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HomeMy WebLinkAbout1420 Pendley Court Address: 1420 Pendley Court �✓ PREPARED 12/19/14, 9:16:17 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/19/14 ADDRESS . : 1420 PENDLEY CT SUBDIV: CONTRACTOR : PHONE OWNER DALE KNUDSEN PHONE PARCEL 06-30-01-8-6-0030-0000- APPL NUMBER: 13-00001027 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------- --- BL1 01 12/19/13 PB BLDG FOUNDATION FOOTING 12/20/13 AP December 19, 2013 9:03:21 AM pbarthol. Bruce 912-0079 December 20, 2013 9:37:22 AM pbarthol. BL2 01 12/30/13 PB BLDG FOUNDATION STEM WALL 12/31/13 AP December 30, 2013 10:15:00 AM pbarthol. Tommy 477-0778 December 31, 2013 11:38:50 AM pbarthol. BLFD O1 1/17/14 PB BLDG FOUNDATION DRAINAGE 1/17/14 AP January 17, 2014 9:31:33 AM pbarthol. Bruce 912-0079 January 17, 2014 11:44:19 AM pbarthol. DSD O1 1/17/14 PB BLDG DOWN SPOUT DRAINS 1/17/14 AP January 17, 2014 9:30:48 AM pbarthol. Bruce 912-0079 January 17, 2014 11:44:19 AM pbarthol. PW4 01 1/17/14 RV PUBLIC WORKS STORM 1/17/14 AP January 24, 2014 10:14:09 AM rvess. January 24, 2014 10:14:33 AM rvess. BFF O1 1/23/14 JLL BLDG FLOOR FRAMING 1/23/14 AP January 23, 2014 8:32:02 AM pbarthol. Bruce 912-0079 January 23, 2014 4:24:30 PM jlierly. BL9 01 2/27/14 JLL BLDG SHEARWALL 2/27/14 AP February 27, 2014 9:45:10 AM pbarthol. February 27, 2014 9:45:16 AM pbarthol. BAIR 01 4/04/14 JLL BLDG AIR SEAL 4/07/14 AP April 4, 2014 10:28:28 AM pbarthol. April 7, 2014 10:10:42 AM jlierly. BL3 01 4/04/14 JLL BLDG FRAMING 4/07/14 AP April 4, 2014 10:28:16 AM pbarthol. April 7, 2014 10:10:42 AM jlierly. BLI 01 4/10/14 JLL BLDG INSULATION - 4/10/14 AP April 10, 2014 9:03:06 AM pbarthol. Bruce 912-0079 April 10, 2014 3:54:02 PM jlierly. PW99 01 12/16/14 RV PUBLIC WORKS FINAL 12/16/14 AP December 16, 2014 2:40:17 PM rvess. December 16, 2014 2:40:55 PM rvess. BL99 01 12/19/14L BLDG FINAL December 19, 2014 9:17:00 AM pbarthol. Bruce 912-0079 PERMIT: ME 00 MECHANI ERMIT REQUESTED INS DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ----------------------------------- CONTINUED ONTO NEXT PAGE ------------------------- PREPARED 12/19/14, 9:16:17 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/19/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 1420 PENDLEY CT SUBDIV: CONTRACTOR : PHONE OWNER DALE KNUDSEN PHONE PARCEL 06-30-01-8-6-0030-0000- APPL NUMBER: 13-00001027 RES NEW SFR -----------—--------—-—--------------—----------—--------------—--—---------------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------——----------- -----------------------—-- ME99 01 12/19/14 LL MECHANICAL FINAL December 19, 2014 9:17:09 AM pbarthol. Bruce 912-0079 PERMIT= PL 00 PLUMBING IT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL6 01 1/21/14 PB PLUMBING WATER SUPPLY 1/21/14 AP January 21, 2014 9:52:23 AM pbarthol. January 21, 2014 4:47:34 PM pbarthol. , PL2 01 3/19/14 JLL PLUMBING ROUGH-IN 3/19/14 AP March 19, 2014 10:15:09 AM pbarthol. john 460-6902 March 19, 2014 4:21:49 PM jlierly. PL99 01 12/19/14 L PLUMBING FINAL December 19, 2014 9:17:20 AM pbarthol. Bruce 912-0079 --------------------- ---------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION -� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 w Application Number . . . . . 13-00001027 Date 10/29/13 Application pin number . . . 316493 Property Address . . . . . . 1420 PENDLEY CT v ASSESSOR PARCEL NUMBER: 06-30-01-8-6-0030-0000- REPORT SALES TAX Application type description RES NEW SFR Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY s .I Application valuation . . . . 