HomeMy WebLinkAbout3119 Mt Angeles Rd - BuildingPREPARED 6/16/09 9 25 22 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/16/09
ADDRESS 3119 MT ANGELES RD SUBDIV
TENANT NBR MARK BONANNO
CONTRACTOR PHONE
OWNER MARK S ANGELA D BONANNO PHONE (360) 808 2180
PARCEL 06 30 14 5 4 0245 0000
APPL NUMBER 08 00000913 RES ADDITION
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 12/10/08 JLL PLUMBING ROUGH IN TIME 01 00
12/10/08 AP December 10 2008 8 53 58 AM 1pangrle
MARK 808 2180
ROUGH IN PLUMBING
AFTERNOON
December 19 2008 9 22 55 AM 1pangrle
PL99 01 6/16/09 J A PLUMBING FINAL
June 15 2009 2 22 55 PM 1pangrle
MARK 808 2180
PLUMBING FINAL
COMMENTS AND NOTES
PREPARED 6/16/09 9 25 22 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/16/09
ADDRESS 3119 MT ANGELES RD SUBDIV
TENANT NBR MARK BONANNO
CONTRACTOR PHONE
OWNER MARK S ANGELA D BONANNO PHONE (360) 808 2180
PARCEL 06 30 14 5 4 0245 0000
APPL NUMBER 08 00000913 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 8/22/08 JLL BLDG FRAMING TIME 01 00
9/22/08 AP August 22 2008 9 07 38 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
September 22 2008 8 50 27 AM jlierly
BLFS 01 9/02/08 JLL BLDG MONO SLAB TIME 09 00
9/02/08 AP September 2 2008 9 34 20 AM 1pangrle
MARK 808 2180
FOOTING FOUNDATION'
MORNING
September 2 2008 4 04 16 PM jlierly
BL3 02 10/15/08 JLL BLDG FRAMING
11/24/08 AP October 15 2008 8 10 47 AM 1pangrle
MARK 808 2180
FRAMING
November 24 2008 3 50 14 PM jlierly
BL3 03 12/10/08 JLL BLDG FRAMING TIME 01 00
12/10/08 AP December 10 2008 8 53 21 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
December 19 2008 9 22 12 AM 1pangrle
BAIR 01 12/11/08 JLL BLDG AIR SEAL
12/11/08 AP December 11 2008 8 37 28 AM 1pangrle
MARK 808 2180
AIRSEAL
December 19 2008 9 23 14 AM 1pangrle
BLI 01 12/19/08 JLL BLDG INSULATION
12/19/08 AP December 19 2008 8 42 04 AM 1pangrle
MARK 808 2180
INSULATION
December 19 2008 12 51 33 PM jlierly
.p walls only /j11
BL99 01 6/16/09 /�IJL 1 BLDG FINAL
June 15 2009 2 21 54 PM 1pangrle
MARK 808 2180
BLDG FINAL
ME99 01 6/16/09
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
MECHANICAL FINAL
June 15 2009 2 22 25 PM 1pangrle
MARK 808 2180
MECHANICAL FINAL
PREPARED 12/19/08 8 48 23 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/19/08
ADDRESS 3119 MT ANGELES RD SUBDIV
TENANT NBR MARK BONANNO
CONTRACTOR PHONE
OWNER MARK 5 ANGELA D BONANNO PHONE (360) 808 2180
PARCEL 06 30 14 5 4 0245 0000
APPL NUMBER 08 00000913 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 8/22/08 JLL
9/22/08 AP
BLFS 01 9/02/08 JLL
9/02/08 AP
BL3 02 10/15/08 JLL
11/24/08 AP
BL3 03 12/10/08 LI.p
BAIR 01 12/11/08
BLI 01 12/19/08 JLL
BLDG FRAMING TIME 01 00
August 22 2008 9 07 38 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
September 22 2008 8 50 27 AM jlierly
BLDG MONO SLAB TIME 09 00
September 2 2008 9 34 20 AM 1pangrle
MARK 808 2180
FOOTING FOUNDATION
MORNING
September 2 2008 4 04 16 PM jlierly
BLDG FRAMING
October 15 2008 8 10 47 AM 1pangrle
MARK 808 2180
FRAMING
November 24 2008 3 50 14 PM jlierly
BLDG FRAMING TIME 01 00
December 10 2008 8 53 21 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
BLDG AIR SEAL
December 11 2008 8 37 28 AM 1pangrle
MARK 808 2180
AIRSEAL
BLDG INSULATION
December 19 2008 8 42 04 AM 1pangrle
MARK 808 2180
