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1406 W 12th St - Building
1� The City of Fort A> geies L Building inspections Dept. � Upon reviewing the single-family residential plans submitted for permit, the following are some of the items that will need to be tahen in to consideration. 1 Foundation Footing The minimum size Ofl) footing in Seismic zone D2 areas follows. (1 Story 12"W/6"min.thick) (2 story 15' W/7' min.thick) (3 story 23 W/8"nun. thick) (Load bearing value of soil 1,500 (psf) With 2#4 bars horizontal continuous 3 off the bottom of footing The minimum specified compressive strength of concrete in basement walls,foundation walls, exterior walls and other vertical concrete wort:exposed to weather in moderate weathering table R402.2 of the IRC is 3000lbs with a min. of 51/o air entrained, but not more that 7°/a Foundations in seismic categories D2 that exceed 50'4"in either direction are required to have a continuous footing per section R403.1.2 including support of an interior braced wall line.Locating and marking the propert},boundary is required for a footing inspection. Tables in chapter 4 of the IRC.Will be applied for soils that are heavy in moisture(hydraulic)in nature or foundation wall over 5'-0"in height.Verify site conditions and unbalanced back fill at time of application.Foundations Drains are required as per section R 405.1(see exception for soil classification) G 2- Foundation walls.Vertical steel in foundation walls as of July 1" 2004 Vertical bar reqd to be W'94 bar with a hook and tied to the footing steel in place at 4 -0" O C.at footing inspection. One 94 bar horizontal within the top 12"of the wall.'/" anchor bolt with a 3"a 3"x 1/"steel washer is required at 6'-0"OC for a 1 story and 4'-0"OC for a 2 story, along and within 12"of each end the pressure treated sill plate. Crawl space ventilation is required at(1')s.f.of vent per(150') s.f. of area per sec.R408.2.2003 IRC. 6 mill blackpoly is required in crawl space as a below grade moisture barrier per section R406.3.2 2003 IRC. ' Finish grade shall be a 6"slope away from foundation within 10'-0" of the foundation wall \ - measured horizontally as per sec.R406.3 2003 IRC. 3- Framing. All connections from a pier to a post and beam are required to have positive connection per code.In addition any connectors/fasteners in contact with treaded wood are req'd to be hot dipped zinc/galv (See manufacture details.) All floor joist are required to be blocked with 2x material at the beam support.7/16"OSB sheathing is required to be nailed to pressure treated sill plate and bottom plate or sole plate of wall. (or other approved hold down's).Attic ventilation is required at(1')s.f.of vent per(150')s.f. Of area with an allowable 50%of ventilation can be located in the upper portion of the ridge if applicable per 2003 IRC.Truss design and calculations are required upon submitting an application, lateral connections are required to end walls where truss/rafters are perpendicular to end walls.A truss/rafter tie shall be required to prevent uplift per code. 4- Braced Wall Lines.In Seismic category D2 exterior and interior braced wall lines cannot exceed 25'-0" Wall bracing must start within 8'-0"of a transverse wall or a designed collector Standard wall bracing methods are required as per section R602.10.3 of the 2003 IRC.If the wall bracing methods cannot be met,then refer to "Alternate Braced wall panel" Section 602.10.6 of the 2003 IRC.If any of the aforementioned methods cannot be met, engineering design will be required for the"SHEAR WALL" design.Section R602.10.9 for interior braced wall line support for 1 and 2 story buildings require a continuous footing supporting a braced wall line,interior and exterior not to exceed 50'-0"intervals. "IE 5- Egress. Rooms used for sleeping are required to have one window with 5.7'S.F of openable space and a sill height of not more the 44 above finished floor for emergency escape per 2003 IRC. 6- Energy and Air Quality Insulation,Heating,Air conditioning,Lighting,Windows and Appliances to meet 2003 WSEC S VLAQ New single family structures are required to have a whole house exhaust fan with a 24hr timer per table 3-1,3-2,3-3 of the 2003 VIAQ Mechanical fresh air intake(FAI)is required to have a 24 hr timer or windows in all bedrooms and living,dining area may have intake ports for fresh air per 2003 VIAQ if zone heat is applicable. 7- Dry Wall.(Gypsum wall board)5/8"type"X"sheets rock is required in the accessible usable space under stairs and on ceiling of a garage only if a habitable area is located above the garage.The rating of the sheet rock&nail pattern must be visible to the inspector frail pattern for all sheet rock'/"and 5/8" to be 8" on center and 12" OC if drywall.screws are used.Per table 702.3.5 of the 2003 HRC.Interior braced wall panels are to be inspected prior to tape,bed and texture.Moisture resistant wallboard is required around w/c.A cementuous backer board is required for tiled areas at tub and showers.Vapor barrier is required.A perm rated paint may be substituted for a poly vapor barrier on the warm in winter side. s- Plumbing. Fater heaters are required to have two approved seismic straps in the upper and lower 1/3rd of the tank per UPC.T&P valve to be 1/4"I.D and directed to the exterior and turned 90 degree downward not less that 6"-12"above finish grade.Water heater s are required to have a 26 ga.Pan of other approved drain pan with a'/"drain line from pan to exterior Impact protection for w/h and mechanical equip are required to resist 6,000lbs impact if located in the garage area.All DWV are req'd.to be tested under water pressure per 2003 UPC or air test(consult manufacture recommendations for air test)Min.test pressure in Residential LPG is 30 lbs. 9- Smoke detectors.shall be located in each sleeping room and in the hall leading to each sleeping area.One smoke detector is required at the top of each stairs, and at least one smoke detector is required on every floor level. Smoke detectors must be within 6"to 12"from the ceiling if mounted on wall.Smoke detector shall not be less than 36"from any air return.Power supply for smoke detectors shall be from the main house supply that is not switched and required to be battery back up.Smoke detectors to be inter-connected so that if one smoke detector alarm will start a chain reaction to all other smoke detectors as per code. 10- Maximum building height allowable is 30'-0"based on an average grade plain per 2003 IRC.Property pins shall be located and marked for a footing inspection to verify zoning set back requirements. 