The URL can be used to link to this page

Home My WebLink About1005 Golf Course Rd - BuildingElectical Permit 1005 Golf Course Rd 12 -1080 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL ...V.2 i .3 Ate /fr-sC2 COMMENTS: ELECTRICAL PERMIT CITY OF PORT ANGELES /7 765 360-417-4735 App i /J/ c�tion Number 000010 0 Application pin number 774360 Property Address 1005 GOLF COURSE RD ASSESSOR PARCEL NUMBER: 06-30-13-5-7- 0160 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc New home 1/2 the cost of original Owner GOULD, KELLY KAYLA 1419 S C STREET PORT ANGELES WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc 1/2 COST OF ORIGINAL Permit Fee 60.00 Plan Check Fee Issue Date 8/20/12 Valuation Expiration Date 2/16/13 Qty Unit Charge Per Fee summary Charged Permit Fee Total Plan Check Total Grand Total 60.00 .00 60.00 BASE FEE Contractor OWL ELECTRIC PO BOX 536 CARLSBORG (360) 582 -0833 Paid Credited 60.00 .00 60.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION .00 .00 .00 Date 8/20/12 WA 98324 Due. .00 .00 .00 .00 0 Extension 60.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING z Q 0 (9 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 4711 Date: Z. 1 2 Single Family Dwelling Plan Review May Be Rec Ired, Please Completp Electricab PI n Review Information Sheet Job Address: /pas- 1' I cow Budding Square Footage: .'r14 f e 1 (2po Description of above .4 r rt t� tt- Folt4114. pule 4, a' i r• OesArt i n s td f01 U f 11 Fr Owner kiformation Name: P_ k►t I ftOtP1 vi r' Mailin• Add ess• 2.403 i i =MIL' City: rya State:: 1 Zip: I Phone: License Exp. Fax: Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp Portal to Portal Hourly Signal Circuit/ Limited Energy -1 2 Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 120.00 40.00 74.00 110.00 Unit Charge 120.00 146.00 205.00 262.00 373.00 5.00 63.00 5.00 75.00 93.00 110.00 149.00 168.00 96.00 64.00 120.00 102.00 56.00 Qty 6S. AUG 2 0 2012 ELECTRICAL INSPECTIONS Name: Contractor Information rllat£ J rte. Name: Mailing Addrps City: LA Phone: License Exp. Signature of owner, electrical contractor or electrical administrator: Cash Check E VE1 Total State: Zip: ax S4.J1 1411 4r Total (Qty Multiplied by Unit Charge) 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 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Credit Card Dated; U fi `IL- 0110112012 Fire Permit 1005 Golf Course Rd 12 -930 Application Number. Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc RESIDENTIAL FIRE SPRINKLER SYSTEM Owner GOULD, KELLY KAYLA 1419 S C STREET PORT ANGELES WA 98362 LI 1 Y Ut' YUKI ANUt,LbJ FIRE DEPARTMENT PERMIT 321 East 5` Street, Port Angeles, WA 98362 12- 00000930 130200 1005 GOLF COURSE RD 06-30-13-5-7- 0160 -0000- FIRE SPRINKLER SYSTEM RESIDENTIAL HIGH DENSITY 2200 Contractor INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452 -7583 Permit FIRE SPRINKLER RESIDENTIAL Additional desc RESIDENTIAL FIRE SPRINKLER SYS Permit Fee .00 Plan Check Fee Issue Date 7/31/12 Valuation Expiration Date 1/27/13 Fee summary Charged Permit Fee Total Plan Check Total Grand Total .00 .00 .00 Paid Credited .00 .00 .00 .00 .00 .00 Date 7/31/12 Due .00 .00 .00 .00 2200 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the •rovisions of any state or local law regulating the work specified in the permit. Jr I 1 Signature of Contractor or A iorized Agent 8 ate Signature of Owner (if Owner is builder) Date Inspection Type Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP GAS Completed by Contractor: Test #1 Piping pressure test psi Underground piping inspection /pressure test Above ground piping inspection /pressure test Time initiated Tank (container) inspection Test #2 Piping pressure test psi Appliance inspection Time initiated LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final FIRE PERMIT INSPECTION RECORD Call 360 417 -4655 for fire" inspections. Please provide a minimum 24 -hour notice. or conceal any work before inspected and accepted. Post permit in a conspicuous KEEP PERMIT CARD AND APPROVED PLANS AT GENERAL COMMENTS: It is unlawful to cover, insulate location. JOB SITE 2/15/00 Project Business Name Fire Alarm System Check all that apply One addressable loop One zone Additional zones List quantity of additional zones I Fire Sprinkler System Check all that apply T:Forms /Building/Fire- related permit application FIRE-RELATED PERMIT APPLICATION CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant V t v`CSL 43 e- o 2 v- Property Owner lZ e 1 2 o L l C a Property Owner's Address /0 0 5 Go i 4 Go v i e f2 ...d Contractor J/l/, O ti, L7 T,) S „�y�� Phone Contractor's Address 8/ p�,t1 ,V o c/e License /A ivc !