INSULATION
COMMENTS AND NOTES
PREPARED 12/11/08 8 43 18 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/11/08
ADDRESS 3119 MT ANGELES RD SUBDIV
TENANT NBR MARK BONANNO
CONTRACTOR PHONE
OWNER MARK S ANGELA D BONANNO PHONE (360) 808 2180
PARCEL 06 30 14 5 4 0245 0000
APPL NUMBER 08 00000913 RES ADDITION
BL3 01 8/22/08 JLL
9/22/08 AP
BLFS 01 9/02/08 JLL
9/02/08 AP
BL3 02 10/15/08 JLL
11/24/08 AP
BL3 03 12/10/08
BAIR 01 12/11/08
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLDG FRAMING TIME 01 00
August 22 2008 9 07 38 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
September 22 2008 8 50 27 AM jlierly
BLDG MONO SLAB TIME 09 00
September 2 2008 9 34 20 AM 1pangrle
MARK 808 2180
FOOTING FOUNDATION
MORNING
September 2 2008 4 04 16 PM jlierly
BLDG FRAMING
October 15 2008 8 10 47 AM 1pangrle
MARK 808 2180
FRAMING
November 24 2008 3 50 14 PM jlierly
BLDG FRAMING TIME 01 00
December 10 2008 8 53 21 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
BLDG AIR SEAL
December 11 2008 8 37 28 AM 1pangrle
MARK 808 2180
AIRSEAL
COMMENTS AND NOTES
PREPARED 12/10/08 8 56 25 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/10/08
ADDRESS 3119 MT ANGELES RD SUBDIV
TENANT NBR MARK BONANNO
CONTRACTOR PHONE
OWNER MARK S ANGELA D BONANNO PHONE (360) 808 2180
PARCEL 06 30 14 5 4 0245 0000
APPL NUMBER 08 00000913 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 8/22/08 JLL BLDG FRAMING TIME 01 00
9/22/08 AP August 22 2008 9 07 38 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
September 22 2008 8 50 27 AM jlierly
BLFS 01 9/02/08 JLL BLDG MONO SLAB TIME 09 00
9/02/08 AP September 2 2008 9 34 20 AM 1pangrle
MARK 808 2180
FOOTING FOUNDATION'
MORNING
September 2 2008 4 04 16 PM jlierly
BL3 02 10/15/08 JLL BLDG FRAMING
11/24/08 AP October 15 2008 8 10 47 AM 1pangrle
MARK 808 2180
FRAMING
November 24 2008 3 50 14 PM jlierly
BL3 03 12/10/08
Iti°9 BLDG FRAMING TIME O1 00
December 10 2008 8 53 21 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 12/10/08 LL
PLUMBING ROUGH IN TIME 01 00
December 10 2008 8 53 58 AM 1pangrle
MARK 808 2180
ROUGH IN PLUMBING
AFTERNOON
COMMENTS AND NOTES
ELECTRICAL PERMIT AND INSPECTION RECORD
Application Number 08 00001498
Application pin number 585186
Property Address 3119 MT ANGELES RD
ASSESSOR PARCEL NUMBER 06 30 14 5 4 0245 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
200 amp panel 1269 SQFT remodel
Owner Contractor
Bonanno Mark
3119 MT Angeles
PORT ANGELES
Qty Unit Charge Per
1 00 69 0000 ECH EL R SQFT FIRST 1300
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
WA 98362
CITY OF PORT ANGELES
366 417 -4735
Charged Paid Credited
Date 12/10/08
BOTERO SON ELECTRICAL
940 TAMARACK WAY
PORT ANGELES WA 98362
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 138610
Permit Fee 69 00 Plan Check Fee 00
Issue Date 12/10/08 Valuation 0
Expiration Date 6/08/09
69 00 69 00 00
00 00 00
69 00 69 00 00
Due
Extension
69 00
00
00
00
INSPECTION ELECTRICAL
TYPE DATE RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
ltholoe 61 4C
irr
i
Job wired by
Electrical coptractor name Lice s number Date Expires
z L7 �dJU Se 5 .7c3 x'.242 09 New
Purchaser's mailing address
Ci t 7 State ZIP
,,e_../ A pi., /e _s /mot 9 Y..‘___.2-- ,J/ 4
Telephone number fAX number
-"3/-,e) y Qi.?
