or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner Of 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
YES NO
FOUNDATION:
FOOTINGS
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 CEIL
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
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
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
1 I
I I
I I
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 RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
I I I
I I I
I I I
o a onr tiy
'tetsc v.0
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 06 00000017 Date 1/19/06
Application pin number 786700
Permit pin number 69054
Permit Fee 170 00 Plan Check Fee 00
Issue Date 1/19/06 Valuation 0
Expiration Date 7/18/06
Qty Unit Charge Per Extension
BASE FEE 50 00
13 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 91 0
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00
1 00 15 0000 ECH PL EA BLDG SEWER 15 00
1 00 7 0000 ECH PL EA WATER HEATER 7 00
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high.and be
ti
of contrasting color from the background
A residential fire sprinkler system, installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm
01/17/2006 05 19 PM SROBERDS The proposal will result
in new s f r construction in the RS 9 zone for total lot
coverage of 08%
Electrical load calculations and elctrical permits are
required
Contact Gail in Engineering for electrical service method
and cost of connection fee
01/06/2006 09 09 AM GMCLAIN
Prior building permit issuence a copy of the approved
septic permit from Clallam County Health Dept is required
Ditches 12 culverts will be installed to City Stanards
See Public Works Engineering for Standards
Permit Fee Total 1657 45 1657 45 00 00
Plan Check Total 535 78 535 78 00 00
Other Fee Total 1204 50 1204 50 00 00
Grand Total 3397 73 3397 73 00 00
Other Fees STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
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 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 permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
t
FOOTINGS 1 /C c� G I V aL
WALLS I 3/? IILA/ I
FOUNDATION (DRAINAGE DOWN SPOUTS i I I� le; I W I
PIERS I I
POST HOLES (POLE BLDGS.) I
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN I S/ --1 /o6 I I
WATER LINE (METER TO BLDG) I //V6 I V I
GAS LINE I I I
BACK FLOW WATER I I I
AIR SEAL
WALLS I I
CEILING I I
FRAMING
JOISTS GIRDERS I I I
SHEAR WALL/HOLD DOWNS I I ,-I .L4 I
WALLS ROOF CEILING I ,IIT I 7
I
DRYWALL (INTERIOR BRACED PANEL ONLY) I I
T -BAR I I I
INSULATION
SLAB I I I
WALL FLOOR CEILING I CO /-11 //0 6 I (�W I
MECHANICAL
HEAT PUMP FURNACE DUCTS I '4 4 4 ?/6G I J
GAS LINE I I I
WOOD STOVE PELLET CHIMNEY I I
COMMERCIAL HOOD DUCTS I I I
MANUFACTURED HOMES
FOOTING SLAB I I
BLOCKING HOLD DOWNS I I
SKIRTING I I
I I I
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING I I
LANDSCAPING I
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
417 -4735 ELECTRICAL
LIGHT DEPT
I I, I
I I \\\I
//S"&? I
r•\Policies \1102_15 building permit inspection record05.wpd [1/4/2065]
FINAL
SEPA.
ESA.
SHORELINE.
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I I
ACCEPTED BY.
�z- °I4 ?3 c L
Phone 5 (4■ i' O ti 00
C1H4t4 .7' -.'WAG Phone:
1 ?5b S 4b 223 City Tom' A1-1, Ur�� Zrp
Applicant or Agent: A:1447- i&_e
Owner
Address
Architect/Engmeer• SU `re L. a l Phone. S5
Contractor E -14 Tege.A G State��L nse 41 g6 114 4. Exp g t C) d}
Address la) e u 3 City RAT 41 Ell
boy 193
1 ZONING
I
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER. E� C, D 00 le I- L
PROJECT ADDRESS
..A 4g4, Lrrr
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TYPE OF WORK.
14 Residential New Constr
Multi- family Addition
Commercial Remodel
Repair
0
BRIEF DESCRIPTION OF THE PR
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 FA.K(360)417-4711
PLANNING USE ONLY
BUILDING PERMIT APPLICATION-
MC
City.