11- Safety glazed tempered glass required within 24"of any doorway edge, along with other requirements as per 2003 IRC. 12- All water,sewer, gas, electrical,drywells,downspouts and footing drains are required to be inspected before cover This letter is not intended to cover all items required by the City of Port Angeles,but is to serve as a guide to help you understand frequently asked questions,"ALL WORK IS SUBJECTTO FIELD APPROVAL"4/05. APPLICANT SHANE SIMPSON STAFF INITIALS PARCEL # 063000036600 LOT 2, BL 366, TPA PERMIT # APPLICANT SIGNATURE/DATE 0 N 20'ALLEY EASEMENT PORT OF PORT ANGELES _ COMMUNITY DEVELOPMENT and ROADS -- �- - - - P/L 50'-0' - PERMIT APPLICATION SITE PLAN PLEASE SHOW ALL REQUIRED INFORMATION o 04 N REAR SETBACK 25'-0' LOT 2 OWNER o SHANE SIMPSON LO M � D), C:) C CD � fA X SIDE SETBACKS a) n� J - - --T-0' \y axi 0 ao LOT 1 - OWNER. SHANE SIMPSON NOT INCLUDED IN CONTRACT o PROPOSED n —S.F RESIDENCE N a> OVERFLOW OF - FILL DIRT ON LOT 1 rn OK NO RETAINING ---------------- - WALL REQUIRED FRONT SETBACK 25'-0" SAME OWNER CONCRETE DRIVE 8 WALK O LO 2 N r 15'-0' 20'-0' 50'-0' 7'-0' 36'-0' 7'-0' ILI L P/L 50'-0' I - I o I I SITE PLAN N SCALE111 = 2.01 ---------------- --------------------------------------------- ---------------------------------------W 12th STREET--- W 70–�--- PREPARED 4/29/08 8 42 37 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/29/08 ADDRESS 1406 W 12TH ST SUBDIV TENANT NBR SHANE SIMPSON CONTRACTOR PHONE OWNER SIMPSON SHANE PHONE PARCEL 06 30 00 0 3 6600 0000 APPL NUMBER 06 00001144 RES NEW SFR -- -- -- -- - -- -- - ---- -- -- -- PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/09/07 JLL BLDG FOUNDATION FOOTING 4/09/07 AP 04/06/2007 10 25 AM PERMITS REED 460 4561 DONE 04/09/2007 03 42 PM JLIERLY BLFW O1 5/10/07 JLL BLDG FOUND FTG/STEM WALL TIME 09 00 5/10/07 AP 05/09/2007 04 42 PM LPANGRLE REED 460 4561 STEMWALL MORNING INSPECTION 05/10/2007 04 58 PM JLIERLY BL9 01 7/25/07 PB BLDG SHEARWALL 7/25/07 AP 07/24/2007 02 06 PM LPANGRLE REED 460 4561 SHEARWALL 07/25/2007 04 14 PM PBARTHOL BL3 01 10/12/07 PB BLDG FRAMING 10/12/07 DA October 12 2007 8 23 53 AM 1pangrle SHANE 461 3222 FRAMING October 12 2007 4 39 49 PM pbarthol HOUSE LOCKED BL99 01 4/29/08 L BLDG FINAL TIME O1 00 April 28 2008 9 03 57 AM 1pangrle SHANE 461 3222 BLDG FINAL AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE ------ ------ PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 7/25/07 PB MECHANICAL GAS LINE 7/25/07 AP 07/24/2007 03 17 PM LPANGRLE REED 460 4561 GAS LINE 07/25/2007 04 14 PM PBARTHOL ME7 01 7/25/07 PB MECHANICAL UNDERGROUND TANK 7/25/07 AP 07/24/2007 03 16 PM LPANGRLE REED 460 4561 UNDERGROUND PROPANE TANK 07/25/2007 04 14 PM PBARTHOL ME1 01 10/15/07 PB MECHANICAL ROUGH IN 10/15/07 AP October 15 2007 9 11 04 AM 1pangrle SHANE 461 3222 ROUGH IN MECHANICAL HOUSE WILL BE UNLOCKED IF NOT THE KEY IS IN THE OUTLET NEAR THE GARAGE ME99 01 4/29/08 JLL MECHANICAL FINAL TIME O1 00 CONTINUED ONTO NEXT PAGE PREPARED 4/29/08 8 42 37 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/29/08 ADDRESS 1406 W 12TH ST SUBDIV TENANT NBR SHANE SIMPSON CONTRACTOR PHONE OWNER SIMPSON SHANE PHONE PARCEL 06 30 00 0 3 6600 0000 APPL NUMBER 06 00001144 RES NEW SFR REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS April 28 2008 9 04 34 AM 1pangrle SHANE 461 3222 MECHANICAL FINAL AFTERNOON PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE ----- -- -- ------- ----- ---- ------- --- PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 6/14/07 JLL PLUMBING UNDER SLAB TIME 09 00 6/14/07 AP 06/13/2007 09 42 AM LPANGRLE JOHN 460 6902 REQUESTED A MORNING INSPECTION UNDERSLAB PLUMBING WILL POUR CONCRETE IN THE AFTERNOON 06/14/2007 04 22 PM JLIERLY PL2 01 7/19/07 JLL PLUMBING ROUGH IN 7/20/07 AP 07/19/2007 08 24 AM LPANGRLE JOHN 460 6902 ROUGH IN PLUMBING 07/20/2007 08 28 AM JLIERLY PL6 01 7/19/07 JLL PLUMBING WATER SUPPLY 7/20/07 AP 07/19/2007 08 2S AM LPANGRLE JOHN 460 6902 WATER SUPPLY LINE 07/20/2007 08 28 AM JLIERLY PL99 01 4/29/08 PLUMBING FINAL TIME O1 00 April 28 2008 9 04 57 AM 1pangrle SHANE 461 3222 PLUMBING FINAL AFTERNOON PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 10/15/07 9 48 42 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/15/07 ADDRESS 1406 W 12TH ST SUBDIV TENANT NBR SHANE SIMPSON CONTRACTOR PHONE OWNER SIMPSON SHANE PHONE PARCEL 06 30 00 0 3 6600 0000 APPL NUMBER 06 00001144 RES NEW SFR PERMIT ME 00 MECHANICAL PERMIT - REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 7/25/07 PB MECHANICAL GAS LINE 7/25/07 AP 07/24/2007 03 17 PM LPANGRLE REED 460 4561 GAS LINE 07/25/2007 04 14 PM PBARTHOL ME7 01 7/25/07 PB MECHANICAL UNDERGROUND TANK 7/25/07 AP 07/24/2007 03 16 PM LPANGRLE REED 460 4561 UNDERGROUND PROPANE TANK 07/25/2007 04 14 PM PBARTHOL ME1 01 10/15/07 JLLL�J(IJ`� MECHANICAL ROUGH IN October 15 2007 9 11 04 AM 1pangrle SHANE 461 3222 ROUGH IN MECHANICAL HOUSE WILL BE UNLOCKED IF NOT THE KEY IS IN THE OUTLET NEAR THE GARAGE COMMENTS AND NOTES PREPARED 10/12/07 10 09 26 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/12/07 ADDRESS 1406 W 12TH ST SUBDIV TENANT NBR SHANE SIMPSON CONTRACTOR PHONE OWNER SIMPSON