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Home My WebLink About4515 Old Mill Rd - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES WA 98362 05 00000059 054022 4515 S OLD MILL RD 06 30 22 2 1 9010 0000 RES NEW SFR RS9 RESDNTL SINGLE FAMILY 200015 Owner Contractor JAMES W /SHERRIE L SCHOUTEN MILL CREEK CONSTRUCTION 4619 OLD MILL RD 4619 OLD MILL RD PORT ANGELES WA 983621911 PORT ANGELES WA 98362 (360) 452 8281 Structure Information 2449SF SFR W /ATT 817SF GARAGE Construction Type TYPE V NON RATED Occupancy Type SINGLE PAM CONGREGATES Other struct info TOTAL LOT COVERAGE 16 50 CONSTRUCTION TYPE V N NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 1 00 LOT SIZE 17424 00 PROPOSED LOT COVERAGE 2884 00 TOTAL LOT COVERAGE 2884 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc SHAMP/ 3266 SQ FT SFR Sub Contractor SHAMP ELECTRICAL CONTRACTING Permit Fee 178 00 Plan Check Fee 00 Issue Date 3/12/05 Valuation 0 Expiration Date 9/08/05 Qty Unit Charge Per BASE FEE 1 00 73 0000 ECH EL R SQFT FIRST 1300 4 00 23 4000 5C EL R SQFT ADDITIONAL 500 1 00 11 4000 ECH EL METERS REMOTE INSTALL Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors 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 A residential fire sprinkler system shall be installed per NFPA 13D will be required 2nd option is to install an out side alarm bell that is eletronicly connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm The proposal will result in a new s f residence in the RS 9 zone for total lob coverage of 17% No land use issues are noted Electrical permits are required OH Residential Connection Fee Applies $410 00 Late Comers Fee Applies $501 25 COMMENTS /ACTION NEEDED Date 3/12/05 Extension 00 73 00 93 60 11 40 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I I I I I I I I I I I I I I I I I I I I I I I COMMENTS mwi 102.1$ (aqs( CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000059 Pin number 054022 Special Notes and Comments (See Cost Letter Job# 9877 WF30000 /01) Ditches and culverts will be installed to City Stanards See Public Works Engineering for Standards Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED RES OVERHEAD SERVICE FEE 410 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Charged Paid Credited Due 178 00 17.8 00 00 00 00 00 1439 50 1439 50 00 1617 50 1617 50 00 Page 2 Date 3/12/05 00 00 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CODER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH INSPECTION TYPE ROUGH -IN COVER SERVICE GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED 13 as -ar 1s as 15's os YES FINAL I -04 o I A I I I I I NO COMMENTS A N Az. ray LL %nS PW- 1102.1514/961 v I ! 'Cl"ElectricaJ Contractor ~1/ 16' ~.. -- . ,; ..1 '. . l:J Owner ...........'" ELECTRICAL WORK PERMIT APPLICATION ..c Request Inspection "f CI Annual Permit CI Alarm r.J Carnival 1::1 Commercial -0 Residential C Resideotial iVbint. Cl Signs CJ Thermostat D Telec Job wired by ~Iectrical Contractor 0 Owner 1llStallation description Ele:c:lrical contraclol' name License number .:>Rftm,) ..,l.~I(A'- (0N~-rI>-l{,.- S'HI't1fII'6!.d'P,8 PlJrchaser'~ mailing address fu PAl"" ::.8") City ?/lRl /lJ\J (,-E'Lcr, . .. .\)(\ . Slule ZIP ffnu(p SrJ, FT, ~ - " <J5 3(~... FAX number Premises owner's dame !Y\t':((.l2.1 IT Addre55 of inspection -'~c;, CI d? '/</ 'j 8/7 - j;26b rr ANk Olo't- o Cash o Check # I hereby certify that I am the owner of me above named property or a liccllsed electrical COdrraCm! (or the fum's authorized agent) and am making th, elcClrical installation Or alteration irI. compliance wirh the elecnicallaw. Chaptl;:T 19.28 RCW. WALLS Insulation Only CEIlJNG Insulation Only ~ I '^ <;) c ntfDCtOr or e-lectrlc.al ..dmlJlISCfllltor x THERMOSTAT Olle ApllrGvcd 9y !.:lile A(lprollcll By ~ ~over 1;.1,?y . Dalu Ap~tO\lcd By sk /,,;over AGO J"/O":c APfroVgdBy DlTOI 3L/: kLJ ~i\P!lrovCdB)' Electrieal Load Additions and or subtractions o NO LOAD CHANGES D Baseboard ~ KW o Furnace KW 1.:1 Heat Pump Ton LAA o Fan-Wall KW [J Overhead ServicB o Temp Service a Underground Service Vollage Phase [J 1 0 :3 Service Size: Feeder Size: DIIM 4JlprovcdBy Service Information $', 76.00 "/ I 0 ,DO 5'0 i ,'~.s '0'0 ~ ~ ~:5 Inspection D1'I1e .A.rca, Building or Equipmenl JnSpected Action Taken Electric3.1 Inspector / , .