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1103 Caroline St - Building
PREPARED 3/12/08 9 35 44 INSPECTION TICKET PAGE CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 08 00000197 RES FOUNDATION REPAIR --------- -- - -- PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO 01 2/29/08 JLL BLDG FOUNDATION TIME 09 00 2/29/08 AP February 28 2008 9 00 23 AM 1pangrle BRENT 775 0759 FOUNDATION MORNING February 29 2008 10 55 56 AM jlierly BL99 01 3/05/08 JLL BLDG FINAL 3/05/08 DA March 5 2008 8 29 08 AM 1pangrle BRENT 775 0759 BLDG FINAL FOUNDATION REPAIR March 5 2008 4 24 09 PM jlierly add steel and anchor bolts to shear at sides of garage door/jll pour slab before final/jll BL99 02 3/12/08L BLDG FINAL March 11 2008 1 56 35 PM permits BRENT 775 0759 BLDG FINAL GARAGE FOUNDATION COMMENTS AND NOTES 8 3/12/08 PREPARED 3/05/08 8 42 46 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/05/08 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 08 00000197 RES FOUNDATION REPAIR -- -- - - ----- ----- PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 2/29/08 JLL BLDG FOUNDATION TIME 09 00 2/29/08 AP February 28 2008 9 00 23 AM 1pangrle BRENT 775 0759 FOUNDATION MORNING i February 29 2008 10 55 56 AM jlierly BL99 01 3/05/08 LL BLDG FINAL `.( March 5 2008 8 29 08 AM 1pangrle V i BRENT 775 0759 BLDG FINAL FOUNDATION REPAIR COMMENTS AND NOTES PREPARED 2/29/08 .9 27 25 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/29/08 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 08 00000197 RES FOUNDATION REPAIR --- -- - - - --- -- - - PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 2/29/08 LL BLDG FOUNDATION TIME 09 00 1t February 28 2008 9 00 23 AM 1pangrle BRENT 775 0759 FOUNDATION MORNING COMMENTS AND NOTES Of/ORT,k,O CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION G' 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 08 00000197 Date 2/22/08 549970 1103 CAROLINE ST 06 30 00 5 3 0545 0000 PAM BURSON RES FOUNDATION REPAIR COMMERCIAL OFFICE 4500 Application desc FOUNDATION & WALL REPAIR ON EXISTING GARAGE Owner Contractor' PAMELA W BURSON ALPHA BUILDER CORPORATION 1103 CAROLINE ST 1028 W 13TH STREET PORT ANGELES WA 983624203 PORT ANGELES WA 98363 (360) 452 5516 (360) 775 0759 Permit BUILDING PERMIT RESIDENTIAL Additional desc GARAGE FOUNDATION&WALL REPAIR Permit pin number 121145 Permit Fee 137 75 Plan Check Fee 55 10 Issue Date 2/22/08 Valuation 4500 Expiration Date 8/20/08 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL 2001 25K (14 PER K) 42 00 Special Notes and Comments February 21 2008 5 30 36 PM sroberds The proposal is to repair the foundation of a nonconforming detached garage including a short retaining wall NO expansion of the nonconforming garage shall be permitted in its current location Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 55 10 55 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 197 35 197 35 00 00 V 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. .22-108 br-f�+36V.-S IT�- Date ' Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms/Building Division/Building Permit (10/01/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS d4 CALL 417-4807 FOR PUBLIC WORKS UTILITIES 1 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. _3 INSPECTION TYPEI DATE I ACCEPTED COMMENTS YES I NO FOUNDATION- a2-201-09 a L -4 - FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING / SLAB I! BLOCKING & HOLD DOWNS ' SKIRTING PLANNING DEPT SEPARATE PERMIT N's I SEPA. PARKING/LIGH LANDSCAPING TING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL FINAL FINAL RESIDENTIAL ELECTRICAL LIGHT DEPT 417-4735 CONSTRUCTION R.W / PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT 417-4750 BUILDING 417-4815 13=1 -©g�_ � T Forms/Building Division/Building Permit (10/01/07).wpd ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW / ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE DATE ACCEPTED BY. ACCEPTED BY. 11� Vv `IN WE DATE ACCEPTED V� YES NO an c 3 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 or Agent, Jc� Property Owner Property Owner's Address 1 o3 C &r-oltr c S+ i?or+ Andre eS Contractor/Engineer Wpha -6L& .ldu..0 _L'or�porc� �kor Phone Contractor/Engineer's Address 1US%,�''S I c 24 {�- r+ t,-5 License # 4t-9HONSC.443LLJ y Expires For City Use Only, Date Received a -)q, --O ermit # (D$-19-] �'Approved P n -775-0759 Phone q5c) - 54S'Ao ysa - 3i5 y PROJECT ADDRESS 1103 arolir•e. 5+"_g — Parcel Number 0(*3 o b0 53 O,54 S Lot 10 &Jk_-5 Zoning 06457 Pro/ect Tvpe & Brief Description. P(Residential ❑ Commercial ❑ Multi -family ❑ Industrial Check all that apply �/ ❑ New Construction LIGl�Cc✓vl �ou��-} �; - e, [ rri -e S `t-d�ec 00-6t-� ❑ Addition a4 � & M6^sQ ❑ Remodel Repair-�vur.c�-�an &vtk Loo -0 ❑ Re -roof 6-6 e -N2 ❑ Demolition ❑ Sign ❑ wall -mounted ❑ projecting ❑ freestanding ❑ awning ❑ other ❑ Heat System ❑ Other Floor Areas Basement 1s' Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Total sign area sq ft. Maximum allowed sign area sq ft. ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other Existinq (sg. ft.) Proposed (sq. ft.) sq ft. - Lot size per sq ft. = $ TOTAL VALUATION $ `>`. Oo- sq. ft. = Lot coverage Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? _ Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 211 r1nf_ Print Name ��Y'JCYgS Signatur T Forms/Building Division/Bldg Permit Appl.-2006 Code.doc T104 ht0 Y-�,,7-0 C ,A KA& > • ' (n, K .. -3•--- Cu,�L.L_ J '� PL Axl PT ff-ATr CITY OF PORT ANGELES — Constniction Plans The Issuance of this permit based upon these pians, specifi- cations and other data shall not prevent the building official from. thereafter requiring the correction of errors in said Flit plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. �rN_�9M=�_�d��tii���ti#�Ia•1 �,�,.,.��G'37�i� �3�{�� Approval Date ( Y )gift fJ PREPARED 1/10/08 8 43 37 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/13/07 PB BLDG FOUNDATION FOOTING 7/13/07 AP 07/12/2007 03 18 PM LPANGRLE BRENT 775 0759 FOUNDATION 07/13/2007 03 27 PM PBARTHOL BLFR 01 7/26/07 PB BLDG FOUNDATION REPAIR 7/26/07 AP 07/26/2007 08 17 AM LPANGRLE BRENT 775 0759 FOUNDATION REPAIR 07/26/2007 04 48 PM PBARTHOL BL3 01 9/20/07 JLL BLDG FRAMING 9/21/07 AP 09/19/2007 04 53 PM LPANGRLE JEFF 461 9273 FRAMING BEFORE INSULATION' 09/21/2007 09 50 AM JLIERLY BLI 01 9/21/07 JLL BLDG INSULATION TIME 01 00 9/21/07 AP 09/20/2007 04 51 PM LPANGRLE JEFF 461 9273 INSULATION AFTERNOON 09/21/2007 04 56 PM JLIERLY BL99 01 12/06/07 JLL BLDG FINAL TIME 01 00 12/06/07 DA December 5 2007 4 22 29 PM 1pangrle BRENT 775 0759 BLDG FINAL BEDROOM & BATHROOM ADDITION AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE BL99 02 1/04/08 JLL BLDG FINAL TIME 01 00 1/04/08 DA January 4 2008 8 26 08 AM 1pangrle PAMELA 452 5516 BLDG FINAL BED & BATH ADDITION AFTERNOON January 4 2008 4 47 34 PM 1pangrle smoke in bedroom/slope soil/jll BL99 03 1/10/08 L BLDG FINAL TIME 01 00 January 8 2008 1 13 45 PM 1pangrle PAMELA 452 5516 BLDG FINAL AFTERNOON COMMENTS AND NOTES PAGE 5 DATE 1/10/08 PREPARED 1/04/08 9 24 53 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/04/08 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION ------- - - - - -- --- --- PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/13/07 PB BLDG FOUNDATION FOOTING 7/13/07 AP 07/12/2007 03 18 PM LPANGRLE BRENT 775 0759 FOUNDATION 07/13/2007 03 27 PM PBARTHOL BLFR O1 7/26/07 PB BLDG FOUNDATION REPAIR 7/26/07 AP 07/26/2007 08 17 AM LPANGRLE BRENT 775 0759 FOUNDATION REPAIR 07/26/2007 04 48 PM PBARTHOL BL3 01 9/20/07 JLL BLDG FRAMING 9/21/07 AP 09/19/2007 04 53 PM LPANGRLE JEFF 461 9273 FRAMING BEFORE INSULATION' 09/21/2007 09 50 AM JLIERLY BLI O1 9/21/07 JLL BLDG INSULATION TIME O1 00 9/21/07 AP 09/20/2007 04 51 PM LPANGRLE JEFF 461 9273 INSULATION AFTERNOON 09/21/2007 04 56 PM JLIERLY BL99 01 12/06/07 JLL BLDG FINAL TIME O1 00 12/06/07 DA December 5 2007 4 22 29 PM 1pangrle BRENT 775 0759 BLDG FINAL BEDROOM & BATHROOM ADDITION AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE BL99 02 1/04/08 BLDG FINAL TIME O1 00 January 4 2008 8 26 OB AM 1pangrle PAMELA 452 5516 BLDG FINAL BED & BATH ADDITION AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 12/06/07 JLL MECHANICAL FINAL TIME O1 00 12/06/07 DA December 5 2007 4 23 35 PM 1pangrle BRENT 775 0759 MECHANICAL FINAL BEDROOM & BATHROOM ADDITION AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE ME99 02 1/04/08 L MECHANICAL FINAL TIME O1 00 January 4 2008 8 26 54 AM 1pangrle PAMELA 452 5516 MECHANICAL FINAL BED & BATH ADDITION AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PREPARED 1/04/08 9 24 53 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/04/08 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 9/11/07 JLL PLUMBING ROUGH IN 9/12/07 AP 09/10/2007 08 55 AM LPANGRLE DALE 452 8583 ROUGH IN PLUMBING 09/12/2007 09 04 AM JLIERLY PLSP O1 10/25/07 PB PLUMBING SHOWER PAN 10/25/07 AP October 24 2007 1 19 21 PM 1pangrle BRENT 775 0759 SHOWER PAN MEMBRANE PL99 01 12/06/07 JLL PLUMBING FINAL TIME O1 00 12/06/07 DA December 5 2007 4 23 58 PM 1pangrle BRENT 775 0759 PLUMBING FINAL BEDROOM & BATHROOM ADDITION AFTERNOON PLEASE CALL HIM 30 -MINUTES BEFORE YOU GET THERE PL99 02 1/04/08 L PLUMBING FINAL TIME O1 00 January 4 2008 8 27 17 AM 1pangrle PAMELA 452 5516 PLUMBING FINAL BED & BATH ADDITION AFTERNOON COMMENTS AND NOTES PREPARED 1/04/08 9 24 53 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/04/08 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAMELA BURSON CONTRACTOR PENINSULA HEAT PHONE (360) 681 3333 OWNER PAMELA W BURSON PHONE (360) 461 7331 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000923 