SHANE PHONE PARCEL 06 30 00 0 3 6600 0000 APPL NUMBER 06 00001144 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/09/07 JLL BLDG FOUNDATION FOOTING 4/09/07 AP 04/06/2007 10 25 AM PERMITS REED 460 4561 DONE 04/09/2007 03 42 PM JLIERLY BLFW O1 5/10/07 JLL BLDG FOUND FTG/STEM WALL TIME 09 00 5/10/07 AP 05/09/2007 04 42 PM LPANGRLE REED 460 4561 STEMWALL MORNING INSPECTION 05/10/2007 04 58 PM JLIERLY BL9 01 7/25/07 PB BLDG SHEARWALL 7/25/07 AP 07/24/2007 02 06 PM LPANGRLE REED 460 4561 SHEARWALL 07/25/2007 04 14 PM PBARTHOL BL3 01 10/12/07 JLL BLDG FRAMING October 12 2007 8 23 53 AM 1pangrle SHANE 461 3222 FRAMING COMMENTS AND OTES BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job 'Located at ` Q(l/ 2 Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction G These corrections must be made and are not to be covered until reinspection is made. When. co"ctions have been made, please call7 �1� for inspection Date -- 0 c inspector for Building Division DO NOT REMOVE THIS TAG dam^ CITY OF PORT,ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321.EAST.STH STREET .PORT ANGELES WA-98362 Application Number 06 00001144 Date 7/26/07 Application pin number 374640 Property Address 1406 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 6600 0000 Tenant nbr name SHANE SIMPSON Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 200000 Owner Contractor SIMPSON SHANE OWNER PORT ANGELES WA 983628674 Other struct info TOTAL % LOT COVERAGE 23 p0 NUMBER OF STORIES- :k: ;2, 0'0' ,, a LOT SIZE ,7.000'°00 PROPOSED LOT COVERAGE 1983 00 TOTAL• LOT COVERAGE 1983 00 NUMBER OF UNITS 1 00 9= {: Permit ELECTRICAL-:NEW RESIDENTIAL Additional .d,esc SIMPSON%, 12060- 000• SF SFR+LV,+REMOTE ' ;Permit pin, umber� i07.2',1. ,Sub Contractor.' SIMPSON.ELECTRIC Permit Fee 159 00 Plan Check Fee 00 Issue Date 7/26/07 Valuation 0 .Expiration Date 1/22/08 Qty Unit Charge Per Extension r 1 00 35 0000 EC EL LOW' VOLTAGE 35 00 1 00 69 0000 ECH EL R SQFT FIRST 1300 -69 00 2 00 22 0000 SC EL R SQFT ADDITIONAL 500 44 00 1 00 11 0000 ECH EL METERS REMOTE INSTALL 11 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 10/25/2006 12 37 PM SROBERDS Proposal will result in new .sin' family residence in the RS 7 for total lob coverage •of' 23% `=No land use issues anticipated Electrical load calculations and elctrical permits are required The padmount transformer will have to be installed on the 1 existing vault Customer connection fee of $713 00 10/24/2006 04 44 PM GMCLAIN Sidewalk to City standards required for school walking route Sanitary sewer connection inspection is required by Public Works prior to back 'fill of ditch 24 hour advance notice. is 'required Construct driveway and Side' alks' to City Standards No concrete with,_-exposed aggregate allowed in the' City road right of way An inspection by Public Wo'rk's ,Engineering•.is required prior to prouring concrete COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIMMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, It INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH SERVICE FINAL GENERAL COMMENTS: d��► CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST STH STREET PORT ANGELES.WA 98.362 Page 2 Application Number 06 00001144 Date 7/26/07 Application pin number 374640 Other Fees SEWER SYSTEM DELV CHARGE 870 '00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Fee summary Charged Paid Credited Due Permit Fee Total 159 00 159 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2233 50' .2233 50 00 00 ,c. COMMENTS/ACTION NEEDED' ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH 0- _/0 ,607 SERVICE Ab 0-7 FINAL GENERAL COMMENTS: Pw-1102.15141 PREPARED 7/25/07 8 56 58 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/25/07 ADDRESS 1406 W 12TH ST SUBDIV TENANT NBR SHANE SIMPSON CONTRACTOR PHONE OWNER SIMPSON SHANE PHONE PARCEL 06 30 00 0 3 6600 0000 APPL NUMBER 06 00001144 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/09/07 JLL BLDG FOUNDATION FOOTING 4/09/07 AP 04/06/2007 10 25 AM PERMITS REED 460 4561 DONE 04/09/2007 03 42 PM JLIERLY BLFW 01 5/10/07 JLL BLDG FOUND FTG/STEM WALL TIME 09 00 5/10/07 AP 05/09/2007 04 42 PM LPANGRLE REED 460 4561 STEMWALL MORNING INSPECTION 05/10/2007 04 58 PM JLIERLY BL9 01 7/25/07 JLL BLDG SHEARWALL 07/24/2007 02 06 PM LPANGRLE REED 460 4561 SHEARWALL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 7/ 5/07JLL^ ECHANICAL GAS LINE -- 07/24/2007 03 17 PM LPANGRLE / IV REED 460 4561 c GAS LINE ME7 01 7/25/07 JLL MECHANICAL UNDERGROUND TANK W7/24/2007 03 16 PM LPANGRLE EED 460 4561 NDERGROUND PROPANE TANK COMMENTS AND NOTES J PREPARED 7/19/07 8 34 56 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/19/07 ADDRESS 1406 W 12TH ST SUBDIV TENANT NBR SHANE SIMPSON CONTRACTOR PHONE OWNER SIMPSON SHANE PHONE PARCEL 06 30 00 0 3 6600 0000 APPL NUMBER 06 00001144 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 6/14/07 JLL PLUMBING UNDER SLAB TIME 09 00 6/14/07 AP 06/13/2007 09 42 AM LPANGRLE JOHN 460 6902 REQUESTED A MORNING INSPECTION UNDERSLAB PLUMBING WILL POUR CONCRETE IN THE AFTERNOON 06/14/2007 04 22 PM JLIERLY PL2 01 7/19/07 PLUMBING ROUGH IN 07/19/2007 08 24 AM LPANGRLE JOHN 460 6902 ROUGH IN PLUMBING PL6 01 7/19/07 J L PLUMBING WATER SUPPLY 07/19/2007 08 25 AM LPANGRLE JOHN 460 6902 pr WATER SUPPLY LINE COMMENTS D NOTES V p&- PREPARED 6/14/07 8 39 44 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/14/07 ADDRESS 1406 W 12TH ST SUBDIV TENANT NBR SHANE SIMPSON CONTRACTOR PHONE OWNER SIMPSON SHANE PHONE PARCEL 06 30 00 0 3 6600 0000 APPL NUMBER 06 00001144 RESNEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 6/14/07 J LPLUMBING UNDER SLAB TIME 09 00 14 06/13/2007 09 42 AM LPANGRLE JOHN 460 6902 REQUESTED A MORNING INSPECTION UNDERSLAB PLUMBING WILL POUR CONCRETE IN THE AFTERNOON COMMENTS AND NOTES p 6- 114y I40( w t z^ s�- PREPARED 5/10/07 8 05 40 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/10/07 