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HomeMy WebLinkAbout1301 Bent Cedars Way - BuildingPREPARED 9/14/10 8 03 02 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/14/10 ADDRESS 1301 BENT CEDARS WAY SUBDIV TENANT NBR RONALD /JUDITH PACKWOOD CONTRACTOR DAVE S HTG COOLING SRVC INC PHONE (360) 452 0939 OWNER RONALD /JUDITH PACKWOOD ET AL PHONE (360) 477 4601 PARCEL 06 30 14 3 1 9030 0000 APPL NUMBER 10 00000973 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/ INSPECTION TICKET PAGE 8 MECHANICAL FINAL TIME 01 00 September 13 2010 11 01 22 AM 1pangrle DAVE (DAVE S HTG 452 0939) MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number 10 00001008 Application pin number 128320 Property Address 1301 BENT CEDARS WAY ASSESSOR PARCEL NUMBER 06 30 14 3 1 9030 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1 circuit ductless heat pump Owner RONALD /JUDITH PACKWOOD ET AL 1301 BENT CEDARS WAY PORT ANGELES WA 98362 (360) 477 4601 Permit Additional desc Permit pin number 173237 Permit Fee 73 50 Issue Date 9/13/10 Expiration Date 3/12/11 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 00 73 50 Paid PERMIT WILL EXPIRE. SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Contractor EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES (360) 457 0198 73 50 00 73 50 Plan Check Fee Valuation DATE Credited 00 00 00 Date 9/13/10 WA 98362 Due RESULTS cis kit cgi7 lr /ta 0 0 0 Extension 73 50 00 00 00 S REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date SEP -12 -2010 09 52 PM E JANSSEN City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street- P.O. Box 1150 Port Angeles Weehington. 98362 Pte (3601417.4735 Fax. (360) 417.4711 Dale 1 x I t�1 2 Single Family Dwelling Multi-Family or Commercial' Commercial Addition Alteration I Reinndr., Plan Review May Be Required, Please o:np:>:e El•.irtrica' Pier Review lob Address Building Square Footage Description of above ;rx t' d_.._ _E L� .Ind Charms 11990 S145rin 5 204.60 S 262.20 5 372 50 5 2 60 '3 260 S 11270 5lie S 140 70 SIP 00 5 9590 88.20 S 9590 S 6390 5 6390 $1'990 102 30 511030 5 35 20 S '350 5 x1030 S 56 00 fa ^.k he Date: 1T' Total RECE}M Inform00on Sheet iF_ SP 1 2009 ELECTRICAL INSPECTIONS Crddit Card 0 360 452 2982 c Cwrer Info� nalror e C ntrector Inlorrnat:or Name' 1G�� d- Lu f P• .�>�.,cc� Name gx 1/ 1 4_ /✓1 E L cC.T IC C mailing Address. �0 f r• Dix,M C v ^1 Mailing Address I R t. 1'>t(,_.E. t i s t' State. 1.4/A- 6i. if. 4. G. tY p E4 state tip, 'i S .i Phone: y7' `/6 Fax: Phone 5'S 7-1.2.7.2. Fax. 5 kS i;.ense i .xp License 0 Ex n T le./4 11;2' `1 7 /:2 �1c- r l rota] Lch Multiplied by Unit Ch,me ;ennce /Feeder 200 Amp. Service /Feeder 201.400 Amp Servicr'JFeeder 401.600 Amp Sen./ion/Feeder 601.1000 Amp Sery crilFeeder over 1000 Amp tl r ct C.rcuit W/ Service Feeder Branch Circuit W/0 Service Fenner Each Additional (trench Circuit Temp Service/ Feeder 200 Amp temp Service/Feeder 201 400 Amp temp Service /Feeder 401.600 Amp remp Service /Feeder 001 -.1000 Amp Portal to Pons! Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial Additional Signal Circuit/ Limited Energy 1 i31 Family Cwoiling Signal Circuit' Limited Energy Mulb.Famrly Dwelling Mentifaclur'ed Home Connection Rer.ewanie Fiectncal Energy SKVA SetN'. r.r Les First 1300 Square Ft Each P.ddltinnal 600 Square Ft. or Poninr. ri Fnr:n nuruu or Detached Garage tech :.wimming,P001 or Hot Tub nermostai Owner as defined by RCW.19.20.201: (1) Owner will occIpy the structure for two years after this electrical permit is finalized. Owns s required to hire an electrical contractor .above said property is for sale. rent or tease. Permit erprres after six months of lost inspection. After reading the above statement. I hereby certify that I am the owner of the above named property or a licensed electrical cuntractor I am making the electrical inelallation or alteration in compliance with the electrical laws, N,E C RCW. Chapter 19.70. WAC. Chapter 298.408; The City of Port Angeles Municrpa Code, and Utility Specifications. 'Signature of owner electrical contractor oretactr1al administrator C1 Cash P 01 w Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A DUCTLESS HEAT PUMP Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RONALD /JUDITH PACKWOOD ET AL 1301 BENT CEDARS WAY PORT ANGELES WA 98362 (360) 477 4601 Permit MECHANICAL PERMIT Additional desc INSTALL A DUCTLESS Permit pin number 172841 Permit Fee 64 80 Issue Date 9/07/10 Expiration Date 3/06/11 Qty Unit Charge Per BASE FEE 1 00 14 8000 EA ME FURN /HP /FAU Fee summary Charged Permit Fee Total Plan Check Total Grand Total 64 80 00 64 80 `Th.aaliA L011 T:Forms /Building Division /Building Permit 10 00000973 Date 9/07/10 488271 1301 BENT CEDARS WAY 06 30 14 3 1 9030 0000 RONALD /JUDITH PACKWOOD MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 4065 Contractor DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 HEAT PUMP Plan Check Fee Valuation OR 5 TON Paid Credited 64 80 00 64 80 00 00 00 00 0 Extension 50 00 14 80 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) a\ Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 IN CONSPICUOUS 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 AIR SEAL. Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T /Building Division /Building Permit Inspection Type FINAL Date Accepted by FINAL Date 1 I 1 I Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE ,Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 c Planning 417 -4750 Building 417 -4815 W 0 Sep 0710 08 48a Dave s Heating Cooling 3604520939 p 1 PROJECT ADDRESS Parcel Number Floor Areas BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant av -e.is R2 aok r Phone Property Owner Po r. '4 S u d o i Pack o d Phone Property Owner's Address 1 ...7c) l CQ._d o, r-s W Contractor 7cLL•z1/4s K -on a Phone Contractor's Address P 0 Box L 13, fo -,q- Cs�s License DA V ES 11c...19 i kc_ Expires S /ao (I E mail Existing (sq. ft) Posed (sa. It) Project Tree Brief Description: Residential a Multi family o Commercial a Industrial Check all that apply o New Construction a Addition Remodel o Repair o Demolition a Re -roof a House a garage o other a tear off re -roof a lay over one layer Heat System Heat "pump a wood burning stove o gas fireplace a pellet stove a other o Other 4 Basement 1 Floor 2" Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION T. 106 Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage °fo Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type bate /i) Print Namee n,.sL. £/f1-4e ,t c� Signature T:FormslBUUding Division/Bldg PermiLdoc For City Usk Only Date Received Permit* 10 C T Date Approved 130 i rd CCZA errs C.43(3_44 Lot Zoning -)0 4 15 09 3 7 0 73 etccues tv u�c cu�i► per sq. ft. it of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. Jam authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior tR working an projects. Clallam County Assessor Treasurer Property Details 66868 RONALD /JUDITH PA. Page 1 of 7 Clallam County Assessor Treasurer Property Search Results 66868 RONALD /JUDITH PACKWOOD ET AL for Year 2010 2011 Property Account Property ID' 66868 Geographic ID' Type Tax Area. Open Space. Historic Property' N Multi Family Redevelopment: N Township Range. Location Address. 