MECHANICAL APPL PERMIT - - --- --- - - -- -- -- PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 1/04/08 LL MECHANICAL FINAL TIME O1 00 LL January 4 2008 8 28 07 AM 1pangrle PAMELA 452 5516 BLDG FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES PREPARED 12/06/07 9 29 58 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/13/07 PB BLDG FOUNDATION FOOTING 7/13/07 AP 07/12/2007 03 18 PM LPANGRLE BRENT 775 0759 FOUNDATION 07/13/2007 03 27 PM PBARTHOL BLFR O1 7/26/07 PB BLDG FOUNDATION REPAIR 7/26/07 AP 07/26/2007 08 17 AM LPANGRLE BRENT 775 0759 FOUNDATION REPAIR 07/26/2007 04 48 PM PBARTHOL BL3 01 9/20/07 JLL BLDG FRAMING 9/21/07 AP 09/19/2007 04 53 PM LPANGRLE JEFF 461 9273 FRAMING BEFORE INSULATION' 09/21/2007 09 50 AM JLIERLY BLI O1 9/21/07 JLL BLDG INSULATION TIME O1 00 9/21/07 AP 09/20/2007 04 51 PM LPANGRLE JEFF 461 9273 INSULATION AFTERNOON 09/21/2007 04 56 PM JLIERLY BL99 01 12/06/07jyL BLDG FINAL TIME O1 00 December 5 2007 4 22 29 PM 1pangrle BRENT 775 0759 BLDG FINAL BEDROOM & BATHROOM ADDITION AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 O1 12/06/07 JLL MECHANICAL FINAL TIME O1 00 December 5 2007 4 23 35 PM 1pangrle BRENT 775 0759 MECHANICAL FINAL BEDROOM & BATHROOM ADDITION AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE PERMIT PL 00 PLUMBING PERMIT PAGE 1 DATE 12/06/07 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 9/11/07 JLL PLUMBING ROUGH IN 9/12/07 AP 09/10/2007 08 55 AM LPANGRLE DALE 452 8583 ROUGH IN PLUMBING 09/12/2007 09 04 AM JLIERLY PLSP O1 10/25/07 PB PLUMBING SHOWER PAN 10/25/07 AP October 24 2007 1 19 21 PM 1pangrle CONTINUED ONTO NEXT PAGE PAGE 1 DATE 12/06/07 PREPARED 12/06/07 9 29 58 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/06/07 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BRENT 775 0759 SHOWER PAN MEMBRANE PL99 01 12/06/ 7 PLUMBING FINAL TIME 01 00 December 5 2007 4 23 58 PM 1pangrle i� BRENT 775 0759 PLUMBING FINAL BEDROOM & BATHROOM ADDITION AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 10/25/07 10 45 49 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/25/07 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 9/11/07 JLL PLUMBING ROUGH IN 9/12/07 AP 09/10/2007 08 55 AM LPANGRLE DALE 452 8583 ROUGH IN PLUMBING 09/12/2007 09 04 AM JLIERLY PLSP O1 10/25/07 JLL PLUMBING SHOWER PAN October 24 2007 1 19 21 PM 1pangrle �-i BRENT 775 0759 SHOWER PAN MEMBRANE COMMENTS AND NOTES PREPARED 9/21/07 9 02 38 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/21/07 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/13/07 PB BLDG FOUNDATION FOOTING 7/13/07 AP 07/12/2007 03 18 PM LPANGRLE BRENT 775 0759 FOUNDATION 07/13/2007 03 27 PM PBARTHOL BLFR 01 7/26/07 PB BLDG FOUNDATION REPAIR 7/26/07 AP 07/26/2007 08 17 AM LPANGRLE BRENT 775 0759 FOUNDATION REPAIR 07/26/2007 04 48 PM PBARTHOL BL3 01 9/20/07 JIM BLDG FRAMING 09/19/2007 04 53 PM LPANGRLE JEFF 461 9273 FRAMING BEFORE INSULATION BLI 01 9/21/07 BLDG INSULATION TIME 01 00 09/20/2007 04 51 PM LPANGRLE JEFF 461 9273 INSULATION AFTERNOON COMMENTS AND NOTES PREPARED 9/20/07 9 46 54 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/20/07 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/13/07 PB BLDG FOUNDATION FOOTING 7/13/07 AP 07/12/2007 03 18 PM LPANGRLE BRENT 775 0759 FOUNDATION 07/13/2007 03 27 PM PBARTHOL BLFR O1 7/26/07 PB BLDG FOUNDATION REPAIR 7/26/07 AP 07/26/2007 08 17 AM LPANGRLE BRENT 775 0759 FOUNDATION REPAIR 07/26/2007 04 48 PM PBARTHOL BL3 01 9/20/07 JLL BLDG FRAMING 09/19/2007 04 53 PM LPANGRLE JEFF 461 9273 FRAMING BEFORE INSULATION' - COMMENTS AND NOTES PREPARED 9/11/07 9 56 56 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/11/07 ADDRESS 1103 CAROLINE ST SUBDIV CONTRACTOR BROTHERS PLUMBING PHONE (683) 9191 OWNER WINICKI MICHAEL PHONE PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 05 00001224 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL6 01 12/14/05 JLL PLUMBING WATER SUPPLY TIME 17 00 12/14/05 AP 12/14/2005 01 18 PM PBARTHOL pamela 452 5516 12/14/2005 04 49 PM JLIERLY PL99 01 9/11/07 L PLUMBING FINAL 09/10/2007 08 56 AM LPANGRLE LINDA (TO COMPLETE AN OLD PERMIT) PLUMBING FINAL REPLACED GALVANIZED WATER LINES WITH WIRSBO COMMENTS AND NOTES PREPARED 9/11/07 9 56 56 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/11/07 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 9/11/07 J LPLUMBING ROUGH IN 09/10/2007 06 55 AM LPANGRLE DALE 452 8583 ROUGH IN PLUMBING COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000923 Date 8/07/07 Application pin number 333843 Property Address 1103 CAROLINE ST ASSESSOR PARCEL NUMBER 06 30 00 5 3 0545 0000 Tenant nbr name PAMELA BURSON Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 9575 Owner Contractor PAMELA W BURSON PENINSULA HEAT 1103 CAROLINE ST 782 KITCHEN DICK RD PORT ANGELES WA 983624203 SEQUIM WA 98382 (360) 461 7331 (360) 681 3333 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP Permit pin number 108530 Permit Fee 64 70 Plan Check Fee 00 Issue Date 8/07/07 valuation 0 Expiration Date 2/03/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 Fee summary Charged Paid Credited Due Permit Fee Total 64 70 64 70 00 00 Plan Check Total 00 00 00 00 Grand Total 64 70 64 70 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 186 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 7,1Z 'o� Signature of Contractor or Authorized Agent atD' a Signature of Owner if owner is builder Date 9 ( ) T-\Policies\1102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PER RT INSPECTION RECORD CALL 417-415 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4507 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO CODER, INSULATE OR CONCEAL AN3' H,'ORf; BEFORE INSPECTED 4ND _ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION `v KEEP PERMIT CARD AND .APPROVED PLANS AT .JOB SITE. INSPECTION TN'PEI DATE I ACCEPTED I COMMENTS I YES I NO I FOUNDATION: FOOTINGS SHEAR. WALLS / WALLS FOUNDr,TION DRAINAGE/ DOWN SPOUTS I PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK: FLOW / WATER AIR SEAL WALLS + CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH -IN HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING &HOLD DOWNS SKIRTING FINAL DATE I IFINAL DATE PLANNING DEPT SEPARATE PERMIT #Ps SEPA. PARKING/LIGHTING I I ( ESA. LANDSCAPING _ l I 1 SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHTDEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTJONR.W / PW/ W CONSTRUCT417-4807 I I I RING PW / ENGINEERING ENNGINEERIN FIRE 417-4653 I FIRE DEPT PLANNING DEPT 417-4750 I PLANNING DEPT BUILDING 417-4815 I I ��"Q I BUILDTNG T-\Policies\1102 15 building permit inspection Tecord05.wpd [1/4/2D05] DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES NO 08/06/07 13 40 F9% 3606812086 Peninsula Heat poor BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call (360) 4174815 [a 02 FOR OFFIMALLUSE ONLY Datc Rec. • o 8- 6 6 _07 PoTnit e- n 7 - di Dace Approved: OE _©fo - () 7 Date tesued:-Y - % - 67 Applicant or Agent: Phone: _jal -� Owner -Phone: ! J— 73 3 Address: 1103 64 V'G / G—pe 57' City 1t'� %1 A GI l! S Zip Architect/En eer• (/ . Phone- Contractor/ hone: Contractor P / State License #• 1ArX1J��Phone: Address:avl?_ )zl��Qdr�r Zip: PROJECT ADDRESS: /) Q �/i ri I ZONING - LEGAL DESCRIPTION- Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: Credit CardType VISA MC -0 TY1�OF WORK: "esidential o New Constr. o Re -roof o Multi -family ❑ Addition o Move ❑ CaMMcrcial model ❑ Demolition C3 Repair 11Sign B F DEZelpr TION OF THE PROJECT - 4)1 City Exp. Date- SI ate: SIZE/VALUATION 17 Stove S12' @ $ /SF E3 Garage SF @$ /SF = $ O Deck SF @$ /SF =$ Q Other TOTA. L VALUATION $_0 9�i 71 4- /l CObU ERCIAI JRESIDENTIAL. Occupancy Group: Occupant Load: No. of Stories: T Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage % & Proposed lot coverage % = Total lot coverage PLANNING USE ONLY ESA/Wetland(s): ❑ Yes o No SEPA Checklist required? ❑ Yes O No Other: Construction Type: = TOTAL Sq.Ft. APPROVALS PLAN BLDG- DPWU- FIRE. OTHER BUII.TjIING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amoant must be entered by the applicant. This figure will be reviewed and maybe revisedby the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4615 for assistmce. 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 submatted..All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107 4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know t e same to be free Se 2armcl. l am eufhorized to apply for this permit and understand that it is my responsibility to determine what permits are re7-z of the n 1 m t obtain such permits py' r to/work. T•1FORMS\APPS\Buildmgpermicwpd Applican PREPARED 7/26/07 12 09 32 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/26/07 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/13/07 PB BLDG FOUNDATION FOOTING 7/13/07 AP 07/12/2007 03 18 PM LPANGRLE BRENT 775 0759 FOUNDATION 07/13/2007 03 27 PM PBARTHOL BLFR O1 7/26/07 JLL BLDG FOUNDATION REPAIR .�, t 07/26/2007 08 17 AM LPANGRLE 7 li. BRUNT 775 0759 (` mo' FOUNDATION REPAIR COMMENTS AND NOTES CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STH STREET PORT ANGELES, WA 98362 Application Number07 00000652 Date 7/26/07 Application pin number 836628 Property Address 1103 CAROLINE ST ASSESSOR PARCEL NUMBER 06 30 00 5 3 0545 0000 Tenant nbr name PAM BURSON Application type description RES ADDITION Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 26315 Owner Contractor PAMELA W BURSON ALPHA BUILDER CORPORATION 1103 CAROLINE ST 1028 W 13TH STREET PORT ANGELES WA 983624203, PORT ANGELES WA 98363 (3'60.) 