SIZUALUATION
Re -roof Stove 1 SF 7G 01 /SF l 4.1,4
Move NC Garage Z SF -I 36 /SF L7, 7M$
Demolition 14 13osit 1'b l 1}, SF 1 Z- /Sp .9, ((00
Sign Other TOTAL VALUATION t'Wp. L(-(0
OJECT Cd f- T t.lG W'i'4 "Tr fc
ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other
COMMERCIAL/RESIDENTIAL. Occupancy Group- Occupant Load: Construction Type: \I 1'
No of Stories: 2 Lot Size: 2E014. Z Existing Sq Ft. Proposed Sq Ft. z4Z. TOTAL Sq Ft. 2
Total lot coverage 2153.1 X .1z 10 '1' f3Sz
FOR OFFICIAL USE ONLY
C
Date Rec. 1 I /Q(U
;t C6 —Qi7
ate Approved:
Date Issued: I
:nos of o
(Z4.0555
Ph (C2I
Zip 91%2
Exp. Date:
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 CAECK 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 the applicant (see Section R105.3.2
of the International Buildmg/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 t det rmine hat permits are r quired ,not the City's, and that I must obtain such permits prior to work.
TAPolicies\BL 1 102_13 wpd Applicant: ��ate:
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10 /11 /'005 14 07 FAX 360 457 9330
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CLALLAM TITLE PA
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Vol. 16, Page 88
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221 -B South Peabody
Port Angeles, WA 98362
(360) 452 -4592
TEST PIT SKETCH
CUSTOMER NO 5
CUSTOME N E. O R- WI 112. r r a Cory
DATE L
5
DATE. NOVEMBER 15, 2005
CUSTOMER NO 205741
PREPARED BY
PRESENT ON SITE.
JERRY JACOBS
BOB PASTORE
CRAIG CAES
PARCEL 06- 3000109715
TEST DATE. 11 -14 -2005
TEST PIT #1
0 -22 INCHES DARK BROWN SANDY LOAM
22 -40 INCHES MODERATLY COMPACT GRAVELY SANDY LOAM
40 INCHES COMPACT, GRAVELY SANDY LOAM
ROOTS TO 40 INCHES
TEST PIT #2
0 -24 INCHES DARK BROWN SANDY LOAM
24 -36 INCHES BROWN SANDY LOAM
36+ INCHES HARD PAN
ROOTS TO 36 INCHES
TEST PIT #3
SOILS TEST PIT LOG
221 -B South Peabody
Port Angeles, WA 98362
(360) 452-4592
FOR
Glenn -Terra Corp
0 -22 INCHES DARK BROWN SANDY LOAM
22 -36 INCHES BROWN SANDY LOAM
36+ INCHES HARD PAN
ROOTS TO 36 INCHES
JACOBS, INC.
JACOBS, INC
CLALLAM COUNTY ENVIRONMENTAL HEALTH
N
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ii
Site Information _Building.D.epart! ii nt Use .Only
ter 4
Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazing Glazing U- Factor I Door Wall Wall Wall Slab
Option Area U- Ceiling Vaulted Above Int Ext Floor On
of Floor Vertical Overhead' factor Ceihng Grade Below Below Grade
Grade ,1Grade
Address. Notes.
City 1 r
State: Wk Zip 905Z.
Contact: 1 1 7
Phone, abo' O1'®
Phone 2: toZ L 145
Fax:' O t 0 1 0 1
Prescriptive Approach Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
III Unlimited I
Group R 3 0 40 0.58 0.20 R 38 R 30 R 21 R 21 R 10 I(R 30} R 10
Occupancy
Only
Location of the door taking this exception
Location of the door(s) taking this exception
Ty p
P.ermit:.#
See the code text for footnote references
This oject complies with the following
The project is a single family residence mac.
The project is wood frame OR all of the insulation is interior or exterior of the framing
All building components meet the requirements listed in Table 6 -1 Option III
CD The project will meet all other provisions of the WSEC and VIAQ.
The project will take advantage of the following exceptions to the prescriptive option.
602.6 Exception 1 One door that is 24 ft. or less that does not meet the standard is allowed.
602.6 Exception 2. Doors with a U- factor of 0 40 allowed without calculations Option III only
Avle. a
Copyright 2002, WSUCEEP02 -056 'R'
Copied by permission from the Washington State University Extension Energy Program
Prescriptive Simple Form Climate Zone 1 7/26/2004
Job wired by
ELECTRICAL WORK PERMIT Al'rLIC",",ON ~
,. .,
(J Owner
Installation description ~.
CJ Commercial ~ldeDtilll
'.\
,
Electrical cvntraetor c.ame \'.
. C;J~ ~. < ~1..-lti:T ~\
PU~h""Gmtina 'n::,<f-'; U.. ())J
City ,0 _ (11 f'\.S~t
~f), t ~, W....
