HomeMy WebLinkAbout1407 Morning Court Address:
1407 Morning Court
PREPARED 4/29/14, 13:30:31 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/29/14
------------------------------------------------------------------------------------------------
ADDRESS . : 1407 MORNING CT SUBDIV:
CONTRACTOR GREEN CROW CONSTRUCTION LLC PHONE (360) 417-3661 -
OWNER GREEN CROW PROPERTIES INC PHONE
PARCEL 06-30-14-6-7-0380-0000-
APPL NUMBER: 13-00000902 RES NEW SFR
------------------------------------------------------------------------------------------------
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS .
PL6 01 10/25/13 JLL PLUMBING WATER SUPPLY
10/25/13 AP October 25, 2013 9:16:06 AM pbarthol.
Todd 461-9566
October 25, 2013 3:36:39 PM jlierly.
PL2 01 12/02/13 PB PLUMBING ROUGH-IN
12/03/13 AP December 2, 2013 10:39:50 AM pbarthol.
Todd 461-9566
December 3, 2013 9:04:56 AM pbarthol.
PL99 01 4/29/14 JLL PLUMBING FINAL
April 29, 2014 12:11:26 PM pbarthol.
Curt 775-5450
--------------------- --------- COMMENTS AND NOTES --------------------------------------
PREPARED 4/29/14, 13:30:31 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/29/14
------------------------------------------------------------------------------------------------
ADDRESS . : 1407 MORNING CT SUBDIV:
CONTRACTOR GREEN CROW CONSTRUCTION LLC PHONE (360) 417-3661
OWNER GREEN CROW PROPERTIES INC PHONE :
PARCEL 06-30-14-6-7-0380-0000-
APPL NUMBER: 13-00000902 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULTRESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01 10/09/13 JLL BLDG FOUNDATION FOOTING
10/09/13 AP October 9, 2013 8:23:49 AM pbarthol.
Bruce 417-3669
++++++++++++++++++++ AM +++++++++++++++++++++++++++
October 9, 2013 9:38:24 AM pbarthol.
October 9, 2013 1:23:02 PM jlierly.
20' ufr installed/ill
BL2 01 10/15/13 JLL BLDG FOUNDATION STEM WALL
10/15/13 AP October 15, 2013 8:17:21 AM pbarthol.
Todd 461-9566
October 15, 2013 4:17:32 PM jlierly.
BFF O1 10/30/13 PB BLDG FLOOR FRAMING
10/30/13 AP October 30, 2013 8:51:19 AM pbarthol.
Todd 461-9566
October 31, 2013 8:31:40 AM pbarthol.
BL9 01 12/02/13 PB BLDG SHEARWALL
12/03/13 DA December 3, 2013 9:16:03 AM pbarthol.
BL9 02 12/03/13 PB BLDG SHEARWALL
12/04/13 AP December 3, 2013 9:16:48 AM pbarthol.
Todd 461-9566
December 4, 2013 10:43:48 AM pbarthol.
BAIR O1 1/02/14 PB BLDG AIR SEAL
1/03/14 AP January 2, 2014 8:22:46 AM pbarthol.
Todd 461-9566
January 3, 2014 8:56:41 AM pbarthol.
BL3 01 1/02/14 PB BLDG FRAMING
1/03/14 AP January 2, 2014 8:22:27 AM pbarthol.
Todd 461-9566
January 3, 2014 8:56:41 AM pbarthol.
BLI O1 1/06/14 PB BLDG INSULATION
1/07/14 AP January 6, 2014 10:34:38 AM Pbarthol.
Todd 461-9566
January 7, 2014 8:39:09 AM pbarthol.
BL99 01 4/29/l14 BLDG FINAL r
1A _ April 29, 2014 12:10:54 PM pbarthol. \,
775-5450 %�— 0Z)L)"x:--
Curt
--------
---
PERMIT: ME 00 MECHANICAL PERMIT Iy J
REQUESTED INSP DESCRIPTION 0 /yy [� r
TYP/SQ COMPLETED- RESULT RESULTS/COMMENTS . ��W,
---------—--------------------------------------------------------
------ ------ ----------------------- ----- o� ^ ,{'��� �
ME99 O1 4/29/14 JLL MECHANICAL FINAL '�F"I v ��� NOVO�..-l.e
April 29, 2014 12:11:19 PM pbarthol. 11
Curt 775-5450
------------------------ % -----------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--------—------------------—---------------------------—--------------—--------------------
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
PREPARED 5/13/14, 13:36:24 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/13/14
------------------------------------------------------------------------------------------------
ADDRESS 1407 MORNING CT SUBDIV:
CONTRACTOR GREEN CROW CONSTRUCTION LLC PHONE (360) 417-3661
OWNER GREEN CROW PROPERTIES INC PHONE :
PARCEL 06-30-14-6-7-0380-0000-
APPL NUMBER: 13-00000902 RES NEW SFR
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
--—------------------------ _
BL1 01 10/09/13 JLL BLDG FOUNDATION FOOTING
10/09/13 AP October 9, 2013 8:23:49 AM pbarthol.