452 5516 (360)- 775 0759 Structure Information 000 000 EXPAND BEDROOM & BATHROOM .Other,struct info HARD SURFACE AREA ;3 Permit ELECTRICAL TEMPORARY SERVICE Additional desc APS/ TEMP SVC Permit pin number 106971 Sub Contractor APS ELECTRIC Permit Fee 40 00 Plan Check Fee' 00 Issue Date 7/267/,07 Va]uation� 0 Expiration Date F' 1•/,22%i08' ? Qty Unit Charge Per Extension 1 00 40 0000 ECH EL TEMP SRV 0 60 SRV FDR 40 00 Special .Notes and Comments The Fire Department has reviewed the project application and has no comments 06/12/2007 10 38 AM SROBERDS The proposal will result in a residential addition in the Commercial Office zone without additional lot coverage A bathroom window is cantilevered into a side yard resulting in a side setback of 5 4 The intrusion does not result in a land use issue MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public`W6rks Util'•ity'Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 40 00 40 00 00 00 Plan Check Total 00 00 00 00 Other.Fee Total 4 50 4 50 00 00 Grand Total' 44 5.0' 44 50 00 00 I COMMENTS/ACTION NEEDED I G t V _ ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL iNspEcnoNs. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL To covEp, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCWM commErm Es I NO DaCH = I ROUGH -LN / COVER SERVICE I FINAL GENERAL COMMENTS: FW-1102.15j4f96j PREPARED 7/13/07 11 06 35 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/13/07 ADDRESS 1103 CAROLINE ST SUBDIV TENANT NBR PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775 0759 OWNER PAMELA W BURSON PHONE (360) 452 5516 PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 07 00000652 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/13/07 JLL BLDG FOUNDATION FOOTING 2007 03 18 PM LPANGRLE BRENT BRENT 775 0759 FOUNDATION COMMENTS AND NOTES 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 Owner 07 00000652 Date 6/25/07 836628 1103 CAROLINE ST 06 30 00 5 3 0545 0000 PAM BURSON RES ADDITION COMMERCIAL OFFICE 26315 Contractor PAMELA W BURSON ALPHA BUILDER CORPORATION 1103 CAROLINE ST 1028 W 13TH STREET PORT ANGELES WA 983624203 PORT ANGELES WA 98363 (360) 452 5516 (360) 775 0759 Structure Information 000 000 EXPAND BEDROOM & BATHROOM Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 277 SF BED & BATH ADD Permit pin number 103838 Permit Fee 437 95 Plan Check Fee Issue Date 6/25/07 Valuation Expiration Date 12/22/07 Qty Unit Charge Per BASE FEE 2 00 10 1000 THOU BL -25 001 50K (10 10 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 104794 Permit Fee 82 60 Plan Check Fee Issue Date 6./25/07 Valuation Expiration Date 12/22/07 Qty Unit Charge Per BASE FEE 1 00 14 7000 ECH ME INSTALL 100- FAU 1 00 7 2500 ECH ME VENT FAN 1 00 10 6500 ECH ME OTHER APPL NIR Permit PLUMBING PERMIT Additional desc Permit pin number 104786 Permit Fee 128 00 Plan Check Fee Issue Date 6/25/07 Valuation Expiration Date 12/22/07 Qty Unit Charge Per 175 18 26315 Extension 417 75 20 20 Special Notes and Comments The Fire Department has reviewed the project application and 00 0 Extension 50 00 14 70 7 25 10 65 00 0 Extension 50 00 49 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 ocal law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner)f owner is builder) Date T \Policies\ 1 102_15 building permit inspection record05 wpd [1/4/2005] BASE FEE 7 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 175 18 26315 Extension 417 75 20 20 Special Notes and Comments The Fire Department has reviewed the project application and 00 0 Extension 50 00 14 70 7 25 10 65 00 0 Extension 50 00 49 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 ocal law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner)f owner is builder) Date T \Policies\ 1 102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PER UT INSPECTION RECORD CALL 417-4S 15 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLE_,,SE PRO'v'IDE A IVIINIJOUM 24 HOUR NOTICE. ITIS UNLAPI f UL TO COFEIz, INSULATE OR CONCEAL 4N3' ff"ORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TN'PEI DATE I ACCEPTED I COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE/DOWNSPOUTS I I PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN ` I WATER LINE (METER TO BLDG) GAS LINE I I I FINAL DATE BACK FLOW / WATER I I AIR SEAL WALLS I CEILING I I FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DPYWALL (INTERIOR BRACED PANEL ONLY) T -BA INSULATION SLAB I WALL / FLOOR / CEILING MECHANICAL ROUGH -IN HEAT PUMP/FURNACE/DUCTS Ij GAS LINE I I FINAL DATE WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES i FOOTING / SLAB BLOCIONG B. HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #l's I SEPA. PARKING/LIGHTING I ESA. LANDSCAPING I I SHORELINE: _ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL I DATE YES I NO COMMERCIAL I DATE ELECTRICAL LIGHT DEPT 417-4735 .I LIGHT DEPT , CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 I I I FIRE DEPT PLANNING DEPT 417-4750 I I PLANNING DEPT BUILDING 417-4815 I I _..—_�. _ I BUILDING T-\Policies\l 102 15 building permit inspection record05 wpd [1/4/2005] ACCEPTED B1'. ACCEPTED BY. I ACCEPTED YES I NO °fwF� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 07 00000652 Date 6/25/07 Application pin number 836628 Special Notes and Comments has no comments 06/12/2007 10 38 AM SROBERDS The proposal will result in a residential addition in the Commercial Office zone without additional lot coverage A bathroom window is cantilevered into a side yard resulting in a side setback of 5 4 The intrusion does not result in a land use issue MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 648 55 648 55 00 00 Plan Check Total 175 18 175 18 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 828 23 828 23 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 T•\Policies\I 10215 building pennit inspection record05 wpd [ 1/4/20051 Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4615 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM _4 HOUR NOTICE. ITIS UNLAN FUL TO COVER, JA'SULATE OR CONCEAL 4NJ' R'OPJi BEFORE LNSPECTED AND ACCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT.IOB SITE. INSPECTION TYPEI DATE I ACCEPTED I COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION' DRAINAGE/ DOWN SPOIITS PIERS POST HOLES (POLE BLDGS.I PLUMBING UNDERFLOOR/SLAB ROUGH -RJ WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS W 4LLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) I T -BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL ROUGH -IN HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING R HOLD DOWNS SKIRTING I PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ff/13/off' J JIA I c 1 lI ( of 7-(.C_ I I I Fourdc,`oh Recur 0'7/2(0107 U� 1(>--Z5-c)-7 showerPm -PB 01-04--09 Pjum6m,5r v,&( J(.CL I FINAL 1�--/Q®/d-7 DATE ACCEPTED B)'. i r OI-oy-08 Mec-hdMc-cA F'nq( &LLL - FINAL 12406101 -TDATE Z-4— ACCEPTED BY. 0 0 I SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL I LIGHT DEPT CONSTRUCTIOENGINEERING N RW / PW/ .W CONSTRUCT417-4807 I RING I W / ENGINEERING FIRE 417-4653 I I FIRE DEPT PLANNING DEPT 417-4750 I PLANNING DEPT BUILDING 1 1 417.4815 D (� (� - o p 1� Ll BUILDING T \Policies\l 102 15 building permit inspection record05 wpd [1/4/2005] ACCEPTED YES I NO I 0 .. .... % t��s FOR OFFICIAL PSE ONLY /� BUILDING PERMIT - APPLICATIONq DateRec. 0l9—OS—V Pennit F1L out COMPLETELY and in INK. Your application and site plan MUate Approved: COMPLETE to be accepted for review If you have any questions, c PERMITS (360) 417-4815 FAX(360)417-4711 h'Date Issued: Applicant or Agent: �'t Phone:. Owner 4=1Am P5 m e6 ? v Phone: Address: i OS i N City. Powr Zip *)03('02 Architect/En�' eer �111,C}t3 � S�_1rp AwiP) s Phone: -CO)no 12 Contractor License # Exp Phone: Address City PROJECT ADDRESS I I 0 3 1,I N LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. d�iO!5;00O Zip ZONING Subdivision. X30 5+6 CX>� `TYPE OF WORK. SIZE/VALUATION 'e. Residential ❑ New Constr ❑ Re -roof ❑ Stove 2r SF @'$0_/SF ❑ Multi -family X Addition ❑ Move ❑ Garage SF @$ /SF =$ ❑ Commercial "'� Remodel ❑ Demolition ❑ Deck SF @$ /SF = $ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE, PROJECT PAt* Q eX ME;0 OCA IV WN Mwg - . r - M COMMERCIAL/RESIDENTIAI',. Occupancy Gr&p Occupant Load. Constriction Type - No of Stories: I Lot Size: O Existmg Sq. Ft. 14-011— & Proposed Sq Ft. TOTAL Sq. Ft. Total lot coverage % PLANNING USE ONLY APPROVALS PLAN BLDG DPWU _ ESA/Wetland(s) o Yes ❑ No SEPA Checklist required? El Yes ❑ No Other- I=. • 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. EXTIRATION 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 more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. 1 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 1 must obtain such permits prior.to work. _N T-TORMS\B1dgPermitforrn.wpdApplicantee `�� �� Date: J\.htqu - 0-7 1/ Prescriptive Approach -Simple Foran For the Waslungton State Energy Code ( 2003 Edition) Climate Zone I Site Information Building Department Use/Only Lot: n -7— ,,c;2— e- -L Address. I (0'-� Cato 11 vie, 'i--7> Notes: City, State. Zip. Contact: Phone: Phone 2 FAX. Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE I (Unlmiited Glazing Option Only) Option Glazing Glazing U -Factor Door Wall Wall Wall Slab Area % U- Vaulted Above Interior Exterior on of Floor Vertical Overhead Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unhimted III Group R 3 040 0.58 0,20 R 38 R 30 R21 R 21 R 10 R-30 R 10 Occupancy Only This Project complies with the following: ✓ The Project is a single family residence or duplex. ✓ The Project is wood frame OR all of the insulation is interior or exterior of the framing. */All building components meet the requirements listed in Table 6-1 Option 111. V 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 0 602.6 Exception 1 One door, that is 24ft. Or less, that does not meet the standards allowed. Location of the door taking this exception 0 602.6 Exception 2. Doors with a U -Factor of 0 40 allowed without calculations, Option III only Location of the Door (s) taking exception Type of Heat Source: �N;W )-'WAI SMP' ��c->77:*n o��u3, Sx�)Ktf MWc- EXHIBIT A b � ki—I 01 (ALPI+k Brent Jones Cell 775-0759 Builders Corporation J Quality. ExpEdEncE VaiuE Residential Commercial Panel Building Assembly Bath Remodels Demolition 703 South Lincoln Port Angeles. WA 98363 (360) 452-3154 alpha@olypen.com n�Pw>ecsa3�w LR DBE A R C H I C Tn-, �a¢� 319 s. peabody,, suite b; port angeles, wa 983627 360.452.6116 /fax 360.452.1064 Ic Prosect: ):�>1/1 ®.rV Prosect No. Siibzect: LAT146,1, By, /.,Y,35 • c Date: YY1.r f1sD0'I Sheet of lever �1'� 5to1'y)1IDS ,51 r i 4 LINDBER H A R C H I C T S 319 S. Peabody Suite B. Port Angeles, WA 98362 360.452.6116 /fax 360.452.7064 contacte,lindarch.com / www.lindarch.com Project: 1!pqA t'L 5►A*,/ Project No Subject: 6- By- 6,05 Date lel41 '2"Ov`1 Sheet of SHEAR WALL SUMMARY W L H V V/L SW VH- WL/2 POST HOLD DOWN - d 135' I/ALLOFIT/F1i2MINFO/FORMS/SHEARWAL A. PLYWOOD OR Q.S.B. SHEAR WALLS MAXIMUM SHEAR = 250 P LY USE %" SHEATING — ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 6" OC FOR FRAMING, USE DF NO.2. PROVIDE W DIAMETER ANCHOR BOLTS AT 32" 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 2. MAXIMUM SHEAR = 315 P LY USE W"SHEATING —ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 5" OC. FOR FRAMING, USE DF NO.2. PROVIDE YT DIAMETER ANCHOR BOLTS AT 32"0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 3 MAXIMUM SHEAR = 375 P.L.F USE W SHEATING —ONE -SIDE OF WALL. NAIL ALL EDGES WITH 8d NAIL. -S AT 4" O C. FOR FRAMING, USE 3X DF NO.2. PROVIDE %" DIAMETER ANCHOR BOLTS AT 24" O C MAXIMUM SPACING AT THE ;FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 4 MAXIMUM SHEAR = 490 P.L.F USE W SHEATING —ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3" O.C. FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR. BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 32' 0 C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 5. MAXIMUM SHEAR = 560 P.L.F USE W SHEATING — ONE SIDE OF WALL NAIL ALL EDGES WITH 10d NAILS AT 3" O C FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES. ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 24" 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 6. MAXIMUM SHEAR = 685 P.LF USE %" SHEATING — ONE SIDE OF WALL..NAIL ALL EDGES WITH 10d NAILS AT 2112"0 C. STAGGERED FOR FRAMING, SE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 20" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 7 MAXIMUM SHEAR = 770 P.L.F USE %" SHEATING —ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2" O C. STAGGERED FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH.ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 18'0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 8. MAXIMUM SHEAR = 870 P.L.F USE Y20 SHEATING —'BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 31/2'OG FOR FRAMING, USE 3X DF:NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS, PROVIDE 3/4' DIAMETER ANCHOR BOLTS AT,20"�O C. MAXIMUM SPACING AT THE FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 9. MAXIMUM SHEAR = 980 P.L.F USE W SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3"O*C FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES'WITH. ANCHOR BOLTS. PROVIDE 3/4' DIAMETER ANCHOR BOLTS AT 18'0 C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNSAT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 10 MAXIMUM SHEAR = 1,260 P.L.F USE WSHEATING —BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 3" O C. STAGGERED FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTO . M PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 14"0 C. -MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 11 MAXIMUM SHEAR = 1540 P LY USE Y2"SHEATING —BOTH SIDE OF WALL NAIL ALL EDGES WITH 10d NAILS AT Z'0 C. STAGGERED FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ' ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 11 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR. TIE DOWNS AT EACH END OF THE WALL . , SEE FRAMING/SHEAR WALL PLANS. 12. MAXIMUM SHEAR =1 740 P.L.F USE 5/8" SHEATING -.BOTH SIDE OF WALL NAIL ALL EDGES WITH 10d NAILS AT 2" 0 C. STAGGERED FOR BOLT USE - E 3X DF NO -2. DOUBLE soTrom PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 9- 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE' FRAMING/SHEAR WALL PLANS. PREPARED 12/14/05 13 32 22 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1103 CAROLINE ST SUBDIV CONTRACTOR BROTHERS PLUMBING PHONE (683) 9191 OWNER WINICKI MICHAEL PHONE PARCEL 06 30 00 5 3 0545 0000 APPL NUMBER 05 00001224 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL6 01 12./14/05 JL / PLUMBING WATER SUPPLY TIME 17 00 12/14/2005 01 18 PM PBARTHOL pamela 452 5516 COMMENTS AND NOTES PAGE 10 DATE 12/14/05 OF pORT,� aCITY OF PORT ANGELES �'�� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DMSION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00001224 Date 12/12/05 Application pin number 606120 Property Address 1103 CAROLINE ST ASSESSOR PARCEL NUMBER 06-30 00-5 3-0545 0000 Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 3490 Owner Contractor WINICKI MICHAEL BROTHERS PLUMBING 1103 CAROLINE ST P O B 2136 PORT ANGELES WA 983624203 SEQUIM WA WA 98382 (683) 9191 (683) - -- _ Permit - -- -- --- PLUMBING PERMIT - Additional desc RPL GALV WATERLINE W/WIRSBO Permit pin number 67090 Permit Fee 92 00 Plan Check Fee 00 ^ Issue Date 12/12/05 Valuation 0 Expiration Date 6/10/06 (� "Q Qty Unit Charge Per Extension BASE FEE 50 00 6 00 7 0000 ECH PL- EA INSTALL WATER PIPE 42 00 Other Fees STATE SURCHARGE 4 50 - - - - - Fee summary - ----- - - - Charged Paid Credited - -- Due - Permit Fee Total 92 00 92 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 96 50 96 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\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. ITIS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -W WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I I CEILING i FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) ( I T -BAR ' INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL J HEAT PUMP/FURNACE/DUCTS } J GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING FINAL q/ n/ o DATE FINAL DATE -Y"" ACCEPTED BY. PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING , ESA. LANDSCAPING I SHORELINE. FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL I DATE YES NO COMMERCIAL DATE ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 ( I 1 FIRE DEPT I PLANNING DEPT 4174750 I PLANNING DEPT I I BUILDING 417-4815 ( BUILDING i -1Policies11102_ 15 building pennit inspection Tecord05.wpd [ 1/4/2005] ACCEPTED BY., ACCEPTED YES NO PORT BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETEto be accepted fur revjevi, you , qucsl,.o-.is PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agerit:__ Owner - Address k 1 D � C _ft� ` ( (-j --- City. Architect/Engineer, Contractor e-0 ?," Mate License Address OX City - PROJECT ADDRESS i 1 0 --S CPo W e -- LEGAL DESCRIPTION Lot: Block. FOR OFFICIAL USEYNL Date Rec. Permit C 4 Date Approved, /w/VON" Date Issued Z'lti-lb!5 i 44-1 --1 Phone, Phone. Zip Phone Exp Phone Zip 4, r__ ZONING Subdivision. TYPE OF WORK. SIZENALUATION -k-Residential EI New Constr El Re -roof 0 Stove SF @ $ /SF = 0 Multi -family 13 Addition 0 Move 0 Garage SF @ $ /SF = $ EI Commercial 0 Remodel 13 Demolition 0 Deck SF @ $ /SF = $ 0 Repair ED Sign � Other Rue".tj TOTAL VALUATION -'-2;4q O'T- BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories. Lot Size. Existing, Sq Ft. Total lot coverage % PLANNING USE ONLY Occupant Load. &Proposed Sq Ft. ESA/Wetland(s) 0 Yes D No SEPA Checklist required? 0 Yes D No Other - Construction Type: =TOTAL Sq Ft. APPROVALS PLAN 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 mite the building permit application and construction plans are submitted. All other permit fees are due at the tnie of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 053.2 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 my responsibility to determ' what permits are required,not the City's, and that 1 must obtain such permits prior to work. T-\Pc)licies\BL 110213.wpd Applicant: ^AL- t1r o p o s a 1 r -dye rvo. OT Pages BROTHER'S PLUMBING & PUMPS, INC P 0 Box 2136 Sequim WA 98382 Ph 683-9191 P O Box 1584 Port Angeles, WA 98362 Ph 452 3259 P O Box 1049 Port Townsend Wa 98368 Ph 385-2006 PROPOSAL SUBMITT TO PHONE DATE STREET JOB NAME //0�> C&k,�� - Sr. CITY STATE and ZIP CODE_ JOB LOCATION 1-7 ARCHITECT I DATE OF PLANS �\ We jlrapU°SC hereby to furnish material and labor complete in accordance with specifications below, for the sum of- rtC r rdollars ($ Payment to be made as follows: (`! l JOBPHONE All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from specifications be- Authorized \ low involving extra costs will be executed only upon written orders, and will become an Signature �! I C1. L.�J extra charge over and above the estimate. All agreements contingent upon strikes, acci- dents or delays beyond our control. Owner to carry fire, tornado and other necessary Note: Is proposal may be insurance. Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within We hereby submit specifications and estimates for ff sus 4 T.� S Ju (( (4-f. (.l -c c. ) l �. A. f -r: p4�� �.-r 0j 4,.,R days. iL1G.►.� . '��� Qo�.1 ln.U.