HomeMy WebLinkAbout921 Seamount Dr - BuildingApplication Number 03 00000617
Property Address 921 SEAMOUNT DR
ASSESSOR PARCEL NUMBER 06 30 00 9 5 0000 0000
Application description RES NEW SFR
Subdivision Name
Property Zoning
Application valuation 142216
Owner Contractor
WALTERSON LUCILLE OWNER
18453 E H 106
BELFAIR WA 98528
(360) 275 -4621
Structure Information NEW 1947SF SFR W /ATTACHED 910SF GARAGE
Construction Type TYPE V NON RATED
Occupancy Type SINGLE FAM CONGREGATES
Other struct info NUMBER OF UNITS
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
Qty
1 00
2 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T \1102.15 [4/2002]
Unit Charge Per
70 8000 ECH
22 7000 5C
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
ELECTRICAL NEW RESIDENTIAL
2030 SQ FT SFR
SHAMP ELECTRICAL CONTRACTING
116 20 Plan Check Fee
10/06/03 Valuation
4/04/04
EL=R SQFT FIRST 1300
EL -R SQFT ADDITIONAL 500
SEWER SYSTEM DEL V CHAR GE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Charged Paid Credited
116 20 116 20 00
00 00 00
1774 50 1774 50 00
1890 70 1890 70 00
Date 10/06/03
1 00
00
0
Extension
70 80
45 40
745 00
4 50
1025 00
Due
00
00
00
00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 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 -4815 FOR BUILDING 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
FOUNDATION•
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL
WALLS ROOF CEILING
DRYWALL
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE PELLET CHIMNEY
HOOD /DUCTS
PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
I BUILDING 417 -4815
T• \PLANNING \FORMS \1102.15 (4/2002]
BUILDING PERMIT INSPECTION RECORD
YES NO
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
l
I I
I I
I I
LECTRC
S D AL
a
CONSTRUCTION LW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I
10'01 11 44 13604521689 SHAMP ELEC
Owner or Elec. Contractor Agent, 1 &t \J a JV)1 Plivne I49Q ,33nl Fax:
Property Own�er� w Se3 U Phone:
L
Address: 1 ,3 s s&ndiar City' pYT y A7- Zip: q g 1, (a 1
Eleotrioal Contractor ,siiAMi El i• try 1 A-L Cht,l'fr;7*G1 i 4 1. NO License# NPLC04.3yoExp' 0 3 Phone: ti51.. I689
Address: P 0 fix err''-) City' f 'F i 4i`ir Li, i., WA Zip: 983o
INSTALLATION WIRED BY v OWNER KELECTRICAL CONTRACT
Credit Card Holder Name. _.lin LLEV r31++1 1 Y
Billing Address. lc 1•V I t 1T1 Sic c.�..
PROJECT ADDRESS
Electrical Load Additions and or subtractions
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be filled "out_co pletely,
P lease type or reprint In Ink. If you have any questions, please call (3130) 417.4735 7
Fax number' t36u) 417'47•11
city' 'i_ k i A61 t.l.S
E x p Date.
crlj 5 i s t I pQ l V P" P_ELTJANkkeLEs
TYPE OF WORK. Check all that apply' \2raw Li Alteration /Addition
esidential 0 Multi- family Commercial 0 Mobile Home Sq Ft._C
Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool Li Septic Pump o Low Voltage 0 Telecom. Sigi
Number of Circuits added or altered..__ 1
DESCRIPTION OF THE ELECTRICAL P ROJECT Z (23l'� 59 r. ,t4„u`>(�s.17=
cuci
U Baseboard KW Voltage 2
0 Furnace KW .1 Overhead Service Phase. 1S1 3
O Heat Pump TON LAR 1 Temp Service Service Size �BD
Fan -Wall KW L.1 Underground Service Feeder Size
PANIC 14.00.000(D): For industrial, com marclal. residential proj?r.ts laroor than a duplex a one line drawing of the Electrical Service
Feeders building size (sq ft.) load calculations, and the type of conductors nd /rir racowey is required and shall accompany the
El trl I Permit application &1 P 4 e e �J- X F t 4 R U Q1-- AppriAne I
I hereby certify that t have read and examined this application end know that same to be true and correct, and 1 an
authorized lo apply for this, permit, I undorsrand it is not the City s legal responsibility In determine what permits
are required, it remains the applicants responsibility to determine what permits are required and to obtain such.
