Loading...
HomeMy WebLinkAbout1314 O St - BuildingApplication Number 06 00001033 Application pin number 303130 Property Address 1314 0 ST ASSESSOR PARCEL NUMBER 06 30 01 7 9 0030 0000 Tenant nbr name GLENN TERRA Application type description FIRE SPRINKLER SYSTEM Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 2668 Owner Contractor CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 Fee summary Charged Paid Credited Due Date 9/22/06 ROLLING HILL HOMES LLC INNOVATED FIRE SPRINKLERS 1312 MAIN ST 81 NEW HAVEN LANE VANCOUVER WA 98660 PORT ANGELES WA 98362 (360) 582 1899 (360) 452 7583 Permit FIRE SPRINKLER RESID Additional desc Permit pin number 87270 Permit Fee 00 Plan Check Fee 00 Issue Date 9/22/06 Valuation 0 Expiration Date 3/21/07 Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examines this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. Signature of Contractor or Aittorized Agent' Date Signature of Owner (if Owner is builder) Date Call 360- 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed J Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final k- `1 -01 D FJRE ALARM Rough -in inspection Alarm final LP -GAS Completed by Contractor Underground piping inspection /pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test 1 Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test LP -gas final Time initiated UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD 2/15/00 psi psi Address: 1 3G E. 8 -I-I-, Architect/Ena TYPE OF WORK. 'Residential New Constr Multi family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE TAFORMS BIdgPermitformwpd Applicant: 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 PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent. V l ".C._ t Phone. Owner 366 Li S 2- 7S"'R3 C 1 Qv 1 it v %re, Phone: City PO J' e le _p Zip 9 2 Phone: Contractor //Y4/d dig --Z ,c 7 State License 4 f i dM/XS d i/ xp Address: 8/ /)./..e_ w /7 City Pay -7 4-5 .e 1 LJ' PROJECT ADDRESS 3/4' Sa 0 s 7 e LEGAL DESCRIPTION Lot: .3 Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. Re -roof Stove Move Garage Demolition Deck Other PROJECT _Tr ,S' y COMMERCIAL/RESIDENTIAL. Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Oh 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 Coordmator 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. EIO'IRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon wntten request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No apphcation can be extended more than once. 1 hereby certify that have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that l must obtain such permits prior to work. ,e,e150, Occupant Load. Proposed Sq Ft. FOR OFFIC Date Rec. Permit Date Appro Date Issued: Construction Type: TOTAL Sq Ft. Date: 9 7e2 /Q'tv 7 pp,F0 Ce SWF/V ALUATION SF /SF SF /SF SF /SF O 3 TOTAL VALUATION 2 �o C� se `tre tV) v~_ Q.,— S r2 S APPROVALS PLAN BLDG DPWU FIRE. OTHER. 8l/ r Phone: t iS2 2� e 3 Zip C1. J 6 :4 ZONING Project Name Private Residence Installer• Innovated Fire Sprinkler Type of System Additional Comments Contractor (4 Building Department Fire Department PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Open Fire Sprinkler System Plan Review Address 1314 South "0" Installer Telephone 452 -7583 13 Date 9.21.2006 PAFD Permit 06 -48 13 13D® We have checked this plan and find that it conforms to the requirements of the code All systems, including underground mains, shall be installed by a state licensed and certified company Systems shall be installed per the applicable NFPA Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. Reviewed by Vk_G Date q 2( 0,6 PREPARED 4/13/07 8 52 19 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/13/07 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR OWNER GLENN TERRA PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PHONE PHONE (360) 621 9433 BL1 01 6/13/06 JLL .BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP rod 908 5510 06/12/2006 11 17 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 50 PM DYASUMUR 06/16/2006 02 15 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 41 PM JLIERLY BL9 01 7/18/06 JLL BUILDING SHEARWALL 7/18/06 AP SHAWN 360 621 9786 07/17/2006 12 28 PM DYASUMUR 07/18/2006 05 07 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 4771862 09/01/2006 07 56 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 9/29/06 JLL BUILDING AIR SEAL 9/29/06 DA 09/28/2006 10 20 AM NWEST SHAWN 360 621 9786 09/29/2006 01 35 PM JLIERLY air seal around plumb penetrations /address numbers /block joist beam instersecdtion at deguzzi location only/j11 BL3 01 9/29/06 JLL BUILDING FRAMING 9/29/06 AP 09/28/2006 10 49 AM NWEST SHAWN 360 621 9786 09/29/2006 01 30 PM JLIERLY BAIR 02 10/05/06 JLL BUILDING AIR SEAL TIME 13 00 10/05/06 AP sean 360 621 9786 10/04/2006 01 30 PM DYASUMUR 10/05/2006 04 22 PM JLIERLY BL3 02 10/05/06 JLL BUILDING