/�.J d Yzi/J 0� Expires Ff Phone Phone PROJECT VALUATION (labor materials) 2 E -mail P ROJECT ADDRESS 1 /0 lag G o P CO' t PROJECT VALUATION (labor materials) Hood Duct Fire Suppression System Check all that apply Will only the fire suppression system be installed or altered? ❑yes ❑no Will a hood and /or ductwork be installed or altered? yes* no If yes, a mechanical permit will also be needed. Briefly describe the project: For City Use Only: Date Receive& 1” t Permit Residential Multi- family Commercial Industrial esidential Multi- family Commercial Industrial Briefly d sc pjtroject: ��I a th 6 I J�-e Installing backflow protection device(s)? yes Xno f <2 inch waterline (list quantity of devices) >2 inch water line (list quantity of devices) PROJECT VALUATION (labor materials) 2;2_0 c U O Residential Commercial Multi- family Industrial Briefly descri Y0I -963j 808 G aaz yS'2.-7sej 1 rag JUL 2 OITY OF PORT ANGELES BUILDING DIVISION I have read and completed this application and know it to be true and correct. am authorized to apply for this permit and understand that it is m respo sibility to determine hat permits are required, and to obtain permits prior t working on projects. Date r]3 2, Print Name l v\ C vl �j e ,ev Signature PREPARED 4/01/13, 120831 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT 12 00000930 000 000 INSPECTION HISTORY REPORT 0/00/00 THRU 0/00/00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION 1005 GOLF COURSE RD 06-30 13 5-7 0160-0000- 063013570160 FSPK 00 FIRE SPRINKLER RESIDENTIAL FFNL 0001 FIRE FINAL 3/28/13 APPROVED REQ COMM: March 28, 2013 9:3007 AM kdubuc. RES COMM: March 28, 2013 93024 AM kdubuc. RES COMM: fire final PAGE 1 RESULT DATE/STATUS INSPECTOR KDD INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH i i i71 SERVICE 'Z 7 Z_. �A ROUGH -IN 7C )Z--- c FINAL COMMENTS: Biz) Irz_- Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc New home Owner PENINSULA HOUSING AUTHORITY 2603 S FRANCIS ST PORT ANGELES WA 98362 Fee summary Charged Permit Fee Total Plan Check Total Grand Total 120.00 6/15/12 12/12/12 120.00 .00 120.00 Signature of owner or Electrical Contractor X G:AEXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 12- 00000768 131264 1005 GOLF COURSE RD 06-30-13-5-7- 0160 -0000- ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 120.00 .00 120.00 Contractor Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 120.0000 ECH EL -R -SQFT FIRST 1300 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION OLYMPIC WIRING INC 9601 PROVOST ROAD NW. SILVERDALE WA 98383 (360) 692 -0134 Plan Check Fee Valuation Paid Credited Due .00 .00 .00 Date 6/15/12 .00 0 Extension 120.00 .00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: JUN -14 -2012 12:19P FROM:OLYMPIC WIRING (360)692 -3680 CITY OF .I'OLtT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Filth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: G" y 12 Owner Information t� �I/ Name: ri PPrvl Sukt- UStn1 AU'1'� 4- Mailing Address: 21.03 SO i =v C t s 54- 1 City:Pt r Ain cref s Stale: wA Zip: q g A i., 2 Phone: 34,o el 1 J Pax: 0 0 "7 C1 B ru, r' License Exp. Item 7vtsree ov) �tt5 tll4 -6' wt11 loe- read- Idcu,i at...— iv o v4 y LOT Il. I tro S t'�olr course Rd. CN-ANUs n o yr u rmngy Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5,00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Signature of owner, electrical contractor or electrical administrator: x 9„,„il, Cai1xt,✓ 1 2 Single Family Dwelling Plan Review May Be Required, PIe a Complete Electrical Plan Review Information Sheet Job Address: 1 0 0 5 (1_011 Co urs L Ea Building Square Footage: 10 q (o Description of above S $120.00 40,00 74.00 110.00 TO: 13604174711 P.2'3 ELECTR/CAr !AI SPECTIONrS v'ie" SU Contractor Information Name: Ot-i prr INt Reno1 I-tJ Mailing A ddress: alb b 1 Ptrrt �r U51 1 t4 City: Si Wear—date- State: u./ft Zip: et A' 3 K �S Phone ,p t,92o►3d Fax: 3t.a (sql- 34. ffO license /Exp Ot- yr"Pw1.3l0 Rt) Unit Charge gty Total (Qty Multiplied by Unit Charnel 120.00 146.00 205.00 262.00 373.00 5.00 63.00 5.00 7 5.0 0 93,00 110.00 149,00 $168.00 96,00 64,00 120.00 102,00 56.00 t Zo 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 19.28, WAC. Chapter 296 -466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. O Cash Check Dated: t' /2.. 