> "i 3 0; oS- " ;pc; 0/ .J.\\,/J-9877 L. c ,4"0 I.'Z-~ +- IA k~l, '4- ~ 4Jl:l-t&J^^,-+.('eL- Of I' ., , " ~ " -, ,. 1/VAt- ~ . /14v/7 31el ~~ .../ "?o~orjJ'r.jt 3/9 05 X~.:I L L: LL <;00G/80/80 DATE .s::S-:b~ o NER ONTRACTOR .. -- ~'"". IEIIECC1~~CAIL ~ INISIPIECCT~OINl W~ IRl HNlG IRllElPJOIRnr 417-4735 ' PERMIT. 0:> - 5'.2 s ~c:::... ADDRESS 'Y5/5'.5 OGO h? /U- /Z<i. APPROVED NOT APPROVED o ,.,....,.,..,.,...' DITCH .,..,."....,.,..., 0 o .,..,.,....", ROUGH IN/COVER. , .. , .. ' . .. .. , ;&: o ...,..,..,.,.,.,.. SERVICE ,.,.........,...., 0 o ..,..,.,..,....,.,., FINAL. . . . . . , . . , . . . . , . . . ., 0 CORRECTIONS NEEOEO:c0 <;7""RP'..'_ "V /,G#' _~ 'c"""' ~5,r'''' /AN/L rJLt/ .B~ ,@ A'/;-oA-> so 7P,..,~ Mj/~ ~6~ d- BHL'5AL~ ~:J,y~- -< /-lr-'/>U L-.5- ..$ 3h'</ 0 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS OLYMPIC PAINTERS, INC. (360) 452-1381 - DO NOT REMOVE - IElIEC.itlR1~CAl ~~SiP>lErcl~(Q)1NI W~lR{~INIG IRlIEiP>OIRl1r 417-4735 o:s- - INSPECTOR DATE PERMIT' / ,0 ADDRESS , /(5'/5 d J ~....ez;p. -//... ..5 &'-.0 r?7 /tI.-L .&1. APPROVED NOT APPROVED o ,...,.,..,......,., DITCH .......,........... 0 o .............. ROUGH IN/COVER.. ... ... .... .. ~ o ........\.,.",..,. SERVICE .,.,.,..,..,..,..,)C! o .,......,..,.,."... FINAL. . , . . . . . . . . . . . , . . , ., 0 CORRECTIONS NEEDED: (A,sr €.~..k... hA'?J??.Ir') @ /::u.rS//75 ~,A ,13#'-<< /..~..6l,..,,,.~t-'J @~P"";',c. '7P"'7,"'<' 5-/c"" "t:J.lqAH'U~ /*<"~<- '* Bn.4ef4t.. c!8V~./5 ' 6)~&;;{fC,qa- P/~~ J'9r //7 ~ ~A$e.. .. I"'hd:) /'a<-'" ji?,.LJ/.5~ , NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (380)452-1381 Payment Inquiry Operator 10: TOWEN Date: 5106JD5 Number: 01 Receipt number: 43803 Post date: 5106flJ5 Tender: CREDIT CARD Check number: 2005 " 36,40 SF 5/06/05 8:48:36 . SlW"lP ELE:CTRIC , Tow payment: Total tender: 3640 3640 ~ ~ORT ANGELES Av tF> (fY'U"'\\ r;::::;-.w ~~ir"u WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT February 3, 2005 Jim Schouten C/o Mill Creek Construction 4619 Old Mill Road Port Angeles, WA 98362 Subject: 4515 Old Mill Road-New Service Job# 9877 Dear Jim: Your cost for labor and materials supplied by the City to provide electrical service for your property is $ 501.25. This quote is good for 180 days and is subject to review. The City will be responsible for the followinq: 1) Connection of your service riser on the pole. 2) Providing and installing the 120/240v meter. The owner/contractor will be responsible for the followinq: 1) Providing, installing and future maintenance of the service riser on the pole. (Ref: Underground Service-Secondary Riser Specifications CR 5 01) 2) Providing, installing and future maintenance of the underground service wires in conduit from the pole to the house and/or meter base. (Ref: Trenching Specifications UM 0 01-S) 3) Late Comers Fee: Payment of $501.25 is Y, of the original job cost. (The costs associated with the transformer were excluded from this job, because the Residential Electric Service Fee applies). (Ref.: WF 16920101-Not enclosed). 4) $410.00 Residential Electric Service Connection Fee. (See the enclosed letter describing the Electric Service Connection Fee). 5) All Required Permits (Building, electrical, etc.). Electric Work Permit Application fees: To be assessed by the Electrical Inspector. AI Oman, Electrical Inspector (360) 417-4735. 