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Home My WebLink About1227 Campbell Ave - BuildingFebruary 3 2009 Bank of Amenca Attn. Tnna Cook 134 West 8 Street Port Angeles, WA 98362 Step en S 4 rr, P.E. City Engineer Public Works Utilities Department cc: Habitat for Humaity of Clallam County DCD File: Habitat for Humanity W A S H I N G T O N U S A Re Assignment of Savings Habitat for Humanity of Clallam County Public Works and Utilities has determined that Habitat for Humanity of Clallam County has completed the required dnveway and parking pavement improvements in accordance with PAC 14 40 The assignment of savings under Account 22043326 in the amount of $13,000 00 copy attached) may be released to Habitat of Humanity of Clallam County Fbo-ie 360- 417 -4805 Fax 360 -417 4542 Website www cityo us Email publicwu Ks 5cityofp? is 321 East Fifth Street P Bor 1150 Port Angeles WA 98362 -0 ECEHE FEB 13 2009 CITY OF PORT ANGELES Dept. of Community Development 3 6 ro ...r-- o "- ri N "- N ri ~~ 0E-< <(<( 0.0 >< .:l 0: ~ H .:l E-< ~Ul ~~ ~~ E-<o-, Z .. 00: HO E-<E-< UU ~~ 0.0. UlUl ZZ H H M M M ... 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WA 983(12 ~ ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001155 Date 11/27/06 866580 1227 CAMPBELL AVE.,';;~' :' ", . . 06-30:14-5:3:03'46:'0000'':' - '.- ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY o Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER .- .:: ~~~~~~- -..~.~ ,~ ..~:~;::.~.,..::.;~ ~ ~~. - ~ Permit . , . . . Additlonal desc Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE OWNER/ TEMP SVC 89318 42.20 Plan Check Fee 11/27/06 Valuation 5/26/07 00 o .......... l'-.s I~ I . -...j I I :,t II~ ~ Qty Unit Charge Per 1 00 42 2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.=:. :,-...r: _ ~ f":: _ _ _ _ _'>-_ _ _ _ _ _ _ _ _ _ _ _ _ __ Fee summary Charged . Paid ---'-crediteCi~--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 . -.~ ~..~..~ ,'I ~... ",." . .. ~.. . -.- ,- -... . :I .~ ' - ............... ~ :f': ,...... ~' \)n~r:rc ~Ol' ,.. I ~ _ ~.~.lal,~~ . ._~F'e~...f _ , ~ '1 -, f 4 , ~.. ../t. ,"\. _~/_I, _._.,C ,_ _..~.-.-.~_ . ~ ';',.,it :~,"" / ,I _ C COMMENTS! ACTION NEEDED' ~i:~~~~~ ~ ~ ---. ~~~ ___ jl ~.. _"l' ~ , }. d,~ If l ~ .s .., '.,.1 l' ''1' ...<.... l:' ~ 'I!I.. ~- ELECfRlCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COJlER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE DATE ACCEPTED COMMENTS I YES I NO I JlI :H U _'U'.rJ-l-IN I l;UVbK ~bK V ll;b T:'~T AT I /;;.... ~_ ~ ..II? 1 ..A GENERAL COMMENTS: PW-II02.1S (4196) 0'" MO "- r-- 0 '" M N N "- lJl' M r-- M lJl 0 CO M 0 MM C!E-< M ~~ ..;..; :E "-Q H H E-< E-< N lJl '" '" CO 0 00 "- "- '" N M N'" "- "-0 lJl lJlO Z 0 ON "- 0 .. N H M MN 0E-< E-< E-<"- oU >< 0"; lO.c(lll .. M ..:I OQ OQO M"- 1>:' ~ ..:I .. Men M M OM C! Z H M ~ :I:M Z ~ .. H ..:I E-< ~H I>:M > ~~~ ~~ l'l ~~~~ ..:I H MM l'l:E ~ E-< Q ZZ :E >< ..:IE-< >< en Men gj 00 HenQ o..HCI)~ OJ MQ M :><:M :<::<: ......; E-<<"- .... E-< 8~ en "-"- >< >< ..; 0 Q~ ~ QE-< ~:':i..:l~ Z E-<o-, ~~~ 'l'l>< "-en ~ Z .. ";l'l "-E-< 01>: ..:I lJl m..:l ~ ~~~~ HO en enZM Menz E-<E-< E-< M .. .. M s: .. en UU Z 1>::><:0 col>:'" MI>: 0 E-< MM M M.cC......r--.OOO.c(t"- oOOr---r-l Z "-"- Z~ ~f-i 0'\ ClE-tC'\ E-<m M en en OO\.D~\D500~ ";r-- ~ ZZ >< 00 \O~~\D H H E-< HU Qo 1001 0 '0 0 :E E-<"- C}HOOOOHO oeloo U :I: "-en ZP::;Nr""-NZll::r-- NZC'N HE-< H~"""'\O""""HP:;\D ....... H \0....... . E-< 55 l!IM\D CO III 00 Nl!I III . ..; . I>: ~g~~~!3gtJ~~!30~ . E-<o~ en en . HOen MM ..:I U')"r-4 lll...:l H~LIl...:lHr-- . >< l'l0 QI>: 0..... 0'000... 0000.00 . E-< :;ios: . H 1M E-<'" ~"-~ ~i MMen '" ..:10M M ..:I:I: ..:I . I>: "-en~ ..:I ";M zen ..:I ..:I '" MI>: > .r-- C!HM ..:1"- ..:1"- M l'l0 lJlO Z I>: OJ"; OJ"; OJ . "-~ en . M H . M ~E-< en "'0 ~QQ . Men MMO . M U..; Z . 0 H . -..:I E-< Moo ..:lMM "'''' "'''' . "'M r--H C!MO "-E-<E-< 00 00 . oC! ~~ 15 . . enM "-"- "-"- . ~~ "'''' g~o: r--co NN . Qoo ........ NN . N O:E "-"- "-"- I "-E-< MO lJllJl lJllJl I r--I>: I>: I>: I>:U . 0 . l'l I>: .M ..:l . "- ZO l'l "- I Q E-< .~ , M~ en -U M N M , ~O enE-<~ ..:I E-< 0 0 0 0 . ~~E-<gJtl..:l H en . "->< ~ "- . ME-< Q&isi~g; "- M .... '" . I>:H >< ..:I ..:I ..:I . "-u ~E-<UO"-"; "- E-< "- "- "- . 1'~~/t?g9,9~r~9~RoberdsO:"~e:BuHdingPermit 'Ref~nd39~, H~bifarfofHui11anity' . , P,ag~J;1 From: To: Date: Subject: Becky Horton Emery, Kathy 6/12/2006 5:04 PM Re: Building Permit Refund for Habitat for Humanity /~7~~ Roberds, Sue cc: Done. >>> Kathy Emery 6/9/2006 8:30 AM >>> Becky, Please do a JE crediting $115.00 to acct#001-0000-239-9000 for a refund to Dungeness Valley Habitat for Humanity for error in issuing a sign permit/permit not needed. Sue will issuing a FPO in the amount of $115.00. I have done the cash receipt adjustment and correction batch in Cash Receipts(Rec#52738) in the work of 6-9-06. Welcome Back! Thanks Kathy /7 ,0'.7 ,LY fPo '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 911~62 '" \ Application Number Application pin number. Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000307 Date 546415 1227 CAMPBELL AVE 06-30-14-5-3-0346-0000- HABITAT FOR HUMANITY RES NEW SFR 6/02/06 RESIDENTIAL HIGH DENSITY 49500 Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 6.29 2.00 14400.00 906.00 1. 00 Permit . . . . . Additional desc . Permit pin number PE1rmit Fee Issue Date Expiration Date ELECTRICAL HHCC/ 1245 76661 73.00 5/25/06 11/21/06 NEW RESIDENTIAL SQFT SFR Plan Check Fee Valuation .00 o ,..-' ~ ~ Qty Unit Charge Per 1.00 73.0000 ECH EL-R-SQFT FIRST 1300 Extension 73.00 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. 04/05/2006 02:02 PM SROBERDS -- Project is part of a cluster development in the RHD zone for total lot coverage of 9%. A zoning lot covenant must be on file for the project. No other land use issues are noted. Electrical load calculations and elctrical permits are required. A cost estimate .has been sent to Habitat for Humanity for u/g power estension. Connection fee of $713.00. 04/04/2006 10:55 AM GMCLAIN ---------------------------- Ditches & 12" culverts will be installed to City Stanards. See Public Wo~ks Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is ~equired prior to prouring concrete. \) p ~ -0 g- .,;,---. -- ~ Other Fees RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE 713.00 870.00 4.50 COMMENTS/ ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD ". CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, I INSULA TE 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 UlfCH ROT JfTH-IN I CUVbK ~~K vICE ~Tl\.1 A T rZ/lllo7 I -r-b)l , GENERAL COMMENTS: PW-II02.U [4'96] d,~l~. Jfi~~ DI ""'~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98362 .. ~ Application Number . . . . . 06-00000307 Application pin number 546415 Page 2 Date 6/02/06 Other Fees PW WATER SYSTEM USE FEE 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 73.00 73.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2787.50 2787.50 .00 .00 Grand Tot~l 2860.50 2860.50 .00 .00 COMMENTS/ACTION NEEDED .. ELECTRICAL PERMIT INSPECfION RECORD CALL 4) 7-4735 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. I KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCE.PTJtD COMMENTS I YES NO IJIIl :H IH 1I1( iH-lN I CUVER ~.c1\. V ll,;b 12/111t;~ ~ GENERAL COMMENTS: PW-II02.1' (4196) ""OfPORr~ $~~ rea ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENf - BUILDING DMSION 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 06-00000563 Date 520015 1227 CAMPBELL AVE 06-30-14-5-3-0346-0000- HABITAT FOR HUMANITY 6/01/06 Owner Contractor C\ \)\ \ ~ ~ SIGNS RESIDENTIAL HIGH DENSITY 500 DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Permit SIGN Additional desc Permit pin number 78832 Permit Fee 115.00 Plan Check Fee Issue Date Valuation Expiration Date 11/28/06 .00 500 Qty Unit Charge Per 1.00 115.0000 PER S~ SIGN FREE OR PROJ 25+ Extension 115.00 .~ . 1"~ 1&1;: 6 ~ ~ '/ '0t. 2" cr 06" N N ~ \i: ~ ~~ \S ij> F ~ (It Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .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 orwork is suspended or abandoned for a period of 180 days after the work as commenced, or jf required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this applicatio')and know the same to be'true and correct. All provisions of laws and ordinances governing this type of work will be complied with whetlier 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 COD~~~ ~ -/--cs~ Date Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\Policies\1102_15 building permit inspection record05.wpd [1/4120051 ~ ~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 WALLS FOUNDA nON DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) , GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL I WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING I T MECHANICAL HEAT PUNW I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CIDMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING ~> ~ PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKlNGILIGHTING ESA ,/ ,( 0'0'{ ,( ~~~ ~ LANDSCAPING SHORELINE' \. 'Q.j ~. FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCY~E RESIDENTIAL' DATE , YES NO /MMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 l.kLECTRlCAL I LIGHT DEPT CONSTRUCTION R. W.I PWI / CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 /J / FIRE DEPT. PLANNING DEPT. 417-4750 J I '111 .J. PLANNING DEPT. BUILDING 417-4815 It.-I 4/ ri) '/ BUILDING ~.'n_"_:__1l1M 1< h..;),l;no n~nnil insoection record05.wpd 111412005] I J -- ,: -~ ~ {V ~- \J ~ 1 J : ~ " ; IJcJ''-- ~ v'" . ' ",' , ~r ie. ~ ~51~ , · \' i ,j - , 'J) . tj 'N ~ Z : , ~ j' J i' - t~ li'~ ("~ J'(j <\1;)!J r~ ~'l=t:. .2 ~'~- .s'.... Q) '- s::..s:: Cll Q) (,) :c E ,- en, >. C\l 1lI- o a. ' ....: -c ~ o E <( "tJ C ~ .... Ql a::: , \ ''j - ~' 1lI- U. 'l't: c: g 'l=t: 1lI .... Q) ~ .3- 0.. .... 0.. ~ ~ 3 ~ ~ ~ 0 u. ~ Q) Q) u. :::' Q) z - Q)' Q) u.- "tJ - Q) - .... UI o a. / Q) .... ::J .... 1lI C .~ en // I I I ..... f 4.0fPORT~ 8~~ ,. 1\0.-- ~~ CITY OF PORT ANGELES ~i' -~~c L DEPARTMENT OF COMMUNITY DEVELOPMENT - BUIl.Dn~"G 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 valtation 06 - 00000563 , Date 520015 1227 CAMPBELL AVE 06-30-14-5-3-0346-0000- HABITAT FOR HUMANITY 6/01/06 SIGNS RESIDENTIAL HIGH DENSITY 500 Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Permit . . . .. SIGN Additional desc . . Permit pin number. 78832 Permit Fee . . . (' 115.00 Issue Date "- Expiration Date . . -- n/28/06 ,J ' Plan Check Fee Valuation .00 500 Qty Unit Charge Per 1.00 115.0000 PER S- SIGN FREE OR PROJ 25+ Extension 115.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .00 .00 ~A-yv,-~~ ~ Y'---, - ') '--0t _~~~C>- ~ J~~'-V'\..-<-'>i- \ ~J.Jz..o'(~ 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 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 construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02_15 building permit inspection rccord05.wpd [1/412005] I BUILDING PERMIT INSPECTION RECORD "'; ... CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 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 I YES NO FOUNDATION: FOOTINGS WALLS . FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN . WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL I WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP J FURNACE I DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL . DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKlNGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL , DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W. ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING "'I"".\n_l:..:....\11(\., 1.( hlll1t11no nP:rmit in~nection record05.wpd [1/412005] BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417- ~ F-AX(31i1J)4I7- 76 Applicant or Agent: '--;:;? L C~ --n6 ......-...- VA /1; /h'~, 11, d..--/1~{'7 _? ~_ I . j q S ty: 0~Ol...t IV1/? I / /.J/,,,ru -< hone: 3 t.G-6 76 - 9?9f) Phone: '"6c,;.c.. - be; r -c.. ?oo Zip: 9 6 "SS '<' Owner: V'-'I N'J rI\J <'"~ s Address:~ 'P 0 'oox ArchitectlEngineer: As Phone: Contractor (""").:-'0 N e-fl State License #: Exp: Phone: PROJECT ADDRESS: /2'20 LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: E. City: ~i-?A I-'~ /1 Au?'"......,..., <"' . Zip: ZONING: lZ""T) Address: A 5 A hc-v <::. Block: Subdivision: TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 MoveD Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: 4~ kr-< ~ AId... " I SIZEIV ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ . TOTAL VALUATION $ ~jN SL}t? - COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: No. of Stories: Lot Size: Tota110t coverage Existing Sq. Ft. = TOTAL Sq. Ft. % APPROV PLANJ BLDG: DPWU: 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 Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days ofthe 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 Rl05.3.2 of the lnternational 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. / 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 / must obtain such permffs prior 10 ~ ~ ~ ~ T:\FORMSIBldgPerrnitform.wpd Applican~~ Date: ~-- - ~ / - ~ ?, / ....; C/) 103 t 10 Q _"..1 L_. w ~_ , i I -'===-- '-""."''''''''-~-, \ \.--~ I I I ,. ___~.J I I I ~~h_' i I I I -"'''''''''''''''''''^-- r- - __. 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E-< , 00 fi ..~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 511iSTREET, 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 06-00000307 Date 546415 1227 CAMPBELL AVE 06-30-14-5-3~0346-0000- HABITAT FOR HUMANITY RES NEW SFR 5/01/06 RESIDENTIAL HIGH DENSITY 49500 Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 6.29 2.00 14400.00 906.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 74716 715.00 Plan Check Fee Valuation .00 49500 10/28/06 Qty Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER Extension 715.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 74708 50.00 Plan Check Fee Valuation .00 49500 10/28/06 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 74690 110.00 Plan Check Fee valuation .00 49500 10/28/06 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments Address numbers shall be plainly. visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 04/05/2006 02:02 PM SROBERDS -- Project is part of a cluster development in the RHD zone for total lot coverage Separate Permits are required for electrical wor1<, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if wor1< 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 wor1< 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 goveming this type of wor1< 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 .,s--I-GC. Date 'Signature of Owner (if owner is builder) . Date T:\Policies\II02.15R [I105J PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUlTER DRIVEWAY APPROACH BACK-FLOW DEVICE I J J J I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-46S3 FIRE DEPT. PLANNING DEPT. 417-47S0 PLANNING DEPT. BUILDING 417-481S BUILDING - T:\Policies\1102.1SR [IIOS] (i ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EA'ST51HSTREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000307 Application pin number 546415 Page 2 Date 5/01/06 Special Notes and Comments of 9%. A zoning lot covenant must be on f~le for the project. No other land use issues are noted. Electrical load calculations and elctrical permits are required. A cost estimate has been sent to Habitat for Humanity for u/g power estension. Connection fee of $713.00. 04/04/2006 10:55 AM. GMCLAIN ---------------------------- Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 ,.00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2949.50 2949.50 .00 .00 Separate Permits are required for electrical worK, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if worK or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the worK as commenced, or if required Inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worK will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) , Date T:\Policies\II02.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECfIONS. 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 LOC~TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I T I I I 1 I . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\1102.ISR [I/OS] J\ &:;ORr ~~ S L -=.ar ~ ~~ 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 06-00000307 Date 546415 1227 CAMPBELL AVE 06-30-14-5-3-0346-0000- HABITAT FOR HUMANITY RES NEW SFR RESIDENTIAL HIGH DENSITY 49500 Owner Contractor DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Permit . . . . . Additional desc . Permit pin number Pl'lrmi t Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 75838 670.25 plan Check Fee Valuation 10/28/06 Qty Unit Charge Per BASE FEE 25.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 75846 Permit Fee 86.25 Plan Check Fee Issue Date Valuation Expiration Date 10/28/06 Qty Unit Charge Per BASE FEE 5.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 75853 142.00' Plan Check Fee Valuation 10/28/06 Qty Unit Charge Per BASE FEE 9.00 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 Special Notes and Comments 5/01/06 6.29 2.00 14400.00 906.00 1. 