0110112012 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Install water meter Owner OLYMPIC VIEW PARTNERS LLC 113 SOUTH VALLEY STREET PORT ANGELES WA 98362 (360) 417 1110 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total 750 00 Plan Check Total 00 Other Fee Total 1200 00 Grand Total 1950 00 T \Policies \1102 15 [10/08] 85498 750 00 9/01/06 3/09/07 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000931 220726 1005 GOLF COURSE RD 06 30 13 5 7 0160 0000 PUBLIC WORKS UTILITES RESIDENTIAL HIGH DENSITY 0 750 00 00 1200 00 1950 00 Contractor OWNER PUBLIC WORKS RES WATER SERV Plan Check Fee Valuation 00 00 00 00 Date 8/09/10 0 0 0 Qty Unit Charge Per Extension 1 00 750 0000 EA PW W/M 1 SERV 3/4 METER 750 00 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD CALL 417 -4831 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 T ■Policies \1102 15 [10/08] Building Permit 1005 Golf Course Rd 12 -259 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000259 Application pin number 717406 Property Address 1005 GOLF COURSE RD ASSESSOR PARCEL NUMBER: 06-30-13-5-7- 0160 -0000- Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 103474 Application desc 1483 SF SFR W /ATTACHED GARAGE Owner GOULD, KELLY KAYLA 1419 S C ST PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Permit Additional desc Permit Fee Issue Date Expiration Date Qty 4 0.0 1.00 .00 1.00 Permit Additional desc Permit Fee Issue Date Expiration Date T:Forms /Building Division /Building Permit WA 98363 Contractor OWNER BUILDING PERMIT RESIDENTIAL 1483 SF SFR W /ATTACHED GARAGE 1042.65 Plan Check Fee 5/11/12 Valuation 11/07/12 Qty Unit Charge Per BASE FEE .00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) MECHANICAL PERMIT 1483 SF SFR 104.45 Plan Check Fee 5/11/12 Valuation 11/07/12 Unit Charge Per BASE FEE 7.2500 EA ME -VENT FAN (SINGLE DUCT) 10.6500 EA ME- HOOD /DUCT -MECH. EXHAUST 10.6500 EA ME -STOVE /FIREPLACE /MISC. APP. 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) PLUMBING PERMIT 1483 SFR 142.00 Plan Check Fee 5/11/12 Valuation 11/07/12 Qty Unit Charge Per BASE FEE 6.00 7.0000 EA PL- PLUMBING TRAP 1.00 7.0000 EA PL -WATER LINE 3.00 7.0000 EA PL -DRAIN VENT PIPING Date 5/11/12 677.72 103474 Extension 1042.65 .00 .00 0 Extension 50.00 29.00 10.65 .00 14.80 .0 0 0 Extension 50.00 42.00 7.00 21.00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. ,--7ceiis ePs.J Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking /Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T•Fnrmc /Riiilriinn Iliuicinn /Riiilrlinn Parmit Application Number CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application pin number Qty Unit Charge Per 1.00 15.0000 EA PL -SEWER LINE 1.00 7.0000 EA PL -WATER HEATER Page 12- 00000259 Date 717406 Special Notes and Comments March 9, 2012 11:09:23 AM tamiot. Electrical service will be from pedestal at northeast corner of property. Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). March 14, 2012 1:40:11 PM sroberds. The proposal will result in a new sfr w /att garage in a PRD in the RHD for total lot coverage of 24$ and site cov of 32W. No land use issues anticipated. All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover. Notice will be given 48 hours in advance of commencing work. Public Works Inspection request line 417-4831 Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417 -4831 Construct driveway to City Standards. Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. Public Works inspection request line 417 -4831 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Building Permit RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE Charged Paid Credited 1289.10 1289.10 .00 677.72 677.72 .00 3034.50 3034.50 .00 5001.32 5001.32 .00 770.00 2260.00 4.50 Due 2 5/11/12 Extension 15.00 7.00 .00 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings '.7 `ot'' �'2' Stemwall >Gj••t• I a-- 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab Rough -In -r 1 l'! er J I/L' Water Line (Meter to Bldg) I (I-• 1 (77,L-- Gas Line Back Flow Water FINAL Date AIR SEAL: Walls Ceiling I?II FRAMING: Joists Girders /ender Flog 47 Shear Hold Downs alls W --3.