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HomeMy WebLinkAbout912 Seamount Drive Address: 912 Seamount Drive PREPARED 7/08/14, 8:24:31 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/08/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 912 SEAMOUNT DR SUBDIV: CONTRACTOR ARLAND ELSTROM PHONE (360) 457-0382 OWNER ELSTROM, ARLAND PHONE PARCEL 06-30-00-9-5-0210-0000- APPL NUMBER: 14-00000017 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 1/17/14 PB BLDG FOUNDATION FOOTING 1/17/14 AP January 17, 2014 9:35:58 AM pbarthol. Arland 808-4814 January 17, 2014 11:44:31 AM pbarthol. ufr ok BL2 01 1/21/14 PB BLDG FOUNDATION STEM WALL 1/21/14 AP January 21, 2014 9:58:31 AM pbarthol. Arland 808-4814 January 21, 2014 4:48:52 PM pbarthol. BFF O1 1/24/14 JLL BLDG FLOOR FRAMING 1/24/14 AP January 24, 2014 8:34:14 AM pbarthol. Arland 808-4814 January 24, 2014 4:22:57 PM jlierly. BL9 01 3/04/14 JLL BLDG SHEARWALL 3/04/14 AP March 4, 2014 9:08:03 AM pbarthol. Arland 808-4814 March 4, 2014 4:01:30 PM jlierly. BAIR O1 3/20/14 JLL BLDG AIR SEAL 3/20/14 AP March 20, 2014 9:05:27 AM pbarthol. Arland 808-4814 March 20, 2014 4:10:53 PM jlierly. BL3 01 3/20/14 JLL BLDG FRAMING 3/20/14 AP March 20, 2014 9:04:54 AM pbarthol. Arland 808-4814 March 20, 2014 4:10:53 PM jlierly. BL9 02 3/20/14 JLL BLDG SHEARWALL 3/20/14 AP March 20, 2014 9:05:16 AM pbarthol. Arland 808-4814 March 20, 2014 4:10:53 PM jlierly. SLI O1 3/26/14 JLL BLDG INSULATION 3/26/14 AP March 26, 2014 12:06:51 PM pbarthol. March 26, 2014 3:55:02 PM jlierly. PW99 01 6/30/14 RV PUBLIC WORKS FINAL 6/30/14 AP July 1, 2014 7:11:22 AM rvess. July 1, 2014 7:11:43 AM rvess. BL99 01 7/08/14 BLDG FINAL July 8, 2014 8:25:26 AM pbarthol. Arland 808-4814 PERMIT: ME 00 MECHANICAL IT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------—-------------—--- ------ ME99 01 7/08/14 likL MECHANICAL FINAL July 8, 2014 8:25:49 AM pbarthol. Arland 808-4814 PERMIT: PL 00 PLUMBING PE T REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 7/08/14, 6:24:31 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/08/14 ------------------------------------------------------------------------------------------------ ADDRESS . : 912 SEAMOUNT DR SUBDIV: CONTRACTOR ARLAND ELSTROM PHONE (360) 457-0382 OWNER ELSTROM, ARLAND PHONE PARCEL 06-30-00-9-5-0210-0000- APPL NUMBER: 14-00000017 RES NEW SFR ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------ --------------------—--------—--------------—------------------—-' PL2 01 3/13/14 JLL PLUMBING ROUGH-IN 3/13/14 AP March 13, 2014 10:50:38 AM pbarthol. Vince 461-9635 Key is under rock by second foundation vent March 13, 2014 4:30:03 PM jlierly. PL6 01 6/23/14 JLL PLUMBING WATER SUPPLY 6/23/14 AP June 23, 2014 8:55:18 AM pbarthol. Arland 808-4814 June 23, 2014 4:06:27 PM jlierly. PL99 01 7/08/14 JLL PLUMBING FINAL July 8, 2014 8:25:57 AM pbarthol. Arland 808-4814 -------------------------- ----——-- COMMENTS AND NOTES ------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 14-00000017 Date 1/17/14 Application pin number . . . 286670 Property Address . . . . . . 912 SEAMOUNT DR ASSESSOR PARCEL NUMBER: 06-30-00-9-5-0210-0000- Application type description RES NEW SFR REPORT SALES TAX Subdivision Name . . . . . . on your State excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY to the City of Port Angeles Application valuation 142280 (Location Code 0502) ----------------------------------- Application desc SFR in RS-7 --------------------------------------------------------------------- Owner Contractor ------------ ------ ------------------ `LJ ELSTROM, ARLAND ARLAND ELSTROM ` 124 N Point Rd 124 N POINT RD In Port Angeles, WA PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457-0382 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . Permit Fee . . . . 1261.05 Plan Check Fee 819.68 Issue Date . . . . 1/17/14 Valuation . . . . 142280 Expiration Date 7/16/14 Qty Unit Charge Per Extension BASE FEE 1020.25 43.00 5,6000 THOU BL-100,001-500K (5.60 PER K) 240.80 ----------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc SFR MECHANICAL Permit Fee . . . . 