1301 BENT CEDARS WAY PORT ANGELES WA Neighborhood' Neighborhood CD' Owner Name. Mailing Address. Cycle 4 Res 10952130 Taxes and Assessment Due Property Tax Information as of 09/07/2010 Amount Due if Paid on. M. 0630143190300000 Real 0010 PA 121 PORT ST CNTY H2 L N RONALD /JUDITH PACKWOOD ET AL Owner ID 1301 BENT CEDARS WAY Ownership PORT ANGELES WA 98362 Year Statement ID I Taxing Jurisdiction 2010 48881 ST SCH STATE SCHOOL 2010 48881 CC -GEN COUNTY 2010 48881 PORT PORT 2010 48881 PORT ANG PORT ANGELES 2010 48881 SD #121 SCHOOL DISTRICT #121 2010 48881 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 48881 HOSP #2 HOSPITAL #2 2010 48881 WSMET PK DIST WILLIAM SHORE MET PARK 2010 48881 CITY_STORMWATER CITY STORMWATER 2010 48881 FIRE_PATROL FIRE PATROL 2010 48881 WEED CONTROL WEED CONTROL 2010 48881 FP Fee FIRE PATROL COUNTY FEE 2010 48881 TOTAL. 2009 668682008 ST SCH STATE SCHOOL 2009 668682008 CC -GEN COUNTY 2009 668682008 PORT PORT 2009 668682008 PORT ANG PORT ANGELES Legal Description. Agent Code Land Use Code 11 DFL N Remodel Property' N Section. Mapsco Map ID Exemptions: DIST First Half Base Due $284.26 $151.28 $21.26 $350.25 $368.21 $43 96 $62 06 $19 74 $36 00 $8 70 $0 82 $0.25 $1346.79 $296 83 $150.22 $21.28 $329 50 TPA SP 81 2 1 V10 P84 LOT 1 EXC N.07A .35A SURVEY V37 P83 2 44813 100 0000000000% Second Half Base Due Penalty Interest Base $284.27 $0 00 $0 00 $2E $151.28 $0 00 $0 00 $1E $21.26 $0 00 $0 00 $2 $350.26 $0 00 $0 00 $3E $368.20 $0 00 $0 00 $3€ $43 95 $0 00 $0 00 $4 $62 06 $0 00 $0 00 $E $19 75 $0 00 $0 00 $1 $36 00 $0 00 $0 00 $C $8 70 $0 00 $0 00 $0 81 $0 00 $0 00 $0.25 $0 00 $0 00 9 $1346.79 $0.00 $0.00 $134 $296 82 $0 00 $0 00 $5E $150.23 $0 00 $0 00 $3C $21.28 $0 00 $0 00 $4 $329 49 $0 00 $0 00 $6E http. /vpn.clallam. net. 8084 /propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =66868 9/7/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner J J KEY CONSTRUCTION INC PO BOX 2151 PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983620408 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00001100 117400 1301 BENT CEDARS WAY 06 30 14 3 1 9030 0000 RON PACKWOOD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 179200 Contractor J J CONST OF PORT ANGELES 233 ALICE RD PORT ANGELES PORT ANGELES (360) 457 1809 TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL OWNER/ 2240 SQ FT SFR 89201 119 80 Plan Check Fee 10/18/06 Valuation 4/16/07 Qty Unit Charge Per 1 00 73 0000 ECH EL -R SQFT FIRST 1300 2 00 23 4000 5C EL -R SQFT ADDITIONAL 500 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 This project will require seperate permit and fire sprinkler plans for review All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) 10/12/2006 03 32 PM SROBERDS The proposal will result in a new sfr in the RS 9 zone for total lot coverage of 7% No land use issues are noted Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense A copy approved septic permit from Clallam County Health Dept will be required prior to issuence of Building Permit Other Fees Fee summary Charged COMMENTS /ACTION NEEDED STATE SURCHARGE----, Paid Credited Due Date 10/18/06 WA 98363 7 00 2 00 15032 00 1120 00 1 00 Extension 73 00 46 80 RES UNDERGRND SERVICE FEE 713 00 4 50 00 0 DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD C ALL 417 -4735 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 YES I NO I I I I I 1 I I I I I I I I I COMMENTS par -t 102.13H/961 Application Number Application pin number Permit Fee Total Plan Check Total Other Fee Total Grand Total 119 80 00 717 50 837 30 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES. WA 98362 Page 2 06 00001100 Date 10/18/06 117400 119 80 00 717 50 837 30 00 00 00 00 00 00 00 00 CALL 417 -4735 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. INSPEC11ON TYPE DITCH ROUGH -IN COVER SERVICE GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES 1 NO FINAL 7- 1 27 -n7I .4-&)I 1 1 1 1 1 1 1 1 COMMENTS PW- 1102.I5 14961 Job wired by Electrical Contractor %jOwner Electrical contractor name Purchaser s mailing address PO ,Q License number Date Expires City State ZIP Telephone number FAX number 575'3‹ 'Premises owner's name /6 O I J cri' L7 Address of inspection 30/ AIir City Phone number to schedule inspection Owner as defined by RCW 19 28.261 (I) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B The City of Port Angeles Municipal Code, and Utility Specifications. (Signat H of owner ect al contr tor or electrical administrator Expiration Date X Date (O of card Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Overhead Service Heat Pump Ton LAR Temp Service Fan -Wall KW Underground Service SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360 417 4735 ROUGH -IN THERMOSTAT °a bate pp o ed By FINAL 727 -D7 Date Appr ed By Inspection Date /0 Go 06, I SKo.Jt Ai L /i"O EXTB.is.GA) j CX) A 713 00 ao co 14 v� PA r, o L off Date Approved By DITCH 4/1/p �'#x Die Appr ed By Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION ti /Installation description Commercial Residential X New =4 .sa a 0 Cash Check Credit Card Visa Card Altered /Addition Date Mastercard Discover Voltage Phase 1 3 Service Size: Feeder Size: SERVICE LJ Approved By FEEDER Action Taken Appr ed By Electrical Inspector AIX Inspection fee .J92 Service Information M ..:I ..:I M (I) >< ..:I 0 >< (I) 0 0 ..:I E-< ..:I ~ :x: ..:I E-< :x: E-<:X: ~ H ~ '-' E-< ~ H E-< HE-< '-' ::;: M ~ ~ M ::;: ~ ::;:~ ~ ~ H " H ~ " ~" M ..:I 0.. ol ..:I M ol MOl 0.. 