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
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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]
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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.
~
~
~
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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
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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
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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. ~
~.
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T:\Policies\1102 15 building permit mspecl10n record05.wpd [1/412005]
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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
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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
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.-
~
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--
--..
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)
~
'-
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-.' .' .,~~
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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
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70
Feet
Venical Datum = NA VD 88
Horizontal Datum = NAD 83/91
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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.
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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
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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
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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 $400
Date Received rr 251/ 0 {jJ
Receipt# J~).t Ck# 5537
. ELEVATIONS:
SYSTEM NAME
NUMBER OF
CONNECTJONS:
SYST USE:
Gal/Day:
App Rate
Tank "Size
Drainfield
Den;d',l /?5} ~:
I I
Length
Width
Installer
FINALED BY DATE
.L..J--.J INSPECTED U--.J AS BUILT
COpy TO DESIGNER
II ~ --9-0 & 1<Ur:J' I
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SYSTEM INFORMATION
BASIN: b FEET WIDE ~ FEET DEEP ID
RIM LENGTH: 52- FEET (zx)
ABSORPTION AREA: "ZOC> SQUARE FEET~x)
RESERVE AREA: EQUAL TO PRIMARY AREA
SEPTIC TANK: \ooe GALLON MONOCAST CONCRETE WITH RISERS
PUMP TANK: 1000 GALLON MONOCAST CONCRETE WITH RISERS
EFFLUENT SCREEN: RATED FOR bOO GPM
GRAVITY PIPE: 4u DIAMETER ASTM 3034 PVC
I
PUMP: SUBMERSIBLE EFFLUENT PUMP RATED AT~GPM AT~TDH
CONTROL PANEL: USE AQUA WORX INC. IPC-1 RATED FOR 115 VOLTS,
1(ONE) HP OR EQUAL. USE NEMA4X IF EXPOSED TO WEATHER.,
THE ALARM SHALL HAVE A SEPARATE CIRCUIT FROM THE PUMP
CONTROLS.
EXI.s7'ING.. _II.!! TE/( LIAlE
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NOTE TO INSTALLER:
-Prior to in$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,
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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
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(this is sampled at the tank out-let baffle)
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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. ,\~ . ' ~.';:
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.JACOBS INC.
t 221-8 South Peabody
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Port Angeles, WA 98362
(360) 452-4592
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CUSTOMER NO.:
CUSTOMER NAME:
DATE:
-zolP4-Q5
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
'l2\ EAST 5TH STREET. PORT ANGELES. 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-
.
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,
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