FRAMING TIME 13 00 10/05/06 AP 10/04/2006 01 31 PM DYASUMUR 10/05/2006 04 20 PM JLIERLY BLI 01 10/17/06 JLL BUILDING INSULATION TIME 13 00 10/17/06 AP SEAN 621 9786 10/16/2006 11 02 AM DYASUMUR 10/17/2006 04 28 PM PBARTHOL pb FFNL 01 4/12/07 KDD FIRE FINAL 4/12/07 AP 04/12/2007 04 15 PM KDUBUC Fire final 4 11 2007 04/12/2007 04 16 PM KDUBUC Fire final 4 11 2007 BL99 01 4/13/07 J L BUILDING FINAL TIME 01 00 04/12/2007 12 20 PM PERMITS SHAWN 621 9786 COMMENTS AND NOTES PREPARED 1/31/07 8 22 04 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/31/07 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 ,APPL NUMBER 06 00000438 RES NEW SFR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 9/29/06 JLL MECHANICAL ROUGH IN 9/29/06 AP 09/28/2006 10 52 AM NWEST SHAWN 360 621 9786 09/29/2006 01 29 PM JLIERLY ME1 02 10/05/06 JLL MECHANICAL ROUGH IN TIME 13 00 10/05/06 AP 10/04/2006 01 31 PM DYASUMUR 10/05/2006 04 20 PM JLIERLY 1/347 L MECHANICAL GAS LINE ME6 01 01/30/2007 04 43 PM PERMITS COMMENTS AND NOTES PREPARED 10/17/06 10 38 07 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/17/06 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP rod 908 5510 06/12/2006 11 17 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 50 PM DYASUMUR 06/16/2006 02 15 PM JLIERLY BLED 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 41 PM JLIERLY BL9 01 7/18/06 JLL BUILDING SHEARWALL 7/18/06 AP SHAWN 360 621 9786 07/17/2006 12 28 PM DYASUMUR 07/18/2006 05 07 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 4771862 09/01/2006 07 56 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 9/29/06 JLL BUILDING AIR SEAL 9/29/06 DA 09/28/2006 10 20 AM NWEST SHAWN 360 621 9786 09/29/2006 01 35 PM JLIERLY air seal around plumb penetrations /address numbers /block joist beam instersecdtion at deguzzi location only/j11 BL3 01 9/29/06 JLL BUILDING FRAMING 9/29/06 AP 09/28/2006 10 49 AM NWEST SHAWN 360 621 9786 09/29/2006 01 30 PM JLIERLY BAIR 02 10/05/06 JLL BUILDING AIR SEAL TIME 13 00 10/05/06 AP sean 360 621 9786 10/04/2006 01 30 PM DYASUMUR 10/05/2006 04 22 PM JLIERLY BL3 02 10/05/06 JLL BUILDING FRAMING TIME 13 00 10/05/06 AP 10/04/2006 01 31 PM DYASUMUR 10/05/2006 04 20 PM JLIERLY BLI 01 1 6 JL BUILDING INSULATION TIME 13 00 +7 SEAN 621 9786 10/16/2006 11 02 AM DYASUMUR COMMENTS AND NOTES PREPARED 10/05/06 11 16 37 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/05/06 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP rod 908 5510 06/12/2006 11 17 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 50 PM DYASUMUR 06/16/2006 02 15 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 41 PM JLIERLY BL9 01 7/18/06 JLL BUILDING SHEARWALL 7/18/06 AP SHAWN 360 621 9786 07/17/2006 12 28 PM DYASUMUR 07/18/2006 05 07 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 4771862 09/01/2006 07 56 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 9/29/06 JLL BUILDING AIR SEAL 9/29/06 DA 09/28/2006 10 20 AM NWEST SHAWN 360 621 9786 09/29/2006 01 35 PM JLIERLY air seal around plumb penetrations /address numbers /block joist beam instersecdtion at deguzzi location only/j11 BL3 01 9/29/06 JLL BUILDING FRAMING 9/29/06 AP 09/28/2006 10 49 AM NWEST SHAWN 360 621 9786 09/29/2006 01 30 PM JLIERLY BAIR 02 10/05/06 L BUILDING AIR SEAL TIME 13 00 sean 360 621 9786 10/04/2006 01 30 PM DYASUMUR BL3 02 10/05/06 JI BUILDING FRAMING TIME 13 00 10/04/2006 01 31 PM DYASUMUR ME1 02 10/05/06 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 9/29/06 JLL 9/29/06 AP MECHANICAL ROUGH IN 09/28/2006 10 52 AM NWEST SHAWN 360 621 9786 09/29/2006 01 29 PM JLIERLY MECHANICAL ROUGH IN TIME 13 00 10/04/2006 01 31 PM DYASUMUR COMMENTS AND NOTES BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction D4 Nt. aiThe These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call t ((('7 (41< for inspection Date Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 9/29/06 8 17 48 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/29/06 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP rod 908 5510 06/12/2006 11 17 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 50 PM DYASUMUR 06/16/2006 02 15 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 41 PM JLIERLY BL9 01 7/18/06 JLL BUILDING SHEARWALL 7/18/06 AP SHAWN 360 621 9786 07/17/2006 12 28 PM DYASUMUR 07/18/2006 05 07 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 4771862 09/01/2006 07 56 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 9/29/06 J BUILDING AIR SEAL Y J 09/28/2006 10 20 AM NWEST SHAWN 360 621 9786 BL3 01 9/29/06 J L BUILDING FRAMING 09/28/2006 10 49 AM NWEST SHAWN 360 621 9786 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 9/29/06 ,L ME/HANI0A6 ROUGH IN 09/28/2006 10 52 AM NWEST SHAWN 360 621 9786 COMMENTS AND NOTES PREPARED 9/01/06 8 12 21 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 1314 0 ST TENANT NBR GLEN TERA, INC