6. 7 qq 2
Credit Card Holder's Signature. 7 11-- 0,, 'Date; 1(J' -1"93
Owner or Elec. Cont. Signature 779 i.e....- Date JO I v3
r
of 3 0, I� /Z /o ff PERMIT FEE .'Z®
r
PAGE 01 A
POR oITICIAL t.9L O141,_V
Dale/Rcc:
Pernlh U
Dale Apprnved:
r)alc Irsucd:
Zip
983 to 3
VISA. h MC
Service Information
/I
fj CITY OF PORT ANGELES
"Ra- DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
'II... -- 321 EAST 5TH STREET, PORT ANGELES, W A 98362
""<~
-
Application Number 03-00000617 Date 7/08/03
Property Address 921 SEAMOUNT DR
ASSESSOR PARCEL NUMBER: 06-30-00-9-5-0000-0000-
Application description RES NEW SFR
Subdivision Name
Property Zoning .
Application valuation 142216
Owner Contractor
------------------------ ------------------------
WALTERSON, LUCILLE OWNER
18453 E H 106
BELFAIR WA 98528
(360) 275-4621
------ Structure Information NEW 1947SF SFR W/ATTACHED 910SF GARAGE -----
Construction Type TYPE V NON-RATED
Occupancy Type SINGLE FAM & CONGREGATES
Other struct info . NUMBER OF UNITS 1. 00
----------------------------------------------------------------------------
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 1258.05 Plan Check Fee 503.22 -C
Issue Date 7/08/03 Valuation 142216
Expiration Date 1/05/00 ~
Qty Unit Charge Per Extension
BASE FEE 1017.25
43.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K) 240.80
----------------------------------------------------------------------------
Permit MECHANICAL PERMIT ~
Additional desc
Permit Fee 90.80 plan Check Fee .00
Issue Date 7/08/03 Valuation 0
Expiration Date 1/05/00
Qty Unit Charge Per Extension No fh"+AL ~
BASE FEE 47.00 <::3
4.00 7.2500 ECH ME-VENT FAN 29.00 ~
1.00 14.8000 ECH ME-INSTALL FLOOR FURNACE 14.80
---------------------------------------------------------------------------- ~
Permit PLUMBING PERMIT
Additional desc "--f
Permit Fee 146.00 Plan Check Fee ,00
Issue Date 7/08/03 Valuation 0
Expiration Date 1/05/00 ~
Qty Unit Charge Per Extension )
BASE FEE 47.00 .
10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 70.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00
----------------------------------------------------------------------------
Other Fees STATE SURCHARGE 4.50
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1494.85 1494.85 .00 .00
Plan Check Total 503.22 503.22 .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
fora 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
constru~~; ./';:zrc
Signature of Contractor or Authorized Agent Date 3 Signature of Owner (if owner is builder) Date
T;\PLANNING\FORMS\1102.J5 [4/2002]
I
t~ CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
a ~, 321 EAST 5TH STREET, PORT ANGELES, W A 98362
~
Page 2
Application Number 03-00000617 Date 7/0B/03
Other Fee Total 4.50 4.50 .00 .00
Grand Total 2002.57 2002.57 .00 .00
'"
Separate Permits are required for electricai work, SEPA, Shoreiine, 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 appiication 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:\PLANNING\FORMS\! ]02.15 [412002J
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BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
g ).\ 5~v'f1o]) Ll,}
Job Located at
.
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
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have been made, please call 4 n . "N""" : ~:?1
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Date Ichl(,j-t~
Inspector for Building Division
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CITY OF PORT ANGELES -:t fJ- '-7 f
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: ~V
Date ---.:7- l 7-03 Time Received by (phone, person)
Location of Work to be inspected 021 _<,p .-d l-VL~ t1.. 'f Dr.
Name of person requesting inspection 0?1UvI
Address of person requesting inspection Phone No. .2 7/- Q'1I7
Type of Inspection (circle appropriate one): Permit No. b/7
Sewer Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOT~ ~C
Inspected: Date 07 Timp ~M By
Remarks:
n
{~\
RESTORATION REQUIRED . . . . .. YES NO / :
-
/ - 1
----(Vt 0 It
~rl
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
[] Repaired by Permittee o COMPLETE
[] No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES [//
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date ~~~-: - )- -~-, '1' l Received by . , ".' ~yerson)
Time '"
Location of Work to be inspecterl '~/ f -., '
Name of person requesting inspection i-I; -
"'r." . / ' ~
Address of person requesting inspection I :'". ""\
Phone No. I i ~ -
Type of Insgec.tionl!:ircle appropriate one): Permit No. /' .'~
. ~ / /
~ -' -......., V--"" ."