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N N 00 0 0:;: " " 'f-o r>l0 "" "" .,..,. oo~ ~ ~ llo:~u 0 " <0 ~ "r>l '" 0. zo <0 CO 0 f-o "?i r>l'" UJ -u .... .... .... ~o UJf-oOO: ..:lZ !-o 0 0 0 0 00: ~~~ei~..:l H UJ 0.>< ~ , m r>lf-o 01il5~~g: '" \D "" m ~H >< .., ..:l ..:l o.u ~f-ouoo.oo: '" f-o <0 <0 <0 ~&' ~ Cfry OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000010 Date 928470 1301 BENT CEDARS WAY 06-30-14-3-1-9030-0000- RON PACKWOOD RES DETACHED GARAGE 5/22/07 RS9 RESDNTL SINGLE FAMILY 18738 Owner Contractor J & J KEY CONSTRUCTION, INC PO BOX 2151 PORT ANGELES WA 983620408 TOWN & COUNTRY POST 16521 HWY 99, SUITE LYNNWOOD (425) 743-1555 TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS FRAME BLDG B WA 98036 Other struct info . 14.16 V-N 1 1. 00 1120.00 15032.00 1008.00 2128.00 1. 00 ....... (),) \) '" Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ 200A TO GARSGE Permit pin number 99929 Permit Fee 75.00 Plan Check Fee Issue Date 5/22/07 Valuation Expiration Date 11/18/07 .00 o ~ ~ '\ Qty 1. 00 Unit Charge Per 75.0000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 75.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 01/11/2007 02:00 PM SROBERDS -- The proposal will result in a new garage in the RS-9 zone for total lot coverage of 14%. Rear setback must be a minimum of 10'along entire north side of site. Electrical load calculations and elctrical permits are required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. No access allowed from Mount Angeles Rd. Only one driveway entrance is allowed along Bent Cedars Way. An inspection by Public Works Engineering is required prior to prouring concrete. i lA' J Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 '.00 Plan Check Total .00 .00 .00 .00 COMMENTS/ACTION NEEDED '- ELECfRICAL PERMIT INSPECfION.RECORD .. . CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, to 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 II .'.H R OJ IC -rH.lN I COVER :SbK ViCE iTlo..T AT I GENERAL COMMENTS: PW-ll02.1S (4'96] d'~'~ ~~~ ,.&[la ~~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET. PORT ANGELES. WA 98362 - .. Application Number Application pin number Other Fee Total 4.50 Grand Total 79.50 COMMENTS/ACTION NEEDED 07-00000010 928470 4.50 79.50 Page Date 2 5/22/07 .00 .00 .00 .00 ELECfRICAL PERMIT INSPECfIONRECORD . CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, " · INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.1S (4'96] ........ 0 , .... .... , '" r>lr>l elf-o ..:..: 0.0 C1I 0 OJ .... , .... '" '" >< 0 ..:l '" 0<: M r>l H ..:l ..:l i': r>lr>l f-o 0 ZZ r>lUl 'gJ 00 ~r>l XX ~~ Ul "'''' f-o..., Z .. 00<: HO Ul f-of-o f-o UU Z r>lr>l ~ r>l 0.0. ....Z~ UlUl zz EOO H H HU UlU f-o' r>lZ Oo.Ul ..:lH HHf-o r>l Ull>:..:l el - , I>: [:jU::> :i!ZOo. UlUl OOUl r>lr>l >< HO '01>: ..: f-of-o03: 3: O<:U 'r>l f-o O::>oZ .... Ul o.O<:M ~o.~ 0<: f-ooUl N ..: ~CI)O'\M M 0 OZ , 0<: o.Ul::> r>l0 0.... 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Ul p.,>< ~ , r.lf-o OZZz~p., p., <0 ~H ~r.l03~p., >< ..:I p.,U f-oUOp.,~ Po< f-o <Il CrTY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name property Use Property Zoning . . . Application valuation 06-00001100 Date 117400 1301 BENT CEDARS WAY 06-30-14-3-1-9030-0000- RON PACKWQOD RES NEW SFR 3/05/07 RS9 RESDNTL SINGLE FAMILY 179200 Owner Contractor J & J KEY CONSTRUCTION, INC PO BOX 2151 PORT ANGELES J & J CONST OF 233 ALICE RD. PORT ANGELES PORT ANGELES (360) 457-1809 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS PORT ANGELES WA 983620408 WA 98363 Other struct info . . . . . 7.00 2.00 15032.00 1120.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID SPRINKLER SYSTEM 96297 Plan Check Fee Valuation .00 3/05/07 9/01/07 .00 .....8' 3cItX) 9fP 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. This project will require seperate permit and fire sprinkler plans for review. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). 10/12/2006 03:32 PM SROBERDS -- The proposal will result in a new sfr in the RS-9 zone for total lot coverage of 7%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. A copy approved septic permit from Clallam County Health Dept.will be required prior to issuence of Building Permit. ~ I ~ ;,;:; ">, 0% ~ .(\ ~ /S/ /"'0 S' //1. ~,/O~I Q) On ~~ '/ ~ ^ Other Fees RES UNDERGRND SERVICE FEE STATE SURCHARGE 713.00 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examinw this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the rovisions of an state or local law regulating the work specified in the permit. ~ ~ ~ f ~ o ~I ~ I _I I 0:>1 ~ :s f\ t ? J ~ Date <\ ~ FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type r'""l Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alann final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS: 2/15/00 ..~ ~ CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 Application Number . . . . . Application pin number . . . Other Fee Total 717.50 Grand Total 717.50 06 - 00001100 117400 717.50 717.50 Page Date 2 3/05/07 .00 .00 .00 .00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examinw this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the perm it. Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date 1---- '" '. FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alann final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments GENERAL COMMENTS: 2/15/00 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private Residence Address: 1301 Bent Cedars Way Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13RO 13D~ Date: 3.2.2007 PAFD Permit #: 07-09 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush ofthe underground piping is required. A design sprinkler flow test and alarm test are required for all13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. o Contractor ~ Building Department o Fire Department Reviewed by: ~.Q~O Date: 1.2'01 I DATE:3 -/-0 7 I El FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRATI~N o CITY CLERK o RlSK MANAGEMENT I FROM: PUBLIC WORKSIBUlLDING DIVISION ~ ~ o o o RE: ADDRESS: ,301 /3~YJTc:e d~rs. Wa..~ NAME/CONTACT:-1)j JI1C..e- /3.PJ +fo a."1- PHONE: 1--/5"'9- - 7S- ~ 3 PERMIT NUMBER: t96 -. / J C9D PROJECT DESCRIPTION: P.a- <; ~) (J '" '>1 /,,- /-e J.