CONTRACTOR OWNER PARCEL APPL NUMBER GLENN TERRA 06 30 01 7 9 0030 0000 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL 6/13/06 AP BL2 01 6/16/06 JLL 6/16/06 AP BLED 01 6/20/06 JLL 6/20/06 AP BL9 01 7/18/06 JLL 7/18/06 AP DRW 01 9/01/06 JLL INSPECTOR JAMES L LIERLY SUBDIV COMMENTS AND NOTES PHONE PHONE (360) 621 9433 BUILDING FOUNDATION rod 908 5510 06/12/2006 11 17 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BUILDING FOUNDATION WALL TIME ROD 908 5510 06/15/2006 01 50 PM DYASUMUR 06/16/2006 02 15 PM JLIERLY BUILDING FOUNDATION DRAINAGE TIME GREG• 477 1862 06/20/2006 07 58 AM 06/20/2006 04 41 PM BUILDING SHEARWALL SHAWN 360 621 9786 07/17/2006 12 28 PM DYASUMUR 07/18/2006 05 07 PM JLIERLY BUILDING DRYWELL TIME 13 00 GREG 4771862 09/01/2006 07 56 FOOTING DYASUMUR JLIERLY AM DYASUMUR TIME 13 00 13 00 13 00 PAGE 9 DATE 9/01/06 PREPARED 8/29/06 10 43 49 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/29/06 ADDRESS 1314 0 ST StJBDIV TENANT NBR GLEN TERA INC CONTRACTOR OWNER GLENN TERRA PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PHONE PHONE (360) 621 9433 PL2 01 7/25/06 JLL PLUMBING ROUGH IN TIME 13 00 7/25/06 AP 07/24/2006 11 03 AM DYASUMUR PAUL 360 460 8896 07/25/2006 04 37 PM JLIERLY PL6 01 8/29/06 1 LL PLUMBING WATER SUPPLY TIME 13 00 v(_____ A, greg 477 1862 1 08/29/2006 07 50 AM DYASUMUR COMMENTS AND NOTES PREPARED 7/25/06 12 33 31 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/25/06 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA, INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 7/25/06 J PLUMBING ROUGH IN TIME 13 00 07/24/2006 11 03 AM DYASUMUR 17E r PAUL 360 460 8896 COMMENTS AND NOTES PREPARED 7/18/06 9 59 32 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/18/06 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA, INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP rod 908 5510 06/12/2006 11 17 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 50 PM DYASUMUR 06/16/2006 02 15 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 41 PM JLIERLY BL9 01 7/18/06 JLL SHIWNING SHEARWALL SHAWN 360 622 9 1 9786 07/17/2006 12 28 PM DYASUMUR COMMENTS AND NOTES PREPARED 7/17/06 12 26 46 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/17/06 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP rod 908 5510 06/12/2006 11 17 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 50 PM DYASUMUR 06/16/2006 02 15 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 41 PM JLIERLY BL9 01 7/17/06 BUILDING SHEARWALL t 07/17/2006 10 25 AM PERMITS SHAWN 360 621 9786 COMMENTS AND NOTES PREPARED 6/20/06 12 27 09 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/20/06 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP rod 908 5510 06/12/2006 11 17 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 50 PM DYASUMUR 06/16/2006 02 15 PM JLIERLY BLED 01 6/20/06 LL BUILDING FOUNDATION DRAINAGE TIME 13 00 GREG 477 1862 06/20/2006 07 58 AM DYASUMUR COMMENTS AND NOTES PREPARED 6/16/06 11 31 33 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/16/06 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP rod 908 5510 06/12/2006 11 17 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6 16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 ROD 908 5510 06/15/2006 01 50 PM DYASUMUR COMMENTS AND NOTES PREPARED 6/13/06 11 26 35 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/13/06 ADDRESS 1314 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0030 0000 APPL NUMBER 06 00000438 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 $LL BUILDING FOUNDATION FOOTING TIME 13 00 rod 908 5510 06/12/2006 11 17 AM DYASUMUR COMMENTS AND NOTES 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 Contractor GLENN TERRA 136 E 8TH ST PORT ANGELES WA PORT ANGELES (360) 621 9433 Other struct info WA 98362 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 DROP IN METER Permit pin number 78675 Permit Fee 195 00 Plan Check Fee 00 Issue Date Valuation 148432 Expiration Date 12/02/06 Qty Unit Charge Per Extension BASE FEE 195 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 78667 Permit Fee 110 00 Plan Check Fee 00 Issue Date Valuation 148432 Expiration Date 12/02/06 Qty Unit Charge Per Extension 1 00 110 0000 EA SAN SEWER HOOKUP 110 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) 05/22/2006 12 55 PM SROBERDS New sfr w /garage in RS 9 for total lot coverage of 26% No land use issues apparent Electrical load calculations and elctrical permits are required Electrical connection fee $713 00 05/15/2006 04 41 PM GMCLAIN 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 -ther specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of a sta or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent T \Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000438 262990 1314 0 ST 06 30 01 7 9 0030 0000 GLEN TERA INC RES NEW SFR RS9 