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Home My WebLink About607 C St - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner Permit Additional desc Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 T•\Policies \1102_15 buildingpermit inspection record05.wpd [1/4/2005] 05 00000126 457364 607 S C ST 06 30 00 0 1 5742 0000 PLUMBING REPAIR PLUMBING PERMIT 54 00 2/23/05 8/22/05 RS7 RESDNTL SINGLE FAMILY 4500 Contractor Valuation Date 2/23/05 REIDEL VERNON L /LINDAS LANDSCAPING BY COCKBURN 183 OXENFORD RD 4950 SEQ DUNGNESS WAY PORT ANGELES WA 983638861 SEQUIM WA 98382 (360) 681 0644 Plan Check Fee 00 0 Qty Unit Charge Per Extension BASE FEE 47 00 1 00 7 0000 ECH PL- EA LAWN BACKFLOW 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 54 00 54 00 00 00 Plan Check Total 00 00 00 00 Grand Total 54 00 54 00 00 00 \ceN `t7 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 give authy to violate or cancel the provisions of any state or local law regulating construction or the performance of constru 1 r Sig of/Coctor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 1 1 1 FIRE DEPT PLANNING DEPT 417 -4750 1 'r /l I f 1 0$'Z?fIb' 1 PLANNING DEPT BUILDING 417 -4815 1 L> r 1 1 1 BUILDING T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES 1 NO 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO OF pORI,M, q tkX Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor REIDEL VERNON L /LINDAS 183 OXENFORD RD PORT ANGELES WA 983638861 Qty Unit Charge Per 1 00 42 2000 1 00 11 4000 T•\PLANNING\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000879 049516 607 S C ST 06 30 00 0 1 5742 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 HI TECH ELECTRONICS 723 E FRONT STREET PORT ANGELES PORT ANGELES (360) 452 2727 EL -LOW VOLT SYS =2500 SQFT EL -LOW VOLT SYS >2500 SQFT Fee summary Charged Paid Credited Date 9/29/04 WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc AUDIO Permit Fee 53 60 Plan Check Fee 00 issue Date 9/29/04 Valuation 0 Expiration Date 3/29/05 Due Permit Fee Total 53 60 53 60 00 00 Plan Check Total 00 00 00 00 Grand Total 53 60 53 60 00 00 Extension 42 20 11 40 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 FOUNDATION: FOOTINGS WALLS ELECTRICAL LIGHT DEPT CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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 RESIDENTIAL FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT rte) r n� ROUGH -IN 5" rI n (C 1 !r (t \.d.�4,0:t 1/ V 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 GAS LINE 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 1 I I ESA. LANDSCAPING I I CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417-4750 I BUILDING 417 -4815 1 T•\PL ANNING\FO RM S\ 1102.15 [11/14/2003j BUILDING PERMIT INSPECTION RECORD 1 I 1 1 1 1 1 I 1 1 I 1 1 I 1 I 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 I I 1 I 1 I 1 I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4 ELECTRICAL LIGHT DEPT vx1�� 2_D PEE l� CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING I I I 1 I I 1 I 1 FROM HI —TECH ELECTRONICS E i PROJECT ADDRESS: 'Owner or Elec. Contractor Agent; c L n a L Property Owner' K Address L- r i 5 L 1 r Elec lcal Demeter. M'( -ncr EL F_C.777�r 1 C� Aaaress: 7,7. F kA�t 757 I NSTAL ATIONWIRED SY• -••--DOWNER ELECTRIC, Credit Card Heider Name•Dr e_ r T 1`�n h''r'� r Y K 7 'J=1 Billing Address: i I R Al 5 dity: r,' t r Al 4 t 2 t Credit Card Number TYPE OP WORK. Check al that apply fit New 0 Alteration /Addition Commercial GI Mobile Home sq. Ft 2 -2 C> Residential ❑Multi- family 0 Rem ate Meter 0 DeteOtted garage Hot Tub '0 Swim Pool Septic pump 0 Low Voltage Telecom. Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT J Electrical Hat Load Addltior4s and or Subtractions Service information Baseboard KW J Furnace KW J Heat Pump YON LR,4 Pan -Wad _KW JE:.ECTRICALPERMITAPPJ JGMTION FAX NO. 360 452 8560 Sep 28 2004 01 28PM P1 CITY OF PA BLDG DEPT t;F :k No h _711 ELECTRICAL PERMIT APPLICATION Tne Electrical Permit Applleenan must be WWI ti opt comoletety., Please type or reprint in Ink, If.you,have soy opestlons, ploage call (360) 417 -4736 Pax number. (360) 4174711 T KA Phonat3(, 4l5:a )9a? PAX Phone: city C) h.T k) t.; i L t S,1-1..) t=} zlv: i Z E License c y t Ex p: O /C�r ?hone d ^D -�i 1 �..L 7 Citq i`SANE,E.L�Sou 914 z►a: C, 0Overheed Service O Temp Service R Underground Service hereby certify that l have read and examined this application and know that same to be true and correct, end i am a uthorfZed to apply for th /s permit I understand it is not the City's legal responsibility to determine what permits re required, if remains the applicants responsibility to dstQrmine what permits are required end to obtain such. Credit Card Holder's Signature: Owner or Elec. Cont. Signature: r, �U VOK O')IC:AL U$ C. b$dn.t Darr Alin .4 that It u Zp. 9113 VISA. V MC: Voltage: Pha$4: D 1 CI 3 Service Sint: Feeder Size: Sign c� -.f Date; r> �r 4 Date 0`7 1 PERMIT' FEE. L 12- ZC- 7 0 —0 S L ___ ~ ~,,~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 BUILDING PERMIT OWNER/APPLICANT COLDWEll BANKER rrERRY JAMES 607 S. C STREET Port Angeles, W A 98363 360/452-6346 T. S: PERMIT NO: 13136 ISSUED: 12/11/2001 PROPERTY LOCATION 607615 C ST S lot: 9&10 Block: 157 i:8J long legal Subdivision: TPA Parcel No: 063000015742000 CONTRACTOR lARRY'S ROOFING 352 AVIS ST Port Angeles, WA 98362 360/452-2215 PROJECT INFO Project Value: $1,070.00 Project Type: REROOF Occupancy Type: Occupancy Group: Construction Type: Zoning Use: RS7 ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD sa FT: 0 MFD Units: 0 MFD sa FT: 0 Commercial: Industrial: Garage: o o o PROJECT NOTES ONE lAYER OF COMP OVER ONE lAYER OF THE SAME RECEIPT#8624 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $41 .80 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Misc Fee 1: Misc Fee 2: Misc Fee 3: $0.00 $0.00 $0.00 r\'- <J --J ~ '-1\ ~ \~ '{J 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 penod 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 ive authori t violate or cancel the provisions of any state or local law regulating construction or the performance of construction. TOTAL FEE: AMOUNT PAID: BALANCE DUE: $46.30 $46.30 $0.00 (G--12~OJ Signature of Owner (if owner is builder) Signature of Contractor or Authorized Agent Date Date BUll..DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: 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 I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOODIDUCTS PW UTILITIES / SITE WORK (Engmeenng 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 OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 -,.) FIRE DEPT PLANNING DEPT 417-4750 ':;1-P' I ~ I PLANNING DEPT BUILDING 417-4815 ,5-~-OLl flY BUILDING C \APPL WPD r~-- .s \II! CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST.5TH STREET,PORT ANGELES, WA 98362 ... Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use . . . . property Zoning'. . . Application valuation 5/24/04 RS7RESDNTL SINGLE.F~ILY 25711Cl owner Contractor REIDEL VERNON L/LINDAS 183 OXENFORD' RD PORT ANGELES WA98363SS61 PENNA BROTHERS CONST. 1902 WEST SEQUIM BAY RD WA 98382 SEQUIM . (360) 681-'0930 NEW 2587SF SFRW/ATT 518SFGARAGE TYPE 'Ii NON-RATED SINGLE FAM & CONGREGATES TOTAL %. LbT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING. LOT COVERAGE :LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 16.00 ------ structure Information Construction. Type occupancy Type Other. struct info . . . . V-N 2.00 1.00 14000.00 2306.00 2306.00 1.00 --------------------------------------+-------~~._-~------~------~----------- Permit .,.,. . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL Plan Check Fee Valuation 1902.05 5/24/04' 11/20/04 760.82 257110 '. Qty Unit Charge Per , Extension 1017.25 884.80 BASE FEE. 158:00 5.6000 THOU BL-IOO,001-500K (5.60 PER K) -----------~-------------------~----------------------------------.------- Permit . . . . Additionaldesc permit .P,ee, Issue Date Expiration Date MECHANICAL PERMIT 108 {60 Plan Check Fee 5/24/04 Valuation.. 11/20/fJ4 Qty Unit Charge per Extension 47.00 14.70 36.25 10..65 BASE FEE ME-'INSTALL 100- FAU ME-VENT FAN ME-GAS PIPE 1 TO 5 1.00 5.00 1..00 14;7000 ECH 7.2500 ECH 10.6500 ECH i~ ~.~.. o Permit Additional desc Permit. Fee Issue Date . ,. Expiration Date PLUMBING PERMIT 153.00 5/24/04 11/20/04 Plan Check Fee Valuation . . Qty Unit Charge Per Extension 47.00 77.00 BASE FEE 11.00 7.0000 ECH PL~ EA.FIXTURE ON ONE TRAP ~ <:) -:s }1\(' ~ . tc\ .. ~ . , Separate Permits are requir!3d for electrical wark, SEP A,Shareline, ESA,utilities, private and public impravements. This pe,.."lt ~.ecomes null and void ifwark ar COnsVlJct/6n autharized is not commenc~cj""ithln180 days, If.constructian or work Is suspended or abandoned fora pe~?~of1~O days afterthewark as call1menced,or if required Inspe~tlons have not been requested within 189 days frpm the iast Inspection. I herebycertjfy that I have read and examlr;aed this application and know the same to. be true and correct. Allprovislans of laws and cirdinances~goV'eming this type of work will be complied. with whether specified herein or nat. The granting of a permit ~aes nat presume to. give authority to. violate ar cancel the pravisiansof any state ar local law regulating canstruction or theperforrnance of construction. ' ~. t?~ b~.~Lt-O~ Sign3tnle akontractor or Authorized Agent Date. Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.1S [11/1412003] Date r I '..\i ." .'.V1:,,!_:C;1_ '~\;,.~'~'~~~ ,'''f~'$ BUILDING PERMIT INSPECTION RECORD CALL 4174815 FOR BUILDING INSPECTIONS:CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOURNOTIc;E. IT IS UNLAWFUL TO C()VER, INSULATE ORC()NCIW-Al'{Y}J'ORKllE;FORE INSPECTEDAND A~CEPTED. POSTPE~IT IN ACON~:p'CUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS;ATJOB SITE \ INSPEjlON TYPE DATE ACCEPTED COMMENTS ..... .. YES < --r NO ">. .... FOUNDATION: .' .' FOOTIN,GS WALLS I '. FOUNDATION DRAlNAGFJOOWN SPOlTfS" .' .' ELECTRICAL" , (LIGHT DEPT) SEPARATE PERMIT: #' ROl)GH-IN I .' , . PLUMBING <." UNDER FLOOR 1 S.LAB .' I. ROUGH-~ . WATERLINE (METER TOBLDG) GAS LINE . BACK-FLOW IWATER .' AIR SEAL . WALLS .'. I I CEIl,ING . . ..... I I .'. " , FRAMING . ' .' JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS .' WALLS 1 ROOF 1 CEaING . DRYWALL (INTERIOR BRACED PANEl: ONLY) T-BAR . .. INSULATION .' . SLAB WALL 1 FLOOR 1 CEILING I , . ,.' .' . '.. M.ECHANICAL HEAT PuMP GAS LINE WOOD STOVEI PELLET 1 CIDMNEY HOOD I. DUCTS ..' , . . . PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION . SANITARY STO~ .' PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGlLIGHTING ESA: LANDscAPING . ". , .... .... .. sijo~~:.." . '. ., , "FINAL INSPEcnONS REQUIRED PRIOR TO OCC1JJ;>~C;Y~~~ ~. ',;-,' "',; ...' . ..... .' ...... ; '.' RESIDENTIAL ,. DATE YES NO .. COl\1MERCIAL ',' h~ . Ac;C!U'J'Ei) . . " " .YES' .NO ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL , .... . .'. L1GmDEPT' . /. ..... CONSTRUCTION R. W.I PWI CONSTRUCTION ~ R.W; .... ", ENGINEERING 417-4807 PW'lENGINEERlNG 417-4653 < ..<.', --c FIRE. , PLANNINGDE~. 417-4750 PLANNING DEPT. : ,: . ..,. . " , BUILDING 417-4815 --c . BuaDING . " '.. . , .' i" T:\PLANNING\FORMS\1 102.15 [1111412003] "'" .s ~~ " CITYQF PORT ANGELES DEPARTMENT OF COMMUNJ:'I'X DEVELOPMENT'. - BUll..DING DMSION 321.EAST 5TH STREET, PORT ANGELES, W A 98362 APPlication\Number Pin number. . . . . . . . . 04-00000276 . .697080 Charge Per 7.0000 ECH 15.0000 ECH 7.0000 ECH PL- EA. INSTALL WATER PIPE PL- 'EA. BLDG SEWER PL- EA. WATER HEATER Extension 7.00 15.00 7.00 Page 2 Date' 5/24/04 --~------------~--~-----------~-------------------------~----- Notes and Comments addres,s.sign'shall not be less than 6" & ,not more than 12 in height. Numbers colors must contrast with wall color they are mounted on. lord. 14.36.050-E) When roof gutters are installed, drains will located.in dry wells or piped to approved storm drain locations. Site plan indicates a 20' setback off "C" Street, which is the side yardihowever, the driveway is in that location which ,is not a land use ,issue but maybe a public safety issue. No land UBI:! issues are noted. ....' Electrical load calculations and elctrical permits are required. ' Other Fees 'STATE SURCHARGE -------------------------------~-~~~-~~----_._--------~--~----------------~-- 4.50 Fee summary Charged Paid Permit Fee Total PlartCheck Total Other Fee Total Grand Total 2163,65 760.82 4.50 , 2928 . 97 2163.65 760.82 4.50 2928.97 Credited Due .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work,SEPA., Shoreline,E~A,utilities, private and public improvemell~.This~r~lt becomes null and void ,if work or construction authorized is not commf;jncedwithin<180 days, if construction or work Is suspendedClr abandoned for a period of18~,days after the work as commenced, orifrequired)nspections have no, been requested rnthin 1 ~,o 'days from-the last inspection. I hereby cert,ify. that I have read and examined this application and know the same to be true' and correct.. A11J>rovisions of laws and ordinancesgoverriing this type of work will be complied with whether specified herein or not. The granting of a perrnitdoes 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 T:\PLANNlNG\FORMS\1102.1S [1111412003.] Date Signature of Owner (if owner is builder) Date BUILDING. PERMIT INSPECTION llECORD CALL.417-4815 FOR BUILDING INSPECfIONS. CALL 417-4735 FOR ELECfRICAL INSPECflONS. PLEASE PROVIDEA MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATEOR C01V(:EAL ANYJVORKBE.FORE INSPECTED ANJ)A.fCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. . .." KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYl'E DATE ". ACCEPTED I YES I NO COMMENTS I ..... FOUNDATION: FOOm/GS ~ sr 6~ WALLS . . . II. ;.;, ej.",-!OJ. FOUND&J1ONDlWNAGE/DOWN SPOuTS, ;....:it-:. .... ~4J-(J1f +;(,~ I -. ~u .. L I ~L J. f ELECTRICAL ..... (LIGHT DEP1) SEPARATE PERMIT: # " ROUGH.IN PI..UMBING , .... UNDERFLO<>RI SLAB ROQGH-IN ~ ~tJ.:J"',1J1l J.L, f_/~ .~ 0#' tLL (9- ~'fI"ol/ ]"t. Sh-C9~ f(NV1 19--'. DHJ-,).,..fi.p , ..' WA1'ERI.I.NE (METER TO BLOG) GASI..~ . 'BACK.FwWI WATER . , , . AIR SEAL WALLS , CEILING FRAMING JOISTS ,. GIRDERS SHEAR W ALL/HOLD DOWNS ". WALLS I ROOF I CEILING DRYWALL (INTERIOR BRA.CED PANEL Ollll.. Y) T-BAR INSULATION !II,-L ~l!)" I l"L II b - H\,-<,i.41 b L, , q....J)~tP H JI I 1 n- - 1:- All ~ sh~ 9-#ftcIJ vJJ.l- >>} ~\.!., I~,~ 10" ,~..-oq Jlt,.. Iff' SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP GAS LINE WOODSTOVE I PELLET I CIDMNEY HooDI DUCf$ ~A 01'_.1 r. l_ "II t#)'-l3-b# .J-...:L I ~~' ~ 10 -1'fI-oR j..). j:lP ~ J')~JO"' croll J,J, IlP , I 9...^n _.f IJ.~L___ , .. PW UTlLmES I SITE WORK WATERLINE I METER SEWER eONNECTION SANITARY STORM (EngineeringDivi5ion) SEPARATE PERMIT #'5: '..' RESIDENTIAL SEPA: ESA: . '. ...... SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TOOCCUI'ANCYlUll!t '. . DATE YES NO COMMERCIAL DATE c' " , . ACCEPTED ,PLANNINGDEPT. SEPARATE PERMIT #'5 PARKINGILIGHTING LANDSCAI'ING , CONSTRUCTION ~W.I PWI ENGINEERING ., FIRE PLANNING D~~: BUILDING 417-4807 4p-4653 417-4750 '01 ELECTRICAL UOlIT DIiPT CONSTRUCTION ~ ~W. PWl ENGINEERING , ' ", 'YES , " , " , NO , ELECTRICAL. l..IGlITDEPT. 41.7-4735 , , , . FIRE DEPT; PLANNING DEPT. BUlLDINO " , 417-4815 I~...JJ -oS- U';l,l.- , , , , T:\PLANNING\FORMS\II02.15 (11/1412003] . ~~ ... j ir-/ ..~. Applicati()n Numbe~. .. 04-00000276 Date 6/11/04 Pinnumber . .. . .69'7080 Property Address 607.S CST ASSESSo.RPARCELNuMBE~1 06~30-00~O-1-574~-QOOO- Application description . lmS . NEW SPR S~vision Name ... PropertyU.se ... .'. . Property Zoning ., . RS7 RESDNTL.SINGLE FAMILY Application valuation 257110 --------~---~--------~~. --~~~--~----~~-------~-- Owner Contractor REID~VERNONL/LINDAS 1830JCENF,ORD RD PORT ANGELES PENNA B~OTHERS C()NST. 1902.. WEST SEQUIM BAY RD WA 983638861 SEQUIM WA . . (360) ..681-0930 NEW2587SFSFR W/ATT S18SFGARAGE TYPE V NON-'RATED SINGLE FAM&CONGREGATES TOTAL % LOTCOVERAGE CONSTRUCTION TYPE. NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NuMBER OF UNITS 98382 --- Structure Information Construction .. Type Occupancy, Type Other struct info 16;00 V-N 2.00 1.00 14000.00 2306.00 2306.00 1.00 Plan'.Check Fee Valuation .00 o .......~.~..............'...........~~......'...... ". ." > .~ ^' ". "."'''