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Home My WebLink About4607 Old Mill Rd - Building S.-. '~ .....<": . ~" ~ !;J ElectrIcal Contractor CJ Owner ....... o Annu.a1 Permit Q Alum 0 Carnival 0 Commercial ~~Sideoti;d l.i"'\1 ELECTRICAL WORK PERMIT APPLICATION 1:1' Request Inspection o Resldenti:d Malot. CJ Signs 0 Thermostat Q Telecom. Job wired by '15 Electrical Contractor CJ Owner Installation description .',," \ Electr1c31 contractor name License number /,J,/Jrrrnp F::7:El.:-reXAL L oiJ71?fl'r'TINCr IN(', P~haser's mailing IIddrC5S TO M.3g-:s Ci 'ker -4J6t:!-'Cs. tVl, Telephone number 0- &:l " . p~(),:;)~~'3 State ZIP '7X%~ FAX number IDU-f ~-we.y J Premlges owner-Is name IYIlll C~J::' Address or i05pedion %07 S', Old ,11:11 el. 7 ,4/11 f l1e rm I 'j CJ,f; - 3s ? Y/.zuJ SPR dJo-O{;-Q5 '2-- IJ Cash CJ Check # I hereby certify that I am the owner of th.e above named 'Property or s. licensed Q Credit Card Visa Mastercard Discover elecuical Contn!ctOl" (or the finn's amhoriud agent) and am making rhe el~ctrical r-} instdl:Hion or alteni.t;on in compliance with the electrical taw, Chapter 19.28 RCW. Card # _ ~ &l. _~ _ __ _ _ _ _ _ _ __ re 01 Owaer, tJectrJc.a~ € ntr nor or eJ~ctricll' lldm'o'JU',UDr Expiration Date of card x Dllll "'J1llI'OV;J3 B~ SERVICE ~ M Oil! I\ppl'llv!dliy ~ InDER WALLS Insulatioll Only CEILING In5UI3.tion Ol\ly THERMOSTAT D;llll Approved f:ly 01l1~ Approved By.. we' DITCH \.'" COVet CoveT Dille A>>PI\lV~oJ By D~le AlI"rov~d By D~\~ ApJlr(l"'c~ By Du. ~t1("g..eday Electrical Load Additions and or 9ubtractions Q NO LOAD CHANGES a easeboard KW o Furnace KW D Heat Pump _ Ton _ LAA Q Fan-Wall KW ,,~\ ~/t, ServIce Information (' Voltage ~ PhasoO, 03 "- Se",ic. S;Z.i - Z . ) Feeder Size: ,_ o Overhead Service o Temp Servtce C Underground Service Inspection Date . , fc/z.,/~ Area. Building or Equipment In~pected Action Taken Elccrrical Inspector dH vJf 0(0:. 7 t ~ 6,.,. e.d 4!!:- Se..+ FeD +..-a"'F\...e."", A-P 51 :11/{)~ 4tf) lOO/LOO~ X~j 8G:,l ,OOGILG/,o r' /' 09/15/2005 05:51 3606830869 y h~U (i )(Electrical Contractor 0 Owner ~_...:I D Annual Permit 0 Alarm Cl CD.mival 0 Commercfisl KIRSCH ELECTRIC INC PAGE 01 El...ECTRICAL WORKPERMlT APPLICATION I:J RCQuest Inspection ." '" ~esidentlal 0 ResidelldoJ Maint, 0 Sill1ls 0 Thermost.t 0 Tclecom. .fob ..ired by ~Electrical Contractor 0 Owncr ~'~~ ng-\e_cJ-n c..\~r.;lZ\ 'i2GCE 10; purchaser'st511cns ade;SO')( 3 ~4..b City Slate lIP S(S EX,\.A..-lM t.A,)A-- F!}l'q" q ~~c;r2- B~~~QS4> Telephone number J (). ~""O-b"'6 Prcmi5r!il own~r's name /vi. \ L-L- c..r'<-6E-~ Ctl"-.)s. T. Addr"'Of~ bltA Mil I ~ CHy 'Po Ri" kN c> E-l-87, \).JA q<:&3h '2.. 'fup 'fJO-bZ.~S .:rl~ I hereby ccrtij)' that I am the owner of the above named propcny or a licC=n!jt;d electrical contractor (or the finn'~ authorized agent) lInd am maklng the: electrical installation or ..lteration in compliance with the cleclricallaw, Chapter 19.28 RCW. WALLS IMul:ltion Only CEILING Insuhllion Only 1f/~eover ^ifP D ~ vedey ^1l1'l'flllc,j By /b<O Al'm'olllld fly ElectricllU.oed Addlllons end or !i\lJ>J):eclions 1:1 NO LOAD CHANGES o easeboard KW a Furnace KW Q Heat Pump _ Ton _LAR ~ Fan.Wall _ KW '0/6, Instnllation dC!lcription J ,I w ~ SPP .. ).3 0 9' ?, 3, 2_ 2.1 LL! 