00 _. 268.10 49500 Extension 417.75 252.50 .00 o Extension 50.00 36.25 ~ /;J ~ ~ ~~ < 0;> .00 o Extension 50.00 63.00 7.00 15.00 7.00 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 cor>~_"~ ~~~ G-<C::~~ d--I-<:jL" 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] ! BUILDING PERMIT INSPECTION RECORD '" CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 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 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKlNG/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS 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 4 I 7-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] ". f) u,.~ "-~ ~ ~;? CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000307 Application pin number 546415 Page Date 2 5/01/06 Special Notes and Comments Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 04/05/2006 02:02 PM SROBERDS -- Project is part of a cluster development in the RHD zone for total lot coverage of 9%. A zoning lot covenant must be on file for the project. No other land use issues are noted. Electrical load calculations and elctrical permits are required. A cost estimate has been sent to Habitat for Humanity for u/g power estension. Connection fee of $713.00. 04/04/2006 10:55 AM GMCLAIN ---------------------------- Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 898.50 898.50 .00 .00 Plan Check Total 268.10 268.10 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 3241.10 3241.10 .00 .00 f \.. 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) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD .. CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 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: I I ~ ~ ~l~~ ft.- FOOTINGS ;{ /'Y/tJ~ 1?1..- S~~w-o--\t Sfz.JfO"7 :n...L SHEAR WALLS I WALLS 5 rZA 107 1st f'(l>Or sheoK /nfA.i l'l'\j Y /ZSjJlL-- FOUNDATION DRAINAGE I DOWN SPOUTS ~ glob .7 t..- PIERS ( POST HOLES (POLE BLDGS.) PLUMBING I I UNDER FLOOR I SLAB ~/"1 J~(. J0 !'/?+/a;. {4..I ROUGH-IN cr-~-Pl '";ILL- WATER LINE (METER TO BLDG) 7 NL. Inf/ Vl-/ / ......./.-(/1 GAS LINE I , FINAL \Z-Zt-Ol ~ l..J-- DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS I CEILING I I FRAMING q 2..11 Df "';\ 1..-............ JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION I z.(/ O-r ""'Jt....L. . SLAB WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY F1NAdZ -21 ~D? DATE J LL-- ACCEPTED BY: COMMERCIAL HOOD I DUCTS 1= MANUFACTURED HOMES FOOTING I SLAB ;r. BLOCKING & HOLD DOWNS Y SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKlNG/LlGHTING 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.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 /1--2. \-oL :.sl-L...- BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] ~ I & ~ ...- N N ~~ D~ S\,S \)\l .01 ~ ~ t-- "1 BUILDING PERMfr - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan M:uST COIvIPLETE Tn he accepted [uj' review, If you have any questions, C:ll] PERMITS (360) 417-4815 FAX(360)417-4711 Address: "'"7? c:>. ~ <::J" ,~~ '7 Architec~s Contractor 1-kIJi-';' City: ~ <+-~ c-. Ce-I1: c;70''i'1Cf7 Phone: "3 G 0 - bc~/-G ?8 c. Phone: 6bc. -'&1-cJ)c5;6 Zip: 9' 6 -:s <E.2 Phone: 4'/ f7 -pr <Z> I / LI 4 Phone: ~61-~ '760 . Applicant or Agent: ~c4/.\rc 0 L. C 4'4~ .b.~J Owner: ?::>1A1'v Ge.A.ll: 5X VAt..( t!Y j.Ml5tlAT fl d-.A-r') . 6r r -r;:- State License #: L:..a-#'J4fLt Exp: PROJECT ADDRESS: 122r'? City: E. C.4_"heIJ , Block: :3 Zip: /.'L....Ar~ 'Pk..N f) ZONING: '/21Jj) Subdivision: 'b'l2"A.COA.o //' '/ / Address: LEGAL DESCRIPTION: Lot::zo 21 '2 Z I & CLALLI\M COUNTY PARCEL NUMBER: TYP.J: OF WORK: ~esidential ~ Const!. 0 Re-roof o Multi.family 0 Addition 0 Move o Commercial D' Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ON ~~~ DA~ r-J 9/ /kA...J , o Stove o Garage o Deck o Other SIZEN ALUATION: _ L~ ~s . SF. @ $ 1../ < /SF. = $ ....")-6 02.5-' SF.@$ /SF.=$ '\ ", SF. @ $ /SF. = $ () TOTAL VALUA'PION $~ J, o:z...s- +.e.U.iL ~^1/C:- -1~I/L.- ,#c~ / =1 c::.",-> c U COMMERCL<\LIRESIDENTIAL: Occupancy Group:-R.:.3.- Occupant Load:' No. of Stories: 6- Lnt .~;'7~' I;..J Ht90 Existing Sq. Ft. 0 . & Proposed Sq. Ft. Total lot coverage_5.> 7 j:2 ~ X J-j =-;2.2 I g>8"~ Construction Type; V - N 8 g, S TOTAL Sq. Ft. B2-5 ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DP'WU: FffiE: OTHER: PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee .is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at tbe tinle of pennit issuance. . EXPIRATION OF PLAN REVIEW: lino pennit is issued within 180 days of the date ofapplication, 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 R1 05 .3.2 of the International Building/Residential Code, 2003). NoapplicatioIl can be extended more than once. J hereby certify that I have read and examined this application and know the same to be true and correc/. 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 J must obtain such permits prior to work. T:\Policies\BL-l102_13.wpd Applicant: bY~~ Date: -a- 3/- f!> ~ '. . ~k~~ ,~c-t l~ I o~ 0Ls:> ~lf~~~ ...--. ~ ~~ L \J1,L City of Port Angeles Applicant Project Review Sheet Applicant0Z.J~1\ /... C~ ~...., Owner: 1:> c..(/,. he ""c-" s V A doe, PA J,.-r;.... [l <J -f crz J-J<.4 /MAr-NIl r Property Address: 1..2"217 ~vtAoL-e II Ave- P dU f) I J Z' ropose se: S,.~dr ~:'-.1( ~ omng: R.H1? IJ ., Is the proposed use listed as a "permitted use" or an "accessory use" in this zone? Is this the only use (business, residence, etc.) on this site? Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one been submitted and is pending approval? Does the proposed use require a new buisiness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does the project exceed the pennitted height allowance or cause the property to exceed the allowed lot coverage in this zone? Does the project require any additional parking or special designllandscape improvements in this zone? Does the project eliminate any existing parking spaces? Is the project located within 200' of the shoreline? Are there any environmentally sensitive areas on or within 200' of the property, including: . wetlands or areas of standing water (year round or seasonal); . streams (year round or seasonal); . areas with a slope of 40% or greater; or . areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? rn-'Site Plan ~onstruction Drawings o Parking/Drainage Plan 0 Civil Drawings o Energy Calc 0 Supporting Engr. Calc o Landscape/Lighting Plan 0 Other ~:ok ~:ok [:!J yes: requires PD D yes: requires CC review o yes: requires PD revIew o yes: requires PD review o yes: requires PD revIew D yes: requires PD revIew D yes: requires PD revIew o yes: requires PD review ono: requires PD review o no: requires PD ~ok ~:ok ~ok ~ok ~:ok ~ok ~ok G-nc( ok If Planning Department review is required, the processing time may be extended. !fit is determined a separate Planning Department permit(s) is needed, the Plannim! Department permit(s) must be approved prior to the issuance of any other permit. The information provided above is true to the best of my knowledge, I understand that in the event that any of this information is determined by the City to be incorrect, this p~oject wi be stopped until such time the City determines the correct information is provided and any subsequ~~~~~re completed and granted. . ~-e::.~ '-:3-'3/-0L Applicant Date Permit Category # Route to: 0 BD Staff Initials Building Permit # o PD 0 PW 0 File (see reverse side) o CC 0 FD 0 LD Date Master Tracking # o Other Completion of this form is required for all category 1 b, 2 & 3 permits. Completion is not required for I 1212 1 fV-o'Pos.sv Sq"6 Campbell"Ave. 1212 40 This map is not i1l1ended to be used as a legal description. l~l,: I. Ver~a~ Datum = NA fin 88 ___.__~~~~_..__ -Al'ea Marp ~_ _____rN~ n_,qp!cJra!)'EJg_is R'---1![!l~~edJ!XJhe Cit).!-!!.f Port ~l:.eleslor ilS o~\:,n use a!!!!-plIrposes. \~~. :',_,: - HiirTzrmtnl Dtitiiiif=-NAD8319/'----.----..- --~._- '--.--'-'--' ".".-- .--..:.' - ' '=,,"-'-.. '-~"'---'"'' ~~-",,-.'-' -~.', J..;.;-,.;,/~;;~:-,...'~~r ;r,;('''-m'~nldl;~ C:f,n7f ,i.." 'IP-fl;;;~p~Mil(;ihiljti-;n.n7,p.rj'iv=~~ c","=1 IT I '? lo N : . ....,...I<!'<'j'~_...c ._.._. ,~..... ., 25'-0" Roofs Overhang 2' Foundation line ~ ~ etbacks,-, Foundations ~, \ . /' -,~ .~,. ~ - -"- 1q N N '? lo N 7'-0" \ " 24'-0" '? in N House B '? -in N SPA -Easement //~ "I I 27'-'0" I I 32'-0" b I lo N T2"-~ / / I / I 5'-O..J 22'-0" ur in ~ '? N N \ I Ui9'~} I \ r I \ b I ~ r I 14'~0" L 7'-0" '? b .N ..