117568 (Location Code 0502) ---------- -------------------------------- Application desc 1684 SQ FT SFR ---------------------------------------------------------------------------- Owner Contractor DALE KNUDSEN OWNER 401 E 5TH ST #205 PORT ANGELES WA 98362 ---------------------------------- -----_----------------------- ---- Permit . . . . BUILDING PERMIT RESIDENTIAL Additional desc . . 1240 LVNG 64 DCK/PRCH 380 GARA Permit Fee . . . . 1121.05 Plan Check Fee .00 Issue Date . . . . 10/29/13 Valuation . . . . 117568 Expiration Date 4/27/14 Qty Unit Charge Per Extension BASE FEE 1020.25 18.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 100.80 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee 141.60 Plan Check Fee .00 Issue Date . . . . 10/29/13 Valuation . . . . 0 Expiration Date . . 4/27/14 Qty Unit Charge, Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 3.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 21.75 1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65 3.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 44.40 ----- -- Permit . . . . . . PLUMBING PERMIT Additional desc . Permit Fee . . . . 163.00 Plan Check Fee .00 Issue Date 10/29/13 Valuation . . . . 0 Expiration Date 4/27/14 Qty Unit Charge Per Extension BASE FEE 50.00 8.00 7.0.000 EA PL-PLUMBING TRAP 56.00 1.00 7.0000 EA PL-WATER LINE 7.00 4.00 7.0000 EA PL-DRAIN VENT PIPING 28.00 Q 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 constr ctio . f V 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 by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting do . 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 . . . . . 13-00001027 Date 10/29/13 Application pin number . . . 316493 REPORT SALES TAX Qty Unit Charge Per Extension our state excise tax form 1.00 15.0000 EA PL-SEWER LINE 15.00 on Y 1.00 7.0000 EA PL-WATER HEATER 7.00 to the City of Port Angeles -------------------------------------------------- ------- Special Notes and Comments (Location Code 0502) September 13, 2013 1:33:10 PM pbarthol. Only one set of plans reviewed for this home design. The reviewed set of plans must be available on all three building sites. Plan check fee paid for this home design on permit 13-1026 (includes 1-1028, 13-1027, 13-1026) September 17, 2013 9:05:18 AM rbecker. If you are installing a lawn sprinkler system, contact me. Ron Becker at 360-417-4886, fax:360-452-4972, or e-mail:rbecker@cityofpa.us Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) . September 13, 2013 4:24:18 PM banders. Electrical connection point is at the southeast corner. of property. Electrical load calculations and electrical permits are required. Ditches& 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Consider applying for the City Green Infrastructure Rebate of up to $500.00 towards the materials to install rain garden to control roof and driveway runoff. Contact Jonathan Boehme at 360 417-4811 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 to sanitary sewer 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 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 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 by 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 3 Application Number . . . . . 13-00001027 Date 10/29/13 Application pin number . . . 