- < ~ Ie ff) rxi NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: ~ REVIEWIRETURN o FILE Q?-o<t BUILDING PERMIT - APPLICATION Fem OFFICIAL USE ONLY Dale J(ec.:-3 -1- 07 l'cnnit Ii: Ow - J 1f!JC> Dal~ Approvec. Dale Issued: Fi11 OUr COMl'LETEL Y and in IJ\'K.. Your application and site plan MUST BE COMPLETE to he accepted for review. If you have any questions, caU PERMITS (360) 417-4815 FAX(36lJ)417-4711 Applicant or Agent: Owner: 1<-0 V\ Address: p, 0... f I:) C:.Q~ 1S Q. P 0,,- c. k LA.) Q od BQX I ~ <f City GcldeV\ d c./~ Phone: Ll S 2. -- <( s ~<5 Phone: Zip: '78(62 (2) ArchitectlEngineer: Phone: Contractor / N/y'O vi 47,1;1) P I~ State License #:/N/Vov,c.f6LIAf04xp: V~.lhone:<tS.2 -7S63 Admess: 8 L /I/~) UQ I.{e... L L- City: fe vf Ii".. i.:J le ..1' Z;p: 7' &:s f;; 2.. PROJECT ADDRESS:--.1 ~~ 0 I (S-e V\, + C e.cJc..V- Q~ ZONING: LEGAL DESCRlPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: P.YE OF WORK: ~Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition D MoveD Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: :z:: ~S--Jc II SIZEIVALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ _$0<70, Q d 1=-/.rc.. StPv-/.....IrIA',/' .S'::JS~L~ COMMERCIALIRESIDENTlAL: Occupancy Group: Occupant Load: & Proposed Sq. FI. Construction Type: = TOTAL Sq. FI. No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft % PLANNING USE ONLY: ESAfW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ VALUATION OF CONSTRUCTION: In aU 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 41 7-4815 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. EXPffiA TION 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended mOTe than once. J hereby certify that J have read and examined this application and know the same to be true and correct. J 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 permns pm' 10 ~=--- " T:\FORMS\BldgPennitfonn.wpd Apphcant: ~ /J I ~ j)~ Date: 2- J 2-8/cJ"7 / .,.r- o , '" N , N ~~ "E-< <(<( 0..0 >< ..:l <>: ~ H ..:l ..:l E-< ~CIl :.:'" 8~ E-<'":l Z 0<>: HO E-<E-< UU ~~ 0..0.. CIlCll ZZ H H , , , , , , , , , , , .. :;:: '0 :gJ 'CIl , '" o '" H , r- LO .,. o '" M ~~ ZZ 00 :I::I: 0..0.. '" N CIlU "'Z ..:lH ~ " .. 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N , N o CIl , 0.. >< !-< H o rl o H o H o H o H o H o o '" ..:l <Il Q 0:: ..:l Ol :;: ..:l <Il o CJl o ..... ..:l Ol '" ..:l <Il N ..:l Ol 1-- - ,,"OAT~' e 1l:..-- ~W? CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use property Zoning . . . Application valuation 07-00000010 Date 928470 1301 BENT CEDARS WAY 06-30-14-3-1-9030-0000- RON PACKWOOD RES DETACHED GARAGE 1/31/07 \) ....j ,. I V RS9 RESDNTL SINGLE FAMILY 18738 Owner Contractor J & J KEY CONSTRUCTION, INC PO BOX 2151 PORT ANGELES WA 983620408 TOWN & COUNTRY POST 16521 HWY 99, SUITE LYNNWOOD (425) 743-1555 TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS FRAME BLDG B WA 98036 Other struct info . 14.16 V-N 1 1. 00 1120.00 15032.00 1008.00 2128. '00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 1008 SF POST FRM GAR 92858 333.75 Plan Check Fee 1/31/07 Valuation 7/30/07 133.50 18738 Qty Unit Charge Per Extension 95.75 238.00 BASE FEE 17.00 14.0000 THOU BL-2001-25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 01/11/2007 02:00 PM SROBERDS -- The proposal will result in a new garage in the RS-9 zone for total lot coverage of 14%. Rear setback must be a minimum of 10'along entire north side of site. Electrical load calculations and elctrical permits are required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. No access allowed from Mount Angeles Rd. Only one driveway entrance is allowed along Bent Cedars Way. An inspection by Public Works Engineering is required prior to prouring concrete. ~ Other Fees STATE SURCHARGE 4.50 j:) / I7q~ O<f/ /Op/ /0) ~ ~ Permit Fee Total 333.75 333.75 .00 .00 r ~ ~ ~ a ~ Fee summary Charged Paid Credited Due, Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 Owner (if owner is builder) Dale T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] I BUll.,DING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS . YES I NO FOUNDATION: FOOTINGS I SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN , WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I I T FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CIDMNEY MANUFACTURED HOMES f FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATEPERMIT#'s SEPA: P ARKING/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. 1 PW 1 CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4J7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . . ~ T:\Policies\1102 15 bUlldmg penmt IOspeclJOn record05.wpd [J 14/2005] .J I - f\'.oRT~- fj ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . Application pin number Plan Check Total Other Fee Total Grand Total 133.50 4.50 471.75 07-00000010 928470 133.50 4.50 471. 75 Page Date 2 1/31/07 .00 .00 .00 .00 .00 .00 ( Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. 1his 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 taws 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 pennit inspection record05.wpd [1/4/2005] BUll-DING PERMIT INSPECTION RECORD I INSPECTION TYPE DATE ACCEPTED COMMENTS I I YES NO FOUNDA nON: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) , ~/M/IJ '7 I JJ..,. PLUMBING UNDER FLOOR 1 SLAB I ROUGH-IN WATER LINE (METER TO BLDG) GASLTNE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING 04/nc;/o7 ,/~L DRYWALL (INTERIOR BRACED PANEL ONLY) , , T-BAR INSULATION SLAB WALL 1 FLOOR 1 CElLlNG MECHANICAL ROUGH-IN HEATP~/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB ~ BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPEC"[.IONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES. NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4J7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 6'=1. Il"lq It>/ "\ LL-- BUTLDING 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. IT IS UNLA WFUL TO COVER,INSULATE OR CONCEAL ANy WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOtA TlON. ~. KEEP PERMIT CARD AND APPROVED PLANS AT JOB STTE. ~ ~. \ \:3 " ~ -- oJ D - r r\ ~ ~ e f "\ :"'0. / T:\Policies\1102 15 building permit mspecl10n record05.wpd [1/412005] CIl E-< Z ~ ~ ....Z:E 1::88 SE-<' Oo.CIl ........E-< tIll>:..:l !