HomeMy WebLinkAbout1515 W 10th St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuat~on
05-00000702 Date
710016
1515 W 10TH ST
06-30-00-0-3-0676-0000-
RES NEW SFR
8/30/05
Owner
Contractor
r/NAtaJ i/Z--
flJlOh
RS7 RESDNTL SINGLE FAMILY
127730
NORTH PENINSULA BUILDERS
P. O. BOX 748
PORT ANGELES
(360) 452-8160
Other struct info
ASSOC
OWNER
WA 98362
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
29.67
1. 00
7000.00
2077.00
1. 00
Permit . . . . .
Additional desc .
Permit p~n number
Permit Fee
Issue Date
Expiration Date
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 58065
Permit Fee .00 Plan Check Fee
Issue Date 8/30/05 Valuation
Expiration Date 2/26/06
.00
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BUILDING PERMIT -RESIDENTIAL
58040
.00
8/30/05
2/26/06
Plan Check Fee
Valuation
.00
127730
Qty Unit Charge Per
BASE FEE
.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K)
Extension
.00
.00
Qty Unit Charge Per
.00 36.4000 EC EL-LOW VOLTAGE
Extension
.00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 58057
Perm~t Fee .00 Plan Check Fee
Issue Date 8/30/05 Valuation
Expiration Date 2/26/06
.00
o
Qty Unit Charge Per
BASE FEE
.00 14.7000 ECH ME- INSTALL 100- FAU
.00 7.2500 ECH ME-VENT FAN
.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Extension
.00
.00
.00
.00
Permit . . . . .
Additional desc .
Permit pin number
PLUMBING PERMIT
58073
Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and public improvements. ThiS permit becomes
null and void if work or construction authonzed 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
pre e to give authonty to violate or cancel the provIsions of any state or local law regulating construction or the performance of
o ru ion.
Signature of Owner (If owner is bUilder)
Date
T \Pohcles\1102_15 bUlldmg permIt mspectlOn record05 wpd [1/412005]
, Ii.f'ORr~
'S
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'l.Oi~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Appl~cation pin number
permi t Fee
Issue Date
Expiration Date
Page
05-00000702 Date
710016
.00 Plan Check Fee
8/30/05 Valuation
2/26/06
2
8/30/05
.00
o
Qty Unit Charge Per
BASE FEE
.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
.00 15.0000 ECH PL- EA. BLDG SEWER
.00 7.0000 ECH PL- EA.WATER HEATER
Extension
.00
.00
.00
.00
.00
. Special Notes and Comments
Build~ng address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. lOrd. 14.36.050-E)
When roof gutters are installed. drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
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.
08/11/2005 05:22 PM SROBERDS --- The proposal will
result in a s.f. res w/attached garage in the RS-7 zone for
"total lot coverage of 3 0% . No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Connection fee $222.00
08/03/2005 08:50 AM GMCLAIN ----------------------------
Sidewalk to City standards required for school walking
route.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1774.50 1774.50 .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. AI! 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 \Pohcles\1102_15 buIldIng penmt InspectIOn record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
...
. ....
