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Home My WebLink About2327 W 16th St - Building td s? CITY OF PORT ANGELES r '�."m DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001089 Date 10/19/11 Application pin number 174612 Property Address 2327 W 16TH ST R q ASSESSOR PARCEL NUMBER: 06- 30- 01 -8 -5 -0020 -0000- REPORT SALES TAX Tenant nbr, name HABITAT FOR HUMANITY Application type description RES NEW SFR on your state excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY (Location Code 0502) Application valuation 101732 Application desc 1,184 SF SFR 91 SF COVERED PORCH Owner Contractor HABITAT FOR HUMANITY HABITAT FOR HUMANITY OF CL CO 'final 8'.22•19- PO BOX 1479 PO BOX 1479 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 681 -6780 (360) 681 -6780 Structure Information 000 000 1,184 SF SFR 91 SF CVRD PORCH Other struct info TOTAL LOT COVERAGE 26.80 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED YES NUMBER OF STORIES 1.00 LOT SIZE 4743.00 PROPOSED LOT COVERAGE 1275.00 TOTAL LOT COVERAGE 1275.00 NUMBER OF UNITS 1.00 Permit BUILDING PERMIT RESIDENTIAL Additional desc 1,184 SF SFR 91 SF CVRD PRCH Permit pin number 193706 Permit Fee 1031.45 Plan Check Fee 670.44 Issue Date 10/19/11 Valuation 101732 Expiration Date 4/16/12 Qty Unit Charge Per Extension BASE FEE 1020.25 2.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 11.20 Permit MECHANICAL PERMIT Additional desc Permit pin number 193755 .Permit Fee 192.50 Plan Check Fee .00 Issue Date 10/19/11 Valuation 0 Expiration Date 4/16/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 3.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 21.75 1.00 10.6500 EA ME -VENT SYSTEM (NON -HVAC) 10.65 1.00 10.6500 EA ME -HOOD /DUCT -MECH. EXHAUST 10.65 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. lb- lct— Ik 4 nM. v: t �i. i Date Print Name Signature of Contrac or or Authorized Agent Signature of Owner (if owner is builder) T:FormslBuilding Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEF'TED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Biggs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -ln Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 -�.<k+. CITY OF PORT ANGELES triagNE DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION ,,,__p.: 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00001089 Date 10/19/11 Application pin number 174612 REPORT SALES TAY. Qty Unit Charge Per Extension On your State excise tax form 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 5.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 74.00 to the City of Port Angeles Permit PLUMBING PERMIT (Location Code 0502) Additional desc Permit pin number 193763 Permit Fee 149.00 Plan Check Fee .00 Issue Date 10/19/11 Valuation 0 Expiration Date 4/16/12 Qty Unit Charge Per Extension BASE FEE 50.00 9.00 7.0000 EA PL- PLUMBING TRAP 63.00 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 7.0000 EA PL- BACKFLOW PROTECTION <OR =2" 7.00 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 Special Notes and Comments October 4, 2011 10:12:01 AM rbecker. If fire system, is a closed system youneed to install a double check valve assembly. If it is an open fire system, you do not need a backfolw assembly. Does the heat pump have a water supply to it? If it does then it will need a reduced pressure backflow assembly. If you have any questions, please contact Ron Becker at 417 -4886, E -mail rbecker @cityofpa.us Fax:360- 452 -4972 Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). October 14, 2011 9:49:42 AM sroberds. The proposal will result in a new sfr in the RMD on a 4.3 acre site for a total of 30 units of housing. 54 units of housing is permitted for the site. October 4, 2011 10:19:08 AM BANDERS. Additional electrical permits and load calculations will be required. All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover. Notice will be given 24 hours in advance of commencing work. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Water meter and water system development fee's have been Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERM[T INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -in Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 AN4Zi CITY OF PORT ANGELES t DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 3 Application Number 11- 00001089 Date 10/19/11 Application pin number 174612 REPORT SALES TAX Special Notes and it #11-993 on our state excise tax farm paid, see permit #1 -93 Y to the City of Port Angeles Other Fees RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 2260.00 (Location Code 0502) STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 1372.95 1372.95 .00 .00 Plan Check Total 670.44 670.44 .00 .00 Other Fee Total 3034.50 3034.50 .00 .00 Grand Total 5077.89 5077.89 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD C PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOP INSPECTIONS 09 Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND .ACCEPTED. POST PERMIT IN CONSPIC :UOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. inspection Type Date Accepted By Comments FOUNDATION: 9.8 £)d4 U1 Footings i/_ NTT-4— Stemwall 1 :3 l Foundation Drainage Downspouts ,,-75 t Piers r Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab 1 1 rzu n A li1/ tllrv1 PO' Rough -ln •4 l l• I. L Water Line (Meter to Bldg) 2. 