'SQ. \"'"r It q ("A"U!:(,L IVTI\ L I' "l' ~ \f'> '\:) Expiration D e of card lnspcction fee $ tfo~ .f.oo THERMOSTAT SERVICE U"'e ^1\r'I:'''~1I 9y Dille ^flflM\letll'ly DITCH FEEDER Dnte ^Pllrrwed By DAle ^1ll'"'\ICllBy f ., S_ervlce Info.t!!!sllon o Overhead Service 1:1 Temp Service Cl Underground Service Voltage Ph..e0103 Service Size: __ Feeder Size: Inlipection Date Area. Building orEquipmenl1nspccted oj: ~ C-<sv,~"'f.+1- 'iPe.DC..c;+v1 .IL, 11-1""; :t:..cT.fLl \ /lCd9~ Cj /01' Action Taken Electrical lr'lSpedor r:tI71~ Ct" d" II- o"==- ~ -- ~- ... ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # 05-~ ADDRESS /"7/ L-L C ~~ ~tJZ "? /' (., ,e.d APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 o. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 o. . . .. . . . . . . . .. . . . . . . SERVICE. . . . . . . . . . .. . . . . . . . 0 O.....................A~..................y CORRECTIONS NEEDED@ /n'L.~-----<- dA-:StL CcvJfA /l/~5 a... . 7b 1'3/.Z ;::> ~ .., ~ 1/J11!!/.5 L...4F. : 77z.., n-7. t:Z.C H7a o/L b . If'~CJl/E .:5It-/Ct:'AYL oj- /?7A-~Al'. 77,(~7b 77G/~ C.OI/€/2 Nd ,..- _ 50 (f)r/ @ P!~/",-, /R~6.~",/V UN"',"; /' r'~~4-Jd~ ~-t. T?> ~r v~ j I NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452-1381 Page 1 of2 . .'..... . . ... - I? ~.. POST ON JOBSITE PRIOR TO BEGINNING WORK . CONTRACTOR NAME ABSOLUTE AIR INC ELECTRICAL CONTRACTOR ELECTRICAL WORK PERMIT # EP1097612 LICENSE NUMBER INSTALLATION DESCRIPTION: ABSOLAI990NN T-STAT PURCHASER'S MAILING ADDRESS 2820 E HWY 101 PORT ANGELES TELEPHONE NUMBER (360) 452-8444 WA 98362 FAX NUMBER ()- SERVICES TO INSPECT: DESCRIPTION AMOUNT RESIDENTIAL THERMOSTATS NUMBER OF T-STATS Inspection fee: $36,40 QUANTITY 11 I 1$36.40 I PREMISES OWNER'S NAME MILL CREEK CONST ADDRESS OF INSPECTION 4607 OLD MILL RD PORT ANGELES Date Approved By POWER COMPANY Clallam County PUD Date WALLS Insulation Only Cover CEILING Insulation Only Cover Inspection Date Area, ui Action Taken Electrical Inspector Property ner: This is your permanent record of inspection FAILURE TO POST PRIOR TO BEGINNING WORK WILL RESUL T IN CIVIL PENALTIES I Print Permit I http://scsd. apps-insideJni. wa.gov/pairspermit/rptPenni t.aspx? ApplD= 122 9/22/2005 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 MILL CREEK CONSTRUCTION 4619 OLD MILL RD PORT ANGELES (360) 452-8281 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000357 Date 988125 4607 S OLD MILL RD 06-30-22-2-1-9020-0000- RES NEW SFR RS9 RESDNTL SINGLE FAMILY 177470 Owner Contractor JAMES W/SHERRIE L SCHOUTEN 4619 OLD MILL RD PORT ANGELES WA 983621911 Other struct info . 5/23/05 t=T NA. l "tV ~3/~ WA 98362 17.50 1. 00 17550.00 3085.00 1. 