Premises owner's na
Address of inspection
?/i9 P s
City
L /Y 1/l4".; e. c
Phone number to schedule i nspection
c.•/ 9/ 7 2
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.
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.0 RCW Chapter
19.28 WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and
Utility Specifications.
/Signature of owner
Electrical
NO LOA CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
Inspection
Date
/2 -3.
Electrical Contractor Owner
ica4 contractor or electrical administrator Expiration
Date
r
Date /c9- 4 v o f card
d Additions and or subtra
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360- 417 -4735
ROUGH -IN
r24/0/be 'MD
Date Appr ed By
FINAL
4- 1 /b/ I
Date .Qppro'ed By
1 Is I V G LJ
DEC 4 2008 ELECTRICAL WORK PERMIT APPLICATION
Date
7
Date
i,IGHtD PT
\/Installation description
Commercial
[l Overhead Service
Temp Service
Underground Service
THERMOSTAT
DITCH
Area, Building or Equipment [nspected
Approved By
Appr ed By
No C.0.1 ocer e1611A4.1c, lfioc4po,t) 71
,W4€( kJ,
D�
Altered /Addition
K U /C
Cash Check
VI Credit Card l vl Mastercard Discover
Card Q
Date
esidential
SERVICE
FEEDER
_c)Is k-fr—) c93
C Inspection fee
s
Service Information
Voltage )2.40/240
Phasegl 1 3
Service Size: 2 Am,
Feeder Size:
Appr ed By
Appr ed By
Action Taken
Electrical
Inspector
PREPARED 10/15/08 8 56 56 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/15/08
ADDRESS 3119 MT ANGELES RD SUBDIV
TENANT NBR MARK BONANNO
CONTRACTOR PHONE
OWNER MARK S ANGELA D BONANNO PHONE (360) 808 2180
PARCEL 06 30 14 5 4 0245 0000
APPL NUMBER 08 00000913 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 8/22/08 JLL BLDG FRAMING TIME 01 00
9/22/08 AP August 22 2008 9 07 38 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
September 22 2008 8 50 27 AM jlierly
BLFS 01 9/02/08 JLL BLDG MONO SLAB TIME 09 00
9/02/08 AP September 2 2008 9 34 20 AM 1pangrle
MARK 808 2180
FOOTING FOUNDATION
MORNING
September 2 2008 4 04 16 PM jlierly
BL3 02 10 /1S /08 J BLDG FRAMING
October 15 2008 8 10 47 AM 1pangrle
MARK 808 2180
FRAMING
COMMENTS AND NOTES
PREPARED 9/02/08 10 53 05 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/02/08
ADDRESS 3119 MT ANGELES RD SUBDIV
TENANT NBR MARK BONANNO
CONTRACTOR PHONE
OWNER MARK S ANGELA D BONANNO PHONE (360) 808 2180
PARCEL 06 30 14 5 4 0245 0000
APPL NUMBER 08 00000913 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 8/22/08
BLFS 01 9/02/08 JLL
BLDG FRAMING TIME 01 00
August 22 2008 9 07 38 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
BLDG MONO SLAB TIME 09 00
September 2 2008 9 34 20 AM 1pangrle