1 L IA, Gas Line Back Flow Water FINAL Date 4 12 Accepted b X) t1l.,... AIR SEAL: o lam Watts cj 10' 1 -71./(/ N Ceilin FRAMING: ia/4 2- 1 Joists Girders Under Floor Shear Wall Hold Downs XI 12' 01A, Walls Roof Ceiling iP (0 la' 3 Lt, Drywall (Interior Braced Panel Only) T -Bar INSULATION: SL. all Floor Ceiling 16• /a• .-r-u_ MECHANICAL: Heat Pump Furnace FAU Ducts /1 Rough -In Gas Line W L t ood Stove /Pellet! Chimney Commercial Hood Ducts FINAL Date V Q 22: 0- Accepted bat.' MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SERA: Parking 1 Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 p Fire 417 -4653 Planning 417 -4750 Building 417 -4815 X-22- Ir. (ULL. VyOF POAi,N,OE`� CITY OF PORT ANGELES '•lam PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001089 Date 10/19/11 Application pin number 174612 Property Address 2327 W 16TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 01 -8 -5- 0020 -0000- on your state excise tax form Tenant nbr, name HABITAT FOR HUMANITY Application type description RES NEW SFR to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 101732 Application desc 1,184 SF SFR 91 SF COVERED PORCH Owner Contractor HABITAT FOR HUMANITY HABITAT FOR HUMANITY OF CL CO PO BOX 1479 PO BOX 1479 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 681 -6780 (360) 681 -6780 Structure Information 000 000 1,184 SF SFR 91 SF CVRD PORCH Other struct info TOTAL LOT COVERAGE 26.80 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED YES NUMBER OF STORIES 1.00 LOT SIZE 4743.00 PROPOSED LOT COVERAGE 1275.00 TOTAL LOT COVERAGE 1275.00 N NUMBER OF UNITS 1.00 t Permit PUBLIC WORKS STORMWATER Additional desc Permit pin number 193979 Permit Fee 135.00 Plan Check Fee .00 Issue Date 10/19/11 Valuation 101732 Expiration Date 4/16/12 Qty Unit Charge Per Extension 1.00 135.0000 EA SAN SEW STM CON OTHER 135.00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 193995 6 Permit Fee 150.00 Plan Check Fee .00 Issue Date 10/19/11 Valuation 101732 Expiration Date 4/16/12 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 Special Notes and Comments October 4, 2011 10:12:01 AM rbecker. If fire system, is a closed system youneed to install a double check valve assembly. If it is an open fire system, 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. /11/ Signature Contractor or Authorized Agent Date Signature of Owner if owner is builder) Date 9 9 9 T: \Policies \1 102.15 10/081 PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T: \Policies \1102.15 [10/08] F, CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00001089 Date 10/19/11 Application pin number 174612 REPORT SALES TAX on your state excise tax form Special Notes and Comments you do not need a backfolw assembly. to the City of Port Angeles Does the heat pump have a water supply to it? If it does (Location Code 0502) then it will need a reduced pressure backflow assembly. If you have any questions, please contact Ron Becker at 417 -4886, E -mail rbecker @cityofpa.us Fax:360- 452 -4972 Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four- minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). October 14, 2011 9:49:42 AM sroberds. The proposal will result in a new sfr in the RMD on a 4.3 acre site for a total of 30 units of housing. 54 units of housing is permitted for the site. October 4, 2011 10:19:08 AM GANDERS. Additional electrical permits and load calculations will be required. All connections to City storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover. Notice will be given 24 hours in advance of commencing work. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Water meter and water system development fee's have been paid, see permit #11 -993 Other Fees RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 2260.00 STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 285.00 285.00 .00 ..00 Plan Check Total .00 .00 .00 .00 Other Fee Total 3034.50 3034.50 .00 .00 Grand Total 3319.50 3319.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T: \Policies \1102.15 [10/08] PERMIT INSPECTION RECORD CALL 417 -483 I FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. 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(n w0 1 1 z C7 Y N d) r 0 1 1 Ill wXro wy 1 1 4 H o w N* H 1 1Y H o cnN z 1 "CI "0 0) 3n H N w y In 01 0 xx 1 1 C Ll 1 w a r C r* In 1 0 0 10 w 03 Cr) 10 r 0* 0 z z 0 H "C/ 3 3 1 [9 n C H 3 1 x7 ro ro U. 0 C 0 '0 Cr 1-' Cr 1 w w K P) 0' 01 H 01 1 0) O) 11 01 ■1 (D 11 1 0 0 11 11 0 ft 11 R O r' 0 r 0 0' O 0 0 0 0 1 01 01 H 0 r r 1 0) 0) r 1 H r 1 01 0) 1* J 1 CO 0 O o O C) ro *3 b 0 H 0 O CI CI r 0 N to r N w -~BUILDING PLUMBING MECHANICAL PERMIT APPLICATION LONG FORM (To be used for projects that require plan review.) 1 Date Receivee U_ 3 °f Permit 441, City of Port Angeles Please print in ink. Date Appr• 0 f' l/ g A Attn: Building Permit Technician Approved 321 E. 5 St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no a eri(' -n Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm F 8:30 -12:30 pm Contact person: HAVZ1 C..ca V(a ict2 Phone: 3 c,0 (-)g 00 Property owner: Nira�3l;va irovt- 140 vti✓aw,)17•1' 6oun.ji, Phone: 3 (.0- l- ,78O Property owner' mailing address: o f�o�c 141 at P \ev A 9c3(.2_ Contractor's business name: 14 i= 4 c. c.. Phone: (or property owner's name if he /she is doing /overseeing the work) G S( 6 7 Contractor's mailing address: Contractor's L &I license number: Expiration date: I AC i i FI--1 I ZI Lo c, 2o-- zo i Z Project Address: -2 32-7 \+v 1 S. P fr r Project Type: *4- Residential o Commercial o Industrial o Multi- family Project Business Name: Zoning:4 (for commercial, industrial, or multi family projects) t Parcel Lot Z Complete only the portions of this permit that are relevant to your project. (1) Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Projects submit: Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) (i) Prescriptive Approach Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: (1) Three sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Paperwork confirming conformance to the Energy Code (1) For large projects, a pre construction meeting with various City department personnel is highly recommended. To schedule a pre- construction meeting, contact the Planning Manager at (360) 417 -4750. Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing proposed), curbs, sidewalks, storm water plan, etc. For Additions New Structures also submit: Site plan (8 1/2" x 11 showing all structures (existing proposed), setbacks, new driveways If an architect or engineer drew the plans or calculations, include at least one "wet stamped" set of plans and /or calculations. T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Long Form (Revised 2011) Page 1 of 4 Repair Solar Panels Miscellaneous: (explain the project) Project Valuation i 1 Remodel: (explain the project, including how the building space is currently being used and what the new, remodeled use will be) Project Valuation If the space will change from commercial to residential, submit: "Checklist Converting Commercial Space into Residential Space" Addition: (explain the project and complete submit page 3) Maximum height of the new addition feet Project Valuation New Structure: (explain the project and complete submit page 3) 14 W S (/•l C, L L vo Vtn l Ht v w+ lT Maximum height of the new structure f 5 feet Project Valuation PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check one: No Yes If yes, complete submit page 4 "Plumbing Changes" MECHANICAL PERMIT: Will there be ANY mechanical changes (items moved, added, replaced, or altered) Check one: No Yes If yes, complete submit page 4 "Mechanical Changes" Occupancy group of bedrooms 3 Will a lawn sprinkler system be installed? c) Occupant load of full baths 2_ Will a fire sprinkler system be installed? y,.s Construction type of half baths *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 9- ZT i I Signature r^��i'r� ✓�'�i Print Name vvz TR Page Floor Areas Existing square New square Price per new footage footage square foot Basement x ls Floor j gym- 10b 2 Floor 3rd Floor Garage Carport Covered Porch q I Z 1 b 4 %Z Deck 30" high)* Deck 30" high)* Shed Other Other 1 Remodel project valuation i TOTAL VALUATION I Di y 73 Z Walking surface of the deck above ground For residential building projects the minimum square foot valuation we accept is: Dwelling $85.00 per sq. ft. garage /utility /misc.structure $30.00 per sq. ft. porch /deck /carport $12.00 per sq. ft. LOT COVERAGE SITE COVERAGE Lot coverage is the amount or percent of ground area on which buildings are located. It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer than 30- inches, uncovered decks or porches having walking surfaces higher than 30- inches off the ground, etc. Total footprint of structures sq. ft. lot size 1 17'4 3 sq.ft. Lot coverage 26...3 Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94.135 for exemptions) Does the project include a new driveway? yes la no If yes, what will the driveway be made of? D cement c asphalt D gravel c other (NOTE: 18 feet is the recommended minimum driveway length for residential projects) Does this project include a new parking pad? yes c no Zo If yes, what will the parking pad be made of? am.cement u asphalt gravel other a Total footprint of structures 76 sq. ft. (existing new) b) Total concrete, asphalt, other impervious surfaces 52-5 sq. ft. (existing new) c) Add lines "a" "b" above to get the total impervious 110-0 sq. ft. (existing new) Total impervious_ t $00 _sq. ft. lot size '1 7 sq. ft. Site coverage 3]. 1 Page3of4 is PLUMBING CHANGE' Check "No" or "Yes" (and enter quantities) for each Tine item. Type Plumbing Changes (Moved, Added, Replaced, or Altered) Sink (hand, mop, floor etc.) Vie-- X Yes 3 Quantity Toilet No Z Yes 2 Quantity Bathtub No Z Yes 2 Quantity> Co qo Shower No >c Yes x Quantity Washing Machine No Yes 1 Quantity Hot Water Heater No x Yes 1 Quantity Water Line (meter to structure) No x Yes 1 Quantity Re -plumb the structure No Yes Quantity Sewer Line No Yes 1 Quantity Backflow Prevention Device Types: Beverage Machine x No Yes Quantity Landscape Watering System ,c No Yes Quantity Fire Sprinkler System 2 inch line 445ge X Yes 1 Quantity Fire Sprinkler System 2 inch line ,_No ..Yes a9° Please list all other planned plumbing changes or additions that aren't listed above. I.