- 3' Sidewalks: 10'-0" I I I I 14'-f? l' " I 33'.0" o House -c 68'..{)"' J i g # ,.pav~r:..' <ki1.....: ,pad. ~ ~ :} ~. 5' co ".... 9 lo N EIeclr<:aI ~ 1a x 1a --.' .--rsewer'l1ne,----~-~-----. i;> to ..- Water Line 7'-0" .~ 9. o (') 'r 10'-0" ~J'. ~16'-O" J Cam~pbell St.~-center.line ~_~_._.._. - _ _ .____.~~_- ,~.~.~~..:. .~".-.C':.~."':;_;"='..::<r~~~,.~.,_~''''"_--.:!:.:.-:'':':;.~,-~':'.','::,; ----. ..~._._.~..,_.'.~.. ,. '-,,_c:::;....,.....;...~:':.:;.:.c .,-.0_'" _,'.' - - -."-" ..._-~ "--. ........-._... 06() 't8 r !Jt/J&-1'-1/' ,?o/( Jlvu.4~r<< -.J ~f&Lc S~~ j){)/6r 4~'!bCS J I~Uh I /fAr0 ~6u 4 ({ CsIWllt~"Z,) {J~S//,-v ~. S'1-/S-1/11C ~ (J 2 . WI-.4 - JOO~ ~ foC-v .5 ~t,J - 2fSf.s~ .:5\:>7 L.. L! 't'!J;'L. ",./( - rS ro N v~;/ IISJ Bifs'J2fJ) <-- G~ @ 2 ~ Un/L fD @ /rJ 1..11) -4 r<. ~ ( f/<-) ( ft,AJ" 2- d_ '-1.6 Yj~'l3rp -, -I>-4(/b/3~-ft.('"")6) ~ q~b 13- SflA(~ C V 7- I IS3 Bt CJ~ .f :S4Jk;) C2J :::-- 2":b 0'2--- - ~6'~ ~ m-I'-'A-~ VI'-.' ~ p6!JZ)2-- -d ~~ fJ/fl' 20 :5,P "-<. ct ~ c..f Lf I Jilol ~14-gPV.- o-k hit ~ V vi 'Z- d!--- ~ {[N~ @ flM1' ~ frh.Jo ~ .e~ C}0~~ -f L q \Kc; Y2 6,6 b + Lf. ')6~ =u '-(L- V -- ,j'r-ya( C;S7of 5400+ L{~oo rf f ~q 0) 'Z '6 b&) ~ 5. C. ~;yJ L --.. 54-Is/\/! I C. _ ...,. .........'-j C/', . -? / _.~-~ .. ...",(,. ~o rC-(-.J JL "2 ~ /~ I2N/~ : LJ~ u:- ; J 0 PLod/(" ~vL : / -.:; -t ~~'6>'L- vv~ ~ - '-:, fl,".~ ~:o3 ,~., '-~ .. A J.b ;O:y~ ( 2..2) (? q ) -=- CfS70 / ()('r-( B) 6 3.s) -;: ~'t:~o / / t~( 18)( ~ [. lf06-0..-(. ISf'Y,- (i 6) L2-~) --:: 696 a ISP~ C '/) ,( / B \ = 1 B9{) /O!~ C~ ~201 -L7600 --.- 40126 /(}63 JL CSJ j , '~P<=- Lj(fbl-f3'-:: 13' 1Jw ... ~ -=-- 250 W I~ [)1-1A -: B ' (3.. ) ('2 -1"0 \::: 6 C)O c> Y-r - /I ~l ~ J6UCJ) of 15~~\ =- ?-9S(Jt.f RM -- 2~ (3)1-/(.. -_ (~ Z '8 H6 "<- 6000 ~/~1-6 = Jk58<1- ::, 4.~. 5.i4(jnL -: Qbb -.:: Lf5 t-f D.--C "Z-So CJcfcgf9 7)6" ..ua-t(<<J 81 e. ti;2, /\ g toJ. 4<<. -s:ac~~ w ( 2~ / ~ // .--- ()~ (fi~"~ U()~ wi z Jc; 5") L<' -(;/ P-A 1<. ~;4UVl ~ ') B ,/..;41{'-5 k1r:..<.{J '6 ~~ If;) VO~rC ,--" S"1!~/l'iIL-, at> ~ 5: --'> 1/15'1 jJ: V/G -t... 1l~1 -z:: L(6pl~ 2-5 I I ",-Ij~,,< fJz/ d~ hA {!drJV 5fJ = '1 -fGf' (Jv ~" (i-~ r(~rYc IAJ ,.J6 ~! -+ 3 t-,-) 8 [ 7'~'.J 2':: l'j Cs z) () Y6) -f Lf CI b. of; -(~, ") 6) = 2h-IsD V -- 115 ( '"f) 153'6 (0(560/L -f 69qo -f- I rYf 0 + 17~ D oft) -::c 4 2/b ~ ~DvVz S 1/12- ~ l! Lt b -: (b!) jL.< ~ IGrl. ~~ --:z.')"" ___ / ~fJ (~(. -#S -:. ,. ~ .,. ?.J. Lf -- 1"25"" Vw -- Lf2-1 b ':.. Z. '-{ I put:' 17.5' I /Ib ~ v'J.J,u(-6 eJ ~ 6(7, ')v t:5 0:>4't... { 4--{ ~'f/J.'t'f_',- j>~-V1 '- ..:'.J/,.u 46 ~ J'iv(a\ "": 1rzo tf ~..., - f1H6? ;JD~~ L'N~ S CD i V Loc.--J V2 " U/I'tt/L ,/1A4'{ y 4Nr,/Vt/7tGAN.oC. Lc; 1~.rt .0'l4.Q""'( 3/ ~c.91<.... 64/7.~ Dtz.6 J I. yv ;j, l /J/l~-f/L,- ---) S' ( Lt 0 I$/L )(/8/;/-1 z) --:=- 'Ucv It.. (~3;~ ~c r:, I Lao=' n/ /f j\ 71 tI~w<>'1 ~L yv-t'o t--1-/uI-1N )()--10'{~,V1) :VV/F1J6ovJ tI~,V).</C ~~~-- T J-Beam@ 6.20 Serial Number: 7005106903 . User: 2 4120/200612:17:38 PM Page 1 engine Version: 6.20.16 main beam 5 1/8" X 12" Classic Glulam™ (24F - V4 OF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED 1 Overall Dimension: 25' 1 J I b 13' 1iIf!! I ~ ~~ I 12' ~ Product Diagram is Conceptual. LOADS: Analysis is for a Header (Flush Beam) Member. Tributary Load Width: l' Primary Load Group - Residential- Living Areas (pst): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Point(lbs) Floor(1.00) Point(lbs) Floor(1.00) Uniform(plt) Roof(1.25) Live 1375 1375 275.0 Dead 825 825 165.0 17' 8' To 17' Adds To Location Application Comment 8' SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Llve/Dead/Upllft1Total 1 Stud wall 3.50" 1.50" 778/381/0/1159 By Others None 2 Stud wall 3.50" 3.85" 5216/3175/0/8391 By Others None 3 Stud wall 3.50" 1.50. 632 I 252 I 0 I 885 By Others None -Bearing length requirement exceeds input at support(s) 2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Shear (Ibs) -4279 -3698 12300 Moment (Ft-Lbs) -9436 -9436 23703 Live Load Defl (in) 0.084 0.428 Total Load Defl (in) 0.117 0.642 -Deflection Criteria: STANDARD(LL:U360,TL:U24O). -Bracing(Lu): All compression edges (top and bottom) must be braced at 21' 4" ole unless detailed otherwise. lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate member pattern loading. Control Passed (30%) Passed (40%) Passed (U999+) Passed (U999+) Location Rt. end Span 1 under Roof loading MID Span 2 under Roof loading MID Span 1 under Roof ALTERNATE span loading MID Span 1 under Roof ALTERNATE span loading Proper attachment and positioning of ADDITIONAL NOTES: -IMPORT ANTI The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application. input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate. -Not all products are readily available. Check with your supplier or T J technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the T J Custom product listed above. -The analysis presented is appropriate for Classic Glulam 1lol beams by Weyerhaeuser. PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyright ~ 2005 by Trus Joist, a Weyerhaeuser Business TJ-Beam@ is a registered trademark of Trus Joist. Classic GIuIam- is a trademark of Weyerhaeuser. \\Zen-server\data\Active Projects\06098 HABITAT FOR HUMANITY\ENGR\STR\beamI.sms ~~Zf51__ T J-BeamQ!> 6.20 Serlal Number. 7005106903 User: 2 4/20/2006 12:17:39 PM Page 2 engine Version: 6.20.16 main beam 5 1/8" X 12" Classic Glulam™ (24F - V4 DF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 12 . Max. Vertical Reaction Total (lbs) 1159 Max. Vertical Reaction Live (lbs) 778 Required Bearing Length in 1.50(W) Max. Unbraced Length (in) 10.00" 8391 5216 3.85(W) 256 11' 10.00" 885 632 1. 50 (W) 256 256 Loading on all spans, LDF 0.90 1. 0 Dead Shear at Support (lbs) 346 -1399 1336 -218 Max Shear at Support (lbs) 377 -1619 1556 -248 Shear Within Span (lbs) -659 788 Member Reaction (lbs) 377 3175 248 Support Reaction (lbs) 381 3175 252 Moment (Ft-Lbs) 2123 -3574 1115 Loading on all spans, LDF 1. 00 1.0 Dead + 1.0 Floor Shear at Support (lbs) 784 -2759 2773 -538 Max Shear at Support (lbs) 859 -3025 3039 -614 Shear Within Span (lbs) -1865 2111 Member Reaction (lbs) 859 6064 614 Support Reaction (lbs) 871 6064 625 Moment (Ft-Lbs) 4678 -7547 2752 Live Deflection (in) 0.039 0.021 Total Deflection (in) 0.072 0.035 ALTERNATE span loading on odd # spans, LDF 1.00 1.0 Dead + 1.0 Floor Shear at Support (lbs) 923 -2620 1521 -33 Max Shear at SupporL (lbs) 999 -2886 1741 -63 Shear Within Span (lbs) -1726 973 Member Reaction (lbs) 999 4626 63 Support Reaction (lbs) 1010 4626 65 Moment (Ft-Lbs) 5768 -5760 74 Live Deflection (in) 0.063 -0.026 Total Deflection (in) 0.096 -0.015 ALTERNATE span loading Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) on even # spans, LDF = 1.00 , 207 -1539 237 -1758 -799 1.0 2588 2854 1926 Dead + 1.0 Floor -723 -798 237 239 1032 -0.025 0.011 4612 4612 -5361 798 809 4199 0.046 0.060 PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyright ~ 2005 by Trus Joist, a Weyerhaeuser Business TJ-Beam@ is a registered trademark of Trus Joist. Classic GIulam- 1s a trademark of Weyerhaeuser. \\Zen-server\data\Active Projects\06098 HABITAT FOR HUMANITY\ENGR\STR\beaml.sms 4') ~Z!!!l-. T J-Beamll!l 6.20 Serial Number: 7005106903 User: 2 4/20/200612:17:39 PM Page 3 Engine Version: 6.20.16 main beam 5 1/8" X 12" Classic GlulamTM (24F - V4 DF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Loading on all spans, LDF = Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) 1.25 , 1.0 Dead + 1.0 Floor + 905 -3698 3531 980 -4279 4112 -1744 2085 1. 0 Roof -565 -640 980 991 5623 0.055 0.088 8391 8391 -9436 640 651 2958 0.023 0.037 ALTERNATE span loading on odd # spans, LDF 1.25 1.0 Dead + 1.0 Floor + 1.0 Roof Shear at Support (lbs) 1072 -3531 1949 3 Max Shear at Support (lbs) 1148 -4111 2327 -27 Shear Within Span (lbs) -1577 1009 Member Reaction (lbs) 1148 6438 27 Support Reaction (lbs) 1159 6438 29 Moment (Ft-Lbs) 6937 -7284 14 Live Deflection (in) 0.084 -0.032 Total Deflection (in) 0.117 -0.021 ALTERNATE span loading on even # Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) spans, LDF = 1.25 , 239 -2037 269 -2414 -767 1.0 3298 3879 1851 Dead + 1.0 Floor + 1.0 Roof -798 -874 269 271 1283 -0.022 0.014 6293 6293 -6669 874 885 4789 0.054 0.068 PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyright ~ 2005 by Trus Joist, a Weyerhaeuser Business TJ-Beam@ is a registered trademark of Trus Joist. Classic GIuIam- is a trademark of Weyerhaeuser. \\Zen-server\data\Active Projects\06098 HABITAT FOR HUMANITY\ENGR\STR\beaml.sms ~ ~l!!!t-..... 