--- 1 1 Lf Drywall (Interior Braced Panel Only) 6 la T -Bar INSULATION: Slab /g i i w Floor Ceiling MECHANICAL: Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR 'NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T•Fnrmc /RIiilriinn nivisinn /Riiilriinn Permit Application desc 1483 SF SFR W /ATTACHED GARAGE Owner GOULD, KELLY KAYLA 1419 S C ST PORT ANGELES Qty Unit Charge Per Permit Additional desc Permit Fee Issue Date Expiration Date Permit Additional desc Permit Fee Issue Date Expiration Date T:Forms /Building Division /Public Works Permit WA 98363 135.00 5/11/12 11/07/12 BASE FEE SANITARY SEWER HOOK UP CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000259 Date 5/11/12 Application pin number 717406 Property Address 1005 GOLF COURSE RD ASSESSOR PARCEL NUMBER: 06-30-13-5-7- 0160 -0000- Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 103474 Contractor OWNER Permit DRIVEWAY INSTALLATION Additional desc DRIVEWAY INSPECTION Permit Fee 55.00 Plan Check Fee Issue Date 5/11/12 Valuation Expiration Date 11/07/12 PUBLIC WORKS STORMWATER Special Notes and Comments March 9, 2012 11:09:23 AM tamiot. Electrical service will be from pedestal at northeast corner of property. 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. .00 0 Extension 55:00 Plan Check Fee .00 Valuation 103474 Qty Unit Charge Per Extension 1.00 135.0000 EA SAN SEW STM CON OTHER 135.00 150.00 Plan Check Fee .00 5/11/12 Valuation 103474 11/07/12 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 constru ion ignature of Contractor o 'thorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 41-7- 4815 BUILDING PERMIT INSPECTION RECORD CALL 417 -4831 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 T: Forms /Building Division/Public Works Permit 1 90 Application Number Application pin number Special Notes and Comments All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). March 14, 2012 1:40:11 PM sroberds. The proposal will result in a new sfr w /att garage in a PRD in the RHD for total lot coverage of 24% and site cov of 32 No land use issues anticipated. All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover. Notice will be given 48 hours in advance of commencing work. Public Works Inspection request line 417 -4831 Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417 -4831 Construct driveway to City Standards. Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. Public Works inspection request line 417 -4831 Other Fees Fee summary T:Forms /Building Division /Public Works Permit CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 12- 00000259 Date 717406 RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE Charged Paid Credited Permit Fee Total 340.00 340.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 3034.50 3034.50 .00 Grand Total 3374.50 3374.50 .00 770.00 2260.00 4.50 Due .00 .00 .00 .00 2 5/11/12 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 41-7- 4815 BUILDING PERMIT INSPECTION RECORD CALL 417 -4831 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 T:Forms /Building Division/Public Works Permit Applicant PENTlnt5uLA4 ustn IL itTRtt i Property Owner Kell a r l I C c utz Property Owner's Address it-kg 5 S1 Contractor nk_ONl--2Vb■w €a S F tA t- Contractor's Address License PROJECT ADDRESS 1003" G,O1_.F C6a Parcel Number D 30 13 5') O 1 LP D fOr kir\o, e083, (L)/9%. Lot Zoning RA Protect Type Brief Description: MResidential Multi family Check all that apply $New Construction eDAiSTral /ON DP SiMCAcG S fL/ New (ZEs ID rig cG Commercial Industrial Addition U) S N G C— CSR Lt O G- (AE Remodel Repair Demolition Re -roof t .pleat System -House garage other tear off re -roof lay aver one layer Heat pump wood burning stove gas fireplace pellet stove other Other P t t_ Pr w t{ reR_ Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures 11 c4 3 sq. ft. T Lot size IDO 93 sq. ft. Lot coverage o)k-kk1 Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 31, 8 Max. height of proposed structures 11 Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Date T:Forms /Building a ig- petrrtit�p}� BUI 10- toll LDING 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 Existing (sq. ft.) Proposed (sq. ft.) MAR 5 2012 CITY OF PORT ANGELES BUILDING DIVISION ft. y in 3 Expires Occupancy group Occupant Toad Construction type For City Use Only: Date Received 17-- Permit# gate Approved R,1 3 O °Y5d-7G3/ Pho Phon- Pvn Phone E -mail per sq. ft. 3 cD i a, TOTAL VALUATION 4 1 1 4 LU d+ of bedrooms of full baths of half baths 6 931 co O 4 S T) ?tog 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. 