>1U::> I>:CIlCll 1>11>1 101>: ... .... ~o.~ o.CIl::> ZCIl t!l....1>1 :z: I>: ~ ....00 ~1>11>1 ~E-<E-< CIlI>1 01>1..:l o~o. O:E 1>10 I>:I>:U 0. ~ ... i 0. ~ ~ H H H o >< 0 >< 0>< 0 >< 0 :x: ..:l :r: ..:l :r:..:l :r: ..:lln:r: E-< I>: E-< 1>:1>1E-<1>: E-< I>:";E-< t!ll>: 1>1 I>: 1>1t!l1>:1>1 I>: 1>1..:l1>: Z~ H ~ H~~HOO~ HOO~ ....In ..:l In ..:lZln..:lZln ..:l In ~~ ~H~ ~H~~H~m~o~ 8 ~ ~ ~ ~ a ~~ ~3~ ~0~~0~~~:E~ Z Z Z E-< r- Z o 0 0 ::> r- 0 H~ OHOO OOH~MOOO~MH~ ~~ M~~ ~~~O~M o~o ..;.. ....;.. ....;.... CIl" ....;.. 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E-< <ll <ll Applicant or Agent: . _ Phone( Lf 2J? ) 7 Lf -3-- I ~~ S ~ Owner: Ken &tckNJrod Phone: c;oq - 1'1 3-~.:?6 Address: )W\ ~ CQdoJI~ ~'YCity: ~m4- AnF5 Zip: 1~B/P~ ArchitectlEngineer:=:JVl - ~tCCR ~ yV2..V\A ~ Phone: U-I:lc:) Jt8' I - 10 &JD J Contracto;Tl1WV\ ~. ColAn'tn[ 'fo <rt ~ State License #Th W NCP F(Jqq l:T Exp: (p 10-' Phone:lf-z ~ ) 1 Lf 3-) '5 Address:]'vJc;2.1 +tW\r~q. <irui 11 ~ City: LljVlVlWCOct Zip: q'Y6 37 PROJECT ADDRESS: (3D) &n:f MtJ.YS h/fj P PV~~ 1f3t?l.zONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0 h 3D ILl 31 qO 3 D TYPEOFWO~ SIZENALUATION: )( Residential '&New Constr. 0 Re-roof 0 Stove SF. @ $ ISF. = $_ o Multi-family 0 Addition 0 Mover{ Garage / ~()~ SF. @ $)~...59 = $----'..' .L'nJ1i' o Commercial 0 Remodel 0 Demo{itlon 0 Deck SF. @ $' ISF. = $ 9 o Repair 0 Sign 0 Other TOTAL VALUATION $ l g"J 7 3 BRIEF DESCRIPTION OF THE PROJECT: pmpOS(o( ddaclt.ui rlY~ 2'-/,xL!d ?opffYam..-c COMMERCIAtfRE~IDENTIAL)OccupancyGroup: k'~~ Occupant Load: CJS# Construction Type: p/)# ~ No. of Stories: L Lot,~i~e:. /503 .9.i Existing Sq. Ft. ~ & Proposed Sq. Ft.l (919 gi = TOTAL Sq. Ft. ~ J ~~ Total lot coverage_ I '1, J ~ % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: FIRE: 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 Pennit 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: Ifno 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 RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is esponsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\FORMS\BJdgPennitAppl.. wpd Applic Date: J~;iS- /ob , / r-- r-r- 0 '- '" 0 '- .-< MM c.?E-< <(<( 0..0 '" 0 OJ .-< , r- '" '" >< 0 ...:I '" 0: 0'1 ...:I M 0 H ~ ...:I E-< :> 0: ...:I H MM <( E-< 0 Zz '" Ul MUl g: 00 0.. 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O~ HO E-<E-< UU ~~ 0.0. CIlCll ZZ H H o '" M > H o rg CIl ~~ ZZ 00 :I::I: 0.0. '" o CIlU ~Z ...:IH ~ c.'J .. 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Application valuation 06-00001100 Date 12/11/06 117400 1301 BENT CEDARS WAY 06-30-14-3-1-9030-0000- RON PACKWOOD RES NEW SFR RS9 RESDNTL SINGLE FAMILY 179200 Owner Contractor J & J KEY CONSTRUCTION, INC PO BOX 2151 PORT ANGELES PORT ANGELES J & J CONST OF 233 ALICE RD. PORT ANGELES' PORT ANGELES (360) 457-1809 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 7.00 2.00 15032.00 1120.00 1. 00 WA 983620408 WA 98363 Other struct info . . . . . Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit pin number 88393 Permit Fee 1468.25 Plan Check Fee Issue Date 12/11/06 Valuation Expiration Date 6/09/07 587.30 179200 Qty Unit Charge Per Extension 1020.25 448.00 w1V- 80.00 BASE FEE .5.6000 THOU BL-100,001-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OWNER/ 2240 SQ FT SFR 89201 119.80 Plan Check Fee 10/18/06 Valuation 4/16/07 .00 o Qty Unit Charge Per 1.00 73.0000 ECH EL-R-SQFT FIRST 1300 2.00 23.4000 5C EL-R-SQFT ADDITIONAL 500 Extension 73.00 46.80 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT ~ ~ O~ ~~ %~ ~ ~ 89110 96.90 Plan Check Fee 12/11/06 Valuation 6/09/07 .00 o Qty Unit Charge Per Extension 50.00 36.25 10.65 BASE FEE 5.00 7.2500 ECH ME-VENT FAN 1.00 10.6500 ECH ME-VENT SYSTEM OTHER Permit PLUMBING PERMIT ~ ~ --- ~ a --- ~ ~ --- ~' ~ f Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes cy:~ null and void if work or construction authorized is not commenced within 180 days, if construction orwork 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 conz;ctioz P h/~~ /2- '/3-0 ~ Signatu e of Contractor or Authorized Agent Date ~ignature of Owner (if owner is builder) Date T:\Policies\1102_1S building pennit inspection record05.wpd [1/4/2005] > . BUll.,DING 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUM8ING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING Ji'RAMING JOISTS! GIRDERS SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (fNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING I MECHANICAL HEAT PUMP / FURNACE I DUCTS GAS LINE WOOD STOVE! PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W.! PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 ,. FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . . T:IPolicieslll02_J 5 building penmt inspectIon record05.wpd [1/4/20051 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32! EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 06-00001100 Date 12/11/06 Application pin number 117400 Additional desc . Permit pin number 89128 Permit Fee 149.00 Plan Check Fee .00 Issue Date 12/11/06 Valuation 0 Expiration Date 6/09/07 Qty Unit Charge Per BASE FEE 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA.WATER HEATER Extension 50.00 70.00 7.00 15.00 7.00 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. This project will require seperate permit and fire sprinkler plans for review. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code. (IFC) 'and National Fire Protection Association (NFPA). 10/12/2006 03:32 PM SROBERDS -- The proposal will result in a new sfr in the RS-9 zone for total lot coverage of 7%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. A copy approved septic permit from Clallam County Health Dept.will be required prior to issuence of Building Permit. Other Fees RES UNDERGRND SERVICE FEE STATE SURCHARGE 713 .00 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1833.95 1833.95 .00 .00 Plan Check Total 587.30 587.30 .00 .00 Other Fee Total 717.50 71 7.50 .00 .00 Grand Total 3138.75 3138.75 .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\l 102_15 building pennil inspection record05.wpd [1/4/2005] BUU,DING 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. IT IS UNLA WFUL 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 FOUNDATION: FOOTINGS SHEAR WALLS / WALLS /' FOUNDA TION DRAINAGE / DOWN SPOUTS ') .... .