~ ('j' ... ~ ~ l'ermit Additional desc sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 3072 SQ.FT. SFR.. OJ:olMPIC ELECTRIC 161.60 6/11/04 12/08/04 ...... ""..... _ _ _ _ _ _ _ _ __ _, _.... _ -,;. _._ _.i.;, _ _ _..,....._ _,-._ _:'''\~_.__ ,_','_.__." _ -: _'_.~___:'_ _ '. ...:..-.... ...:_ ....._ __ __ _ _ _.. _ ....~ ._.., Qty 1.00 4.00 Unit..Charge Per "'..... 70.8000 ECH , 22.7000 5C ;.'u,' E;xtension 70.80 90.80 EL~R-SQFT FIRST:1300 EL-R-SQFT ADDITIONAL 500 ~ - - - -- - - --.... - -, -.... -.~ -"':",- - -- ~..;. - - --- ...;;-- -- ~- - -..;; - -..;;' -.;. - -.;. ~ -- - ~ '--7'''':-~'.''''';=-'''''''_'''' - - --_..:.:- -.;. ","'" Specia:l' Notes, and Conunents .Bui1~irigaddresssignshal1 not be iessthan6"& not more . thal1p" in height. NUmbers colors must "c()ntrast with wall color.theyare mounted on. (Ord..14 .36. OSO-E) When. roof gutters . are installed,. drains wp~' loc.ated in'dry wells or piped to' approved storm drain locations. Sitepl~nipdicates a 20'setback. off -C-Street, which is . the s~deyard".however, the driveway is in that location which, ill,. not ~ lapd use issue but may be 'aPubJ.ic safety is,sue... No land use. issues are noted. Ele.ctz:ical load calculations and elctrical permltsar:e required. . _._ - ____.;...__.,;" - - ""':.""" _COo'" __ ________.. __ ..........____....______._.._'~.;...-....,;.--- _.__". .;.____....:_ _':,,_ ___ ___ ' Other. Fees STATE' SURCHARGE. 4.50 Fee summary ChUSed Paid Credited Due ------------.~--- , ~. '., ,,'. perm.it Fee Total Plan check Total Other Fee Total 161.60 .00 4.SO 161.~0 .00 .00 .0.0. .00. .00 4.50 .00 .00 Sep;u'ate Pel1111ts are ~qui.red fOr electiical ~o~.~~~~,.S~Orelin~;E~A.~!ities.p~ya,te and public imlJrove,pents""11fls.,e~ltbe~pm~s nulfanc.tvold'jf'Nork~r~ot1struction'aUtharized i~ n.O,t'~mmenced within18(J~~)?, if construction or~orklsSUspen~.~dQ{".a~~ndoned for,a perio'd'of~80 d8Ysafter the work ascommenc8dior if requiredinspectlohsl,ave not been requested~lthlri180'dayS'trOmthelast Inspection.. f ~erebycertifythat I have,.readande~mil'!~dthisappllc~tlori al)q J<nowthesartletobetnJe~nd.c().rrect. '.. PJI. pl"qvislOI}sof laWs and ordlf1~npes govemlngthls type of work,wilkb~complledwith whet~er specified here.ln or nClt: The grah~ng ora J:ferrriifaoes'riot presume Jogiveauthority to violate or cancel the provisions of any state or local law regulating construction or the penoimance of construction. ' . . . "Date '. Signature of Contractor or Authorized Agent Date SignshJre Of Owner (if owner Is builder) T:\I>I.ANNING\FORMs\1 i02.15 [111.1412003] \.'-~ \, ..). BUILDING PERMITINSJ:ECTION RECORD CALL 417..4815' FO~ J;lUlLDINO INSPEcfIONS..CALL 417-4735 FOR ELECTRICAL INSrECTIONS. PLEASE PROVIDEA MINIMtlM24HOUR.NOTICE. IT IS llNLAJfFULTO COVE~ INSllLATEOllCONqEAiAJVKWORI(BEFORE '1NSPEcrEDAiiD.ACtBPTEJi' POST PERMIT IN Acor;si'tcuouSiijCi\TlQN)'" ."~'", "";',',~.:::, . KEEP PERMrr CARD AND APPROVED PLANS AT JOBStrE . , '~~;'r -" . .'..... INSPECTION TYPE , DATE ~. ACCl1:PTED I' ..... ',.' COMMEIVS '" YES.' J . ",,'. ...: ",",""'" " '. , . . , NO '. '>c. " C'. .'. . T? .... I FOUNDATION: ':> fOOTINGS .... , WALLS = .. . .,." . . '.' " '. FOUNDATIoN "DRAlNAGE1oo'\VNSpOUTS '. .... ....,., '. , , < ELECTRICAL '.' (UGHT DEPl) sEP~fE.l'ERMrr:'t# .,' /, , I ROUGH-IN " ./ I . I 7]j , '. ..'+ , ", . . ,). . ',. . ," " .. . "., \'. PLVMWNG " , . UNDERFLooRI SLAB . '".,' ROuqH-1N .,.. , ,'" ., WA TERI..INE (METER TO BLOG) " '. ,'. . ',' . GAS LlNE<... " . ...', . , . BACK Ftilwiw ATER , r': . , < ',' AUt SEAL .. ' ,.'," .. ...,", " .. , WALLS ., ',' .; r , '. "'" CEILING'" .. ',,' "" , r .,< '. ,. FRAMING '. , .. .. , ., " " [ ,.JOI!lTSJGIRDERS .., SHEAR W ALI1HOIJ'> DOWNS W ALLSl ROOEl CEILING ',' . ", .. ,. DRvWALL(lNttRIOR BRACED'P~.EL ONL);') , ',' ... r, " T-BAR' C' .', " , ' .~ '. 1 ","" ,..... ", " ". lNSULATlON , C' ...... , " ,. . . " ,', " , b , ; SLAB ...;! " . I .'. , ,I' I .. / WALL 1 FLOOR 1 CEILING .. . / .. J" . . ", MEClIANlCAL .. ,," ",.' '.' .... I. "<, "~'. " .. ,',. I: HE..\T~tlMP I. . I , GAS LINE '. '. '. '. WOOD StoYE' PBLLET 1 CHIMNEY, .... ... , '.', .. .'i HooD 1 DUCTS '.' .' ,.,. .':'., .',.',. .' "'> "",.< .,,: ".. ".:, . :'. "" " " . . .... ., ','. '" (Erigineering p!Vision) ~EPARATEI'E~ #~s: '.. .", ....., .'",-- '. rw UTILITIESl SITE WORK .. WATERLINE lMETER ..... '. " '. SEWER CONNEcnO~ '. . I.i........ .. . , . ' :. ..?" '. .; , , SANITARY ""C. ,..... " .. STc;>RM :' , " , . i', :' P~INGDEPT.SEPARA1:E PERMiTi/#,s; .'.,' '. SEP A.: ' PARKlNGILIGHTI~G ,,', , ,'..' ESA: i ., . "LA)i~G .' ,.! . " ~HO~:,/ ..";. ie" . ,.. "'.,': , , .' , .' "'" , . ", . .,. ........" '.' '..FIN~'IHS~~ONS ~UlRED-p.,IUOIi rooccV~ANC'rMSE\);"F":');'..:,. ,'. :;'i: , .. RESIDENTIAL ""1. DATE YES NO , CO~~E~C~~'..... ,r"!6t~"" , .A'cC~rTED\;:Y .... ....: , ,'...... '.' " ........ .i " , '" .:..,' [ , >...... ",,,,,,"', .,' .., YES ;"I.',.~()':: 'B~c11uC!tt . LIGHT DIift>: . '417.,47'35; I"i"" ,~ . "" 'ii'," 1')" '. .'" ELECTRiCAL'". . ,LlqIiIP~P',f';,. .,., :,.;, . ',' ',..' .' -,I., ... '. .. . ".... I 'i ".' '. \ .. >. CONSTRUCTION R..W.I PWI CONSRUxfuoN. R..W., .. , ENGINEERING' . . 411-4807 PW 1 EN(ilNl!ERING '.:. ..... . ... ... FIRE', . ~~m..'''..''', ,--~~ .. ~,'" .. .' ..,411,.,465J: : .. ....., ",;- . .. ',1 ;" .' ~LANN1NGDErT.\'" "' ,,'it. i',., PLANNING DEPT. 417-4750 "" BuIU:>ING':;'':' '.. ." ',.; 417~,i8is, ','''' ':;: ... I.. ,.. BUILDING. i."c:.." ....' '.. '" "i:' '.' '. ;,"',". "., . ,.'. : .... ... .' " ;;""': s ~~. . .... . ........; CItY..' OF PORTAN... GE. LES . DEPARTMENTOF'CQ~ DEVELO~MENT- BUILDING DIVISION .' '. 321 EAST:5m-ISTREET;,PORTANGELES, WA98362 ~ .}'" Application Number pin number . Grand Total . . . . 04-00000276 . .697080 166.10 ' 166710 Page 2. Date 6[11/04 .00 .00 . Separate Permits are required for electrical work,SEPA, Sh8reline, E~A, utilltJ~.;eriyate and public impioY~mep~,.:t:Qi~'ge.l1llit~Qcomes nlJllalld voi~if work or construction authorized is nOtcom!llehCed within 1. 80~~S'S, if construction or w()r~I~~~,~pel1dl:tc!,()r a~~l1done;d for a periqti"of180 days after tl,le warkas comme(lced~orifl'ClqlJlredlnspec,tlohS have not be~n requested\y1fhirl189'~llYS'froiil,the last Ins,pe~()~n.!hereby c~rtify thatJ have read andexamin~~tIjis!applicatiqn!andkr1ow the same to betru'e an~ corr~ct. ..A1lpro~isions of laws.... an...d ordin~119.e.,.. S90veming.thistype. otvvorkwi.llbe... :C()mpli.ed wi.th.w.h..e.th....~r.~peclfied.her...ein or not Th.' e.grantingp.f., aperm,.t d. ~es... not presume to. give authority to violate or cancel the provisions of. any . s~te or local law regulating construction orf'1e,perform~nce of constrUction. . .,' .', '.. ,..',;. " \ Signature of Contractor or Authorized Agent . Date . Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\II02.1S [1111:412003] BU1L~~~;iRMrr';SPEcrloNiicbiri?<'~~'>:rcz<(': ' ""l~~"ol~~~!~~:~f~'T{(~~~~:'\':{ ,. ! "',: :l,l~' ',' ~.-~"-_'.J _'. ~_ ,,'_ ,:-' "'!:\,---1>lk '" CALL 411-4815 FOR BUILDING INSPECflONS.CALL417-4735- FOR ELECTRICAL INSPECTIONS. .. ,. _ ,- - " , ~,. ,-' " - _ '. _, .' ' I ...' ... : _ ,~,_.. ,". ;'.,".'_ .,..."l",... ,~,C _~"<,..f.:~'_.,~-:~,<"",~,,,. :;'~~':.., PLEASE PROVIDE A MINIMU~'Z4 HOUR NOTICE. /TIS UNLAWFllL TO COVER,.INSlJ,LATE OR.p01VCeA~,~f: WOJyQJgQRE; . . . . INSPECTEDAlYDACCEP.TED. POSTPERMrrINACONSPI~.U~9~SLOc:ATI~. .. I .' -,?':; . . KEEP^PERMIT CARD AND APPROVED PLANS A T10B:'SITE. .'. - ,,! . '.. '. ,":"DATE' , C~CC~ED " YES.; > J' NO ~' ,', ..... "'.',; ,. 'CQrrrMENTS . ., ,.," " ": ' . , ~i~ :',. '. .'. .~. INSPECTlQNTVPE '.i,.'< < .," FO~DATION: ,.." FoqTIN9S ,. WAl;LS FOUNJiATION. ELECTJUCAL: " , : .'. ' . .' ...r " . '. '. "c '. , . '.' ., "i. ,. .. ." .; - : ~/(7~~,~~~~~~: '.' '''" ",,,:' DRAlNAGEJDOWN SPOUTS '.' (l.IGHTDEPT)SEPARA~~:# ". '.',"Y;'J ~ · 1ft) - {J.... (),q IJ( ,. ROUGH,IN '. ..' c , . PLUMBING """'" .,. .ONDERFLOORI SLAB ,.i ROUGH~IN WA~tINE(~ER TOBLDG) GAS UNE <> . '. 9AGKFLOW/WATER . , . .. . . , , ','. . , ,,' ,I . ..... h , ".' ! , j 1 r. ...;:; , '. " . " , . -' >' ,', , . -~- AIR SEAL WALLS . ..... I I .'" '.' I , - , ,'. ---:: ,~. . . '. r i . CEltlNG . ". FRAMING JOlSTSJGIRDERS ,Sm!AR W AJ.;UHOLD DOWNS WALLSfRopF'1tEn.ING .' '.' ..... L .". DRY\VALt (INTERIOR BRACED PANEL ONLY) ". T-BAK, " " '. '.,.... . , . . oon.it.ATloN '" " . . . . .' '. .. J ,,'f . . . '- ' '. U'._ " '.' SLAB , . WALL/FLOOR I CEILING . " MECHANICAL , ,,' HEAT PUMP .. . ,,__C '7 '.' GAS. LINE ".' ". " WOOD STOYEIPELLBT1ClUMNEy, HOOD {D,UCTS PW UTIt..lTlES'tSITE- WORK '; . .' .... , {Engin=in~ Division) SEPARATE PERMIT #'~: . '-, j . . ., , . 'C' , WATERLINElMETER SBWERCONNEcnON . . . '. , . .., '. ',' SANITARyi , ,." .' ~~,};""'. '. PLAl'iNINGDEPT. ~EPA%TEPERMrI;#'s\ ......,;/ . P~~lffim~, .'. . , LAN" . D'SCA....P"..IN..G.. ...~. ,,'- .. ''''''. ...,....,-. , .., ,.,.'."",.' ,,'< .".:'<.".. ':',i,,", . ", ,...",,> ~OREL~:"."'.,; . f "Je':., ,}J. .,,;>'.. . '. ,-,....: r~"'FlNAL.~~~Jtq~9~~ RE9U~R P~()R '1"0 OCCUPAN~{PSE,;,i.w"',, , '. "" ., ..,}';RESlDENmL'''';,y' ',' DAT&;':~'."'- ::YESI",' 'NO "".,COr.tMER9iAL\ ;-DATE ,.... '.' 'u; .." .'.,.' I ":'..;.'i';''','';',;:'''''' ELE~~Ai.-LI9}JrDBP'r,. 4'1147)5 ~!Ji~ "'I/~; "'," ..... "'t~~~'..,V;'~,i"" ':'.' CONSTRuCnQNR.W.lPWI 'I'. coNSTRUcnONJR.W; --;;;- ENGINEERING 41'2~801 PW/ENG~G 'FIRE',," 4p-46S3 FIRE DEP1'~ iF'" PLANNINGDVI'. -,-.. . . 4174150" PLANNINGDEh.':;,.2F7 ..auni>r!ItG',' ..', 417-4815 .,'. .... . "' '\" BUILDING" ",'.: T;\PLANNING\FORMS\1102.IS Hl1412003 . ..'.' -- .~, - SEPA: BSA: I . , \ " , ,,' . .. c. " .. I. , . ,., ." . :....,. .: "ACC,~~, " ,<YI!'$ .- ","NO>: . ~" If' I. . '.". ' l . ": ,. ,', " f. .0 . . .; ~ , .;' .... ..' "c' '. '.(~ :'~'-~ \ PREPARED 3/04/05, 13:22:55 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 3/04/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR (360) 681-0930 SUBDIV: PHONE PHONE : PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/01/04 JLL 6/02/04 AP BI2 01 6/09/04 JLL 6/09/04 AP BI2 02 6/21/04 JLL 6/21/04 AP BLFD 01 6/21/04 JLL 6/21/04 AP BLIS 01 6/28/04 JLL 6/28/04 AP BLHD 01 8/05/04 JLL 8/06/04 AP BL9 01 8/20/04 JLL 8/20/04 AP BAIR 01 10/06/04 JLL 10/06/04 AP BL3 01 10/06/04 JLL 10/06/04 DA BAIR 02 10/12/04 JLL 10/14/04 AP BLI 01 10/12/04 JLL 10/12/04 CA BL3 02 10/12/04 JLL 10/14/04 AP 10/13/04 JLL 10/13/04 AP ~~ BLI 02 BL99 01 BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/j 11 BUILDING FOUNDATION WALL 477-1994 BUILDING FOUNDATION DRAINAGE 477-1994 BUILDING INSULATION/SLAB MIKE 477-1994 BUILDING FRAMING HOLD DOWNS TIME: 17:00 MIKE 477-1994 BUILDING SHEARWALL Mike 477-1994 Both interior and exterior walls BUILDING AIR SEAL BUILDING FRAMING Mike 477-1994 finsih truss h-clips/fire block walls at hvac chase/draft stop chimney chase/approved duct seal and connection/jll BUILDING AIR SEAL BUILDING INSULATION MIKE 477-1994 JIM LOKS LIKE THE FRAMING INSPECTION WAS NOT APPROVED This inspection was meant to be a frame and air seal inspection instead of insulation/jll insulation inspection for 10-13-04/j11 BUILDING FRAMING BUILDING INSULATION BUILDING Neal Sidewalk Final. FINAL TIME: 17:00 461-2780 not finished but Trenia gave her approval for -------------------------------------- COMMENTS AND NOTES -------------------------------------- $).. w' 'crrYOF POR'f.~GELES DEPARTMENTOFCO~DEVEI;,OPMENT -BUILDINGDMSION. 321 EAST 5T1fSTREET, PORT ANGELES, WA98362 \ ApPli.catioj NUmber Pinnumber-l.. . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use . . . . Property Zoning . . . Application valuation 0.4-0.0.0.0.0276' Date .6970.80. 60.7 S CST. 0.6-30.-0.0.-;0.;;1...5742-0.0.0.0.- RES NEW SFR ., . . 5/24/0.4 '. ~7 RESDNTL. SINGLE F:AMILY.. 2.57110. . OWner Contractor REIDEL VERNON. L/LINDAS 183 OXENFORDRD PORT ANGELES WA 983638861 OWNER Structure:Information Construction Type Occupancy Type Other struct info NEW 2587SF SFR,W/ATT 518SFGARAGE TYPE V NON~~TED SINGLE FAM'~ CONGREGATES TOTAL % LOT" COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING. LO'l"".COVERAGE LOT SIZE PROPOSED LOT' COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 16.0.0. V-N 2.0.0. 1.0.0. 140.0.0..0.0. 230.6.0.0. 230.6.0.0. 1:0.0. - - - - - - - - - - - - - - - - - - ~'- - - - - ~ - - - - - - - - - - - - - - --- - - - .:...~:~:.- -'- - - -'- - - - - - - - - - - _.:: - - - - - - - - -- Permit . . . . Additional desc Permit Fee Issue. Date Expiration Date DRIVEWAY INSTALLATION 145.0.0. , 5/24/0.4 11/20./0.4 Plan.Check Fee Valuation .0.0. 0. Qty Unit Charge Per BASE FEE Extension 145.0.0. -------------------------------------------------~-------------_.:.._----------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date SANITARY sEwER HOOK UP RECONNECT SEWER 95.0.0. 5/24/0.4 11/20./0.4 Pl.an Check Fee V~luation .0.0. 257110. Qty Unit Charge Per 1.0.0. 95.0.0.0.0. EA SAN SEWER HOOKUP Extension 95.0.0. -----------~--------------------------------~~~----------------------------- Special Notes and Comments Building adciresslf!,ign shall not be less than' 6" & not more 'than12n in ,height", NUmbers colors must contrast with wall color they are mounted on. COrd. 14.36.0.50.-E) When roof gutters are installed. drains;wiHlocated in dry wells or piped to approved storm drain l.ocations. Site pl.an indicates a 20.' setback off "C".St'reet. which is the ,side. yard. ho~ever. .the driveway is in,that location which is not a land use issue but maybe a public safety issue. No land use issues are noted. ..,. Electrical load cal.culations and elctricalpeiln,its are required..'........' Signature of Contractor or Authorized Agent Date ~~nature of Owner (if owner is builder) Date ----------------------------------------------~~---------------------------- Other Fees STATE SOR~GB.:.J, 4.50. Separate Permits are required for electrical wOI'k.SI;PA.:~hot~,qlj~r~,$Aj ~tilitles, private and public improvelT1~~;/~hIS ~1'I111U:l,~Omes null and ~old if work or constructio.i\: authorized Is.notco.rnlTte~wlthin180 days, ifconstruction or )York 1!i.:s~i$R8~~CJ~.a~.,Jj~onfKI for a period ()f1,80 days afterthe work as commenced,orifre~U,r~c:t;li1~Pectlons have not been r~questect.V1lh'..t1.~g~,~the last inspectJon:ihereby certify that I. have read and examln~d thl~'appli~~on and know the same to be trueahd (:()ffect:' . Ail'provisions of laws and.ordiilances goveming this type of work will becoITlP,IIe;9)yith,~eth~r specified herein or not. .The g~.n~.o.ll.ofa~~~~()es n,at presume to give authority to violate or caricel the provisions of any state or local law regulating constructlonpr,the perforf)'lance of construction. T:\PLANNING\FORMS\1102.1S [11/14120(3) <,-,;->,":~~" "<>c ;/i~,';Y"",:')":.;f'i'.~':/?;':\; ,-.,;,'''"i'1'' '.'_';'';..': BUll..DING PERMIT INSPECflON RECORD '~: ... CALL 417-4815 FOR BUILDINd INSPECTIONS. CALL 417-4735 FOR ELECfRlCAL INSPECfIONS. :, ~ ~ PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEALAlVYJfOl1J{~I.IF()RE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICPOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO . FOUNDATION: FOOTINGS WALLS FOUNDATION DRAlNAGEJDOWN SPOUTS , .... ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR I SLAB , ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER ;. ..... AIR SEAL WALLS I CEILING I I T FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP GAS LINE I WOOD STOVE I PELLET I CmMNEY HOOD I DUCTS . (Engineering Division) SEPARATE PERMIT /I's: PW UTILITIES I SITE WORK W ATERLINEI METER . .. SEWER CONNEcnON SANITARY STORM PLANNING DEPT. SEPARATEPERMIT#'s SEPA: P ARKlNGILIGHTlNG ESA: LANDSCAPING '. . S~O~I:-INE: , . '.. FINAL INSPEC'fJONSREQUIRED PRIOR TOOCCVP~CYIUSE, .; " ". RESIDENTIAL DATE YES NO COMMERCIAL DATE ~CCEPTED YES""" NO ", ;. ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL UGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 . PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNlNG\FORMS\II02.15 [11/1412003] r '1HI',',;;;~.; ........ 4~ ~~ CITY OF PORT ANGELES . DEPARTMENT OF CONfMuNITY DEVELOPMENT - BUILDING DMSION 321 EAST STHS1REET, PORT ANGELES, W A 98362 , Application Number . . .. . 04-00000276 pin number . . . . . . .69708~ Page 2 Date 5/24/04 Fee summary Charged Paid Credited Due ----------------- ---------- - - - - - - - _._- ---------- ---------- Permit Fee Total 240.00 24().00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 244.50 244.50 .00 .00 Sepa~te Permits are required fO~,electrical work. SEPA.~hon~ll~~.~SAq,ltilities. private~nd public ImpJl)v~l11en~..!hIS.