316493 -- ------------------- ------------ REPORT SALES TAX Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00 our state excise tax form SEWER SYSTEM DELV CHARGE 2260.00 On Y STATE SURCHARGE 4.50 to the City of Port Angeles WATER SYSTEM USE FEE 2260.00 -- (Location Code 0502) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- -- Permit Fee Total 1425.65 1425.65 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6720.15 6720.15 .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) Tforms/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: Parking/Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit 4y°FPORr���( CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES v 321 EAST 5TH STREET, PORT ANGELES. WA 98362 Application Number . . . . . 13-00001027 Date 10/29/13 Application pin number . . . 316493 AddressProperty 0 ASSESSOR PARCELNUMBER: 06230-011---8E6 -0030-0000- REPORT SALES TAX Application type description RES NEW SFR on your state excise fax form Subdivision Name Property Use . . . . . . . . to the City Of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 117568 ---------------------------------------------------------------------------- Application desc 1684 SQ FT SFR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DALE KNUDSEN OWNER 401 E STH ST #205 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY INSTALLATION Additional desc . . DRIVEWAY AND 12" CULVERT Permit Fee . . . . 180.00 Plan Check Fee .00 Issue Date . . . . 10/29/13 Valuation . . . . 0 Expiration Date . . 4/27/14 Qty Unit Charge Per Extension BASE FEE 180.00 ---------------------------------------------------------------------------- Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc . . 3/4" METER FOR FIRE SPRINKLERS Permit Fee . . . . 420.00 Plan Check Fee .00 Issue Date . . . . 10/29/13 Valuation . . . . 117568 Expiration Date 4/27/14 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 . . . . 10/29%13 Valuation . . . . 117568 Expiration Date 4/27/14 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 ---------------------------------------------------------------------------- Special Notes and Comments September 13, 2013 1:33:10 PM pbarthol. Only one set of plans reviewed for this home design. The reviewed set of plans must be available on all three building sites. Plan check fee paid for this home design on permit 13-1026 (includes 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 Aut&Azed 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 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417- BUILDING 4815 T:Forms/Building Division/Public Works Permit °F,°Rr�°� CITY OF PORT ANGELES 4 T FN PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES. WA 98362 Page 2 Application Number . . . . . 13-00001027 Date 10/29/13 Application pin number . . . 316493 --=------------------------------------------------------------------------- REPORT SALES TAX Special Notes and Comments on your state excise tax form 1-1028, 13-1027, 13-1026) to the City of Port Angeles September 17, 2013 9:05:18 AM rbecker. If you are installing a lawn sprinkler system, contact me. (Location Code 0502) Ron Becker at 360-417-4886, fax:360-452-4972; or e-mail:rbecker@cityofpa.us Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that' comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) . September 13, 2013 4:24:18 PM banders. Electrical connection point is at the southeast corner of property. Electrical load calculations and electrical permits are required. Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Consider applying for the City Green Infrastructure Rebate of up to $500.00 towards the materials to install rain garden to control roof and driveway runoff. Contact Jonathan Boehme at 360 417-4811 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 to sanitary sewer 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 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 -- -------------------- 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 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 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 417- BUILDING 4815 T:Forms/Building Division/Public Works Permit yOF pOftTq^,C�( CITY OF PORT ANGELES F PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 3 Application Number . . . . . 13-00001027 Date 10/29/13 Application pin number . . . 316493 REPORT SALES TAX Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6044.50 6044.50 .00 .00 on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 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 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417- BUILDING 4815 T:Forms/Building Division/Public Works Permit THE „ CfTY OF For City Use W A S H I N G T O N , U . S . l Permit# 13 02— . J 321 East 51h Street Date Received: o Port Angeles, WA 98362 Date Approved C 8 P: 360-417-4817 F: 360-417-4711 permits@cityofpa.us 00 Q 0;1 T145 KA Building Permit Application Project Address: Main Contact: C01V�TR00-1-to14 S�10F2Vcsa2 Phone # 9/z-007? Pg10/,1s UL jJ /71oL)S//LJG u ( Kt Ty E-Mail: Property Name er ry n r Owner Z� NJ 17SZ/`1 Phone Mailing Address Email P�' os- City State Zip Contractor Name Phone 04/14 g& 113 t/i 1-12 E-2 Mailing Address Email City State zip Contractor License # Expiration: Project Value: Zoning: Tax Parcel # Lot# $ /l7 � � `�/ 06 3o n 3 Type of Residential Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: New Construction C"" Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No l� �j 3 Project , Description /V q- 4-) s'/1JC-k� F�}M►� ��S�D ✓o� � rr'/ � 1 � 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 Residential Structures For Office Use Area Description (SQ FT) Existing Proposed $$value Basement First Floor rac/O /pe 00 Second Floor" Covered Deck/Porch/Entry Y 6 Deck Garage 3$U 1/00 Carport Other(describe) Area Totals j/7J G 9 Commercial Structures For Office Use Area Descriptions (SQ FT) Existing Proposed $$Value 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 sy Y639 sr /8, 6 SQ FT Site coverageall impervious+ %Site Coverage structures 9&2--0 90 3 SF. Mechanical Fixtures Indicate how many of each type 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 # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Fur ce/Heat Pum" Size: # / Ventilation System # Force Ir nit /x,600 Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # / Medical gas piping #of Outlets: Water Line # Vent piping # Sewer Line # Industrial waste pretreatment # interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX Loft 1-ta°I�� a pr t -fl t 4 `PAF geA1 N DS O. i Dy ► ( ( ( _ X21 2� y►, 18 �Cd.: . . L r-2o.oa *WOIZTlj PORT ANq-LE5,SVA 98363 COUNTY OF CLAL.LAM PENDLEY COURT LOT 3 LOT COVER A(;P- 1684/90386F = 18.640 51TE COVoz4E 2620/9o385F = 29%, MOUSE.STYL E:Tfl L*POR:oT11Y D' pe 40 e- y co r-) 35' 35' I FND. 1" CONDUIT WITH PLASTIC CAP FND. 7"CONDUIT WITH PLASTIC CAP I 35' 35' STAMPED "CLARK 12223", N87'54'21"W,I/ STAMPED "CLARK 12223", S08-30'15"W,0.21,FROM CALCULATED POSITION 0.27'FROM CALCULATED POSITION N 33'14.39"E 669.64' 8' 95.00 53.00'N N 106.65' 76.00'N 81.00' N 85.60' N ✓5.80' N N 56.60' I HOUR 10' — 5cn cn 10' 10' u! II � cnJ a ®— 6 SQ.Fc3— Jo625� aA9039 SQ.FTc.n 9 011 NSQ. T. ye ] m mrn I I FND. 2"E02517SQFTI 7 9 9046 SQ.F9008 SOFT 003 .FT. WTH PL® ('j 10288 T�� ® ` 20 14 412 y 95.00 8 S33'14'40"W g u� .. u!