00 ---------------------------------------------------------------------------- permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 2309SF SFR W/ATT 632SF GARAGE 49601 1454.05 Plan Check Fee 5/23/05 Valuation 11/19/05 Qty Unit Charge Per 78.00 BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) ---------------------------------------------------------------------------- Extension 1017.25 436.80 ct!"~ t. ' ) -.:L 6'> ~ ......::r Permit MECHANICAL PERMIT Additional desc Permit pin number 49627 Permit Fee 108.60 Plan Check Fee Issue Date 5/23/05 Valuation Expiration Date 11/19/05 Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 5.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 581.62 177470 .00 o Qf) 0. Extension 47.00 14.70 36.25 10.65 (), 'V - CL PLUMBING PERMIT ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 49619 138.00 5/23/05 11/19/05 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 7.0000 ECH PL- EA.WATER HEATER - ~ -.::;;. ,... - .00 o Extension 47.00 77.00 7.00 7.00 ?t> o 6-. ---------------------------------------------------------------------------- ,,~=~,~, T\T~t-=~ ~~... .~ SeparatE!lP~Mi{lg~<M~tHte@j:if9f1e~j1ji!;aMtJr~,eS[AA, ~/:1@relfi1'e,!f:S~ uffiitil!ls, 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 t ~ <~L~ k" . t-i.,.~/t. ')i\ ~gnature of Ow r (if owner is builder) ,/1 55/Z-:J)O S-' / ' Date T:\Policies\1102_15 building pemlit inspection record05,wpd [l/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS , ~ . '. . YES NO FOUNDATION: FOOTINGS . . WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) ,. PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING ~ FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R,W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T:\Policies\ 11 02_15 building pennit inspection record05. wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000357 Application pin number 988125 Page Date 2 5/23/05 ---------------------------------------------------------------------------- Special Notes and Comments 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 alarmll 05/12/2005 04: 58 PM SROBERDS _ _ _ __ __ __ __ __ __ __ _ _ _ _ __ _ _ __ The proosal will resu}t in a new s.f. res w/attached garage in the RS-9 zqne for total lot coverage of 18%. No land use issues are n~ed. -', . 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 ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1700.65 1700.65 .00 .00 Plan Check Total 581.62 581.62 .00 .00 Other Fee Total 1029.50 1029.50 .00 .00 Grand Total 3311.77 3311.77 .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\ 11 02,15 building permit inspection record05. wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL Ai"Y 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 I YES NO FOUNDATION: FOOTINGS &/I&/OC, f\,;l/ WALLS 0h-;; 1(;1:1 r[.rV FOUNDATION DRAINAGE 1 DOWN SPOUTS {PI'"}./j /o,c:J JU/ / . PIERS POST HOLES (POLE BLDGS.) ~....... PLUMBING ~J -12-l~~ UNDER FLOOR 1 SLAB ROUGH-IN Iq-q-os I L J.. WATER LINE (METER TO BLDG) I , GAS LINE BACK FLOW 1 WATER ~ AIR SEAL WALLS ~- !).~(),<) I_I ~L. , CEILING ~ FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS '1-q....nS ,U~ WALLS 1 ROOF ICElLING ?_I\n_nc:"' oJ ~\.