~rn1lt~omes null and,vold if:~rko('(;()llstru~llal,lttlorize<! i~ I19t(;()rTlrti~n~~illi~8b!days. If construction orwortc~su~~n~~~~a~"Clol1...d for a'periodof180 da~afterthework as commenced. Of~...qulre;g;[jlsJ)ectlons have not been reQuest~.~~~O.d8)'!lr~the:last Inspectlon.;.i hereby:ce'rtify that I have read and exa~i~ed thjsapplicatic:m and know the same to be triJ~~rldCO;~.A1Kprovisionsof laws and. ordinances govei'ningthls tYpe of work will be!~n;lpli~i:l'with;wh~lt1~r specified herein or not.1I1e:gr~otlog:Qf~l?1trrilJttl~s not presunieto give authority to violate or cancel the provisions. of any state or local law regulating construCiK)nprlhepertormanceof construction. . . Signature of Contractor or Authorized Agent Date ~igl)atu~~ gf Owner (If owneris..~~ilder) T:\PLANNlNG\FORMS\II02.15 [1111412003) Date r' I I I I i'~:\i;':, ~. ,'"<-N-' ~,,"', >'c-:' "'."~\ ~. BUILDING PERMIT INSPECTION RECORD ... .. ... CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER;JNSULATEORCONCEAf" ANf:fflORJ( BEJfORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION. \ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSprlON TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: -." , FOOTINGS WALLS FOUNDATION DRAlNAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEP1) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER To BLOG) GAS LINE BACKFLOW/'WATER AIR SEAL WALLS , I I , CEILING I I FRAMING JOISTS / GIRDERS SHEARW ALLIHOLD DOWNS WALLS / ROOF / CEILING . DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL / FLOOR / CEILING I I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CIDMNEY HOOD / DUCTS - PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY " STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGlLIGHTlNG ESA: LANDSCAPING S,HORELINE: , FINAL; INSPECTIONS REQUIRED PRIOR TO OC<;W:~~~JV,~E ,', ,,' , RESIDENTIAL , DATE" YES NO ,. COMMERCIAL DATE '. : ACCEPTEP : , YES NO , " ELECTRICAL. LIGHT DEPT. 417-4735 .ELECTRICAL LlGHTDEPT CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW/ ENGINEERING , FIRE . 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING . 417-4815 BUILDING T:\PLANNING\FORMS\I U)2,15 [11/1412003] &;,07 \.... ~ c I I OhlY-irf ~I~E" 6"4--- I I~.d' \- ill ~I I l- ~ I 0 \) 41..1.011 I 1r-rJ. 0 0 ,AI-LEY ___~o__o______ -=-+--i:- - -~-1- --- I I I I I __d. 0 _ I ~\..I~~ -~ 4 J;"L ph H.T'" \ r 01113 J- fLAH ~,' -----, , ..~ ~ t-> Z -1-1 ~ ~ ,.. ~ :1 ~- T!= PREPARED 12/06/04, 13:10:30 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 6/28/04 JLL 6/28/04 AP PL2 01 9/16/04 JLL 9/16/04 AP PL6 01 10/08/04 JLL 10/08/04 AP PLSP 01 ~;f- PLUMBING UNDER SLAB TIME: 17:00 MIKE 477-1994 MORNING AM INSPECTION "PREPOUR" PLUMBING ROUGH-IN TIME: 17:00 Steve - 461-2259 PLUMBING WATER SUPPLY TIME: 17:00 mike 477-1994 PLUMBING SHOWER PAN TIME: 17:00 MIKE 417-1994 PERMIT BY SHOWER PAN PAGE DATE 1 12/06/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/15/04, 12:46:21 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 10/15/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 9/29/04 9/29/04 ~f JLL AP ~ MECHANICAL GAS LINE MIKE 477-1994 MECHANICAL GAS LINE MIKE PENNA 477-1994 UNDERGROUND PROPANE TANK & LINES, LATE AFTERNOON ME6 02 _________________________c____________ COMMENTS AND NOTES -------------------------------------- r rv~" (l(, ~I~M IQ-~ ~ ~ 0{) f1"" ~ PREPARED 10/12/04, 12:41:29 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: BPR 00 BUILDING PERMIT - RESIDHNTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 BI2 01 BI2 02 BLFD 01 BLIS 01 BLHD 01 BL9 01 BAIR 01 BL3 01 BLI 01 6/01/04 JLL 6/02/04 AP 6/09/04 JLL 6/09/04 AP 6/21/04 JLL 6/21/04 AP 6/21/04 JLL 6/21/04 AP 6/28/04 JLL 6/28/04 AP 8/05/04 JLL 8/06/04 AP 8/20/04 JLL 8/20/04 AP 10/06/04 JLL 10/06/04 AP 10/06/04 JLL 10/06/04 DA ~~ PAGE DATE 1 10/12/04 BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/j 11 BUILDING FOUNDATION WALL 477-1994' BUILDING FOUNDATION DRAINAGE 477-1994 BUILDING INSULATION/SLAB MIKE 477-1994 BUILDING FRAMING HOLD DOWNS TIME: 17:00 MIKE 477-1994 BUILDING SHEARWALL Mike 477-1994 Both interior and exterior walls BUILDING AIR SEAL ;-\" ~ :,J... I-l S {l~ e J,oU ~ Jt-C BUILDING FRAMING Mike 477-1994 finsih truss h-clips/fire block walls at hvac chase/draft stop chimney chase/approved duct seal and connection/jll BUILDING INSULATION MIKE 477-1994 JIM LOKS LIKE THE FRAMING INSPECTION WAS NOT APPROVED ~~ ::LLPcw{-.tkJ -------------------------------------- COMMENTS AND NOTES -------------------------------------- t<<ot e4JJL.A I FoA- ~ Be ~ Iblr~/o{ ~.~'1:" JL( r $' Itf-te. ~I PREPARED 10/13/04, 7:49:40 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 10/12/04 SUBDIV: PHONE .PHONE : 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR (360) 681-0930 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/01/04 JLL 6/02/04 AP BI2 01 6/09/04 JLL 6/09/04 AP BI2 02 6/21/04 JLL 6/21/04 AP BLFD 01 6/21/04 JLL 6/21/04 AP BLIS 01 6/28/04 JLL 6/28/04 AP BLHD 01 8/05/04 JLL 8/06/04 AP BL9 01 8/20/04 JLL 8/20/04 AP BAIR 01 10/06/04 JLL 10/06/04 AP BL3 01 10/06/04 JLL 10/06/04 DA BAIR 02 BLI 01 BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/jll BUILDING FOUNDATION WALL 477-1994 BUILDING FOUNDATION DRAINAGE 477-1994 BUILDING INSULATION/SLAB MIKE 477-1994 BUILDING FRAMING HOLD DOWNS TIME: 17:00 MIKE 477-1994 BUILDING SHEAR WALL Mike 477-1994 Both interior and exterior walls BUILDING AIR SEAL BUILDING FRAMING Mike 477-1994 finsih truss h-clips/fire block walls at hvac chase/draft stop chimney chase/approved duct seal and connection/jll BUILDING AIR SEAL BUILDING INSULATION MIKE 477-1994 JIM LOKS LIKE THE FRAMING INSPECTION WAS NOT APPROVED This inspection was meant to be a frame and air seal inspection instead of insulation/jll insulation inspection for 10-13-04/jll BUILDING FRAMING "' y BL3 02 10/12/~ Jttll I()-I,- ~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- ) ~ ijt 1'1 "j BUILDING DIVISION . .. . CITY OF PORT ANGELES * * Correction Notice ',- " S>r Job Located at ~O J 'S C Inspection of your work rev~aled that the following is not in accordance with the codes governing the work in this jurisdiction: ' ~ - "BlOl..-1L (., U 'wtllf,..,t E::: V ~ 1- q1..~ e ___Lt vJ-< 1:' ~ -Af-PIUPV~ ~~ng ~I,"'L-ll'_ ~ Dvvt-- s'=:-""'.e-I;' c ~/f<f:-R~... Lt}If.J / s @) J::>>e,;/- &->/J;r~ ,~~ J-.' ~-p h, ~ These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call ~17 -L/~/~ for inspection. Date ~ ------' , }L ( ./ "Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 10/14/04, 8:32:17 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 10/12/04 SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING INSULATION MIKE 477-1994 JIM LOKS LIKE THE FRAMING INSPECTION WAS NOT APPROVED This inspection was meant to be a frame and air seal inspection instead of insu1ation/j11 insulation inspection for 10-13-04/jll BL3 02 ~ ~ BUILDING FRAMING -------------------------------------- COMMENTS AND NOTES -------------------------------------- BL1 01 6/01/04 JLL 6/02/04 AP 6/09/04 JLL 6/09/04 AP 6/21/04 JLL 6/21/04 AP 6/21/04 JLL 6/21/04 AP 6/28/04 JLL 6/28/04 AP 8/05/04 JLL 8/06/04 AP 8/20/04 JLL 8/20/04 AP 10/06/04 JLL 10/06/04 AP 10/06/04 JLL 10/06/04 DA I ~ JL CA BI2 01 BI2 02 BLFD 01 BLIS 01 BLHD 01 BL9 01 BAIR 01 BL3 01 BAIR 02 BLI 01 BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approva1/j11 BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/jll BUILDING FOUNDATION WALL 477-1994 BUILDING FOUNDATION DRAINAGE 477-1994 BUILDING INSULATION/SLAB MIKE 477-1994 BUILDING FRAMING HOLD DOWNS TIME: 17:00 MIKE 477-1994 BUILDING SHEARWALL Mike 477-1994 Both interior and exterior walls BUILDING AIR SEAL BUILDING FRAMING Mike 477-1994 finsih truss h-clips/fire block walls at hvac chase/draft stop chimney chase/approved duct seal and connection/jll BUILDING AIR SEAL PREPARED 10/13/04, 12:40:30 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 10/13/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUEDIV: PHONE PHONE : (360) 681-0930 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 6/01/04 JLL 6/02/04 AP 6/09/04 JLL 6/09/04 AP 6/21/04 JLL 6/21/04 AP 6/21/04 JLL 6/21/04 AP 6/28/04 JLL 6/28/04 AP 8/05/04 JLL 8/06/04 AP 8/20/04 JLL 8/20/04 AP 10/06/04 JLL 10/06/04 AP 10/06/04 JLL 10/06/04 DA JA,L,p JLII CA BL1 01 BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/j11 BUILDING FOUNDATION WALL 477-1994 BUILDING FOUNDATION DRAINAGE 477-1994 BUILDING INSULATION/SLAB MIKE 477-1994 BUILDING FRAMING HOLD DOWNS TIME: 17:00 MIKE 477-1994 BUILDING SHEARWALL Mike 477-1994 Both interior and exterior walls BUILDING AIR SEAL BI2 01 BI2 02 BLFD 01 BLIS 01 BLHD 01 BL9 01 BAIR 01 BL3 01 BAIR 02 BLI 01 BUILDING FRAMING Mike 477-1994 finsih truss h-clips/fire block walls at hvac chase/draft stop chimney chase/approved duct seal and connection/jll BUILDING AIR SEAL BUILDING INSULATION MIKE 477-1994 JIM LOKS LIKE THE FRAMING INSPECTION WAS NOT APPROVED This inspection was meant to be a frame and air seal inspection instead of insulation/jll insulation inspection for 10-13-04/j 11 BUILDING FRAMING 10/r/04 { JA P {~;l3}-J40 If JLL P 101 'J!o7 f01 -------------------------------------- COMMENTS AND NOTES -------------------------------------- BL3 02 BLI 02 BUILDING INSULATION PREPARED 10/19/04, 12:57:50 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 10/19/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 9/29/04 9/29/04 10/15/04 10/18/04 JLL AP JLL AP ME6 MECHANICAL GAS LINE MIKE 477-1994 MECHANICAL GAS LINE MIKE PENNA 477-1994 UNDERGROUND PROPANE TANK & LINES, LATE AFTERNOON ME6 03 t,~!,~9!1~ J ~L MECHANICAL GAS LINE ~. Mike 477-1994 gas line from tank to house. ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- 02 T1'l ~]2@~i()I~ u \C 'Uk oy "'(" !<,C} -xL- PREPARED 10/08/04, 12:21:29 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 10/08/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL1 01 . 6/28/04 6/28/04 JLL AP TIME: 17:00 PLUMBING UNDER SLAB MIKE 477-1994 MORNING AM INSPECTION "PREPOUR" 9/16/04 JLL PLUMBING ROUGH-IN TIME: 17:00 9/16/04 AP Steve - 461-2259 PL6 01 imJI_0.4 ( __M _ __ PLUMBING WATER SUPPLY ~ ~ mike 477-1994 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PL2 01 TIME: 17:00 PREPARED 8/20/04, 12:45:56 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 8/20/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUEDIV: PHONE PHONE : (360) 681-0930 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 6/01/04 6/02/04 BL1 01 JLL AP BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/jll BUILDING FOUNDATION WALL 477-1994 BUILDING FOUNDATION DRAINAGE 477-1994 BUILDING INSULATION/SLAB MIKE 477-1994 BUILDING FRAMING HOLD DOWNS TIME: 17:00 MIKE 477-1994 BUILDING SHEARWALL Mike 477-1994 Both interior and exterior walls 6/09/04 6/09/04 BI2 01 JLL AP 6/21/04 6/21/04 6/21/04 6/21/04 6/28/04 6/28/04 8/05/04 8/06/04 ~ BI2 02 JLL AP JLL AP JLL AP JLL AP + BLFD 01 BLIS 01 BLHD 01 BL9 01 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 8/05/04, 12:27:17 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 8/05/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/01/04 6/02/04 JLL AP BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/j 11 6/21/04 JLL BUILDING FOUNDATION WALL 6/21/04 AP 477-1994 6/21/04 JLL BUILDING FOUNDATION DRAINAGE 6/21/04 AP 477-1994 6/28/04 JLL BUILDING INSULATION/SLAB 6/28/04 AP MIKE 477-1994 ~:~~_::__~_~___~:~~~:N:o~~::~:::L:o:::N:___~:~:~_::~::_______________________ 01 6/09/04 6/09/04 JLL AP BI2 BI2 02 BLFD 01 BLIS 01 PREPARED 9/29/04. 12:42:06 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 9/29/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------~~-;/~;------------------------------------------------------------------------- M"__O'___l/1'~~------~~..,'~::::::;::: NO'" ______________________________________ PREPARED 9/16/04, 12:48:22 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 9/16/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 6/28/04 6/28/04 TIME: 17:00 JLL lLUMBING UNDER SLAB AP MIKE 477-1994 ~ MORNING AM INSPECTION "PREPOUR" PL2 01 li\l~~tf.\1 ~LL PLUMBING ROUGH-IN TIME: 17:00 ~ Steve - 461-2259 -------------------------- ---------- COMMENTS AND NOTES -------------------------------------- .~ ~ ~EPARED 10/06/04, 8:15:16 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 10/06/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04c00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: aPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 6/01/04 6/02/04 BL1 01 JLL AP BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/j 11 BUILDING FOUNDATION WALL 477-1994 BUILDING FOUNDATION DRAINAGE 477-1994 BUILDING INSULATION/SLAB MIKE 477-1994 BUILDING FRAMING HOLD DOWNS TIME: 17:00 MIKE 477-1994 BUILDING SHEARWALL Mike 477-1994 Both interior and exterior walls BUILDING AIR SEAL 6/09/04 6/09/04 BI2 01 JLL AP 6/21/04 6/21/04 6/21/04 6/21/04 6/28/04 6/28/04 8/05/04 8/06/04 8/20/04 8/20/04 BI2 02 JLL AP JLL AP JLL AP JLL AP JLL AP BLFD 01 BLIS 01 BLHD 01 BL9 01 ~p JLL D~ rii:6/~4 r/o /O~J o .1t..~ BAIR 01 BL3 01 BUILDING FRAMING Mike 477-1994 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/21/04. 12:51:27 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 6/21/04 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR (360) 681-0930 SUEDIV: PHONE PHONE : PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/01/04 6/02/04 JLL AP BI2 01 6/09/04 6/09/04 JLL AP BI2 02 JL}9 ~ I ----,-------------- \ BLFD 01 BUILDING FOUNDATION FOOTING MIKE '681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/jll BUILDING FOUNDATION WALL 477-1994 BUILDING FOUNDATION DRAINAGE 477-1994 COMMENTS AND NOTES -------------------------------------- PREPARED 6/28/04, 13:07:57 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE. DATE 6 6/28/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/01/04 6/02/04 JLL AP BI2 BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH partial inspection on 9'-0" engineered wall center of structure/jll 6/21/04 JLL BUILDING FOUNDATION WALL 6/21/04 AP 477-1994 6/21/04 JLL BUILDING FOUNDATION DRAINAGE 6/21/04 AP 477-1994 BLIS 01 6~28/~4 J 8::!1J BUILDING INSULATION/SLAB \., lJ.11J :0\. ~ MIKE 477-1994 ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- 01 6/09/04 6/09/04 JLL AP BI2 02 BLFD 01 PREPARED 6/28/04. 13:07:57 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 ~~ PLUMBING UNDER SLAB TIME: 17:00 MIKE 477-1994 MORNING AM INSPECTION "PREPOUR" PAGE DATE 7 6/28/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/09/04, 12,58,38 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 6/09/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER, 607 S C ST PENNA BROTHERS'CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV, PHONE PHONE , (360) 681-0930 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 6/01/04 6/02/04 JLL AP BUILDING FOUNDATION FOOTING MIKE 681-0930 OR 477-1994 design for 9' high wall to be supplied on next inspection before approval/jll BI2 01 ~09/04 . ,;rJLL BUILDING FOUNDATION WALL MIKE 477-1994 FOUNDATION WALL IS CLAIMED TO BE OVER 9 FEET HIGH -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/01/04, 13:14:04 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 8 6/01/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST PENNA BROTHERS CONST. REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000276 RES NEW SFR SUBDIV: PHONE PHONE : (360) 681-0930 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 ~1.01/0 ~L~ BUILDING FOUNDATION FOOTING ~ MIKE 681-0930 OR 477-1994 ------------------ ------------------- COMMENTS AND NOTES -------------------------------------- l d-~ ~ J--u ~~-J\..1() C- J_ r 06, \~ ~ Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 FOR OFFICIAL USE ONLY: Date Rec~'" ?r~(yt permit#~^ Date APproved:~ Date Issued: BUILDING PERMIT - APPLICATION Applicant or Agent: L'-n~t:>c...~ '" ,::)~\k"h C\.rctU t-ech Phone: (.3tAO) "",~1.." \.4 \ J LL Owner:\I~"ncn + L,"nd~ Q...elde\ Phone: ~l1-~8 \ Address: l~'b O~en+:'Q~ ~ City:~ort' a..h~1 LOA Zip:G:\~O~O ArchitectlEngineer: L '-nd.be.r Cj oJ. .:5m ~ CA.fOt\.4 reef ~ Phone: ( OltO) L.( 62 ..<.aJ It... Contractor Nj~ State License #: Exp: Phone: Address: City: Zip: ZONING: PROJECT ADDRESS: l.Ro"T S. c::. ~Y'.e.e.-+ -- LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: OLe. ~ Ooool~lY1.- Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: ~ Residential ~New Constr. 0 Re-roof 0 Stove ~?