97.20 Plan Check Fee .00 Issue Date . . . . 1/17/14 Valuation . . . . 0 Expiration Date . . 7/16/14 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 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc SFR PLUMBING Permit Fee . . . . 170.00 Plan Check Fee .00 Issue Date . . . . 1/17/14 Valuation . . . . 0 Expiration Date 7/16/14 Qty Unit Charge Per Extension BASE FEE 50.00 9.00 7.0000 EA PL-PLUMBING TRAP 63.00 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 forelectrical 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. Dat q 7-1 Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forns/Building Division/Building Permit r 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 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 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 T 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-CZ--/P, iHdinn flivicinn/Ri dlrlfn.,DormB CITY OF PORT ANGELES s� I DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION / 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 14-00000017 Date 1/17/14 Application pin number . . . 286670 Qty Unit Charge Per Extension REPORT SALES TAX 1.00 15.0000 EA PL-SEWER LINE 15.00 on your state excise tax form 1.00 7.0000 EA PL-WATER HEATER 7.00 to the City of Port Angeles Special Notes and Comments (Location Code 0502) 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. January 9, 2014 9:15:20 AM sroberds. The proposal will result in a new sfr in the RS-7 for total lot cov of 20% and site cov of 21%. No land use issues anticipated. January 9, 2014 8:22:24 AM banders. Electrical connection point is between proposed house and existing house at 924 Seamount. Underground service only. Consider applying for the City Green Infrastructure Rebate of up to $750.00 towards the materials to install rain garden to control roof and driveway runoff. Also rebates available for downspout disconnections.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 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 -------- Fee summary Charged Paid Credited Due Permit Fee Total 1528.25 1528.25 .00 .00 Plan Check Total 819.68 819.68 .00 .00 Other Fee Total 4.50 4.50 .00 . .00 Grand Total 2352.43 2352.43 .00 .00 Separate Permits are required forelectrical 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 r 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 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 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 t54PP) °RT�"°F CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 14-00000017 Date 1/17/14 Application pin number . . . 286670 Property Address . . . . . . 912 SEAMOUNT DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-9-5-0210-0000- 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 . . . . 142280 ---------------------------------------------------------------------------- Application desc SFR in RS-7 ---------------------------------------------------------------------------- Owner Contractor ELSTROM, ARLAND ARLAND ELSTROM 124 N Point Rd 124 N POINT RD Port Angeles, WA PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457-0382 ---------------------------------------------------------------------------- Permit . . . . . . SANITARY SEWER HOOK UP Additional desc . . Permit Fee . . . . 150.00 Plan Check Fee .00 Issue Date . . . . 1/17/14 Valuation . . . . 142280 Expiration Date . . 7/16/14 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 ---------------------------------------------------------------------------- Special Notes and Comments 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. January 9, 2014 9:15:20 AM sroberds. The proposal will result in a new sfr in the RS-7 for total lot cov of 20% and site cov of 21%. No land use issues anticipated. January 9, 2014 8:22:24 AM banders. Electrical connection point is between proposed house and existing house at 924 Seamount. Underground service only. Consider applying for the City Green Infrastructure Rebate of up to $750.00 towards the materials to install rain garden to control roof and driveway runoff. Also rebates available for downspout disconnections.