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION' [)~wJZ-lJ8 10... 1-C>.s- M r./B
FOOTINGS 19-9-0-06- .../ J.. L. Dc7UJ Y1 5 pCJv ~ 10- '3-a5 b-t<' f/3
WAlLS !q -IH-08 J 1-1-
FOUNDA nON DRAINAGE / DOWN SPOUTS Of -~?-€>" d-r-L
PIERS
POST HOLES (POLE BLDGS )
PLUMBING FlW<-(- -t)8/0C
UNDER FLOOR / SLAB
ROUGH-IN rill (0(". -.J VV'
WATER LIN'J (METER TO BLDG) --";12: (10(, rw
GAS LINE ,
BACK FLOW / WATER
AIR SEAL
WALLS _A A JW a;
." J"Y WI,
CEILING
FRAMING
JOISTS I GIRDERS
~q!1 LlHOLD DOWNS 11-1 n-OS- ..\ l..t- 5~.)~ r~fs1pr ;1-P JtL
WAlLS I ROOF / CEILING 'YJy lo~ rw
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB ~ I
WALL! FLOOR/CEILING "1'710h C!U/
MECHANICAL F1tv{ - 7/' 8/0b
HEAT PUMP/FURNACE/DUCTS
GAS LINE \ /l'110& ;JW
WOOD STOVE / PELLET / CHIMNEY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTfNG
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 4 I 7-4735 ELECTRICAl
LIGHT DEPT
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERiNG 417-4807 PW / ENGINEERiNG
FIRE 4 I 7-4653 FIRE DEPT
PLANNING DEPT 417-4750 / d PLANNING DEPT
BUILDING 417-4815 7/ I f:?/~ VU BUILDING
T \Po!1cles\1102 _15 bUlldmg penmt mspectlOn record05 wp jlfl/4/2005]
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 ~ I
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PREPARED 7/18/06, 9:59:32
CITY OF PORT ANGELES
- - -. - 7
7/18/06
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
1515 W 10TH ST
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
BL99 03 6/21/06 JLL
6/21/06 CA
BL99 04 7/18/06 ~
\, \
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
. --- PAGE
DATE
SUBDIV:
PHONE
PHONE :
(360) 452-8160
DESCRIPTION
RESULTS/COMMENTS
range to be 26ga. per code/address nUmbers/w1ndows 1n m bed
to be 5.7 sf openab1e w 20 1nch w1de open1ng/s1ope f1na1
grade 6" 10' slope/ ver1fy screws used 1n land1ngs and
treads for shear value/sold1er 90 degree exter10r
term1nat1on to t&P dra1n (3/4" ID) Jll
06/14/2006 10:59 AM JLIERLY ----------------------------
BUILDING FINAL TIME: 13:00
MIKE 460-9176 REQUESTING 10 AM TO 11 AM INSPECTION
06/20/2006 09:33 AM DYASUMUR ---------------------------
06/21/2006 12.19 PM JLIERLY ----------------------------
consult with "future bU11ders" no 1nspect1on/J11
BUILDING FINAL TIME: 13:00
DAVE 808-0641
07/17/2006 12 27 PM DYASUMUR ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
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PREPARED 6/14/06, 10 44 18
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
TYP/SQ
ME6
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
1515 W 10TH ST
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NE~_~~~__ ____________
DESCRIPTION
RESULTS/COMMENTS
SUBDIV
PHONE
PHONE
(360) 452-8160
PAGE
DATE
9
6/14/06
REQUESTED
COMPLETED
INSP
RESULT
MECHANICAL GAS LINE TIME: 08:00 ___________
01/17/2006 08:38 AM DYASUMUR --------
MARK 808-4174 IERLY ________
01/18/2006 03:53 PM JL ---
MECHANICAL FINAL TIME 13:00 ________________________
ME::_:~__~~---~~~=~~~~~~--==~~~--~~--~~=~~~~-====-----________________________
-- 00 PLUMBING PERMIT
PERMIT: PL INSP DESCRIPTION
REQUESTED ULT RESULTS/COMMENTS
COMPLETED RES ________
PLUMBING ROUGH-IN TIME 08:00
01/17/2006 08.37 AM DYASUMUR
MARK 808-4174
01/18/2006 03
PLUMBING WATER
01/30/2006 03
JERRY 477-1530
GARAGE
01/31/2006 04 26 PM JLIERLY
PLUMBING FINAL TIME 13.00
PL99 01 ~_~___::~~:~2:::ME::S2~D:OT::I:~~~-
~ ~
~ I--l~<o
~ W
~ .DOo!-
TYP/SQ
PL2
PL6
~
~
!~
~
01
1/18/06
1/18/06
JLL
AP
01
1/18/06
1/18/06
JLL
AP
01
1/31/06
1/31/06
53 PM JLIERLY ------------
SUPPLY TIME: 13:00 ____
27 PM DYASUMUR -------------
PERMIT WILL BE NEXT TO ELECTRICAL
JLL
AP
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PANEL IN
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PREPARED 6/14/06, 10:44 18
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1515 W 10TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
6/14/06
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
SUBDIV.