- DRYW ALL (INTERIOR BRACED PANEL ONLY) , v . T-BAR Ir\SULA TlON SLAB WALL 1 FLOOR 1 CEILING 110-5- oS J 1..)... MECHANICAL .p;.'A~f.! -.flir~c- HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTlOl\: R.W. / PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policics\ 1 102 _ I 5 buddmg penmt mspectlOn record05. wpd [114/200) 1 , to , t" , '" , '" , , 0 , w , , , r~ , , , , , , , , , , :~ , , C-ftrfP.l;>;;'Wrto ~ , H c::: 0.. 1-'- rt i?' LF1 3;Hp.rr '0' L'tiOI-' .... 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'" W ...... o "'''' BUII:'DING DIVISION CITY OF PORT ANGELES * * Job Located at Correction Notice 4(poj olJ W'-'[ / Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~.:r ~.. vJlt! "FA.) *- -;;. r1-fH.h .. . -. k tirY , vol- 1C\~qLJ ~. ,fl C~C9V"lflek.) ~ t l~-i f' ~ 0~h\i U/JE ~ ~J~~~ 7~rt~h- J These corrections must be made and are not to be covered until reinspection is m~dr' When corrections have been made, please call '~I - L( k'} ~- for inspe1tion. 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H H Z l':ll':lH t< Cl ~ :0 l':l ~ t'l UlCll':l;" Ul l':ll':l Cl <: t'l o-J o-J :0 o-J :0 !i1 t'l :0 . !i1 :O~ t< :>: :>: t< :>: t< t<3: t<t< H 0 0 >< 0 >< ~ ><. ~ ><>< t'l t< t< t< W ~ '" t< 0 >< " lJ1 '" I CD '" CD H 0'0 ;,.;,. o-JCl l':ll':l '" '- '" W "'- o \11W BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at 1Go 7 s' 0/1 r1r/lJ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~ , ~,Lr- b /1>r_ [, .fJ. fLc ~""S (49.. il ) [ Sf/I.+- w~tL<;.. ~ ~p/Q~ ~ J;}DCtL ..:c--u N )fL ~I J A- ~( ~ r; 4-s: L~{=? ~ G4'~ O>'k ~ /L ;V\ I B ~ These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call L{ I 7 - '-{ '{'J c- for inspection. Date i / ;)~Jv S-- I , JZ7-- Inspector for Building Division DO NOT REMOVE THIS TAG tJj tJj tJj tJj >-J 'Cl ::;~~8E; n'Cl I:'" I:'" H I:'" 0< ~ H;c '" "l '" H '0 'O;cZZO >-JOl 0 ...... 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"' OOy3:oJ::> ~~~~~ owtrjt-t...J Oom o! n UJ ON:::::U o N...........tlj 0 WI (J) tJ:j t-t LnN::r:~t::I .... , '" l--'::dn3: ::d1::t!OH tI:lI.OHZt-t (f)otJjC/)t-t '" >-3 ZOL":U::O tJj I c:: t:l ::::O{J)I) on >-3 (flO:r::H l"IjoOO :u I c:: Z >-3 '" Z n'O H", >-3'" 0<'0 ;J> 0"' "'''' o '0 o ",,,, >-3"- ~E. G)o "'Ul 1:"- '" mH Co> Co> '" "" H '0 'Om aa~ ZZO "''''H <: H H ZZ mm '0'0 "'''' nn >-3>-3 OH "'0 " Z <,>-3 ~8 "',., m", >-3 I:-' I:" H '" "' I:" 0< Co> '" o "" Ul '" , CD '" CD H 0'0 ;J>;J> >-3G) "'''' '" "- H '" "- o UlCo> BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: ..:; -~ - C S- ;i !pennit#:~ ate APproved:~ ate Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent-=r h,,^~> _ Y ...~t-Olll e......J Owner: 1\ \\ Phone: it S-z. B-2-fil Lt40 (r,wA Address: 4(01 q o ~ fV\ \ LA...... [2..v.;/ Phone: City: POil.. r Al"'.Jb~S Zip: cy ft~ it /_ _Architect/Engineer: Phone: M /1. .. _. /~ M IL<.....-U-i Ol#&Mh Contractor' -lJl..o(...; '-"1~,-.l.A)rJ':>7 State License #: . Exp: 7/ 0(, Phone:ij52....S2.8/ Address: '1tJI q DLv.? IVl/U -' f2.::/ City: Zip: PROJECT ADDRESS: 'tuG'"7 CCt-j I'" \ lit., I"~;..;I ZONING: LEGAL DESCRIPTION: Lot;.3 Block: Subdivision: f.