~., SF. @$ 80 /SF. = $ Iou 9 ~o o Multi-family 0 Addition 0 Move ~ Garage L1~C; SF. @$ 60 /SF. = $ 24 1.60 o Commercial 0 Remodel 0 Demolition "sJ Deck '5 \ ~ SF. @ $ 50 /SF. = $ 2'5 q Ot) o Repair 0 Sign 0 Other TOTAL VALUATION . $ ~S:S1, J I 0 ." '" BRIEF DESCRIPTION OF THE PROJECT: ~ ~1"'19.e... ~~rnu.'1 (.e~\dc.nce.. lr:::>U:n c:tCA.'2fI~~ _ba.'be..n"\e..r"k, COV'e.'f'LO. ~~ .. o..:H-a.c-hecl tjW'O. J COMMERCIAL/RESIDENTIAL: Occupancy Group: ~ Occupant Load: Construction Type::V N No. of Stories: 2 Lot Size: MOI-O Existing Sq. Ft. ~ & Proposed Sq. Ft. '2.~o" = TOTAL Sq.Ft. ~~ (, Existing lot coverage -12- % & Proposed lot coverage ~% ~ Total lot coverage j \.c. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PL~G USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING 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 Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due atth'e time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby cerlify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T,\FORMSIAPPS,""iI",,,,,,,,,,. wpd AppUoant Q-h1J'l"ctt:l) ~l'Ab< V'1"'ate: 3> - .3 \ - 0,::\ AppendIx E: Sample Checklists & Worksheets " l_. ~" ~" CODE FfmWv1 Attaclnent C , Plans Examiner and Inspector Checklist Permtt No, OLj- 27~ Address ~()I So C. s.~ Pian. Examiner: Inapector: Check, write in NlA. or fill in 'value on sh8~ boxes."' Check off boxes at left as items are found:tCl i~":,plr . I_ It . ~- '> \'. . ,,t" , CompUance approach: (check one) 0 Sys1ems analysis p G,omponent perl~nce o Prescriptive path !' Hote: Some specifics on this form may not appty if ." .} -1" \ ,", ~ A) compliance approach is sys1ems ahaIysis or component perlonnance; , B) compliance 10 minimum ventilation aiteria is demonstrateathrough engineering cak:ulations or perlormar1~ te~ng. . , FOUNDATlON PHASE o SI.b: R- I b j Exterior down to frostllnQ/slab bottom: or IntGr10f 2.(.~dzootal or v9rtlcal; 'or, If radiant. under ontlr~ ~I~ o Below grade eJcterlor wallln.uletion: R- I (tf Intonor - 50e Insulation Pha.sG) :. .' .~ I o Radon mltlgatlon:: ; If locally required. or aawlspaC:8 venting ~1ft1300tt2 ot crawl, or vents IndL.de an operabl~ ~":,~r . FRAMING PHASE , ',. ~ i . ~ ~.. g . .....,,:....: .: ..:.::::.:.: (;'::":':.E:: .', . , O ~-'ng' '.:~'.. ..... Slandsrd ':"':'::'::,'::':: kltennGdla1e ,~~M;:l: Adva.nood. 1""""1..... . .".:.:,' .... .... ...':..........."=..~.... r .... . "_.h . o 8td .ir ....: 8OfepllllUbllr, ~ Js1Imud aRl; wfndaw & door frms; pengtrRtlon-wlrG, plurrtJ, duct, pe.r1ItIon studs, flUCl, light f\xtl,I'QS o . Sou~ apaetftc exhauat lans: Size roqtAr~~ - bsth.laundry (5Ocfm); kitchen (100cfm) o Whoi. hOIlM axhauat Ian I .'.::: ~ Intermittent system has manual & auto c:ontrols; OUtdoor air supply req. lor habitable rms. or o Int~m4Kl fOr"Ce<Hlr ay-tem [=:J outside air dUd (lMtti damper) allowing between .35 and .5 ACH . ICStI.ATDI PHASE o R- lq o A- D R- lq o R- :50 o f\- o o ! .1 J I I w.n InsulaUon (abova gl'llde) . -". . w.n Insulation (below grade): Interior wall ~laUO!.L,. ROOf'tnaulaUon c.lllng lnaulatlon: ndldlng attk: ha1d1 Vauft.d oelllng lnaulatlon . Vapor retarden: walla, t\oonI, ~Ing HM1tng ~ type: I.. ' . '. ',.<. .-: I For~, Bat stz.I. HSPF.'and COP I,. ':~"3i:... ".: ,. . FIW.~ o o o o o o Mechanical ventf!.Uon duct. lnaul"~ to~: exhaust duds In t.neondttJoned ar~auppIy ducU In CXlOdltIorMd &feu o fl... ::. .;.:.:.:..... .:..:..;. :1 KV AC d~.num mutation: du::ts In lJOCOndI1klo.d areu .,.. Insulated and Jolnta are MaJ.d o Pip. lnaulaUon: R-3 lor hol and cx:Hd WIIt<< plplng In LnCOOCftlooa.d at.u (If MMoe or r~aMting, ... Table 6-12) o Ground cover: 6 ml black poIye1hy1enGJapproved equal lapped , 2'" Kl jOOrt6 and extencJlng to foundatlon wall Radon monitor on .It.: wtth InstnJdk:Ins and ~ Infonnalion TMnno.t.at: heel r~, 55-75; AC range, 7'0-85; both, 55-85" Badwp ham lXlfltrob Pfeverrt ~ operat\O(l of pOmary ,ys. ~.- '_ _... I ' , .' , "_ _', sOlid fuel .ppllaOCM: glass Of metal doorB; d1r.ct o::xi\b. ~ KU'OlI. or.c- d1a... ~ad,lrldr.ct"~ f~ l.x:oncCarGaio- F1r-.placq: fj c:ombu:s1kln ajr a.rppty dud. w/dampef dire<:t.(o ~ebo~ tiglt nttlng ~ or rntI4aI doora. DHW tMet.ra: NAECA label; Hpe1ate povt'e( or glU 1h{I~; 00 R-10 pad If ~c anc:f In lnC'OI"d..,.,. or," on ~e<8 E-62 .I Appendix E: sample Checkllata & WOrkahM18 P\an5 ElCamtner _ fill out this Ota:tlng NCtion Of' sttac:tla window 5Chedu~ \0 this checklist InspedOf' - writy wtndow 1'1- lormation during field inspectionS. Indude skyiights, glass doors and all other Olazing on this lonn. Use rough opening area tor c:alaJldons. " " GWIIG vernf)Y\ r-eide;\. ... Stze Quantity Area U. V aluelManufaclurer I Vertfhtd 3050 ( \.. 0 loX r" ") 1 (\'5)(1) I~ 6.1'5 i L-Co"e.\ ( 'If)(J..'' 5 Lt - ~OqQ I 1- ............ . ... . .. . , 2.1>40 I. l~ "l.Q '-\ \ ,#' I ~ : ~'! . . : '. ,~.C '" '.~:'" .' .. ., <. ar..ppe.r ) en ( I~)(~) t:Z.o t>C6O L,...vC,1 '. : -.~ . ~ ,'"."; . .. 1>010 2- u)(1.) "'l1.: ., / . ,. .. ." .. '501 0 \ .e~ '. 7 '2. 0'-4 0" q (,&Xtt) bi., 7 ~... .. '" .., "1u4o I l~ I '. .boL.4 0 l (,'2- I ....1' .. . Ll 0,", 0 l ltD... ..' ...;.t' I . "1\;';" '" 1 ..' ('\)(ifi8"~. I tAlQ 0 ,- . ~ v', . :," ...,.~..~...,;:.; ~ ,. ',1' .:.,": .J.i ,~p..:'l.1,...j,f:...r; ',',: .:.",;".:. \ . ' " . ;_.~ '1.'i'~. '.~ ~:': ~ . ';. .'. .. . '. \ .' :~J.. :. "::. '.. .- . .' .......... , . .'.... . .la.."',_", :. . . ." .. .. ,..,. . .. : .. .. ..,...,. .... . Total glazing...a: "'-t~i. :"(Aq'" .," Total conditioned .rM: !; 011~ .' Percentage glazing: l rs ~o . . ," __ . ~ .... h . M.'. :- :,:-.~;,,;:; -. ~ " ..:.: .f,!', : -.' ......... . .' .: -' ' :~ ': " ~..~. ." 1 'i_Y': . .' ;: ,':: . ,.1::~:1 ~ : IJ '! .'::1, D Vertfled . . " ,., ~; :'.,;' ["., . ., ._'~ ,i ... ~ [~~ DOORS I~ 'f~... .~~~. .: : :.". C Plans Examin<< - fISt ~e doors by type (soCkf cont, ~ed. etc.). ~. U-wJue,1Wld ~~. Inspedor - Y9rify dOor lnfocmation during fie4d tnspection. . ...: - ,. :...J .:. Type/Quantity 1<'6l4~ Oln 0\4 "'lS 60LG 8 - ~Jn \:: U-ValuelManufacturer 6. o.y b .L.\ Verttled ,.'..,r I. ') ..;.... S4gnature of Bufldlng Offtdal: Oa\e of Rnalln.pecUon: ["~-.r:: E-53' '::i;;~t . I '.>i~t' WASHINGTON STATE ENERGY CODE . I TABLE 6-2 PRESCRIPTIVE REQUIREMENTS 1 * * FOR GROUP R OCCUPANCY CLIMATE ZONE 1 . HEATING BY OTHER FUELS HV AC9 Glazing Glazing U-Factor Door '0 Vaulted Wall Wall- Wall- SIab6 Option Equip. Area": Overhead' U-Factor Ceiling2 Ceiling3 Above int4 ext4 Floors on Effie. % of Vertical Grade Below Below Grade 2 Floor Grade Grade l... Med. 10% 0.70 0.68 0040 R-30 R-30 R-15 R-15 R-lO R-19 R-lO C Ii) Med. 12% 0.65 0.68 0040 R-30 R-30 R-15 R-15 R-lO R-19 R-lO m. High 21 % 0.75 0.68 0040 R-30 R-30 R-19 R-19 R-lO R-19 R-lO IV.'" Med. 21% 0.65 0.68 0040 R-30 R-30 R-19 R-19 R-lO R-19 R-lO V. Low 21 % 0.60 0.68 0040 R-30 R-30 R-19 R-19 R-lO R-19 R-lO VI.7 Med. 25% 00457 0.68 DAD R-38 R-30 R-19 R-19 R-lO R-25 R-lO VII. 7 Med. 30% 00407 0.68 0040 R-30 R-30 R-19 R-19 R-lO R-25 R-lO VIII. Med. unlimited 0.25 0040 0040 R-30 R-30 R-19 R-19 R-lO R-25 R-lO * Reference Case ** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. 1. 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-10, 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 acccirdingto the'nianufacturer's specifications. 'See Section 6022. , , 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 of25% or less; 0045 maximum' for glazing areas of 30% or less. 8. Reserved. 9. Minimum HVAC 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 of 6.8. '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. 11. Where a maximt;lm 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=OAO 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 r I '1":,\,";,'] I 2000 EDITION ;"/'" TABLE 6-1 PRESCRIPTIVE REQUIREMENTS 1 * * FOR GROUP R OCCUPANCY CLIMATE ZONE 1 . HEATING BY ELECTRIC RESISTANCE Glazing Glazing V-Factor Wall Wall- Wall- SIab4 ArealC: Door 9 Ceiling2 Vaulted Above int4 ext4 Floor5 Option on % of Floor Vertical Overhead 11 U-Factor Ceiling] Grade Below Below Grade Grade Grade I. ]0% 0.46 0.58 0.40 R-38 R-30 R-21' R-21 R-JO R-30 R-IO II. ]4% 0.43 0.58 0.20 R-38 R-30 R-19 R-I9 R-JO R-30 R-lO III. 12% 0.40 0.58 0.40 R-38 R-30' R-21 R-21 R-JO R-30 R-10 IV.'" ]5% DAD 0.58 0.20. R-38 R-30 R-19 R-I9 R-]O R-30 'R-IO V. 18% 0.39 0.58 0.20 R-38 R-30 R-21 R-2L R-JO R-30 R-]O VI. 21% 0.36 0.58 0.20 R-38 R-30 R-21 R-21 R-JO R-30 R-lO VII.' 25% 0.32' 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-lO + R-S8 VIII.' 30% 0.29' 0.58 0.20 R-38 R-30 R-19 R-21 R-IO R-30 R-W + R-58 * Reference Case ** 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. I Adv"denotes Advanced Framed Ceiling. 3. Requirement ~pp1icable only tosingle.rafter orjoist vaulted ceilings... 4. Below grade wa1ls shall be Insulated 'either on the exterior to a minimum lev~iof R~i Ii, :or :on the interior to the Same level as walls above grade; 'Exter-ioi:insulati.on installed on below gra-de"walls' shallbe'3'\Vater resistant material. manufactured for its intended ~se, and installed according to the manufactul'er'sspecifications. 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: 0.35 maximum for glazing areas of 25 % or less; 0.32 maximum for glazing areas of 30% or less. 8. This wall insulation requirement denotes R-l9 wall cavity insulation plus R-5 foam sheathing. 9. Doors. including all fire doors, shall be assigned default V-factors from Table 1O-6C. tQ,. ~~~~._~ .mJ:l~.i!!mm.&l~iQg.1!.~e_~ i~ list~(t the total gl!lziI}g,~_r~~ (~!fl~.il!c:d verti.l;~LI!1\ls,9V~r:I1~li_11) ~~jt perCerlt9tgr()~ '_. conditioned floor area shall be less than or equal to that value. Overhead glazing with V-factor of V =0.40 or less is not included in glazing area limitations. II. Overhead glazing shall have V-factors detennined in accordance with NFRC 100 or as specified in Section 502.1.5. ,f Effective 7/01/01 37 h~....... t.I) ~.6 ~ ~ ~ ~ ~ . ..~. ~. '/' ~. ,-~~ LINDBE. .MITH ARC'R I" ~ C' T S 31~ s. peabody, suite b; p<;>rt arigeles, wa 98362 360.452.6116/ fax 360.452.7064 , Profect: f;2'EI~L. J;z~II?efNGe. Sub~ct L.A'"f15?-,Ai... vAt..-w' ~ . Date: -1 VltJ. '1."04 LATERAL ANALYSIS Wind loads - Exposure 'C', wind speed 80 IV1PH. Horizontal Projected Area - 0-15 Ft. 20 Ft. 25 Ft. 30 Ft. 40 Ft. (1.06)(1.3)(1.00)(16.4)= (1.13)(1.3)(1.00)(16,.4)= (1.19)(1.3)(1.00)(16.'4)= (1.23)(1.3)(1.00)(16.4)= (1.31)(1.3)(1.00)(16:4)= Wind Uplift - Partially enclosed structure Cq = 2.3 0-15 Ft. 20 Ft. 25 Ft. 30 Ft. 40 Ft. (1.06)(2.3)(1.00)(16.4)= (1.13)(2.3)(1.00)(16.4)= (1.19)(2.3)(1.00)(1 ~.4)= (1.23)(2.3)(1.00)(16.4)= (1.31)(2.3)(1.00)(16;4)= ---"'-'''--' "".' ,-, ~ "r"- C ,-..... ! ... .. .... ,i i ;'.' L., ,; !,,~.LJ I l '{ ]-;jTECT Project No. By: ~OIS1 Sheet f of 22.60, PSF 24.09 PSF 25.37 PSF 26.55 PSF 27.93 PSF ~9.98 P~F 42.62.PSF 44.87 P$F 46.41 PSF 49.41 PSF ",. LINDBER ARC H I- C T S 319 S. Peabody, Suite B., Port Angeles, W A 98362 360.452.6116/ fax 360.452.7064 contact@lindarch.com / www.lindarch.com Project: /:2e./Or=L. t2~t r:;;;e-J'.1c...e Subject: !-A~'- Ul,..~' ~ Date: ..JAw. 1. &10 4- Project No. By: ~ Sheet:2- of SHEAR WALL SUMMARY W L H V V/L SW VH- WL/2 POST HOLD DOWN LAP Pf:J7Z- F #/-tJoj:. 50. I ~ ~' 3~ 4-50 4 55g~ ~t' f)\'7T"'~ 62. ~ 7 \ 2,,,,'7 ~5 4 2~"24- 3" fr1~'" ~ 52- !? 15.5 , C1&J4- (2,.:/- & - - - -- 4 r:;, J leq~ =3 J (.p .3 zze.G 3", P~/?-Z - '7 r.>>:3 G s J ~#I 4-e,e 4 3/f> S I '.$. II PJ.J()'5'~3 tp '~.5 I 'Z. '2- ~ "7 /3> (, 81 - - - 1 1 ! 1/) 0,/:; 314- 2- 1.4- 03 ~/ ;n?,-~ i/lfo I , 8 l ( 1 +~~ 45 6> I - - - I I f A , ~ I~ I 4~2 2& - - - ! fl;, Ib i J~Z}O &~ & I - - - I C 4- J '2(P07 tOlSZ. ~. 5054- S" /}1tt71 c, ~a. 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J'ax:(980) -462-'7()8.4 ~ \ ~~fARJf II NEll' RESIDENCE FOR: . ~~~\ MR. & MRS. VERNON REIDEL FL -rwOOD OR 0.5.6. el-lEAR WALLe 2. .. .. &. 6. .. 11 11 11 V- ~ r:::l ~ >-4 r:::l p:::; :z:; (:) ~ lil~ ~ "-lu.:3 ~CE::; e::El ~~ ~~ !;]::El (0 WALL/ROOF DETAIL ec.AU!r I" . r..o" fIIIDI!T~ ~ ~~~ ~~ 0~;.:~o.WALL D~~"... ~- ""_1lAU. !lE<IMP 1;] - !!!!l.l...T _1II4LL MteEIt, ,~ ~~ ,- - . 1 )- A. PL:VW,OOD OR 0.5.8. SHEAR WALLS 1. MAXIMUM SHEAR = 250 P.L.F. USE W' SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 6" O.C. FOR FRAMING, USE DF NO.2. PROVIDE %" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 2. MAXIMUM SHEAR = 315 P.L.F. USE W' SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 5" O.C. FOR FRAMING, USEDF NO.2. PROVIDE W' DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 3. MAXIMUM SHEAR = 375 P.L.F. USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 4" O.C. FOR FRAMING, USE 3X DF NO.2. PROVIDE Y2" DIAMETER ANCHOR BOLTS AT 24" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 4. MAXIMUM SHEAR = 490 P.L.F. USE Y2" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3" O;C. FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 5. MAXIMUM SHEAR = 560 P.L.F. USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 3" O.C. FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 24" O.C. MAXIMUM SPACiNG AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. MAXIMUM SHEAR = 685 P.L.F. USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 21/2" O.C. STAGGERED. .FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 20" O.C. MAXIMUM SPACING AT THE . FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 6. 7. MAXIMUM SHEAR = 770 P.L.F. USE Y2" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2'; O.C. STAGGERED. FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THEWALL, SEE FRAMING/SHEAR WALL PLANS. . . . 8. MAXIMUM SHEAR = 870 P.L.F. USE %" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 31/2" O.C. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 20" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 9. MAXIMUM SHEAR = 980 P.L.F. USE %" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3" O.C. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 10. MAXIMUM SHEAR = 1,200 P.L.F. USE W' SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 3" O.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 14" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 11. MAXIMUM SHEAR = 1,540 P.L.F. USE %" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2" O.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOL 1:S AT 11" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 12. MAXIMUM SHEAR = 1,740 P.L.F. USE 5/8" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2" O.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 9" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. . . . .. B. GYPSUM WALL BOARD (GWB) SHEAR WALLS 13. MAXIMUM SHEAR = 150 P.L.F. USE W GYPSUM WALLBOARD - ONE SIDE OF WALL. NAIL ALL EDGES WITH 5d COOLER NAILS AT 4" O.C. PROVIDE Y2" DIAMETER ANCHOR BOLTS AT 48" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 14. MAXIMUM SHEAR = 175 P.L.F. USE 5/8" GYPSUM WALLBOARD - ONE SIDE OF WALL. NAIL ALL EDGES WITH 6d COOLER NAILS AT 4" O.C. PROVIDE Y2" DIAMETER ANCHOR BOLTS AT 48" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 15. MAXIMUM SHEAR = 300 P.L.F. USE Y2" GYPSUM WALLBOARD - BOTH SIDES OF WALL. NAIL ALL EDGES WITH 5d COOLER NAILS AT 4" O,C. PROVIDE W DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 16. MAXIMUM SHEAR = 500 P.L.F. USE (2) LAYERS OF 5/8" GYPSUM WALLBOARD - BOTH SIDES OF WALL ON BASE PLY. NAIL ALL EDGES WITH 6d COOLER NAILS AT 9" O.C. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 24" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. GENERAL REQUIREMENTS ALL SHEATHING EDG!=S SHALL BE BACKED WITH FRAMING SIZED ACCORDING TO SHEAR WALL SCHEDULE OR 2" NOMINAL BLOCKING. CONNECTIONS BETWEEN ROOF SHEATHING AND WALL SHEATHING OR BETWEEN UPPER WALL SHEATHING AND LOWER WALL SHEATHING SHALL BE SUCH THAT REQUIRED EDGE NAILING PER SCHEDULE IS CONTIN~OUS ALONG INTERMEDIATE FRAMING MEMBERS. WHERE TIE DOWNS ARE REQUIRED ON UPPER FLOOR WALLS, THE TIE DOWNS SHALL BE BOLTED TO THE UPPER AND LOWEER WALL STUDS AND CONNECTED BY THREADED ROD AS PER MANUFACTURER'S RECOMMENDATIONS. ,.' ............. . CITY' OF.Pq~'IhANGELES . '.' DEPARTMEf.i'tOFCOMMU1'ITIY D~~L()~MENT ''". BUILDING DMSION . 32IcEi\ST5TIl STREET;',e0RT~GELES,WA 98362 I' ".-,' . ~~ (."" -;.-,:~~; "~~1 '~~~~,i:~ ','-,-;,'; Applic!'lt'ion .NUIIlb6r . . .Pin n~r". . . Prope~y AdcIress ASSESSOR PARCEL NUMBER; Application description Subdivision' Name PropertyUse . . . . PropertyZ6ning .. . APPl~cation~aluation - - - --,', .,. 04':'00000349 .l71058 ..' ".,. '. 607 se .ST' . 06-30-00-0-'1:-5742-0000- DEMOLITION: '4/29/04 .-':~ RS7 RESDNTL' SINGLE FAMILY. o Owner Contractor ---,----- --...