PHONE
PHONE: (360) 452-8160
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BAIR 01
BI2 01
BL1 01
9/20/05
9/20/05
9/27/05
9/27/05
BLFD 01
DRW 01
10/03/05
10/03/05
10/03/05
10/03/05
DSD 01
BLHD 01
11/10/05
11/10/05
BL9 01
12/09/05
12/09/05
BL9 02 12/15/05 JLL
12/15/05 AP
BL3 01 2/02/06 JLL
2/02/06 AP
BLI 01 2/07/06 JLL
2/07/06 AP
BL99 02
~
~
AP
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
DA
1>>
BUILDING AIR SEAL TIME. 13 00
01/30/2006 11 29 AM DYASUMUR
BUILDING FOUNDATION WALL
09/20/2005 01 26 PM PBARTHOL
09/20/2005 01 37 PM PBARTHOL
BUILDING FOUNDATION FOOTING
09/20/2005 01 26 PM PBARTHOL
09/20/2005 01 38 PM PBARTHOL
BUILDING FOUNDATION DRAINAGE
09/27/2005 07 48 AM PBARTHOL
MIKE 460-9176
******* AM ********
09/27/2005 04 15 PM JLIERLY ----------------------------
BUILDING DRYWELL
09/30/2005 09 35 AM PBARTHOL ---------------------------
10/03/2005 03 59 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS
09/30/2005 09.34 AM PBARTHOL
MIKE 460-9176
MORNING INSPECTION 10 30 - 11:00 A.M.
STUDENTS WILL STILL BE THERE
10/03/2005 03:59 PM JLIERLY ----------------------------
BUILDING FRAMING HOLD DOWNS
11/10/2005 08 30 AM JLIERLY ----------------------------
11/10/2005 04.38 PM JLIERLY ----------------------------
BUILDING SHEARWALL TIME 17:00
12/08/2005 09 06 AM PBARTHOL ---------------------------
MIKE 460-9176
******** 10:00 AM PLEASE ********
12/09/2005 04.51 PM PBARTHOL ---------------------------
straps at bwp
BUILDING SHEARWALL TIME 17:00
12/14/2005 03 35 PM PBARTHOL ---------------------------
ffi1ke 460-9176
12/15/2005 04 16 PM JLIERLY ----------------------------
BUILDING FRAMING TIME: 13:00
01/30/2006 11 29 AM DYASUMUR ---------------------------
02/02/2006 04.39 PM JLIERLY ----------------------------
BUILDING INSULATION TIME 08:00
* OVERRIDE TAKEN BY DYASUMUR DATE 02/06/06 TIME: 09.21.04
02/06/2006 09:20 AM DYASUMUR
MIKE 460-9176
02/07/2006 04:42 PM JLIERLY ----------------------------
BUILDING FINAL TIME 13:00
MIKE 460-9176
06/13/2006 09 49 AM DYASUMUR ---------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
PREPARED 2/07/06, 13 06:20
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER-
1515 W 10TH ST
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
5
2/07/06
SUBDIV
PHONE
PHONE
(360) 452-8160
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BAIR 01 2/02/04 JLL
BI2 01 9/20/05 JLL
9/20/05 AP
BL1 01 9/20/05 JLL
9/20/05 AP
BLFD 01 9/27/05 JLL
9/27/05 AP
DRW 01 10/03/05 JLL
10/03/05 AP
DSD 01 10/03/05 JLL
10/03/05 AP
BLHD 01
11/10/05
11/10/05
12/09/05
12/09/05
JLL
DA
JLL
AP
BL9 01
BL9 02 12/15/05 JLL
12/15/05 AP
BL3 01 2/02/06 JLL
2/02/06 AP
BLI 01 ~ JL~
BUILDING AIR SEAL TIME 13 00
01/30/2006 11 29 AM DYASUMUR
BUILDING FOUNDATION WALL
09/20/2005 01.26 PM PBARTHOL
09/20/2005 01.37 PM PBARTHOL
BUILDING FOUNDATION FOOTING
09/20/2005 01.26 PM PBARTHOL
09/20/2005 01.38 PM PBARTHOL
BUILDING FOUNDATION DRAINAGE
09/27/2005 07:48 AM PBARTHOL
MIKE 460-9176
******* AM ********
09/27/2005 04 15 PM JLIERLY ----------------------------
BUILDING DRYWELL
09/30/2005 09 35 AM PBARTHOL ---------------------------
10/03/2005 03 59 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS
09/30/2005 09 34 AM PBARTHOL
MIKE 460-9176
MORNING INSPECTION 10 30 - 11 00 A M
STUDENTS WILL STILL BE THERE
10/03/2005 03 59 PM JLIERLY --------------------------__
BUILDING FRAMING HOLD DOWNS
11/10/2005 08 30 AM JLIERLY ----------------------------
11/10/2005 04:38 PM JLIERLY --------------------------__
BUILDING SHEARWALL TIME: 17 00
12/08/2005 09-06 AM PBARTHOL ---------------------------
MIKE 460-9176
******** 10 00 AM PLEASE ********
12/09/2005 04.51 PM PBARTHOL ---------------------------
straps at bwp
BUILDING SHEARWALL TIME 17:00
12/14/2005 03 35 PM PBARTHOL ---------------------------
lTIlke 460-9176