Bruce 417-3669
++++++++++++++++++++ Aly +++++++++++++++++++++++++++
October 9, 2013 9:38:24 AM pbarthol.
October 9, 2013 1:23:02 PM jlierly:
20, ufr installed/jll
BL2 01 10/15/13 JLL BLDG FOUNDATION STEM WALL
10/15/13 AP October 15, 2013 8:17:21 AM pbarthol.
Todd 461-9566
October 15, 2013 4:17:32 PM jlierly.
BFF 01 10/30/13 PB BLDG FLOOR FRAMING
10/30/13 AP October 30, 2013 8:51:19 AM pbarthol.
Todd 461-9566
October 31, 2013 8:31:40 AM pbarthol.
BL9 01 12/02/13 PB BLDG SHEARWALL
12/03/13 DA December 3, 2013 9:16:03 AM pbarthol.
BL9 02 12/03/13 PB BLDG SHEARWALL
12/04/13 AP December 3, 2013 9:16:48 AM pbarthol.
Todd 461-9566
December 4, 2013 10:43:48 AM pbarthol.
BAIR 01 1/02/14 PB BLDG AIR SEAL
1/03/14 AP January 2, 2014 8:22:46 AM pbarthol.
Todd 461-9566
January 3, 2014 8:56:41 AM pbarthol.
BL3 01 1/02/14 PB BLDG FRAMING
1/03/14 AP January 2, 2014 8:22:27 AM pbarthol.
Todd 461-9566
January 3, 2014 8:56:41 AM pbarthol.
BLI O1 1/06/14 PB BLDG INSULATION
1/07/14 AP January 6, 2014 10:34:38 AM Pbarthol.
Todd 461-9566
January 7, 2014 8:39:09 AM pbarthol.
BL99 01 4/29/14 JLL BLDG FINAL
4/29/14 DA April 29, 2014 12:10:54 PM pbarthol.
Curt 775-5450
April 29, 2014 4:05:03 PM jlierly.
Address numbers / building energy data near panel. JLL
BL99 02 5/13/14 JL BLDG FINAL
May 13, 2014 9:06:54 AM pbarthol.
Curt 775-5450
----------------------------- -—---' COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
sem' . DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 13-00000902 Date 8/21/13
Application pin number . . . 380608
Property Address . . . . . . 1407 MORNING CT
ASSESSOR PARCEL NUMBER: 06-30-14-6-7-0380-0000- REPORT SALES TAX _n
Application type description RES NEW SFR
Subdivision Name . . . . . . on your state excise tax form
Property Use
Property Zoning . . RS9 RESDNTL SINGLE FAMILY to the City of Port Angeles
Application valuation 137614 (Location Code 0502)
Application desc
2248 sq ft SFR
----------------------------------------------------------------------------
Owner Contractor
GREEN CROW PROPERTIES INC GREEN CROW CONSTRUCTION LLC
PO BOX 2439 PO BOX 2439
PORT ANGELES WA 983620312 PORT ANGELES WA 98362
(360) 417-3661
----------------------------------------------------------------------------
Permit . . . . . BUILDING PERMIT -RESIDENTIAL
Additional desc . . 2248 SQ FT SFR
Permit Fee . . . . 1233.05 Plan Check Fee 801.48
Issue Date . . . . 8/21/13 Valuation . . . . 137614
Expiration Date 2/17/14
Qty Unit Charge Per Extension
BASE FEE 1020.25
38.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 212.80
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 162.90 Plan Check Fee .00
Issue Date . . . . 8/21/13 Valuation . . . . 0
Expiration Date . . 2/17/14
Qty Unit Charge Per Extension
BASE FEE 50.00 J
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-HOOD/DUCT-MECH..EXHAUST 10.65
1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65
1.00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65
3.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 44.40
---------------------------------------------------------------`------------
Permit . . . . PLUMBING PERMIT
Additional desc PLUMBING FOR SFR
Permit Fee 170.00 Plan Check Fee .00
Issue Date . . . . 8/21/13 Valuation . . . . 0
Expiration Date 2/17/14 w�
Qty Unit Charge Per Extension
BASE FEE 50.00
9.00 7.0000 EA PL-PLUMBING TRAP 63.00
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. to
3
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit 4�"
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS 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
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footin /Slab
113locking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /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
T:Forms/Building Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 13-00000902 Date 8/21/13
Application pin number . . . 380608
Qty Unit Charge Per Extension REPORT SALES TAX
1.00 7.0000 EA PL-WATER LINE 7.00 on your state excise tax form
4.00 7.0000 EA PL-DRAIN VENT PIPING 28.00
1.00 15.0000 EA PL-SEWER LINE 15.00 to the City of Port Angeles
1.00 7.0000 EA PL-WATER HEATER 7.00 (Location Code 0502)
----------------------------------------------------------------------------
Special Notes and Comments
August 21, 2013 9:05:28 AM tamiot.