� 21.18 43.42 85.80 66.61 p 1 61 ............ ..:......Cq.'::.'. ::..:::'. ;:. :::'.'.'..'.'.'.'.'.':'..'.'.'.'.'.'.':....:........ ...G� 2�Gs 1 h o 2 0 42.67 81.35 ...... ..... cn S. ..... ,.,,..........:........ N _ 16 ............................ .C6....CS'.'.'.':.................................... :.:.:.:......,.................. .........�...,.,.o Ao N.................. . ....... ......,...............N 33'14'15" E.:..'.'..'.... co 8 .. .. cn.......N 27'58'33' E.'.. '. .. .... ........... ... a: eI 025 SQ.FT{ e J, rrS 33'74'15" W:':':':..{'.'.'.':':'rte':'..:.....'__._..`- `-.--.:. :: .'.'.t'.'.'.'.'.:'.-:.'.•.'.'.':.....250.81' rr::::':r:':':'r:i'.i{::oo I 33'1415 — ..."145,20. : • :'w.':r... �t w ®. ss.o7 ss.si': :':':'::cz.': COURT. ...�.. .... ................. m .... wCl ' .................................... m L� �I �.... 5.. 10 r:. Q�.. .':': Cl :............... 72.67 6 ...74.75,... 20' N I N N S33'1442 W pI ,J��\ moo ' 10.61" 8 72.N3 8� N 10N 2— 70 8� �� Cj1... 2 I Z 18' n I N a FND. 1/2"REBAco R WITH 25'.<--'�'I lv�I6 g 3 �V 10 __ 11 12 �' 14 7 1.5 10787 SOFT / o°i a 9031 SQ.FT. 'o p 9007 SQ.FT. e^1 /3 . p 'n PLASTIC CAP 0.14'FROM cn 'o-' a' 9053 SQ.FT. N p 9006 SQ.FT. 19015 SQ.FT CALCULATED POSITION o 9025 SO.F1I al ® o�(_ 9 ' •� �I ® `D;'y I o a STAMPED "CUMMINS LS 9042 SQ.FT. / u 22329 N60'02'3 v 0"E•\ o ��g,n� —�g �� fQ Iy �� F�y I I m I Y N 35:00' 78.64' 109.02' • 83.25' N 77.75' 74.77'� 75.38 ur 57 85'/ I FND. N 33.14'44" E\ CAP I 669.66' SE COR. `FOUfJD I/2"REBAR ANU o FND. 1" CONDUIT WITH PLASTIC CAP I 0630( SUB LOT 79 CAP "Z&A PLS 28071" J STAMPED "CLARK 12223", S65 22.58"W, I o _ 0.18'FROM CALCULATED POSITION I A ' w CA p A 0�PORT.+%,C PRESCRIPTIVE APPROACH-SIMPLE FORM 1 -- For the Washington State Energy Code (WSEC) 2009 Edition Climate Zone 1 CITY GOVERNMENT Site Information: Building Department Use Only: Lot: 3 /04vp�� Permit # Address:— /-'/,2c:-, Ey coLlroz t– Notes: City: 11�Ah!d ej f-S State: Zip: Contact: 4twe i- /;I eco ppe-d Phone: 9i a -00 7 Y Phone 2: yea - 76�'3/. 25:X. / g FAX: WSEC Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE-FAMILY RESIDENTIAL OR DUPLEX CLIMATE ZONE 1 (Unlimited Glazing Option Only) Wall; Wall Glazing ,' ;Glaimg U factor Door Vaulted Wall Interior Extenor Slab on 0.t. Area %of U' Ceiling Above Floor. S;Floorvertrcal Overhead Factor oncrete Celling Grade Below Below C . Grade ,,_Gude R-49 / III Unlimited 0.30 0.50 0.20 or R-38 R-38 int TB R-21 R-21 R-10 R-30 R-10 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. ❑ 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the.door taking this exception: ❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U-factor listed above. Location of the door(s)taking exception: fJ 1A11-SP4/-r Type of Heat Source: Pymlo `' 3 Zbhm-i- c,1h-a lii ',f res T:Forms/Building Division/Prescriptive Approach-Simple Form m 1.M,•11 � C) Electrical Information Form e -s Public Works&Utilities Department(360)417-4700 u City Electrical Inspector 360 417-4735 3 Please complete and return to Public Works& Utilities Department Permanent service: Name: Name and address of party Street: -/0/ £ ST responsible for permanent City I State I ZIP: POR-r n/4&t-r5 IZf,//i. PE 3 w/ 2, service billing? Daytime Phone: Home Phone: o r. • o (if other than above) Site contact: Name: ANC& Title: LoNSi• SvP V�5®2 �`ff�• Daytime Phone: / o©7? Contractor: Name: C-_,cdA14C