8 oat 0 676 0 ct. fk 70 lh Lot I ';Q"i *'f� 1009 Gol F Covv 94 0 63 6 1 35 7 1 6o oob NINE F;-P�I IN Am- F "I 5' N, 1013 EM 50 �k N village Le,ThoLF I\102: 3 VO ci E 01. U3 (pg H02° 35 e-- 7 CITY GOVERNMENT Site Information: L ot:. r fry s vt.,- p In GE Address: 1 O0S Go} F- Coume, M City: rrfT prJGg_L.Es State: C-.1,4 Zip: 9 g 3 2 Contact: (j2JCL p c(F,pp Phone: Y /a -oo7 Phone 2: 977 Y3 FAX: 36 0 1 7y65 PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Building Department Use Only: Permit Notes: Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) IV Unlimited Group R -3 and R -4 Occupancies Only 0.35 0.58 0.20 R -30 R -21 R -21 R -10 R -30 R -10 This Project complies with the following: 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. 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 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: Type of Heat Source: 2.4 2 C .r C c:. ni 2 Ai/A-Li- p-joO n -r ‘ya P a wad l,ea €s p- 1yucfrea -31I T: Forms /Building Division /Prescriptive Approach Simple Form Applicant.lnformation Permanent service: Name: Name and address of party Street: responsible for permanent City State I ZIP: service billing? Daytime Phone: Home Phone: Contact Information (if other than Thnval Title: C Name I/ )C F /y7 e a p jafi Ti g j Uer42 t/ /S° Site contact: S Daytime Phone: 3eo 7./g..- 007? 4 /2y Contractor: Name: OcaNe /,s vac) t2 Company: l Daytime Phone: Electrician: Name: Company: O h yet° e_ t /Zl AI G Daytime Phone: 36 .S 0 ?73 Excavator: Name: Company: C 1 S tx clef V n/c- Daytime Phone: 36b t9 3 -77y/ Project Type Existing few Ii Single- family residence ❑Multi-family residence; of units Commercial ❑Subdivision; of lots O terhead service ❑General service Underground service ❑Other: Project Information Description of work: 5r/40 C t. To NEB _..9 Al 6, pArvw /.fom t Street address lot number: i t7O r GOW C j rSe- P4 t e£n Ut-A, Oki I-07 a /C Nearest cross street: /32 't2 r2.0 I1p Desired connection date: Electrical transformer serving property is: on a pole the ground Electrical Load Total square footage: sq. ft. Main disconnect size: ,2o 0 amps Voltages 120/240 1ph ❑120/208 3ph ❑277/480 3ph ❑120/240 3ph 0480 3W 3ph Other 'Standard residential to s (Lighting, refrigerator, dishwasher, washer) Check all that apply:. A/C ton) Lnge /Oven Hot Tub CI thes Dryer Heating Pumps Hp) No Load Change 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. Applicant's Signature: Agill14161.a. Date: _Q a-3 j Please complete and return to Public Works Utilities Department Information form.xls ti P A /KSU 1GHT?ENGRVtf,: Electrical Information Form Public Works Utilities Department (360) 417 -4700 City Electrical Inspector (360) 417 -4735 MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360 417 -4711 WS WF F;F..:,..... 15 09 Option Glazing Area of Floor Glazing U- Factor Door 9 U- Factor Ceiling Vaulted 3 Ceiling Wall Above Grade Wall. int Below Grade Wall. ext Below Grade Floor Slab on Grade Vertical Overhead' 1 13% 0.34 0.50 0.20 R-49 or R-38 Adv. R 38 R -21 Int.' R -21 TB R -10 R -30 R -10 2' O II 25% 0.32 0.50 0.20 R-49 or R -38 Adv. R -38 R_21 Int. 7 R -21 R -10 R -30 R -1 Q 2' O III Unlimited 0.30 0.50 0.20 R-49 or R -38 Adv. R -38 R -21 Int.' R -21 R -10 R -30 R -10 2' la High Efficiency HVAC Equipment 1 1 b High Efficiency HVAC Equipment 2 lc High Efficiency HVAC Equipment 3 2 High Efficiency HVAC Distribution System 3a Efficient Building Envelope 1 3b Efficient Building Envelope 2 3c Super Efficient Building Envelope 3 4a Air Leakage Control and Efficient Ventilation 4b Additional Air Leakage Control and Efficient Ventilation 5a Efficient Water Heating 5b High Effieciency Water Heating 6 Small Dwelling Unit 7 Large Dwelling Unit 8 Renewable Electric Energy Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1 Project Information Contact Information Peninsula Village Hickory 1096 Plan Let This set of forms has been