MARK 808 2180
FOOTING FOUNDATION
MORNING
COMMENTS AND NOTES
1- 90
e p
t
"LL
PREPARED 8/22/08 9 55 53 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/22/08
ADDRESS 3119 MT ANGELES RD SUBDIV
TENANT NBR MARK BONANNO
CONTRACTOR PHONE
OWNER MARK S ANGELA D BONANNO PHONE (360) 808 2180
PARCEL 06 30 14 5 4 0245 0000
APPL NUMBER 08 00000913 RES ADDITION
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 8/22/08 JLL BLDG FRAMING TIME 01 00
August 22 2008 9 07 38 AM 1pangrle
MARK 808 2180
FRAMING
AFTERNOON
COMMENTS AND NOTES
Application Number 08 00000913
Application pin number 909886
Property Address 3119 MT ANGELES RD
ASSESSOR PARCEL NUMBER 06 30 14 5 4 0245 0000
Tenant nbr name MARK BONANNO
Application type description RES ADDITION
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 65000
Application desc
CONNECT HOME ACCES BLDG ADD SECOND STORY
Owner
MARK S ANGELA D BONANNO OWNER
PO BOX 2378
PORT ANGELES WA 98362
(360) 808 2180
Structure Information 000 000 CONNECT BLDGS 2ND STORY 588 SQ ADD
Other struct info HARD SURFACE AREA
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
15 00
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
32] EAST 5T1 STREET PORT ANGELES, WA 98362
BUILDING PERMIT
588 SF ADDITION
130997
775 25
8/22/08
2/18/09
Unit Charge Per
BASE FEE
7 0000 THOU BL -50 001 100K (7 00 PER K)
MECHANICAL PERMIT
131003
208 05
8/22/08
2/18/09
Qty Unit Charge Per
BASE FEE
4 00 7 2500 ECH ME VENT FAN
1 00 10 6500 ECH ME OTHER APPL N/R
8 00 14 8000 ECH ME INSTALL FLOOR /WALL FURNACE
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
PLUMBING PERMIT
131011
135 00
8/22/08
2/18/09
T.FormsfBuilding Division /Building Permit (05 /13 /08).wpd
Contractor
RESIDENTIAL
2ND STORY
Plan Check Fee 310 10
Valuation 65000
Plan Check Fee
Valuation
Valuation
Date 8/22/08
Extension
670 25
105 00
00
0
Extension
50 00
29 00
10 65
118 40
Plan Check Fee 00
0
Extension
6 ed
6- I6 -09
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
�—'22'O� /j?�✓`/��OI�A,r��� 61i'ft- r i�? ,�1 ��rc
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if own& is builder)
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 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
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T r. dal iI,l n /Ri Ik Permit (05 /I3 /081.wnd
BUILDING PERMIT INSPECTION RECORD
DATE ACCEPTED
YES 1 NO
1 FINAL DATE ACCEPTED BY.
1
FINAL DATE ACCEPTED BY.
PLANNING DEPT SEPARATE PERMIT M's SEPA
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES i NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
COMMENTS
1.