\T)1yLI.: MECHANICAL CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Type Mechanical Changes (Moved, Added, Replaced, Furnace, heat pump, or or Altered) forced air unit 5 tons �4-1119, 4Yes Quantity Furnace, heat pump, or forced air unit 5 tons x No ,___Yes Quantity Ductless heat pump No CP Yes Quantity Wall (recessed) heater No X Yes 5 Quantity Baseboard heater x No Yes Quantity Steffes room heater X No Yes Quantity Wood- burning stove x No Yes Quantity Pellet stove X No Yes Quantity Radiant floor heat X No Yes Quantity Gas fireplace or freestanding stove X No Yes Quantity Gas cooking stove No Yes Quantity Propane tank set X No Yes Quantity Gas line X No Yes Quantity Boiler Y No Yes Quantity Clothes Dryer No 4- Yes t Quantity Ventilation fan (single duct) No >t Yes 3 Quantity Lizusioxy A 13a'7 wvn.00w/ Hood duct mechanical exhaust No Yes 1 Quantity K‘tcw�,� ova■ .ov �t Ventilation system (not part of a heating or air conditioning system) No X Yes Quantity I' Air handler No Yes Quantity Evaporative cooler (non portable) k No Yes Quantity Please list all other planned mechanical changes or additions that aren't listed above. Page 4of4 NOTES t Permit 1 1 MIS 0414y 4 e c.it_ti 0 5 11 Li r 4 J c 1:4;,\P T:Forms /Building Division/Notes 53' -0 SOUTH PROPERTY LINE 1 C.1 0 SIDE SETBACK V31:1Y 5NIAI1 Ti A f a —uniln 0 0 tr i rvooaa3e i- I o G a I I HIVE! I my 0 1 I N3HO1N I{ INOOa039 I II —i T i 13SOYJ r Jr m O w ane a31SVW NH x v .._I Co -0 7i y m� O M I— I ONIAI1 A D Z -C Z 8 Z 0 m A A 19'-0 1 51 F SIDE SETBACK I I 1 1 i .13S010 HOaOd I 1 IB 1. 1 I 71 0 0 v Z PARKING PAD x o -1 m n A x O y n p 2 n z m ai O x i m rn m b F x NORTH PROPERTY LINE 9' CITY SIDEWALK 16TH STREET SPECIAL BUILDING REQUIREMENTS HOUSE TO BE NORTHWEST ENERGY STAR CERTIFIED WHOLE HOUSE SPRINKLERS REQUIRED BUILDING CONTINUOUSLY SHEATHED SHEAR PANELS PRESCRIPTIVE PER 2009 IRC TABLE 6.10.5 LOT AREA 4743 SOFT TEMPERED GLASS REQUIRED IN BATHROOMS AND WINDOW AT FRONT DOOR STRUCTURE FOOTPRINT ATTIC VENTILLATION VIA CONTINUOUS RIDGE VENT AND VENTED SOFFIT 1184 SQ FT ALL EXHAUST FANS VENTED TO EXTERIOR OF BUILDING LOT COVERAGE 25% ENERGY RECOVERY VENTILLATOR REQUIRED 110 CFM LIVING AREA 1104 SQ FT MINIMUM OF 10' SEPARATION BETWEEN INTAKE AND EXHAUST VENTS ROOF FOOTPRINT 1620 NON VENTED WINDOWS ALLOWED SQ FT BATHROOM VENTILLATION 50CFM VENTED THROUGH ROOF RANGE HOOD FAN 100 CFM v JANET SCOTT RESIDENCE m o 6; HABITAT FOR HUMANITY OF CLALLAM COUNTY T m 728 E. FRONT STREET, P.O. BOX 1479 LOT 14 co 5. PORT ANGELES, WA 98362 (360)- 681 -6780 PORT ANGELES, WA 96363 Oct 05 11 10:06a Royce Rotmark 13606816521 p.1 .c roitr,t PRESCRIPTIVE APPROACH SIMPLE FORM ar For the Washington State Energy Code (2006 Edition) Climate Zone 1 CITY GOVERNMENT Site Information: Building Department Use Only: Lot: /14/60 f4 /r s Cot ..r 2 Permit i �✓f Address: 7 2 7 �Gf� 5 t Notes: City: �O,er iv �.5 mac.° State: A/4. Zip: 55 3G Contact: -e f /7 2mr/,1 -rr, Phone: 0 e-% 7 0 Phone 2: ct0E. UD�e?" FAX: 67E0 Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing U- Factor Door Wall Wall Wall Option Area of U. Ceiling Vaulted Interior Exterior Above Floor Slab on Floor Vertical Overhead Factor Ceiling Grade Below Below Concrete Grade Grade Unlimited Group R -3 IV and R-4 0.35 0.58 0.20 R -38 R -30 R -21 R -21 R -10 R -30 R -10 Occupancies Only This Project complies with the following: The project is a single family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above. The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: 602.6 Exception 2. if a door is mostly glass, it should meet the requirement of the vertical glazing U- factor listed above. Location of the door(s) taking exception: Type of Heat Source: H, y i 1 /VR L 4 -r c 7 5f <14. .ar. T:Forms/Building Division/Prescriptive Approach Simple Form Clallam County Assessor Treasurer Property Details 81485 HABITAT FOR HUMA... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 81485 HABITAT FOR HUMANITY for Year 2011 2012 Property Account Property ID: 81485 Legal Description: LOT B TUGGLE SP 81 -10 -6 V11 PG57 SUB LT 102 SUR V48 P98 V51 P58 BLA V64 PG38 BLA SURVEY V69 P65 TPA E7 Geographic ID: 0630991102250000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 91 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: I` ir;■ Location Address: 2311 W EIGHTEENTH ST Mapsco: PORT ANGELES, WA 98363 99 Neighborhood: PA Sublots Res Map ID: 3 1/4\Q-- 1 c' Neighborhood CD: 5201000 Owner t Name: HABITAT FOR HUMANITY Owner ID: 28285 Mailing Address: PO BOX 1479 Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 10/03/2011 Amount Due if Paid on: M NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. I Base Amt. Penalty i Interest I Base Paid Amount Due Statement Details 2011 170279 $720.77 $720.73 $0.00 $0.00 $720.77 $720.73 Values Taxing Jurisdiction Improvement Building i Sketch r Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 10/3/2011 3:50 AM 2011 True Automation, Inc. At Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =81485 10/3/2011 53' -0" SOUTH PROPERTY LINE 1 D to (.o ub5m<< SIDE SETBACK eaaV ONIAf o m D r... C") 8' 0 V I I X t t C y V N 1 a. ,o: L A 0 a ;;.I IT a i P ro gfl, I• o ,_,..4,. r II if 1A1001039 7 I o -c d o ff- n G H1V9 .+m �i m to i 135010 1 J a C N co a a a e %IN N�� cq N II ‘‘‘'''---E minoseccostigoatetomsommoim r-. d• 5 a N3H31I) TA 0 WOOa439 CF/) I .1.3S010 I— BFI X e W2109 2131SVW �o I m u 9 al r— JNIAII -1 m I 1 Z z m 0 e_ H I 19'0" 1 SIDE SETBACK r 1 03 I I 1 1.3S010 1-102:10d 1 1 f. 20' -0" r O n O I PARKING PAD Z z -<2J m o 0 -1 c --I m O I O y 0 Z n 0 ma O A -1 M M o 12' -6" D I X NORTH PROPERTY LINE 0 CITY SIDEWALK 16TH STREET SPECIAL BUILDING REQUIREMENTS HOUSE TO BE NORTHWEST ENERGY STAR CERTIFIED WHOLE HOUSE SPRINKLERS REQUIRED BUILDING CONTINUOUSLY SHEATHED SHEAR PANELS PRESCRIPTIVE PER 2009 IRC TABLE 6.10.5 LOT AREA 4743 SQFT TEMPERED GLASS REQUIRED IN BATHROOMS AND WINDOW AT FRONT DOOR STRUCTURE FOOTPRINT ATTIC VENTILLATION VIA CONTINUOUS RIDGE VENT AND VENTED SOFFIT 1184 SQ FT ALL EXHAUST FANS VENTED TO EXTERIOR OF BUILDING LOT COVERAGE 25% ENERGY RECOVERY VENTILLATOR REQUIRED 110 CFM LIVING AREA 1104 SQ FT MINIMUM OF 10' SEPARATION BETWEEN INTAKE AND EXHAUST VENTS ROOF FOOTPRINT 1620 NON VENTED WINDOWS