� i.r,t�:`.S,r� ���. ��.V—�'�±dl Q. ddxj�-r 1f~,�.�-(� ���., — owe < e4` a)14G Arreptaner of Proposal The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature — / PREPARED 1/04/08, 9:24:53 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/04/08 ---- - ------ ------- ADDRESS . : 1103 CAROLINE ST SUBDIV: TENANT, NBR: PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775-0759 OWNER PAMELA W BURSON PHONE (360) 452-5516 PARCEL 06-30-00-5-3-0545-0000- APPL NUMBER: 07-00000900 RES ADDITION ------- - -------------------------- -- -------------- ---------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------- ----------------------- BL1 01 8/16/07 PB BLDG FOUNDATION FOOTING TIME: 09:00 8/16/07 AP 08/15/2007 04:57 PM LPANGRLE BRENT 775-0759 FOUNDATION FOOTING REBAR FOR A SINGLE PLINTH REQUESTED A MORNING INSPECTION, FOR AN AFTERNOON POUR. 08/16/2007 04:30 PM P13ARTHOL --------------------------- BLPT 01 9/14/07 PB BLDG PLINTHS TIME: 09:00 9/14/07 AP 09/13/2007 01:02 PM LPANGRLE JEFF 461-9273 PLINTH MORNING 09/14/2007 11:42 AM PBARTHOL --------------------------- BL99 01 12/06/07 JLL BLDG FINAL TIME: 01:00 12/06/07 DA December 5, 2007 4:24:48 PM 1pangrle. BRENT 775-0759 BLDG FINAL - CARPORT AFTERNOON PLEASE CALL HIM 30 -MINUTES BEFORE YOU GET THERE. BL99 02 1/Qt/08 Y,`L n BLDG FINAL TIME: 01:00 II jT January 4, 2008 8:22:36 AM 1pangrle. yTb PAMELA 452-5516 BLDG FINAL - CARPORT AFTERNOON --------- COMMENTS AND NOTES -------------------------------------- sot S (��� 5V� ..�dtr" iiEf PREPARED 12/06/07, 9:29:58 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/06/07 -------- —---------------------------------------------------------------- -- ADDRESS . : 1103 CAROLINE ST SUBDIV: TENANT, NBR: PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775-0759 OWNER ; PAMELA W BURSON PHONE (360) 452-5516 PARCEL 06-30-00-5-3-0545-0000- APPL NUMBER: 07-00000900 RES ADDITION ---------------------------------------- ------------ --------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS — ---------------------------------------------------------------------------------------------- BL1 01 8/16/07 PB BLDG FOUNDATION FOOTING TIME: 09:00 8/16/07 AP 08/15/2007 04:57 PM LPANGRLE BRENT 775-0759 FOUNDATION FOOTING REBAR FOR A SINGLE PLINTH REQUESTED A MORNING INSPECTION, FOR AN AFTERNOON POUR. 08/16/2007 04:30 PM PBARTHOL ------------------- BLPT O1 9/14/07 PB BLDG PLINTHS TIME: 09:00 9/14/07 AP 09/13/2007 01:02 PM LPANGRLE JEFF 461-9273 PLINTH MORNING 09/14/2007 11:42 AM P13ARTHOL --------------------------- BL99 01 12/0§/07 BLDG FINALTIME: 01:00 December 5, 2007 4:24:48 PM 1pangrle. BRENT 775-0759 BLDG FINAL - CARPORT AFTERNOON PLEASE CALL HIM 30 -MINUTES BEFORE YOU GET THERE. -------------------------------------- COMMENTS AND NOTES -------------------------------------- ELECTRICAL PER,WT AAD INSPECTION RECORD CITY OF PONT ANGELES 360-417-4735 Application Number . . . . . Application pin number . . . Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name . . . . . . Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 07-00000923 Date 10/23/07 333843 1103 CAROLINE ST 06 -30 -00 -5 -3 -0545 -0000 - PAMELA BURSON MECHANICAL APPL. PERMIT COMMERCIAL OFFICE 9575 Owner Contractor ------------------------ PAMELA W. BURSON ------------------------ PENINSULA HEAT 1103 CAROLINE ST 782 KITCHEN DICK RD PORT ANGELES WA 983624203 SEQUIM WA 98382 (360) 461-7331 (360) 681-3333 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . PEN. HT. / T -STAT Permit pin number 110239 Sub Contractor PENINSULA HEAT Permit Fee 35.00 Plan Check Fee .00 Issue Date . . . . 10/23/07 Valuation . . . . 0 Expiration Date . . 4/20/08 Qty Unit Charge Per Extension 1.00 35.0000 ECH EL-LVT-FIRST THERMOSTAT 35.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 R INSPECTION TYPE DITCH SERVICE ROUGH - IN CON7MENTS : DATE: RESULTS: ELECTRICAL INSPECTOR: 11-IMIOOIA PREPARED 9/14/07, 9:41:12 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/14/07 ------------------------------------------------------------------------------------------------ ADDRESS . : 1103 CAROLINE ST SUBDIV: TENANT, NBR: PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775-0759 OWNER PAMELA W BURSON PHONE (360) 452-5516 PARCEL 06-30-00-5-3-0545-0000- APPL NUMBER: 07-00000900 RES ADDITION ---------------------------- ----------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------- -- BL1 01 8/16/07 PB BLDG FOUNDATION FOOTING TIME: 09:00 8/16/07 AP 08/15/2007 04:57 PM LPANGRLE BRENT 775-0759 FOUNDATION FOOTING REBAR FOR A SINGLE PLINTH REQUESTED A MORNING INSPECTION, FOR AN AFTERNOON POUR. 08/16/2007 04:30 PM PBARTHOL --------------------------- BLPT O1 9/14/07 JLL BLDG PLINTHS TIME: 09:00 09/13/2007 01:02 PM LPANGRLE V JEFF 461-9273 PLINTH MORNING -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: /� Date -/ Time ' ' j" -1 Received by poc�— (phone, person) Location of Work to be inspected 1 � U 3 Cam kN e - Name of person requesting inspection TE -F-,F— Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: Inspected: Date Time Remarks: Phone No. Permit No. Final Sewer Excay. Other e�, A RESTORATION REQUIRED ...... YES SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved [I Gravel ❑ Repaired by City ❑ Repaired by Permittee ❑ No Damage Found 0 NO ❑ Asphalt ❑ PCC Work Order # ❑ COMPLETE ❑ INCOMPLETE y61- 9z-73 0-7-9cfl ❑ Other I^ ---------.---..-.:,I-:i-----.--,..,1 rrnrrT r1 ME 01ftf1rCB11'lCH1T If-)ATG1 PREPARED 8/16/07, 10:18:50 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/16/07 -------- - ----------------- ------------- - -------------------------------- ADDRESS . : 1103 CAROLINE ST SUBDIV: TENANT, NBR: PAM BURSON CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 775-0759 OWNER PAMELA W BURSON PHONE (360) 452-5516 PARCEL 06-30-00-5-3-0545-0000- APPL NUMBER: 07-00000900 RES ADDITION ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/16/07 JLL ///►►► BLDG FOUNDATION FOOTING TIME: 09:00 08/15/2007 04:57 PM LPANGRLE I BRENT 775-0759 FOUNDATION FOOTING REBAR FOR A SINGLE PLINTH REQUESTED A MORNING INSPECTION, FOR AN AFTERNOON POUR. -------------------------------------- COMMENTS AND NOTES ----------------------- --------------- poftr,N,o 13L� Application Number . . . . . Application pin number . . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Tenant nbr, name . . . . . . Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . Application valuation . . . . CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07-00000900 Date 8/15/07 539000 1103 CAROLINE ST 06 -30 -00 -5 -3 -0545 -0000 - PAM BURSON RES ADDITION COMMERCIAL OFFICE 7700 Owner Contractor ------------------------ ------------------------ PAMELA W BURSON ALPHA BUILDER CORPORATION 1103 CAROLINE ST 1028 W 13TH STREET PORT ANGELES WA 983624203 PORT ANGELES WA 98363 (360) 452-5516 (360) 775-0759 --- Structure Information 000 000 ADD 220 SF ATTACHED CARPORT TO SFR Other struct info . . . . . HARD SURFACE AREA ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY INSTALLATION Additional desc . . Permit pin number . 108910 Permit Fee . . . . 170.00 Plan Check Fee .00 Issue Date . . . . 8/15/07 Valuation . . . . 0 Expiration Date . . 2/11/08 Qty Unit Charge Per Extension BASE FEE 170.00 ---------------------------------------------------------------------------- Special Notes and Comments The Fire Department has reviewed the project application and has no comments 08/14/2007 10:54 AM SROBERDS --Permit will result in a new carport in the CO zone for total lot coverage of 28t. No land use issues anticipated. MAINTAIN CLEARANCES FROM SERVICE WIRES Construct driveway to City Standards. 15' min. between driveways. If water meter is located in driveway service lines and meter will be reset to meet min. clearence requirements at owners expence. Meter box and lid will be traffic rated. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public works Engineering is required prior to pouring concrete. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ------------------------------------- Due -------------------- Permit Fee Total 170.00 170.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 174.50 174.50 .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 constru Signature of �ContrAactor/UthZorized Agent Date Signature of Owner (fwner is builder) Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEI DATE I ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER I SEWER CONNECTION SANITARY STORM l SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH I I I BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY[USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. / PW/ CONSTRUCTION - RW. I ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING TA\Pol icier\ 1102. 1 SR [1/05] pp4� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . .. 07-00000900 Date 8/15/07 Application pin number . . . 539000 Property Address . . . . . . 1103 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -0545 -0000 - Tenant nbr, name . . . . . . PAM BURSON Application type description RES ADDITION Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 7700 Owner Contractor ------------------------ ------------------------ PAMELA W BURSON ALPHA BUILDER CORPORATION 1103 CAROLINE ST 1028 W 13TH STREET PORT ANGELES WA 983624203 PORT ANGELES WA 98363 (360) 452-5516 (360) 775-0759 --- Structure Information 000 000 ADD 220 SF ATTACHED CARPORT TO SFR Other struct info . . . . . HARD SURFACE AREA ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . 220 SF ATT. CARPORT Permit pin number . 108183 Permit Fee . . . . 179.75 Plan Check Fee 71.90 Issue Date . . . . 8/15/07 Valuation . . . . 7700 Expiration Date . . 2/11/08 Qty Unit Charge Per Extension BASE FEE 95.75 6.00 14.0000 THOU BL -2001-25K (14 PER K) ---------------------------------------------------------------------------- 84.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 08/14/2007 10:54 AM SROBERDS --Permit will result in a new carport in the CO zone for total lot coverage of 28`s. No land use issues anticipated. MAINTAIN CLEARANCES FROM SERVICE WIRES Construct driveway to City Standards. 15' min. between driveways. If water meter is located in driveway service lines and meter will be reset to meet min. clearence requirements at owners expence. Meter box and lid will be traffic rated. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. ---------------------------------------------------------------------------- Other Fees . . . . . . STATE SURCHARGE ---------------------------------------------------------------------------- 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 179.75 179.75 .00 .00 Plan Check Total 71.90 71.90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 256.15 256.15 .00 .00 Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 const n. Signature of Contrp�ctor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051 BUILDING PERMIT INSPECTION RECORD O CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. Ij CALL 417-4807 FOR PUBLIC WORKS UTILITIES > PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAFUL TO COVER, INSULATE OR CONCEAL ANF WORE BEFORE O N INSPECTED AND _ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. Q KEEP PERMIT CARD AND APPROVED PLANS AT .JOB SITE. INSPECTION TYPE I DATE I ACCEPTED I COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS IPIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-rN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH -IN HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT /1's PARKING/LIGHTING LANDSCAPING RESIDENTIAL 311 G 1 0-7 I Ta - FINAL FINAL DATE ptinf4k II FINAL IF I I I SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL- LIGHT DEPT. 417-4735 CONSTRUCTION RW. / PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT. 417-4750 BUILDING 417-4815 �( T:\Policies\1102 15 building permit inspection record05.wpd [1/4/2005] ELECTRICAL LIGHT DEPT CONSTRUCTION - R.W. PW / ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING DATE ACCEPTED BY: ACCEPTED BY: DATE I ACCEPTED YES NO FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION DateRec.:O -7— 3V -07 _.-- p -t *: - q ' Fill out COMPLETELY and in INK. Your ap hcation and site plan MUST BE P P D e Approved: COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 to Issued: Applicant or 1 ?VVP _6n, 41Cj�l 177-1 AA:i- � • Phone: �77i �p � 14, Owner: I A N 0050Q Phone: �'r72' G'S j to Address: 1103 C'.g'r_yL.tv-j S, -r- City: P7apr A r4em k95 . Zip: 1{��7(/2 Architect/Enagineer: LItX5bP'Lf � `ciq1T1-4 Apre."1J, lr.�j Phone: 46Z-61) %(o I Contractor State License #: EXP: Phone: Address: City: Zip: PROJECT ADDRESS: ZONING: G D LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: d(O3 dcv S3 b 6'¢S 000 TYPE OF WORK: SIM/VALUATION: Residential ❑ New Constr. ❑ Re -roof ❑ Stove SF. @ /SF. = $ QD ❑ Multi -family `Addition ❑ Move ❑ Garage SF. @ $ /SF. = $ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck ❑ Repair ❑ Sign Other G'&96 ' 710W -i' SF. @ $ /SF. = $ TOTAL VALUATION $ - II pD;'" BRIEF DESCRIPTION OF THE PROJECT:t�j�f`)l5I/V L�T'i ',�L,I91g C.•L�#�•�'O- Tv illism NG VAwsi DtsNC_'E COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: ` No. of Stories: I Lot Size: 7 dG 0Existing Sq. Ft. I & Proposed Sq. Ft. ZZ4 = TOTAL Sq. Ft. Total lot coverage'. 4— % PLANNING USE ONLY: APPROVALS: PLAN - BLDG: DPWU: ESA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ 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 Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will ezpire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 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 itis my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior tork. �v TAFQRMS\B1dgPermitform.wpd Applicant: \ � V F CAROLINE STREET lu iu N -------------� I I Pr�RTi AcUi' 3 O NEW 4" THICK CONCRETE DRIVE OVER GRAVEL BASE � i in I f PROVIDE CURB CUT AND CONCRETE APPROCH PER CITY'S STANDARDS Q 0 r • • 0 OYO • io Vll ore I� r l 0 OYO • io SpQ'r CITY OF' PORTANGELES DEPARTMENT OCOMMUNITY DEVELOPMENT - BIALDING DIVISIONN321 FAST 5TH STREET, PORT ANGELES, WA 98362 izcw BUILDING PERMIT ISSUED: 6/04/2002 PERMIT NO: 13462 OWNER/APPLICANT PAMELA BURSON 1103 CAROLINE Port Angeles, WA 98362 000/000-0000 T: S: CONTRACTOR WESCO ENTERPRISES P.O.BOX 1527 PORT ANGELES, WA 98362-0000 360/000-0000 PROJECTINFO Project Value: $2,489.00 Project Type: RE -ROOF Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: RS7 PROJECT NOTES TEAR OFF, FELT, COMP FEES ASSESSMENT Building Permit: $83.25 Plan Check: $0.00 State Surcharge: $4.50 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 Plumbing: $0.00 Mechanical: $0.00 Radon: $0.00 PROPERTY LOCATION 1103 CAROLINE Lot: 10 Block: 5 Subdivision: PSCC Parcel No: ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD SQ FT: 0 MFD Units: MFD SQ FT: Misc Fee 1: Misc Fee 2: Misc Fee 3: 0 U TOTAL FEE: AMOUNT PAID: BALANCE DUE: N Long Legal Commercial: 0 Industrial: 0 Garage: 0 (il $0.00 $0.00 $0.00 $87.75 $87.75 .M 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 TAPLANNINGTORMS\1102.15 14/20021 i .i 0 r R BUILDING PERMIT INSPECTION RECORD CALL, 417-4515 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE r3 `I (P9 INSPECTION TYPE I FOUNDATION: FOOTINGS ' WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARA'T'E PERMIT- ROUGH-FN ERMIT-ROUGH I PLUMBING UNDERFLOOR/SLAB ' ROUGH -IN WATER LINE GAS LINE BACK FLOW � WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS I SHEAR WAIL WALLS / ROOF /CEILING DRYWALL I T -BAR INSULATION SLAB I WALL, FLOOR; C-EILFNG MECHANICAL HEA I'PUMP I WOOD STOVE/PELLET/CHIMNEY I HOOD] DUCTS DATE ( ACCEPTED YES I NO PW' UTILITIES / SITE WORK (Engineenng Division) SEPARATE PERMIT #'s- WATERLINE., METER SEWER CONNECTION 1 SANITARY I COMMENTS STORM I ] I PLANNING DEPT. SEPARATE PERMIT R's 1 SEPA: PARKING/LIGHTING LANDSCAPING I SHORELINE: FINAL INSPECFIONS REQCIRED PRIOR TO OCCUPANCYAISE I I RESIDENTIAL DATE YES NO COMMERCIAL DATE ( ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. r PWI CONSTRUCTION - R. W ENGINEERING 4174807 I PW/ENGINEERING FIRE 417-4653 I ' FIRE DEPT. PLANNING DEPT. 417-4750 ' ( PLANNING DEPT ' BUILDING 4174815 SVS` o L ILS. /T' I I BUILDING T \I'I.ANNING\FORMS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date 6 _ 02- Timp Received by /` (% (phone, person) Location of Work to be inspected—/ 1 > > �, p l ✓r --, Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. /,? V GZ. Sewer Foundation Framing Chimney Plumbinginal Sewer Excay. I'e kocf - INSPECTION NOTES: r Inspected: Date ;^ Remarks: ' Timp no RESTORATION REQUIRED ...... YES NO Other f'f SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑ Asphalt ❑ PCC ❑ Other ❑ Repaired by City ❑ Repaired by Permittee ❑ No Damage Found Work Order # ❑ COMPLETE ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Job wired by )(Electrical Contractor Q Owner ELECTRICAL WORK PERMITAPPLICATIQN 'N /Iastallation dac.ipt, n O CommercialResideadal Electrical cops't actor name (` -.} 1, cm number Date Expires Q , f S s l.eC.,t'P1 f�,.1 New 1ltered/Addidon Purchaser's mailing address — . , ,Seer, slue 2Iv, chat--� n je S at. ZIP Tel hone number FAX number el4yP_-b-753 -Pr'Sea owner's name ParneJla Address of inspection (103 cava(, n� City T /t 1 Phone number to schedule Inspection: Li �� f Owner as defined by RCw19.28.26l:(Q [honer will occupy the structure for two I years after thrr electrical permit is furl ed. (2) Owm r u required to hir'a an eleiancal cmtlsacior f above said property it for sale, rem Dr tease. ❑ Cash O Check # After rtading the above statement, i hereby cenify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal. 0 Credit Gird ration or alteration in compliance with the electrical laws, N.E.C., KCw, Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angcics Municipal Codc, and Card # Utility Specifications. -- iISlgna a owner, ectfcal contractor or electrical administrator 1 Expiration Jute l Date:' `'zJowfcud Electrical Load A 'ons and or subtrartinrigI O NO LOAD CHANGES 0 Baseboard _KW O Furnace _ KWOverhead Service 0 Heat Pump _ Ton LAR 0 Tamp Service ix 0 Fan -Wall _ KW _ V Ta p Service Rnrvirn SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-473$ ROUGH -IN bite 1 11IERMOSTAT p,p,,.rd sy J D,ic Awm�ca ar J D1TCHnwA. Inspection Date -2-,10—a-7 T ,o 7-1, ' Visa Mastercard Discover C Inspection (cc � Service /Information voltag v Phase Q t O 3 Servide Sizer Feeder Size: 0 C— SERVICE - - Dae Approved Ry � Crale � pptow<d ar � Area, Building or Equipment insptx:n:d Action Taken electrical Inspector P I � j Inf £SL9 ZS4 092 'ON Xdj b010H?J1NO0 IbOld17313 'S'd'U WONj 08/06/07 19:40 F.C1 9606812086 Peninsula Heat !A BUILDING PERMIT - APPLICATION t Fill out COMFLETELY and in M. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360)417-4815 M FOR OFFICIAL USE ONLY: Dart Rcc.: U 8 - 6 (0 _0.7 Pa it b': Q-7'-/�12.3 Date Approved:,— Dare Issued: / / /- v Applicant or Agent: /: a'r/DT ie /�Pii'S/l7rJ Phone: /, S-/ 3 3 3-3 �p Owner: Iod l" . 4 AwrSa-yl Phone: zf J— 73 -3 f W Address: //4r3 52L- city. PO I'l-A ae- I., -e,- Zip: U ArchitecOm '' eer: / Phone:/ Contractor % e ) ffbc /a � tate License #: lar'wwvl��l�J Phone: �� �,� Address: ao� IL/ Ae1. r_ z�= kkity: 1/0 Al, -7 Zip: 973 S�P— PROJECT ADDRESS: 1) 677;1 / /i rA )/ p . �� / ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TY;eOF WORK SIZEIVALUATION: esideatial ❑ New Constr. 