ELECTRICAL PERMIT REQUIRED.
ELECTRICAL SERVICE TO EXISTING UNDERGROUND SERVICE PEDESTAL.
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.
August 20, 2013 10:52:39 AM sroberds.
The proposal will result in a new sfr in'the RS-9 for total
lot and site coverage of 28%. No land use issues
anticipated.
Ditches & 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Trench safety per applicable laws. Temp erosion control and
surface restoration responsibility of applicant. Contact
City inspector prior to start of work @ 360 417-4631. No
attachment of stormwater roof leaders, foundation drains,
yard drains, or any other CSO contribution is allowed.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417-4831
Construct driveway and Sidewalks to City Standards.
Concrete with exposed aggregate or other non-standard
finishes(including colors or dyes)are not allowed in the
City road right of way. Broom finish only. An inspection by
Public Works Engineering is required prior to pouring
concrete. Public Works inspection request line 417-4831
A separate Right of Way construction permit is required for
driveway and culvert installed in City Right of Way.
----------------------------------------------------------------------------
Other Fees . . . . . . . RES UNDERGRND SERVICE FEE 770.00
SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 2260.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1565.95 1565.95 .00 .00
Plan Check Total 801.48 801.48 .00 .00
Other Fee Total 5294.50 5294.50 .00 .00
Grand Total 7661.93 7661.93 .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
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 INCONSPICUOUS 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
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted b
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 Pum /Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parkin /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
T:Forms/Building Division/Building Permit
of PORI qyG
�y�wFF CITY OF PORT ANGELES
�`1♦�N PUBLIC WORKS & UTILITIES
.321 EAST 5TH STREET, PORI'ANGELES, WA 98362
Application Number . . . . . 13-00000902 Date 8/21/13
Application pin number . . . 380608
Property Address . . . . . . 1407 MORNING CT REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-6-7-0380-0000-
Application type description RES NEW SFR on your state excise tax form
SubProperty
Name . . . . . . to the City of Port Angeles
Pro ert Use
Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 137614
------------------- ----
Application desc
2248 sq ft SFR
----------------------------------------------------------------------------
Owner Contractor
GREEN CROW PROPERTIES INC GREEN CROW CONSTRUCTION LLC
PO BOX 2439 PO BOX 2439
PORT ANGELES WA 983620312 PORT ANGELES WA 98362
(360) 417-3661
------------------
Permit . . . . . . DRIVEWAY INSTALLATION
Additional desc . .
Permit Fee . . . . 180.00 Plan Check Fee .00
Issue Date . . . 8/21/13 Valuation . . . . 0
Expiration Date . 2/17/14
Qty Unit Charge Per Extension
BASE FEE 180.00
- --------------------
Permit . . . . PUBLIC WORKS RES WATER SERV
Additional desc 5/8" DROP IN WATER METER
Permit Fee . . . . 420.00 Plan Check Fee .00
Issue Date . . . . 8/21/13 Valuation . . . . 137614
Expiration Date . . 2/17/14
Qty Unit Charge Per Extension
1.00 420.0000 EA PW WATER METER DROP IN 420.00
-----------------
Permit . . . . . . SANITARY SEWER HOOK UP
Additional desc . .
Permit Fee . . . . 150.00 Plan Check Fee .00
Issue Date . . . . 8/21/13 Valuation . . . . 137614
Expiration Date 2/17/14
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
----------------------------------------------------------------------------
Special Notes and Comments
August 21, 2013 9:05:28 AM tamiot.
ELECTRICAL PERMIT REQUIRED.
ELECTRICAL SERVICE TO EXISTING UNDERGROUND SERVICE PEDESTAL.
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.
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 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 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 41.7- BUILDING
4815
T:Forms/Building Division/Public Works Permit
CITY OF PORT ANGELES
PUBLIC WORKS & UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 13-00000902 Date 8/21/13
Application pin number . . . 380608
------------------------------------------ --------- REPORT SALES TAX
Special Notes and Comments on your state excise tax form
August 20,. 2013 10:52:39 AM sroberds.
The proposal will result in a new sfr in the RS-9 for total . to the City of Port Angeles
lot and site coverage of 28%. No land use issues (Location Code 0502)
anticipated.
Ditches & 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Trench safety per applicable laws. Temp erosion control and
surface restoration responsibility of applicant. Contact
City inspector prior to start of work @ 360 417-4831. No
attachment of stormwater roof leaders, foundation drains,
yard drains, or any other CSO contribution is allowed.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417-4831
Construct driveway and Sidewalks to City Standards.