12/15/2005 04 16 PM JLIERLY ---------------------------_
BUILDING FRAMING TIME 13 00
01/30/2006 11 29 AM DYASUMUR ---------------------------
02/02/2006 04.39 PM JLIERLY ----------------------------
BUILDING INSULATION TIME 08:00
* OVERRIDE TAKEN BY DYASUMUR DATE 02/06/06 TIME 09 21 04
02/06/2006 09 20 AM DYASUMUR
-------------------------------------- COMMENTS AND NOTES -------------------------_____________
MIKE 460-9176
PREPARED 1/31/06, 13 43 19
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
1/31/06
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1515 W 10TH ST
SUBDIV:
PHONE
PHONE: (360) 452-8160
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
01
1/18/06 JLL
1/18/06 AP
PLUMBING ROUGH-IN
01/17/2006 08.37
MARK 808-4174
01/18/2006 03.53 PM
PLUMBING WATER SUPPLY
01/30/2006 03.27 PM
JERRY 477-1530 PERMIT
GARAGE
TIME: 08 00
AM DYASUMUR ---------------------------
PL6
01
~~
JLIERLY ----------------------------
TIME 13:00
DYASUMUR ---------------------------
WILL BE NE~T TO ELECTRICAL PANEL IN
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 2/02/06, 13 47 16
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
1515 W 10TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
2/02/06
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
SUBDIV.
PHONE
PHONE: (360) 452-8160
~02/04 -i?-
\~O~ JLL
9/20/05 AP
9/20/05 JLL
9/20/05 AP
9/27/05 JLL
9/27/05 AP
01
10/03/05
10/03/05
JLL
AP
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
******* AM ********
09/27/2005 04 15 PM
BUILDING DRYWELL
09/30/2005 09 35 AM PBARTHOL ---------------------------
10/03/2005 03 59 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS
09/30/2005 09 34 AM PBARTHOL
MIKE 460-9176
MORNING INSPECTION 10 30 - 11:00 A M
STUDENTS WILL STILL BE THERE
10/03/2005 03 59 PM JLIERLY ----------------------------
BUILDING FRAMING HOLD DOWNS
11/10/2005 08 30 AM JLIERLY ----------------------------
11/10/2005 04 38 PM JLIERLY ----------------------------
BUILDING SHEARWALL TIME 17.00
12/08/2005 09 06 AM PBARTHOL ---------------------------
MIKE 460-9176
******** 10 00 AM PLEASE ********
12/09/2005 04 51 PM PBARTHOL ---------------------------
straps at bwp
BUILDING SHEARWALL
12/14/2005 03 35 PM
ffilke 460-9176
12/15/2005 04 16 PM JLIERLY ----------------------------
~~:--::--~--~-----:~~::~~::::::::;~D~::::~:~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~-----
BAIR 01
BI2 01
BL1 01
BLFD 01
DRW
DSD
BLHD 01
BL9
BL9
01
10/03/05
10/03/05
JLL
AP
11/10/05
11/10/05
JLL
AP
01
12/09/05
12/09/05
JLL
DA
02
12/15/05
12/15/05
JLL
AP
BUILDING AIR SEAL TIME 13:00
01/30/2006 11 29 AM DYASUMUR ---------------------------
BUILDING FOUNDATION WALL
09/20/2005 01.26 PM PBARTHOL ---------------------------
09/20/2005 01 37 PM PBARTHOL ---------------------------
BUILDING FOUNDATION FOOTING
09/20/2005 01 26 PM PBARTHOL ---------------------------
09/20/2005 01.38 PM PBARTHOL ---------------------------
BUILDING FOUNDATION DRAINAGE
09/27/2005 07,48 AM PBARTHOL ---------------------------
MIKE 460-9176
JLIERLY ----------------------------
TIME 17:00
PBARTHOL ---------------------------
PREPARED 1/18/06, 13:16-38
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
1/18/06
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1515 W 10TH ST
SUBDIV-
PHONE
PHONE (3601 452-8160
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6
~ MECHANICAL GAS LINE TIME 08_00
01/17/2006 08 38 AM DYASUMUR ---------------------------
MARK 808-4174
------------------------- ----------------------------------------------------------------------
01
1/18/06
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01
1/18/06
-'f
PLUMBING ROUGH-IN TIME 08 00
01/17/2006 08 37 AM DYASUMUR ---------------------------
MARK 808-4174
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
..........