tZ 16 v1/0 P/C Company: Irm . Daytime Phone: Electrician: Name: Company: Daytime Phone: Excavator: Name: Company: Daytime Phone. ❑Existing New Single-family residence ❑Multi-family residence; #of units ❑Commercial E 'S61bdivision; #of lots /7 ❑Qyerhead service El General service Underground.service ❑'Other: • • • Description of work: / d S_� 51Acl F- F4 t,t RcSno£Kl� Street address/lot number: ,20 �frt/l�j. C'ocJ2j l�T Nearest cross street: w e5T / nl 57% Desired connection date: Electrical transformerserving property is: ❑on.a pole on the ground Total square footage: 6 sq. ft. Main disconnect size: P-° amps 120/240 1ph ❑120/208 3ph ❑277/480 3ph Voltage: ❑120/240 3ph E1480 3W 3ph `❑ Other Standard residential Iq s (Lighting, refrigerator, dishwasher, washer) Check all that apply: El2 A/C (_ton) RAnge/Oven ❑Hot Tub Clothes D11 ryer __Heating ❑ Pumps (_Hp) ❑No Load Change [?/WaterHeater. ❑`Elevator(_Hp) ❑Other • • ® Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps of all motors over 50hp. Applicant's Signature.- MAIL ignature:MAIL OR DELIVER COMPLETED FORM TO: 21 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 WS WF Information form.xls v:APIrJI S':L�t HT1 GRl Orgir.als;lrafurn�afior�fvrrn Revised 1-15-09 L �l 2013-1301865 �V\ Paye 1 of 2 Warranty Deed ClailamoCountySWashing tonComaa 1 /25/2013 04:16:38 PM ■lI1�41�aP1i'tJil4.l�h'4i iE��d41JtItii4Yi+�+E.U�at+��Ylr��I►II ^0N OLYMPIC PENINSULA Title Company O O NO CIAL C NTl'"O- TRANSAC O EXCISE TAX Escrow Number:101418-DS DAT OC N 1 55 11 Statutory Warranty Deed COON REASU R By THE GRANTOR Housing Authority of the County of Clallam for and' co ide 'on LLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in ha aid,co ey and w to Dale Knudsen,an unmarried individual the following described real estate, i ated in the o my of Clallam,State of Washington. Abbreviated Legal: LOT 3,PENDLEY ESTATES, ' 2I,JS'/ f/ For Full Legal See Attached Exhibit"A" Subject to exceptions to title also appearing on Exhibit" " Tax Parcel Number(s):06-30-99-107910/70730-0�1-860030/82923(New Assigned Parcel No.) i Dated October 25,2013 o sing Auth r'ty of the o Clalla By:Pamela 1.Tie xecutiv 6irector STATE OF W SOIN 'TO } COUNTY OF C A L } SS: I certify thatk ow r ve isfacto vidence that Pamela J.Tietz is/are the person(s) who appeared before me,and said petrn(s)-acknowle4mAat she signed this instrument,on oath stated she is/are authorize ccu he instrument and acknowledge that as the Execut' irect6ti offlousing Authority of the Co my f Clallam to be the fr lut ry acf,6f such party(ies)for the uses and pu a ntioned in this' ment. Dated: ober 2X 2 1 Dawn L.Shidel r Notary Publi and for the State of Washington est mg at Port Angeles My appointment expires: 4-9-2015 LPB 10-05(i-1) f Io Page of 2 J r L 2013-1301865 10/25/2013 04:16:38 PM 2 of 2 Clallam County,WAWD OLYMPIC PENINSULA TITLE COMPANY i EXHIBIT A LOT 3 OF PENDLEY ESTATES,AS PER PLAT THEREOF RECORDED IN VOLWOF PLATS,PAGE 78,RECORDS OF CLALLAM COUNTY,WASHINGTON. O SITUATE IN CLALLAM COUNTY,STATE OF WASHINGTON. SUBJECT TO: 1. ALL COVENANTS,CONDITIONS,RESTRICTIONS,RESERVATIONS,EASEME OR OTHER SERVITUDES,IF ANY,DISCLOSED BY THE RECORDED PLA O ESTATES. 2. ALL COVENANTS,CONDITIONS,RESTRICTIONS,RESERVATIO S E NTS O OTHER SERVITUDES,IF ANY,DISCLOSED BY SHORT PLAT RE RDED ER CLALLAM COUNTY RECORDING NO.515919. 3. COVENANTS,FOR MAINTENANCE,REPAIR AND OPERATION O WAGE FACILITIES,CONDITIONS AND RESTRICTIONS IMPOSED CORDED UNDER CLALLAM COUNTY RECORDING NO. 2013-129 i 0 LPB 10-05(i-1) Page 2 of 2