ADDRESS 1406 W 12TH ST SUBDIV TENANT NBR SHANE SIMPSON CONTRACTOR PHONE OWNER SIMPSON SHANE PHONE PARCEL 06 30 00 0 3 6600 0000 APPL NUMBER 06 00001144 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLI O1 4/09/07 JLL BLDG FOUNDATION FOOTING 4/09/07 AP 04/06/2007 10 25 AM PERMITS REED 460 4561 DONE 04/09/2007 03 42 PM JLIERLY BLFW O1 5/10/07 J BLDG FOUND FTG/STEM WALL TIME 09 00 05/09/2007 04 42 PM LPANGRLE REED 460 4561 STEMWALL MORNING INSPECTION COMMENTS AND NOTES PREPARED 4/09/07 8 26 20 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/09/07 ADDRESS 1406 W 12TH ST SUBDIV TENANT NBR SHANE SIMPSON CONTRACTOR PHONE OWNER SIMPSON SHANE PHONE PARCEL 06 30 00 0 3 6600 0000 APPL NUMBER 06 00001144 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 4/09/07 JLL , BUILDING FOUNDATION FOOTING tA_ 04/06/2007 10 25 AM PERMITS REED 460 4561 DONE COMMENTS AND NOTES Ur(t, V Y v CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION �v 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 06 00001144 Date 11/06/06 Application pin number 374640 Property Address 1406 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 6600 0000 Tenant nbr name SHANE SIMPSON Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 200000 Owner Contractor SIMPSON SHANE OWNER PORT ANGELES WA 983628674 Other struct info TOTAL o LOT COVERAGE 23 00 NUMBER OF STORIES 2 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 1983 00 TOTAL LOT COVERAGE 1983 00 NUMBER OF UNITS 1 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 89680 Permit Fee 715 00 Plan Check Fee 00 Issue Date 11/06/06 Valuation 200000 Expiration Date 5/05/07 Qty Unit Charge Per Extension 1 00 715 0000 EA PW W/M 1 SERV 5/8 METER 715 00 Permit RIGHT OF WAY Additional desc Permit pin number 89706 Permit Fee 50 00 Plan Check Fee 00 Issue Date 11/06/06 Valuation 200000 Expiration Date 5/05/07 Qty Unit Charge Per Extension 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 89698 Permit Fee 110 00 Plan Check Fee -00 Issue Date 11/06/06 Valuation 200000 Expiration Date 5/05/07 Qty Unit Charge Per Extension 1 00 110 0000 EA SAN SEWER HOOKUP 110 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 10/25/2006 12 37 PM SROBERDS Proposal will result in 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 ner is builder) Date T•\Policies\1102.15R[1/05] PERMIT INSPECTION RECORD CALL 417-4807 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 RW ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T•\Policies\l102.15R[1/05] 0* CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Page 2 Application Number 06 00001144 Date 11/06/06 Application pin number 374640 Special Notes and Comments new single family residence in the RS 7 for total lot coverage of 23% No land use issues anticipated Electrical load calculations and elctrical permits are required The padmount transformer will have to be installed on the existing vault Customer connection fee of $713 00 10/24/2006 04 44 PM GMCLAIN Sidewalk to City standards required for school walking route Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Fee summary Charged Paid Credited Due Permit Fee Total 875 00 875 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2949 50 2949 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-ftlicies\1102.I5R[1/051 PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W/PW/ CONSTRUCTION R.W ENGINEERING 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 4174750 PLANNING DEPT BUILDING 4174815 BUILDING T•\Policies\l 102.15R[1/05) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION[ 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 06 00001144 Date 11/06/06 Application pin number 374640 Property Address 1406 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 6600 0000 Tenant nbr name SHANE SIMPSON Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 200000 Owner Contractor SIMPSON SHANE OWNER PORT ANGELES WA 983628674 Other struct info TOTAL % LOT COVERAGE 23 00 NUMBER OF STORIES 2 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 1983 00 TOTAL LOT COVERAGE 1983 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 89177 Permit Fee 1580 25 Plan Check Fee 632 10 Issue Date 11/06/06 Valuation 200000 Expiration Date 5/05/07 Qty Unit Charge Per Extension BASE FEE 1020 25 100 00 5 6000 THOU BL-100 001 500K (5 60 PER K) 560 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 89763 Permit Fee 111 60 Plan Check Fee 00 Issue Date 11/06/06 Valuation 0 Expiration Date 5/05/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 5 00 7 2500 ECH ME VENT FAN 36 25 1 00 10 6500 ECH ME VENT SYSTEM OTHER 10 65 Permit PLUMBING PERMIT Additional desc Permit pin number 89771 Permit Fee 156 00 Plan Check Fee 00 Issue Date 11/06/06 Valuation 0 O� Q� Expiration Date 5/05/07 Qty Unit Charge Per Extension BASE FEE 50 00 11 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 77 00 Q 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 dQ 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. A71�? Signature of Contractor or Authorized Agent ate Signature of Owner(if owner is builder) Date T xPolicies\1 102_15 building permit inspection record05.wpd f 1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAFVFUL 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 FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY. MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR A INSULA* lullp SLAB .I WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 4's SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING Mmicies7l102_15 building permit inspection record05.wpd[1/4/2005] O pOFT,�,C CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST STH STREET PORT ANGELES,WA 98362 Page 2 Application Number 06 00001144 Date 11/06/06 Application pin number 374640 Qty Unit Charge Per Extension 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 89680 Permit Fee 715 