Application Number
Application pin number
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000913
909886
Qty Unit Charge Per
BASE FEE
8 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE
1 00 15 0000 ECH PL- EA BLDG SEWER
1 00 7 0000 ECH PL- EA WATER HEATER
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
August 20 2008 1 39 47 PM sroberds
Addition to sf res for total of 17W lot coverage Setbacks
good No land use issues anticipted
August 6 2008 3 01 26 PM tdahlqui
Service mast connection to be above southeast corner of
second floor roof Maintain all code required clearances
Provide load calculations with electrical permit
application
Raise temporary service mast to comply with NEC 590 4(A)
Sanitary sewer lateral to be rerouted into easement per
Boundary Line Adjustment
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T.Forms /Building Division /Building Permit (05/] 3 /08).wpd
STATE SURCHARGE 4 50
Charged Paid Credited Due
Page 2
Date 8/22/08
1118 30 1118 30 00 00
310 10 310 10 00 00
4 50 4 50 00 00
1432 90 1432 90 00 00
Extension
50 00
56 00
7 00
15 00
7 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 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
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ;r
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION 09 KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS --fl
YES 1 NO
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 II's
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
I PLANNING DEPT 417 -4750
1 BUILDING 417 -4815
T r. c /R, d it n. n/111 flr Pr nil (05 /13 /08).wnd
BUILDING PERMIT INSPECTION RECORD
nz -Iu o' rs��
12 =11 08 31
3 2Z 0 8 ALL
S
I
6 f 16-OLj
417 -4735 ELECTRICAL
LIGHT DEPT
rnonosIo h CFO() iq
d '/Z1Ot �u
1 FINAL6r 1 10_ 0 C l DATE OLL-
1 Fi 8(z2(og TLC
1 T('au+rtlhq I )0 -or ILL
Fr6,r1015 I6 -15-a s
ACCEPTED BY.
1 FINAL 6-16- O `DATE ACCEPTED BY
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
1 PLANNING DEPT
1 BUILDING
1
1 v
Applicant or Agent
Property Owner
Property Owner's Address
Contractor /Engineer
Contractor /Engineer's Address
License
Parcel Number
Floor Areas
Basement
1 Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other 14y V 1 9
Y
�25t- 21(o -3(p \i/ M. V.
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
ctet >1.-2 ?i .11
S4I-s
!36 O0aos v& P.4
.Sods.
6 03 v /I'S Ya2 Y� a000
Project Type Brief Description. XResidential Commercial
Check all that apply
New Construction
'Addition
(Remodel
Repair
Re -roof
Demolition
Heat System
Other
Coy/1 4 a AedGss Ida
5.-tt 140
v
Max. height of proposed structures 6 ft.
Will a lawn sprinkler system be installed? /1
Will a fire sprinkler system be installed?
Occupancy group
Occupant load
Construction type
Phone
Phone
Phone
Expires
PROJECT ADDRESS 3//q i`Jt, 4ha& /mss 4
Lot 8
fe, thewsc Z�
TOTAL VALUATION
For City Use Only
Date Received 7 2q—CA
ermit OR i3
ate Approved
?04e g../70
Zoning
Heat pump wood- burning stove gas fireplace pellet stove other
fs3r
Multi- family Industrial
Existina (sa. ft.) Proposed (sq. ft.) Nof Tea✓' cfF 344 cbdia Sirs'zi
per sq ft.
<we/ Szs 2/4 PAY SS' to t 5 D e..17
4
Total footprint of structures "Y sq ft. T Lot size YI> sq ft. Lot coverage /6 #5
of bedrooms 3
of full baths
of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects.
Date 17.-- t 9 ''arrprint Name Mt7r"/ 600a/1`!e7 Signature Aett/.L
T Forms /Building Division /Bldg Permit fRppl 2006 Code doc
CtTY GOVERNMENT Site Information.
Type of Heat Source:
T Forms /Building Divisiori/Prescripi ve Approach Simple Form
PRESCRIPTIVE APPROACH SIMPLE FORM
For the Washington State Energy Code (2006 Edition)
Climate Zone 1
Lot:
Address 3/f 9 /lam ,9`. des Rcl
City' PA
State 1t/A Zip 9'x'36 2-
Contact: ay,J c'G! !4O
Phone F08' a/g4
Phone 2
FAX.
Building Department Use Only.
Permit
Notes
Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Vaulted- Above ;:Interior
C eiling; ;Grade Below
Grade
Wall
Exterior
Below
Grade
Glazing F 'Glaiirig U= Factor Door.
Option Area of U= Ceiling
:Floor Verticals Overhead
Unlimited
Group R 3
IV and R -4 0.35 0.58 0.20 R 38 R 30 R 21 R 21 R 10 R 30 R 10
Occupancies
Only
This Project complies with the following:
4 The project is a single family residence or duplex.
The project is a wood frame OR all of the insulation is interior or exterior of the framing.