ALLOWED SQ FT BATHROOM VENTILLATION 50CFM VENTED THROUGH ROOF RANGE HOOD FAN 100 CFM JANET SCOTT RESIDENCE o O —1 8 HABITAT FOR HUMANITY OF CLALLAM COUNTY T m 728 E. FRONT STREET, P.O. BOX 1479 LOT 14 co iv PORT ANGELES, WA 98362 (360)- 681 -6780 PORT ANGELES, WA 98363 44' -4 1/2" 7' -0" i i A H 4=1' 15' -2" l 0 W 1 f N. N� 7 -7 1/2" 1 N w 0-) 1 T HICKENED FOOTING UNDER I SLAB 12" WIDE X 12" DEEP WITH --u TWO GRADE 40 #4 REBAR 1 N N r j I ANCHORED INTO STEM WALL 1 1 -4i-7 1/2" 36' -9" 1 w 1 w o 21' -2" L__ 48' -4 1/2" ND 1111 Q N Q c. 0 a C v>A rng oa D S O 0 A S D m Q F c J m G1zm w O (p O z C m'n 0 i X OH A 'O' ONm rn Z O W 3 z 00 pm vi., m0= O M W a m A A N 1 cmm m M v a 0 c)m0 Mo- ZKo x O 7 L/ O m n A D D A O c o X x v N p oo vo z z D z zrnm m iv 0 N III -11 C7)' x m O z m m 0� m p 1 =111 m D o A Z 4, N M III 11 1 o F A D m z Ri 11111111 �7 r II11 1 m 73 m 111 ij i 0 —j- I I 1 1H ,11 m z 111I j 1 111 111 11 n 1 I I p III -11 m n X b i ylati O m ,n D O Z7 i o oo -i ti U) CO r _co Z D cn a m 0 j o oA m C x w D X7 cj CI) O Z O m -'I O n? CO C r 7 m J O w 0 -1 m� o i. 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D m cn 4, N2HO11>1 o A N o o I WOO G39 lsneyx3 5 I iii 5068 1 pue e)ielu! snonu!luoO Ado 1 A O Jolell!lueA tianooe /(6Jeu3 r- w z ®��:�rrt��: I: oate 0 1 u i® Nmo 12SO1O i m 70 O r n na a 3068 V WI z w -D m r a8 2131SVW z <Z t 73 13 m m .0 c 1-- F 1 t ONIAI�l t\ o �v I cn v Q N) 1 73 0 —I o s O n w N Zm M D D 3068 3068 E El Ft =_,Q., IIERIIII1 I I\ N' M 0 I –1 33 3068 4040 m w m N D 03213dW31 o e 4 m c i o 1 13SO1O HO21Od z W W I nA a m JANET SCOTT RESIDENCE o I c;\ W c HABITAT FOR HUMANITY OF CLALLAM COUNTY P. m 728 E. FRONT STREET, P.O. BOX 1479 LOT 14 0o PORT ANGELES, WA 98362 (360)- 681 -6780 PORT ANGELES, WA 98363 k. 26' -0" I '''I H 15' -3" I 10'-9" j 11'- 11/2" 11 }--ter- IL Alliiin N N 1 r- M Ili C IAIOOHQ 3 8 L p Ili i 1 1 I I I 4' -11' Y 1 7.1 II 1 Hide 1I iiiNIN Mir 1 N 12S010 1 '6 -5 5 COQ 1 rII E 'f I M 51. 'Ara P n 1' Fit; 111111 1 3' -1 IL_ 14' -7" N3HOlI)I o 1 11 .A O 10' -2 1 /2" w W00-a38 j maw momermissuel iii 13S010 s® :.a 7' 1/2" H 1/2" I -H 5 II 12' -10" Ili I II M. 1 ONIAI1 W I iii I OVIIIMAINEIR hP. 2 1 1 I D m 1/ ii 7) co CO —I I I '-5 13SO1O HO1Od II 1 6'-0" 13' -1 1/2" i 12'-10 1/2" `1 44 D a a 4 JANET SCOTT RESIDENCE o O i HABITAT FOR HUMANITY OF CLALLAM COUNTY m 728 E. FRONT STREET, P.O. 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Irl �l�l� lrl�lr lrtrlrlrl$rlrlrl rrlr '1rI'Ilrlr'I'rrl,Ill'rrrrrlr lllllllttlllllll I I Ihhk4k444rh4441414tr M r 4l r l r lrhhhhh4rtlthh h 44t I I II I t l l l l l l l r l l l l l l I r 1 r 1 rkhl r rtr tr trhhi ttrtrt 000A011014110041100 I t t i t t t l l r t t 1 t4ltrtltir /trtrtrtftrtltftftltr r t l I I I I IIrrr r ItltrlltlIIhtrrihtltltrtttltrt I l l t t r t l t r t l 1t1I1t141t1tItltll 11111111t1t1t1t1t1t1trtltltrtrtr I r 1 I 1 1 1 1 1 t 1 1 r t r t r t r t r t i t l t r t r t Illtrtlllhtlhtllltltllrtllltrl I t t t l r l l l t l t 14414441414 lrtrtrrrtrtltrirlltrthrtrtrtrlr 111111llltlr4tltrtllrtrtltrtrt Itltrtllltrtrtllllrtrttlrlrhlrt litilil�lilit�ti 1 I rilhililipirisiliriAlititYli itititititiit1 titiitditititiititdititii i 111111lllrlllhrtrtrtltrtrtrtrt I I r r I I r I I I I r r I r r r I I I t I r l t 141 1 1 1 1 1 lyyrtyrtrlrtyrlgrtrtgrtrlr I 1 1 1 11 1 1t1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I I M I l l l t l t l l l 1t111t1 I l l t r l l l l l 1 l t l 1 l rrr4rirrlrrrr rtr 11 r rlhh IIIlrhhlrtllrltlrlrhlrlrlrlrt t l l I l l l V t l 1 1 1 1 V Irllrhrlrlllrrrrrirlrrrlllrlrtr 111111tittrihliliriririri iillllliill lilllili I I I I I I t r I I I I I I 1 ill tllrtllrilillllllttrlrltlrtll 1 tr 41144144 t. l .l.1. 1.6t.6 11t I I I�l l lrlN 44 4441000 666L1 l l I I l t l l l l l rthiad rtrtr v JANET SCOTT RESIDENCE o 0 6 HABITAT FOR HUMANITY OF CLALLAM COUNTY m P. 728 E. FRONT STREET, P.O. BOX 1479 LOT 14 0o PORT ANGELES WA 98362 (360)- 681 -6780 PORT ANGELES, WA 98363 0 X 3> C N I— 73 O r cn C M Q m o� r z —I O m c M D m r— D CO p p O z Z i W r i D O z 1 Z i Z 0 Co Q 7 0 M S D a I 1 M 1 Z i -0 CI a) x -1 x z m o H O N c m D N o 0 Dry ?1= o on3 m x i Er) Or pm= 1 Z D j 1 (D H 2 GE C r> 'i O m D (n C O O CD D n Z 73 C w 1-_ ix- 0717) m 70 r r D cm D> m� D m co C z -j_* Z O m m -I 0 mO rZJDOZZ X 'U D D rm m O� mG)Dm� n w Z� z O r XO Ozcno�� --I -1= m x x w O X m00 W U) O F w H m 1 00:10 C) r m m C ZD n C C z 0 73101 c i- 0 O m 0 O p H m Z x D D D Z m o Z 1-x O Z r 5/4 X 4 EXTERIOR TRIM 1 x 6 PRESSURE TREATED BATTEN HARDIEPLANK SIDING 2 X 6 EXTERIOR DOOR OUTSET AIR SPACE---______ 1 ;F EXTRUDED POLYSTYRENE fJ THRESHOLD co FOUNDATION STEM WALL 11. 7/16 OSB SHEATHING- a i 1 3' 1" 3'-2" DOORJAMB EXTERIOR DOOR FRAMING DETAIL JANET SCOTT RESIDENCE o o a) m HABITAT FOR HUMANITY OF CLALLAM COUNTY 728 E. FRONT STREET, P.O. BOX 1479 LOT 14 tv Oo PORT ANGELES, WA 98362 (360)- 681 -6780 PORT ANGELES, WA 98363 t. -1 2 m c n a D D Z H m0 E 33 m(7 o co 0 m o -n D 0 -I N -1 r z 0 -I w r c o 0 c D c z D o m r m 2 cn Al D o o Co 1 m 0 r, z 0 Ak. f D 1 !1I 1 TRUSS UPRIGHT I 0 __��`_N' i y z �c C m 7 i W Z r c. 0 WCn .p =D=1 1 N X O O�m N Z o m c I— D4 G) D HN n1j y iv m m =c) rnX (n mO 0 m o �1 <oWu,� Z� m N m m c m D o -I-1 Z D mD -1 D� 1 c� z- m zX wm o rn N oC m Hx_ O 000 0 m w m OO m mx C m m c cf) 0 m 0 -a Z� Z O m Z c d 0 D X mG -1Z m I— O 0 N) I 0 m r W OZCnomxi 0 n G) -I xw mw Z o m m m C� W G) o D_ z c7JZ o cn F w 73 m O m m 0�Z -IDO --1 0 r o HABITAT FOR HUMANITY OF CLALLAM COUNTY JANET SCOTT RESIDENCE o 728 E. FRONT STREET, P.O. BOX 1479 LOT 14 Co cP PORT ANGELES, WA 98362 (360)- 681 -6780 PORT ANGELES, WA 98363 7, i I I I all I I 1 1 1 I J am T Alll (n r- ,I 1 0 1 H o I c u m o z woo�a�e ill 1 I� :Ii�1�� u s e �1 1 r .y it A m I —1 L Ka 4 1 F 1 8 II O 1 Co I m I „it ,o. al Hlb'8 1- I IL 1 O 0 I o ®..r PA Cad l I '--I o\ 13S070 j IG 0 CO u ail v 1 gar m �'I �-1 0 r H i a vs. r ti r",,.a 11 II 11l �°PIMA'', 11, 11r® qi C 1 A Q- i M H I rr)P-- n z 1 1 H C: I NBHOEIN 1 0 Z n 1 -1.