----'.-- -- - --- - -, ,- . REIDEL VERNON L/LINDAS J.83 . q~()RD RD PORT ANGELES . WA 98363886J. OWNER.. _.uu Structure Information DEMO GARAGE & HOUSE Construction Type . . . . . TYPE.V NON-RATED' . Occupancy'TYPe . . . .. SINGI.E FNI!&. .CONGREGATES ... - - - - - - --- - -- - - - - -- - - - --- ---- - -... -............. - -... - - - - - - - -... - - - - - - - - -,--,--- -- - - - - - - - - -- Permit.... Additional desc Permit. Fee ISSuElDate Expiration Da.te DEMOLITION DEMO HOUSE &. GARAGE, . 47.00 Plan Check Fee 4/29/04 valtiation . J.0/26/04 Qty Unit Charge Per .00 o BASE FEE --------------------------------------------~----~-----_.._---------~----~--- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due --------.-----.-- ---------- ---------- -'- - --........ - - -.' -....;.'..;.'.'----- Permit Fee Total 47.00 47.00 .00 .00 plan Check .Total .00 .nO .00 .00 Other'Fee'Total 4.50 4.50 .00 .00 Grand Total 51.50 51~50 .00 .00 Sepflrate Pe.rmits are required for electrical work, SEPA, Shorelljj '~"'es; private and public improvements . null and void if work or construction authorized is not commence . 'days; If construction or WOrk.is''S'''' for a period of 1'80 dayS after the woit as commenced, or ifreqlon.s have not been reque~ted'Wj Inspection. Il1ereby certify that I have read and examlnedthnand know the same to be tJ:ue~n laws and ordinances govemlngthls type of work will be compUs , .. . )~~er specified herein or noLThe g~h presume to give authority to violate orcancelthe provlsions\Jfanystate or JocaHaw regulating conStiUctlo' construction. . '. ", .' , . . .. >])4J~~ Signature of Contractor or Authorized Agent .~:, ,Signature of Owner (if owner is builder): '.. T:\PLANNING\FORMS\1102.1S [1111412003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING lNSPECfIONS. CALL 417-4735 FOR ELECfRICAL lNSPECfIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES , NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH.IN I I PLUMBING UNDER FLOOR! SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS! GIRDERS SHEAR W ALUHOLD DOWNS WALLS! ROOF I CEILING , DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL! FLOOR! CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET! CHIMNEY HOOD I DUCTS PW UTILITIES! SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE! METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGlLIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.! PW! I.' CONSTRUCTION - R. W. ENGINEERING 417-4807 PW ! ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 IS- - "JJ./ -04 '(?\) BUILDING T:\PLANNING\FORMS\I 102.15 [1111412003] PREPARED 5/24/04. 16:04:28 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR ROGER VESS PAGE DATE 1 5/24/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 607 S C ST SUBDIV: PHONE PHONE : REIDEL VERNON L/LINDAS 06-30-00-0-1-5742-0000- 04-00000349 DEMOLITION PERMIT: DEMO 00 DEMOLITION REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS BL99 01 'Jt24/04 Rh I / BUILDING FINAL ,.,.;> -K\I -------------------------------------- COMMENTS AND NOTES -------------------------------------- BUILDING PER~IT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.I4-2t:t-o L/ Pem1it #: 0 t..{ - .2 '-I q Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Ve r n 1) h Owner: S tt fYl e.. Addresf J ~ 3 O} i.n+,o,J t<.J L, ~elde J city:fD .,.-f- Phone: 3"D- q~~-~g81 C-e.1 f "2' 4 i~ r7 r' q Phone: ..Jh 0 - 77-" I~. A~el-Rs. Zip: q ~ .3 b 3 Phone: Architect/Engineer: Contractor-F"t \'" P - De ft. Address: State License #: Exp: t+f\C Q./ es Phone: Zip: City:Y f) y-+ PROJECT ADDRESS: bO 7 $' t C S-free-f LEGAL DESCRIPTION: Lot: q -t- {D Block: I ~ '1 Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0' 3 0 () tJ 0 I 57 'I ~ 0 0 0 D ZONING: Credit ,Card Holder Name: (, (,oJ ~ , ( Billing Address: Credit CardType VISA TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel )it Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: ~""9<2- bemo j.,s s MC ftt.1 # C-lI.S '" fvr' ferm'if) City: COMMERCIAL/RESIDENTIAL: 0 cupancy roup: No. of Stories: -L Lot Size: Existing Sq. Ft. Total lot coverage Exp. Date: /SF. = $ /SF. = $ Occupant Load: & Proposed Sq. Ft. = TOTAL Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. I VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PIJAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 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 permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I t ob ain such permits prior to work. T:\FORMS\APPS\Buildingpermit. wpd Applicant:"'" . - ate: ~/;).. 7/ (J "'j I r I Ken Morgan Consulting 509 South Liberty Street Port Angeles, WA 98362 April 25, 2004 Vernon Reidel 183 Oxenford Road Port Angeles, WA 98362 Re: ASBESTOS INSPECTION FOR 607 SOUTH "C" STREET. PORT ANGELES. WASHINGTON Dear Mr. Reidel; On the morning of April 23, 2004, I conducted an inspection for asbestos of the single-family residence located at 607 South "C" Street in Port Angeles, Washington. The purpose of this inspection was to insure that all of the asbestos containing materials identified in my March 29,2004 letter had been removed. The results of this inspection were that all the asbestos containing materials within the single-family residence at 607 South lie" Street in Port Angeles, Washington had been removed. If you have any questions regarding this inspection, please contact me at your convenience. Sincerely, ~ Ken Morgan EXPtRE'S B ~ 'Z.c - 0 . ~ Ken Morgan Consulting 509 South Liberty Street Port Angeles, WA 98362 March 29,2004 Vernon Reidel 183 Oxenford Road Port Angeles, WA 98362 Re: ASBESTOS AND LEAD TESTING FOR 607 SOUTH "C" STREET. PORT ANGELES. WASHINGTON Dear Mr. Reidel: During our meeting at 607 South "C" Street in Port Angeles, Washington, Saturday, March 6,2004, an inspection was conducted of the structures at the site. The structures at the site consist of a single-family residence with an unfinished basement and a two-car garage with an unfinished interior. . The inspection of the interior of the house revealed six interior finishes that may contain asbestos. However, the inspection of the interior of the house did not reveal any interior finishes that historically have contained lead. The six interior finishes that were designated for asbestos sampling were the kitchen countertop and - flooring, the acoustical ceiling tile, the false brick on the dining side of the kitchen counter, the bathroom wall and floor tile together with the bathroom wall and ceiling linoleum. The inspection of the exterior of the garage and the single family residence revealed that all three paint colors used on the exterior of the house together with the one paint color used on the exterior of the garage should be sampled and analyzed for lead content. Since the one exterior paint used on the exterior of the garage was the same as the siding paint that was on the house, the total number of paint samples that would have to be collected for lead analysis would be three samples. On Tuesday, March 9, 2004, six asbestos samples were collected from the interior of the house and were labeled as follows: . Sample CS-1 . Sample CS-2 . Sample CS-3 . Sample CS-4 . Sample CS-5 . Sample CS-6 Kitchen Countertop Kitchen Flooring Bathroom Wall and Floor Tile Bathroom Wall and Ceiling Linoleum False Brick on Kitchen Counter Acoustical Ceiling Tile Following the collection and labeling of the six interior finish samples for asbestos testing, the six samples were packaged and shipped to Clayton Group Services for asbestos analysis. Next, the three different paint types used on the exterior of the two structures at the site were sampled. The first paint sample collected from the exterior of the house was labeled CS-7 and was the red door and porch paint. The next paint sample collected was labeled CS-8 and was the white trim paint used the house. The final exterior paint sample collected from the site was the yellow siding paint that was used on both the house.and detached garage and this paint sample was labeled CS-9. All three of these paint samples were collected by scraping the painted surface down to the base wood so as to collect a paint sample that was representative of all the layers of paint on the wood substrate while minimizing any wood fibers that were collected in the paint sample. When the collecting and labeling of the three exterior paint samples had been completed, the three paint samples were packaged and shipped together with the chain-of-custody form to North Creek Analytical for lead analysis. The laboratory was instructed via the chain-of-custody form to analyze the paint samples for total lead by EPA Method 6010B. If this analysis revealed a total of lead content of 250 parts per million (ppm) or greater, the laboratory was then instructed to perform a toxic characteristic leading procedure (TCLP) extraction on the paint sample by EPA Method 1311 and to analyze the extract for lead via EPA Method 6010B. The asbestos results associated with this project were received from Clayton Group Services on Tuesday, March 16, 2004. These results reveal that both the kitchen flooring and the acoustical ceiling tile contain asbestos. Following the proper removal of these two asbestos containing materials, together with the double wrapping of these materials with 6 mil plastic sheeting and then properly labeling, the asbestos containing materials can be disposed of at the City of Port Angeles Landfill with a minimum of 24-hour notice. Then, on Saturday, March 27, 2004, the analytical results associated with the paint samples collected from the site were received from North Creek Analytical. These analytical results that all three of the exterior paints used at the site contained lead levels above 250 ppm. The toxic characteristic leaching procedure, which is designed to simulate the leaching of toxic material in a municipal landfill environment, revealed that the doors, porches, steps and any other portions of the structure that had been painted with red paint could be disposed of at the City of Port Angeles Landfill after receiving an approved application from the City of Port Angeles. Those portions of the structures on the site with white and yellow paint will designate as dangerous waste that will have to be disposed of in a chemical waste landfill. All of the analytical results associated with this project are summarized in Table 1. If you have any questions regarding any of the testing performed in association with this project, please contact me at your convenience. Sincerely, ~a~cr TABLE 1 STRUCTURE SAMPLING RESULTS Sam pie Asbestos Total Lead Extracted Lead Number % ppm mg/l (miligrams per liter) CS-1 None Detected - - CS2 13% Chrvsotile - - CS-3 None Detected - - CS-4 None Detected - - CS-5 None Detected - - CS-6 8% Chrysotile - - CS-7 - 340 1.09 CS-8 - 9790 25.0 CS-9 - 73100 31.9 ~ I1f:i1™ Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA 99206.5302 . 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200' fax 503.906.9210 . Bend 20332 Empire Avenue, Suite F-1, Bend, OR 97701-5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road, Suite A10, Anchorage, AK 99502-1119 907.563.9200 fax 907.563.9210 24 March 2004 Ken Morgan Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 RE: C Street Enclosed are the results of analyses for samples received by the laboratory on 03/10/04 11 :30. If you have any questions concerning this report, please feel free to conta.ct me. Sincerely, 'i:fe" .., ". . ...-. .." Jeanne Garthwaite Project Manager North Creek Analytical, Inc. Environmental Laboratory Network ~nl~ilTM Seattle 11720 North Creek Pkwy N, Suite 400, Bolhell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley,-WA99206-5302 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F-1, Bend, OR 97701.5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road, Suite A10, Anchorage, AK 99502-1119 Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/0413:57 ANALYTICAL REPORT FOR SAMPLES Sample ID Laboratory In Matrix Date Sampled Date Received CS-7 CS-8 CS-9 B4C0334-01 B4C0334-02 B4C0334-03 Soil Soil 03/09/04 17:00 03/09/04 17:00 03/09/04 17:00 03/1 0/04 11 :30 03/1 0/04 11 :30 03/10/0411:30 Soil North Creek Analytical - Bothell The results in this report apply to the samples analyzed in accordaricewith'the chain of custody document; This analytical report must be reproduced in its entirety. ~~"'-'"';t . . . ..- . , , "- ~ . ,.t , ' c' '-. .:; ,.. ,}';.. .', .~ "::. ,"" ..' ,.. ... ., " ., ; '-,. ',' .,' :.." .' . . ," ,", ,"-'....,,/'~ ":.' '.. .: c. ," " :. ,:.' ,_ . ", :. ~..-" , ,- .c. '- .,. '.' ..:i. ".. _ .. - -' ..,' -' .". -'." .-............. ". '.' ..~..., . ........ '. . ,..< ." . .." ..., .. . .".' ., ~ . .. ',". .. '....,..". North Creek Analytical, Inc. Environmental Laboratory Network Page 1 of6 Jeanne Garthwaite, Project Manager ~11~iJTM Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA99206-5302 . 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F.l, Bend, OR 97701.5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road, Suite Al0, Anchorage, AK 99502.1119 10. On? ~63.9210 Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/04 13:57 Analyte Total Metals by EP A 6000/7000 Series Methods North Creek Analytical- Bothell Reporting Limit Result Units Dilution Batch Prepared Analyzed Method CS-7 (B4C0334-0l) Soil Sampled: 03/09/0417:00 Received: 03/10/04 11:30 Lead 340 17.5 mglkg wet 5 4C15039 03/15/04 03/16/04 EPA 60 JOB CS-8 (B4C0334-02) Soil . Sampled: 03/09/04 17:00 Received: 03/10/04 11:30 Lead 9790 14.3 mglkg wet 5 4C15039 03/15/04 03/16/04 EPA 6010B CS-9 (B4C0334-03) Soil Sampled: 03/09/0417:00 Received: 03/10/04 11:30 Lead 73100 14.9 mglkg wet 5 4C15039 03/15/04 03/16/04 EPA 6010B North Creek Analytical- Bothell ~.......... ..~:t::::..c:.. , ~.:' _': ' ,., - ,," '.:' ".;:. .,'. . . _ _ ";. '.. f.:" ",': , "'_. :' ..". . . .. ,. .... . . . . ,..' -' ." .......... ;'., .. ..' ......... ".'. .. .". ~. .'.. -.' '-. '"" . ....- ...' ..' \ ... . . The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. Jeanne Garthwaite, Project Manager North Creek Analytical, Inc. Environmental Laboratory Network Page 2 of6 ~nf;l;lTM Seattle 11720 North Creek Pkwy N. Suite 400. Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA 99206-5302 509.924.9200 fax 509.924.9290. Portland 9405 SW Nimbus Avenue. Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F-l. Bend. OR 97701-5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road. Suite A 10, Anchorage, AK 99502-1119 Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/04 13:57 TCLP Metals by EP A 1311/600017000 Series Methods North Creek Analytical - Bothell Reporting Analyte Result Limit Units Dilution Batch Prepared Analyzed Method Note CS-7 (B4C0334-01) Soil Sampled: 03/09/0417:00 Received: 03/10/04 11:30 Lead 1.09 0.0500 mg/l 4CI9019 03/19/04 03/] 9/04 EPA 6010B CS-8 (B4C0334-02) Soil Sampled: 03/09/04 17:00 Received: 03/1 0/04 11 :30 Lead 25.0 0.0500 mg/l ] 4C19019 03/19/04 03/19/04 EPA6010B CS-9 (B4C0334-03) Soil Sampled: 03/09/04 17:00 Received: 03/10/0411:30 Lead 31.9 0.0500 mg/l 4C19019 03/19/04 03/19/04 EPA 6010B North Creek Analytical - Botbell The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. North Creek Analytical, Inc. Environmental Laboratory Network Page 3 of6 Jeanne Garthwaite, Project Manager ~l1gJTM Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011.8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA 99206.5302 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008.7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F.1, Bend, OR 97701.5711 541.383.9310 fax 541.382.7588 Anchorage ~~eOr~ ~~t~~ational Airport Road, Suite A10, Anchorage, AK 99502.1119 Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/0413:57 Total Metals by EP A 600017000 Series Methods - Quality Control North Creek Analytical- Bothell Reporting Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit Notes Batch 4C15039: Prepared 03/15/04 Using EP A 3050B Blank (4ClS039-BLKl) Lead ND 2.00 mglkg LCS (4ClS039-BSl) Lead 286 2.00 mglkg 250 114 80-120 LCS Dup (4ClS039-BSDl) Lead 288 2.00 mglkg 253 114 80-120 0.697 20 Matrix Spike (4ClS039-MSl) Source: B4C012S-0S Lead 9390 64.7 mglkgdIY 8340 63.5 112 69-121 Matrix Spike Dup (4ClS039-MSDl) Source: B4C012S-0S Lead 8700 64.7 mglkgdl)' 7930 63.5 109 69-121 7.63 30 Post Spike (4ClS039-PSl) Source: B4C012S-0S Lead 5.25 uglml 5.00 0.0404 104 75-125 North Creek Analytical - Bothell The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. ~~~e ....