developed to assist permit applicants documenting compliance with the Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located in Climate Zone 1. The following forms provide much of the required documentation for plan review. The details noted here must also be shown on the drawings (WSEC 104.2). This form is not a substitute for the energy code itself. To obtain a copy of the energy code, go to the following web address. http: //www.energy.wsu.edu /code See WSEC table 6 -1 for footnotes Glazing Schedule Attached to Document Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option III. All glazing and doors meet maximum U- factor. Alternate heating size method submitted. Option I or II, Glazing to floor area limit (WSEC 602.7.2) Area weighted window, skylight or door U- factor (WSEC 602.7.2) As part of the heating system sizing calculation (IRC M1401.3 WSEC 503.2.2) Radiant slab: R -10 foam insulation, continuous with thermal break (WSEC 502.1.4.9) Chapter 9 Options Total of 1 Credit Required Opt. Opt. Description Total Credits WSEC Prescriptive Worksheet (2010 edition) Zone 1 HACC Kay Kassinger 2603 South Francis Street Port Angeles, WA 98362 *1200 kwh El 1.0 CI 1.00 WSUEEP10 -010 Copyright 2010 Glazing Schedule Project Information Peninsula Village Hickory 1096 Plan Loft l (o Exterior Doors Plan ID Conditioned Floor Area Sum of All Glazing Areas From Below Glazing to Floor Area Ratio Component Description 4x4 Horizontal Slider 4x3 Horizontal Slider 6x4 Horizontal Slider 0.340 0.340 0.340 WSEC Prescriptive Worksheet (2010 Edition) 1096 132 12.04% Contact Information HACC Kay Kassinger 2603 South Francis Street Port Angeles, WA 98362 Sum of UA for Heating System Sizing 602.7.2 Exception Ratio (not to exceed 1 Sum of Glazing Area, Door Area, and UA (do not include exempt door) Area Weighted U UA/Area Sum of Area and UA for Heating system size only (include exempt door) Vertical Glazing (Windows, Glazed doors using Exception 602.6 #1) Plan Component Glazing ID Description Ref. U- factor Width Height Qt. Feet inch Feet Inch 6 1 1 4 6 4 3 4 Sum of Area and UA Area Weighted U UA/Area I 52.9 Door Percent Width Height Glazing Door Door Ref. U- factor Glazed Qt. Feet inch Feet inch Area Area UA 20.0 1 40.0 4.0 0.20 8.0 Glazing Area UA 96.0 12.0 24.0 32.64 4.08 8.16 1 132.0 44.88 0.34 WSUEEP10-0l0 Copyright 2010 Garage Door 0.200 1 3 6 8 20.0 4.0 One Exempt Swinging Door 24 Square Feet 0.200 1 3 6 8 20.0 4.0 Glazing Schedule Project Information Peninsula Village Hickory 1096 Plan Loft l (o Exterior Doors Plan ID Conditioned Floor Area Sum of All Glazing Areas From Below Glazing to Floor Area Ratio Component Description 4x4 Horizontal Slider 4x3 Horizontal Slider 6x4 Horizontal Slider 0.340 0.340 0.340 WSEC Prescriptive Worksheet (2010 Edition) 1096 132 12.04% Contact Information HACC Kay Kassinger 2603 South Francis Street Port Angeles, WA 98362 Sum of UA for Heating System Sizing 602.7.2 Exception Ratio (not to exceed 1 Sum of Glazing Area, Door Area, and UA (do not include exempt door) Area Weighted U UA/Area Sum of Area and UA for Heating system size only (include exempt door) Vertical Glazing (Windows, Glazed doors using Exception 602.6 #1) Plan Component Glazing ID Description Ref. U- factor Width Height Qt. Feet inch Feet Inch 6 1 1 4 6 4 3 4 Sum of Area and UA Area Weighted U UA/Area I 52.9 Door Percent Width Height Glazing Door Door Ref. U- factor Glazed Qt. Feet inch Feet inch Area Area UA 20.0 1 40.0 4.0 0.20 8.0 Glazing Area UA 96.0 12.0 24.0 32.64 4.08 8.16 1 132.0 44.88 0.34 WSUEEP10-0l0 Copyright 2010 Simple Heating System Size: Climate Zone 1 Project Information Peninsula Village Hickory 1096 Plan -e; Indoor Design Temperature Outdoor Design Temperature Design Temperature Difference (nT) AT Indoor Outdoor Design Temp Conditioned Floor Area Conditioned Volume Glazing Copy Sum of UA from Glazing Schedule Attic R-49 R -38 Advanced Single Rafter or Joist Vaulted Ceilings U- Factor X Area 0.027 R -38 Vented Above Grade Walls R -21 Floors U- Factor X Area R -30 Below Grade Walls 2' Depth 3.5' Depth T Depth Slab Below Grade 2' Depth 3.5' Depth 7' Depth Slab on Grade R -10 2' perimeter R -10 Full Heated U- Factor 0.027 0.026 U- Factor X Area 0.056 0.029 X U- Factor X Walls 0.042 Walls 0.041 Walls 0.037 F- Factor X 0.59 0.64 0.57 F- Factor X 0.54 0.55 