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 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. n (z� e�� f—I 3LL--� Signature of Contractor br Authorized Agent Date Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417- BUILDING 4815 T:Forms/Building Division/Public Works Permit OF POR7,k,C .^FF CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES. WA 98362 Page 2 Application Number . . . . . 14-00000017 Date 1/17/14 Application pin number . . . 286670 -------------------------------------------------------- REPORT SALES TAX Special Notes and Comments on your state excise tax form notice is required. Public Works Inspection request line 417-4831 to the City of Port Angeles --- es ------ RG ------------------------- (Location Code 0502) Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 154.50 154.50 .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 CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT, 417-4750 PLANNING DEPT. BUILDING 4b7- BUILDING 4815 T:Forms/Building Division/Public Works Permit 5"'V�'o J� � - • � t�F'S'I'ATg O \ lj _ m y�1889�O STATE OF WASHINGTON STATE BUILDING CODE COUNCIL 128-10th Avenue SW • P.O. Box 42525 • Olympia, Washington 98504-2525 (360)725-2966 • fax(360)586-9383 • e-mail sbcc@cted.wa.gov • www.sbcc.wa.gov STATE BUILDING CODE INTERPRETATION NO. 11-03 CODE: 2009 WSEC SECTION: 502.4.5 Building Air Leakage Testing QUESTION: This section requires a blower door test on buildings. Where a blower door test reveals a higher leakage than the target specific air leakage area, the builder identifies and seals the air leaks, and a second test is conducted. Is it acceptable if the final leakage area, recorded on the certificate as required by Section 105.4, is a higher leakage area than required by the code? ANSWER: Yes, the result can be considered acceptable if all leakage areas identified by the initial test have been sealed, and the final result is recorded on the certificate. \ ^ SUPERSEDES: None Q REQUESTED BY: CityofShoreline 1 OF pORTgNG�`�N Official Use Only _ Assem.# Backflow Assembly Test Report Received 'c City of Port Angeles hpRXS ANO Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES: �,T (~ f 8 - TX e � SERVICE ADDRESS: I 9 /k ell A/ j j�v� / �e- LOCATION OF DEVICE: _ f �` M /A/>) A4 7-" /V,,6:-X ASSEMBLY: i f !;Ix/ f 1y Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY'? YES 94610❑ IS ASSEMBLY INSTALLED CORRECTLY'? YES 0-1NO❑ DATE OF INSTALLATION. 66(" ?&I YUNKNOWN❑. REDUCED PRESSURE PRINCIPLE ASSEMBLY RP ❑ RPDA ❑ DC Q]- DCDA ❑ PVB ❑ Air Gap ❑ DOUBLE CHECK VALVE ASSEMBLY SVB ❑ AVB ❑ CHECK VALVE#1 CHECK VALVE#2 RELIEF VALVE PVB/SVB Initial Leaked ❑ Leaked ❑ Did Not Open ❑ AIR INLET Closed Tight ❑ Did Not Open [3Test Held at eA..'1 psi I C Opened at psi Held at� psi Opened at psi Repairs Cleaned ❑ Cleaned ❑ Cleaned ❑ CHECK VALVE 2 Leaked E3 Held at psi Replaced ❑ Replaced ❑ Replaced ❑ REPAIRS C Cleaned 13- Details -Details Replaced ❑ 3 psi Buffer YES ❑ NO ❑ \)(' Final Closed Tight ❑ AIR INLET Opened at psi CHECK VALVE Held at psi Test Held at psi Held at psi Opened at psi BACK PRESSURE NO❑ YES❑ AIR GAP INSPECTION: / REQUIRED MINIMUM SEPARATION: YES ❑ NO E3 TYPE TYPE OF HAZARD COMMENTS Line Pressure FQ psi \ �e/V '� � Held Backpressure YES O,'""NO ❑ Q Shutoff Held YES 0-NO ❑ Relief Valve Exercised YES❑ NO ❑ DateTime Tester Signature Cert.# Test Kit Passed Failed Initial _ TestK r ��� G� �► d�Gif'� > f oma-- ❑ Repairs ❑ ❑ Final Test 13 13 WHITE-CUSTOMER COPY YELLOW-PURVEYOR COPY PINK-TESTER COPY CIT RT �GELES. For City Use CITY OF .r Permit# �jZ j�/- W A s H i N G T O N, U . S. Date�ec ived: /- 7-,/ y 321E 5th Street Date App Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits0cityofpams BUILDING PERMIT APPLICATION Project Address: Phone: 3t_,a $cg Prima Contact: R,L_ &")AEL,S7-A'-, Email: PC_C-LS-TT-.01,1 ® i�tvo� oc-0 Name Phone Ri_ Ah Property Mailing Address Email Owner 12- o t i2D City _ State Zi � 3 Name Phone Contractor Address Email Information city State zip Contractors License# Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) Residential :® Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following, fill out both pages of permit application: (check New Construction X Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Fire Sprinkler System? Irrigation System? Proposed Bathrooms Proposed Bedrooms Yes E3 No Yes No Project Description S �� S S` t ` h t4-.)C Is project in a Flood Zone: Yes ❑ NoX Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name Signature Residential Structures For Office Use Area Description(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or a° floor) Garage � s Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage_lot size) lC) 1 5 D,10 Lf O 5� (.