--......- ..- ,.....,............ ........... ......... -.'. ........... .. .' .' ~ North Creek Analytical, Inc. Environmental Laboratory Network Page 4 of6 Jeanne Garthwaite, Project Manager Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA 99206-5302 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F-l, Bend, OR 97701-5711 541.383.9310 fax 541.382.7588 Anchorage ~~eOr~ ~~~~atio~~~~~~~!:~ad, Suite Al0, Anchorage, AK 99502.1119 ~n,"ilTM Ken Morgan Consulting' 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/0413:57 TCLP Metals by EPA 1311/600017000 Series Methods.. Quality Control North Creek Analytical- Bothell Reporting Spike Source %REC RPD Result Limit UnitS Level Result %REC Limits RPD Limit Notes Batch 4C19019: Prepared 03/19/04 Using EP A 3010A Blank (4C19019-BLKl) Lead NO 0.0500 rngll LCS (4C19019-BSl) Lead 279 0.0500 rng/l 250 112 80-120 LCS Dup (4C19019-BSDl) Lead 278 0.0500 rng/l 250 111 80-120 0.359 20 Matrix Spike (4C19019-MSl) Source: B4C0448-02 Lead 275 0.0500 rng/l 250 0.140 110 80-120 Matrix Spike Dup (4C19019-MSDl) Source: B4C0448-02 Lead 282 0.0500 rng/l 250 0.140 113 80-120 2.51 20 North Creek Analytical - Bothell The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. ~. ~.""''':t::: :. .. ." ..<, ,".. ;',. -.-", "." ^. ,. '. ". - 'n'_"'" .n., ." . -' ' .: .." - ,. . . .... .. .' '.' ".' c..:,. : ,'. ~. .' _, '.' c'"::':;"".:",:_ . . ... , . . ..... .... ......'..>.?. ..' North Creek Analytical, Inc. Environmental Laboratory Network Page 5 of6 Jeanne Garthwaite, Project Manager ~ Clayton ~ GROUP SERVICES 4636 E. Marginal Way South, Suite 215 Seattle, WA 98134 (206) 763-7364 March 23, 2004 Ken Morgan Clallam County P.D.D. #1 P.O. Box 1090 Port Angeles, W A 98362 Clayton Log Number: 35836 Reference: 77-00050.00 Dear Ken Morgan: Clayton Group Services received 6 sample( s) on 3/10/2004 for the analyses presented in the following report. Enclosed is a copy of the Chain-of-Custody acknowledging receipt ofthese samples. Please note that any unused portion of the samples will be discarded one year after the date of this report, unless you have requested otherwise. We appreciate the opportunity to assist you. If you have any questions concerning this report, please contact the Laboratory at (800) 568-7755. ~~~ Tracy Perkins Laboratory Manager Ene. LI Page 1 of 2 ,~ Clayton ASBEST~~:~;~D~=,LE DATA ~ G R 0 UPS E R V ICE 5 Accredited Laboratory 4636 E. Marginal Way So. Suite 215 Seanle, W A 98134 (206) 763.7364 Log #: 35836 Priority: Project #: Number of Samples: Regular B 77-00050.00 6 Client Name: Job Location: None Given Contact: Ken Morgan PO/Job#: SAMPLE #: (CS-l ) RESUL TS: OTHER FIBERS % Layers Homogenized for Analysis Cellulose 50 LAB #: 35836.1 SOURCE: Not Noted No Asbestos Detected LOCATION: None Given ASBESTOS TYPE PERCENT OTHER MATERIALS % Coating 20 Filler & Binder 30 MATERIAL DESCRIPTION: LAYERED White coating 0/1 browII fibrous compressed material with clear mastic Note: Unable to separate mastic for individual analysis. SAMPLE #: (CS-2 ) RESUL TS: OTHER FIBERS % Layers Homogenized for Analysis Cellulose 17 LAB #: 35836.2 SOURCE: Not Noted Asbestos Containing Material (ACM) LOCATION: None Given ASBESTOS TYPE PERCENT Chrysotile 13 OTHER MATERIALS % Filler & Binder 30 Foam 15 MATERIAL DESCRIPTION: LAYERED Vinyl Filler and Binder 25 Greell and white villyloll white spollgy and tall fibrous backillg with yellow semi-soft mastic 011 wood shavillgs Note: Unable to separate masticfrom asbestos-containing vinyl backing for individual analysis. SAMPLE #: (CS-3 ) RESUL TS: OTHER FIBERS % r Layers Homogenized for Analysis 'I Ce!lulose Trace LAB #: 35836.3 SOURCE: Not Noted No Asbestos Detected LOCATION: None Given ASBESTOS TYPE PERCENT OTHER MATERIALS % Filler & Binder 5 Fine Grains 20 MATERIAL DESCRIPTION: LAYERED Vinyl Filler and Binder 75 Brown vinyl on gray vinyl backing with white alld yellow sticky mastics Note: Unable to separate mastics for individual analysis. - RECEIVED BY: Ginnie Psachos Trac Perkins or 01 .er NVLAP A roved Si ala Clayton is accredited by NlST/NVLAP. Accreditation by NVLAP does not indicate endorsement by NVLAP or any other government agency. All bulk samples are analyzed in accordance with method EP N6001M4.82.020 (December 1982). Analyses are cross-checked through inter and intra laboratory quality assurance programs for verification. The percent values reported above are based on calibrated visual estimates by volume unless verification by Point Counting is indicated. Test results reponed relate only to the samples submitted by the client to Clayton. Trace amounts of asbestos could possibly be missed by PLM, therefore negative resutts cannot be guaranteed. This report shall not be reproduced except in its entirety, without Clayton Group Services pennission. Error Rates: Chrysotite, Amosite and Crocidolite asbestos: Qua1itative~.03, Quantitative-.t2/ Tremolite, Actinolite and Anthophyllite asbestos: Qualitative-.02, Quantitative-.03 A trace arn.ount of asbestos is defined as one to two fibers found in three slide mounts. Asbestos found in this amount will be reponed as "Tracen. DATE: 3/1 0/2004 DATE: 3/16/2004 SAMPLED BY: Ken Morgan COMPANY: Clallam County P.u.D. #1 DATE: 3/9/2004 ^ Clayton ASBEST?~A~~~D~=:E DATA ~ G R 0 UPS, R V ] C , S A,,,,d"od Lab."t." 4636 E. Marginal Way So. Suite 215 Seattle, W A 98134 (206) 763-7364 Page 2 of 2 Log #: 35836 Priority: Project #: Number of Samples: Regular B 77-00050.00 6 Client Name: Job Location: None Given Contact: Ken Morgan PO/Job#: SAMPLE #: (CS-4 ) RESULTS: OTHER FIBERS % Layers Homogenized for Analysis CelIulose 70 LAB #: 35836.4 SOURCE: Not Noted No Asbestos Detected LOCATION: None Given ASBESTOS TYPE PERCENT OTHER MATERIALS % Coating 15 Filler & Binder 15 MATERIAL DESCRIPTION: LAYERED White coating on brown fibrous compressed material with yellow semi-brittle mastic Note: Unable to separate mastic for individual analysis. . SAMPLE #: ( CS-5 ) RESULTS: OTHER FIBERS % Layers Homogenized for Analysis CelIulose 80 LAB #: 35836.5 SOURCE: Not Noted No Asbestos Detected LOCATION: None Given ASBESTOS TYPE PERCENT OTHER MATERIALS % Filler & Binder 15 Paint 5 MATERIAL DESCRIPTION: LAYERED' Tan paint on light-brown fibrous compressed material Note: r SAMPLE #: ( CS-6 ) RESULTS: OTHER FIBERS % LAB #: 35836.6 Cellulose 7 SOURCE: Not Noted Asbestos Containi'ff Material (ACM) LOCATION: None Given ASBESTOSTYP PERCENT ChrysotiIe 8 OTHER MATERIALS % Aggregate 25 Filler & Binder 60 MATERIAL DESCRIPTION: HOMOGENEOUS Red gritty compressed material with fibers " Note: . RECEIVED BY: Ginnie Psachos Trac Perkins or ot er N\lLAP A roved Si ato Clayton is accredited by NlST/NVLAP. Accreditation by NVLAP does not indicate endonicment by NVLAP or any other government agency. AJJ bulk samples are analyzed in accordance with method EPN600/M4-82-020 (December] 982). Analyses are cross-checked through inter ood intra laboratory quality assurooce programs for verification. The percent values reported above are based on calibrated visual estimates by volume unless verification by Point Counting is indicated. Test results reported relate only to the samples submitted by the client to Clayton. Trace amounts of asbestos could possibly be missed by PLM, . therefore negative results cannot be guaranteed This report s~all not be reproduced except in its entirety, without Clayton Group Services permission. Error Rates: Chrysotile, Amosite and Crocidolile asbestos: Qua1itatjve~.03, Quantitative-. 12/ Tremolite, Actinolite and Anthophyllite asbestos: Qualitative-.02. Quantitative-.03 A trace amount of asbestos is defined as one to two fibers found in three slide mounts. Asbestos found in this amount wj1J be reported as lfTraceff. DATE: 3/10/2004 DATE: 3/16/2004 SAMPLED BY: Ken Morgan COMPANY: C1allam County P.D.D. #1 DATE: 3/9/2004 I Nom. I:: e.iJ 'tit 0 ru; ArJ Client Job No. IPUTCh". Order No. . . Company c.. LA 1 J ~ r'.-, I . rN Pvt j'r;#=/ Dept. Name : Mailing Address () n R f'l)( In q (') ( · . Company -"f \ r y\ t: ~ ILe..SL'( L- T c::; I Dept. I: City, State, Zip 10 () ,L \' ItvvCe-v..r:. IAl Pr qy; 3 f.,., 'J . Address . Telephone No.f":l. 'A n") \.J. C;'1 J1 1-7/ I FAX No.{ ~ iP 0 -t..f,,) _ q 2.. --"!, <;< City, State, Zip Special instructions lmd/or ~pecific regulatory requirements: Samples are: III ANALYSIS REQUESTED (melhod, limit of detel;tlon, elc.) (check If appllcabJe) .. (Enter an 'X' In the box below to Indicate request. Enter a 'P' If Preservative added.') Gl CIRCLE ONE:~~) 24 HR, c 2 HR, Same Day o Drinking Water ~ 0 o Groundwater 0 ... o Wastewater 0 .. Gl . Explanation of Preservative .0 ~ ~ e ~'0'v ~~ <v~ CLIENT SAMPLE IDENTIFICATION DATE TIME MATRIXf AIR VOLUME ::J ~'f. FOR LAB z SAMPLED SAMPLED MEDIA (specify units) ~ .'v <0 USE ONLY )p J. W1-n~"':r+e ,,0 (0 y:.. 12-1..150 OC",- Collected by: (print) Collector's Signature: . Relinquished by: Datemme Received by: J1,. ;1tA/I A ~ V<(''-GJL /)) Datemme S//t.7/if' /.//." . '. ..) .....-' .J Relinquished by: Datemme Received by: I:: v .1 - . ,-" /" Datemme I , Method of Shipment: lA P.) Received at Lab by: T( rA.JL V }J ..~ A - Datemmeo:) I 51 D r/ IY: 'JJ . Sample Condition Upon RBbelpt: [g-ACi::~tabllr o Other (explain) I I I Authorized by: Date -rCUent Slanatura MUST Accamaanv Reauestl Please return completed form and samples to one of the Clayton Group Services. Inc. labs listed below: Detroit Regional Lab Atlanta Regional Lab Seattle Regional Lab 22345 Roethel ~rive 3380 Chastain Meadows Parkway, Suite 300 4636 E. Marginal Way S., Suite 215 Novi, MI48375 Kennesaw. GA 30144 Seattle, WA 98134 (800) 806-5887 (800) 252-9919 (BOO) 56B-7755 (248) 344-1770 (770) 499-7500 (206) 763-7364 FAX (246)344-2655 FAX (170) 423-4990 FAX (206) 763-4189 Clayton LABORATORY SERVICES REQUEST FOR LABORATORY ANALYTICAL SERVICES G - ~E(, PL}IV\ Page_of_ For Clayton Use Only Clayton Lab Proiect No. IMPORTANT I Date Results Requested: Rush Charges Authorized? DYes 0 No o Phone or D Fax Results' -? -:. ". E:} "'-"'r.c ~ ,"" / .... !,J--) / (/~ .,F DISTRIBUTION: White = Clayton Laboratory Yellow = Clayton Accounting Pink = Client Copy 9/97 20K ~n'ilTM Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1s1Avenue, Spokane Valley, WA 99206-5302 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F.1, Bend, OR 97701-5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road, Suite A 10, Anchorage, AK 99502-1119 Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/04 13:57 Notes and Definitions DET Anill~eDETECTED ND Anill~e NOT DETECTED at or above the reporting limit NR Not Reported dry Sample results reported on a dry weight basis RPD Relative Percent Difference North Creek Analytical- Bothell The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. '. ~........ .... "....... .' '. . . . . :" ". -'.". . ,,:,,-' -,", ,- -,,' :,. ..... _ _ _. . _,L.^.. _' ~,' . :. . ;:.... ....:' . '-:. : ' .":;, ....::... ~'.. '.... . ................'.. ........... ." '.. ...:.4--....... .'..,--.-___o,'.,...,....u......-_"_..,_,,,....:.._..~... ,,,,_,,,__;,:~, . " ...... ........,. ,.." ",,_. ':."....u "'.:: North Creek Analytical, Inc. Envir.onmental Laboratory Network Page 6 of6 Jeanne Garthwaite, Project Manager Chain of Custody Record .., I L '='tfilLlI~ 5755 8th Street E. Tacoma, WA 98424 Tel. 253.922.2310 Fax 253-922-5047 www.stl-lnc.com TRENT .....'..r.~.. t>IUJ))1 SERVICES Severn Trent Laboratories, Inc. STL-B274 (0102) Clien~ Project Manager L ~ Date 3\l\) O~ Chain of Custody Number ." .. ~~_I'A_ ~~'"- . OOA839 Address Cj Telephone Number (Area Code)/Fax Numb~ Lab Number .rD~ S, L 'L 4,.- L.... "3l. 6, .rfo.r: 3"L\\ <:) Page . I . of -L- C~L I,S.:;;:1 Zip Code Site Contact Lab Contact - Analysis (Attach list if) h._" .\ A- . 41 Q... (UJ J \a 't. ~ more s ::Jace is needed Project Name and Loc!iuibn (State) CarrierlWaybifl Number \ ~\ ~~ ] Special Instructions! Contract/Purchase Order/Quote No. Containers & Conditions of Receipt Matrix ..1. Preservatives ~ :g . - oj " 0 Sample I.D. and Location/Description ~ l'! 0 ~ 6 '06 Date Time ~ b "" ~ C/J ~ '1 12 (Containers for each sample may be combined on one line) .", .,. III .)J ~ ~ ~ ~~ <( '" C/J ::J LS...1 )( y. r\. ~u. -'c_ _-t I t.~-~ . 'i. )( ALlGI\ .. J (!). r OJ, t. S. q '- '/.. y. Q~~~- \ ~ 1 \ '-](\....-.... ,,~- ~\.. ~ ... t:;..lI>.. c... \- L.,. 1 . _ J l-rt.. Cooler &4)(. .J, ~ '].., I Possible Hazard Identification Sample Disposal . 0' Disposal By Lab (A fee may be assessed if samples DYes jg(No Cooler Temp: I '. 0 Non-Hazard 0 Flammable o Skin Irritant o Poison B .zunknown o Retum To Client. o Archive For Months are retained longer than 1 month) ....... - -J ~ Tum Around Time Required (business days) o 24 Hours 0 48 Hours 0 5 Days 1. Relin i ed By QC Requirements (Specify) M..u o 10Days ~5DayS 0 Other. Date .7'\l~ -i Date 3. Relinquished By Date Time 3. Received By Time . f J 3D 2. Relinquished By Time Comments DISTRtBUTlON: WHITE - Stays with the Samples; CANARY - Returned to Client with Report; PINK - Field Copy "Clayton ASBEST~~c~D~~~LE DATA ~ G R 0 UPS E R V ICE S Accredited Laboratory 4636 E. Marginal Way So. Suite 215 Seattle, W A 98134 (206) 763-7364 Page 1 of 2 Log #: 35836 Priority: Project #: Number of Samples: Regular B 77-00050.00 6 Client Name: Job Location: None Given Contact: Ken Morgan PO/Job#: SAMPLE #: (CS-l ) RESULTS: OTHER FIBERS % Layers Homogenized for Analysis Cellulose 50 LAB #: 35836.1 SOURCE: Not Noted No Asbestos Detected LOCATION: None Given ASBESTOS TYPE PERCENT OTHER MATERIALS % Coating 20 Filler & Binder 30 MA TERIAL DESCRIPTION: LAYERED White coating 011 brown fibrous compressed marenalwuhcwarmasuc Note: Unable to separate mastic for individual analysis. SAMPLE #: (CS-2 ) RESUL T8.: OTHER FIBERS % Layers Homogenized for Analysis Cellulose 17 LAB #: 35836.2 SOURCE: Not Noted Asbestos Containing Material (A CM) LOCATION: None Given ASBESTOS TYPE PERCENT Chrysotile 13 OTHER MATERIALS % Filler & Binder 30 Foam 15 MATERIAL DESCRIPTION: LAYERED Vinyl Filler and Binder 25 Green and white vinyl on white spongy and tan fibrous backing with yellow semi-soft mastic on wood shavillgs Note: Unable to separate mastic from asbestos-containing vinyl backing for individual analysis. SAMPLE #: (CS-3 ) RESULTS: OTHER FIBERS % Layers Homogenized for Analysis Cellulose Trace LAB #: 35836.3 SOURCE: Not Noted No Asbestos Detected LOCATION: None Given ASBESTOS TYPE PERCENT OTHER MATERIALS % Filler & Binder 5 Fine Grains 20 MATERIAL DESCRIPTION: LAYERED Vinyl Filler and Binder 75 Brown vinyl on gray vinyl backing with white alld yellow sticky mastics Note: Unable to separate mastics for individual analysis. . SAMPLED BY: Ken Morgan COMPANY: ClaIlam County P.D.D. #1 DATE: 3/9/2004 DATE: 3/16/2004 . RECEIVED BY: Ginnie Psachos Trac Perkins or ot 'er NVLAP A roved Si Clayton is accredited by N1STINVLAP. Accreditation by NVLAP does not indicate endorsement by NVLAP or any other government agency. All bulk samples are analyzed in accordance with method EPA/6001M4-82-020 (December 1982). Analyses are cross-checked through inter and intra laboratory quality assurance programs for verification. The percent values reported above are based on calibrated visual estimates by volume unless verification by Point Counting is indicated Test results reported relate only to the samples submitted by the client to Clayton. Trace amounts of asbestos could possihly be missed by PLM. therefore negative results cannot be guaranteed. This report shalt not be reproduced except in its entirety, without Clayton Group Services pennission. Error Rates: ChI)'sotile. Amosite and Crocidolite asbestos: Qualitative-.03. Quantitative-.12! TremoJite, Actinolite and Anthophyllite asbestos: QuaJitative-.02, Quantitative-.03 A trace amount of asbestos is defined as one to two fibers found in three slide mounts.