RESDNTL SINGLE FAMILY 148432 OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Date 6/05/06 1 00 1 00 1 00 1 00 1 00 Date S- ature of Owner (if owner s builder) 06 Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102.I5R [1/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I 1 PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUJ TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOU LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT II BUILDING DATE I ACCEPTED 1 YES NO Application Number 06 00000438 Application pin number 262990 Special Notes and Comments Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary T \Policies \1102 I5R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Page 2 Date 6/05/06 Permit Fee Total 305 00 305 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2379 50 2379 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 CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION'CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T- \Policies\ 1102.15R [1/05] PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO f CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000438 Date 6/05/06 Application pin number 262990 Property Address 1314 0 ST ASSESSOR PARCEL NUMBER 06 30 01 7 9 0030 0000 Tenant nbr name GLEN TERA INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 148432 Owner GLENN TERRA 136 E 8TH ST PORT ANGELES WA PORT ANGELES (360) 621 9433 Other struct info WA 98362 Permit BUILDING PERMIT RESIDENTIAL Additional desc SFR IN RS 9 Permit pin number 76745 Permit Fee 1294 65 Plan Check Fee 517 86 Issue Date Valuation 148432 Expiration Date 12/02/06 Qty Unit Charge Per BASE FEE 49 00 5 6000 THOU BL 100 001 500K (5 60 PER K) Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 79103 Permit Fee 36 40 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 12/02/06 Qty Unit Charge Per 1 00 36 4000 ECH EL -LVT FIRST THERMOSTAT Permit MECHANICAL PERMIT Additional desc Permit pin number 79095 Permit Fee 115 00 Issue Date Expiration Date 12/02/06 Qty Unit Charge Per BASE FEE 1 00 14 7000 ECH ME INSTALL 100 FAU 4 00 7 2500 ECH ME VENT FAN 1 00 10 6500 ECH ME -OTHER APPL N/R 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 Signature of Contractor or Authorized Agent T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Valuation 1 00 1 00 1 00 1 00 1 00 Extension 1020 25 274 40 Extension 36 40 Plan Check Fee 00 0 Extension 50 00 14 70 29 00 10 65 10 65 Vt#41 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 or local law regulating construction or the performance of construction. Date nature of Owner (if owner is builder) bate CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR r INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T' \Policies \l 102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES 1 NO FINAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT 1 1 BUILDING DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. 1 1 1 1 1 I 1 1 CITY OF PORT ANGELES CI) DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 06 00000438 Date 6/05/06 Application pin number 262990 Permit PLUMBING PERMIT Additional desc Permit pin number 79111 Permit Fee 156 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 12/02/06 Qty Unit Charge Per Extension BASE FEE 50 00 11 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 77 00 1 00 7 0000 ECH PL EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL EA BLDG SEWER 15 00 1 00 7 0000 ECH PL EA WATER HEATER 7 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection t Association (NFPA) 05/22/2006 12 55 PM SROBERDS New sfr w /garage in RS 9 for total lot coverage of 26% No land use issues apparent Electrical load calculations and elctrical permits are required Electrical connection fee $713 00 05/15/2006 04 41 PM GMCLAIN 414 L i Sanitary sewer connection inspection p is required by Public Works prior to back fill of, ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees T\Policies \1102 15 building permit inspection record05 wpd [1/4/2005] SEWER SYSTEM DELV CHARGE Sti A E SURCHARGE PW WATER SYSTEM USE FEE Fee summary Charged Paid Credited Due s 4 50 1200 00 Permit Fee Total 1602 05 1602 05 00 00 Plan Check Total 517 86 517 86 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 4194 41 4194 41 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with eth specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state o local law regulating construction or the performance of construction. sf©&. Signature of Contractor or Authorized Agent Date nature of Owner (if owner is builder) data CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE)DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALUHOLD 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 BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION KW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1 102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD Iafl /oc 1 I b /Wa 1 Jr/ ILe/ /aL IvP- I 11 /is e- AO 6 I j 1 I 1 IVP I 7Lv 1 I I I PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 3✓s-o� YES 1 NO I I I I I 1/1310? 