Telephone numbr:r FAX. number
l.\~~'\.. -(.,'{1.-l(
License number
DateE..~1rt5
I '}......v---
o New
o Altered! AddilioD
q<jS~"L
Premhes.)wner's Dame
C~ ~\AA-.. _
Address of iDlpecti.oD _ I .A
J...-'lrO) UJ . \. ;1;----""
City r A-
r"L "L 00 ~i
'7 s-tf
832-
~ ~ !b6 t/J Sr::tC-.
(J Cash o Check #
Pbone nlimber .to sc.bedule tnspection:
Owner as di!}7f1~d by RCW.!9.28.J6l:(J) Owno,. will occupy lh6 strucllIrtl for two
)iclU"S after this electrical peNrlit is finalized. (2) Ownv is r'fJl4ired 10 hire an electrical
c07ltraClor if lJbovfI! said property is for sole, renr or lease. .
After re<'l~iTle ,he ahove: !It'atcmenL I hereby certify that r am the owner of the above
named property or 9. licensed electrical contractor. I am making the electrical instal-
latiou oroalteration in COmpliilncc:-with thc clcctricallaws, N.E.C., RCW. Chapter
19.28, WAC, Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Speci[icationso
Sig"at:,u'(! ( wner, _o81;;!'h:oSl ;:ntr:a.ttor or electrical admilllstr!ltar
X . l-...t) Date:
o Credit Card VIsa M~rc:rd
Card# ____-~ ~_______
Discover
Expiration Date
of card
IElectricalload Additions and or ~uhtr8ctions
o NO LOAD CHANGES
13 6~ard _ KW
~maca WKW
o Heat Pump _ Ton _ LAA
Q Fan-Wall KW
SerVice InformRtion
o Overhead ServIce
a Tamp Service 0
f3I.-tJ!Im'llround Se"';ce i441 po k:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
~Jr. ij. "
u~
Voltage V>_u ("Y
Phase ~
Service Size: ~
Feeder Size: "I d
SERVICE
1k..o
~ppr1)\'eo.tjy
Ua.tc
ApptO'Ycd.By
'€j,~I~/no€' ~
FINAL
~/f.:J/)" .1tQ
DITCJI
~
FEEDER
Dale AppNvd By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
ElectTical
lnspector
i 2- ob
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~
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lo
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10 38'<1d
P1:P91:SP09E
81::9, 9001:/L0/90
o
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&/:Y
'~l Conuactor
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. 1;
a Owner ~ "'"
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
o .AJ1nusl Permit 0 AI.anD CJ Carnival 0 Commercial 0 Rcsldenti3.l a llesldel1tial M~in(. a SigBIl 0 Thermonat 0 Telecom. .
Job ",ired by
~~ractor
Insto.lIntion description
DOwner
Elect' contrnctor "3me ~ License numbct
:-:>- ~
_ 'L ... '- 12LILc:r..I'..:LO.....
P",'h~' t1ing (\dr;~1'-' J ~ .M
City .~ _, Jl.' {\' Stote ZIP
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Telephone numbc::r . FAX nwnber
UO'}_h'f'1.
00~
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~ut.-- LJ~ ~-
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Prcmlse~wner'll D.:ame
<..... L.....- J-<......"
Add.-esll of inspection
2-'i?bS:-
Ld
(j~t-
i't th
City
I Los 't;
o NO LOAD CHANGE
o 'Baseboard KW
Q Fumace _ KW
Cl Heat Pump _ Ton _l.
o Fan.Wall _ KW
(J Check #
I hereby certify that I am the OWDer of the above rnuned prop
electrical cona-actor (or the firm's authorized agent) and am makin
installation or alteration in compliance 'a.;,1:h the electri law, Ch~p
Credit Card VISa
Mastercard
Discover
- - -
-----~---------
ExpirationDille t-
of card
,:;&0
WALLS
Insulation Only
THERMOSfAT
SERVICE
D.k
Approved By
D..
APProved By
D:!I.te
....ppfO....c<38)'
DITOI
FEEDER
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.. Oale:
ApplOWId.l\y
01.11
APPl"O"Cd By
D..
Approved By
tractlo
ServiC8 Information
CI Overnead Service
o Temp Sgrvice
o - Underground Sgrvice
Voltage
Phase CI 1 CI 3
Service Size: ~
I=eeder Size:
.-
Blecnical
Insp~clor
,
:;JI;f ., ~ Inspection
Date
AIea, Building or Equipment Inspected
Action Taken
or.