- Asbestos found in this amount wi1l be reported as '7race.". . DATE: 3/1 0/2004 Page 20f 2 . J\ Clayton ASBEST~::':;~D~~~-oLE DATA ~ G R 0 UPS E R V ICE 5 Accredited Laboratory 4636 E. Marginal Way So. Suite 215 Seattle, W A 98134 (206) 763-7364 Log #: 35836 Priority: Project #: Number of Samples: Regular B 77-00050.00 6 Client Name: Job Location: None Given Contact: Ken Morgan PO/Job#: SAMPLE #: (CS-4 ) RESULTS: OTHER FIBERS % Layers Homogenized for Analysis Cellu]ose 70 LAB #: 35836.4 SOURCE: Not Noted No Asbestos Detected LOCATION: None Given ASBESTOS TYPE PERCENT OTHER MATERIALS % Coating 15 Filler & Binder 15 MATERIAL DESCRIPTION: LAYERED White coating on brown fibrous compressed material with yellow semi-brittle mastic Note: Unable to separate mastic for individual analysis. SAMPLE #: (CS-5 ) RESULTS: OTHER FIBERS % Layers Homogenized for Analysis Cellu]ose 80 LAB #: 35836.5 SOURCE: Not Noted No Asbestos Detected LOCATION: None Given ASBESTOS TYPE PERCENT OTHER MATERIALS % Filler & Binder ]5 Paint 5 MATERIAL DESCRIPTION: LAYERED" Tan paint on light-brown fibrous compressed material Note: SAMPLE #: (CS-6 ) RESULTS: OTHER FIBERS % Cellu]ose 7 LAB #: 35836.6 SOURCE: Not Noted Asbestos Containi'ff Material (:4CM) LOCATION: None Given ASBESTOSTYP PERCENT ChrysotiIe 8 OTHER MATERIALS % Aggregate 25 Filler & Binder 60 MATERIAL DESCRIPTION: HOMOGENEOUS Red gritty compressed material with fibers Note: SAMPLED BY: Ken Morgan COMPANY: Clallam County P.U.D. #1 DATE: 3/9/2004 DATE: 3/16/2004 RECEIVED BY: Ginnie Psachos Trac Perkins or ot er LAP A roved"Si ato Clayton is accredited by NlSTINVLAP. Accreditation by NVLAP does not indicate endorsement by NVLAP or any other government agency. All bulk samples are analyzed in accordance with method EPN600IM4-82-020 (December 1982). Analyses are cross-checked through inter and intra laboratory quality assurance programs for verification. The percent values reported above are based on calibrated visual estimates by volume unless verification by Point Counting is indicated. Test results reported relate only to the samples submitted by the client to Clayton. Trace amounts of asbestos could possibly be missed by PLM. therefore negative results cannot be guaranteed This report ~hall not be reproduced except in its entirety, without Clayton Group Services permission. Error Rates: Chrysotile, Amosite and Crocidolite asbestos: Qualitative-.03, Quantitative-.12 J TrernoJite, Actinolite and Anthophyllite asbestos: Qualitative-.02. Quantitative-.03 A trace amount of ashestos is defined as one to two fibers found in three slide mounts. Asbestos found in this amount will be reported as "Trace", DATE: 3/10/2004 ~ I1{;l1TM 24 March 2004 Ken Morgan Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 RE: C Street Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA 99206-5302 . 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200. fax 503.906.9210 . Bend 20332 Empire Avenue, Suite F-1, Bend, OR 97701-5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road, Suite A10, Anchorage, AK 99502-1119 907.563.9200 lax 907.563.9210 Enclosed are the results of analyses for samples received by the laboratory on 03/10/04 11 :30. If you have any questions concerning this report, please feel free to contact me. Sincerely, Jeanne Garthwaite Project Manager North Creek Analytical, Inc. Environmental Laboratory Network r--- ~n~iI~ Seattle 11720 North Creek Pkwy N, Suite 400, Bothell. WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley;WA 99206-5302 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F-1, Bend, OR 97701-5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W.lntemational Airport Road, Suite A10, Anchorage, AK 99502-1119 I..... f'ln., ~c") "'.,<41"1 Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/04 13 :57 ANALYTICAL REPORT FOR SAMPLES Sample ID Laboratory ID Matrix Date Sampled Date Received CS-7 CS-8 CS-9 B4C0334-0I B4C0334-02 B4C0334-03 Soil Soil Soil 03/09/04 17:00 03/09/04 17:00 03/09/04 17:00 03/1 0/04 11 :30 03/10/04 11:30 03/1 0/04 11 :30 The results in this report apply to the samples analyzed in accordance with the chain of custody document: This analytical report must be reproduced in its entirety. North Creek Analytical- Bothell ~..:. ~............;.,.....~....... ..' ........ ,., ....................;.:............ "'.."'......... .:' . ".' ......... "', ".,." .' .. ....." u_' '. '..:: .,....: "-. . , . .-'.,;,.:. ,',. :' ", " .:. " ;,~'_. "'{ .; ':'~ ,:. ,:: . - '. - ;:,. ::. -' .. :'::,-'-".. -: ,- "," ..." . . . _ ," ',. ,c...'.",.. _:'c:- ,.... ."--. . . c'"'''' ..., '".., _._._.,'" . . ". ....... ... ... .... ,. .-: ... North Creek Analytical, Inc. Environmental Laboratory Network Page 1 of6 Jeanne Garthwaite, Project Manager ~ngJTM Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA 99206.5302 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008.7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F-1, Bend. OR 97701-5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road, Suite A 10, Anchorage, AK 99502-1119 . 7 f 07563.9 10 Ken Morgan Con'sulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/04 13:57 . Total Metals by EP A 600017000 Series Methods North Creek Analytical - Bothell Analyte Reporting Result Limit Units Dilution Batch Prepared Analyzed Method CS-7 (B4C0334-01) Soil Sampled: 03/09/0417:00 Received: 03/1 0/04 11 :30 Lead 340 17.5 rng/kg wet 5 4C15039 03/15/04 03/16/04 EPA 6010B CS-8 (B4C0334-02) Soil . Sampled: 03/09/0417:00 Received: 03/10/0411:30 Lead 9790 14.3 rng/kg wet 5 4C15039 03/15/04 03/16/04 EPA 6010B CS-9 (B4C0334-03) Soil Sampled: 03/09/0417:00 Received: 03/10/0411:30 Lead 73100 14.9 rng/kg wet 5 4C15039 03/15/04 03/16/04 EPA 6010B North Creek Analytical - Bothell The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. ,. ~.. ..... '.3:::'" . ,-' , . P' _. -. .... ..... ~~~~".,.""".,.",.,.:.:.,'.:.:'....L'....."",,>>..... :" ..." . .r. "", '-"~, , . . North Creek Analytical, Inc. Environmental Laboratory Network Page 2 of6 Jeanne Garthwaite, Project Manager r-~- _n ~11'IITM Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011.8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue. Spokane Valley. WA 99206.5302 509.924.9200 fax 509.924.9290. Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F.l. Bend, OR 97701.5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road. Suite Al0, Anchorage. AK 99502.1119 ... "'''''''9 ,..",., ............ Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/0413:57 TCLP Metals by EPA 1311/600017000 Series Methods North Creek Analytical - Bothell Reporting Result Limit Units Dilution Batch Prepared Analyzed Method No CS-7 (B4C0334-01) Soil Sampled: 03/09/0417:00 Received: 03/10/04 11 :30 Lead 1.09 0.0500 mg/I 4C19019 03/19/04 03/19/04 EPA 6010B CS-8 (B4C0334-02) Soil Sampled: 03/09/04 17:00 Received: 03/10/04 11 :30 Lead 25.0 0.0500 mg/I 4C19019 03/19/04 03/19/04 EPA6010B CS-9 (B4C0334-03) Soil Sampled: 03/09/0417:00 Received: 03110/0411:30 Lead 31.9 0.0500 mg/I 4C19019 03/19/04 03/19/04 EPA 6010B North Creek Analytical - Botbell The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report mUst be reproduced in its entirety. ~~'" ~'. ,..tl:::=. .. .. ". ", .... - ,. .. ..",.........'..'... ........ ......................... ,". - '................... .. . .. .. .. .. . - .. . _' - . ,_ - .. - 0" .-_.. . .,... . . . ".,.:., .... -'"...-.,." :".: -", . .. ..- .." .. . .-,,' .. ", ",,' . .... .... ,.," ," ,.C. ..,'. ." _ . ""." ....._ '. ,', ..... .., 'w'o . .. :. 0' m .- '_._ . North Creek Analytical, Inc. Environmental Laboratory Network Page 3 of6 Jeanne Garthwaite, Project Manager r- . ~n~ilTM Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA 99206-5302 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F.1, Bend, OR 97701.5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road, Suite A 10, Anchorage, AK 99502.1119 " Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/04 13:57 Total Metals by EP A 6000/7000 Series Methods - Quality Control North Creek Analytical - Bothell Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch 4C15039': Prepared 03/15/04 Using EP A 3050B Blank (4C15039-BLKl) Lead ND 2.00 mglkg LCS (4C15039-BSl) Lead 286 2.00 mglkg 250 114 80-120 LCS Dup (4C15039-BSDl) Lead 288 2.00 mglkg 253 114 80-120 0.697 20 Matrix Spike (4C15039-MSl) Source: B4C0125-05 Lead 9390 64.7 mglkg dry 8340 63.5 112 69-121 Matrix Spike Dup (4C15039-MSDl) Source: B4C0125-05 Lead 8700 64.7 mglkg dry 7930 63.5 109 69-121 7.63 30 Post Spike (4C15039-PSl) Source: B4C0125-05 Lead 5.25 uglml 5.00 0.0404 104 75-125 North Creek Analytical - Bothell The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. .'. ~.... .' ":-t:: . . .... . .. .. .. . .... ',' ..... ~.'.' ,,'~""".'.".'.':.,..'.'.~.'.'.'e... ..................................:. ..... ....... ..... ......... .... .. :. J.. ,_ .'.".. ,", ' ", ',:" .. ...... _ .... ."".. "," .. - ....,........... ........ .,'.- --, c_.. ' .. ',,___ ," .. . ",. ::.. ' - .-" " :..: ., North Creek Analytical, Inc. Environmental Laboratory Network Page 4 of 6 Jeanne Garthwaite, Project Manager rr ~nClJTM Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA 99206-5302 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F.1, Bend, OR 97701-5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. International Airport Road, Suite A10, Anchorage. AK 99502-1119 ^I\'T ~~? n..,"'" I .......An Ken Morgan Consulting. 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/04 13:57 TCLP Metals by EPA 1311/600017000 Series Methods - Quality Control North Creek Analytical- Bothell Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch 4C19019: Prepared 03/19/04 Using EPA 3010A Blank (4C19019-BLKl) Lead NO 0.0500 mg/l LCS (4C19019-BSl) Lead 279 0.0500 mg/l 250 112 80-120 LCS Dup (4C19019-BSDl) Lead 278 0.0500 mg/I 250 111 80-120 0.359 20 Matrix Spike (4C19019-MSl) Source: B4C0448-02 Lead 275 0.0500 mg/l 250 0.140 110 80-120 Matrix Spike Dup (4C19019-MSDl) Source: B4C0448-02 Lead 282 0.0500 mg/l 250 0.140 113 80-120 2.51 20 North Creek Analytical - Bothell The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. ~'8~:t::.........::. .... . .... '. -. _'~''''__'_ .:........... . ......:..._.. . 'd." -.,'-~... . -.. '.. . . ..- ',": ...:- :", ., '. '-p' '_co . ",.' ,". -."" . ",' , ..- .., - - . ., . .. --- -. "'~"'''" - ,'. -,," ... '- -, ....-... ,-, ... ,. . ..... ,,',""' ","-,. . . North Creek Analytical, Inc. Environmental Laboratory Network Page 5 of6 Jeanne Garthwaite, Project Manager I"" ~nClJTM Seattle 11720 North Creek Pkwy N, Suite 400, Bothell, WA 98011-8244 425.420.9200 fax 425.420.9210 Spokane 11922 E. 1st Avenue, Spokane Valley, WA 99206-5302 509.924.9200 fax 509.924.9290 Portland 9405 SW Nimbus Avenue, Beaverton, OR 97008-7132 503.906.9200 fax 503.906.9210 Bend 20332 Empire Avenue, Suite F-1, Bend, OR 97701-5711 541.383.9310 fax 541.382.7588 Anchorage 2000 W. Intemational Airport Road, Suite A10. Anchorage. AK 99502-1119 , ....n... ~"''3 ...^..... Ken Morgan Consulting 509 S. Liberty Street Port Angeles, W A 98362 Project: C Street Project Number: not provided Project Manager: Ken Morgan Reported: 03/24/04 13:57 Notes and Definitions DET AnID~eDETECTED ND AnID~e NOT DETECTED at or above the reporting limit NR Not Reported dry Sample results reported on a dry weight basis RPD Relative Percent Difference The results in this report apply to the samples analyzed in accordance with the chain of custody document. This analytical report must be reproduced in its entirety. North Creek Analytical - Bothell : ..tA..-. ."':....f~'~~ Jeanne Garthwaite, Project Manager North Creek Analytical, Inc. Environmental Laboratory Network Page 6 of6 TRENT biWJj, Chain of Custody Record STL Seattle 5755 8th Street E. Tacoma, WA 98424 Tel. 253-922-2310 Fax 253-922-5047 www.stl-Inc.com SEVERN SERVICES Severn Trent Laboratories, Inc. STL-8274 (0102) Clien\.( Project Manager L Date 3\,,) oLJ Chain of Custody Number .J\ .._ M~ " "'- ~~ G.._ 0. 0.)4 839 Address a Telephone Number (Area Code)/Fax Numb'eI:J Lab Number ..rC~ 5.. l 'L 4.- Lie '3l. 6, .rl..r: :3 "t..\ \ <;) Page ' I of \ C~L I S~ Zip Code Site Contact Lab Contact - Analysis (Attach list ~) h._" . \. '-"~ '8J \0 't. ~ more s ace is needed Project Name and L0c!iiii6n (State) Carrier/Waybill Number I ~'\ <i~ I) Special Instructions/ Contract/Purchase Order/Quote No. Containers & - Conditions of Receipt Matrix ...1. Preservatives ~ l:i ~ - oj " a Sample I.D. and Location/Description ~ I!! 0 13 5 ~5 Date Time 0 )2 ~ 1:i "= ~ Q. CI) ~ '1 (Containers for each sample may be combined on one line) .!: c1l 0 :5 ~ ~ ~ iG~ '" "< CI) e:S - t") 'X y.. t\. t.:-.~ -t_ - -\' ,!.... ~ ~- ~ "i. 'I. ~l\.. -'_ c). r l)~ 0 tS" C\ '- .. Y.. y. '0","- l..~_ \ ~ I \ '-}( .\....-"'" ""~.... ~~ "" .... t:;..n.. ~ \.. k L..........1 IT"t... Cooler e, ''"}...; I Possible Hazard Identification I I Sample Disposal 2J'Disposal By Lab (A fee may be assessed if samples dX. .. DYes ~No Cooler Temp: I ~ . 0 Non-Hazard ,0 Flammable o Skin Irritant o Poison B ....0'unknown 0 Return To Client o Archive For Months are retained longer than 1 month) ..... - o..J l.-P .J Turn Around Time Required (business days) o 24 Hours 0 48 Hours 0 S Days 1. Relin i edBy M.u o 10Days ffiSDays 0 Other Date' .1'\L~ '4 Date QC Requirements (Specify) ~ 3. Relinquished By Date Time 3. Received By Time 1 J 30 2. Relinquished By Time Comments ~.. r DISTRIBUTION: WHITE.. Stays with the Samples; CANARY - Returned to Client with Report; PINK.. Field Copy -s ~~",' , CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVE:LOPMENT - BUILDING DIVISION 321 EAST 5TH S1REET, PORT ANGELES, WA 98362 td} .. Application Number pin number Property Address ASSESSOR PARCEL. NUMBBR: Application description Subdivision Name property Use . . . . Property Zoning . . . ApplicatioI).'valuation . .', 04-00.000276 _ Date .697080 607 S C ST 06-30-00-0",1-5742-0000- RES . NEW SFR 6/09/04 ~. ~7 RESDNTLSINGLE FAMILY , 257110 Contractor RBIDBL VERNON L/LINDAS 183 OXBNFORD RD PORT ANGELES WA 983638861 SBQUIM (360) 681-0930 NEW 2587SF SFR 'W/~TT-518SFGARAGB TYPB v NON-RATED ' SINGLE FAM, ~,())NqRBGATES TOTAL' tier COvERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZB " PROPOSED LOT cOVERAGE' TOTAL LOT COVERAGB NUMBER . OF UNITS PENNA BRQTHE:RS CONST. 1902 WEST SEQUIM BAY RD WA 98382 Structure Information Construction Type Occupancy TYPe struct info .00 o ~ ~..~ ~\) (A %f~ r~t!l ~ 16.00 V-N 2.00 1.00 14000.00 2306.00 2306.00 1.00 ELECTRICAIi TEMPORARY 100A TEMP SERVICE OLYMPIC BLECTRIC 46.70 plan Check Fee 6/09/04 Valuation 12/06/04 . Unit cliarge Per , 46.7000 BCH.'EL-TEMP SRV- 0-100 SR.VFDR' Ext~nsion , 46.70 Notes and Comments address sign shall not b~less than .6n&not more than 12. in height: .~umberscolors must contrast with' wall color they are mounted on. (Ord. 14.36.050...E) When roof gutters are installed, drains, will located in dry wells or piped to approved storm drain locations. Site plahindicates a 20' setback off .C. Street, which is the side yard' however, the driveway is in that location which is not a land Use issue but may be a public safety 'issue, No land 'useissues' are noted. Electrical load ca1culations and e1ctrica1 permdts are required. ' Other Fees .. ,"i.6. .., ~',.-. STATE SURCHARGE 4,50 - -- - - - - - --- - - - - -- - - - - -- ::"'_,~- -: - - --.,....--.- - - ----- ~ - - ---- - - - -- - - - - - - ---- - - - - - - - - - - - -... . . ' --'~ Fee summary Charged Paid Credited Due Permit, Fee' Total Plan Check Total Other Fee Total Grand Total 46.70 -,00 4.50 51.20 46.70 '.00 4.50 51. 20 .00 .00 .00 .00 ."qo .00 .00 .00 SeparatfJ~ermltSare required for electrical work, SEPA, ShO~~lil1e,ESA, utiliti~., private and public improvements. This permit becomes null and,vold if work or construction authorized is notcommenced within 180 days, If construction or work Is suspended or abandoned for a period:of180 dayS after tt'!e work as commenced. or ifrequlredlnspectlo!'ls h~ve not been requested within 180 days fr?m the last hlsp,ctIon. - 'I' hereby ~rijfy that I have read and ~xamined this<,application and know the same to be true and corr~: All provisions of laws and ordinances governing this type of worK.will,be,complied with whether specified herein or not '"The granting fa' permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or ,e performance of construction.. ' " , .'. \ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ..,;;;iL,,"",}':\PLANNING\FORMS\1102.1S [11114120031 y::^~~>~ 'U:br:"i~t:;-<~:;~:-:--~_~ ,:,:<f '," .::-" ';-, -~"-: ' - ...' ,'~. ....._,.--:' ~'- . :~'. , >.~~~~: :' o~~_~:t~~~-~~.,~"?:~ '~ BUILDING PERMIT INSPECTION RECORD '.,k' _f~(~._..~. ",.