3~ 1 EAST FIFTH STREET. P. O. BOX 1 150. PORT ANGELES, WA 98362-0217 PHONE: 360-417-4805 . FAX: 360-417-4542 . TTY: 360-417-4645 E-MAI L, publlcworks@cityofpa.us ~ \:::) l\ 1 ~ ~ ~~ J'^' ~~ \\(J ~& ~~ , ~ ~ 01/21/2005 11:11 FAX - I4J 002/003 ~ f .....1& ~ ~ ELECTRICAL WORK PERMIT APPLICATION ./ ~J...J Request Inspection "" Electrical Contractor tJ Owner ~~~~".. CJ AntmaJ Permit 0 Alum 0 Co.rnlvlll D Commercial '\d'Re!lidtmtial D Residentlat Maint. D Si;us C Tbermostat 0 Telecom. o Overhead Serwice Q Temp Service D Underground SaNice Inspection Area, Buildin!j: or Equipment Inspected Al:;CiOn Taken Electrical J ~stc ~c) I /3t1~ ~ ~ru... A ..ct+ N v\J 'Ft"n &~ , .4:1: A,~ I .L j~),_ .. , .L ,. ~. -f' ' , - ;,. - (f)o\ ?:Nt , . r> . "'A" ", ~ (t".wvc ) , , Job wifed by ~ectrlc.l Contractor tJ Owner Electrical comraC:lOr name License number ~f B;R:.:Te.IO"rL (ONTl'l.f>CT IN 6- e~:' Telephone number . LtzS: I hereby certify tha( I am the owner of the above named property Or a licensed ~c:ctrical contractOr (ar the fmn's authorized agent) and am making the electrical installation or alteration in coml'liartce with the elecrricallaw, Chapter 19.28 RCW, x WALLS Insulation Only D;JII Approved Dr Cover D;Jle . Approved D1 CEILlNG Insulation Only 0111; All~rove(l By Cover DIlI~ AO~IO'o';G By Electrical Load Additions and or subtractions CI NO LOAD CHANGES o Baseboard KW o Furnal::El KW o Heat Pump Ton LAR ' CI Fan.Wall I(W , ffi/J / -.).7 -/).,-' InStallation description kllif . ~Wif ~ Rdj [J Cash tJ Check # tJ Credit Card Visa Mastercard Discover Card# _ fu -J1OLL_-____-____ Expiration Date of card / THERMOSTAT Dille AJlpm'o'ed By DITCH " lhle "rproved By SERVlCE .- Oat! Approvtlll :Ii:r FEEDER 0., Apprnvlld By ~vlllt., Service Information Vollago .."tn. ~n" Phase)t~ $sl'\Ilee Size: _ Feeder Size: ~ ~ - .~ '-:.~ - ., IEllECTIRl~CAl ~~$PIEClr~ON W~IRl~INIG IRlIEPOIRlT 417-4735 .Y~..P ADDRESS .. /5 PERMIT . o.5'-S-'i e~c..... ~ .n7/.?& ~, APPROVED NOT APPROVED O...................DIT~ ...................0 o .............. ROUGH IN/COVER ..............0 o .................. SERVICE ................. .j?J' o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: @ -B'L2Jr,A /~ . /ffJ.J6L @ L- 6 t?N U.N'€" "5/.cJ~_ c;,P ~~,<. ~ovG rIfltJ/~1P/~......r ~~ ../.~u ~KAAV ~ ~.$~ ~ C&~'1 0/ ~,.,- . ?Av~ Eu S< ,1<;' ~b4-AY'~ ~- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ~ctrical Contractor ELECTRICAL WORK PERMIT APPLICATl'ON D RequestInspection (D5- 357 J ' ~Sidential 0 Residential Maint. 0 Signs D Thermostat 0 Telecom. DOwner D Annual Permit 0 Alarm D Carnival 0 Commercial urEiectrical Contractor Installation description Job wired by DOwner .- ~ 51"(' P, I e.. Electrical contractor name License number ::i2 Y /J! ~ r, ;El~/'G -:;jIJ j3 I L. / S" I( J-I. I( ./. Purchaser's mailing address Pi~. ~"oj. t, t.. City State ZIP Q'3 ';)//:5 J dYe "L WI'I$tI. Telephone number FAX number q;2. 7J ~ ")"]1, ., Premises owner's name 1II/f.J C.-<~M &~~$T Address of inspect,ion '/.5/5' I..t" - I 'J. "J ChlJ Jf11 J.I. ,_.-..... 7 -...-. City gAl ("11'1 - t: /~tf I o Cash o Check # I hereby certify that I am the owner of the above named property or a licensed o Credit Card Visa Mastercard Discover electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the clectricallaw, Chapter 19.28 RCW. Card # - - - ---------------- : ~gZf owner;;ric.?]rac: = electric.1 'd~;nistr.tor Expiration Date ( Inspection ~~ of card "- $ <{tg ,e 1//1 -- / v WALLS / CEILING / THERMOSTAT SERVICE Insulation Only Insulation Only Dale Approved By Date Approved By Dale Approved By Dale Approved By DITCH I Cover Cover FEEDER Dale Approved By Dale Approved By -" "- Dale Approved By "- Date Approved By ./ Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW D Furnace KW D Heat Pump Ton LAR D Fan-Wall KW Service Information D Overhead Service D Temp Service D Underground Service Voltage 1l. 'liP Phase (3""1 D 3 P Service Size: ~.... Feeder Size: Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector t,/-vtIo~ h ,(),n ./}f? ~/) / , . ~;2J/~ /ft:tP ~.,....