,
10
~7/0'
PGP9G9P09E
9! :L0
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0 I - - RECORDS
PenclMo.p_
. ~tPT. LD, PROJECT ri...ld_
,CITY OF PORT ANGELES, LIGHT DIVISION - STAKING SHEET
.-1L- ~ "'F 50431/01 Je' -
SHEET 1 OF 1 I r~...dAs5t,~
\JF 50431/01 -
, 2 10086 Mlltl.SheE'ts_
PRIDRlT,Y, PROJECTNUMIlER, ENGII'lEERCDBY,~DATE' 3/28/06 '- - GrldMo.ps_
SPHtALINSTRUC1IONS. CKECKEI!IlY, DATE' I - - rdr.Mllps_
UICAllDN, ?80~ \J lATH ST DATE ISSUED' REVISED,-1- - - D1st.Mo.pS_
DESCRI~TlllN or \lORK, IJPr;RADr XFMR ANTI RFPI Art pnl F rnR NFl,.! HnMF , Str.ltg._
Hj(EMANo I
F-1202 rEEDER i'lAP. 7-19 GRID MAP. 34, 43 SYMBOLS, PRIORITY' '"
$UBSIA!lDN/FEEOCR, STARlDAT(:, I _-REMOVE I-EMERGENCY
U1CATE' COMPLETION DATE. 3/31/06 TIME. 8:00 AM 6085594 i [-EXISTING 2-NORMAL SCHEDULE ]nde~Co.rds_
NUMBER, COMPLETCIlo A-ADD 3-CALL TO SCHEDULE
COPIES'.HA[NT'~TV'-L , 4-F1lL-INIJDRK T1LM/CClras_
CPI,_ f1lE.~ PUrchQ51ngo 1 CI1E\,'.-1- CPS. MGR,...l..- TlITAL.:-L.. Eng....Ch...ck....-.....-
POLE NUMBER SPAN VIRESIZE POLE PRIMARY FRAMING UNIT TRANSFORMER MISC, IGUY ANCHOR SECONDARY OH/U,G. SERVICE DH/U,G. MISC. & REMARKS
FT. "" 0." U.R,D. ,V, '0. " I SPAN (FT ,)VIRESIZE SPAN<FV V]RESIZE
, , ., GP " P '25 3-336,\-4/0 40/3 PC 302 " . 656 . c I
,
, , " " " 2S C I
!
, 2 34GP 40/3 SERVICE , 50 l/OTPX 02" "2TPX SVING SERV1CE TO 2801 v 18TH TO NElli POLE
-- ,
, 3 34GPO\P '" TELCD POLE 50 "2TPX
~/ NOTE,
CITY \./ILL TAKE OVER OVNERSHIP
// OF THIS POLE AND BILL QUEST
PER POLE CONTACT AGREEMENT.
// N[VCLJNSJRuCTION
'0""// I ,D
fjY ~C( cuL"ER ~" / 2805
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3604172733
ST OF WA L&I
s
Date:
To:
Fax:
Re:
Sender:
Clrf
I
6/19f06
Labor & IndU;
417-2733 ,
,
,
Inspections
Kathy Trainor
Phone: 417""
Fax; 417-4
YOU SHOULD :
IF YOU DO NOT R
Please inspect for Electric ~
Art
460..0333
2805 W. 1811\
~ouah-In
8tt>
......_............~
Thank you,
Kathy ifd-I /~L
09:07:37 a.m.
06-23-2006
5/9
r.....:x:. CJ~
DO
NOT
."'''''''''
,1.. ~,
.:...Nj......"':/
RE:\-IOVE
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I
I)':fltlfllllt.'nl or l.alw]" 8: lnduSlriL'~
[-:In.:'ril~al S0l'rilln
ELECTRrCAL rNSPECTrOI\
CORRECTION REPORT
~
The corrections listed below are hert'b)" ordt'red and mU.'it be completed
'. within~!t, j"------iIiit--ff-
Rdl'r 1(1 1'-:alii.>r1al E:k[,:tncal Code or Sial<..' Rul('~ lor Sali..'l)' StaJ1dard~. i L /?1 __
-----------. '--'._-. ----- -_.._--~ "'- -.-.--~----_.._--..- -_LO~___.._
i Uwner.Cont 'lur '. _ i Pennit Num 'r
I~'dd'_ __ ~rt:-.~_ Co ty ----
L. NOT~ROV:D-~;t;;ER-- --ij---~!~OVED FOR SEV - E
sthepclTl1ilfccconeCI I..J Yes Cl No FeCdUC$________{
SAFETV DEFECTS NEEDING CORRECTION _
-
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