Maximum Heat Equipment Output Building and Duct Heat Loss X 1.50 WSEC Prescriptive Worksheet (2010 Edition) 70 281 42 1096 8768 531 Area 1096 1184 1096 Area Length Len th g 11 150% Sum of UA Envelope Heat Load Sum of UA X AT Air Leakage Heat Load ((Volume X 0.6) X AT) X .018)) Building Design Heat Load Air Leakage Envelope Heat Loss Building and Duct Heat Load If ducts are located in unconditioned space: Sum of Building Heat Loss X 1.15 If ducts are located in conditioned space: Sum of Building Heat Loss X 1 Contact Information HACC Kay Kassinger 2603 South Francis Street Port Angeles, WA 98362 UA 28.5 UA UA 66.3 UA 31.8 UA UA UA 179 7537) 39771 11515 115151 1 17272) Btu Hour Btu Hour Btu Hour Btu Hour Btu Hour WSUEEPI O-010 Copyright 2010 May 14, 2012 Nathan A. West AICP Director Community and Economic Development City of Port Angeles P.O. Box 1150 Port Angeles, WA 98362 Subject: Permit Application Refund Request Dear Nathan; Peninsula Housing Authority Serving Clallam and Jefferson Counties 2603 S. Francis Street, Port Angeles WA 98362 (360) 452 -7631 Ext 41 (360) 452 -9468 Fax Email: kkassingera,peninsulapha.orq 10 -676 1906 Village Circle Building Permit Fee $1,109.85 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System Delv Charge $1,980.00 PW Water System Use Fee $1,980.00 6,124.90 10 -678 1005 Golf Course Road Building Permit Fee $1,042.65 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System Delv Charge $1,980.00 $3,657.70 RECEM MAY 15 2012 CITY OF PORT ANGELES Dept. of Community Development The Peninsula Housing Authority requests a refund of the following fees paid for the Peninsula Village III building permit applications: Lot 15 Lot 16 EQUAL HOUSING OPPORTUNITY BARRIER FREE 10 -679 1015 Golf Course Road Lot 19 Building Permit Fee $1,042.65 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System Dely Charge $1,980.00 PW Water System Use Fee $1,980.00 $5,637.70 10 -680 1920 Village Circle Building Permit Fee $1,065.05 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System DeIv Charge $1,980.00 PW Water System Use Fee $1,980.00 6,080.10 10 -681 1924 Village Circle Building Permit Fee $1,042.65 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System DeIv Charge $1,980.00 PW Water System Use Fee 51,980.00 $6,057.70 10 -682 1928 Village Circle Building Permit Fee $1,042.65 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System DeIv Charge $1,980.00 PW Water System Use Fee $1,980.00 $6,057.70 Lot 23 Lot 21 Lot 22 EQUAL HOUSING OPPORTUNITY BARRIER FREE 10 -683 1932 Village Circle Building Permit Fee $1,065.05 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System DeIv Charge $1,980.00 PW Water System Use Fee $1,980.00 $6,080.10 10 -684 1936 Village Circle Building Permit Fee $1,065.05 Mechanical Permit Fee $208.05 Plumbing Permit Fee $142.00 P W Res Water Sery Fee $420.00 Sanitary Sewer Hook up Fee $150.00 Public Works Stormwater Fee $135.00 Sewer System DeIv Charge $1,980.00 PW Water System Use Fee $1,980.00 $6,080.10 Lot 24 Lot 25 Driveway installation fees are not included in the request as they were not charged. I am not certain if this is due to the drives accessing private streets or not. I have attached a copy of the City receipts for each permit application used to calculate the request. Thank you for your assistance and if you need any additional information, please do not hesitate to contact me. Regards, Di assinger or of Acquisiti� s and Development Cc Annette Dotlich EQUAL HOUSING OPPORTUNITY BARRIER FREE ria PREPARED 10/19/10, 11:11:31 CITY OF PORT ANGELES APPLICATION NUMBER: 10- 00000678 1005 GOLF COURSE RD Lp- fib FEE DESCRIPTION AMOUNT DUE PLAN CHECK FEES BUILDING PERMIT RESIDENTIAL 'MECHANICAL PERMIT ✓PLUMBING PERMIT /SANITARY SEWER HOOK UP 'PUBLIC WORK$ STORMWATER ✓SEWER SYSTEM DELV CHARGE STATE SURCHARGE TOTAL DUE Please present this receipt 677.72 1042.65 208.05 142.00 150.00 135.00 1980.00 4.50 4339.92 lc.