-' ~. :f VORT ~ ~...o~"" ~na~ ~ -=-- "l,il,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 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 05-00000059 Date .054022 4515 S OLD MILL RD 06-30-22-2-1-9010-0000- RES NEW SFR 2/07/05 RS9 RESDNTL SINGLE FAMILY 200015 Owner Contractor JAMES W/SHERRIE L SCHOUTEN 4619 OLD MILL RD PORT ANGELES WA 983621911 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 2449SF SFR W/ATT 817SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 16.50 V-N 2.00 1. 00 17424.00 2884.00 2884.00 1. 00 +'7 /1$,# ~ -~ ~" ..c V, V't j\ $ C; :;: 0 ~~ t- ? ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 1582.85 Plan Check Fee 633.14 Issue Date 2/07/05 Valuation 200015 Expiration Date 8/06/05 Qty Unit Charge Per Extension BASE FEE 1017.25 101.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 565.60 Permit MECHANICAL PERMIT Additional desc Permit Fee 101.35 Plan Check Fee .00 Issue Date 2/07/05 Valuation 0 Expiration Date 8/06/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 4.00 7.2500 ECH ME-VENT FAN 29.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 .--. TO Y Permi t . . . . Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 131.00 2/07/05 8/06/05 Plan Check Fee Valuation .00 o Qty unit Charge Per Extension 47.00 63.00 BASE FEE 9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 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. (7, ch~ ature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] 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 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 FOUNDATION: FOOTINGS WALLS FOVNDA T10N DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WAU.~. I CEIL~- I FRAMING.... ... . JO~~ GIRdMI J (, ~" SHE~i[ALLlHO~ DO\vN~ . WALLS 1 imOF~ILING.I'" DRYWALL (i#fERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 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 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING 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. 1 PW 1 CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/1412003] :f VORT ~ ~...O~",:"" ~na~ 1L ~ ~ "l,il,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number . . . . 05-00000059 .054022 Page Date 2 2/07/05 Unit Charge 7.0000 7.0000 7.0000 Per ECH ECH ECH PL- EA. INSTALL WATER PIPE PL-EA.PRIVATE SEW. SYSTEM PL- EA. WATER HEATER Extension 7.00 7.00 7.00 Qty 1. 00 1. 00 1. 00 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors 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. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" The proposal will result in a new s.f. residence in the RS-9 zone for total lot coverage of 17%. No land use issues are noted. Electrical permits are required. OH Residential Connection Fee Applies $410.00. Late Comers Fee Applies. $501.25. (See Cost Letter. Job# 9877 WF30000/01) Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. .. Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1815.20 1815.20 .00 .00 Plan Check Total 633.14 633.14 .00 .00 Other Fee Total 1029.50 1029.50 .00 .00 Grand Total 3477.84 3477.84 .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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15 [11/14/2003] 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 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 FOUNDATION: FOOTINGS D. ~ll( -tX~ ..) J...-L WALLS I~ . J - (-..- iLl FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ROUGH-IN ( '/ii j 0,' I t'J cO PLUMBING , UNDER FLOOR 1 SLAB ROUGH-IN S - Z -0 ~ JL.L. ,.-- o/~!;I/ WATER LINE (METER TO BLDG) 1V'li#& J..:v GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS l~ -5 -(95 r L-l CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS H - I q -a. ~ J J-l WALLS 1 ROOF 1 CEILING ~t; -S-OS J1-1- DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILING tJ-')-Q ') I, \LL I MECHANICAL ;V I{..cU ;e;~ ~/zr/Oj- Yu- HEAT PUMP GAS LINE 1/6/06 JC1.; WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING 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. 