00 Plan Check Fee 00 Issue Date 11/06/06 Valuation 200000 Expiration Date 5/05/07 Qty Unit Charge Per Extension 1 00 715 0000 EA PW W/M 1 SERV 5/8 METER 715 00 Permit RIGHT OF WAY Additional desc Permit pin number 89706 Permit Fee 50 00 Plan Check Fee 00 Issue Date 11/06/06 Valuation 200000 Expiration Date 5/05/07 Qty Unit Charge Per Extension 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 89698 Permit Fee 110 00 Plan Check Fee 00 Issue Date 11/06/06 Valuation 200000 Expiration Date 5/05/07 Qty Unit Charge Per Extension 1 00 110 0000 EA SAN SEWER HOOKUP 110 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 10/25/2006 12 37 PM SROBERDS Proposal will result in new single family residence in the RS 7 for total lot coverage of 23% No land use issues anticipated Electrical load calculations and elctrical permits are required The padmount transformer will have to be installed on the existing vault Customer connection fee of $713 00 10/24/2006 04 44 PM GMCLAIN Sidewalk to City standards required for school walking route Sanitary sewer connection inspection is required by Public works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete 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\Policies\I 102_15 building permit inspection record05.wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD - CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCENTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS POST HOLES(POLE BLDGSJ PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY. MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BA R INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED IIOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT It's SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 4174750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\Policies\l 102_15 building permit inspection record05.wpd[1/4/2005] P°H °��aF°� CITY OF PORT ANGELES �' � DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION � v 32! EAST 5TH STREET PORT ANGELES,WA 98362 Page 3 Application Number 06 00001144 Date 11/06/06 Application pin number 374640 Other Fees SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Fee summary Charged Paid Credited Due Permit Fee Total 2722 85 2722 85 00 00 Plan Check Total 632 10 632 10 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 5429 45 5429 45 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%Policies\1102_15 building permit inspection record05.wpd[1/4/20051 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAPVFUL 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 FOUNDATION: +- FOOTINGS O� �hda4���it/S LIVA 0516q10-7 TLL SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING w � "YPLUMBINGS JpP UNDER FLOOR<SLA —/ L ROUGH-IN WATER LINE(METER TO BLDG) p �- SHOWER PAN FINAL V u 1 DATE ACCEPTED BY. MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL HOLD DOWNS 5 Off' L WALLS/ROOF/CEILING DRYWALL(rNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL VP'D4_&P-0%j D 1'ftoP,pN�T{iNK �'�l5 (��� HEAT PUMP/FURNACE/DUCTS fqP c h&n(c&t � � h b-I5-6"1 � `� GAS LINE o WOOD STOVE/PELLET/CHIMNEY FINAL 04—2'1'()©DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 4174653 FIRE DEPT PLANNING DEPT 4174750 6 PLANNING DEPT BUILDING 417-4815 G 4'Zd�� ��� BUILDING C 7•\Policies\1102_15 building permit inspection recordOS.wpd[1/4/2005] \ FOR OFFICIAL PSE ONLY BUILDING PERMIT - APPLICATION Date Rea 1011-7166 � Permit# Fill out COMPLETELY and in INK.Your application and site plan MUST BE ate Approved: COMPLETE to be accepted for review If you have any questions,call PERMITS (360)417-4815 FAX(360)417-4711 ate Issued.; ssued.�l Applicant or Agent: M f 0 Phone: 3(aG Z -76 Owner- G - Phone: 7:—;76�Y, - - Address: 02 4 3 3�e ��c�, l C�f /V., City. PC-r+ -�n e�9.5 Zip 983(P-3 Archit nee. All90 � � �GL P65(-67 Phone: Contractor Sl'1 a-hp— SState License#• Exp Phone: Address: z21,4 3O 3(or Cti.c�r'j�©� L.,, city. 1—P� /-i{�,��S Zip 9l£'.��'6 3 PROJECT ADDRESS {� VU ST ZONING LEGAL DESCRIPTION Lot: �r Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. 6-30000 '3.&(0 0-0 TYPE OF WORK. EVALUATION Residential KNew Constr ❑ Re-roof ❑ StoveSF @$ /SF =so? Gdy ❑ Multi-family ❑ Addition ❑ Move❑ Garage SF @$ /SF =$ ❑ CommeTcial ❑ Remodel ❑ Demolition ❑ Deck SF @$ /SF =$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUAT ON $ BRIEF DESCRIPTION OF THE PROJECT � �� 'L COMMERCIAL/RESIDENTIAL. Occupancy Group. Occupant Load. Construction Type: No of Stories.� Lot Size: SO)< '0 Existing Sq Ft. 0-� &Proposed Sq Ft._� =TOTAL Sq Ft. Total lot coverage PLANNING USE ONLY APPROVALS PLAN BLDG DPWU ESA/Wetland(s)- ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other Fes• OTHER. VALUATION OF CONSTRUCTION In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section RI 05.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. 1 hereby certify that 1 have read and examined this application and know the same to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. T-\FORMS1B1dgPemiitform.wpd Applican� Date: lam©7/CJ{o 5 9 O i �Vd 1 µy 0A* d+.y �.w Parcel Lookup Page 1 of 1 Parcel Number 0630000366000000 Site Address 9999 W TWELFTH ST PA Quit Back Taxpayer• SIMPSON SHANE P 243036 HWY 101 W PORT ANGELES WA 98363 Title Owner• SIMPSON SHANE P 243036 HWY 101 W PORT ANGELES WA 98363 Description LTS 1&2 BL 366 Value Summary Note-Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs(except Commercial Forestland properties) Land Value 67 890 Improvements Value 0 Total Assessed Value 67 890 Property Characteristics Note:Use Code is for Assessor's purposes only Contact the appropriate planning or building departments for Zoning and allowable usage of property Use Code 9100 UNDEVEL LAND Land Size (acreage) 00 Note.Acreage is not listed for all properties in the Assessor's records.More information about land size Tax Status Taxable Tax Code Area. 0010 Zoning Code P_RS7 Note:Zoning and zoning codes change constantly Verify all zoning with the appropriate planning or building department. Building Characteristics (Click on Bldg #for more details.) # Bldg.Type_ Bldg_Styl_e ____ Total SY BD BA Tax History Sales History Quit Back http.