^.\ \,A./ C.tef:r<: I ( r:<' In jj:,~:;"J' CLALLAM COUNTY PARCEL NUMBER: oev ]072... 2,) 9020 oc'C-c, Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: )8( Residential KNew 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: MC # o Stove o Garage o Deck o Other N~LV SIZENALUATION: f).2 cD 3 SF. @ $~SF. = $ I (O~t3::J, ~ , 3 SF. @ $~/SF. = $ J" -- J [)." ,~ / H If SF. @ $ J Q,oo /SF. = $ I? ~Y:. f.o#I TOTAL VALUATION $ I ??J./ '7 06 Q$? ~"J YJ(JJp ~''''vli? h I[1rYl..p '-II / f-i1 ~ fJ;; c h-Qrj G " ....,> 3 ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: L Lot Size: I '1 ~~~ Existing Sq. Ft. - Total lot coverage 17# F> Occupant Load: Construction Type: & Proposed Sq. Ft. 30 cg' 0- = TOTAL Sq. Ft. 3086-- % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAIW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 cunent 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: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential 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-fonns-brochures\2003-Buildingpennit.wpd Applicant: ,~ /(/..':)~ Date: ~~ f'jS'" /f / ." V ;.; iJc l oLllY/, Ii ki Phb Trt:(p., - II will __ I 5.e.-u'~/J-- - ) Vet 1<').. _ i trl~c-- JJ v-Lvth - ~ <::?.rs Fitvj/kc-- ( /I.eetl- (1..n-t. p _ , l-v ~I r jI,~,..uv- I If ~--~-~.,./ /.---- -: :~. if ,---,. .,/ !._--. ~. :oi -"-~;T:;''''.-, "~-___ . .-. . . j . -'-- --.. 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'''';''~'~~~;i i ---------.....-.... ~- J _~_ __ ___ - .~.~- -_._--;:::.::::.._----~.- --', /':r.-/ _A\t~ r":">~" . -~-~----........U'l""~__.__,.._...., '-,- ~~ -.. ~ - -=- --. ,- --- '- ..c --~~;:''''~~:"~'''::'O':':'~.:='~':~::''.:':':''::::!:'',,'.!::':'''''='''=:''''..~_" 4~(Jl@J1 1'4Z;~'0;~-l ; \.Jt) ( ,.-t.:-:~:~:_=-.~ /~.'- L/{i/;1 J<-.@--.."_ . 'J \:0 ----,,'0__-.::.::.:::..::- ':ic;~ " ..'....'.1 ,:/ I I I ! r\ Vertical Datum = NA VD 88 )( .. .... ~ ~,r ~~ This map is /lot intended fo be IIsed as a legal description. Tin'.. mnn/dmwinrr i, nrnn'llcpd bv the Citl! o(Port ill/f!l?ies (or its Oll'lt use and p1llposes. HI H~H _ 19~ fie H_ ____ _-H----- __ _ _ _ j _ _ _ _ __ ------~------+----~--------- I I ?h I I rn I I ~ I I 7\ I I I I I I I I I I I I~_- I I I I 25' SETBACK Ul ~ fft" Ul :~ f6 IU U DRiVEWAY U IU.....'-.. I l> '-.. ........ ........ ........ Z '-.. '-..1 ~ It '-.. m........ I '-.. r= ................ I '-.. U ........ ........ '-.. '-.. ~~~~~-~~--I~~--~- ---- ----........... 1 05' Go 25' SETBACK D I ------1--------- I -- ~%'~~ }----- (j) m -I OJ l> () 7\ 62' 68' ('f') ~O ,lien r ~$- I II~ (j) 1m ~ ! ~ ~ ~ -0 - ~ r II 1'0 )> ~ I 1'0 Ilz ~ ~ (j) ll~ , r llG\r, G oG' a m Ol>OO IU~ -I G\ IUIU::I-I C l> -1-1 VJ l> ()l>m l>O a rG\ AJ r mm z' It (j) m G\U ::I CJ 11 ~::I r m a mr= r (j) a ,(j) , () () 0 ---t EIU IU AJ /' l>U m 0 l> '" 't-.. (j)' m 1) C> 1 G\ r 7\ N 1'0l> m Z ---t /' G'VJ() m - '" G\ a " J;:VJ~IU (j) (j) !. -I -I , VJ1'0Ulm a l> z ~ -;;; Z -I ,:;j m (j) " ~ rn REVt5ICNS BY DRAV\I'N IW A NEW RESIDENCE $. " ^' /)' -1 " -_....