1 JLL-I i7► II q -o /1r FINAL 1 I 13 (6 DATE TL L ACCEPTED BY. 74/( 1/47w 0/6'/06 ,77✓ */0 FINAL Vy 1 13 67 DATE J LL ACCEPTED BY. ELECTRICAL LIGHT DEPT t i CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING �'j�' 360 (0 -1 Applicant or Agent: W /7.,. 1 �J I J°S Phone 3 too -4 D t Do Owner l p, L E Am) R e..,4 MAC p T A n Phone: �p D --.S" {p.S"- 0/ DO Address 1 3 62 E. 3' S T 2 Z3 City 1 o +LN G E tr S Zip Architect/Engineer' S P N [y= .J 1ZA) (2 Phone. _S _S 3 3 /op Gt. NNT. 3 (00• Contractor (jt_E.uA/ -T 217.4 DU State License R 8' (o jUj4 Exp g` 1 /0(p Phone Yy Address 12(p E gth ST. ±L Z t-3 City Powr AN (.6 L ES_ Zip 9 P3 le z- PROJECT ADDRESS 3 tg d r t T_ ZONING LEGAL DESCRIPTION Lot: 3 Block: Subdivision. __R Lt-TAI 6 14 x i...Ls CLALLAM COUNTY PARCEL NUMBER. eD {p 3 On I 7 q ©O 3 tr) Credit Card Holder Name. Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential A New Constr Multi- family Addition Commercial Remodel Repair BRIEF DESCRIPTION OF THE COMMERCIAL /RESIDENTIAL. Occupancy Group•_,Z._ Occupant Load. Construction Type: IIA/ No of Stones: 4 Total lot coverage PLANNING USE ONLY 1 hereby certify that I have rea understand that it is my respo T 1102_13 wpd A FOR OFFICIAL USEPNLY s r BUILDING PERMIT APPLICATION DateRec..,W 4 3A 1Pen nit#l:�i) Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approve COMPLETE to be accepted for review If you have any questions, call A i PERMITS (360) 417 -4815 FAX(360)417 -4711 SIZE/VALUATION G Re -roof Stove is Z-7 SF �o� D 1 /SF Move FirGarage 4(9 0 SF $'Zl /SF Demolition 411;)eefkfots 4 "7 2r SF 12 00 /SF Sign Other TOTAL VALUATION PROJECT /V w c.©/us T it t.x. c X0.4) ..0 F Lot Size: 7s^X (Z D Existing Sq Ft. 2. 9 o o o ¢f i S 2.7 cl oO t- 7 ESA/Wetland(s). Yes No SEPA Checklist required? Yes No 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 I+'EE. IF a plan check fee is due it must be submitted at the time the building .permit application and construction plans are subntted. 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 apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. and e sibility to City Exp. D ate. Proposed Sq Ft. 2. L TOTAL Sq Ft. Z 2. R q mined this application and know the same to be true and correct. I am authorized to apply for this permit and termine what permit r- required ,not the City's, and that I myst obtain such permits prior to work. J 7.3 ate: S/' 1 041 ate Issued: APPROVALS. PLAN BLDG DPI VU FIRE OTHER. Lot: Ty Pe- Site Information Address. 3 L9 Q ST City' �r,rzr ,4u &F L�.S State: JA M Zip Contact: AN p 4 Thzi-cr Phone. ,.3/0 r CLOP Phone 2: 4O L LL Fax: 3 61) S 7 1 !7 Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing 1 Glazing U- Factor 1 Door Wall Wall Wall Slab Option Area U- Ceiling Vaulted Above Int Ext Floor' On %ofFloor Vertical Overhead' factor Ceiling Grade Below Below Grade Grade Grade III Unlimited Group R 3 0 40 0.58 0.20 f 38 R 30 R 21 R 10 -30 R 10 Occupancy Only vF Prescriptive Approach Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 See the code text for footnote references Copyright 2002, WSUCEEP02 -056 Copied by permission from the Washington State University Extension Energy Program Building. Departrnerit `Use .Only Permit: :Notes.. This '.:'ect complies with the following he project is a single family residenceyis- he project is wood frame OR all of the insulation is interior or exterior of the framing II building components meet the requirements listed in Table 6 -1 Option III. he project will meet all other provisions of the WSEC and VIAQ. Pre 0 P,4N a Px The project will take advantage of the following exceptions to the prescriptive option 602.6 Exception 1 One door that is 24 ft. or less that does not meet the standards is allowed. Location of the door taking this exception 602.6 Exception 2. Doors with a U- factor of 0 40 allowed without calculations Option III only Location of the door(s) taking this exception E -ACA .�o� FoGp ,41st C �EG T2.C. Prescriptive Simple Form Climate Zone 1 7/26/2004 2006 /MAY /03 /WED 03 20 PM CITY OF PA BLDG DEPT FAX No 360 417 4711 NW CORNE 58 45 5O E SUBURBAN LOT 68 1 CURVE TABLE NOTE R,QS.. 'Y 53, P 7 2 HA T 80 THE Y CURVE I LENGTH 1 RADIUS 1 DELTA DEED LNMENS70N f4E7) TO THE A NW-OR-LESS ICS 13711 10.001 ....a mu ,.DARY (240 BE A MORE -L mu-Ratio= 9/ A POSr710N FOR THE' SOUTH1sfsr CORNER OF 1HE SURVEYED PARCE7. THAT 15 5 33 W, 14.47 FROM THE POSITION DE1ERUNeD BY THIS OFR= 1408074 HOLDS THE DEED-CALL of 240 FEET FROM THE NORTHWEST CORNER DE SUBURBAN LOT 68. A COMPREHENSIVE REVIEW OF THE CHAIN OF 11J1,E. R S.L 66 5H0If5 CONSISTENCY OF THE 240 FOOT CALL .,AP% 1 nnna C5 15.711 10.00 C9 17.911 10.001 CI0 74 04 7 3a.