1 PW 1 Iq -1.L-nJ IF CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 9' - .().. - Q';- II l BUILDING T:\PLANNING\FORMS\l102.15 [11114/2003] -~,-'"~--'------~- ~ a~~a*~o~oooO~Ooo~onoo~o~~~~~~ ~~~OO*HOO~~n~~~~~~~n~~H~O~~~ 'H~'*3'H'ro'H'~H'~roH'~H3HHH O~~~* ~~a<a~a<~o~<~~~~ ~n~ W~rom ~~~ro~~~~~~ ro~~ ~ ~ ~ 'HOO' 'H' 'H' H'W H' HIH~H ~Zm Wn NZ~ NZN Z~O ZN I Z Zmz 00 O~ ooa~aQo~QO ~QO 0 QOQ o ~O~~O omo om ooom 0 ~ I ~~C~~m~~~o~H~O~~~o~~~wm~~~ Zfr ~~ Z ~ ~ ~~ ~~~ ~@~g~g ~~roowmo~o~o~ON~O~W OI~~ZOZ N~~m~NOO~~WOO~~NH~ NWNm~m~ ~ 00.. m.. .. OO..~.. OOZ" noo~.. 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If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 FOR OFFICIAL USE ONLY: Date Rec.: 1- 2'{.-~g Permit #: u~5 - ~ ~ Date Approved: ~J J S- Date Issued: BUILDING PERMIT - APpLICATION Applicant or Agent::::J~(, G4'YW1~ ~ Owner: ~~t'^Y;:9_~r~q~J Address: Lft.,Cf rx...,? Jv\ \ \A.-.I ~ Phone: ~-FQp.\ Phone: City:-F~~h!Qe~ Zip:--ZfY,7- ArchitectlEngineer: Phone: Contracto-l'1Jl.I .I ~ ~ j;Jc;tate License #i11~C-l~xP: 7/OS- Address: q(,1 CJ DLu:? /IIltU.J ~ City: ~ JN~ ~~ PROJECT ADDRESS: 'tstP l!:U:X:li __ ~ MlM...,t ~ ZONING: LEGAL DESCRIPTION: Lot: 2. Block: Subdivision: MIl..Lr t:'./t.II!:;,x~./Y(~ CLALLAM COUNTY PARCEL NUMBER: n \ () Phondt~82-B I Zip: 1~f,2 Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: ~ Residential ~ New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel. 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other N~ /h1;A't!. SIZEN ALUATION: Zltyq SF.@$ -zs- ISF.=$ ~17 SF. @ $ zD ISF. = $ SF. @ $ ISF. = $ TOTAL VALUATION $ ~ n,r ~'\'"1'\d- In'1Mtbr::<t;1 I~'t, .. - / f); GZS I~ 7LfC I COMMERCIALIRESIDENTIAL: OCc!!pancy Group: Occupant Load: Construction Type: ,_~ "l<:.f'" No. of Stories: 2... Lot Size: /74t)J'i Existing Sq. Ft. 0 & Proposed Sq. Ft. 2~L/ = TOTAL Sq. Ft. 2 9~<f Total lot coverage I, .. S % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING 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 at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no 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 R1 05.3.2 of the International BuildingfResidential Code, 2003). 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 must obtain such permits prior to work. T:\RVESS\BLDG-forms-brochures\2003-BuiIdingpennit.wpd Applicant: . '1JvV'v..~ rkc'-. ". Date: I /z-zI rP ./ SO"" n: PIT LOG ~ of e r<:"h <1'" "'- ~ J<'{z I k""", "J-"=- <;"~ ;-c e~~-<"v James Schouten /f'l-lA..?T b=? I' e c- ~ rdeJ '.A../ l t{ ~ ;: L ~ If (~ 1 . I " I, ( c- . .LL") e- ./J r "-', ..L ':> "'0 C C>....... r\~' '"t-4(() d-o 1'" -") .'L~ C IF -l v 1 F ~ GI'!/6VQ[, ~ DIVISION OF ENVIRONMENTAL HEALTH 223 EAST FOURTH STREETIP.O. Box 863 PORT ANGEl ES, WA 98362 (360) 417-2332 CLALLAM COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL HEALTH SITE REGISTRA TlON ON-SITE SEW AGE CONSTRUCTION PERMIT 205009 Jacobs Cust # SIR# SEP# . C'i() ('t :'; 4 3 APPLICANT INFORMATION (Property Title Owner)* NAME: Jim SChouten! PROJECT INFORMATION DIRECTIONS TO PROJECT SITE (from Courthouse): CURRENT AtlDRESS: 4619 Old Mill Road CITY: Port Angeles, WA, 98362 PHONE: 360-452-8281 Denial or approval of an On-Site Sewage Disposal Permit may be appealed to the Health Officer within 15 days of the decision date. South on Peabody Street to W Ahlvers Road, then south on S Old Mill Road. Subject property is past E Scribner Road on east side. This construction permit expires 3 years from date of Issuance. Repair Permits are valid for 6 months only. Any change in building or sewage disposal plans or location invalidates this permit unless prior approval is obtained from the Environmental Health Division and Certified Designer. JERRY L. JACOBS I hereby acknowledge that I have read this application and state that the information supplied is correct. I agree to comply with all County and State laws regulating activities covered by this permit. No refund available after plan review completed. 