� i 1 j o WOO�iC788 L_II o T/ I DU CY t: 1 pow _.4 i l �so�� 1 0 ,1�G T T W n 1 i VI ,i r �4 1 b im I 0 W WIC]8 2181SdW, x i H 1 1 I JNIAI ,1 Ji L i, _J r'J I ti de r ;011 �::�I®:4.�:� l iil l i� iiii Q s 1 1 1 1 v 1 I C__ CC 1 r i i 12S010 r HO�Od I 1 �1.ri;'; _,II ..5, I a� 'rl` $1 -il t '�I 1 d d J n o 03 c H FOR HUMANITY OF CLALLAM COUNTY JANET SCOTT RESIDENCE P. 728 E. FRONT STREET, P.O. BOX 1479 LOT 14 N 0o PORT ANGELES, WA 98362 (360)- 681 -6780 PORT ANGELES, WA 98363 ELECTRICAL PERMIT 4 CITY OF PORT ANGELES 360- 417 -4735 g t Application Number 12- 00000007 Date 1/06/12 Application pin number 528598 REPORT SALES TAX Property Address 2327 W 16TH ST ASSESSOR PARCEL NUMBER: 06- 30- 01 -8 -5 -0020 -0000- on your excise tax fort Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Application desc new home Owner Contractor HABITAT FOR HUMANITY ELECTRIC SERVICE PO BOX 1479 82 DRAPER RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 681 -6780 (360) 452 -6424 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit Fee 120.00 Plan Check Fee .00 Issue Date 1/06/12 Valuation Expiration Date 7/04/12 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -R -SQFT FIRST 1300 120.00 w 1 Fee summary Charged Paid Credited Due Permit Fee Total '120.00 120.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 120.00 120.00 .00 .00 V 0 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 1 t 2— .1- SERVICE ROUGH -IN 1; l FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTI -IS FROM LAST INSPECTION r Signature of or Electrical Contractor X Date: G :\EXCHANGE \BUILDING oF °RTgNC1 N ELECTRICAL INSPECTION WIRING REPORT X 44, `'off 417 -4735 w ORKS 24 DATE: PERMIT INSPECT a 1 Ir 42�DD0 OWNER R 1 tTR t1 X0 12 }tu --A,NI IT 1 -4 CONTRACTOR '�u.� �r�,v cam- ADDRESS 2,3227 k 3 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL 1' CORRECTIONS NEEDED: 4.01(1_ ��r a R25 H P i) t 7Z N nO NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE CITY OF PORT ANGELES PERMIT APPLICATION oftSer.- Building Division/Electrical Inspections LAN 2 01 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362. Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRIC INSPECTIONS Date: S l Z l 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 2 3 Z.7 w 1 1, rte. Building Square Footage: 1St 4 4i Description of above 51 r u4 a FtAvn ci U+s 00 7 rsv4-,..1 (t nrt4 i,.2 c Cra Sr NL■ tDC) cT Lecc %Nv iP 1 (-7. 1d (sva r t3iA C4Luv Owner Information Contractor Information Name: 11AEtiva; Fo t 1 Qc^ .a y.,iz tic C LVaLL Cou t j Name: ELECT.vtAC, Mailing Address: IPo 13o 1'-t 1 Mailing Address: Fs 2 D� ra N t'c YZ tiZ p City: -P, State: W Zip: I ,gr,, 7_ City: PA State: \NA Zip: c l CS 3( 2 Phone: C Fax: G,iFsCI Phone: 9 5 bW7- Fax: License Exp. H N3 i i irt4 911 L a License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 120.00 Service /Feeder 201 -400 Amp. 146.00 Service /Feeder 401 -600 Amp 205.00 Service /Feeder 601 -1000 Amp. 262.00 Service /Feeder over 1000 Amp. 373.00 Branch Circuits 1-4 75.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. 149.00 Temp. Service /Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 foe each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 0 t t o Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 I o Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature o owner, lectrical contractor or electrical administrator: Cash Check Credit Card X Dated: S— f v 0110112012 N .a V+-s1.7 CS 42rJ a r(' CO3■ C .71.2,-) (-z w v V''—' v 0L I=4 CLV4 Li_ra C t L R ()wick WF0142599 001 City of Port Angeles PAGE 1 REQ. DATE: 01/04/12 01/04/12 15:29:33 SCHED START: 01/05/12 SCHED COMPLETION: 01/05/12 CREW: Electric Ins ections CX EINS LOCATION: 2327 W 16TH ST LOC ID: 159804 SUBDIVISION: LOC. ZIP: 98363 REQ DEPT: r'N- Customer Service PRIORITY: Medium REQUESTOR: EDIE PARKER ORIGIN: Telephone REQ USER: EPARKER AUTH USER:EPARKER WRK TYPE:Routine ELECTRIC METER INSPECTION PRIMARY CONTACT INFORMATION HABITAT FOR HUMANITY OF CC (360)681 -6780 P 0 BOX 1479 PORT ANGELES, WA 98362 ELECTRIC METER INSPECTION CATEGORY: CS- Inspections INSP TASK: ELECTRIC METER INSPECTION ELMT READY DEPT: FN- Customer Service FNCS SCHED START: 01/05/12 SCHED COMPLETION: 01/05/12 CUSTOMER: HABITAT FOR HUMANITY OF CC CUSTOMER ID: 93519 CUST. PHONE: (360) 681 -6780 START TIME: COMPLETION TIME: START DATE: COMPLETION DATE: UNIT OF PRODUCTION: QUANTITY: LABOR EQUIPMENT MATERIAL DATE EMPLOYEE HRS OT NUMBER HRS ITEM QTY COST °iwF. CITY OF PORT ANGELES PUBLIC WORKS UTILITIES IL 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000993 Date 9/16/11 Application pin number 426062 REPORT SALES TAX Property Address 2327 W 16TH ST ASSESSOR PARCEL NUMBER: 06- 30- 01 -8 -5 -0020 -0000- on your state excise tax form Tenant nbr, name HABITAT FOR HUMANITY Application type description PUBLIC WORKS UTILITES to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Application desc Water meter for irrigation Owner Contractor HABITAT FOR HUMANITY CL COUNTY OWNER PO BOX 1479 PORT ANGELES WA 98362 (360) 681 -6780 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 "WATER METER FOR IRRIGATION Permit pin number 192450 Permit Fee 420.00 Plan Check Fee .00 Issue Date 9/16/11 Valuation 0 Expiration Date 3/14/12 Qty Unit Charge Per Extension 1.00 420.0000 EA PW WATER METER DROP IN 420.00 Other Fees PW WATER SYSTEM USE FEE 2260.00 Fee summary Charged Paid Credited Due Permit Fee Total 420.00 420.