1;J-BeamQ!> 6.20 Serial Number: 7005106903 User: 2 4/2012006 12:24:03 PM Page 1 Engine Version: 6.20.16 middle support for beam1 3 1/8" X 10 1/2" Classic GlulamTM (24F - V4 DF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED J .l L H [I, .~ I , 0-- 3' 6"~ Product Diagram Is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width: l' Primary Load Group - Residential- Living Areas (pst): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 5216 3175 2' SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length L1veJDeadJUpllftlTotal 1 Stud wall 3.50" 2.74" 2266/1372/0/3638 By Others None 2 Stud wall 3.50" 3.74" 3090/1873/0/4963 By Others None -Bearing length requirement exceeds input at support(s) 2. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: Maximum Design Control Shear (Ibs) -4953 -4893 5250 Moment (Ft-Lbs) 6551 6551 11484 Live Load Defl (in) 0.011 0.106 Total Load Defl (in) 0.017 0.158 -Deflection Criteria: ST ANDARD(LL:U360, TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 3' 6" o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. Control Passed (93%) Passed (57%) Passed (U999+) Passed (U999+) Location Rt. end Span 1 under Floor loading MID Span 1 under Floor loading MID Span 1 under Floor loading MID Span 1 under Floor loading ADDITIONAL NOTES: -IMPORT ANTI The analysis presented is output from software developed by Trus Joist (T J). T J warrants the sizing of its products by this software will be accomplished in accordance with T J product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a T J Associate. -Not all products are readily available. Check with your supplier or T J technical representative for product availability. -THIS ANALYSIS FOR TRUS JOIST PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code UBC analyzing the T J Custom product listed above. -The analysis presented is appropriate for Classic Glulam l10I beams by Weyerhaeuser. PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyright ~ 2005 by Trus Joist, a Weyerhaeuser Business TJ-Beam@ is a registered trademark of Trus Joist. Classic GIuIam- is a trademark of Weyerhaeuser. <<::I. ~lf!!1!-- TJ-Bearnqp 6.20 Serial Number: 7005106903 User: 2 4/20/200612:24:04 PM Page 2 Engine Version: 6.20.16 middle support for beam1 3 1/8" X 10 1/2" Classic Glulam™ (24F - V4 OF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 3' 2.00" Max. Vertical Reaction Total (lbs) 3638 Max. Vertical Reaction Live (lbs) 2266 Required Bearing Length in 2.74(W) Max. Unbraced Length (in) 42 4963 3090 3.74 (W) Loading on all spans, LDF Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) 0.90 1. 0 Dead 1348 -1850 1368 -1870 -1843 1368 1372 1870 1873 2475 Loading on all spans, LDF = 1.00 , Shear at Support (lbs) Max Shear at Support (lbs) Shear Within Span (lbs) Member Reaction (lbs) Support Reaction (lbs) Moment (Ft-Lbs) Live Deflection (in) Total Deflection (in) 1.0 Dead + 1.0 Floor 3568 -4893 3628 -4953 -4873 3628 3638 4953 4963 6551 0.011 0.017 PROJECT INFORMATION: bldg c and d OPERATOR INFORMATION: Phone: 360-417-0501 Copyright ~ 2005 by Trus Joist, a Weyerhaeuser Business TJ-Beam@ is a registered trademark of Trus Joist. Classic GIuIam- is a trademark of Weyerhaeuser. .,'. ....:......:~:.J..:..'..l~.;~...-L.__~._.__... (( e-by(\ To '. {)uY\S~l\ ('ss \JC\ \ L~J ' \-\a.l1,\~+-Ftlv ~m4rh'-kt p1) t3o^ \QS'1 S ofq l,{,' m, \AI J4 q & S ~2- flLEO FOR RfCORO A r THE -1EOUES r UF Q. Cha YY\ bf'( S ~E~'---'-' -, .IoJEO:II,':'iC(!I::n/f.c.",l.lAHCO, 2D06 MAW24 M1 8: 3'2' mil m ~1~IU 1I11111111~ 2006 1177015 Clallam County @ [ffi1E~IE~WlIE~ I MAR 2 4 2006 .1 CITY OF PORT ANGELES Dept. of Commu~iY,Y. ~_:~~~pm~ ZONITNGLOrCOVENANT I/WE the undersigned owner(s) of the following described property: (Insertlegul description here) Beacon Hill Addition Lots 20-22 BL 3 Parcel # 063014530346 do hereby covenant that said property shall be designated as one ~oning lot as defined in Section 17.08.032 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which mav onlv be removed tlu'ol1gh complhmce with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222. as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be tiled with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), nssign(s), and successor(s) in interest and is for the further purpose of compliance with state and local lnnd use Lmd building regulations. This covenant may be enforced by injunction or other I~wful procedure llnd covenant by the recovery of any damages resulting from non ,compliance. . DATED this ??nn day of M~r~h .2016-. DUNGENESS VALLEY HABITAT FOR HUMANITY . ' (Owner) . · (Owner) G?~~ Richard L. ~ha~bers Executive Dir. STATE OF W ASHTNGTON ) COUNTY OF CLALLAM ) I.. ~ t'\-L~\ M . G~~. Notary Public in and for tho Stato of Washington, do hereby certify .- that on thIS 2LJ:.. day of \v\A.-e-t-~ ~~ personally appeared before me .~~...,. W. 1~\ ond €..,,- L - ~Yz..oZ-~ to me known to be the individual(s) desribed in and who executed tho within instrume~t and acknowledged that T~ -I signed and sealed the same as -.u.~'e- free and voluntary act and deed for the pU1poaes herein mentIoned. as ~~~"\\II GIVEN UNDER MY HAND AND OFFICl~..r~~' '{I.,'f; ~r:> day of "'::::-.t'1...- ~,~:'''\'''''ii'l (-,<,. 'I - ~,......", ON 1/ ~I = ~ .:-"',,=,5\ ~~II, "'/ 'l -~.:-~'" T' "TA'/\...../ = =~~. 0 'u;: ~/I' / - .::'0 ,>. ..J- 'P" ~ \1 ~ ~c . '., ~~ ~ _ \0\ ~ ~ ~ <.n'", """ ,0 f~ = NbTARY PUBUC in,and for the State of ~ :..>. II vB\. .: "" - W h' t 'di II ? :1,/ '0 0 5 ()~ $,0= as mg on reSI ng at Port Angeles. I ,~ I""", - ,.........,,_ "I ~ 0'1111\\\\\",,\.).0,.:2' III ~ WASYt.\........... 11111\\\\\"" \J\~ 20.Qp AUDlTOR'S CERTIFICATE ' Filed for record at the request of this _ day of '20_. CLALLAM COUNTY AUDITOR By: ' I j I ! L -.....:..;,.,_,""'-wo - i! ~ ~ I ~ " S ~ .~ -R ~ .~ ~ :~ I 1 ~l~ 8~ ~B .$ R,~ :~~1 tl;; ,',', ,\I, ~:c:' :~ 1 ~; ~ f'" NORTH (2.GA R ~JEAIJ '13 eAco~ !-I, / / A L1J,-r;o'.... -' c.T s ~ c.. - :::l :{ ~ A "3 120'.0. 35~O' LOT A 0 LOT -:2.1 LOT ;:2. '< 40~O' 40~O' 5' I:) N CAMPBELL S4"vi:?" ? A\'2 c.JI:'f ..P 6 G 30 I ~S3 0'3 Lf'- NORTH ?R <) j-:>~ S<:.c/ I3~Aco~ 1-1// At-l),--c-,o',.. Le..T:s ~c.-::l;t ~A "3 120'.0" ~ CAMPBELL ~V~ ? A~ c.KI .:J;:f- D ~ 30 I~S8o '5 J.f' 1 'po ~'ll . u {,~ I ~:r-!I~ ~:. \Y;JJlq'II:.~ ":'!~I:~~:': ....., ". "'I ,1 t' ~~. 'I. 0" '. ST' . '!I~l..t. I '[fl" .'/ ., :' ';~,:;~':iti E'i. :!;~: f.l~>:~i~1':'1:~: !~:I:~'J -:; ." ,.p.~ :._,.dl J1f J 'lilt h ~,.jl}' :rl, ~fii.t pI ,: :,l~'!'" "II~: : ~.'~I~. jt!,..t. ,"" .....;.l':~.; ..\ j '.1,,1 :~{",,,,~.~.l.~..:lrl;' ;\:.l.1...............H~.J, ,#, I! i. ~: ! " : : ~ I 1: ;" t .'1 ~: ~ , I ',' , ." ':i ,':, I"" II __h.... ..).~..' .1 ,t . ,'.~~; :"'~.~" . ~~F' Il~.I:I~~:r J<:i I ,: .. ! H :' '. 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M :r: M uV.;II'-- j = .:..- ir'-- in N -,.g-,S~- _ l-- f-..:::::::-~ " I I ~- i., ~ -- .. - ;._ I ,. ~.,:.:- , T I I - - ir- e I .,~; ..0-11(, ....: T ,~ .:L ~ """':'r'" ~ ~ 1 ~ ::J (I) '- ,- ~g "C > .s a Ji-rOf" r .. .... .. ..' . .~ ...t,.J .' 'l::! C/) '. - .- , - Q) .0 p.. E CO CI)' c ::J '- . .. , ..o-.s~ -, ~ ','" .... ,. ......,.. "0". ::'. ......--...---...-- . " " 0" " " 0', ,", ".';' ~"':.' . . . ~'. ::',,::: t'.':':':: ',' ..... '::;:::.)\li:i';~\; . . :" ",\,: . ..... -:..' " ; :~;f;:~~::::: ,; ;:."', .. .. "..'::(;;(:~.":,' '/;::(:/.' .......:;;.:i:;. . , ~:<>~( , . .. n.. . .._" _.__~_.~..:,,",'__.~ . .... .~.__.__. ,; '~~ ~;;;p CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TIISTREET, PORT ANGELES, WA 98362 0& -307 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning _ . . Application valuation 06-00000307 Date 546415 1227 CAMPBELL AVE 06 - 3 0 -14 - 5 -3 --0346 - 0000- HABITAT FOR HUMANITY RES NEW SFR 5/01/06 /ZZ-i {}ampbeXf~ Owner Contractor Dvt I'\tieheSS. (J. ~ab RESIDENTIAL HIGH DENSITY 49500 DUNGENESS VALLEY HABITAT HMTY PO BOX 1957 SEQUIM WA 983821957 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 6.29 2.00 14400.00 906.00 1. 00 Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 74716 715.00 Plan Check Fee Valuation .00 49500 10/28/06 Qty Unit charge Per Extension 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER C 715.00 ~ -------~-------------------------------------------------------- ------ Permi t RIGHT OF WAY Additional desc . Permit pin number 74708 Permit Fee 50.00 plan Check Fee .00 Issue Date Valuation 49500 Expiration Date 10/28/06 Qty Unit charge Per Extpn~ion -----~--=~~~------_:~~~~~~-~:~---~=~~=-~~-~~=-~~~==---~----~----~_:~~~~ Permit SANITARY SEWER HOOK UP Additional desc . Permit pin number 74690 Permit Fee 110.00 plan Check Fee .00 Issue Date Valuation 49500 Expiration Date 10/28/06 Qty Unit charge Per Exten~ 1.00 110.0000 EA SAN SEWER HOOKUP, C 110.00 ~ --------~-----------------------------~-------------~------------ ----=---- Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be R ~ of contrasting color from the background. 