- bit PAYMENTS DUE RECEIPT PROGRAM BP820L t O ff` se) ex-^ o x69 `c oA�� 4 �k5 to the cashier with full payment. PREPARED 4/01/13, 11:44:01 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS INSPECTION HISTORY REPORT 0 /00 /00 THRU 0/00/00 PAGE 1 ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR 12 00000259 1005 GOLF COURSE RD 06- 30- 13 -5 -7- 0160 -0000- 063013570160 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLFW 0001 BLDG FOUND FTG /STEM WALL 5/22/12 APPROVED REQ COMM: May 22, 2012 9:21:21 AM hcatuzo. REQ COMM: BRUCE 912 -0079 EARLY AM RES COMM: May 22, 2012 4:50:07 PM jlierly. RES COMM: ufr installed/j11 JLL 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL2 0001 BLDG FOUNDATION STEM WALL 5/29/12 APPROVED PB REQ COMM: May 29, 2012 8:58:33 AM hcatuzo. REQ COMM: BRUCE 912 -0049 AM PLEASE RES COMM: May 29, 2012 12:37:46 PM pbarthol. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BFF 0001 BLDG FLOOR FRAMING 6/08/12 APPROVED JLL REQ COMM: June 8, 2012 8:27:27 AM hcatuzo. REQ COMM: UNDERFLOOR. BRUCE. 912 -0079 RES COMM: June 8, 2012 3:53:55 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL DSD 0001 BLDG DOWN SPOUT DRAINS 6/13/12 APPROVED RV REQ COMM: June 14, 2012 2:14:14 PM rvess. RES COMM: June 14, 2012 2:15:05 PM rvess. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLFD 0001 BLDG FOUNDATION DRAINAGE 6/13/12 APPROVED RV REQ COMM: June 14, 2012 2:14:39 PM rvess. RES COMM: June 14, 2012 2:15:17 PM rvess. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL9 0001 BLDG SHEARWALL 7/11/12 APPROVED JLL REQ COMM: July 11, 2012 8:34:05 AM hcatuzo. REQ COMM: EXTERIOR SHEARWALL RES COMM: July 11, 2012 4:30:44 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL3 0001 BLDG FRAMING 8/03/12 APPROVED JLL RES COMM: August 3, 2012 4:23:29 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BAIR 0001 BLDG AIR SEAL 8/03/12 APPROVED JLL REQ COMM: August 3, 2012 8:36:52 AM hcatuzo. REQ COMM: BRUCE. 912 -0079 RES COMM: August 3, 2012 4:23:29 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLWS 0001 BLDG INSULATION WALL /FLOO 8/09/12 APPROVED JLL REQ COMM: August 9, 2012 8:33:13 AM hcatuzo. REQ COMM: WALL INSULATION. BRUCE. 912 -0079 RES COMM: August 9, 2012 4:03:57 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLDR 0001 BLDG DRYWALL IBWP 8/16/12 APPROVED JLL REQ COMM: August 16, 2012 9:04:07 AM hcatuzo. REQ COMM: BRUCE 912 -0079 RES COMM: August 16, 2012 3:57:50 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL PW99 0001 PUBLIC WORKS FINAL 3/22/13 APPROVED' RV REQ COMM: March 22, 2013 11:39:06 AM rvess. RES COMM: March 22, 2013 11:39:26 AM rvess. PREPARED 4/01/13, 11:44:01 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS INSPECTION HISTORY REPORT 0/00/00 THRU 0/00/00 PAGE 2 ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR 12 00000259 CONTINUED 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL FFNL 0001 FIRE FINAL 3/27/13 APPROVED KDD REQ COMM: March 28, 2013 9:30:55 AM kdubuc. RES COMM: March 28, 2013 9:31:16 AM kdubuc. RES COMM: fire final 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0001 BLDG FINAL 3/28/13 APPROVED JLL REQ COMM: March 28, 2013 9:08:17 AM pbarthol. REQ COMM: Bruce 912 -0079 RES COMM: March 22, 2013 11:54:03 AM rvess. RES COMM: March 28, 2013 4:26:32 PM jlierly. 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 3/28/13 APPROVED JLL REQ COMM: March 28, 2013 9:08:54 AM pbarthol. REQ COMM: Bruce 912 -0079 RES COMM: March 22, 2013 11:54:03 AM rvess. RES COMM: March 28, 2013 4:26:32 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL6 0001 PLUMBING WATER SUPPLY 6/14/12 APPROVED JLL REQ COMM: June 14, 2012 9:04:45 AM hcatuzo. REQ COMM: JOHN 460 -6902 RES COMM: June 14, 2012 4:31:18 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL2 0001 PLUMBING ROUGH -IN 7/11/12 APPROVED JLL REQ COMM: July 11, 2012 8:33:26 AM hcatuzo. REQ COMM: BRUCE 912 -0079 RES COMM: July 11, 2012 4:30:44 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL99 0001 PLUMBING FINAL 3/28/13 APPROVED JLL REQ COMM: March 28, 2013 9:09:06 AM pbarthol. REQ COMM: Bruce 912 -0079 RES COMM: March 22, 2013 11:54:03 AM rvess. RES COMM: March 28, 2013 4:26:32 PM jlierly. 000 000 PWSW 00 PUBLIC WORKS STORMWATER PW4 0001 PUBLIC WORKS STORM 6/13/12 APPROVED RV REQ COMM: June 14, 2012 7:46:36 AM rvess. RES COMM: June 14, 2012 7:46:58 AM rvess. 000 000 SSHU 00 SANITARY SEWER HOOK UP PW2 0001 PUBLIC WORKS SEWER CONNEC 6/13/12 APPROVED JMP REQ COMM: June 13, 2012 3:45:55 PM jpozerni. RES COMM: June 13, 2012 3:46:19 PM jpozerni. 000 000 SSHU 00 SANITARY SEWER HOOK UP PW2 0002 PUBLIC WORKS SEWER CONNEC 6/13/12 APPROVED RV REQ COMM: June 14, 2012 7:46:15 AM rvess. RES COMM: June 14, 2012 7:47:12 AM rvess.