//apps.clallam.net/website/sitis_p pgm?parcel=0630000366000000 10/17/2006 Prescriptive Approach-Simple Fonn For the Waslungton State Energy Code ( 2003 Edition) Climate Zone l Site Information Building Department Use Only- Lot nlyLot 2— Permit# Address. Notes. City. 10 State: !/" zip. Contact: 'l A-7 Phone: Phone 2. FAX. Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited GIOption Only) Option Glazing LGlazimngU-FactorDoor Wall Wall Wall Slab Area% U- Vaulted Above Interior Exterior on of Floor Overhead Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unlimited III Group R 3 040 0.58 0.20 R-38 R 30 R21 R 21 R 10 R-30 R 10 Occupancy Only This Project complies with the following: ✓The Project is a single family residence or duplex. ✓The Project is wood frame OR all of the insulation is interior or exterior of the framing. ./All building components meet the requirements listed in Table 6-1 Option III. ✓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 1 One door,that is 24ft. Or less,that does not meet the standards allowed. Location of the door taking this exception ❑ 602.6 Exception 2. Doors with a U-Factor of 0 40 allowed without calculations, Option III only Location of the Door(s)taking exception Type of Heat Source: y`'1 EXHIBIT A d p°� mow' CITY OF PORT ANGELES Q) PUBLIC WORKS - ELECTRICAL DIVISION J 321 EAST 5TH STREET, PORT ANGELES.WA 98362 Application Number . . . 07-00000235 Date 3/13/07 W Application pin number 920895 Property Address . . . . 1406 W 12TH ST ASSESSOR PARCEL NUMBER 06-30-00-0-3-6600-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . . . 0 Owner Contractor ------------------------ ------------------------ SIMPSON, SHANE SIMPSON ELECTRIC 1406 W. 12TH ST 243036 W HWY 101 PORT ANGELES WA 983628674 PORT ANGELES WA 98363 (360) 457-9270 ---------------------------------------------------------------------------- Permit ELECTRICAL TEMPORARY SERVICE Additional desc SIMPSON/ 100A SVC TEMP Permit pin number 96792 Sub Contractor SIMPSON ELECTRIC Permit Fee 46 00 Plan Check Fee .00 Issue Date . . . . 3/13/07 Valuation 0 Expiration Date 9/09/07 [� Qty Unit Charge Per Extension u ` 1 00 46.0000 ECH EL-TEMP SRV - 0-100 SRV FDR 46.00 ---------------------------------------------------------------------'------- Fee summary Charged Paid Credited Due Permit Fee Total 46 00 46 00 00 00 41 Plan Check Total 00 00 00 .00 Grand Total 46 00 46 00 00 00 LA CONINIENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A hM4IMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMFNTS YES NO DITCFF- ROUGH-IN-/COVER SERVICE GENERAL COMMENTS: Pa-i io�.�s(u9a) CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 57111 STREET, PORT ANGELES,WA 98362 Application Number . . . . . 06-00001144 Date 11/06/06 Application pin number . . . 374640 Property Address . . . . . . 1406 W 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-6600-0000- Tenant nbr, name . . . SHANE SIMPSON Application type description RES NEW SFR Subdivision Name . . . . . . Property Use . . . . . . . Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY \ Application valuation 200000 J Owner Contractor SIMPSON, SHANE OWNER PORT ANGELES WA 983628674 Other struct info . . . . . TOTAL % LOT COVERAGE 23.00 NUMBER OF STORIES 2.00 LOT SIZE 7000.00 PROPOSED LOT COVERAGE 1983.00 TOTAL LOT COVERAGE 1983.00 NUMBER OF UNITS 1.00 __________________________________________________________ Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc . . Permit pin number . 89680 Permit Fee . . . . 715.00 Plan Check Fee .00 Issue Date . . 11/0 /06 Valuation 200000 Expiration Date 5/055/07 Qty Unit Charge Per ` Exte I v I 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER -715.00 ____________ Permit RIGHT OF WAY Additional desc . . Permit pin number . 89706 Permit Fee . . . . 50.00 Plan Check Fee .00 Issue Date . . . . 11/06/06 Valuation . . . . 200000 Expiration Date 5/05/07 Qty Unit Charge Per Ext 1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 ------____ --------_-----_----_____________________ _ Permit SANITARY SEWER HOOK UP Additional desc . Permit pin number 89698 Permit Fee . . . . 110.00 Plan Check Fee .00 Issue Date . . . . 11/06/06 Valuation . . . . 200000 Expiration Date . . 5/05/07 Qty Unit Charge Per Extension 1.00 110.0000 EA SAN SEWER HOOKUP 110.00 ____________________________________________ _ 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. 10/25/2006 12:37 PM SROBERDS -- Proposal will result in 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 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 TAPohcin11102.15R[1105] 50:17 Ctrl'OF PORT ANGELES PUBLIC WORKS -UTILMES DIVISION 321 EAST'STH'STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 06-00001144 Date 11/06/06 Application pin number . . . 374640 ---------------------------------------------------------------------------- Special Notes and Comments new single family residence in the RS-7 for total lot coverage of 23%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. The padmount transformer will have to be installed on the existing vault. Customer connection fee of $713.00. 10/24/2006 04:44 PM GMCLAIN ---------------------------- Sidewalk to City standards required for school walking route. Sanitary sewer connection inspection is required by . Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. - No concrete with exposed aggregate allowed in the City , . . road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE r870.00 STATE SURCHARGE PW WATER SYSTEM USE FEE 1200.00 _ Fee summary Charged Paid Credited Due . _________________ __________ __________ __________ __________ Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2949.50 2949.50 .