---- "' " '. DRAFTING & DESIGN . '; J> ; I if c;.ttO"fl) E>Y DArE FOR Jerry O'C1aire ------"- Deeigner Freelance Draft8man 01J MILL CREEK CONSTRUCTION INC. (360) 452-3130 ~ ----- SM2 Ew'llCe. Port AngeIee. WA SNJ362 Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only Lot: Permit.#: Address: tf' 0 7 0 LD Mil-'- RD . City: P d (' -\- A. '^-3 e I .e <7 State: 1)/ A Zip: Contact-.Jc,-"",,- e<; <;C' hti (A+-e.V\ Phone: LfS--z. 752 'Of Phone 2: 4 b 0 C, 7 6 F Notes: Fax: n ImIte azmg tIon ny Glazing Glazing U-Factor Door9 Wall Wall Wall SIab4 Option Area 10 U- Ceiling2 Vaulted Above Int4 Ext4 Floors On % of Floor Vertical Overhead 1 ] factor Ceiling3 Grade Below Below Grade Grade Grade ill Unlimited Group R-3 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-I0 R-30 R-I0 Occupancy Only Table 6-1 PRESCRIPTIVE REQillREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (D r . d GI . O' 0 I ) 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 prgiect will take advantage of the following exceptions to the prescriptive option: u::r 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 o 602.6 Exception 2. Doors with a U-factor of DAD 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 712612004 ~~---,--- ...'" 205009 Jacobs Gust # DIVISION OF ENVIRONMENTAL HEALTH 223 EAST FOURTI-f STREETIP.O. Box 863 PORT ANGE! ES, WA 98362 (360) 417-2332 CLALLAM COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL HEALTH SITE REGI&TRA TlON ON-SITE SEWAGE CONSTRUCTION PERMIT SIR# APPLICANT INFORMATION (Property Title Owner)* NAME: Jim Schouten! ~~~~~~: 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. 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 penult 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: APPLICANT SIGNATURE Jim Schouten By Designer: DATE 1/27/05 Name: JACOBS INC. Address: 221-C South Peabody \~ Port Angeles W A 98362 360-452-4592 SEP# /,1 C,-) ') ~ (J{! ~) 4 _~I PROJECT INFORMATION DIRECTIONS TO PROJECT SITE (from Courthouse): 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. 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 (NEW X EXPANSION- REPAIR- ) PLOT PLAN NORTH Draw a scaled or dimensioned plot plan of the proposed site. Include all applicable items listed in instructions. . ~ NO ~RITICAL AREAS SHOWN ON MAPS ole.. ~ z.. "~ ..0'5 o SCALE: 1 = DATE: MARCH 5, 2003 CUSTOMER NO: 203126 ) /' ~~ Mz.t~~)C;5 _:e~/0- I. _ \ ll-r~/l~ JA ~ SOILS TEST PIT LOG k- 0 e ~ it <1 h.. fOIl 'f , . ""d ~ "'l n ~ - =I:t:: o Q) I W a I N N I N -" co o -" o / -I (J) C 0- 0. <=:" --. u ID .-+ 5: ~ - 0 .., CD CD \j " m ~\ (f) .-+ W .-+ ~ CD C/l I < 0 'S ~r..'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 911~62 pp lcatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . , . Application valuation 05 00000357 Date 988125 4607 S OLD MILL RD 06-30-22-2-1-9020-0000- RES NEW SFR 6/07/05 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 ..LOT 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 TEMPORARY SHAMP/ TEMP SVC, 50260 SHAMP ELECTRICAL 42.20 6/07/05 12/04/05 SERVICE CONTRACTING Plan Check Fee Valuation .00 o ~ ~ I\) ~ Qty 1. 