04/05/2006 02:02 PM SROBERDS -- Project is part of a ~ ~ cluster development in the RHD zone for total lot coverage " 4~o....33 75 081 .-. Vi Igc Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construcijon 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 goveming 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 regulaijng construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is.builder) Date T:\Policies\II02.1SR [liDS] ''',,~ ,t,_~~ I' 'Giii .. ~- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST'STHSTREET, PORT ANGELES, WA 98362 Application Number Application pin number 06-00000307 546415 Page Date 2 5/01/06 Special Notes and Comments of 9%. A zoning lot covenant must be on f~le for the project. No other land use issues are noted. Electrical load calculations and elctrical permits are required. A cost estimate has been sent to Habitat for Humanity for u/g power estension. Connection fee of $713.00. 04/04/2006 10:55 AM GMCLAIN ----~----------------------- Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. sanitary sewer connection inspection is required by Public works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. -----~~~~~-;~~~---------------------~;~;~-~~~;;~-~;~;-~~~;--~70.0~- STATE SURCHARGE 4.50 ____________________________________~~_~~=~~_:=:=~~_~:~_~~~__~=200~~~_~__ Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2949.50 2949.50 .00 .00 ,j."-- . Separate Permils 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, it 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 constructio'n or the performance of construction. Signature of Contractor or Authorized Agent Oate Signature of Owner.(it owner is builder)' 'Oate T:\Policies\II02.ISR {I/OS} W.O. -tt. Z03l{S -/8 ( APPLICATION FOR WATER City Water Division ~ Port Angeles, Washington -S- - ::3 , 200 C I hereby apply lor water to be furnished in accordance wi~s and rules 01 the City lor the following premises: -R 111 tuJ f!A~ . . (c3'/-~h~='O Name of Applicant: (JUVlqt?VlBS", V~ ~ ~1lf Address: [27_7 ~a.h1pbPQ11 ~J-j [~-e. D) . ~ CWOtJ/463031!tk . Renewal 0 New Service ,~~. ~ Lot:u; z.f t1 Add' ~ 'JJ~ d ~ ' Size of Service / y. ~Jy Meier Num~~ DecOoe Service Left On 0 Service Left OffY Signed ~ ~~/ Installed by RemarkS:-pg".. J1V\ IT Oh -50? w 6~pbe/l Alk. I -; 15f!:g '+ '1/ZlJO N. t; <... t ~ " 8 "/Ie 3'i P~. ~ 'Z'Z.o E s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . .. .. INSPECTION REPORT. . . . . . . REQUEST: Date 1/-;210 -06 Time Received by TF (phone. p~ Location of Work to be inspected I d. J 7 C- AlA-"\. P b--e [I ~ u L , Name of person requesting inspection c..J..- -e: 1:::)(<'"", '-'4+-: ^ J (111'117/1/.1-1 1Ia.<S/d7) Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): ermit No,~ - 30 ') Sewer Foundation Framing Chimney Plumbing Final Other INSPECTION NOTES: Inspected: Date t::; -IB-c)b Time ~ : O"'Ph ~L rv'-CY-- Remarks:COr\..(...~le.~ loc<>-kj 9"PJt. Se<.v-lf'Vl'\.C>..i".l ~{()'de""f, ""Er7s/l1l/..J C{ to,'f'/.. f)f/ u.Jye SiAJe! le...~ lq~' f=i/D t;:1-f 0;: lorl-e~ sT. 7t-t s!"" lied 'iCC~,-rc! o.vd ^-.l 6, If filL - ' I ../-/'1 s/""II",,) Cox 'f W fl'V 'I f/t/Ck, Acki?lcllj deu,'L .....;)c..o. (\lok~ AII,.J '" f,," '1't/ej~,se.--t!l..5''-/'' rd~?C(",d 1~ISc..l4i1'7jJh-e!/ w,'/I S'10ye Cr COffli'VlOtV 5-e/'l.HCC /4/-<:"/'<((. RESTORATION REQUiRED...... YES NO ~ () ~ ' If'' fJVC- 4(IPLIC- ~U2.!-'5J::A"'fb.../I w. 'J. Of C.P,A-! ~IcC\"L<.> ~~ 'D ev 'LL. t 4""[,'/ e.fJ"'S....e- <Q. SiI' !,~ 3 ~ 'r' I- <J / q~ 1~;;21 VI 0: T { Ld~ ~ '-/ II pvc-- cl: 53' "------- ioU f <' t.. ~ I...., ~ !-LO'^-' I ct3i >-: CJ4/117ihel/ 7ri/t~\ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) !. IT -:J'; '. , " , ..J,'" . , ."'" ...;._.: ~,- ,~,..l.,.' 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'. .1'4 ,: , " " ',\, .. , , ..~ \',.. '~L;.. " ,,', '. , , ,~ ... :"':?-';'1 ", , '.. , , . , - --, .', ; ~',: " ",:\,'...,~, '~"'~\ .".. .,,~.:.,""~'~ '\ .' r', ". ":"'::':<:~'..~.!. "\; ::: ~~::';':~~:;\ ::.:: l,--%~ " --------==-.. , " ....0:... .... , \, ' "-, d' 0, , o " ~.. / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date !tl~/Z~Ot/ Time t/YJ- (phone. person) Received by -I,..::::: / I Location of Work to be inspected ~51J ?J)q (J /JA01 f2be1If1-~ . Name of person requesting inspection Y C' pe- - /J'4J7If'~~'S ~a:t:: JJr,J, Address of person requesting inspection Phone No. '0-337-"; Type of Inspection (circle appropriate one): ~ Permit No. (:J ;"'-Z'ij::; ~ Foundation Framing Chimney Plumbin Finai werExcav. Other ~J)t? ~~~..~. . ~~~? INSPECTION NOTES: Inspected: Date It? -15 /O~ Time Remarks: 54.11 _)'{2/.(NL ~-/)3-o(., tv a.hi1, ~ Ie 7bJ:"'5 i16+ G=:;W1'p/f2,'fe.- 10 -Is -,6 (;; j-zcr- 6cr ;::;1441 ok 12.V By J RESTORATION REQUIRED . . . . .. YES NO X- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) '";\' ,"" +"~ )G G , ~ ' / I -f - -:1 - : I 7 ->ll':iJ : I : I I ,~ '"'~ ~ '-.J I ~ -' : ' ~:c.('..... If-' < :1 , , ~. "- 'I , -~ tJ '" " ~ '- r-~ 'J r i-. \- - -, l 1\ \ " , , / - t - ~I , " , I.. f '- (iI \ J 0, ?>.' \, \[' 1 :' :, :' " :' ,I 'I 'I ,I -Li 'I :, " " t, "'I ' " : ~ " ':t , ~, " 1'- I ~ - , 1- -" I ' -~- e\l b I' , ' ~ t '-}\.~"~l 0)-1 r ""->.'r: '-i I ' 1'" 0 "'a \ ~," L_;5 C-L.\..'-'l..'vV'\..\.: _ ~(7 '1"'7 ~ :' " ,I :' " l-- 'u o ... ~~ l N i l I 1 ,; ,,) ~ , " ICe , '~i-- I " , '- ." , " '11 '" , {'.. , ~ , " . , [-'- i<-.,I::. ~< l '~ '" " " v ," ~ ~ 'T~-= " , ~ 'j , ~ r , 0.; '. " ',- / yz ..:J...JY'irL?...r "- < '" " { , I i., III I ~ r. ! \, I l ~'J I' ~*~. r\ I: 'I" ' I' cr 0<1' '. (-) ~ I ;" ~I 'd I 4:.---,>-' ( "\ U'I "I '..,J o ~ , <> ~ IL ,\' " I 1)1 r,\ I, \,.J' I' ai' kl~i! IQI ~, ~' ! ! I " ~ ~, ~i " ~ <'- "II , . \11, C1, ~i ~, ::s I ","'I', P- ' ~-'- --~ -~ "'''' t ~ '~ In '0 /" , ,>),' , . tt )1 ,'/ I~I I,' , , .j 1- " I , '< " I ," I ~ ! '. " J , , l- I Ii , _ !I~l ~ ~I ~ N :)1 -, " " , u, , , ,Ot ~ ~ ~ /41 l- I ~ '0 , i I r I \. , 'iJ "' , ---.,/..... 's '" \,)~ .-'--\ \!' \ ' \ '" " I I' ~)-'1, '" ~"'.J <;j .\ I -F "~ I ,( \ ~ o -' ~ I ~" " 'r ~" () h' ~ " ~ _1 " <:...:G r l~ >;j' \~: ;: ~J,l " ~ " 'e;: ~: '( i.1J' :-. Q "J '11 " ~ .. " '" .J J ~ I ~; -I " ,'>\) '" ') ~i ~ [c, \ l: \') , 'l .:! ~'-!I " fJ I I ~>I .. e, 1 '\ ' ) '<, l' \l.c , ~I I I \ I ~ -- G- -{,/I ELECTRICAL WORK PERMIT APPLICATION I Job wired by o Electrical Contractor ftI Owner Installation description Q Commercial )if Residential Electrical contractor name License number Date Expires )2{ New IJ Altered/Addition 1-II4JP.I'ln-r r"'lL Purchaser's mailing address f O. Box I c:r5? City . 5t;:;61ul M TC3honoumbl, ?J I l-hJM 1")."; \\'1 State ZIP ( ~3<6'"2 FAX number b? 'ire> 1-/-J9-!>tTt4-T ~"- Address of inspectio e...A Mt'"E5LL . W~ Premises owner's name HUM 4/\/ITY , I ~ '-.'7 eft-A. ct!.f3U) /-/00 g3?'> Ii",?/) SifC Phone number to schedule inspection: / "" "?" Owner as defined by RCw'/9.28.26/:(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. Signature 0 o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x on tractor or electrical administrator Date: Expiration Date of card Elec rical Load Additions and or subtractions IJ NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR IJ Fan-Wall KW Service Information q Overhead Service ~Temp Service o Underground Service Voltage Phase IJ 1 IJ 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Date Approved By Date Approved lly-./ Date Approved By /' ,J. FINAL DITCH FEEDER /0, ,I, A0 Dale ApprovedHy./ Dale Approved By Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector /0-7.0-01:, '&7/3. ,Q ('~",,vFeT ~T ,M lU- :L , /irA) 8/: r~ /.. .. / "7 Job wired by o Electrical Contractor 0 Owner License number Date Expires Electrical contractor name ~ NooN t-:LCi.'/ Purchaser's ailing address "-P,6, T3cx I "1.s-'7 City State ZIP S-ECS;;{.,l/W'I CoA 9S,36:( Telephone number FAX number (j(,c,,-c;.61-{;, 780 Premises owner's IJSJ"e I ~ ~ de ti./,;T;:Y +-crz /-1<.....".0'/'; "'; '-fAIt..... ",<." Address of inspect~n A f :z :< '7 E- ; cz".... 01<= II ~I~--c. ciKrCf A;;frk Phone number to schcdu Inspection: .-- '3 (,6- 4<::0 -3.3? J Owner as defined by RCWJ9.28.261:(l) Owner will occupy the structure for two years after this electrical permit j.