-. O Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size) Z cfo 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 Outlets: Appliance Exhaust Fan # 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 # fi Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit 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 # , Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx Simple Heating System Size: Washington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2012 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling systems should be used to determine cooling r �ir)- / loads. The glazing(window)and door portion of this calculator assumes the installed glazing and door products have an area weighted average U-factor of 0.30. The incorporated insulation requirements are the minimum prescriptive amounts specified by the 2012 WSEC. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section, 77 some values will be calculated for you. If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360)956-2042 for assistance. Project Information Contact Information Zi � - Heating Systend Type: OO All Other systems O Heat Pump 3c c)-'80 1- $l 1 To see detailed instructions for each section,place your cursor on the word"Instructions". Design Temperature InstructionsDesign Temperature Difference(AT) Select closest city r pl�� C-> AT=Indoor(70 degrees)-Outdoor Design Temp Area of Building Conditioned Floor Area Instructions Conditioned Floor Area(sq ft) Average Ceiling Height Conditioned Volume Instructions' Average Ceiling Height(ft) ® "-U0 ? Glazing and Doors U-Factor X Area = UA Instructions _ 0.30 LtJ � ZO Skylights U-Factor X Area = UA Instructions 0.50 --- Insulation Attic U-Factor X Area = UA 9 l In Select R-Value -' _ IV N%s(Oc'jib Single Rafter or Joist Vaulted Ceilings U-Factor _X Area UA Instructions Select R-Value No selection ® _ Above Grade Walls(see Figure 1) U-Factor X Area UA Instructions [Sel- value Floors U-Factor X Area UA Instructions Select R-Value — _ Noo,oAq 4-3-3-9 Below Grade Walls(see Figure 1) U-Factor X Area UA, Instructions [Sel- No selection --- Slab Below Grade(see Figure 1) F-Factor X Length UA InstructionsNo selection 0 Select condiuoning � --- Slab on Grade(see Figure 1) F-Factor X Length UA InstructionsSeleNo selection 0 - d R-Value � -: Location of Ducts Instructions Duct Leakage Coefficient Unconditloned Space 1.10 Sum of UA z i a, Envelope Heat Load &13V Btu/Hour Figure 1. Sum of UA XAT Air Leakage Heat Load I Z'q Btu/Hour Volume X 0.6 X dT X.018 Above Grade Building Design Heat Load 3(02.,_ Btu/Hour low Giade Air Leakage+Envelope Heat Loss `Be7 Building and Duct Heat Load Btu/Hour Ducts in unconditioned space:Sum of Building Heal Loss X 1.10 Ducts in conditioned space:Sum of Building Heat Loss X 1 q Maximum Heat Equipment Output 19-7'-f(J Btu/Hour Building and Duct Heal Loss X 1.40 for Forced Air Furnace Building and Duct Heat Loss X 1.25 for Heal Pump (07/01/13) to ?e(A -ev I Lf0 Lf y Prescriptive Energy Code Compliance for All Climate Zones in Washington Project Information Contact Information This project will use the requirements of the Prescriptive Path below and incorporate the 3(,_-U SLAB LC 7 the minimum values listed. In addition, based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Authorized Representative Date (C' — All Climate Zones R-Valuea U-Factora Fenestration LI-Factor' n/a 0.30 Skylight U-Factor n/a 0.50 Glazed Fenestration SHGCb,e n/a n/a Ceiling 49' 0.026 Wood Frame Wall9'k" 21 int 0.056 Mass Wall R-Value' 21/21' 0.056 Floor 309 0.029 Below Grade Wall`,k 10/15/21 int+TB 0.042 Slab R-Value&Depth 10,2 ft n/a "Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in one and two-family dwellings and townhouses,as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: . Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are less than 750 square feet of heated floor area. F-12. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. ❑3. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. Table R406.2 Summary Option Description Credit(s) 1a Efficient Building Envelope 1a 0.5 ❑ 1 b Efficient Building Envelope lb 1.0 ❑ 1c Efficient Building Envelope 1c 2.0 ❑ 2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑ 2b Air Leakage Control and Efficient Ventilation 2b 1.0 2c Air Leakage Control and Efficient Ventilation 2c 1.5 3a High Efficiency HVAC 3a 0.5 ' ❑ 3b High Efficiency HVAC 3b 1.0 3c High Efficiency HVAC 3c 2.0 ❑ 3d High Efficiency HVAC 3d 1.0 ❑ 4 High Efficiency HVAC Distribution System 1.0 �. 5a Efficient Water Heating 0.5 5b Efficient Water Heating 1.5 ❑ 6 Renewable Electric Energy 0.5 *1200 kwh 0.0 Total Credits 0.00 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/2012%20Res%20Energy.pdf \ v 0 ( a7b'00� 17 . --� crl 1 w I blap DD - - ---- I � G II I M 1C105:F.1 7 Q G ARAgE 564 5-�r. .v5 . ' A I � o $8 F f 994 913 �*x �: 18 4 � $ }�• ,lire � # i S/�� « � r n s. �r a� p * Y, Seamo 924 "4 921 i.. P F' oo Ul 90 . 00 N 334' � I I � I Ll I Ul co 0^ i 72 i 4 l 0o t •G?%5 f 1 f 90 , 00 ,6 �t 00 , r ! 1 Ul 00 1 72 se— --------------- r a 00 rN c M n f Electrical Information Form r= _. Public Works&Utilities Department(360)417-4700 %,,,,k„ City Electrical Inspector(360)417-4735 Please complete and return to Public Works& Utilities Department Permanent service: Name: P' Name and address of party Street: l Z P p responsible for permanent City 1 State 1 ZIP: 0 c2Z` �J3 ESS' w c g tu,3 service billing? Daytime Phone: 3 6f2 c Home Phone: r. "WF • (if other than above) Site contact: Name: ,SNmL Title: Daytime Phone. Contractor: Name: Company: Daytime Phone: Electrician: Name: Company: Daytime Phone: Excavator: Name: Company: Daytime Phone: • • ❑Existing . ew N�pingle-family residence El Multi-family residence; #of units ❑Commercial ❑Subdivision; #of lots ❑Overhead service ❑General service ❑ Underground.service ❑.Other: Ljj • • Description of work: Street address/lot number: 1 -2— S k=ft-wx Nearest cross street: ` pT L. 6r-J,:JI` Desired connection date: Electrical transformer serving property is: ❑ on a pole on the ground 1yq(" Total square footage: So,.{ G,N-K sq.ft. Main disconnect size: aZ-7C> amps Voltage: 120/240 1ph 7120/208 3ph F1277/480 3ph 0120/240 3ph ❑480 3W 3ph Other )z$&andard residential loads (Lighting, refrigerator, dishwasher, washer) Check all that apply: ❑A/C (_ton) ❑Range/Oven ❑Hot Tub Clothes Dryer Heating ❑Pumps ( Hp) ❑No Load Change ❑Water Heater El Elevator(_Hp) ❑Other • • • o • Please provide a copy of the following: "Detailed plot plan (.dwg or .dxfformat 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: Z --i MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4711 WS WF Information form.xls N:1PV'd��SiL1CH?iFNGR\#Originals lr�r�rrT�tien form Revised 1-15-09 I I � 1 T 7- s I � p tirAl E �Q i i - ----- - I ct Y OF P0kT A c E . s F;e tt4on these i? g {+- T`?p Rsu�nce of this germ P � and other daf> n a. 'the buildin ofiiC;al cat,e . n! from thereaffer ret�c��,° ^ f�a co r "`i ofi errors.in said _— _._ p'.a,,.;, specification, ando..,,r r�_a, , rosa preventing building oQ s t,: . carried u:; °;ereunder when in violation of ail codes ,, ''r; of this jurisdiction. 90- A pproval Date BY - - _ prr f r - r , 4-7 D© ------------- It ; { ( � I I - � i I x a r 1 AAA ;r Cog i � + 0 4z IN _ o E `f! i - -- j Q< A ) A t rte' ! R-vc tf off-t3 oc'S --- � Coro.C. � �.y �a�t�Ean.dT�-<.•` R-.D w:x't+ r,✓ P r z �A) Of- --- - - 3�—0 �' P�v' 3Nk 3 Kr/Y 41- ch..t„v + IL u r-3--Za f} C7 � 5 n _ � a l ra 1-4 i c t-, 0 to V\ LIN CL ®� ' � - _ �'' I ►J��R-Ion �-_-__ h ti '��`��h I _ - j rJ kn -To / I (LA i- GprZA � E a y'.-v y j.E'y'*� 5 `-{ C= L F1 off _...__.-. �6e�i