Sewe~/' Foundation )Framing Chimney Plumbing Final Sewer Excav. Other
t,/ 1,., . .
"
/ / ~
INSPECTlONNOTES: 7-ld3/V3 Timp
Inspected: Date ~ By , ) L
Remarks:
f\f
RESTORA TION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES v/
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: (2V
Date '6 - IS. - 05 Time Received by (phone. person)
Location of Work to be inspected qZI ~<;ec:t- tV\.C'lIA....:t- A-
Name of person requesting inspection ~ 1//
Address of person requesting inspection Phone No. -$lbD IOC?
Type of Inspection (circle appropriate one): Permit No. G!'?
Sewer raming Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTE~ 4 ~.
Inspected: Date } "L. Time~ By
V' I ~ v'__.___'"
Remarks:
\
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
[] No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
(i FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Date Rec.:....,~ 1')'] h'~
Fill out COMPLETELY and in INK. Your application and site plan MUST BE permit#~
Date Approved: _
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815 Date Issued:
Applicant or Agent:~e..l-t,\jtj:l~!; Sel.2vi...L Phone: Lr- ~~ '2- - r i () ~
owner:tuciilf lAJIQ.L~-1"y)tI\! "Phone:-Z7J~~(, 2(
Address:l$4s:r.::-1f /01- City: fiJ-Jv;.(tIl Zip: q~c;'2..~
ArchitectJEngineer: ~~ S.wl'V~~. Phone: ~57-j'fl()
Contractor.wa.e~ ts,,;tJ..4>l1 6~~t~'!ebcense #: Exp: Phone: 4'Y'2 -~JO ~
Address:'l~ II, l,A,}ODKJ~'JO~.(jIQLlJ\!city: f()~~dL'\ zip:'1g3~3
PROJECT ADDRESS: S e.v>.. "'" 0..11\,.1 r ~ I.V e.t- l 0 ~ ZONING: . (.(~ ~
f-
LEGAL DESCRIPTION: Lot: \ \ wt)rh~ Block: Subdivision: ~v.sr ES'k::1i-e 5
CLALLAM_~OUNTY PARCEL NUMBER: _ 9i,r 000 q\ -DODO COo
<(1).../ .~o ,.)(0, ,.,j t rl UP
-
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC # Exp. Date:
TYPE OF WORK: o Stove ;!.,me SIZEIVALUATION: -
'IfJ Residential JIl'New Constr. ORe-roof 19"{1 >F.@$ S9"}-9:,_2.~$jl.s13VJ,1f!o
o Multi-family 0 Addition o Move o Garage t::r qlo SF. @$--F-J ^ 3~/SF. ~ $ I q. "",Iq, _
o Connnercial o Remodel o Demolition o Deck SO'LSF.@$ J.~,(')DISF.~$ '7.t..r0vO
o Repair o Sign o Other TOTAL VALUATION $1"'~.I9-id,.. f')1-j_
BRIEF DESCRIPTION pF THE ~OJECT:
~ ')fw 51VV':1{'" (AI':'" I IRI{Ij
COMMERCIAL/RESIDENTIAL: occupanc7Group:~{2- _~ Occupant Load: Construction Type: V - N _
No.ofStories:_ Lot Size: /VCfOD ExistingSq.Ft. /) & Proposed Sq. Ft....'136").L ~TOTALSq.Ft.;3j"~;J/'-
Existing lot coverage ----C:L % 8i Proposed lot coverage~.r = Total lot coverage 9-3, ~ Co %
APPROVALS:
PLANNING USE ONLY: PLAN:
BLDG:
DPWU,
FIRE:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER:
-
BillLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
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 Pennit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it mnst be submitted at the time the building permit application and construction plans are
submitted. All other pennit fees are due at the time of pennit issuance,
EXPIRATION OF PLAN REVIEW: Ifno pennit 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 107,4 of
the Uniform Building Code, current edition). 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 pennit and
understand that ff is my responsibility to detennine what pennits are required ,no ffy's, and that I must obtain such pe&rior to work, r7
~ - ~ /- {f
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206.452-1381 . Fax 206-452-8916
Toll Free '.800-535.9204 o Toll Free 1-800-422_6820
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WASHINGTON STATE ENERGY CODE
TABLE 6-2
I PRESCRIPTIVE REQUIREMENTS'** FOR GROUP R OCCUPANCY
CLIMATE ZONE 1 . HEATING BY OTHER FUELS
- ""GJ ;''''~ I G''''~ ,.>."" 1---- ----T