'Purchaser may also be listed here: PROJECT ADDRESS: S Old Mill Road LOT SIZE 0.40 J (A)/SF ZONING RS9 #BEDROOMS 3 WATER SYSTEM: City of Port Angeles PROJECT DESCRIPTION: Single Family Residence APPLICANT SIGNATURE Jim Schouten By Designer. DATE 1/27/05 Name: (NEW X EXPANSION- REPAIR- ) JACOBS INC. Address: 221-C South Peabody Port Angeles W A 98362 360-452-4592 PLOT PLAN NORTH Draw a scaled or dimensioned plot plan of the proposed site. Include all applicable items listed in instructions. SCALE: 1 = NO ITICAL AREAS SHOWN ON MAPS 6lc.. ~ z.. .3 -0'5 '0 DATE:MAROl S, 2003 CUSTOMER NO: 203126 PIl.EP.uu:D BY: .JAcOBSDllCo %11-C South Peabody Port Angeles, W A 98361 P'8)4S2-492 .~~~\ PRESENT ON SITE: JERRY lAmBS 10E PErnRSEN WES BOND lAMES SCHOUTEN -lACOBS, INC. - JACOBS, INC. _ CLAU.AM COUNTY ENVIRONMENTAL HEALm PARCEL # : 06-30-%1-219020,30 TEST DATE: 0344-2003 TEST PIT #'J 0-14 INCHES DARK BROWN SILT WAM ~ 14+ INCHES DISTINCTLY MOTI1lID WET SILTY CLAY - OS- Glendon Bio TEST PIT NIO 0-17 INCHESDARKBROWNSILTLOAM~ 14+ INCHESDISTINCTLYMOTlUlDWETSILTYCLAY'---:- . ?) Dry <i e45' '0 f\ I ~ ~-..fs tL~k:'~ /11 '5"kJI ef 1,- c. eyL~~ I L~,t,,+ SYSTEM TYPE COMMUNITY SYSTEM NAME NUMBER OF CONNECTIONS: SYST USE: D~ry b c L~ t6v:+-\. N/A ! Y"-.. ~ U) t ~;,!,,",~'- ~ ;(.5, ",;:''''1/.::6 ,..;) Environ~ental ii~ Signature I , ::;.--:. o Approved Denied. qate .... Expiration Date Z ,./ 0 ~ /<-::> '0 ... Installer ~ N/A SFR 360 0.45 1250/1250 (3 Pods) Length 19' each Wd~ 23' each Depth 30" from nat.grd.to rim $600.00 ELEVATIONS: Gal/Day: App Rate Tank Size Drainfield FINALED BY <-.J ---.J INSPECTED <-.J ---.J AS BUILT DATE Total Fees Date Received I /1/ / c " . / Receipt # I C / I I' I Ck # L ( { ~,c I COpy "'ti ~ .., n ~ - ~ o (J) I W o I N N I N -" <0 o -" 0/ (j) C C- o.. <' - "0 W .-+ ~ ~ () ...., (1) (1) \J " m ~~ (f) .-+ W ~ ro (f) I - < 0 r o .-+ N OJ ~ o <' 5 ",tJ. 9tJ,oS-' ------- ., "'€-:;" RilE '~ .. PoD i ld=SJ ~: R-=~<C~~: -- : [~- -- ---- J I ~)D I I I I , ,------__J', 1- / l I ------__ H YD R..o sPU T1'E R. IN e,~'X ~~~. 1~L_ IZSo GALLOIJ" PUMP "TAlJi<' "" " ~ ~ <;)'. ..... f::ROp06€:.D 3- 6~DRoo",,\ [ \-\0 Mc../0AR.c:...G:.E ~~C>>')-,-,::;?Ol. t ALA..~"'" ./ IZ50 GoALU>N-/ / ~P'nc "TA"!l<, / c..U:.JvJ-OUT ~ ~~:;:% -~:/ pROpOSE!:> DR.. I VE. \VA)/ I I / , , , '- OC/.) Mia ~OA.o I 30' l-r,ltJ, ....... 5 6H 1 '= z.c: ~ D ID 2.0 NOTES: ~ ~ ..... THE CONSTRUCTION OF THIS SEPTIC SYSTEM SHAI.l. CONFORM TO WAC 240-27Z1 UNlESS OTHERWISE SPECIRED. THE CONTRACTOR SHALL BE UCENSED. BONDED AND CERTIFIED BY THE ClAU..AM COUNTY DEPARTMENT OF ENVIRONMENTAl HEAlTH. GlENDON BlOAl TER TECHNOlOGIES SHAI.l. AlSO CERTIFY THE CONTRACTOR. THE CDtmlACTOR SHAI.l. GIVE THE DESIGNER FORlY.fIGHT 148\ HOURS ADVANCED NOTICE OF INSTAllATION. FAILURE TO NOTIFY THE DESIGNER MAY RESULT IN DElAYS IN INSPECTION. THE INSTAllER SHAll BE RESPONSIBlE FOR THE PERFORMANCE OF THIS SYSTEM FOR A PERIOD OF "TWO (2/ YEARS AFTER THE COMPlETlON OF THE SYSTEM. ClAll.AM COUNTY AND THE DESIGNER MUST APPROVE t:J:fi. CHANGES FROM THE PlANS. THE B10Al TER BASIN SHAI.l. BE A PR&-CAST CONCRETE ENCASEIoIENT AND BE APPROVE) BY GlENDON BlOAl TER TECHNOlOGIES AND HAVE A 30 Mil PVC UNER. BUILDING(S) APPROXIMATE SIZE AND LOCATION DRAINAGE PITS OR TRENCHES 30' MIN FROM ass DRIVEWAY.2i2..' LOOG X 32, 'WIDE WITH ~ SURFACE UTIUTlES POWER, PHONE, .GABLE 10' MIN FROM OSS WATER UNE 10' MIN FROM OSS WElL 100' MIN FROM DRAJNFIELD WElL 50' MIN FROM SEPTIC TANK SYSTEM INFORMATION BASlN:~ET WID~FEET DEEP ~FEET LONG (;Ix) RIM LENGTH: ~z FEET <,~-.J) ABSORPTION AREA: Zl#7 SQUARE FEET ~)() RESERVE AREA: EQUAL TO PRIMARY AREA SEPllC TANK:~GALLON MONOCAST CONCRETE WITH RISERS PUMP TANK: IZ50 GALLON MONOCAST CONCRETE WITH RISERS EFFLUENT SCREEN: RATED FOR fIoO GPM GRAVITY PIPE: 4. DIAMETER ASTM 3034 PVC PUMP: SUBMERSIBLE EFFLUENT PUMP RATED AT-12...GPM AT~TDH CONTROL PANEL: USE AQUAWORX INC. IPC-l RATED FOR 115 