~ finalized. (2) Owner ;s required 10 hire an electrical contractor if above said property is Jor sale, rent or lease. After reading the above statement, r 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. . ctor or electrical administrator Date: ~-c&-O' Electrical Load Additions and or subtractions o NO LOAD CHANGES D Baseboard KW D Furnace KW o Heat Pump Ton LAR o Fan-Wall KW ELECTRICAL WORK PERMIT APPLICATION Installation description o Commercial .Q..R6idential rtl-N€W 6 /02 i/<, o Cash 0 Check # o Credit Card Card # Expiration Date of card o Overhead Service o Temp Service o Underground Service ROUGH-IN THERMOSTAT SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Dale Approved By Dale FINAL ,zl~67 ~B; Approved By DITCH :i-~'1-t?c. ~ Date Approved By Inspection Date Area, Building or Equipment Inspected o Db ,61//0 -CrJ S-/~h /-- D Altered! Addition .s Ci2,=r ~r=-< Visa Mastercard Discover Inspection fee $ Service Information Voltage Phase 0 1 0 3 Service Size: Feeder Size: SERVICE Date Approved By FEEDER Date Approved By '-, "~'-...,.~ Action Taken Application Number . . . . . 22-00001043 Date 8/18/22 Application pin number . . . 422789 Property Address . . . . . . 1227 CAMPBELL AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-3-0346-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc PV system ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Tracy Lay POWER TRIP ENERGY CORP. 1227 Campbell Ave 83 DENNY AVE PORT ANGELES WA 98362 PORT TOWNSEND WA 98368 (435) 830-4718 (360) 643-3080 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 195.00 Plan Check Fee . . .00 Issue Date . . . . 8/18/22 Valuation . . . . 0 Expiration Date . . 2/14/23 Qty Unit Charge Per Extension BASE FEE 75.00 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 195.00 195.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 195.00 195.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us EL1-2 SF 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Single-Family Residential □ Duplex / ARU Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$120.00 Service/Feeder 201-400 Amp.$146.00 $ Service/Feeder 401-600 Amp.$205.00 $ Service/Feeder 601-1000 Amp.$262.00 $ Service/Feeder over 1000 Amp.$373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp.$93.00 $ Temp. Service/Feeder 201-400 Amp.$110.00 $ Temp. Service/Feeder 401-600 Amp.$149.00 $ Temp. Service/Feeder 601-1000 Amp.$168.00 $ Portal to Portal Hourly $96.00 $ Signal Circuit/Limited Energy - 1&2 DU.$64.00 $ Manufactured Home Connection $120.00 $ Renewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional)$56.00 $ First 1300 Square Feet $120.00 $ Each Additional 500 square feet``$40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool / Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) 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. Permit expires after six months of last inspection. 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 installation 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 and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□Owner □Electrical Contractor / Administrator)Permit #: New Construction Only [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] 1227 Campbell Ave Port Angeles, WA 98362 8.08 kW Grid-Tied Roof-Mounted PV Tracy Lay tracylay224@gmail.com 1227 Campbell Ave Port Angeles, WA 98362 (435) 830-4718 Power Trip Energy POWERTE964JN 4-15-202483 Denny Ave Port Townsend, WA 98368 buddy@powertripenergy.com (360) 643-3080 $ 7/28/2022 Andy Cochrane X 120.00 1 75.00 195.00 Branch Circuit for EVSE installation Community & Economic Development Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4817 | www.cityofpa.us | permits@cityofpa.us RSOL RESIDENTIAL ROOF-MOUNTED SOLAR PANEL APPLICATION Project Address: PV System Description: Mfg. / Model # of Major Equip.: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Company Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Per WAC 51-51-2300, if the answer to the following questions is “yes” a building permit will be issued for simple (10-15kw output) PV systems without further engineering. Section M2302.2.1 – Where solar panels are installed on roofs, the roof structure shall be deemed adequate to support the load of the rooftop if all of the following are met: YES NO 1. PV system is designed and proposed for a single family or detached accessory structure 2. Will the photovoltaic panels and modules and supporting structure shall be constructed of noncombustible materials or fi re-retardant treated wood equivalent to that required for the roof construction. The installation shall meet the requirements of the International Fire Code as amended by WA State. PV modules are listed and labeled with a fi re classifi cation in accordance with UL 1703 3. The PV system is designed for the wind speed of the local area and will be installed per the manufacturer’s specifi cations. 4. The ground snow load does not exceed 70 pounds per square foot. The PV system is designed for the wind speed of the local area, and will be installed per the manufacturer’s specifi cations. 5. Total dead load of modules, supports, mountings, raceways and all other appurtenances weigh no more than four pounds per square foot. Enter total dead load of system (lbs/ft2): 6. Supports for solar modules are installed to spread the dead load across as many roof-framing members as needed to ensure that no point load exceeds fi fty (50) pounds. Modules are mounted no higher than 18” above the surface of the roofi ng to which they are affi xed and do not exceed the highest point of the roof unless approved by the local jurisdiction. NOTE: If site inspection indicates a concern that the roof structure is not adequate to support the PV module(s), engineering may be required prior to fi nal of the permit. Owner as defi ned by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is fi nalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. 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 installation 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 Specifi cations and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□Owner □Electrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] Version 2021.01.01 1227 Campbell Ave Port Angeles, WA 98362 8.08 kW Grid-Tied Roof-Mounted PV SPR-M425-H-AC (qty 19) Tracy Lay tracylay224@gmail.com 1227 Campbell Ave Port Angeles, WA 98362 (435) 830-4718 Power Trip Energy POWERTE964JN 4-15-202483 Denny Ave Port Townsend, WA 98368 buddy@powertripenergy.com (360) 643-3080 X X X X X X 7/28/2022 Andy Cochrane Solar Agent: Andy Cochrane Client Name: Lay Residence July 28, 2022 - 3 - Power Trip Energy Corp 83 Denny Ave, Port Townsend, WA 98368 (360)643-3080 www.powertripenergy.com LIC: POWERTE964JN Project: Lay Residence Client: Tracy Lay Phone: (435) 830-4718 Address: 1227 Campbell Ave, Port Angeles, WA 98362 System Description: 8.08 Residential Grid-tied PV AC Circuit Combiner Panel: Exterior South Wall of House Solar Modules: Branch Circuit A-10-SunPower 425 watt modules Model: SPR-M425-H-AC Micro inverter max power output 384 watts Net Meter: Exterior South Wall of House Meter #: E13846 Utility Grid: City of Port Angeles AC System Disconnect: (For Rapid Shutdown of AC Modules) Exterior South Wall of House Main Service Panel (LOAD): Interior South Wall in Storage Room Solar Modules: Branch Circuit B- 9-SunPower 425 watt modules Model: SPR-M425-H-AC Micro inverter max power output 384 watts East and West House Roofs Solar Agent: Andy Cochrane Client Name: Lay Residence July 28, 2022 - 4 - Power Trip Energy Corp 83 Denny Ave Port Townsend, WA 98368 (360)643-3080 www.powertripenergy.com LIC: POWERTE964JN Project: Lay Residence Client: Tracy Lay Phone: (435) 830-4718 Address: 1227 Campbell Ave, Port Angeles, WA 98362 System Description: 8.08 Residential Grid-tied PV Project Photos and Notes: West and East Roofs – Location of 19 SunPower 425 watt modules Solar Agent: Andy Cochrane Client Name: Lay Residence July 28, 2022 - 5 - South Interior Wall in Storage Room – Location of Electrical Panel South Exterior of House – Location of Utility Meter South Exterior Wall of House – Location of Combiner Panel, Data Monitoring, AC Disconnect Solar Agent: Andy Cochrane Client Name: Lay Residence July 28, 2022 - 6 - Service Panel - Square D QOC30UF Solar Agent: Andy Cochrane Client Name: Lay Residence July 28, 2022 - 7 - South Exterior Wall on House – WallBox Pulsar Plus 48A 240V Level 2 EVSE – to be installed Solar Agent: Andy Cochrane Client Name: Lay Residence July 28, 2022 - 8 - West Roof Face – Location of 9 SunPower 425 watt modules East Roof Face – Location of 6 SunPower 425 watt modules South Roof Face – Location of 4 SunPower 425 watt modules South Exterior of wall – Location of Combiner Panel, Data Monitoring, AC Disconnect South Exterior of wall – Location of WallBox Pulsar Plus 48A EVSE SunPower® Maxeon® Technology Built specifically for use with the SunPower Equinox® system, the only fully integrated solar solution designed, engineered, and warranted by one company. Highest Power AC Density Available. The patented, solid-copper foundation Maxeon Gen 6 cell is over 5% larger than prior generations, delivering the highest efficiency AC solar panel available.1 Highest Lifetime Energy and Savings Designed to deliver 60% more energy over 25 years in real-world conditions like partial shade and high temperatures.2 Best Reliability, Best Warranty With more than 42.6 million and 15 GW modules deployed around the world, SunPower technology is proven to last. That’s why we stand behind our module and microinverter with the industry’s best 25-year Combined Power and Product Warranty. Datasheet 0510 15 20 25 150% 140% 130% 120% 110% 100% 90% 80% 70% 60%25-year Energy Yield per WattYears of Operation Up to 60% More Lifetime Energy Conventional Panel M-Series Part of the SunPower Equinox® Solar System • Compatible with mySunPowerTM monitoring • Seamless aesthetics Factory-integrated Microinverter • Highest-power integrated AC module in solar • Engineered and calibrated by SunPower for SunPower AC modules 6.37 in[161.7 mm]6.54 in[166 mm]5% larger 420-440W Residential AC Module M-Series: M440 | M435 | M430 | M425 | M420 SunPower® Residential AC Module 1 Based on datasheet review of websites of top 20 manufacturers per Wood Mackenzie US PV Leaderboard Q3 2021. 2 Maxeon 435 W, 22.5% efficient, compared to a Conventional Panel on same-sized arrays (260 W, 16% efficient, approx. 1.6 m²), 7.9% more energy per watt (based on PVSyst pan files for avg. US climate), 0.5%/yr slower degradation rate (Jordan, et. al. “Robust PV Degradation Methodology and Application.”PVSC 2018). 3 Voltage range can be extended beyond nominal if required by the utility. 4 Limits may vary. Refer to local requirements to define the number of microinverters per branch in your area. 5 Factory set to IEEE 1547a-2014 default settings. CA Rule 21 default settings profile set during commissioning. 6 Standard Test Conditions (1000 W/m² irradiance, AM 1.5, 25°C). All DC voltage is fully contained within the module. 7 UL Listed as PVRSE and conforms with NEC 2014 and NEC 2017 690.12; and C22.1-2015 Rule 64-218 Rapid Shutdown of PV Systems, for AC and DC conductors; when installed according to manufacturer’s instructions. 8 Please read the safety and installation instructions for more information regarding load ratings and mounting configurations. See www.sunpower.com/company for more reference information. Specifications included in this datasheet are subject to change without notice. ©2022 SunPower Corporation. All rights reserved. SUNPOWER, the SUNPOWER logo, EQUINOX and MYSUNPOWER are trademarks or registered trademarks of SunPower Corporation in the U.S. MAXEON is a registered trademark of Maxeon Solar Technologies, Ltd. For more information visit www.maxeon.com/legal. AC Electrical Data Inverter Model: Type H (Enphase IQ7HS)@240 VAC @208 VAC Max. Continuous Output Power (VA)384 369 Nom. (L–L) Voltage/Range3 (V)240 / 211–264 208 / 183–229 Max. Continuous Output Current (Arms)1.60 1.77 Max. Units per 20 A (L–L) Branch Circuit4 10 9 CEC Weighted Efficiency 97.0%96.5% Nom. Frequency 60 Hz Extended Frequency Range 47–68 Hz AC Short Circuit Fault Current Over 3 Cycles 4.82 A rms Overvoltage Class AC Port III AC Port Backfeed Current 18 mA Power Factor Setting 1.0 Power Factor (adjustable)0.85 (inductive) / 0.85 (capacitive) DC Power Data SPR-M440- H-AC SPR-M435- H-AC SPR-M430- H-AC SPR-M425- H-AC SPR-M420- H-AC Nom. Power6 (Pnom) W 440 435 430 425 420 Power Tolerance +5/−0% Module Efficiency 22.8%22.5%22.3%22.0%21.7% Temp. Coef. (Power)−0.29% / °C Shade Tolerance Integrated module-level max. power point tracking Tested Operating Conditions Operating Temp.-40° F to +185°F (-40°C to +85°C) Max. Ambient Temp.122°F (50°C) Max. Test Load8 Wind: 125 psf, 6000 Pa, 611 kg/m² back Snow: 187 psf, 9000 Pa, 917 kg/m² front Max. Design Load Wind: 75 psf, 3600 Pa, 367 kg/m² back Snow: 125 psf, 6000 Pa, 611 kg/m² front Impact Resistance 1 inch (25 mm) diameter hail at 52 mph (23 m/s) Mechanical Data Solar Cells 66 Maxeon Gen 6 Front Glass High-transmission tempered glass with anti-reflective coating Environmental Rating Outdoor rated Frame Class 1 black anodized (highest AAMA rating) Weight 48 lb (21.8 kg) Recommended Max. Module Spacing 1.3 in. (33 mm) Warranties, Certifications, and Compliance Warranties • 25-year limited power warranty • 25-year limited product warranty Certifications and Compliance • UL 1741 / IEEE-1547 • UL 1741 AC Module (Type 2 fire rated) • UL 61730 • UL 62109-1 / IEC 62109-2 • FCC Part 15 Class B • ICES-0003 Class B • CAN/CSA-C22.2 NO. 107.1-01 • CA Rule 21 (UL 1741 SA)5 (includes Volt/Var and Reactive Power Priority) • UL Listed PV Rapid Shutdown Equipment7 Enables installation in accordance with: • NEC 690.6 (AC module) • NEC 690.12 Rapid Shutdown (inside and outside the array) • NEC 690.15 AC Connectors, 690.33(A)–(E)(1) When used with AC module Q Cables and accessories (UL 6703 and UL 2238)7: • Rated for load break disconnect PID Test 1000 V: IEC 62804 Packaging Configuration Modules per pallet 25 Packaging box dimensions 75.4 × 42.2 × 48.0 in. (1915 × 1072 × 1220 mm) Pallet gross weight 1300.7 lb (590 kg) Pallets per container 32 Net weight per container 41,623 lb (18,880 kg) 1-800-SUNPOWER | sunpower.com 539973 RevB January 2022 Please read the safety and installation instructions for details. Improve Support, Reduce Maintenance Costs An intuitive monitoring website enables you to: • See a visual map of customer sites • Remotely manage hundreds of sites • Receive elective system reports • Locate system issues and remotely diagnose • Diagnose issues online • Drill down for the status of individual devices Add Value for Customers With the SunPower Monitoring System customers can: • See what their solar system produces each day, month, or year • Optimize their solar investment and save on energy expenses • See their energy use and estimated bill savings • See their solar system’s performance using the SunPower monitoring website or mobile app SunPower EnergyLink—Plug-and-Play Installation This complete solution for residential and commercial monitoring and control includes the SunPower® PV Supervisor 6 (PVS6) which improves the installation process, overall system reliability, and customer experience. • Compact footprint for improved aesthetics • Robust cloud connectivity and comprehensive local connectivity • Flexible configuration of devices during installation • Consumption metering • Revenue-grade production metering (pending) • Web-based commissioning • Remote diagnostics of PVS6 and inverters • Durable UL Type 3R enclosure reduces maintenance costs • Easy integration with SunPower eBOS Robust Cloud Connectivity Multiple options to maintain optimal connectivity: • Hardwired Ethernet • Wi-Fi • Cellular backup SunPower Monitoring Websites PVS6 SunPower AC Modules Multiple communication options include Ethernet, Wi-Fi, and cellular. 530536 RevC AC PC SYSTEM STATS PV MODULE Make and model – 425-AC INVERTER Make and model – Enphase IQ7HS 384W Max AC amps – 1.6A (continuous) AC volts – 240V AC watts –384W SYSTEM # of branch circuits –2 # of inverters in branch circuit – 10, 9 Branch circuit operating amps – 16A, 14.4A System operating amps – 30.4A (continuous) System operating volts – 240V Sizing Conductors and Overcurrent Devices (690.8(B)(1) Circuit Breaker - (operating amps x 1.25 = 20A (20A breaker) Branch Circuit - #12 THHN minimum System breaker – continuous output of all inverters x 1.25 = 38A, 40A breaker Equipment Grounding Conductor - #12 minimum This PV system includes AC PV modules. The inverter is built into the module. PREPARED 8/17/22,11:17:27 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001043 1227 CAMPBELL AVE FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 195.00 TOTAL DUE 195.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: PV system NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 8/29/2022 22-1043 TAP OWNER CONTRACTOR Power Trip Energy PROJECT ADDRESS 1227 Campbell Ave