Door 10 Vaulted Wall Wall. Wall. Slab'
Option Equip. Areall: 1 ,.>."" G,''',,' G .","" ^",~ '"" r ..,' >",,' 00
Effie. % of Vertical Over~ead Grade Below Below Grade
Floor __ __ _ __ Grade Grad~__
-- ---- . ---- -"----
II. Med. I 10% 0.70 0.68 I 0.40 I R-30 R-30 R-15 I R-15 R-W R-19 R-IQ
I II. Med, 12% 0.65 0.68 0.40 R-30 R-30 R-15 I R-15 R-IQ R-19 R-IO
I III. Hi~b I 21% 0.75 0.68 I 0.40 I R-30 R-30 R-19 I R-19 R-IQ R-19 R-IQ I
IIV." I Med. I 21% I 0.65 I 0.68 I 0.40 I R-30 R-30 R-19 I R-19 R-IQ I R-19 I R-IQ
Iv. I Low I 21% I 0.60 I 0.68 I 0.40 I R-30 R-30 I R-19 I R-19 I R-IQ I R-19 I R-IQ
VI.' I Med. I 25% I 0.45' I 0.68 I 0.40 I R-38 I R-30 I R-19 I R-19 I R-IQ I R-25 I R-IQ
lVII.' I Med. I 30% I 0.40' I 0.68 I 0.40 I R-30 I R-30 I R-19 I R-19 I R-IQ I R-25 I R-10 I
I VIII. I Med, I unlimited I 0.25 _ _~.40 . J 0.40 LB.-3L.L B-30 L..R-l~_R:I9...LR-IQ. J ~~25...l R-IO J
. Reference Case
I .- Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1.
I. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned
floor area of 19%, it shall comply with all of the requirements of the 21 % glazing option (or higher). Proposed designs
which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this
Code.
2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling.
3, Requirement applicable only to single rafter or joist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level ofR-IO, or on the interior to the same level
as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for
its intended use, and installed according to the manufacturer's specifications. See Section 602.2.
5. Floors over crawl spaces or exposed to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed
according to manufacturer's specifications. See Section 602.4.
7. The following options shall be applicable to buildings less than three stories: 0.50 maximum for glazing areas of 25% or
less; 0.45 maximum for glazing areas of 30% or less.
8, Reservecl.
9. Minimum HV AC equipment efficiency requirement. 'Low' denotes an AFUE of 0.74. 'Med.' denotes an AFUE of 0.78.
'High' denotes an AFUE of 0.88. Minimum HV AC equipment efficiency requirement for heat pumps. 'Low' denotes an
HSPF of 6.35. 'Med.' denotes an HSPF of6.8. 'High' an HSPF of7,7. Water and ground source heat pumps shall be
considered as medium efficiency and have a minimum COP as required in Table 5-7.
10, Doors, including all fire doors, shall be assigned default U-factors from Table 10-6C.
II. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross
conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor ofU=0.40 or less is not
included in glazing area limitations.
12. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5.
38 7/01/01
Payment Receipt Page 1 of I
CONSTRUCTION Status: ACTIVE
CONTRACTOR Renewal UBI: 601 596 668
Step 1 2 3 4 5 Structure: CORPORATION
Industrial Insurance: NO
Receipt Date: 07/0712003 Specialty: GENERAL
PRINT THIS PAGE!
Keep it as your proof of payment.
This is a receipt for payment of the construction contractor registration
and renewal fee and wiff serve as a temporary registration. The
Contractor Registration Program wiff mail a renewed registration card to
you.
License Number: ANGELBS055PQ
License Name: ANGELES BUILDING SERVICES INC
Address: 2416 WOODSIDE CIR
City, State: PORT ANGELES, WA
Zip Code: 98363
- J II Amm~ Endors Validat
TypE Payer Detail Trans. Id
moun Check Doc.
CHEl BROOKS ~7491 F981 03 II $100.00 L Print II Print l
WILLIAMS
-.".
Print Receipt ! Finished I
GuiekCards
7/7/2003 2:2B:14 PM
Lie Id:ANGELBS055f'G
Trans Id:lr~198103
$100.00
http://quickcards.apps.lni.wa.govlPaymentIPayReceipt.asp?G={B2D298A2-F8E6-4C79-94... 7/7/2003