All building components meet the requirements listed above.
4 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.
Floor S Iab on
Concrete
602.6 Exception 2. One unlabeled or untested exterior swinging door 24 sq ft. or less, may be
installed per unit for ornamental, security, or architectural purposes.
Location of the door taking this exception
602 6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical
glazing U factor listed above
Location of the door(s) taking exception
t bc?s iiocrvoa" re, i—a e4/2
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tNGE 9.4 FEET
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Please complete and return to Public Works Engineering Department
Applicant Information
Permanent service.
Name and address of party
responsible for permanent
service billing?
Contact Information (if other than above)
Site contact:
Contractor
Electrician
Excavator
Project Type
.Single- family residence
Commercial
Overhead service
Underground service
Project Information
Street address lot number
Nearest cross street:
Desired connection date
Electrical Load
Total square footage
Voltage
Check all that apply
Applicant's Signature
Name
Street:
Electrical transformer serving property is
/2�0? sq ft.
20/240 1 ph 0120/208 3ph
0120/240 3ph 0480 3W 3ph
31 /9 A/1 ,A Y /36 ON s
City State ZIP t c2 ,lf e/es 957 2
Daytime Phone 2..fP0 Home Phone .,cQsa,.G
Name
Daytime Phone
1 Name
1 Daytime Phone
Name. X13
Daytime Phone
Name.
Daytime Phone.
Electrical Service Information Form
❑Multi-family residence, of units
El Subdivision, of lots
❑General service
Other
Public Works Engineering Department (360) 417 -4700
Title
Company
Company
Company
3//q "fiel A* e /ee Rd- 1.or` 8
14: l9leieet� °c dc( 4//// g-7--e/
n a pole on the ground
Main disconnect size ,Z0o amps
277/480 3ph
Other
Standard residential loads (Lighting refrigerator dishwasher washer)
A/C FLA) 'Range /Oven Hot Tub
Clothes Dryer leafing Pumps Hp)
Water Heater Elevator Hp) Other
Supporting Documentation
Please provide a copy of the following
*Detailed plot plan (dwg or dxf format mandatory for subdivisions)
*Electrical one -line drawing showing the service entrance panel and location
*Connected load data
*Size and locked rotor amps of all motors over 50hp
Date a_? -c0E
MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362
FAX TO 360 417 -4709 EMAIL rlarson @cityofpa us
EMAIL banders @cityofpa us WS
Information form
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E Itaer
DRIVEWAY
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CITY
The I uance of this permit based upon these plans, speci
cati s and other data shall not prevent the building officia
fro thereafter requiring the correction of errors in said
specifications and other data or from preventing
.coic=, 1
orations being carried on thereunder when in
all codes and ordinances of this jurisdiction. VIN
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AGL
CITY OF PORT ANGELES PERTMIIT APPLICATION' e�
Building Division/Electrical Inspections CEIVEb
321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362
Ph: (360) 417 -4735 Fax: (360) 417 -4711 MAY 7 2014
Date; —1 & 2 Single Family Dwelling RECTpICAL
INSPECTIONS
x Plan Review May Be Required, Please Complete Ef1�Lct�ricpl Plan Review Information Sheet
JobAddress:,__... .,,...._uqT d�k
Building Square Footage:
Description of above
Owner lnforry-
t '�a�L Lrtf_
lyame; 1��
Mailing Address:
City, State, Zip:
Stale; Zip:
Phone: Fax:
Fax:
License # 1 Exp.
Item
Unit Charge
Service /Feeder 200 Amp,
$120,00
Service /Feeder 201.400 Amp.
