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HomeMy WebLinkAbout1427 Pendley Court Address: 1427 Pendley Court v PREPARED 12/19/14, 9:16:17 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/19/14 ------------------------------------------------------------------------------------------------ ADDRESS 1427 PENDLEY CT SUBDIV: CONTRACTOR : PHONE OWNER JANESSA SCOTT PHONE PARCEL 06-30-01-8-6-0110-0000- APPL NUMBER: 13-00001028 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 9:02:48 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 10:15:47 AM pbarthol. Tommy 477-0778 , December 31, 2013 11:38:50 AM pbarthol. BLFD 01 1/17/14 PB BLDG FOUNDATION DRAINAGE 1/17/14 AP January 17, 2014 9:32:18 AM pbarthol. Bruce 912-0079 January 17, 2014 11:44:19 AM pbarthol. DSD 01 1/17/14 PB BLDG DOWN SPOUT DRAINS 1/17/14 AP January 17, 2014 9:32:08 AM pbarthol. Bruce 912-0079 January 17, 2014 11:44:19 AM pbarthol. BFF 01 1/23/14 JLL BLDG FLOOR FRAMING 1/23/14 AP January 23, 2014 8:31:44 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 9:44:43 AM pbarthol. February 27, 2014 9:44:48 AM pbarthol. BAIR 01 4/15/14 JLL BLDG AIR SEAL 4/15/14 AP April 14, 2014 12:0335 PM pbarthol. BRUCE 912-0079 April 15, 2014 4:15:56 PM jlierly. BL3 01 4/15/14 JLL BLDG FRAMING 4/15/14 AP April 14, 2014 12:03:13 PM pbarthol. BRUCE 912-0079 April 15, 2014 4:15:56 PM jlierly. BLI 01 4/22/14 PB BLDG INSULATION 4/29/14 AP April 22, 2014 11:20:07 AM pbarthol. Bruce 912-0079 April 29, 2014 11:57:20 AM pbarthol. PW99 01 12/16/14 RV PUBLIC WORKS FINAL 12/16/14 AP December 16, 2014 2:38:11 PM rvess. December 16, 2014 2:38:48 PM rvess. BL99 01 12/19/14 L BLDG FINAL December 19, 2014 9:16:16 AM pbarthol. Bruce 912-0079 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ----------------------------------- CONTINUED ONTO NEXT PAGE ------------------ ----------------- PREPARED 12/19/14, 9:16:17 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/19/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 1427 PENDLEY CT SUBDIV: CONTRACTOR : PHONE OWNER JANESSA SCOTT PHONE PARCEL 06-30-01-8-6-0110-0000- APPL NUMBER: 13-00001028 RES NEW SFR --------------------------------------------------------------------------------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------- ME99 01 12/19/14 MECHANICAL FINAL December 19, 2014 9:16:34 AM pbarthol. Bruce 912-0019 PERMIT= PL 00 PLUMBING PERMIT 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 9:52:00 AM pbarthol. January 21, 2014 4:47:34 PM pbarthol. PL2 01 3/24/14 JLL PLUMBING ROUGH-IN 3/25/14 AP March 24, 2014 9:30:02 AM pbarthol. John 460-6902 March 25, 2014 11:43:19 AM jlierly. PL99 01 12/19/14 PLUMBING FINAL December 19, 2014 9:16:42 AM pbarthol. Bruce 912-0079 -------------------------------------- COMMENTS AND NOTES -------------------------------------- �'- CITY OF PORT ANGELES %44' DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 t �VVV``` Application Number . . . . . 13-00001028 Date 10/29/13 Application pin number . . . 448252 Property Address . . . . . . 1427 PENDLEY CT ASSESSOR PARCEL NUMBER: 06-30-01-8-6-0110-0000- 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 Application valuation . . . . 