VOLTS, 1 (ONE) HP OR EQUAL. USE NEMA 4X IF EXPOSED TO WEATHER. THE ALARM SHALL HAVE A SEPARATE CIRCUIT FROM THE PUMP CONTROLS. - - This septic system is designed for typical residential waste water strength (this is sampled at the tank out-let baffle) Note to Installer: Prior to clearing in drainfield areas, and prior to doing any installation of pods or tanks, the installer shall contact the designer and owner scheduling a time to meet on-site to discuss the intent of the plan lay-out. Possible adjustments to pod placement and/or transport and hydrosplitter may be required. NORMAL USAGE WILL MEET THE FOLLOWING CRITERIA (Biochemical Oxygen Demand) 110.250 MGJL TSS: 44.155 MGJL FOG: 10.20 MGJL ~ ~~ ~~ PH: 6.5.7.2 TEMP: 48-70'F (With microscopic life forma present) Higher waste strengths will result In premature failure of the septic system. .JAcOBSDI/lIIC. 221-C South Peabody Port Angeles, WA 98362 (360) 452-4592 CALL BEFORE YOU DIG 1-800-424-5555 FOR UNDERGROUND UTILITY LOCATION SERVICE / / CUSTOMER NO.: CUSTOMER NAME: DATE: zo5oo9 :5t::I<IOO -rEIV' 1- 2.7 -05 ------..........--... COpy s "" r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l21 EAST 5TH STREET. PORT ANGELES. WA 98]62 ... 4' Application Number Application pin number Property Address ~~J~ ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00~~ Date 988125 ~ S OLD MILL RD 06-30-22-2-1-9020-0000- RES NEW SFR 6/23/05 RS9 RESDNTL SINGLE FAMILY 177470 Owner Contractor JAMES W/SHERRIE L SCHOUTEN 4619 OLD MILL RD PORT ANGELES WA 983621911 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL ~OT COVERAGE NUMBER OF UNITS WA 98362 Other struct info . 17.50 1. 00 17550.00 3085.00 1. 00 ---------------------------------------- ----------------------------------- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL JAYBIRD/ SEPTIC 52431 JAYBIRD ELECTRIC 48.10 6/23/05 12/20/05 Plan Check Fee Valuation~ .00 o ~ '-. '" ~ ~. ~ Cj '\ "2 (\ "- ~ ~ '\ L\ J " , ~ (\.. '\, f', " --I ~ Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R-SEPTIC PUMP ONLY Extension 48.10 ---------------------------------------------------------------------------- Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors 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. Install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" 05/12/2005 04:58 PM SROBERDS _______________ ___________ The proosal will result in a new s.f. res w/attached garage in the RS-9 zone for total lot coverage of 18%. No land use issues are noted. Electrical load calculations and elctrical permits are required. > $713 Connect Fee. 05/11/2005 04:51 PM JHEBNER ____________________________ Any modifications to the electrical facilities will be- at the customer's expense. 05/11/2005 04:53 PM JHEBNER ____________________________ ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPEQ'JON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED . COMMENTS YES NO lJITCH ROUGH.IN !l.,JYER SERVICE .LLl'lfiL GENERAL COMMENTS: pW.1I02.1~ (4196) dro'''~. ~~ \!J!! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANOELES.WA 98]62 Application Number . . . . . 05-00000357 Application pin number 988125 Page 2 Date 6/23/05 Permit Fee Total Plan Check Total Other Fee Total Grand Total 48.10 .00 1029.50 1077.60 48.10 .00 1029.50 1077.60 .00 .00 .00 .00 .00 .00 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEQ'.I0N RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-lI02.IS (4196) ~ "'r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES, WA 9RJ62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER, Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000059 Date .054022 4515 S OLD MILL RD 06-30-22-2-1-9010-0000- RES NEW SFR 2/08/05 RS9 RESDNTL SINGLE FAMILY 200015 Owner Contractor ------------------------ JAMES W/SHERRIE L SCHOUTEN 4619 OLD MILL RD PORT ANGELES -~---------------------- WA 983621911 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 2449SF SFR W/ATT 817SF GARAGE TYPE V NON-RATED SINGLE PAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 16.50 V-N ---------------------------------------------------------------------------- 2.00 1. 