!1\1~Dr::f""Tlnl\l DI:DnRT
. 1I~~rLu .1\"J11I .,.... -... .
REQUEST:
Date I /l~ IOh
I I
Time ~~Q?~
Received by D/,
(phone, person)
Location of Work to be inspected I 0\ S IN. lO-t!:!.
Name of person requesting inspection MAI2~
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney ~ Final
Phone No.
Permit No. Of?-1o~
Sewer Excav .~Other L. . P: 'fAG
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED. , . . .. YES NO
~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
PREPARED 12/15/05, 13 09 24
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1515 W 10TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
9
12/15/05
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
SUBDIV
PHONE
PHONE: (360) 452-8160
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BI2 01 9/20/05 JLL
9/20/05 AP
BL1 01 9/20/05 JLL
9/20/05 AP
BLFD 01 9/27/05 JLL
9/27/05 AP
DRW 01 10/03/05 JLL
10/03/05 AP
DSD 01 10/03/05 JLL
10/03/05 AP
BLHD 01
11/10/05 JLL
11/10/05 AP
12/09/05 JLL
12/09/05 DA
BL9 01
BL9 02
~$f-
BUILDING FOUNDATION WALL
09/20/2005 01:26 PM PBARTHOL ---------------------------
09/20/2005 01.37 PM PBARTHOL ---------------------------
BUILDING FOUNDATION FOOTING
09/20/2005 01.26 PM PBARTHOL ---------------------------
09/20/2005 01:38 PM PBARTHOL ---------------------------
BUILDING FOUNDATION DRAINAGE
09/27/2005 07 48 AM PBARTHOL ---------------------------
MIKE 460-9176
******* AM ********
09/27/2005 04.15 PM JLIERLY ----------------------------
BUILDING DRYWELL
09/30/2005 09.35 AM PBARTHOL ---------------------------
10/03/2005 03.59 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS
09/30/2005 09 34 AM PBARTHOL
MIKE 460-9176
MORNING INSPECTION 10 30 - 11 00 A M
STUDENTS WILL STILL BE THERE
10/03/2005 03 59 PM JLIERLY ----------------------------
BUILDING FRAMING HOLD DOWNS
11/10/2005 08 30 AM JLIERLY ----------------------------
11/10/2005 04 38 PM JLIERLY ----------------------------
BUILDING SHEARWALL TIME: 17.00
12/08/2005 09 06 AM PBARTHOL ---------------------------
MIKE 460-9176
******** 10 00 AM PLEASE ********
12/09/2005 04 51 PM PBARTHOL ---------------------------
straps at bwp
BUILDING SHEARWALL TIME. 17 00
12/14/2005 03 35 PM PBARTHOL ---------------------------
ffilke 460-9176
COMMENTS AND NOTES --------------------------------------
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
PREPARED 12/09/05, 12 35 00
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1515 W 10TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
12/09/05
SUBDIV
PHONE
PHONE
(360) 452-8160
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BI2 01 9/20/05 JLL
9/20/05 AP
BLl 01 9/20/05 JLL
9/20/05 AP
BLFD 01 9/27/05 JLL
9/27/05 AP
DRW 01 10/03/05 JLL
10/03/05 AP
DSD 01 10/03/05 JLL
10/03/05 AP
BLHD 01
11/10/05
11/10/05
JLL
AP
BUILDING FOUNDATION WALL
09/20/2005 01:26 PM PBARTHOL ---------------------------
09/20/2005 01 37 PM PBARTHOL ---------------------------
BUILDING FOUNDATION FOOTING
09/20/2005 01 26 PM PBARTHOL ---------------------------