00 Unit Charge Per 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 VI ---------------------------------------------------------------------------- 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 alarmH 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 b~at the customer's expense. 05/11/2005 04:53 PM JHEBNER ---------------------------- '\ () (' lJ ~ , ~ \ ~ Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee summary Charged Paid Credited Due COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEg.lON RECORD CALL 4) 7-4735 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 INSPEC110N TYPE DATE ACCEPTED COMMENTS I YES I NO IJII (:H - .- KI JllhH-LN I CUVER ~b.K. V 1 Cb ~n\.T A T I ................ GENERAL COMMENTS: PW-I 102.13 (061 d'O"'~ '(I CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 Application Number . . . . . 05-00000357 Application pin number 988125 Page 2 Date 6/07/05 Permit Fee Total Plan Check Total Other Fee Total Grand Total 42.20 .00 1029.50 1071,70 42.20 .00 .00 .00 1029.50 .00 1071.70 .00 ,00 .00 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEgION 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-II02.U (4196] .. '~ w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l2\ EAST 5TH STREET. PORT ANGELES. W A 9RJ62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000357 Date 988125 4607 S OLD MILL RD 06-30-22-2-1-9020-0000- RES NEW SFR 9/21/05 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 LOT 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 KIRSCH/2941 SQFT SFR 60376 KIRSCH ELECTRIC 166.60 9/21/05 3/20/06 INC. Plan Check Fee Valuation .00 o ~ ~ "'-J Qty 1. 00 4.00 Unit Charge Per 73.0000 ECH 23,4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 93,60 G --~------------------------------------------------------------------------- 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 alarmll 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 ---------------------------- (j [\ \J ~, "' (\. ~ ~ ~ ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4,50 1025.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION 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 INSPEC110N TYPE DATE ACCEPTED COMMENTS I YES NO I II'll :H Wl 'Vl -rH_IN / COVER :S~K V lC~ I GENERAL COMMENTS: PW.Il02.J~ 14196) ,/;~ tw w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l21 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number . . . . . 05-00000357 Application pin number 988125 Page 2 Date 9/21/05 Permit Fee Total Plan Check Total Other Fee Total Grand Total 166.60 .00 1029.50 1196,10 166.60 .00 1029.50 1196.10 .00 ,00 .00 .00 .00 .00 .00 ..00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfIONRECORD 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 ACCEPTED COMMENTS YES I NO I III :H , -,.1. 3-0b ",hU KIIIII.;.H_lN I CUYhK 'j-';'3-() ~ 1< ~ ,) :S~K V 1\;~ '7--3"( - ~L .4 "1) ) ---- '[;'",T AT S - f If - 0 C:. I dlrJt j GENERAL COMMENTS: PW-II02.U (4196)