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total .2260.00 2260.00 .00 .00 Grand Total 2680.00 2680.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:Forms /Building Division /Public Works Permit PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE /METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB &'GUTTER DRIVEWAY APPROACH BACK-FLOW :DEVICE,• FINALINSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL, DATE r I ES j NO COMMERCIAL DATE ACCEPTED a 'gin CONSTRUCTION R W PW/ CONSSTRUCTION.- R`.W ENGINEERING 417 -4807' PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 4750 PLANNING .DEPT, BUILDING 4X7 BUILDING 4815 T Forms /Building Division /PubLc Works Permtt CITY OF PORT ANGELES J DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001080 Date 9/29/11 Application pin number 510640 Property Address 2327 W 16TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-8-5- 0020 -0000- Tenant nbr, name HABITAT FOR HUMANITY on your state excise tax form Application type description PLUMBING PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 150 Application desc BACKFLOW PREVENTION BETWEEN METER YARD HYDRANT Owner Contractor HABITAT FOR HUMANITY CL COUNTY HABITAT FOR HUMANITY OF CL CO PO BOX 1479 PO BOX 1479 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 681 -6780 (360) 681 -6780 Permit PLUMBING PERMIT Additional desc YARD WATERING BACKFLOW PROT Permit pin number 193581 Permit Fee 57.00 Plan Check Fee .00 Issue Date 9/29/11 Valuation 0 Expiration Date 3/27/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL- BACKFLOW PROTECTION <OR =2" 7.00 Fee summary Charged Paid Credited Due j;,\ 0 Y Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. q L i 1 c, v7-v.J .714 II Lf.." /71-4-7...),"7 4- 7---- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD oo Q PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In I Ow Water Line (Meter to Bldg) g Gas Line QM‘i' Back Flow Water FINAL ate 10 _-Z,1 Accepted by 1 ON1 AIR SEAL: frL4 Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney �m Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 5 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit P ORT kV- N,,,,: c� ,oc F`0 Official Use Only I y Backflow Asse Test Report Received t i City of Port Angeles hti w Public Works and Utilities Department Water/Wastewater C ollection Division .y NAME OF PREMISES: /1 A d 7,' 7 t/ R /-1 1 �1 4 A l T SERVICE ADDRESS: 01 3 A 7 Pi/ S' J g C` e LOCATION OF DEVICE: A /96 EN ,,2 U f la 1 P A' L 4 1/ki v fv,,, ,4 ASSEMBLY: W L IOW r 9 i2 L/ 3 3 3 3 tC Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY'? YES DNO IS ASSEMBLY INSTALLED CORRECTLY'? YES 11 ENO DATE OF INSTALLATION 0 7. 2.01 l UNKNOWND REDUCED PRESSURE PRINCIPLE ASSEMBLY RP RPDA DC DCDA PVB Air Gap DOUBLE CHECK VALVE ASSEMBLY SVB AVB CHECK VALVE #I CHECK VALVE #2 RELIEF VALVE PVB /SVB Initial Leaked Leaked Did Not Open AIR INLET f Closed Tight Did Not Open Test Held at I a C psi Opened at psi Held at I e _9 psi Opened at psi Repairs Cleaned Cleaned Cleaned CHECK VALVE Leaked Held at psi Replaced Replaced Replaced REPAIRS Cleaned Details Replaced 3 psi Buffer YES NO Final Closed Tight AIR INLET Opened at psi CHECK VALVE Held at psi Test Held at 6 psi Held at w Cpsi Opened at psi BACK PRESSURE NO YES AIR GAP INSPECTION: n REQUIRED MINIMUM SEPARATION: YES NO TYPE OF HAZARD L A14 it/ H I COMMENTS Line Pressure S"‘ psi A/ S're Sit--"R fie Held Backpressure YES CY< e �,r #2 Shutoff Held YES Q" NO Relief Valve Exercised YES NO Date /Time Tester Signature Cert. Test Kit Passed Failed Initial Test v l l t.:: C k 2 4 LV,1... 8,A. 9 i 4,, pig g W 65 i Repairs Final 7 /l Test /6 s 9 t e/ r y fo4,A 8 5 r 1 e.5: a-- WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY 1 2r Li4Q r vw 13tRU�N =t cw pwAeutsw- BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM 5 (To be used for projects that do not require plan review.), Date Received 3O- l Permit 1 I- IOSso City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5 St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: Phone: C(LA\J 141 ?s o S Doti Property owner: IVat3i ►va7 l=out 1 Iv Avon `y Ci.ALLVa Cowry"." Phone: 6 (c k 0 Property owner's mailing address: Po (3oc I `1 h P \cu A G 3 -z Contractor's business name: I.._ �=N CL Phone: (or property owner's name if he /she is doing /overseeing the work) t (,7 k 0 Contractor's mailing address: Contractor's L &I license number: Expiration date: HAP, F1 -t `\2-1 Lo (-Zo -tom Project Address: 2 7 a(v. 10w S Project Type: tResidential o Commercial a Industrial o Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: CD house garage other tear off re -roof lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: house garage other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1of2 Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360- 417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) —Lo owl ACV Lt V" L. IL_ vu...Q ►2aocc) Project Valuation /50 Mechanical Permit: (explain the project) Project Valuation 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date