-0o CH 22.01 30.00 C12 39.491 50.001 --y C10 41.491 3000 �7I C1a 24.9.31 50.001 W I CA3 15711 10.00 CRl 13.711 10,001 1 31 it 1. to cr 01 y 13 C7 FrID. (8/05) 1/r REBAR /CAP 7.S 22329' 566 09'25 "W, 0.35' FROM CALCULATED CORNER POSITION Y 05 rte N 0."', 1 ..r I i 2 6 .1 !a o25'I 9427 SQF7 /y, n 25' I 2S 0/05) 25 r �Z ENDS 7 1 72015 SOFT. w I 1 1 CORNER Jd 1 1 27 1 RLBAR/G AP 48'W. 'tS 223214.x7' 9' I I r 1 9708 SO F f 1 e FROM FRO NER POSITION CALCULATED 1 1 /.1 I 1 9.411 10.001 54.76' 50.00 75.904 00.00' 94501 30.00 Z07 1x00. ,411_07 5.3 41 10.00 1 i 1 I `i 'i' 1 L .-._J L .J PR.OGEAURr.. THiS RECORD OF SURVEY IS BASED ON A GROUND SURVEY UTILIZING CONVENTIONAL TRAVERSE METHODS. THIS SURVEY MEETS OR EXCEEDS THE STANDARDS CONTAINED IN WAC 332 -73o -090. EQUIPMENT• l TOPCONO MODE!. 6TS 60d 5 iOTAL �T:4770N.' DA.T)r.OF SURVEY. 1. 53'4.97' r' p 9 I o 6. c�?7� m( 1 9J00 sari: 1 1 l 1 Dq 1_1 I RA a�7 F R' 1 m i 6, ►--yc 1 8000 SD.Ft 1 11 2115 I I 25 L.I_ZID._ 1 0 41 I i o b S5 d r 7 1 12N_S+iL 11 7D' R 45 i7 ;s. o D' WIDE' 8 POWER p� 1456•41471F 1456•41471F fSQOD' 1 ,..,r 0. 4 $I 1 9000 50J7. 1456'45'4 W 1 n 11 C7 [y, U )i. q.` q.` °4141-41161-1- 89.15 1 o t�� r-_r s T 1 2 1 1 3l I xS a 23 i 20 1 1 19 1 18 13.1 1 sow sari: 77531 so.FT. gi 9224 =Fr. 1 -q0. 9002 saFT.I I 1 1 1 1 y I7. .0 o 1 a 1 5 rt 4- 47 E 4 �I� L �r._ 8 L.. 4 L__�J I r0' ra r2D.D 131 I 75.00' 80.77' 55 1Y 8 I jP P 001/001 1 126..SQ �a a 7 56 45 47 o ,85' 110059 so.F7 0 i 7 I I 1 25 t 1 8000 sari: 1 I 1�n 2/ 4- i t I 1 I 2- (p 1 y 2 41 S5g 0.0b F 8 L S56'^t L LLOO 1sT_.. 1 1 1I'l I j 25 11 I a l Z•L 1 i 2 1 /2 I I 6 1 g ti, 1 9000 SOFT. 1 25' r 1 9000 sort Ic w 1 1 r 57 .a7 B f 1 L 25 I w 1;{x -00 w al �.4,F 45"47E 8 4. 5 5K 95'a7f d a 14 10' 1 I 24• ,)S• n L 10543 010.47. i' n B I 7.a 1:T fi r' 7O I. I 1 I n 25 i 2 lob 9144 SUET x 1 r a a I 8000 SO F T I I 9000 S a FT I g 1456_45'47 "W W. I4TH STREET z L_- J SS6Y l 131 U i I ��1y n I 900 5 0F7. I i rr 4 25' �ID �J 25' S5¢45 A n 1 4000 SOFT- L- a N 645477 1 al 78.00' 77.77' 79.15= w W �i ui 1 9oDD SOFT 1 n 1 9000 sQ,FL I In N N v. I 1 25' I 1 '8'r�."•.- --'1 8r"- ___..1 r- '1 I a L L 55414'54"7" q i Lai 9048 SQF7 i^t 9020 50.FT. 9780 SQFT. I T"-;i 1 I 7✓"� 1 2s• I 15 I 1 1 4 4 I I 9003 so.FT 9003 SQFL u el 1 I n l 1 L__ 30' 1 i D L...1" J 25 L. J '1 Egg ..ff nib 9, s 1 oQJ�n °o'w`l„ �10.00 1 i moo' .656-4.5.4 22,9r- 1 c g5'a7'E 1 SEE c 55645 4rE o Y 1 TO' )tID PoWER 556 E5M7J 53x.91' _.2213-1000.00...v, FOR PER L'UR1EY -GR' ER- 17.FICA 1, BRADLEY R. LYMANCROVER, REGISTERED AS A LAND SURVEYOR BY THE STATE OF WASHINGTON, CERTIFY THAT THIS LAND SUBDIVISION IS. BASED ON AN ACTUAL SURVEY .OF THE LAND DESCRIBED HEREIN CONDUCTED BY ME. OR UNDER MY SUPERVISION; AND 'DECLARE THAT THE DISTANCES. COURSES AND ANGLES ARE SHOWN HEREON CORRECTLY, AND THAT MONUMENTS OTHER THAN THOSE MONUMENTS A'PPROVEO FOR SET T!NG T-1'1J TER HA VE-BEE SEf A.T -LO.T_CARNERS.' ST4l ED CNd. TI'IE ;GROUND .A$ OEP1CJED ON THE PLAT. 1 �3 VZ �n \cal 4 1 to 1 oc i,? v \t4 1.s Q, 120 (jv . '\ ELECTRICAL WORK PERMIT APPLICATION. . . ~ ~ . /installation description Job wired by o Electrical Contractor DOwner CJ Commercial O--R6ideotial Elect~~~ (J~~ ~?\:5 ;.umber _ Date Expires o New D AlteredJAdditioD . n.,.,...-n, '?~ Pucch.,e,', m~g t" ~ \/Ar ~ CitY~ A- State ZIP ')..1 bO q3"~k'- "-'f Q- I^-~ _,.c Telephone number FAX number "t},--t_ ~I l..~ <;'c..".n Premiset:t:.:'s~~ Address of inspection \~Ic.t ~ 0 City 'P A- Phone number to schedule inspection: Owner as defined by RCw'/9.28.26/:(/) Owner will occupy the structure/or two 'J-'Z 2- 7 SPI2 years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. o Cash o Check # After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- o Credi t Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter -----On-~~------- 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card # Utility Specifications. VS;gnature 00;;-elec'71 contractnr or electrica' admini,tratnr Expiration Date ( $n,peYT115 0 ,X ij~ Date: of card /' /' I Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW b-romace l~ KW o Heat Pump Ton LAR D Fan-Wall KW Service Information o Overhead Service o i emp Service o Underground Service Voltage \ 2.0 /2. ""\t 0 Phase Q-(D '3 Service Size: .2 On Feeder Size: " /() SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 8 ROUGH-IN ~ 4::l2 FlNAL ~ Q - Approved By .THERMOZQ. D t Y Approved By . SERVICE l n ~!lJh~ FEEDER r ~ \. 7. DITCH /7 9. x1tAV Approved By .... ,;. Date Approved By .:{P, "'" o. Electrical lvspector Action Taken ':-, .-- .. \,o.,~ ~lm ~ ~.. ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET. PORT ANGELES. WA 98362 .. ., 8/09/06 ~ ~ Application Number Appllcatlon pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type descrlptlon Subdlvlsion Name Property Use Property Zoning Appllcatlon valuation 06-00000438 Date 262990 1314 0 ST 06-30-01-7-9-0030-0000- GLEN-TERA, INC RES NEW SFR RS9 RESDNTL SINGLE FAMILY 148432 Owner Contractor GLENN-TERRA 136 E 8TH ST PORT ANGELES, WA PORT ANGELES (360) 621-9433 Other struct info OWNER WA 98362 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL. SVC / 2227 SF SFR 84368 ELECTRIC SERVICE 119.80 8/09/06 2/05/07 Plan Check Fee Valuation Qty 1 00 2 00 Unit Charge Per 73 0000 ECH 23 4000 SC EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a mlnlmum of six inches high and be of contrasting color from the background All homes in new subdivlslons that are outside of the Fire Department four-minute response area shall be equipped wlth residential fire sprinkler systems that comply with the Internatlonal Flre Code (IFC) and National Fire Protection Association (NFPA) OS/22/2006 12.55 PM SROBERDS -- New sfr w/garage in RS-9 for total lot coverage of 26% No land use issues apparent Electrical load calculatlons and elctrical permits are required Electrlcal connection fee $713 00 05/15/2006 04 41 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back flll of ditch 24 hour advance notlce lS required Construct drlveway and Sldewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE COMMENTS/ACTION NEEDED 1 00 1 00 1. 00 1 00 1 00 ~~. ~\~ ~ \)' , ~ 00 o Extension 73 00 46 80 ~'^ ~\ ~ ~' 870 00 ~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 , Application Number Appllcation pin number - 06-00000438 262990 Page Date 2 8/09/06 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4 50 1200.00 Fee summary Charged Paid Credited Due. ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119 80 119.80 00 00 Plan Check Total 00 .00 .00 .00 Other Fee Total 2074.50 2074 50 .00 00 Grand Total 2194 30 2194 30 00 00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT I NSPECf ION RECORD . CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. , KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Ilrn ~H INsPECTION TYPE II II II lUll Tnl-J_IN ~( COVER ~bKVICb II II II II I I I I DATE ACCEPTED YES NO COMMENTS 9-1D -l9h ~~ e;-4- ~ .Jf7n '1-'-,,1,.,. .J'7'~) ~ 13-S" -07 I..L.-<L) I GENERAL coMJkNTS: II I I PW-II02.J514'96J ~~OflT """ lO~~'1. ,.~ -- -- '-' -~lC~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 .tJ (t; -- Lf3 '8 Application Number -"""Apt'lication pin number Property Address ASSESSOR PARCEL NUMBER: . ..,.~ '''Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 06-00000438 Date 262990 1314 0 ST 06-30-01-7-9-0030-0000- GLEN-TERA, INC RES NEW SFR 6/05/06 /7/4 bl/~ RS9 RESDNTL SINGLE FAMILY 148432 Owner Contractor 6/cM1/U ~ GLENN-TERRA 136 E. 8TH. ST. PORT ANGELES, WA. PORT ANGELES (360) 621-9433 Other struct info OWNER WA 98362 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 1. 00 1. 00 .1...c>.D 1. 00 1. 00 Permit . . . . . .'-"'''~~'A:dditional desc Permit pin number Permi t Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 78675 195.00 Plan Check Fee Valuation .00 148432 h ~~AJ7 b/ J 12/02/06 City Unit Charge Per BASE FEE Extension 195.00 .--'....Permi t Additional desc . Permit pin number Permit Fee !~sue Date Expiration Date SANITARY SEWER HOOK UP 78667 110.00 Plan Check Fee Valuation .00 148432 12/02/06 Qty 1. 00 Unit charge Per 110.0000 EA SAN SEWER HOOKUP Extension 110.00 ,S2ecial Notes and Conunents ,. Act'cir:ess numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). OS/22/2006 12:55 PM SROBERDS -- New sfr w/garage in RS-9 for total lot coverage of 26\. No land use issues apparent. Electrical load calculations and elctrical permits are required. Electrical connection fee $713:00 .05/15/2006 04:41 PM GMCLAIN ---------------------------- Separate Pl~rmits 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\1102.15R [\105] ; ~ \,ORf.v. lO~a..;.~ rQ ~ --. -" "t:f\c~.".,. " CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ApplD:ation Number Application pin number 06-00000438 262990 Page Date 2 6/05/06 Sp'eci\;;l ~Notes and Comments Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road'rlgnt of way. An inspection by Public works Engineering is required prior to prouring concrete. Other" 'F'ees '. . . . SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 305.00 305.00 .00 .00 p.~an"-.C-hec:k Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2379.50 2379.50 .00 .00 ..- ~.'- ,~~~- Separate p"rmlts 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. 1 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 nol 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 Date Signature of Owner (if owner is builder) T:\Policics\1102.1SR r 1105] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST: D 0';;)'1-0(... ate '0 Time Re~eived by iF: (phone, person) Location of Work to be inspected /3/ L{ S 0'-"-+ c.... 0 '1.+-' Name of person requesting inspection G, ["" "''''-\ --e/~ .I r?,.; i Pr..es ~ ,Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No, () I.. - 1.