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 fora 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:\Po1icim\1102.ISR[1/05) APPLICATION FOR WATER City Water Division, Port Angeles,WA Issued date:/ -jJ/v —(� Installed by&date: '715" — 5=18-07 Permit# 0&-1144 `t 1 hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: �.t �f Applicant Name&Phone: Sk44 /g- S/M l0� /��f Z 70 SiteAddress:N D& til/ 1Z'qL Mailing Address: Blk: 30 Lot: Z. Add: Tj% Parcel#:0&3 5(9&000A Svc:ON/ FF Meter#'s C F L9`&Z-010't5' W/O#: 30318-3(Z Svc: Size Fees: 7 7J5 O Restoration Required: A)0. Signature: Remarks: N V W iJ. rZ r4 S f S CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date U— a-&-0 1 Time Received by C (phone, person) Location of Work to be inspected 141)&L&)127§� Name of person requesting inspection _ JCJ Sue,, Address of person requesting inspection Phone No. m4e= F 1— Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other 0/ 7 INSPECTION NOTES: Inspected: Date 36 Time By R Remarks: Ne Sewer �ap�a 4 sacSc��2 i �' QVC , l2� pe't'/ J_,k 2 RESTORATION REQUIRED . . . . . . YES NO L4 P M L 01/0 2''J¢eP pea '/pyc 2 ,a' 4— N2� 6 P VC � �„yve, 3 zq i M�j} GOA .S� IVY% y ode¢f� SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other a ❑ Repaired by City Work Order # ❑ Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEI � �. �/ �3'" is4 L� rt�r �t sjll��y•q'%ff� 1 Ti'" '2 ', y A�;�+ q''s � f }�� 9 � SES: Al e ri' ps1• ,+rte y�r-05 x "$ � .,.>'�' 6e .� $` �t �Jy eLn�en�� •:� 6�f Y,+.���a Y„y4'Y y.�'a� }�� nS��KR^'F•T �p I&' ;11"4` 4 Ell 'r.Tj„�y1t �, �, i a �"f � > t'-+ '�i+.w•"°'4��` "r'r 's'~�.f`-.: ''" x"' L ,�'T�' .�+ � , 4 Js`j✓ s� 5 ��r'�,�n`a�`"` MrS9 r'%F,�y,��t�' ¢ ,� °�'k'FTs ? "" "" "� f't F 4 S F �4 Lry R..ei+�< �.'� � s• G � �ax 2�. e��' �h�� � '�a,r`�� x V�.[ R 4} V'�y �,� f �f � •�E �Y�d �i��k,}�,H��*i"���n���F � "�*l.yR� ��s � '1 I'd •""#k+ � *r � v1-4�a Yi'+Q '� .s � Yy14A"` S 1 � �� � a�4' �-a'wn v,4 o-s u��+3S. x �'•.> �''���4Ea s o-s za> x 'EU _g, .��� � �y .� r, g 5• a ,M x` "�3"tet''` } h �i" „alert i ���.` n _-�`�LL� c•* ;�'- e �n » -� ky"�^a��:' 7. JO law RN jjjy t iY'V� "*'✓F tT. 2 rF x a .,,;✓�,'�-`-k 5 Y'F r A..v*3�'�'p?v `S.R�� S�rnl�j� r ,.,! � g "�.v�ad �'�F'�,5- -1 � ✓ }. 'A.1�=^iF .d.° b .F j"i $ ' M1 h Y !r j is J'T 4F"y.lY "' 3 'Sic a1 ac R � :, k e.a a'{qty�+ } � "�.,t •� '"E y.�,4". �`'a 4!9 ry r 'g-y- x'° � :AA vly G++Y„q}1 t, � �r..g s4' r.r• � Y d � � �r���� ` r. da .r� i CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date '�— 4 ` Oe Time Received by (phone, person) Location of Work to be inspected yU t':' w I Name of person requesting inspection IDCX�.A- Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other Dd e t�Jo 5�c9ew �L< INSPECTION NOTES: / Inspected: Date Li—q -08—Time By Irl— Remarks:Remarks: RESTORATION REQUIRED . . . . . . YES NO K SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 5—,-AZ -08 Time Received by (phone, person) Location of Work to be inspected IL166 W 1 -2,4 LL Name of person requesting inspection Address of person requesting inspection Phone No. '/ 77 Type of Inspection (circle appropriate one): Permit No. B6—//'/y Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other C.u.v�E7 INSPECTION NOTES: Q Inspected: Date . Time By Remarks: RESTORATION REQUIRED . . . . . . YES NOS SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date0g Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection SIva K4? Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbingincl Sewer Excay. Other INSPECTION NOTES: Inspected: Date �/— 7 9-OS Time By Y Remarks: '52,tc.3er l d -30-0'7 v- A- 2 6-ba RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPFRINTFNDFNT (DATFI Vj 03/06/2007 23: 20 4579270 SIMPSON ELECTRIC PAGE 01 , �r ELECTRICAL WORK PERINITC APPLICATION Installation description ' .fob wired by fZl Electrical Contractor ❑ Owner ❑ Commercial Residential Ficetrical conlrnctor name License number Date Fxpinn 51MPSOU Elearyc S1MPSJ5L'q 7 EQ ❑ New ❑ Altered/Addition Purchaser's mailing address .2436?1.e Hwu l01 W. rna��++12y 5�R_V{G1 t00 A Cm state ZIP Poles 8106ttrK WA. "(8363 Telephone number FAX number S7 —Ci 2.•24 !e Mx+ Pre mi.v¢s owner's name ��fih P i YtA son Addrevc of Inmeefinn 14Oto W. 12-•rl�`" City y �— Phone nlimber to schedule inspection: �! V � Owner a.r dcfiuM I{1'.RCW:7o,2A.261:(/) Owner�ufilllooecnpr Iho e'In+chrrr (ur/neo year,offer fi is electrical permit isfinalized. (2)Chvner it re4uired to/tire an cleevieal cmttracyne i(ahmve said properlY is for sale, rent or lease, ❑ Cash ❑ Check# After rending the above statement. 1 hcrcby�crrtify that I am the owner or the above nnmcd property or a IICCMed dccrricnl canlractnr. I am making the electrical instal- 0 Crcdit Card Mastercard Discover lation or al(ernlion in compliance with the electrical laws, N.E.C., RCW. Chapter _ 19.28, WAR Chapter 296-468. The City of Part Angeles Municipal Code, and Card H ON F tl,C Utility Specifications, I ---------------- Signature of o er, electrical contractor or electrical administratorExpiration Date Of eflrd Inspection rcc X Date: 317 07 S 4(0. 00 FdecbrIgal Laad Additions and or subtractions Service Information ❑ NO LOAD CHANGES ❑ Baseboard —KW Vollac ge 2R0 ❑ Furnace _KW ❑ Overhead Service Phase 1❑ 3 CI Heat Pump Ton-LAR �' Temp Service Service Size: LOo R 13Fan•Well _KW ❑ Underground Service Feeder Size:_kk-7i SAME DAY INSPECTION, CALL BEFORE 1:110 AM 360-417-4735 ROUGHT fF,RMOSTAT Dnm SERVICE nom nimro•eJ ny Dom Approval er APDrovN By / FINAL /�\ DITCI4 FEEDER J1 u n—��ny mit nrnm.<u nr noir n„rn,,..d 9. Inspection Area,Building or Equipment Inc ectal A15nTaken Plcctrical Dale \ Inspector �-�- 1 o°G MAR 0 7 2 07 DE . 