ct- I Signature 7/c/\14 Print Name Ht4v1_, 4 v Page 2 of 2 I ELECTRICAL PERMIT i CITY OF PORT ANGELES 0 360- 417 -4735 O -c Application Number 12- 00000040 Date 1/20/12 O, Application pin number 228600 Property Address 2327 W 16TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 01 -8 -5- 0020 -0000- on our excise tax form Application type description ELECTRICAL ONLY y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) ,Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Application desc Temp pole Owner Contractor HABITAT FOR HUMANITY ELECTRIC SERVICE PO BOX 1479 82 DRAPER RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 1 (360) 681 -6780 (360) 452- 6424 Permit ELECTRICAL NEW RESIDENTIAL (V Additional desc 1 �J Permit Fee 93.00 Plan Check Fee .00 Issue Date 1/20/12 Valuation 0 �J Expiration Date 7/18/12 Qty Unit Charge Per .Extension J 1 1.00 93.0000 ECH EL -TEMP SRV 0 -200 SRV FDR 93.00 Fee summary Charged Paid Credited Due Permit Fee Total 93.00 93.00 .00 .00 l Plan Check Total .00 .00 .00 .00' Grand Total 93.00 93.00 .00 .00 V 0 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN l2.0 'j Z 4kt. t501-.A4 r/ FINAL u 0 0 1) z A t4 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections I V�� Si 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 i J ,r-, a Ph: (360) 417 -4735 Fax: (360) 417 -4711 f1 2 2611 Date: I Z 1 2— 1 2 Single Family Dwelling ELECTRICAL INSPECTIONS Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 7 3 z7 W, 1 "CAA ST, Building Square Footage: Description of above T>= ,n..e, Pd u r n P -Yt,,A Owner Information Contractor Information Name: }{w0,‘ "Tra FotA. V1UV,n,a,ut-y CLvoLt_raw Cou:u Name: l -W-G1 12.--A. C- 1 Mailing Address: 1411 P. 15..1, I Mailing Address: City: PR State: 'v Zip: ak3c, City: State: Zip: Phone: a ij1- Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 120.00 Service /Feeder 201 -400 Amp. 146.00 Service /Feeder 401 -600 Amp 205,00 Service /Feeder 601 -1000 Amp. 262.00 Service /Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 75.00 c../C) Temp. Service/ Feeder 200 Amp. 93.00 5 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. 149.00 Temp. Service /Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 eiygD Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check Credit Card x 1alh Dated: 1 2- 11 0110112012 C, LL 0 Z ,Op4°I To: Page 4 of 4 2015 -02 -10 16:42:02 (GMT) 18884000383 From: Deborah Shields CITY OF PORT .ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 Ph; (360) 417 -4735 Fax: (360) 417 -4711 Date: 02/1012015 F—IMulti-Family or Commercial* FEB 11 2015 * Plan Review Mar Be Required, Please Complete Electrical Plan Review Information Sheet Job Addles: 2327 W 6th St Building Square Footage 1192 Description of above INS ELECTRICA 3PH Owner Information Contractor Information Name: J ... t5o.tt Name: AeT�Lc MaiMq Address: 2327 w 161h 51 Mailing Address: 11624 N CREEK PKWY N, SUITE 9106 City PORTANOELES State: WA Z'p. 99303 C €ty: norHEL1 .State: wA zip: 96011 Phone: 360460.2397 Fax: Phone: 296- 7749499 FaX: 0a8.400k063 License #1 Exp. Licerse #1 Exp. AOTLLLT8100 EHP:3,2012015 Item Unit Charge Oty Total Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132,00 $_ Service/Feeder 201-400 Amp. $160,00 $ Sery ice /Feeder 401 -600 Amp $ 225,00 $_ Service/Feeder 601 -1000 Amp. $ 288A0 $_ Service/Feeder over 1000 Amp, $ 410,00 $ Branch Circuit Wl Service Feeder $ 5A0 $_ Branch Circuit W/0 Service Feeder $ 74A0 $_ Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1.4 $ 86,00 Temp. Service/ Feeder 2C0 Amp. $102,00 $ Temp, Service /Feeder 201- 400 Amp $121,00 $_ Temp, Service/Feeder 401.600 Amp. $164,00 Temp. Service/Feeder 601 -1000 Amp . $185,00 $ Portal to Portal Hourly $ 96.00 Sig1110utline Lighting $ 88,00 _ Signal Circuit/ Circuit/ Limited Energy— Multi- Family $ 64,00 Signal Circuit/ Limited Energy 1 First 1500 sf — Commercial $ 96,00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113,00 $ Thermostat $ 56,00 _ $ Note: $5,00 for each additional T -Scat — Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. �2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby codify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installat'lon or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 29646B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ ca5h ❑ check �,;,alry,9,v�by,c,Mrc,tw,• a Credit Card 8 D Jennifer Covell 0G 1� 0I 2015 X 01!0112012 Q ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 15- 00000119 Date 2/11/15 Application pin number . , , 667365 Property Address . . 2327 W 16TH ST ASSESSOR PARCEL NUMBER: OG-30-01-8-5- 0020- -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . , . . Property Use Property Zoning . . . . . . . RESIDENTIAL MEDIUM DENSTY Application valuation 0 Application desc Security System Owner Contractor JANET T SCOTT ADT LLC . 2327 W 16TH ST 11824 N CREEK PARKWAY, N PORT ANGELES WA 98363 STE 105 (360) 681 -678D BOTHELL WA 98011 (206) 719 -0347 Permit . . . I ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit Fee 64.00 Plan CheC)< Fee .00 issue pate 2/11/15 Valuation 0 Expiration 'Date e/1D/15 Qty Unit Charge Per Extension 1.0D 64.0000 ECL E1,- SINGLE CIR LIMITED RES 64.00 _- Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 ,00 .00 Plan Check Total 00 00 .00 .00 Grand Total 64.00 64.00 .00 .00 REPOR T SA LES TAX an your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN J15 _ .FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor Date: GAFXCHANGEIBUILDING