00 17424.00 2884.00 2884.00 1. 00 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 60 A TEMP SVC / SHAMP SHAMP ELECTRICAL CONTRACTING 42.20 Plan Check Fee 2/08/05 Valuation 8/07/05 .00 o ~ ""-. ~\ ~ ~ ~ 1 Qty 1. 00 Unit Charge Per 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR ~ ---------------------------------------------------------------------------- Extension 42.20 ~~ 'i:" .~ \. \..) r:, Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutt€rs are installed, drains will located in dry wells or piped to approved storm drain locations. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as IIFire alarmll The ~roposal will result in a new s.f. residence in the RS-9 zone for total lot coverage of 17%. No land use issues are noted. Electrical permits are required. OH Residential Connection Fee Applies $410.00. Late Comers Fee Applies. $501.25. (See Cost Letter. Job# 9877 WF30000/01) Ditches and culverts will be installed to City Stanards. See Public Works Engineering for Standards. L ) "- ~ r' ~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPE(;f.lON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. INSPItCTION TYPE DATE ACCI!.PTItD COMMENTS YES NO IlllCti IH11 T~H_IN I CUVbK SERVICE I KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: pW-II02.1~ (4196} 'S '" r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANGELES. WA 98:l62 Application Number . . . . . 05-00000059 Pin number . . .054022 Page Date 2 2/08/05 ---------------------------------------------------------------------------- Special Notes and Comments Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1029.50 1029.50 .00 .00 Grand Total 1071.70 1071.70 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPE(:TJON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED pLANS AT JOB SITE INSPECTION TYPE DATE coMMENTS NO GENERAL COMMENTS: pw.\102.1S \4'96) Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only Lot: 2- -fV\tu.r ~4f4c/ ~Cd/YlJf1,.C; Address: D4.J Mv 1 ./)7-<l:3t-J City: fbl,7-1 J,Ji<<f7'U..5j ~J()r- State: -W.tl=-- Zip: 9f;3~2- Contact: -0 '&fV\.l1~ y~ 'lP-r J Phone: ~-I3~1 , Permit #: Notes: Phone 2: 'trIO' G~ p, Fax: trS2-02.rz.. n Im1te azmg tlOn ny Glazing Glazing U-Factor Door9 Wall Wall Wall SIab4 Option Area JO U- Ceiling2 Vaulted Above Int4 Ext4 Floors On % of Floor Vertical Overhead II factor Ceiling3 Grade Below Below Grade Grade Grade III Unlimited Group R-3 DAD 0.58 0.20 R-38 R-30 R-21 R-21 R-IO R-30 R-IO Occupancy Onlv Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Ur'dGl' O' 01) See the code text for footnote references This project complies with the following: ../' The project is a single family residence or duplex. ../' The project is wood frame OR all of the insulation is interior or exterior of the framing. ../' All building components meet the requirements listed in Table 6-1, Option III. ../' 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: o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the standards is allowed. Location of the door taking this exception G ~a.- -:70 Lr ,lvl~ ~ o 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking this exception Copyright 2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 Mill Creek Construction Inc. 4619 Old Mill Road Port Angeles. WA 98362 360-452-8281 voice 360-452-0292fa"'C -- - 111'1/05 - \J{d1\!f~,- - - 04-? MIl;(..;' I?'.!>' L41 ~ M lU/W~fl,s-?#tr1"? NO)2..'1 JY ~ - 1 1CJ5~ f .- _1 . -; J ~ -3~\ - 1- {:#J~ -/7'-& 4L- _ __l- I ( t I I , 1--__J ~ - - I I I ~L ..s:rD I 6~t'\~ ~C.f'1~ ->J~7~'\ - '~--l--'';'; ~\~ f:'\~J 4. " . (' J. . 1 , . I ) I ~} ! ! L 1/ I :,1 / / f_ 17 - ril _ - _ , t h I ~ Ij I " I '1 , - - - .. Ii ~ ~ '10\-7 ZD' t WJ if I 1f i ;-501 SZl lit' II I II NCAf :: 2.5'