117568 (Location Code 0502) ------------- -- Application desc 1684 SQ FT SFR ------------------------ -------------------------------- - IN. Owner Contractor ------------------------ JANESSA SCOTT OWNER 2124 W 16TH ST PORT ANGELES WA 98363 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc 1240 LVG 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 SFR 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 SFR 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 7.0000 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 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 1 80days,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. X2- P)Rocz Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) a T:Fcrms/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 0 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 I 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 . . . . . 13-00001028 Date 10/29/13 Application pin number . . . 448252 REPORT SALES TAX Qty Unit Charge Per Extension on our state excise tax form 1.00 15.0000 EA PL-SEWER LINE 15.00 y 1.00 7.0000 EA PL-WATER HEATER 7.00 to the City of Port Angeles ----------------------------- ------------- ------- Special Notes and Comments (Local/on Code 0502) September 13, 2013 1:44:52 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 9:08:25 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 4:25:26 PM banders. Electrical connection point is at the northwest 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 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 3 Application Number . . . . . 13-00001028 Date 10/29/13 Application pin number . . . 448252 ----- -------------------------------------- ---- REPORT SALES TAX Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 2260.00 on your state excise tax form STATE SURCHARGE 4.50 to the City of Port Angeles PW 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=inspectidns 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 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 I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit ti'�OF PO��IF` CITY OF PORT ANGELES �N PUBLIC WORKS & UTILITIES 321 EAST 5TFl STREET, PORT ANGELES. WA 98362 Application Number . . . . . 13-00001028 Date 10/29/13 Application pin number . . . 448252 Property Address . . . . . . 1427 PENDLEY CT ASSESSOR PARCEL NUMBER: 06-30-01-8-6-0110-0000- 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 (Location Code 0502) Application valuation . . . . 117568 Application desc 1684 SQ FT SFR ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JANESSA SCOTT OWNER 2124 W 16TH ST PORT ANGELES WA 98363 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY INSTALLATION Additional desc . . DRIVEWAY AND 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 1:44:52 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. 1 Signature of Contractor or 1h"orized 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 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4b7- BUILDING LL4815 T:Forms/Building Division/Public Works Permit y°Fo°Rr�°e CITY OF PORT ANGELES �w PUBLIC WORKS & UTILITIES • � v 321 EAST 5TF1 STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 13-00001028 Date 10/29/13 Application pin number 448252 REPORT SALES TAX Special Notes and Comments on your state excise tax form 1-1028, 13-1027, 13-1026) September 17, 2013 9:08:25 AM rbecker. to the City of Port Angeles 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 4:25:26 PM banders. Electrical connection point is at the northwest 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. 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 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4174750 PLANNING DEPT. BUILDING 41,7- BUILDING 4815 T:Forms/Building Division/Public Works Permit Ci~aF PORi�CECN CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES. WA 98362 Page 3 Application Number . . . . . 13-00001028 Date 10/29/13 Application pin number . . . 448252 Other Fee Total 5294.50 5294.50 .00 .00 REPORT SALES .TAX 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 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 THE , C14. OF For City Use W A S H I N G T O N , S . Permit# 73 321 East 5'h Street Date Received: Port Angeles, WA 98362 Date Approved P: 360-417-4817 F: 360-417-4711 permitsocityofpa.us od s AW- Building Permit Applicatiron Project Address: /yP-7 ���,Jo��� coU2u-/ 1'-*91q Main Contact: Phone # 36o- 71� - o o > 7 140vs, A)6- E-Mail: Property Name f Phone Ji►-�I ESS f9 5c ��� Owner Mailing Address Email city State zip ��o i q iiJG �� �s �,/ lam/d G fio�,l �'S 3 G 3 Contractor Name Phone 0L-i/Vt4l? /3v1.4U1 Mailing Address Email city State Zip Contractor License# Expiration: Project Value: Zoning: Tax Parcel # Lot# $ //7 �(� S 9/ oL 30 of �5'40 //v 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 B-' Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes ❑ No- ❑ l 6 1 _2> Project 1"'Q1Description ``'� /� `' �4 /�✓��. <L � S zp�„l�:✓ �p� G/,� �£ 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 $$value Basement First Floor Second PIoor ..Covered Deck/Porch/Entry Lj 7G� Deck Garage 3 $O Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions (SQ FT) Existing Proposed $$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 1631.1-1 . 90 3 / s, 2� SQ FT Site coverage (all impervious+ q %Site Coverage structures 302 0 / 0 :31 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) # 3 Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fire lace as Stove Gas Cook Stove/Misc. Fuel Gas Pi in #of Outlets: Ventilation Fan,single duct # 3 Furn ce/Heat Pu Size: # Ventilation System # Forcedit mt 1121k &FU Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # i Medical gas piping #of Outlets: Water Line # / Vent piping # Sewer Line # f Industrial waste pretreatment # ` interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX SAS!�►2 % P X . , a N I I. vs 6d i N A lii c I -- % IA �NGH o N - -. =- t i � f ` �WL\ 7 S` 751' 4-1, ;5 1 � 5-tz�-�t [�wfi:,� _ `.�'ol�+-'► Nei s�her Wit-'R+T - 5ite Plan r=20 a 4=21 PPL i-(1--;tJ 1�4- *wolz PORT ANGELES.\\/A 98363 COUNTY Of CLALLAM PENDLEY COUIZT LOT 11 LOT coVERA(;E 1684/9o31F = 18.696 SITE COVLRA( 'L 3020/9031F = 33,496 floU,,5E STYLE:TJ IL'PoRoTflY A Cusick 40 be Ry a r) 35' 35' FND. 1" CONDUIT WITH PLASTIC CAP FND. 1"CONDUIT WITH PLASTIC CAP I 35' � 35' STAMPED "CLARK 12223'•, N87'54'21"W, STAMPED "CLARK 12223", S08'30'15"W, 0.21' FROM CALCULATED POSITION 0.27'FROM CALCULATED POSITION N 33'14'39"E 669.64• �I 8 9500 53.00'N N 106.65' 76.00'N 81.00' 85.60' 85.80• 86.60' 10' — — 10• 2;09 — mo'A oo 17 m Oil , FND. 2"EJ6 16 SOFT " F —FT " F9S9 SFT�90NF 08 SQ.FT.2s E SO.FTj A9003 SQ.FT. 9046 SQ.FJ ® WITH PLw 102887SQ.FT. p-I m I_ �I ® /\)a o �- f �SozJ �� 1428 Jam 1�{2N. Ja m� �yN2 Ja 7yoz J 18" 95.001 a N 43. y �a 53314 40'W ""' ^' 42 85.80 66.61 / n^ 21.18 ............... R �, .:.'::.' ..'...'.'.'... 42.67 81.35 1,6 o ..............:..'.'.'::::C4.:.'.::.'. .'.'.'.::'. :.'.':.'::::':::. ':.'.:':.'.'.':.'.'::.':::.'.'::.'.'.'::::.'.G� w ; 1 61 ......................................................... A — ..�6.i".'CS:.:.:.:.:.,N r.;...;.;....::.-:::.8'3 ,N,,,. .. _ ...N 33'14'15" E.'.'::::.'.'.'..r.....o 9025 SQ.F1� 6 J ..:.'r : S 33'14'15" W. _�,�._, 7..._5 -..T.:..:. C1 250 Bl ':.oo N 2 _ w 33'14 15" .. 145COURT,20' . .®. 56.07 -. .'......'....'............'w'.'..:....'..:..::::. .. .. ... .. . :. ':'. .. .. ..... r.::.'..':...... : ........�.................. :.C15::.C76:.:'. :::::.':.::::.'.'..'.'::.'.': ':.':.'.':.'.'.':.'.':.'.':::.'.'::.'.;.'.�',': m r..... ......................4................. ... ....... q........ .. .... .. > N 10 "r.'.t'.'.CL.::.'::.. :.: .:.'. .'�12'.'.'.C13:C14:;....'.:':::..... 72.67', ♦ 65.20 ... 74.75•.. 55_84•... m 5 0� �10.61' 72.5N — \N I a. N I A N 533'1442 W Is�\ O N _ � e• 8� 101" N n 00 a Y .,.,.,...C".... a/— z { ! V 19 cn A FND. i/2"REBAR WITFI 25',2sal W 16 3 � �) �' II a; 12 _ J 13 -'�' I4. N m I "} _ PLASTIC CAP 0.14'FROM o 10781 SOFT. 8' 9053 SQ.FT. N I '� 900 SQ.FT. 'o rn 9006 SQ.FT `�a 9015 SQ.FT.I5 /C o a 9031 SOFT. LL Ff CALCULATED POSITION b 025 SQ.F7 `"P ,o , N I��"i �'i ,c°on `� N 3. • I- I o. ® 9042 SQ.FL .p (/ ? � °i /f d a ® m o a I rn cn STAMPED "CUMMINS LS `O .��' • 10' — =� 70• 2"1329 N60'02'3 "E, q — —/a~L— f � ��1L� �) 1 ��_(� HIQ *L 14 -- iD• = ILII a /�`�_� N a N� 1� / N /TN 8 35:00 78.64" 109.02' 83.25" N \77.75" 74.77'i� 75.38'�� �' 75.85'/ I ' FND. N 33'14'44" E `�' CAP-I N 669.66' 06301 SE COR. FOUND 1/2"REBAR AND Q FND. 1" CONDUIT WITH PLASTIC CAP SUB LOT 79 - _ CAP "Z&A PLS 28071'" STAMPED "CLARK 12223", S65'22'58"W, I o, m 0.18'FROM CALCULATED POSITION to -' w :` o 2013-1301870 Page 1 of 2 Warranty Deed 01 mpic Peninsula Title Company Clallam County Washington 10!25/2013 00 16:38 PM Mill �n AR1 OLYMPIC PENINSULA Title Company O NO CIALLAM COUNTY TRANSACTION EXCIDATE TAX PAID ZT 1.5 2 AMOUNI57- , Escrow Number:101422-DS 'AUNT TREA 8'+ Statutory Warranty Deed THE GRANTOR Housing Authority of the County of Clallam for and i co era' n o OLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand i ,conve an wawa Janessa Scott,an unmarried individual the following described real estate,situs a in the Cou ty of Clallam,State of Washington. Abbreviated Legal: LOT 11, PENDLEY ESTATES, For Full Legal See Attached Exhibit"A" Subject to exceptions to title also appearing on Exhibit 0"A Tax Parcel Number(s):06-30-99-107910/70 1, -30-01-860110/82931(New Assigned Parcel No.) Dated October 22,2013 ing Authority of the C 6n lallam By:Pamela J.Tieacfitire lgirJct O STATE OF W S IN O } COUNTY OF C A 1 } SS:. I certify that k ow s ' factory evidence that Pamela J.Tietz is/ a the persons) who appeared before me,and said peAsledgtAat she signed this instrument,on oath stated that she is/are authorizea instrument and acknowledge that as the Exe ofHousing Authority of the County op4elatlpm to be the a un act of such party(ies)for the uses and purposes nt' ned i this instrument. Dated: c ober 2!&2 13 \ Dawn L.Shi ler Ic in and for the State of Washington Residing at Port Angeles My appointment expires: 4-9-2015 LPB 10-05(i-1) Page I of 2 2013-1301870 10/25/2013 04:16:38 PM 2 of 2 Clallam County, WAWD OLYMPIC PENINSULA TITLE COMPANY EXHIBIT A LOT I 1 OF PENDLEY ESTATES AS PER PLAT THEREOF RECORDED IN VOLUi+ E OF PLATS,PAGE 78,RECORDS OF CLALLAM COUNTY,WASHINGTON. O SITUATE IN CLALLAM COUNTY,STATE OF WASHINGTON. SUBJECT TO: 1. ALL COVENANTS,CONDITIONS,RESTRICTIONS,RESERVATIONS, E OTHER SERVITUDES,IF ANY,DISCLOSED BY THE RECORDED PLAT OF PE ESTATES. 