0 Re -roof ❑ Stove SE @ $ /SF. _ $ ❑ Multi -family ❑ Addition 0 Move EJ, Garage SF. @ $ ISF. = $ ❑ Commercial 0-1emodel ❑ Demolition 0 Deck SF. @ s—/SF. = $ 0 Repair. .0 Sign 0 Other // TOTAL VALUATION $_ 9 9!i 7f B7F DESc PTION OF THE PROJECT: Gl all ter. COMMERCLIIJRESIDENTL4L: Occupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size: Existing Sq. Ft & Proposed Sq. Pt = TOTAL Sq.Ft. Existing lot coverage — % & Proposed lot coverage �% = Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU- ESA/Wedand(s): 0 Yes ❑ No SEPA Checklist required? 0 Yes 0 No Other: FIRE: OTHER BUII.DING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed andmaybe rcvisedbythe Building Division to comply with current fee schedules. Contact the Permit Coordinatorat417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it trust be submitted at the time the building permit application and coustructionplaus are submitted..All otherpennit fees are ducat the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire, The Building*�Q eQ� for action by the applicant up to 180 days upon wrttten request by the applicant (see Section 207.4 of the I nt d�I edition). No application can be extended more than once I hereby certllAWR 114 raWind examined this application and knows a same to sbetrue a rrect. I am authorized to apply for this permit and understand that d is my responsibility to determine what permits an req f of the n t I m t obtain such permits p ' r to work M . T:T0RwPPL TgesrWTVd Appliean c: ei j ELECTRICAL PERMIT CITY OF PORT ANGELES 350417-4735 Application Number . . . 18-00000877 Date 7/03/18 Application pin number . . . 571931 Property Address . . . . . . 1103 CAROLINE ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -3 -0545 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . Property Use . . . . . . . Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc PV system, Battery storage. - ---------------------------------------------------------------'�----------- Owner DA Contractor R INSPECTOR. ------------------------ PAMELA W BURSON /TE: .? / Z / ------------------------ POWER TRIP ENERGY CORP. 1103 CAROLINE ST SERVICE 83 DENNY AVE PORT ANGELES WA 983624203 PORT TOWNSEND WA 98368 (360) 912-1659 (360) 643-3080 -7/z ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL COMMENTS: Additional desc . . PERMIT "LL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Permit Fee . . . . 165.00 Plan Check Fee .00 Issue Date . . . . 6/13/18 Valuation 0 Expiration Date . . 12/29/18 Qty- Unit Charge Per Extension 1.00 102.0000 ECH EL -RENEWABLE 5-KVA OR LESS 102.00 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SSR FEED 63.00 ---------------------------------------------------------------------------- Fee.summary Charged ---------- ---------- Paid Credited -------------------- Due ----------------- Permit Fee Total 165.00 165.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 165.00 165.00 .00 .00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DA RESULTS: R INSPECTOR. DITCH /TE: .? / Z / 4 SERVICE ROUGH -IN •717- I FINAL -7/z COMMENTS: PERMIT "LL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Sim of owner or Electrical Contractor X Date: ti 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATI" I lbd ic 9, -k ci 1 10 i.41 .n - ',i 1t„ .l: ,ta; i?%x.'.f4 � :s�. ,,.,:.ii[ .i'tlEst:+_4'I• .,?I�. d EL i WAt Project Address: 1103 Caroline Street Port Angeles, WA 98362 c Project Description: Roof mounted, grid -tied 4.02 kW solar array with 7.6 hybrid DC converter and 9.8 kWh battery Ll Single -Family Residential ❑ Duplex /ARU Building Square footage: 1118 Name: Pamela Burson Email: pamela1103@wavecable.com Mailing Address: 1103 Caroline Street Port Angeles, WA 98362 Phone: 360-912-1659 Ilii III Ih I d# V i i; l i i � i, a i� i 1 61,.1 111 i *r Solar Agent: Michael Slater Client Name: Burson Residence Power Trip Energy Corp 83 Denny Ave Port Townsend, WA 98368 (360)643-3080 www.powertripenergy.com LIC: POWERTE964JN Project: Burson Residence- Client: Pamela Burson Phone: (360) 912-1659 Address: 1103 Caroline St, Port Angeles, WA 98362 System Description: 4.02 Residential Grid -tied PV Solar Modules: DC Optimizers: Battery: LG Battery RESU10- 4.02Residential Grid -tied PV _ 12 SPR-X21-335-BLK-DC 12 SolarEdge P400 East exterior wall of house Utility Grid: City of Port Angeles Net Meter: East exterior wall of house Meter #: Main Service Panel (LOAD): 200 Amps East exterior wall of house (meter/ main) May 21, 2018 Inverter: SolarEdge 760OA-US East exterior wall of house Max output: _7600 watts to Grid, 5000 watts to backed up loads Operating Voltage: 240 V AC Auto Transformer: East exterior wall of house AC System Disconnect: (Visibly Open and Lockable) East exterior wall of garage Production Meter: East exterior wall of garage AC Backed up Loads Panel (New): East exterior wall of house Auto Transfer Switch Line I Line 2 Load I Load 2 -3- Site Plan for Burson 4.02kW solar array: 1103 Caroline Street Port Angeles, WA 98362 2 - 335 SUNPOW■R DC SOLAR ARRAY iOUTH FACING ROORLINE OR GARAGE EAST EXTERIOR WALL OF HOUSE: Now - SoLAREooE 76MA-US INVERT- oR9 AUTO TRANSPORM■R4 AC DISCON- NECTj AC RACKED -UP LOADS, AUTO - TRANSFER SWITCH AND PRODUCTION METER. EXISTING -NET METER AND MAIN SER- VICE PANEL. ERTY LINE More than 21 % Efficiency Ideal for roofs where space is at a premium or where future expans on might be needed. Maximum Performance Designed to deliver the most energy in demanding real world conditions, in partlai shade and hot rooftop temperatures.' -< Premium Aesthetics SunPowerl SignatureTM Black X-Senes panels blend harmoniously Into your roof The most elegant choke for your home Maxeon" Solar Cells: Fundamentally better. Engneered for performance, des fined for cigab Pty. Engineered for Peace of Mind Designed to deliver consistent, trouble-free energy over a very long hfet;me. 34 Designed for Durability The SunPower Maxeon Solar Cell is the only cell built on a solid copper foundation. Virtually mpervious to the corrosion and cracking that degrade Conventional Panels.' Same excellent durability as E-Ser;es panels. #1 Rank in Fraunhofer durability testa 100% power maintained in Atlas 25, comprehensive Duraoilitytest.10 Unmatched Performance, Reliability & Aesthetics SERIES S GNATURET" BLACK SPR -X21-345 SPR -X21 -335 -BL< Highest Efficiency' Generate more energy per square foot X -Serres residential panels convert more sunlight to electricity producing 38% more power per panel,' and 70% more energy per square foot over 25 years.' Highest Energy Production' Produce more energy per rated watt Nigh year one performance delivers 8-10% more energy per rated watt.' This advantage increases over time, proaucing 21 % more energy over the first 25 years to meet your reed s.3 1111- Sunpower Offers The Best Combined Power And Product Vlarranty Power Warranty More g-aranteed power 95% for fest 5 years, -0.4%/yr to year 25. 41 i. SPR-X21-335"BLit SPR X21-345 _ Nominal Power (Pnom) ' 335 Wy 345 W Power Tolerance -5/-0% 15/-0% Avg Panel Efficiency'2 21.0% 21.5% ~Rated Voltage (Vmpp) 57.3 V 57.3 V Rated Current (Impp) 5 85 A _6.02A Open -Circuit Voltage (Voc) 67 9 V 68.2 V Short -Circuit Current (Isc) 6.23 A 6 39 A _ Max. System Voltage 600 V'JL & 1000 V IEC Maximum Serres Fuse 15A Power Temp Coef. -0.30% / OC Voltage Temo Coef. -167.4 mV / 'C C.rrent Temp Coef. 3 5 mA / ^C RE=FRENC.s All ccii iso^s a,e SPR -X21-345 s a -ec, esentati- co,,enuoral barrel Z50w, apcirox, I.6 r 12, 15.3?ro efficiency, 2 Typically 8-1 Com mo•e energy oer'watt, 3E W/DNV 3ngiii "Sur?ower Ylelc Reoort;' lar 2013 3 Sur -owe, _25%1m r degrecation , s I OFrvvr corn. care] Car pear,. Z at si 'tiurnowe• Module Deg,adatior Rate,' SunPowe, white paper, nee 1013, o,dan, Dirk 'Surnowe, Test Reoori NRS_. Q, -2015 4"SunrPowe, Module 40-vear -sefui _ife" S,.i white pacer, May 2015 Userui life is 99 out of 100 panels operating at mo,e Char 70% of rated power 5 Highest of over 320C silicon sola, panels, Photon Module Survey, Feb 2014 c 1% more ere,gy Char =-Series oanels, 8% more Pnerg/ than the average of the top 10 pare[ comoaries sestec Ir 2012 (151. carrels, 102 companies), Prater International, Feb 2013 7 Corroareo',vith the top 15 r^arJacture,s, SunPower warranty Review May 2015 8 Seme restncuors and exns;cns may apply See warranty for de[a, s 9 x"Series same as Series, 5 of top 8 panel manufacturers testeo In 2013 reoort, 3 additicral panels in 2014 Ferrara, C, et al. '-aunhofer PV Duraoilhry iritiative for Solar Mod,les 'art 2" -F otavoltaics'ntermationai, 2014 10 Compa,ed with the ron stress tested eortrol oarel. X-Se,ies same as SSe,es, testea in .Atlas 25- Dulaoiry test, edbn, -ec 2U13 11 Standard Test Conoitors 11000 vV/mz i-adence, AM 1 5 25° C) NR-'_ caiibratio- Stardara SOMS -�rrent,'_ACCS =F arc voltage I?'Daseo on average at-easred rnwe' mlies ourlrg orud,.cnon 13 Type 2 fire rating Der UL 1703 20 13 Class C fire ratirg oe, ! IL1 703'2CO2 14 See sales oerson for oetatls Product Warranty 32mm [ 13 I] LONG SIDE 22 mm SHORT SIDE See htto r/wlPrw suroawercomrfac's for more eference Irformauon GS frames have no mounting holes Please read the safety and Installation guide For mare details. see extended datasheet wvsw Suncower com/datasheet, Document # 504828 Rev E /LTR_US s Combined Power and Droci ,ct defect 25 year coverage tnat includes panel replacement costs s And Certifications Standard tests' JL1703 (Type 2 Fire Rating), IEC 61215, IEC 61730 Quality Certs !SO 9001:2008. !SO 14001.2004 RcHS, OHSAS 18001 2007, lead free, REACH EHS Comollance SVHC-155, PV Cycle Sustainability Cradle to Cradle (eligible for LEED points) 14 Ammonia :est IEC 62716 Desert *est 10 1 109/PVSC.2013.6744437 Sal; Spray test_ IEC 61701 (maximum severity) PID test Potential -Induced Degradation free: 1000VI Available listings UL, CEC, TUV, MCS, FSEC Poll • • • • i, . Temperature - 40°F to +185°F (- 40°C to +85°C) Impact resistance 1 Inch (25mm) diameter hail at 52 mph (23 m!s) Appearance Class A+ Solar ;.ells 96 Monocrystalllne Maxeon Gen !I! Tempered Glass High transmission ,empered Anti -Reflective ;unction Box IP -65, MC4 Compatible Weight 41 lbs (18 6 kg) _ GS name: Wind. 62 psf, 3000 Pa, 305 kg mz front & back Snow ' 25 psf, 6000 Pa, 61 1 kg/mil front Max bad G3 Frame Wind 50 psf, 2400 Pa, 244 kg/M2 front & back Snow: 112 osf, 5400 Pa, 550 kg/m2 front I Frame Class 1 black anoc zed (hlQhest AAMA rates) G5 FRAME PROFILE I Compatible I"mount 46 mm 1558 m [1.8 in] m -.