- CALL 417-4815 FOR BUlLDINGINSPEci19NS. ~ALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24. HOUR NOTICE. ,11'IS UNLAWFUL TO COVER,INSl/LAT.E (J}l COft(CE{lL ANY WORKB~FOJ!E , INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPIcUOti~H,OcATION." ~". '~'-;.:"_"O KEEP P,ERMIT eARD ANDAPPROVEDPLANSA1; JOB SITE ... " , ~" " INSPECTION TYPE DATE I ACCEPTED " 0 COMMENTS , ' r '", YES NO . , " " FOUNDATION: FOOTINGS WALLS , , " , , FOUNDATION DRAlNAGEIOOWN SPOUTS , , " ; " " " .' ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUOH"IN , 1 1 '", ',' , " PLUMBING , UNDER FLOOR 1 SLAB " " " " ROUGH-IN ..,. , WATER LINE (METER TO BLDG) " , . GAS LINE , , BACK FLOW 1 WATER .,' " '" ',' AIR SEAL . ". c", WALLS L ' , ~t CEILING 1 ' I " '", FRAMING '" , ,',,' ',' .. . " JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS , " WALLS 1 ROOF 1 CEILING :. . '~ -. DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR , ,> ,,' c "," INSULATION , .. ',t. SLAB L , " , WALL 1 FLOOR/CEILING 1\ r "", ~j;~'.. . c ,', " ..' , " MECHANICAL "'., .. '" . ,,' , HEAT PUMP , ,co GAS LINE " " , " WOOD STOVE 1 PELLET 1 CHIMNEY , ',' HOOD / DUCTS , .;- '. .-,,,., ',,' ,,', ," , SEPARATE PERMIT #'5: PW UTILITIES 1..s1TE WORK (Engineering Division) . WATERLINE 1 METER " " SEWER CONNECTION " SANITARY SlORM ," PLANNING DEPT. SEPARATE PERMIT #', , , SEPAl , PARKlNGILI~HTlNG " , ESA: ',' LAN~PING " SlIORELINE: -, c, . ,"-, , ' " . "c ' .' .FlNAI.~INSPECtI<>NS REQU~.~P.~OR TO OCCUP~9!JUs~r ',.,.' ,,' = ,;. , I, ;OJ ",RESIDENTIAL ,,' DATE, YES I ,NO COMMERCtAL ..\ . DA'tE,. " 'Acej;n~D ,. .,....~ , '- ,,', .. ....,:".." ,.' , ; YES'" ','.NO - - .., . ELEC:fCliCA1., ,,' "'/ I' ELECTRICAL, - LIqijT DEPT, 417,-473S I' '.:, . ',,' ",;': ,'". , LIGHTI)EP'J<c,;<. ) 'j j. .. CONsTRUCTION R.W.I PWI CONSTRUCTION ~R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 I, FIRE DEPT. " , " . " .~ PLANNING I)EPT. 417-4750 '. PLANNING DEPT. " '"'j" .. ; , " .... -c:c '417-481S " ".' :..;" " ' '., ,'. c,' BUILDING " " . , BUILDING '<lIl T:\PLANNING\FORMS\II02.1S [11/1412003] ~c~.~~c~;'~,c '1 ~, CITY OF PORT ANGELES DEPARTMENT OF CO~UNITYDEYELOPMENT - BUILDING DIVISION _ 321 EAST5TH STREET, PORT ANGELES, WA 98362 .J. ~ Application Number pin number . . . . 04-000002'76 .697080 Page 2 Date 6/09/04. Separate Permits are required for electrical work, SEP~, Shoreline, ESA, utilities, private and public improvemenl$,.. This permit becomes null aod volfl.if work or construction authorized Is not cOmmenced within 180 days, if construction or work Is suspe!Jc:ted. or abandoned for a period of 180 days after the work as cOmmenced, or ifrequlred Inspections have not been requested within 180.days from the last inspection. I h~rebycertifY that I have read and e~l)lilJed th.is application and know thesa'TIe to be true and .correct.A11 provisions of laws and ordinances governing this type of work will beoomplled 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 constru~on or the performance of construction. . Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ,- . - T:\PLANNING\FORMS\1102.15 [11/1412oo3J f"" "'''';I,<:(.7t,1''>'''':' ::,'".y".;.. ".<;" "\ ',' "y.t',-;"",<<~;~','"!"i'~'-~-"'-,'!.:"l' ;. BUILDING PERMIT INSPECTION RECORD ~.,.. ~ " CALL 417-4815 FOR BUlLDINO INSPECTIONS. CALL 417-473SFOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL XO COV~!1, INSULAT~OR COJl{CEALANr~ql!JfBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE 'DATE ACCEPTED ; COMMENTS I YES I NO .' FOUNDATION: , FOOTINGS WALLS . FOUNDATION DRAINAGEIOOWN SPOUTS .,' ELECTRICAL (LIGHTDEPT) SEPARATE PERMIT: # .. ROUGH-IN T I I , PLUMBING . , UNDER FLOOR I SLAB ROUGH-IN .. WATER LINE (METER TO BLOG) GAS LINE , BACK FLOW I WATER " AIR SEAL ~ . '" WALLS CEILING I . , FRAMING " '. . JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS " WALLS I ROOF I CEILING DRYW ALL (~R10RBRACED PANEL ONLY) T-BAR , . INSULATION . . " SLAB . I . c W ALLl FLOORI CEILING I I '. MECHANICAL I '. . . HEAT PUMP '.' . GAS LINE " 0 WOOD STOVE /pELLET I CHIMNEY . HOOO'l DUCTS..', '. . .' . '.. PW U'fILITIES j SITE WORK (EnginccringDivi5ion) SEPARATE PERMIT #.'5: WATERLINE I METER: . SEWER CONNECTION SANITARY , S'f()RM . . PLANNING DEPT. SEPARA1;E PERMIT #'5 . SEPA; PARKINGlLIGHTING ESA; LANDScAPING' ., SHORELINE: . ". ~. , ",. ^'. '.,,', , ,'" , FINAL INSPECTIONS REQ.UI~ P~OR TOOCC'!I'ANCyit1~~ {i..-' --=' . ,. REsiDENTIAL DATE YES NO C~MME.~CIAL DATE ACCEPTED' . ., .... ; , ,/", YES.. NO ELEci'RlCAL- UGHT DEPT. 4q-4735 t/f/pl .~ .J#' r, EiiicnUCAL ~, ~ " ~'.rj UGHTD~ ;. .'. ,"".., I .. CONSTRUCTION R. W.I PWI I , CONSTRUCTION - R. W. . \ ENGINEERING 417-4807 PW I ENGINEERING FIRE . 417-4653 FIRE DEPT. .....,. " . -. ;"0 . .,:f," PLANNING DEJ'T. 417-4750 PLANNING DEPT. ,.' Buui:lING .' " .... .+ '. 417-4815 BUILDING T:\PLANNlNG\F0RM~1102.15 [11/1412003) q. ,.",,' i"-:,:"\'<"" s ~~. CITY OF PORT ANGELES DEPARTMENT OF CQMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 >Application Number . , Property Address ASSBSSOR PARCEL NUMBER: Application description Subdivision Name . . Property Use Property Zoning .. . . Application valuation 04-00000053 Date 1/27/04 922S CST 06-30-00-0-3-0196-0000- ELECTRICAL ONLY owner Contractor COMMERCIAL NEIGHBORHOOD o SCHILDKNBCHTLOIS PO BOX.1630 PORTANGBLBS OWNERBo~ MOe, WA 983620807 7---------------------------------~--------------------------------------~-- Permit . . . . Additionaldesc Permit Fee . . Issue'Date .. Expiration Date ELECTRICAL NEW RESIDENTIAL 76.30 1/27/04 7/25/04 Plan Check Fee Valuation . . .00 o - '-- .. ~ :~.'- .~. ')...j Qty Unit Charge Per 1.00 76.3000 BCH BL-RM-0-200 1STSRV FEEDER Extension 76.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76.30 76.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand.Total 76.30 76.30 .00 .00 ...(,/'. SlgnafureofContractor or Authorized Agent ~ Signature of Owner (if owner is builder) S.ep.ai'at.. e. p. e.rm.its. are. required for electrical wo.rk, SEPA, Sho.' reline, ESA, u. til.ities. ,.p..rivate. and public improve.m.. e.nts.T......h.......i~p~.,hn.. ...itbec:om~s. , :', ,''', c' ",," ,': ,-.", , " -"",:' ., " .' ", " '_,' ,,',:',',,'- ,,"',' '._,', "', :' ':, , ",,::," ,._, ',',:: '_______ ,,'," "'",','''' - '," ", ':',:'," "":" :-,'-', ': ,":.':\,~':.~':.-.,'., ,--:'."'''',''-- :.,.'Ie.';:_..."',--._,.;':,,, ::,,,:,--:.-,,', ",'" ,", ntJlland"oid if W()rk or construction authorized is not comrne.nC;ed within 180 ,days, if construction or world~ ~tJspe,l'Id~C)r~~andon~d fo(a. p~~o~,'of180 days after the 'Work as commenced, or if required inspecti()ns hflve.not been rt3qut3~tEl,~,~min1~9.~~r.sfrc:?mthe'a~t ins~clfo~.}hereby cl;lrtifythat I have read and examined this application and know the same to be true and oorrect All provisions of lawsanii :or~inances governing this type' of work will. be. oompliedwithwhetherspecified herein ornot.rhe:,grantingof apenuit;does not presum~~give authority to violate or cancel the provisions of any state. or local law regulating constriJctionorthe performance ()f construction: . Date T:\PLANNIN9\FORMS\II02.1S [1111412003] "..., BUILDING PERMIT INSPECTION RECORD v CALL417-4815 FOR BUILDING INSPECI10NS. CALL 417-4735'FOR ELECfRICAL INSPECI10NS. PLEASE PROVIDE A MINIMUM24 HOUR NOTICE. ITISUNLAWFUL TO COVER, INSULATE OR i;ONCEALANY WQJll(pEFpRE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS ,< , I YES I NO " FOUNDATION: ',;, FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (UGHf DEPl) SEPARATE PERMIT: # ROUGH.IN I I I " PLUMBING " ',' ,', UNDER FLOOR/ SLAB ROUGH.IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW /W ATER , AIR SEAL , WALLS , I CEILING I I , FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF/ CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) I, T-BAR INSULATION SLAB WALL/ FLOOR/ CEILING I MECHANICAL HEAT PUMP , GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SIl"EWORK (Engiriccring Division) SEPARATE PERMIT#'s: W ATERLINEl METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT /#'s SEPA: PARKINGlLIGHTING ESA: ~,DSCAPIJIlG ' SHORELINE: ."" , FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE , RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED , , YES ' NO ELECTRICAL .. L1GHf DEPT. " 417-4135 J/~'1If)f ..M(l " ELECTRICAL UGHf DEPT , , , CONSTRUCTION R. W./ PW/ ., CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING "" ' ' FIRE 417-4653 FIRn DEPT. '- .""'-' ", PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING j 1 " T:\PLANNING\FORMS\II02.IS [11/1412003] :,;,,:::I~~'iot,\' /({,," ~;,~:;}!;tf;i, 9 M ~~ iCITYOF PORT ANGELES DEPARTMENTOF COJv1MUNITYDE~LQPME:NT. - BUILDING DIVISION 321 EAST;STHSTREET,. PORT ANGELES, WA 98362 Application Number Pin number ... . . Property Address ASSESSOR PARCEL'~ER: Application description Subdivision Name Property Use . . . . Property Zoning ; . . Application valuation 04-00000719 Date .500179 1405 S C sot #A 06-30~. 09 - 0-:4 -14,45-0000- ELECTRICAL ONLY 8/16/04 COMMERCIAL NEIGHBORHOOD o OWner Contractor SOMERS MICHAEL R 422 EAsT FRON'!' STREET PORT ANGELES WA 98362 ELECTRI<;:.SERVICE 82 DRAPERRD PORT ANGELES (360)...452-6424 WA 98362 .J.,." .,.,...... . ---------------------------------------------------------------------------- Permit . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 60A PANEL ELECTRIC SERVICE 48.10 8/12/04 2/09/05 Plan Check Fee Valuation . . .00 o "- ~\~. ~\:) ~.. \\ Qty Unit charge Per Extension 5:90 42.20 !..... ~ ...~f) ~ ~.~ A1 BASE FEE 1.00 42.2000 ECH EL,..TEMP SRV -0-6Q.SRV FDR Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 plan Check Total ..00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date Separate Permitsarerequired for electrical work, SEPA,,:Bhp~~!.~IlJr~.ESA,uti.liti~~,privatel:jnd public improvements. This permit becomes null and. void if work or co. n. s. truction authorized is notco.m..... m....'e....n.... cedwith. in. 18.... Od..a.ys, if construction orwo..rk Is 5usP. ended or abandoned fora period of 180 days after the work as commenced, p(if rectui~ed irisp~ctioris have not been requested within 180 days from the last Inspection~ Lherebxcertifythat I have read and exal11il1~Pthi~~pplifati()nl:ln~kl1o'^:the same t~betJ:ueandcorrec;t.J\U provisions of laws ana ordinances governing this tYpe 'of work will begompliet:fwith whetlief~pecifjed 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. '. T:\P~G\FORMS\II02.I~ [1111412003] ~ ...._H...........7'. ~ "~"""" BUll.DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4NY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS A TJOB SITE. INSPECTION TYPE DATE ACCEPTED " . COMMENTS YF.S NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGElDOWN SPOUTS ELECTRICAL " (UGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING , , UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE BACK FLOW 1 WATER AffiSEAL ", WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF 1 CEIUNG DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOORI CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE iMETER SEWER CONNECTION , SANITARY STORM , PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKINGILIGHTING ESA: LANDScAPING SHORELINE: " FINAL IN,SPECTIONS REQUIRED PRIOR TO OCCUPAN~IUSE , . , ~SIDENTIAL DATE YF.S NO COMMERCIAL DATE ACCEPTED , YES NO ELECTRICAL - UGHT DEPT. 417-4735 8/I~tYI .f1eO ELECTRICAL' , UGHT'DEPT . . CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING' FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUll.DING 417-4815 BurLorNG T:\PLANNING\FORMS\1102.15 [11/1412003] ; 315001. 1 ,oj.7 1 1 ~OI * 2/ ~ 06/03/2004 08:39 FAX 3604523498 ,-,~-,-,.:.; d:~c)....I"\;CII, PORT AI'lGi:LE.3 OLYMPIC ELECTRIC '\ ~(b. c. .. t EL.ECTRICAL. PERMIT APPL.ICATION JIOfl, Qf'flcw. usa ONLY J>ooIaa. ~.: DIl.~_ -- rn. E lectrlcal Permit Applicehon mual be filled aul com Dlet.81v. Pl.... type or '......"1 In Ink. tf)'ou heve.ny 11",,81:... p..... 011 (SSO) .17.-115 FlU """'....., ,MOI."..711 OLf-')7~ ew.-",EIec.COn"'''''''Ag...~ Olympic Electric Co. , Praperty 0wrMr. Wn? f{r' /~ / Add..., to 7 -' r-: f' r. CIty: EI_CClft_ Olympic Electric Co., Inc. _ 4230 Tumwater CIIy. I nc. Phcne: 457-5303 F..: PhOne: 452-3498 v,,?--YJY/ ZIp: ff /6"3' Phone: 457-;;303 ZIp: 98363 ~-r ,4",,,,,,,/,-.r / LIQOn.": Q'IM'9:28;Ole.p: 3/31/03 Port Angeles INSTAUATION WIRED BY: CtNIt Cerd Holder NIJIfte: DOWNER , r Charles 10 ELECTRICAL CONTRACTOR T. Burkhardt, Olympic Electric Co., Inc. allllng AddreN: Same City: CIWI/t CfIrd Number. Exp. DB"': Zip: VISA: X Me: PROJECT ADllR!88: 6// 7 5 r:: ,T /h-/ h!,(/;;5 TYPE OF WORK: Check i!!! that apply: 0 New o AlteratlorJAddttlon ~ldanttal 0 Multi-family [J Commercial 0 Mobile Home Sq.Fl D RamollI M8l8r [J DBlachad llBI'8llB 0 Hot Tub 0 Swim Pool 0 SeptIc Pump . . 0 Low Voltage 0 T&l800m. 0 Slg. Number of CIrcuIbI -*l1lCt (II' Bltered: ~ DESCRIPTION OF THE EU;C'TRICAl PROJECT: 7"7..41 /?~? /9/7 y JE/P p.;/ ,c- . AI- - I WII (- /..1~7') /+6-A-r 1./"J11{) -110 fk~N.1 IJe- . -"" . , . IF- Y~(JA ~ nCCr{)S lip c3112.0,{'Jly)(<] ~ o..,.".o.u F'j,a.''7 ,1,.., 7"\ E1Kt.E.f.- ...... ~on. ...:~!~on. 6/7/0 '1 o BaaBbosnl o FIIIMC8 o HMt Pump OF_all KW KW _TON KW CAR ~erllellCt Ssrvlce l!!'1'8mp Sentlce o Underground SeIVIes CjlJ/'--8erYICB Informatk>ft I Voltage: .2 '117 Phase: D'I C 3 Service Size: /C/d7,4 Feeder Slze:___ . PAMC 14.05.0B0(8): Fcrlnd_, com merci8l. & resltlenliBJ prqects IBIller than e dUllIell. B one - IIn8 druwing of the ElectriCal Seflta & F_....-g IIIzBt"". ft.). ioBd c8lcul8liona. end th8lype & ofa>ndudln wndIcw raceway Is requfred 8nd ah81lsccompany the EIBcIfIcaI PennIt BPPiIcatlon. I heT8by certify that I have ffHId and examined this application and know that sam be we and correct. and I sr authorized to lIpp/y for this permit. I understand it is not the City~ legal responsibility to determine what permits ani requl18d; it temains the applicants tesponsibllity to determine whaI permits ate required and to obtein such. CNdM Card HoI"'~. S lllnat..., o.te; ;:;/J ~V D.,.6/.7 ~V [1/. 7C/ PERMIT FEE: $ J2 Owner or 1!1ec.. COnt. Sl.8nllure: PW-90IBfTI03 r(j1==J,/.'-'i~. \.~~-'''.., rfto &/Y;;7 ;36041,,,,,,11 ~o;.. \-~ 06/03/2004 08:39 FAX 3604523498 -~~-u~. ~:~6_M;CIT, POR'- ANGELES OLYMPIC ELECTRIC ~ W 67- ELECTRICAL PERMIT APPLICATION IIOIlOPFlC1AL USI ONLY _. .......: rw........,lIUl' D.N b.Ml1: 0'1-;;"70 Tho E lectr1cel Pennj( AppIicaliort must be "Uad Quf co", Mete,y. Pi.... type or r1Ipr1ntln I,*- tfyou Mye any Quae,tone, pi.... e..1I ()SO) .1""'715 FaK num b.r; (380) 417...71 t O_""EI.C.Ccn......'Agent Olympic Electric Co., Inc. P",pet1y Ownar. _J?- r f7 f? /' / d:- / Add.....: 677 .5 r 51 E_eorotroetor. Olympic Electric Co., Inc. ~ 4230 Tumwater PhClne: 457-5303 Fa" 452-3498 Pho",,: l2? -.P.8' I Zip '2i? J/,' ;1 3/31/03 Phone: 457-5303 Zip: 98363 ClIy: Mr-r 4)-~ /;-) license" CL YM=EC:28:DIE.p: CIIy. Port Angeles INSTAlLATION WIIll!O BY: DOWNER l!:l ELECTRICAL CONTRACTOR CrednCarrlHoldwName: Charles T. Burkhardt, Olympic Electric Co., Inc. BlUing Addren: Same City: CredJt Carrl Number. Exp. Ds"': Zip: VISA: X Me: PROJECT ADDRE88: 6CJ 7 ~ r-::,- r TYPE OF WORK: lB"'R'eslllentJal Check illllhat apply: 0 New o AlterBllonIAddttlon o Multi-family 1:1 Commercial o Mobile Home Sq.Ft 3072- ~ '-/3: ~ 'J // o Remola Meter 0 DeIeched glll'll!le 0 Hol Tub 0 Swim Poal 0 Seplic Pump . 0 Low Voltage 0 Telecom. 0 Slg Number 01 Clrcu/bl added or ellered: OESCRJPTION OF THE ElECll'llCAL PROJECT:-.Mtv' /-;{ - /: Electrical' ...... Addition. IIIld or .ubtract/on. Service Information o Baaeboan:1 ~Fumaee Q Heel Pump o Fan-Wall KW ID KW \ z...L TON_LA" 5" {( ~u KW o Qvertleed Service wfemp SeMce W1Jndergmund Service Voltage: 2~/tJv' PIlose: IIa"l 0 3 Service 512'8: ~,:1;7'O Feeder Slze:___ ,/ . PAMC 14.05.1160(8): FOI' induslrlaJ. commereilll. & ",,"<!enlisl projects Illig", tIIan a duPI8lC. a one - line drawing 01 the Electrical Service & Feedenl. building size ("'l. ft.l. IoaO calcul8liona. and lIlalypa & 01 conduclonl and/or ,*,-ay is required and ehall a<eom pany the EleclricaJ Pannlt eppllcallon. I he18by cerlJfy th6t I hsve f&8d and examined this application and know thel same 10 be we and correct, and / 81 authorized to apply for this permit f undarstand it J:; not the City':; legal responsibility to determine what permit:; S18 requiTf!dj it remain:; the eppficantsre lblllty to determine what pennlts are required and 10 obtain such. ;.;d\~v ~ ' ~-JfI f.-.'. J CtedftCanlHolclafsalgl18w..: D...: &/fb1' '~~ D'~ .1)"" (0 to.._orEI.C.ConI.S.....IUr., D...: ~~~cl PW-9Ql9f71D3 loll ~ PERMIT FEE: S....,!g.1 ~ \12. 1~~);:Si~4Dy. ~(() 1/6;: &, 0 o ~,j \j~jl ".----.. 4co &~hY