Concrete with exposed aggregate or other non-standard
finishes(including colors or dyes)are not allowed in the
City road right of way. Broom finish only. An inspection by
Public Works Engineering is required prior to pouring
concrete. Public Works inspection request line 417-4831
A separate Right of Way construction permit is required for
driveway and culvert installed in City Right of Way.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00
SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 2260.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 750.00 750.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 5294.50 5294.50 .00 .00
Grand Total 6044.50 6044.50 .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:Forms/Building Division/Public Works Permit
PERMIT INSPECTION RECORD
CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA 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 417-4807 PW/ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 41-7- BUILDING
4815
T:Forms/Building Division/Public Works Permit
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PRESCRIPTIVE APPROACH-SIMPLE FORM
,1 = For the Washington State Energy Code (WSEC) 2009 Edition
Climate Zone 1
GITY GOVERNMENT Site Information: Building Department Use Only:
Lot: Q ►� �,�,�� TSe U. Permit #
Address: Notes:
City:
State: \�i0 Zip: ��36
Contact: J�P�v�iS VGrKD✓iC
Phone: MoD-y60—�S 04
Phone 2:
FAX: 360 Al/736
WSEC Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR SINGLE-FAMILY RESIDENTIAL OR DUPLEX
CLIMATE ZONE 1
(Unlimited Glazing Option Only)
Glazing
Wall Glazing U-Factor - Door Wall
"Wall
Option Area % of U= Ceiling Ca Ilted Above IBterior Btlnor Floor. Slab.
Concrete
lab.o
Floor Vertical Overhead Factor ei mg Grade a ow a ow
Grade;.
Grade
R-49
�- / /
III Unlimited 0.30 0.50 0.20 orR-10
R-38 R-38 int TB R-21 R-21 R-10 R-30 U=0.029 2'
adv
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.
k/k ❑ 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:
9/*, ❑ 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: V)
T:Forms/Building Division/Prescriptive Approach-Simple Form
�-
THE
CITY OF i "i), q For City Use
w Permit#
2
W A S H I N G T a N , U . S ..
321 East 51' Street Date Received:
Port Angeles, WA 98362 Date Approved 9/1 fo)
P: 360-417-4817 F: 360-417-4711
permits@cityofpa.us
Building Permit Application
Project Address:
Main Contact: Phone #
E-Mail:
Property NamePhone
Owner S
Mailing Address Email
City P A i'���� State � y Zip liS
Contractor Name VPhone
Mailing Address Email
city J State Zip
Contractor License # Expiration:
cd PU cC-y 33C-JE
Project Value: fjn Zoning: Tax Parcel # Lot#
$ .� � k5 cj U<c3o1�- 6 7'93 go �B
Type of Residential '19 Commercial ❑ Industrial ❑ Public ❑
Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑
For the following, fill out both pages of permit application:
New Construction ® Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ❑ Other ❑
Existing Fire Sprinkler System? Maximum he* ht of structure Proposed Bedrooms Proposed Bathrooms
Yes ❑ No
Project
Description
I have read and completed the application and know it to be true and correct.I am authorized to apply for this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be
considered abandoned and the fees forfeit.
Date Print Name Signature
�i�l13a_wyll
f �
Residential Structures
Area Description(SQ FT) Existing Proposed $$value For Office Use
Basement WiK
First Floor
1379 // 7130
Second Floor
Covered Deck/Porch/Entry yy / 721?
Deck
/log 2
Garage 0/6
Carport
Other(describe)
Area Totals
Commercial Structures
Area Descriptions(SQ FT) Existing Proposed $$Value For Office Use
Existing Structure(s)
Proposed Addition
Tenant Improvement?
Other work(describe)
Area Totals
Lot/Site Coverage Calculations
Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage m
�� � I i i-Q�
SQ FT Site coverage(all impervious+ %Site Coverage
structures) 416t&f — 217-4-v'Of a/
Mechanical Fixtures
Indicate how man of each a of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping #of Outlets:
Appliance Vent # Heater(Suspended,Floor,Recessed wall) #
Boiler/Compressor Size: # Heating/Cooling appliance #
re air alteration
Evaporative Cooler(attached,not # Ile ove/Wood burning'/Gas #
portable)Gas IFire lac Gas Stove Gas Cook Stove/Misc. 1
Fuel Gas Piping n r t #of 0u tle Ventilation Fan,single duct #
l�c,S 'F int p(G_
Furnace/ Pump,/ Si 1e: # Ventilation System #
ForI/
F0rc
ed Air Unit di
s t2� k
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # 1 Fuel gas piping #of Outlets:
Water Heater # i Medical gas piping #of Outlets:
Water Line # Vent piping #
Sewer Line # Industrial waste pretreatment # 1
interce for
Other(describe):
T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX