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Home My WebLink About2303 W. 12th Street Address: 2303 W 12 Ih Street 3 Z_ PREPARED 6/14/13, 10:27:12 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/14/13 WOW ------------------------------------------------------------------------------------------------ ADDRESS . : 2303 W 12TH ST SUBDIV: CONTRACTOR C ANDERSON HOMES & DEV INC PHONE (425) 770-1477 OWNER KEDISH, STEWART AND MARGIE PHONE (360) 457-5005 PARCEL 06-30-99-1-0-5510-0000- APPL NUMBER: 13-00000284 RES NEW SFR ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 5/10/13 AP May 10, 2013 8:42:33 AM pbarthol. Ryan 477-9949 May 10, 2013 4:34:17 PM jlierly. ME99 01 6/14/13 MECHANICAL FINAL June 14, 2013 9:07:28 AM pbarthol. RYAN 477-9949 --------------------- ------------------------------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL6 01 4/12/13 JLL PLUMBING WATER SUPPLY 4/12/13 AP April 12, 2013 8:27:13 AM pbarthol. Ryan 477-9949 April 12, 2013 12:44:43 PM jlierly. PL2 01 5/10/13 JLL PLUMBING ROUGH-IN 5/10/13 AP May 10, 2013 8:42:43 AM pbarthol. Ryan 477-9949 May 10, 2013 4:34:17 PM jlierly. PL99 01 6/14/13 PLUMBING FINAL June 14, 2013 9:07:38 AM pbarthol. RYAN 477-9949 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/14/13, 10:27:12 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/14/13 ------------------------------------------------------------------------------------------------ ADDRESS 2303 W 12TH ST SUBDIV: CONTRACTOR C ANDERSON HOMES & DEV INC PHONE (425) 770-1477 OWNER KEDISH, STEWART AND MARGIE PHONE (360) 457-5005 PARCEL 06-30-99-1-0-5510-0000- APPI, NUMBER: 13-00000284 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLFW 01 4/08/13 JLL BLDG FOUND FTG/STEM WALL 4/08/13 AP April 8, 2013 8:15:59 AM pbarthol. Chris 425-770-1477 AM April 8, 2013 4:24:52 PM jlierly. BLFD 01 4/12/13 JLL BLDG FOUNDATION DRAINAGE 4/12/13 AP April 12, 2013 8:28:23 AM pbarthol. Ryan 477-9949 April 12, 2013 12:44:43 PM jlierly. DRW 01 4/12/13 JLL BLDG DRYWELL 4/12/13 AP April 12, 2013 8:28:00 AM pbarthol. Ryan 477-9949 April 12, 2013 12:44:43 PM jlierly. DSD 01 4/12/13 JLL BLDG DOWN SPOUT DRAINS 4/12/13 AP April 12, 2013 8:27:47 AM pbarthol. Ryan 477-9949 April 12, 2013 12:44:43 PM jlierly. BFF 01 4/17/13 JLL BLDG FLOOR FRAMING 4/17/13 AP April 17, 2013 8:10:13 AM pbarthol. Chris 425-770-1477 April 17, 2013 4:09:07 PM jlierly. IBL9 01 4/29/13 JLL BLDG SHEARWALL 4/29/13 AP April 29, 2013 8:17:54 AM pbarthol. Chris 425-770-1477 April 29, 2013 4:25:45 PM jlierly. BAIR 01 5/10/13 JLL BLDG AIR SEAL 5/10/13 AP May 10, 2013 8:42:15 AM pbarthol. Ryan 477-9949 May 10, 2013 4:34:17 PM jlierly. BL3 01 S/10/13 JLL BLDG FRAMING 5/10/13 AP May 10, 2013 8:41:52 AM pbarthol. Ryan 477-9949 May 10, 2013 4:34:17 PM jlierly. BLI 01 5/14/13 JLL BLDG INSULATION 5/14/13 AP May 14, 2013 10:15:06 AM jlierly- Ryan 477-9949 May 14 2013 3:07:45 PM jlierly. BL99 01 6/14/13 J BLDG FiNAL June 14, 2013 9:07:19 AM pbarthol- RYAN 477-9949 ---------------------------k- ------------------------------------------------------------------ PERMIT: ME 00 ME(NEANICAL PER141T REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME1 01 5/10/13 JLL MECHANICAL ROUGH IN ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 kAj Application Number . . . . . 13-00000284 Date 4/03/13 Application pin number . . . 996572 Property Address . . . . . . 2303 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-99-1-0-5510-0000- REPORT SALES TAX Application type description RES NEW SFR on your state excise tax form subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 140285 ---------------------------------------------------------------------------- Application desc 1451 new sfr ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KEDISH, STEWART AND MARGIE C ANDERSON HOMES & DEV INC 1735 W 7TH ST 1400 W. WASHINGTON ST. PORT ANGELES WA 98363 STE. 104-178 (360) 457-5005 SEQUIM WA 98382 (425) 770-1477' ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . NEW SFR Permit Fee . . . . 1249.85 Plan Check Fee 812.40 Issue Date . . . . 4/03/13- Valuation. . . . . 140285 Expiration Date '_ 9/30/13 Qty Unit Charge Per Extension BASE FEE 1020.25 41.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 229.60 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc 1451 SFR Permit Fee . . . . 97.20 Plan Check Fee .00 Issue Date . . . . 4/03/13 Valuation . . . . 0 Expiration Date 9/30/13 Qty Unit Charge Per Extension BASE FEE 50.00 3.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 21.75 10m 1.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 10.65 1.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 14.80 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc 1451 SFR Permit Fee . . . . 163.00 Plan Check Fee .00 Issue Date — . . . 4/03/13 Va1uation . . . . 0 Expiration Date 9/30/13 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 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required,ifispectioris 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 Ite of wor will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violat r cancel e 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 Backfiow 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 Sternwall Foundation Drainage/Downspouts Piers Post Holes(Pole BIdgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by 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 Pump/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 Pkirting PLANNING DEPT. Separate Permit#s SEPA.I Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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 . . . . . 13-00000284 Date 4/03/13 Application pin number . . . 996572 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form 1.00 15.0000 EA PL-SEWER LINE 15.00 1.00 7.0000 EA PL-WATER HEATER 7.00 to the City of Port Angeles ------- ----- --- -------- -----Special-Notes-and-Comments---------------------------------------------- (Location Code 0502) March 26, 2013 3:19:40 PM pbarthol. Plan check fee paid on this permit and waived on permits for 2307 and 2311 W 12th St. The same plans used for all three addresses. March 27, 2013 12:48:48 PM rbecker. Are you installing a lawn sprinkler or closed fire system? if you are, you need to install a backflow assembly. Call Ron Becker at 360-417-4886. Fak: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. A residential fire sprinkler system, installed per NFPA 13D, will be required, 2nd option is to install an outside alarm bell that is inter-connected �to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" March 27, 2013 2:47:22 PM sroberds. The proposal will result in a new sfr in the RS-9 -for total lot coverage of 21% and site coverage of 29W. No land use issues anticipated. Electrical load calculations and electrical permits are required. 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 Applicant to utilize existing driveway access. Driveways to be built to accommodate future sidewalk construction. 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 ---------------------------------------------------------------------------- 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 ----------------- ---------- ---------- ---------- ---------- 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 in*specti6ns 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 Backfiow 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 —F 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 by 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 Pump/Furnace I FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Pkirting PLANNING DEPT. Separate Permit#s SEPA. Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 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-13UILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 3 Application Number . . . . . 13-00000284 Date 4/03/13 Application pin number . . . 996572 Permit Fee Total 1510.05 1510.05 .00 .00 REPORT SALES TAX Plan Check Total 812.40 812.40 .00 .00 on ur state excise tax form Other Fee Total 5294.50 5294.50 .00 .00 yo Grand Total 7616.95 7616.95 .00 .00 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 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 Backfiow 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 by AIR SEAL: Walls Ceiling FRAMING: Joists I Girders I Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump I Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet I Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping ISHORELINE: FINAL INSPECTIONS REQ ED PRIOR TO OCCUPANCY1 USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 --PIS Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES 6. PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 13-00000284 Date 4/03/13 Application pin number . . . 996572 Property Address . . . . . . 2303 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-99-1-0-5510-0000- REPORT SALES TAX Application type description RES NEW SFR on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 140285 ---------------------------------------------------------------------------- Application desc 1451 new sfr ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KEDISH, STEWART AND MARGIE C ANDERSON HOMES & DEV INC 1735 W 7TH ST 1400 W. WASHINGTON ST. PORT ANGELES WA 98363 STE. 104-178 (360) 457-5005 SEQUIM WA 98382 (425) 770-1477 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY INSTALLATION Additional desc . . Permit Fee . . . . 180.00 Plan Check Fee .00 Issue Date . . . . 4/03/13 Valuation . . . . 0 Expiration Date 9/30/13 Qty Unit Charge Per Extension BASE FEE 180.00 ---------------------------------------------------------------------------- Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc . . Permit Fee . . . . 1280.00 Plan Check Fee .00 Issue Date . . . . 4/03/13 Valuation . . . . 140285 Expiration Date . . 9/30/13 Qty Unit Charge Per Extension 1.00 1280.0000 EA PW W/M 1" SERV 5/81' METER 1280.00 ---------------------------------------------------------------------------- Permit . . . . . . SANITARY SEWER HOOK UP Additional desc . . Permit Fee . . . . 150.00 Plan Check Fee .00 Issue Date . . . . 4/03/13 Valuation . . . . 140285 Expiration Date . - . 9/30/13 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 ---------------------------------------------------------------------------- Special Notes and Comments March 26, 2013 3:19:40 PM pbarthol. Plan check fee paid on this permit and waived on permits for 2307 and 2311 W 12th St. The same plans used for all three addresses. 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 e uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of construc o Signature actor or Authorized Agent Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORI) 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 DRA_1NAGE 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 4174653 1 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 . . . . . 13-00000284 Date 4/03/13 ------Application pin number 996572 REPORT SALES TAX ----------- --- ------ - - - ------ Special Notes and Comments on your state excise tax form March 27, 2013 12:48:48 .PM rbecker. Are you installing a lawn sprinkler or closed fire system? to the City of Port Angeles If you are, you need to install a backflow assembly. (Location Code 0502) Call 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. A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" March 27, 2013 2:47:22 PM sroberds. The proposal will result in a new sfr in the RS-9 for total lot coverage of 21% and site coverage of 29%. No land use issues anticipated. Electrical load calculations and electrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour ad-�ance notice is required. Public Works Inspection request line 417-4831 Applicant to utilize existing driveway access. Driveways to be built to accommodate future sidewalk construction. 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 ---------------------------------------------------------------------------- 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 1610.00 1610.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6904.50 6904.50 .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. 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 CONSTRUCT ON R.W. PW/ CONSTRUCTION-R.W. IS ENGINEERING 417-4807 PW/ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 4174750 PLANNING DEPT. BUILDING 41�7- BUILDING 4815 I — i J T:Forms/Building Division/Public Works Perrr�t THi� For City Use -SO ITY OF ermit# W A S H I N G T 0 N, U . S ., �)ate Received: 321 East S'hStreet it Date Approved 'I 1Z Port Angeles, WA 98362 'Y V�� P: 360-417-4817 F: 360-417-4711 A/ permitsPcityofpa.us I Building Permit Application Project Address: 2303 West 12th Street Main Contact: Phone # 425-770-1477 Christopher Anderson E-Mail: chris@CAndersonHomes.com Property Name Stewart and Margie Kedish Phone 425-770-1477 Owner Mailing Address Email 495 W. Spruce St., Suite 3 chris@CAndersonHomes.com city State Zip Sequim WA 98382 Contractor Name C. Anderson Homes& Development. Inc. Phone 425-770-1477 MailingAddress, Email 495 W. Spruce St., Suite 3 chris@CAndersonHomes.com city State Zip Sequim WA 1 98382 Contractor License # CANEAH943DG Expiration: March 7, 2014 Project Value: Zoning: Tax Parcel # Lot# 1 $ 119,000 Type of Residential 0 Commercial 0 Industrial [3 Public [3 Permit Demolition 0 Fire 13 Repair [3 Reroof(tear off/lay over) 0 For the following,fill out both pages of permit application: New Construction El Remodel 11 Addition El Tenant Improvement 1:1 Mechanical El Plumbing 1:1 Other 13 Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms TR�Ximun Yes 0 No ID 1 16' 3 2 Project New Single Family Construction 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 3-26-13 Christopher Anderson Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement 0 0 First Floor 0 1,451 1122--3 �31 1� Second Floor 0 Covered Deck/Porch/Entry 0 32 Deck 0 0 Garage 0 565 Carport 0 0 Other(describe) 0 0 Area Totals 0 2,048 Commercial Structures For Office Use Area Descriptions (SQ FT) Existing Proposed $$Value Existing Structure(s) 0 0 0 Proposed Addition 0 0 0 Tenant Improvement? 0 0 0 Other work(describe) 0 0 0 otals 0 0 LoVSite Coverage Calculations Footprint(SQ FT)of all Structures: Lot Size: %Lot Coverage 2,048 9,600 sq. ft. 21% SQ FT Site coverage(all impervious+ 2,810 %Site Coverage structures) 29% Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # 0 Haz/Non-Haz Piping #of Outlets: Appliance Vent # 1 Heater(Suspended,Floor,Recessed wall) # 8 # 0 Heating/Cooling appliance # 0 Boiler/Compressor repair/alteration Evaporative Cooler(attached,not # 0 Pellet Stove/Wood-burning/Gas # 0 portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct 0 # 3 Furnace/Heat Pum Forced Air Unit P/ Siz # 0 Ventilation System # 0 Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # 8 Fuel gas piping #of Outlets: o Water Heater # 1 Medical gas piping #of Outlets: 0 Water Line # 1 Vent piping # 4 Sewer Line # 1 Industrial waste pretreatme 0 1 interceptor Other(describe): T:\BUILDING\APPLICATION FORMS\BUILDING PERMIT 081212.DOCX 0� PRESCRIPTIVE APPROACH-SIMPLE FORM For the Washington State Energy Code (WSEQ 2009 Edition Climate Zone I CITY GOVERNMENT Site Information: Building Department Use Only: Lot: I Permit Address: ("i- Notes: City: R)qlq, P 1,93 J State: LjA Zip: 9 36 2 Contact: Q osi-yb er AJ*-�i� Phone: Ll D-5--/-7c) y-7 Phone 2: _ff� FAX: f 9 WSEC Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE-FAMILY RESIDENTIAL OR DUPLEX' CLIMATE ZONE I (Unlimited Glazing Option Only) W411 Weill oor 9 Factor D a azing U- GI Slab on a;in Iriterior: -Exterior f ei Ing., 0 Optiory A Floor Be!ow below Concrete ici,,.,,E9 r�oad,. TeicW,� !Fl vert 11 t :,;Gr Grade, Graidd. . R-49 III Unlimited 0.30 0.50 0.20 or R-38 R-21 R-21 R-10 R-30 R-10 R-38 int TB -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 ofthedoor taking this exception: 45�\i!7�, (511- El 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 S i ource: _ 2—cy\eJ Vrc�s-t, c T:Forms/Building Division/Prescriptive Approach-Simple Form Patrick Bartholick From: Patrick Bartholick Sent: Wednesday, March 27, 2013 10:50 AM To: Bill Hale; Brian Anders; Dave Chastain; David Freed; Eric Walrath; Ernie Klimek; Jonathan Boehme; Ken Dubuc; Ken Loghry; Mike Puntenney; Patrick Bartholick; Roger Vess; Ron Becker; Sue Roberds; Terry Dahlquist; Timothy Amiot Subject: Building Permit Routing Please review the following application and enter approvals and comments in hte as soon as possible 1. 2303 W 12 th Street Permit#13-284 C.Anderson Homes 1451 sq ft SFR with 32 sq ft porch and 565 sq ft attached garage. 2. 2307 W 12t.h St Permit#13-285 C. Anderson Homes 1451 sq ft SFR with 32 sq ft porch and 565 sq ft attached garage. Pat Bartholick Code Compliance Officer 321 E Sth Street P.O.Box 11SO Port Angeles,WA 98362 Office: 360-417-4712 Fax: 360-417-4711 pbartholCa)cityofpa.us