-/ ~ POST HOLES (POLE BLDGS.l PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDGl SHOWER PAN MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING ~ -~ SHEAR W D DOWNS / WALLS / ROOF ,i1;EiLlNG DRYWALL (rNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE I DUCTS GAS LINE WOOD STOVE / PELLET I CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING Ii la./" '7 ,'jj//07 '),,,7t?j I ' I (7 'J / 1;.1 j~ , " rJ ILl '/).... f) 7 I ACCEPTED YES NO COMMENTS ffkJno8kJJ 1-/ f)...-()7 .J-H.- ~ \ -- --.. C) () J J. J..- I~LY 1 I I IJ,.,~ jJ.-/... JhL FINAL ~ ?i:>{o7 DATE :n.L ACCEPTED BY: 4/12.{07 J'L.l I I n "','1 I-/lrJ-J 07 , II-L- /l.-L fl ref? \ Cl.ce. Lf 117/ cJ, J l, l.- li/t1/01 '\ L(,... - ANALOS/l,O{Ol DATE Te-'-- ACCEeTSD'Y t ~ SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE DATE YES NO COMMERCIAL 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. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~ I 2,0 In'1 \'11- BUILDING 4 (1'2- /D7 PLANNING DEPT. SEPARATE PERMIT#'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL T:\Policies\II02_15 bmldmg permit inspectIon record05.wpd [1/412005]' '1 t...-L..-- DATE ACCEPTED YES NO rY) ~ '- 0\ ~oln ,tv ~:Et;~J) 1fI6>~~> "" -.' .' .,~~ "Ji,' ,. <. ~ \:0,;- ~:~:'_:~'::"::'~l ~ Ur,w. BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COlvIPLETE io be act.:epLeu lur i'tvievv. Ifyoli have any questions, c~ll PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: ROlli ~!rWO()tJ Phone: Owner: 4-fitV (")4 / c:;}/- ~F Phone: Address:!!O J3rJ If 15(/ / City: Gc:Lds-",/#&-. /(/,;. , , , EJO 7 - '7 7'?J-S-~ :;;5-- ,07 -773-'>~3S- Zip: 7$ bZO Architect/Engineer: Contractor jf-J Iftiy Address:~' * 2--(S-1 PROJECT ADDRESS: /30 / Phone: C-c;.)If/~1i" cu.f,il~.state License #tJ)'fIt''t' C/G 7:bi8xp: 2/ City: I 'CJ/IT~~ 8tf"4 ~A~ t.V4J Phone: U/PI. Zip: 9' ~/ '5 (. 7 ~ ZONING: 405. LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: 06-" 6 ... I Lf - 311 t/ 30 TYPE OF WORK: e1""Residential ~ew Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: 0f~L dr ZZ-l{O o Stove o Garage o Deck o Other 8 r.{..' LLJ .5r SlZENALUATION: OC ~cfl) SF.@$ ~o>ISF.=$ /70/'2.00 SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ -.4 -(-W~ 5"fndy F+oac;d'" COMMERCLA.LfRESIDENTIAL: Occupancy Group: No. of Stories: k Lot Size: I ~D '32- Existing Sq. Ft. Total lot coverage 7 ~ 6" ' 1'% Occupant Load: . Construction Type: O'.>~ & Proposed Sq. Ft. /1 2-D = TOTAL Sq. Ft. II z.o ESAlWetland(s): 0 Yes 0 No SEP A Checldist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DP'WU: FIRE: OTHER: PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIns figure ",>ill 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 pernut application and construction plans are submitted. All other permit fees are due at the tinle of pernnt issuance. EXPIRATION OF PL<\N 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 RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended mOTe than once. I hereby certify that I have read and examined this application and know the same 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 ,not the City's, and that I must obtain such permits prior to work. T:\Policies\BL-1l02_13.wpd Applicant: ~ g~ Date: 10 -. 5"" -O~ , c(" 1206 1309 dafS-'1'l'J - - - - - - _ _ _ _ _ eent-ce ----r \ 1302 I 1310 This map is not intended to be used as a legal description. This map/drawing is produced by the Cit)' of Port Angeles for its own use and purposes. Any other use of this map/drawing shall not be the responsibility of the City. Vertical Datum = NAVD h Horizontal Datum = NAD 8~ 6 N 70 Feet ! 31, Legend I, . '.' It: t~ , 1. . L JOB NAME: :;;,I...r;....~. ;\ .. ..' " "'l\l". 1,"-''; '~'~-i '" ~ ': ~- Suite C. 16521 Highway 99 . Lynnwood, WA 98037-3161 Everett: (425) 258-4171 Puyallup: (253) 840-9552 Administrative Headquarters: (425) 743-1555 FAX: (425) 742-4378 Toll Free: 1-800-824-9552 Contractor's Lic. #: TOWNCPF099LT Quality: Our Future Depends On It. TM DIRECTIONS TO SITE ~..., ~ckwtlo-J I St:J/ /.3~f f:, ~T A~J-~' Ct!dr"~ t<A;1 q 136 A SHIP TO ADDRESS: TELEPHONE # AT JOB DROP: $e>er-?? 3 - '5'5" ~.$"" Can a semP turn around at the job drop? B'Yes D No D Back-in Only D Other Can a two ton2 get into the job drop? [!tYes D No D Other Can a concrete truck get into the drop? [BYes D No D Other Will a 4 wheel drive vehicle be required for deliveries? DYes [B"No D Other Directions .... -- .. I .i THOMAS GUIDE DIRECTION + I~,~~&./, aa,)~ ;p 13 ~.,- C; cf r... We..... J 9'- ""'l 11 V VY'1 . C He (l.. .. {1.'r!(t, I 1Truck Dimensions: 65' long, 8' wide. 12W high. and it weighs 35,000 Ibs. empty. 2Truck Dimensions: 30' long, 8' wide, 121;'2' high. and it weighs 18.000 Ibs. empty. l~_____ 1. OFFICE - WHITE 2. CONSTRUCTION OFFICE - CANARY @1991 Perma-Bilt Industries FR-35 12/04 ~ Prescriptive Approach-Simple Fon11 For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Infoffi1ation Building Department Use Only: Lot: I Address: /'701 81>,(/T eciJJtl W"i-f City: fi;!f ffo/.?5 State: W;4. Zip: ~'t 3? Z Contact: ;(r;A/ /~V'OC;)// Pennit # Notes: Phone: ~c)er - 773 - 553::;;- Phone 2: FAX: Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 Option Glazing Area % of Floor ( Unlimited Glazin Option Only) Glazing U-Factor Door Wall U- Vaulted Above VerticalOverhea Factor Ceiling Ceiling Grade Unlimited III Group R-3 Occupancy Only 0.40 0.58 0.20 R-30 Wall Wall Slab Interior Exterior on Below Below Floor Grade Grade Grade R-lO R-30 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 m. ~ 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. o 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 0602.6 Exception 2. Doors with aU-Factor of 0040 allowed without calculations, Option III only. Location of the Door (s) taking exception Type of Heat Source: c,.Uc::...1;f, C:... EXHIBIT A ~"'-_____'""0X''' 70 Feet Venical Datum = NA VD 88 Horizontal Datum = NAD 83/91 3713 , , J ~ ~ ~ \ 0'1 \, ",J': \\~! ; \ \ l ~\. " \ ~ ~ ~ ~ (JI 'R " ~ cedars 'J'N Bent N Area Map This map is not imended to be used as a legal description. This mapldrawing is produced b)' the Ci~l' of Port Angelesfor its ol\'n use alld purposes. Any other use C?f this map/drawing shall 110t be the responsibility of the (,ity. '~'I ~~; . . ~. ~. " r1 ~ PLEASE CHECK o Roll-up doors fit in Bays ~ Roll-up doors will not hit Truss SI Roof Pitch 1 < Snow Load FLOOR PLAN If)~ Wind MPH -c Wind Exposure / .;. Eave Height ~ Minimum Clearance Draw North Arrow in Circle 8 mr-'ih-T----,---l----T---- _____~"-----:_m-----"--m----.,--:-- -- .,----r----T---r---i--'r-T---r--i---mr--r----r----r-T--r-1'----1 :__"':"__1' ' ,~/2 ~1-'-30'Y~G-e--~i)------T----' t={Jl;~~~.,~~.'r;'.