{3 q, Sewer Foundation Framing Chimney Plumbing Fin~wer Ex~ Other ('J~ INSPECTION NOTES: Inspected: Date '3..;;;. cr -o~ Time '"3 PM Remarks: c.....c~"'--\.V''''''--\-,.r- \ nto.-"-e.!. (~" PJc c....t- ~'c:l...",,,, Ctwd ~.oo"- r.1/00' I I ~+1-.... vn-+ "'-+ Os 1'" C-.O~ v",-<vk~ ~",-c!lA.t~ '-I" ,,<<. <.."c:! C2 D ' *, -fit ~ c. CJ.. c...J-- .\- 1... ""- h..c...... s -e " ~p <;nwN, ,'~'!. .(.""'1/<-./ RESTORATION REQUiRED...... YES NO 'f.- ~ r.:d'1<r2: o-t- f.) ... ~. -(' f" )-' 'j//PUc.., ~ I~l . \ = 131'{ f--;lo' I ~ 0> o SP,""'ClM."'" 0>"' " (,,"PIlC- ~-- , ..;. of' t 3 -' u.. E) SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 pcc o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) r. :~~ ~ w- tI. -;O?4 t> - n'"/ APPLICATION FOR WATER City Water Division ~l? do ,20_ Port Angeles, Washington I hereby apply tor water to be furnished in accordance with rates and rules of the City for the following premises: lJ.noLY"e.u.J -re I'yoeJ Name of Applicant: t71P-J1J1-'iPyVO-; kC-/ (l~.*,-...'g~~-i Address: / ~ /..::) So I/O 1/ 3TVleT /3lD. E ~ Renewal 0 New Service Blk. lot ~ Add ""R DIll n.:; ~ .2 II '3-00 ,,"" 0:::>3 0 Size of Service /, M er N~ber~~~cJDz.. ("~o"oooo Service left On 0 Service left 011% Si ~ _ Installed by Remarks: -=FeVWllpt. 0&-432> ~ Iq'S~ + ~ lUX>~ I N . w E <r- I"- ::t" s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT . . . . . . . . REQUEST: Date 5- I -Dr Time Received by RV (phone. person) - Location of Work to be inspected 1:5 f L/ 50 () ~ I Name of person requesting inspection ;; ha~ ""- Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. D(., - l.J 38 Sewer Foundation Framing Chimney Plumbin~ Sewer Excav. Other INSPECTION NOTES: Inspected: Date .5 - 1- D 7 Time Remarks: sewQ...... <C - '2. "i' - 0 b LU~\ev b k .Dr :v'e...IDa.! 0 K ])rC\;~g€-- D.-y v.Q.\\S By )? V C)K RESTORATION REQUIRED . . . . .. YES NO ~ SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE DINCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENOFNT IDA TEl CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST: Date '0 - 2 "t - oS Time Received by -rF- (phone, person) g ".~\cl OJ" <;. tt.5 f!!7'O'~ Location of Work to be inspected Name of person requesting inspection V ,5,.. "'- Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Phone No. Permit No. Final ~;r E~Other Inspected: Date Remarks: INSPECTION NOTES: /0-24-01:>- Time PM By 'RV RESTORATION REQUiRED...... YES NO N l' ?Iv , f-,\~ I I J- sy Ib ~ ',.- 1 ~r < ~li> yo- ~ ) fJ!f. , $! N "- <. o " \) 0 {' '-II ?IL c?,"'", \D , ,.....Cl.\'./\ 14-' '" SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt [] PCC [] Other o Repaired by City D Repaired by Permittee D No Damage Found Work Order # [] COMPLETE [] INCOMPLETE IContinulLon reverse side if necessary) . STREET SUPERINTENDENT (DATE) a P;101 0 404 W$11=r Application Number . . . . 14-00000349 Date 3/20/14 Application pin number 836121 DITCH SERVICE Property Address . . . . 1314 0 ST ASSESSOR PARCEL NUMBER: 06 -30 -01 -7 -9 -0030 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . , RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Ductless heat pump Owner Contractor EVAN KISER OWNER 1217 W 19TH ST PORT ANGELES WA 98363 (360) 582-1899 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc ., Permit Fee 63.00 Plan Check Fee „ 00 Issue Date 3/20/14 Valuation 0 Expiration Date . 9/16/14 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 Ll REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGMBUILDING - � ..---- A C� 1 PORT A. 'C, f CITY OF PORT ANGELES PERMIT APPLICATION yk ""I Building Division/Electrical Inspections%' p', , t,r tib' t' Ili 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 9836;�IIMMM" Ph: (360) 417-4735 Fax: (360) 417-4711 Date: r///,7 l ` 1 & 2 Single Family Dwelling ELECTRICAL INSPECTIONS * Plan Review May Be Required, Please Co te Electrical Plan Review Information Sheet Job Address: Building Square Footage;: Yr Descnph n of above Owner InfQfmationContractor Information f l� �,, Name: -/ ��.iu Name: Mailing Address: iDll, Mailing Address: City: tr ,p- —State: Zip. 9�413; 1 X� City: State: Zip: Phone.Fax: Phone: Fax: License # / Exp.. R�X ILicense # I Exp. Item Unit!Charq e Total My Multl lied b Unit Charge) Service/Feeder. 200 Amp. $120.00 Service/Feeder 201.400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 Service/Feeder 601-1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 �_ $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 �— $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service/Feeder 201400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy -5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $_ Each Swimming Pool or Hot Tub $110.00 $ w $ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 0, Cash ❑ Check .,.. ❑ Credit Card # r.-4 '", ,.,---�,. ,^.,.....w._......._ Dated: .� .�..�. 0110112012