$146.00
ServicelFeeder 401.600 Amp
$ 205.00
Service/Feeder 601.1000 Amp,
$ 262.00
Service /Feeder over 1000 Amp,
$ 373,00
Branch Circuit Wi Service Feeder
$ 5.00
Branch Circuit W/O Service Feeder
$ 63,00
Each Additional Branch Circuit
$ 5.00
Branch Circuits 1-4
$ 75.00
Temp. Service/ Feeder 200 Amp,
$ 93,00
Temp. Service /Feeder 201 400 Amp.
$ 110.00
Temp. ServicelFeeder 401.1300 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 Home Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102,00
Thermostat
$ 56.00
Note: $5,00 for each additional T -Scat
NEW CONSTRUCTION ONLY:
First 1300 Square Fl.
$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
Contractor Information
C}~~ 'ter
Name:
Mailing Address:
City,
Stale; Zip:
Phone:
Fax:
License # 1 Exp,
phy
Total (Qtv Multiplied by Unit Charge)
$
$
$
$
$
$
$
$
$
$ Uc� 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 after 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 9.28, WAC, Chapter 296.468, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Perm ppfications,
Sign kir f owner elect tcal contractor or electrical administrator: ❑ Cash Check
❑ Credit Card 0
X Dated, �� �i 0110112012
6
0
W
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number . , , , , 14- 00000605 Date 5/27/14
Application pin number , , , 078550
Property Address . , . . , 3119 MT ANGELES RD
ASSESSOR PARCEL NUMBER; 06-30-14-5-4- 0245 -0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use
Property Zoning , . , . . . , RS9 RESDNTL SINGLE FAMILY
Application valuation . . .. . 0
Application desc
Power to garage
Owner
Contractor
RESULTS:
- ---- ---------- --- - --
21EBENS RODNEYRICEARD
- --
L AND MA
------------------------
SLACK DIAMOND ELECTRICAL CONTR
536 S RAGLEY CRIC RD
502 BLACK DIAMOND
RD
PORT ANGELES
WA 98362
PORT ANGELES
WA 98363
ROUGH -IN
- (360) 565 -1035
- --- ----------------------
Permit , , . I
- - - - --
ELECTRICAL
----------------------------
ALTER RESIDENTIAL
Additional desc .
COMMENTS:
Permit Fee
120,00
Plan Check Fee
00
Issue Date
5/27/14
Valuation , .
. . 0
Expiration Date
11/23/14
Qty Unit Charge
Per
Extension
1.00 120.0000
ECK 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 ,C0
00
REPORT SALES TAX
on your excise tax form
to the City of Pori Angeles
(Location Cade 0507)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR;
DITCH
SERVICE
ROUGH -IN
zV
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAIEXCHANGMBUILDING
t
�1
Vv
Em
. . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date ?i-I c, - 0(.,
Time
7A"'l.
Received by .f) r::VZt/l1 S C (phone, person)
Location of Work to be inspected 3 { ("'1 ~~~~ /11i It.:; ele s ~~
Name of person requesting inspection Dc",-", , <;.___
Address of person requesting inspection ~rtO ri.---.:R {7 "f.-6 Phone No. .ft 7 _ '{ 91.<{"j
,
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~h=:S
INSPECTION NOTES:
Inspected: );late is' -/7 - ~((., Ti~e
Remarks: ~~~ ~/'( $er\/'-<-e- 1,vL.L
'7 Ih1.--t By
F-ro~ ~~;""
V<:Vt~'.<; E_
+0 ~e..(.
r1/lL DOU3o..l
RESTORA TION REQUIRED. . . . .. YES X NO
- 1'" ,', ' A":JJ" rtJ
'11<( f.E. tv;",'
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
S+<ee:+ 'OCfI.
..$'1/6J - I
1'1,( -{
AftjLks ~J..
e,"'''-j
6,-( C.I.
S ( tJ...~p
ft..re-.
/2{] Repaired by City
o Repaired by Permittee
o No Damage Foun
, ,
f> 1<- Z-I
~Asphalt 0 PCC 0 Other
Work Order # .? 0 ~ '-I (, - I L 3
fJj COMPLETE
o INCOMPLETE
~TD~~T il"'. ....__...____