-�_ --— --- [61.3 in] - 0 on [1 2 int G3 FRAME PROFILE 1046 mm J Not .nvaiMo of compacmle [41.21n] L[ � Its ' c✓-� 32mm [ 13 I] LONG SIDE 22 mm SHORT SIDE See htto r/wlPrw suroawercomrfac's for more eference Irformauon GS frames have no mounting holes Please read the safety and Installation guide For mare details. see extended datasheet wvsw Suncower com/datasheet, Document # 504828 Rev E /LTR_US « � �0 � ..: w.a ><v � . \ l � `®3 ����� �^� d Je �e � � � 9 � �� � d/»i � �= « � y ©» v �o -� %/�� « . . � ±» � � r ��� "tea} §���,>> /� �o m2• ,yam 2= �� �. � � © '� �� »� ° � ^ � 20°f �� ^` � /�\�� : �� �©. . a Change Your Energy, Charge Your Life 48V 4 RESU3.3 RESU6.5 Total Energy [kWh]' 3.3 65 Usable Energy [kWh] 2.9 5.9 Capacity [Ah] 63 126 Nominal Voltage [V] 51.8 51.8 I Voltage Range [V] 42.0-58.8 42.0-58.8 Max Power [kW] 3.0 42 Peak Power [kW] (for 3 sec.) I 3.3 46 i Dimension [W x H x D, in] 17.8 x 15.8 x 4.7 17.8 x 25.7 x 4.7 Weight [Ib] 68 115 Enclosure Protection Rating IP55 Communication CAN 20 B C Certificates ell UL1642 Product ULl 973 / TUV (IEC 62619) / CE / FCC / RCM Compatible Inverter Brands: SMA, SOIaX, Ingeteam, Redback, GoodWe, Sungrow, Victron Energy - More brands to be added 1) Total Energy is measured at the initial stage of battery life under the condition as follows: Temperature 77°F 2) Usable Energy is based on 90% of Depth of Discharge (Battery cell only) 400V RESU10 9.8 8.8 189 51.8 42.0-58.8 5.0 7.0 17.8 x 19.0 x 8.9 165 ® RESU Plus is an expansion kit specially designed for 48V models of new RESU series. With RESU Plus, all 48V models can be cross -connected with each other. •Dimension: 6.1 x 8.5 x 4.8 (W x H x D, in) • Number of Expandable Battery Units: Up to 2EA • IP55 RESU7H 7.0 6.6 63 350-450 3.5 5.0 (for 5 sec.) 293x27.2x8.1 168 Type -It 9.8 9.3 63 350-450 5.0 7.0 (for 10 sec.) 29.3x35.7x81 214 RESUIOH Type -C 9.8 9.3 63 430-550 5.0 7.0 (for 10 sec.) 29.3 x 35.7 x 8.1 220 IP55 RS485 RS485 CAN 2.0 B Certificates i Cell UL 1642 1 Product TUV (IEC 62619) / CE / FCC / RCM I UL1973 / TUV (IEC 62619)/CE/ FCC /RCM Compatible Inverter Brands. SMA (RESU1 OH), SolarEdge (RESU7H, RESUI OH) -More brands to be added 1) Total Energy is measured at the initial stage of battery life under the condition as follows Temperature 77°F 2) Usable Energy is based on 95% of Depth of Discharge (Battery cell only) solar =@@ SolarEdge Single Phase StorEdge Inverter for North America SE7600A-US(') — Single inverter for PV, grid -tied storage and backup power — Includes the hardware required to provide automatic backup power to backed -up loads in case of grid interruption — Includes all interfaces needed for battery connection — UL1741 SA certified, for CPUC Rule 21 grid compliance Lower Power Output Higher Power Output OUTPUT -_AC (LOADS/GRID-)_ - -- - - - -- - Rated AC Power Output 7600 VA Max AC Power Output 8350 VA AC Output Voltage Min -Nom -Max (L -L)121 211-240-264 Vac AC Frequency Min -Nom -Max (2) 59.3 - 60 - 60.5 Hz Maximum Continuous Output Current @240V 32 A GFDI 1 A Utility Monitoring, Islanding Protection, Country Configu- Yes rable Thresholds Charge Battery from AC (if Allowed) Yes THD <3 % Power factor with rated power >0.99 (configurable, 0.9 leading to 0.9 lagging) Typical Nighttime Power Consumption <5 W ----------------------- --------------------- --------- ------------ OUTPUT - AC (BACKUP POWER)131 - Rated AC Power Output 5000'° VA Max AC Power Output - Surge 6600141 VA AC Output Voltage Min -Nom -Max (L -L) 211-240-264 Vac AC Output Voltage Min -Nom -Max (L -N) 105-120-132 Vac AC Frequency Min -Nom -Max 55-60-65 Hz Maximum Continuous Output Current @240V - Backup Mode 21 A Max Continuous Output- Current per Phase @120V 25 A GFDI 1 A AC Circuit Breaker Yes THD <5 % Power factor with rated power 0.2 leading to 0.2 lagging Automatic switchover time <2 sec pica -i Nightt me Power Consumption <5 W -Ty INPUT - DC (PV and BATTERY) Transformer -less, Ungrounded Yes Max Input Voltage 500 Vdc Nom DC Input Voltage 400 Vdc Reverse -Polarity Protection Yes Ground -Fault Isolation Detection 600kO Sensitivity Maximum Inverter Efficiency 98 % CEC Weighted Effiiency 97.5 INPUT - DC (PV) Maximum DC Power (STC) 10250 W Max Input Current 161 23 Ado 2 -pole Disconnection Yes INPUT - DC (BATTERY) Supported Battery Types LG Chem RESU10H Number of Batteries per Inverter 1161 Continuous Power 3300 5000 W Peak Power 5000 7000 W Max Input Current 8.5 17.5 Ado 2 -pole Disconnection Yes DC Fuses on Plus and Minus 12A (field replaceable) 25A (field replaceable) ADDITIONAL FEATURES Supported Communication interfaces RS485 for battery, RS485, Ethernet, ZlgBee (optional), Cellular (optional) Battery Power Supply Yes, 12V / 53W Revenue Grade Data, ANSI C12 20 Optionall'1 Integrated AC, DC and Communication Connection Unit Yes AC Disconnect Yes Manual Inverter Bypass Switch Yes DC Voltage Rapid Shutdown (PV and Battery) Yes, according to NEC 2014 and 2017 690 12 Auto -transformer thermal protection Yes hl These specifications apply to inverters with part numbers SE7600A-USS2XXXXX and connection unit model number BCU-IPH-USS 1�1 For other regional settings please contact SolarEdge Support 131 Not designed for standalone applications and requires AC for commissioning 1°1 The rated AC power output is the minimum between the AC Power Output and the battery continuous peak power Isl A higher current source may be used; the inverter will limit its input current to the values stated 161 For two LG Chem batteries connection contact SolarEdge 1'1 Revenue grade inverter P/N P SE7600A-USS20NNM2 so I a r- SolarEdge Single Phase StorEdge Inverter '� for North America SE760OA-US STANDARD COMPLIANCE Safety Grid Connection Standards Emissions INSTALLATION SPECIFICATIONS AC Output (Loads/Grid) conduit size / AWG range AC Output (Backup) conduit size / AWG range AC Input (Auto -transformer) conduit size / # of Strings AWG range DC Input (PV) conduit size / AWG range DC Input (Battery) conduit size / AWG range Dimensions with Connection Unit (H%WXD) Weight with Connection Unit Cooling Noise Min - Max Operating Temperature Protection Rating Lower Power Output Higher Power Output UL1741, UL1741 SA, UL1699B, UL1998, UL9540.CSA 22,2 IEEE? 547, Rule 21, Rule 14H FCC part15 class B 1"/146AWG 0.75-1" knockouts / 14-6 AWG 0.75-1" / 14-6 AWG 0.75" / 1-2 Strings 14-8 AWG 0.75' / 12-10 AWG 37x12.5x72/940x315x184 58.S/126 5 Natural convection and internal tan (user replaceable) <50 -13 to +140 / 25 to +60 NEMA 3R Inverter Interface m/mm lb / kg dBA F/ -,- DC- DC+ L1 L2 N G DC ; - Manual N.O. N.C. • AC • Disconnect; : Bypass disconnect w t ^ .......................: DC- DC+ DC- DC+ — — Automatic i _ Syitchover Fuses N.C. 14 N.O; �+ Circuit / :Breaker •. .............. ------ ----.. s Battery Control R5485 L L2 { Ll L2 I { Ll L2 I GND bus -bar Auto trransformer Y PV Battery Meter AC Grid — AC Backup — to the main distribution to backed -up panel loads panel solare e zi ELECTRICAL RATINGS Rated Power - Continuous Rated Power Peak Output Voltage Max Continuous Output Current per Phase @120V Split Phase Imbalance (@Rated Power) Thermal Protection INSTALLATION SPECIFICATIONS AC Output conduit size / AWG range Dimensions (HxWxD) Weight Mir. - Max Operating Temperature Protection Rating Installation SolarEdge Auto -transformer SEAUTO-TX-5000 SEAUTO-TX-5000 5000 VA 7600 for10sec VA 120/240V Split Phase 25 A Yes, up to 25A difference between phases Yes 0.75' / 14-6 AWG 67x7.9x5.5/170x200x140 in/rnm 297/13.5 !b kg -13 to +140 / -25 to +60 `F / 'C NEMA 311 Wall mounted solar" • • z SolarEdge Electricity Meter for North America SE-MTR240-0-000-S2 For meter specifications refer to: httus://www.so!aredee.com/sites/default/files/se electricity meter na.odf so I a r" v • z SolarEdge Single Phase StorEdgeTM Solutions for North America StorEdgeT" Features: — Smart Energy Management - export control, time -of -use shifting, maximized self -consumption, demand response and peak shaving capabilities — Backup power - automatically provides power to backed -up loads in the event of grid interruption — All -in -one solution uses a single DC optimized phase inverter to manage and monitor both PV generation and energy storage — Compatible with the LG Chem RESU battery. PV �OA Power Optimizers DC ked -up Loads Loads M Ih Battery Pack Inverter w AC AC f ' Auto - transformer DC AC Supported Battery vendors ® LG Chem Grid Meter Cloud -based Monitoring Platform SolarEdge StorEdge"m Solutions for North America - Product Selector Grid -tied solar, backup power Grid -tied Grid -tied solar and smart energy solar and backup and smart energy power management management Single Phase StorEdge— Inverter ✓ ✓ ✓ ansformer ✓ ✓ ge Electricity Meter ✓ ,/ Battery / �/ ✓ `aa a A *416 40% 60 4L_