2. ALL COVENANTS,CONDITIONS,RESTRICTIONS,RESERVATIO EASEtER 0 OTHER SERVITUDES,IF ANY,DISCLOSED BY SHORT PLAT EDCLALLAM COUNTY RECORDING NO.515919. 3. COVENANTS,FOR MAINTENANCE,REPAIR AND OPE T N O RMAGE FACILITIES,CONDITIONS AND RESTRICTIONS IMPOS Y DOC NT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 2013-129 2 4. NOTICE TO PROPERTY OWNERS AND REQsell M I BY DOCUMENT RECORDED UNDER CLALLAM COUNTYO. 0 3-1292127"No fences, trees,or other encumbrances or obstructions mhin y easement dedicated to the City of Port Angeles. Improvements required adiv si n approval,including gates and utility maintenance access roads located will of be removed and the easement area shall be kept in good condition brty owners." O O LPB 10-05(i-1) Page 2 of 2 04 pURTq,1,C�l�,r 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: // /P9wf3lAg-'11111 �s i�q%S . Permit# Address: a-'7 ft7fI0,C Ey Co u PLT- Notes: City: lo©2-r &k 9--!9 State: ty AG Zip: 3 G 3 Contact: (23aue- f- memo PP ✓ Phone: 3 6 9 a e2 C_)? Phone 2: 3Gv-q-)"g -763,t Sir. /t �r/f FAX: WSEC Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE-FAMILY RESIDENTIAL OR DUPLEX CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazln Glazin U Factor ¢ Wal l Wall Wall O tion` Area %of x g Door , z '00wd }' Interior Eztenor Slab p U Cellmg Above t Floor Floor r� "Ch ' `Overhead Facfor Cellm ra Below3 Below rete. G 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: M110— SP-Z17- Type P-l7-Type of Heat Source: -0yMI_9,5�5 N-W jpurn-P /3 �.✓� W/d'L 1- H�l9 i S T:Forms/Building Division/Prescriptive Approach-Simple Form - Electrical Information Form 0 Public Works&Utilities Department(360)417-4700 m City Electrical Inspector(360)417-4735 3 CIYpR[G 6L� - Please complete and return to Public Works& Utilities Department Permanent service: Name: �fhJ�SS ,$CvTr Name and address of party Street: 0-/g y c./• responsible for permanent City I State I ZIP: 14Dk—t ,, • X36 3 service billing? Daytime Phone: Home Phone: • 7Name: (if other than above) 7&tecontact: Name: 2v� /�e-�vpP� Title, � V 8,rDaytime Phone: - 3Contractor: C�JnI�/L fJ�o[ Company: Daytime Phone: Electrician: Name: Company: Daytime Phone: Excavator: Name: Company: Daytime Phone: • ❑Existing Bliew Single-family residence ❑Multi-family residence; #of units ❑Commercial [A-Subdivision; #of lots /7 MOOv�verhead service El General service "Underground service ❑Other: ' " 1 rll • • Description of work: /1/5 /02 Yo S/1�G49-r/A-IAiD4-1cl- Street address/lot number: /y'-7 Pg'n/D/- CvU 12T /-'co T Nearest cross street: WirST / 7H 5% Desired connection date: Electrical transformer serving property is: ❑on a pole on the ground Total square footage: /02 L/C? sq.ft. Main disconnect size: 020 amps Voltage: 20/240 1 p ❑120/208 3ph ❑277/480 3ph ❑120/240 3ph ❑480 3W 3ph ❑ Other tandard residential to s (Lighting, refrigerator, dishwasher, washer) Check all that apply: E� c;lol A/C (_ton) L- Range/Oven El Hot Tub Eg' thes Dryer L�'Heating ❑Pumps Hp) ❑No Load Change Water Heater ❑Elevator(_Hp) ❑Other !J01MUM' • 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: Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 WS Information for,;.,-:;s WF r'.A;K3;LIGHT'rP3GR? C :iS':fnfrxr;',.. `orrr: .5-G9