-... '~-:=-~f'[E-f=+=~==i~~I~=~-M~-:.tlE~:-_~~L' I r::,' l i , , j l l l l I i I ! Iii I j j I ; i 1 r- - ---t-;rcrfvo~-pci~TA1'iGElES L co~-;I;;~J~~~.rs--T-!1-r -l----r---i------j---t--r-i'-T--i-l . 'i: T"^!j' ,:, I ! i i : , L i i . I :: 1,6 XiII i ! II i ;-' --- ---T-r--r-tm:r ssua~ee'Ofithis-~rmit;tm5ert;UPOjf;Uiese 1P'Ji1sJsPei:iTi:--! ---,----1"-----1--1'---1'----1- --r--;--r--h-;---T---1----1, _____ _,____L____.'m__l ~~~~II:~d.~I'T-~a-l~-.~~Hti. ,n_~~[~~!~Lf!1~~!!~inj2~cJhL-1-l----L -,-L--L.. L_.1.____ -_JL[~_,....L--L--j---Lj : i i rea er reQulnng I e co!'tetlion o..mlllrlf'~l said ii' ;; : 5 R U i' i! i---itl ,.~.~~in:p~l~~~~~~sb;i~~-~;;:~~. ;~r~~u~~ ~~:~;-+-~~-~----!------~;---!~: _________m_'___hmm_._____, ,____ vIQI~!lo.noLail .codes and orii\'(a""esr Oi-this--i6n~~-liOt1; ___.;--___4 .----j.- - " ", ~--- --"-- - , ' "'" ' " . ') ~ DO~;I:l2! L! r", ----- I 2-Approval Date By .:::) U J .._...L__..~.._m"____h_____ ~_n"" ..- ----- 'A\l ,..~~~...-- s.o~iic.J-=--"-l-i;-~--- ~J;I1;;P~M-} mI . Z X f../2 e <l v~0'c;_J...!: / J l -I '-I .- lC./ uu,"._ .. /z "I' I' II Cc .ne rf' Ie ;' ,(;f,;~ ~_ ....., I V /6 ;<. I?p , ----- -~l.' // I ,.. I 5 .R!~ I ---I '\ .. h" i t /6 'z'y I 5('1/1 f<r k' / ../" " i I ;".) ~ I ~-Il II -----I ~... I ,- I "1. I I I 1----- L, ........_____ I- I ..... I' ~ J'!A 13 I ~-;" ~ ,,\ 3"0 , .I t) e,., 1/;" u ..0:, (./ 1,..">5 i o~ ___._____.,____._n.._ c; ~ ( (/ c I" -"-'iL J0,qJ'~ 5/') v {"7 ,.. I Y:::.b:.z, ,"- I BUILDING ELEVATION Customer has ve'rified and approved the orientation of the building to the North and verifies that all items specified in Paragraph B of the contract are shown on this drawing and vice versa. Customer Name: Rc..., ~ ~C',f- t{.(t!7 ~ d Lead # b C(q 3'7 ./,?.,,; /1 / j,. /'-j/ /~<([ (u.'--r;/ , ( I i I,.. -- DENIM SERJf:S COli 1 "'7 TcZ1 '" Customer Signature White - Customer Copy Canary - Office Copy Pink - Accounting @1995 Parma-Bilt Industries FR-85 12/04 \. CLALLAM COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT DIVISION OF ENVIRONMENTAL HEALTH SITE REGISTRATION ON-SIT~ SEWAGE CQNSTRUCTION PE~IT DIVISION OF ENVIRONMENTAL HEALTH 223 EAST FOURTH STREETIP.O. Box B63 PORT ANGELES. WA-9B3B2-- _ (360) 417-2332 APPLICANT INFORMATION (Property Title Owner). RON PACKWOOD../' 206495 Jacobs Cust # SIR#06-Q0605 SEP# O~. Ob 1- :l.. '5 NAME: PROJECT INFORMATION DIRECTIONS TO PROJECT SITE (from Courthouse): AT INTERSECTION OF MT ANGELES ROAD-AND BENT CEGARSWAY 0N- THE-NORTH EAST. CURRENT- ADDRESS: P.O. BOX 154 CITY: GOLDEN DALE, \NA 98620 PHONE: 509-773-5535 Denial or approval of an On-Site Sewage Disposal Permit may be appealed to the Health Officer within 15 days of the decision date. SOYV\.. L.-UDlD - DOlO 0 This construction permit expires 3 years from date of issuance. Repair Permits are valid for 6 months only. -Any ehange iriouililing or sewage disposal plans oiloeation invalidates flus permit unless prior. approval is obtained from the Environmental Health.Division and Certified Designer. MICHAEL J. BOARDMAN .I hereby acknowledge that I have read this application and state that the Information supplied is correct. I agree to complY with all County and State laws-regulating activities covered by this permit. No refund available after plan review completed. 'Purchaser may also be listed here: PROJECT ADDRE~:'UN1V'IT ANGElES ROAD LOT SIZE 0.35(A)/SF ZONING P-RS9 #BEDROOMS 2 WATER SYSTEM: PUD . PROJECT DESCRIPTION: SFR APPLICANT SIGNATURE DATE RON PACKWOOD 11122/06 By Designer. 'Nam~ -"\. M- JACOBS INC. - -Address: 221=S-South Peabody Port Angeles WA98362 360-452-4592 '1f\JEW . X-EXPA"NSIOf\J-~EP-A1R- ) NO CRITICAL AREAS SHOWN ON MAPS (,4-...., 0+ (YOrt ~Il:l~ f-es( ~ A-O n 0+ DATE: NOVEMBER2,2006 . 1 ~ o...Prl{iULblc. ~RNO:206495 /fv5~a-J()n *- II :Vr~OOG . &~ m:J;,r1""'be %~ 70 froied- dVAln-{, 'd PIffiPAREDDY: .JJkr:tOl~gs~ ~. - t1 <ebe.yv~ ~~~ c10't ~ 221-B South Penbod)' ~ I '-t fu ) u . Po.1Augeles,WA98362 ?'. _1' ^ __ (L Y ~L~ (3GO) <52-4591 r I<..f:l., I ~ (./ , G::> PRESENT ON SITE: I, MICHAEL BOARDMAN - JACOBS, INC. " '. \ BOB PASTORE - JACOBS,INC. JANINE REED . CLALLAM COUNTY ENVIRONMENTAL HEAL11l ROBIN MUNROE - CLALLAM COUNTY ENVIRONMENTAL HEAL11l RON PACKWOOD Il.,'Z.q :'.~, PARCEL # : 06-30-14.319030 . TEST DATE: 11-1-2006 ~ ~..~~~ .~.:.:';;. TEST PIT #1 0-6 INCHES DARK BROWN SANDY LOAM 6-31 INCHES LIGHT BROWN SANDY LOAM 31-43 INCHES COMPACT MOITLED GRAVELY SAND ROOTS TO 31 INCIlES TEST PIT #2 0-6 INCHES DARK BROWN SANDY LOAM 6-18 INCHES BROWN SANDY LOAM 18-33 INCHES COMPACT MOITLED FINE SAND 7 SYSTEM TYPE BIOFIL TER COMMUNITY 17' 21"' Depth 24" TO RIM' Total Fees $400 Date Received rr 251/ 0 {jJ Receipt# J~).t Ck# 5537 . ELEVATIONS: SYSTEM NAME NUMBER OF CONNECTJONS: SYST USE: Gal/Day: App Rate Tank "Size Drainfield Den;d',l /?5} ~: I I Length Width Installer FINALED BY DATE .L..J--.J INSPECTED U--.J AS BUILT COpy TO DESIGNER II ~ --9-0 & 1<Ur:J' I NA NA SfR 240 1000/1000 "'ti ~ '"l r'J ~ - :tt: -- 0 m I W o I ...... ~ , W ...... CD o W 0" C/) C 0- n .a- D> ....... --I -0 -)> (J) -0 < o ...... o -0 D> co CD ex> ~ r- ~ -4 OJ ~ o <' r- - -- , /41. oS ~.'I .