3604172733 ST OF WA L&I 08:22:53 a.m. 04-04-2007 719 04/02/2007 15:46 3604174729 PORT ANGELES CITY LT PAGE 01 i 1 i I , { ? ` CITY OF PORT ANGELES t ;u � . , I•�. LIGHT DIVISION FAX TRANSMISSION COVER SHEET Date: 4/2/07 To: Labor& Industries Fax: 417-2733 Re: Inspections Sender: Kathy Trainor O�. _ 0;`35 Phone: 417-4724 Fax: 417-4729 A C YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360)417.4724. Please Inspect for: ane, Simpson Electra 46 1-3222 1406 W 12th—access off'H' St, alley. On south side of 12th. TEMPORARY ThankY ou, Kathy r 07/15/2007 19:15 4579270 SIMPSON ELECTRIC PAGE 01 ELECTRICAL WORK PERMTTAPPLICATTON Installation description IoA wired Ay Eleetricof Contractor ❑ Owner r ❑ Commercial Residential EIC �ncal contractor opine Littn c numhcr D:Ilc Eapires t C�er.�iitr S � FUSEL 973,�.q_ 'New ❑ Altered/Addition Purehas 's mailing address - - s -aZ�434o LonJ FT. Cily State ZIP Telephone numhcr FAX number - tea Premises owner's name M Address o Inspection 1141 / 2 City 1116)oR� Anne% _ Phone number to schedule Inspection: — — _ 22Z r7wnn' as dePned by RC14.19,28.261:(1) Owner will accvpv fhe s:n¢nnr Jnr nPa veins ager Brix elnelrical permit it finalL•,ed, (2)Owner fa Ieyaired ft,hire an electrical conrrartnr if above.mitt prnperty is Jnr sale, rent or lease, ❑ Cash ❑ Chccic H After reading the above statement. I hereby certify Ileal I am the orvnef or the above named prnPerly or a licensed electrical ct,mraclor. 1 on, -akin• the el P.C.W. l instal.pter Credit Card sa Mastercard Discover lotion M allcr Chapter a compliance with the electrical laws, N Municipal C Chapter 3 Utilit, WAC, Chapter 296_466, The City of Port Angeles Municipal Cude, and Card It Utility Specifications. ----_�.g'h _ _ Signattl e r owner, electrical c n actor nr electrical adminivtralor &rD E ptntion Date ---���II���� OPCard lugncchon fcc Date: 7 //o �0 $ /. � � Electrjcal Lo -cLAdditions an L tractions ❑ NO LOAD CHANGES Swa!PL-Inflarimation ❑ Baseboard _KW Voltage Z ❑ Pomace _ KW 710 ❑ Overhead Service Phase 1 9 13 Heat Pump _Ton LAR U Temp Service EDFan-Wall _KW Service Size; 7 Underground Service Feeder Size: - SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 7- -7-ROUGH-IN.{}5�/[J�y�/�// TUERMOSTNT SERVICE nprmvpl OY At m•cJ by FINAL DTT " FT®ER ' t lnspeetinn Date Arca.Building or Equipment Inspected Action Taken Electrical Inspector 4-,2t3 ileo-ecC' JUL 16 2 07 r CITY OF pOI tT A NGFLFS PET IT,A"LTCATION R_ ECEIVED # ^ Building DMsion/Ellectrical inspectio"s 321 East Fifth Street-�P.O.Box x1150/Port tngples Washiingto;a,913362 � 201tn Pira(360)417.4735)Fax: (360) 1174711. ELEC`1RlCAf. Date: ) 1 &2 Single Family Dwelling p }WEGUONS Plaid Review May Be Require Please amplete Electrical Plan Review Infotmer ion Sheet fob Address: Building Square Faalagc h xr c Cescription of above M Contractor,I nfmOanOwn®rnf�I LIeName: Name; Maling Malling s clty. SyatuP. cv. Stats fJ Phone: ax. Phone: ,S Fax. Cleanse#1 Erre, Licenaw V Exp,y T,1Y_11a5 Item ,UI d Shama –Ch o (Cmr Muhl ll ed by,Urdt C a e Servicer/FBeder200 Amp, $120.00 .. '— 19 0 ServlcelFWer 201-400 Amp. $146.00 . ServicalFeeder401-600 Amp $205.00 $ r• ServicefFeeder 601.1000 Amp. $262.00 SelvicelFeeder over 1000 Amp, $373.00 ., $ Branch Circult W/Service Feeder $ 5.00 $ Each Branch Circuit ir ui W/O Service Feeder $ 63.00 Additional Branch dimult $ 6,00 $ Branch Ciruuft 1-4 $ 75,00 'Pomp.Service/Feeder 200 Amp. $ 93.00 Temp.Service/Feeder201.400 Amp. $110.00 Tomp.Service/Feeder 401-600 Amp. $149,00 __ $ Tamp,SetvicelFeeder 601-1000 Asap. $166.00 $� Portal to Portal Hourly $ 96.00 Signal CkcuIV Limited Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connaellon $120.00 -. Renewable Ele&cal Energy-StNA System or Less $102.00 � $� Thermostat $ 56.00 Note:$5,00 far each additional T-Stat NEW CONSTRUCTIOLLONLY: First 1300 Square Ft, $120,00 $ ,_ Each Additional 500 Square Ft or f odlon of $ 40.00 Each Outbuilding or Detached Garago $ 74.00 $ .� Each Swimming Pool orHotTub $110.00 Owner as defined by RCW.19,28,261'.(1)Owner vvill occupy the structure for two years after this electrical permit is finalized. Owner is rewired to hire an electrical contractor If above said property is for sale,rent or lease,Permit expires after six months of fast Inspection, After reading the above,statement.I hereby certify lhsnt I am the owner of the above named property or a licensed elecchilcal car-Irdctor..I-am making the elect6cat installatlon or alteration in compliance with the electrical laws,KE-G.,RCW Chapter 19.28,WAC,Chapter 296.4 5R,The City of Fort Angeles Municipal Code,and Utility Spec cations and RAMC 14,06.050 regarding Electrical Permit Applications, Slgnat or owner,electrical cont Aororelectrical administrator: 0 CASK © Check Hated: " /` � . 01101rzo12 ELECTRICAL PERMIT 1 CITY OF PORT ANGELES y d 360-417-4735 Application Number . , . . . 14-00001040 Date 9/03/14 Application pin number . . 235360 Property Address , , . . , . 1406 W 12TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER,; 06-30-00-0-3-6600-0000- Application type desCription ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . , to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . , RS7 RESONTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application desc Farm panel -------------- ___----------------------------------------------------_------ Owner Contractor Simpson, Shane SIMPSON ELECTRIC 1406 W 12th Street- 243036 W HWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . , , ELECTRICAL ALTER RESIDENTIAL Additional desc , , Permit Fee 130,00 Plan Check Fee 0,0 Issue Date 9/03/14 Valuation 0 Expiration Date 3/02/15 Qty Unit Charge Per Extension 2.,00 .5,0000 ECH EL-BRANCH CIRCUIT W/FEEDER 10.40 1100 120,0000 ECH EL--0-200 SRV FEEDER 120,00 Fee summary Charged Paid Credited Due Permit Fee Total. 130,00 130.00 .00 .00 Plan Check Total .00 .00 00 .09 Grand Total 130,00 130.00 ,00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR; DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAFXCHANGE\BVILDING