~ P"7':;1 1~~llrJf', "1r '{ no L... \ 'I \l J\ r~ r,~ (\'T r (:. n l' O)'l! 0T ~ ~U ['1' ;f'\ tJ JJ v 1, \..1' i" ~ , ~ v . V I \~~\ /O~ . \\ (... v~(<\ \ 'f \ >'1\- I ~ ~. ~, \ \'1 \ VA SYSTEM INFORMATION BASIN: b FEET WIDE ~ FEET DEEP ID RIM LENGTH: 52- FEET (zx) ABSORPTION AREA: "ZOC> SQUARE FEET~x) RESERVE AREA: EQUAL TO PRIMARY AREA SEPTIC TANK: \ooe GALLON MONOCAST CONCRETE WITH RISERS PUMP TANK: 1000 GALLON MONOCAST CONCRETE WITH RISERS EFFLUENT SCREEN: RATED FOR bOO GPM GRAVITY PIPE: 4u DIAMETER ASTM 3034 PVC I PUMP: SUBMERSIBLE EFFLUENT PUMP RATED AT~GPM AT~TDH CONTROL PANEL: USE AQUA WORX INC. IPC-1 RATED FOR 115 VOLTS, 1(ONE) HP OR EQUAL. USE NEMA4X IF EXPOSED TO WEATHER., THE ALARM SHALL HAVE A SEPARATE CIRCUIT FROM THE PUMP CONTROLS. EXI.s7'ING.. _II.!! TE/( LIAlE ~ , \ "V'k ~ \ ~\l' ~ "0 NOTE TO INSTALLER: -Prior to in$tallation the designer shall be called to answer any questions, or if any changes to the drainfield location is being considered, or if lay-out assistance is required, ~ -;;: , \ \ FEET LONG.':~ BUILDING(S) APPROXIMATE SIZE AND LOCATION DRAINAGE PITS OR TRENCHES 3D' MIN FROM OSS UTILITIES POWER, PHONE, CABLE 10' MIN FROM OSS WATER LINE 10'MINFROM ass WELL 100' MIN FROM DRAINFIELD WELL 50' MIN FROM SEPTICTANK I 'tD ./ _______\ly~os9unet '''' f:o::L ~ r- ,----, ~ose..t> GARACbE. I 9,€.5ER:,J €. I I fbb I I I I I f;1L- ___J r. LA~ ~,~ . --~~ ---I , , I ~e.SE~\lE I' I Pop I I ' I I I I L_____~ (su.60.... ~) 1. ~l )( 'IL ,. ~ , 0 " 1\ it '" I 1000 ~~ ::5EP-nc. ~ (lu"'() il*1~ ' p..O~6e. 0 P ,,%-_~:P~oo~ l-\oN\E. , \ \ \ \\' \ ,\, ' , , . \ \ \ . . '" \ "" '\', \ \, \ I 'f~.;' . " \ \ \ \ \ \ \ ~ ~ cEJ)~f(~ 'Co teJT -- " \ ~~'i " I)' ~ i: " i (, " .1'1 -, ." ~f~ II/L~tJ~ rhis septic'system is designed for typical residential waste water strength (this is sampled at the tank out-let baffle) " I J.,' ,,;.; ~ 1~~.5 ., "t " ~ !~ "":t: ~t J1i' :_/:~.wi\~ !~~ .. '~.. 1'-'11 .),,'~ '\ ~"'i~ . ~ ;1 '.~1~~~' i. l . -;~J ~ '.r"':' '.iI. , ~"J .. '~-rtl~j~W:''l:,~ . .. . . . , . NORMAL USAGE WIlL MEET THE FOLLOWING CRITERIA (Biochemical Oxygen Demand) . 110-250 TSS: 44-155 FOG: 10-20 DO: 0--1.0- PH: 6.5-7.2 . TEMP: 48-70oF '. . (With microscopic life fonns p~esenl)' . " .;, ',: Higher waste strengths will result In premature failure pf the septic system. ,\~ . ' ~.';: f .oJ J "1...1 :{I'" "; -.. ",., 'i;~" .,,,, {.' .~. ;: '~:~a " '\' .; ". fl., ). it '.t:" , .~~ \ "';\;~'! I ;). ~'.r \~., .; 1~~1 oi .'\ ,.~,.. ii \, ; MGlL. MG/L MG/L MG/l .JACOBS INC. t 221-8 South Peabody \ Port Angeles, WA 98362 (360) 452-4592 " .. ... 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WA 98362 Application Number Applicat~on pin number Property Address ASSESSOR PARCEL NUMBER: Applicat~on type description Subdivision Name Property Use Property Zoning Application valuation 06-00001146 Date 10/18/06 838132 1301 BENT CEDARS WAY 06-30-14-3-1-9030-0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY o Owner Contractor J & J KEY CONSTRUCTION, INC PO BOX 2151 PORT ANGELES WA 983620408 OWNER Permit ELECTRICAL TEMPORARY SERVICE Additional desc OWNER/ 60A TEMP Permit pin number 89193 Perm~t Fee 42 20 Plan Check Fee 00 Issue Date 10/18/06 Valuation 0 Expiration Date 4/16/07 Qty Unit Charge Per Extension 1 00 42 2000 ECH EL-TEMP SRV - 0-60 SRV FDR 42 20 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 00 Plan Check Total .00 .00 .00 00 Grand Total 42.20 42 20 00 .00 L..l~.;'J'" 1.t.... COMMENTS/ACTION NEEDED " ~ \\) -..... ~~ ~R , ~ d ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. \ , KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-1I02.1514I96J G-01 , ELECTRICAL WORK PERMIT APPLICATION ~. Job wired by o Electrical Contractor ~ Owner Installation description o Commercial 0'Residential Electrical contractor name License number Date Expires ~ew l:J Altered/Addition Pl?crh~~g i~~LI Cit ' ~ State ZIP (;..d;JC/V;t;-& u//l. c:rS' (, Z 0 I FAX number '-~,>'"2 .~m/61Itl' ~wc/( - . U'l Owner as defined by RCW19.28.26/:(/) Owner will occupy the structure for two years after thiJ electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale. rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of ow r, lectric o Cash o Check # o Credit Card Card # Visa Mastercard Discover x contractor or electrical administrator I<. Elec rica I L ad Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW Date: /v-rg Expiration Date of card Service Information LAA o Overhead Service o Temp Service o Underground Service Voltage Phase Id'1D 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 /' ROUGH-IN THERMOSTAT / SERVICE " Dale Approved By Date Approved By "- Dale Approved By ,/, L FINAL DITCH FEEDER It ./- YQ- " A[>prov By../ Dale Approved By .I Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector 10- l-c ,.1- 5/R-D,,[}f\!lt '-'oJ.. ~n;>Vt I.,.., pp:{\,cyf IV t.J .t- . /1?77 h 7;.. k- ~ b. ~cl~ ~# 'ESlIl ~~.. ,,~ ',t/ _... . ". , ELECTRICAL WORK PERMIT APPLICATION , Installation description ~ o Commercial ~Residential ~ License number o Electrical Cootractor e:rOwner Date Expires Job wired by WJ1 St',te ZIP cy r:~2-0 FAX number Owner as defined hy.RCH~/9.28.261:(l) Owner ",:ill occupy the strlfcture for two years after this electrical permit is fillalbed. (2) Owner is required to hire an electrical contractor if ahove said property is for sale. rent or fease. Aftcr reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. SiJ!;natu of ow on tractor or electriclll administrator & City Phone number to schedule inspection: x Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan,Wall KW ~I V--1tj1f-(J<? o Altered/Addition ., ( fA/' saf V,C:r / /v '2-a;) ff/PtF. o Cash 0 Check # o Credit Card Card # Date. --0 Expiration Date of card o Overhead Service o Temp Service ~derground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN '1-3 -"7 L.,..; Dale Approved By Flt'l'AL 7 - LIJ ~/ Inspection Date /' THERMOSTAT '- D~IC Approved By ../ DITCH l+r Jj -;3' ~P7 ~> "- Date Approved By ,/ Area, Building or Equipment Inspected Visa Mastercard Discover Service Information VOllag~ C;O Phase 1 0 3 ._\ Service Size: Wv Feeder Size: tfOO u;4. I SERVICE ~-, - 07 L~ '- Dale Appro,'cd By I FEEDER Dale Approved By/ Action Taken Electrical Inspector 3604177733 51 OF WA 1&1 4/9 08 22 06 a m 04 04 7007 8~183/2887 89:44 3664174729 PORT ANGELES CITY L T PAGE 61 ,. CITY OF PORT ANGELES LIGHT DIVISION Date: To: Fax: Re: Sender: FAX TRANSMISSION COVER SHEET 412/07 Labor & Industries 417-2733 Inspections Kathy Trainor Phone: 417-4724 Fax: 417-4729 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: /11 yV/,( 5. ~ #(. ~ Ron Packwood 477-1819 ~ ~'f$RJ\{ir: y((df/ .,0- 1301 Bent Cedars Way Ditch ;~ T""lIr / Kathy .,. CITY OF PORT ANGELES LIGHT DIVISION FAX TRANSMISSION COVER SHEET Date: To: Fax: Re: Sender: 4/2/07 Labor & Industries 417-2733 Inspections Kathy Trainor Phone: 417-4724 Fax: 417-4729 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: w- ~ ~e~er')-t L ~ I , ) d-\~-\- \ecet~ r~k ~ - \Ai\ \ \ i. l\,O~-\- -Toc\-(j' Ron Packwood 477-1819 1301 Bent Cedars Way Ditch Thank you, Kathy