09/20/2005 01 38 PM PBARTHOL ---------------------------
BUILDING FOUNDATION DRAINAGE
09/27/2005 07 48 AM PBARTHOL ---------------------------
MIKE 460-9176
******* AM ********
09/27/2005 04 15 PM
BUILDING DRYWELL
09/30/2005 09 35 AM PBARTHOL ---------------------------
10/03/2005 03 59 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS
09/30/2005 09 34 AM PBARTHOL
MIKE 460-9176
MORNING INSPECTION 10.30 - 11 00 A.M
STUDENTS WILL STILL BE THERE
10/03/2005 03 59 PM JLIERLY ----------------------------
BUILDING FRAMING HOLD DOWNS
11/10/2005 08 30 AM JLIERLY ----------------------------
11/10/2005 04 38 PM JLIERLY ----------------------------
BUILDING SHEAR WALL TIME 17 00
12/08/2005 09 06 AM PBARTHOL ---------------------------
MIKE 460-9176
******** 10 00 AM PLEASE ********
JLIERLY ----------------------------
VA
12/09/05
/1~~
-------------------------------------- COMMENTS AND NOTES
BL9
01
JLL
s Tf04jJ!;
rfL
6)}~ I?
PREPARED 11/10/05, 11 50 52
CITY OF PORT ANGELES
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1515 W 10TH ST
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
5
11/10/05
SUBDIV
PHONE
PHONE
(360) 452-8160
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BI2 01 9/20/05 JLL
9/20/05 AP
BL1 01 9/20/05 JLL
9/20/05 AP
BLFD 01 9/27/05 JLL
9/27/05 AP
DRW 01 10/03/05 JLL
10/03/05 AP
DSD 01 10/03/05 JLL
10/03/05 AP
BLHD 01
11/10/05 JL~
~~
BUILDING FOUNDATION WALL
09/20/2005 01 26 PM PBARTHOL
09/20/2005 01 37 PM PBARTHOL
BUILDING FOUNDATION FOOTING
09/20/2005 01 26 PM PBARTHOL
09/20/2005 01 38 PM PBARTHOL
BUILDING FOUNDATION DRAINAGE
09/27/2005 07 48 AM PBARTHOL
MIKE 460-9176
******* AM ********
09/27/2005 04 15 PM
BUILDING DRYWELL
09/30/2005 09 35 AM PBARTHOL ---------------------------
10/03/2005 03 59 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS
09/30/2005 09 34 AM PBARTHOL
MIKE 460-9176
MORNING INSPECTION 10 30 - 11 00 A M
STUDENTS WILL STILL BE THERE
10/03/2005 03 59 PM JLIERLY ----------------------------
BUILDING FRAMING HOLD DOWNS
11/10/2005 08 30 AM JLIERLY ----------------------------
JLIERLY ----------------------------
COMMENTS AND NOTES --------------------------------------
~'J
. ~J- ~~\
PREPARED 10/03/05, 13 15 22
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
1515 W 10TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
10/03/05
SUBDIV
PHONE
PHONE
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
BI2 01 9/20/05 JLL
9/20/05 AP
BL1 01 9/20/05 JLL
9/20/05 AP
BLFD 01 9/27/05 JLL
9/27/05 AP
DRW 01
DSD 01
(360) 452-8160
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION WALL
09/20/2005 01 26 PM PBARTHOL
09/20/2005 01 37 PM PBARTHOL
BUILDING FOUNDATION FOOTING
09/20/2005 01.26 PM PBARTHOL
09/20/2005 01 38 PM PBARTHOL
BUILDING FOUNDATION DRAINAGE
09/27/2005 07 48 AM PBARTHOL
MIKE 460-9176
******* AM ********
09/27/2005 04:15 PM JLIERLY ----------------------------
BUILDING DRYWELL
09/30/2005 09 35 AM PBARTHOL ---------------------------
BUILDING DOWN SPOUT DRAINS
09/30/2005 09 34 AM PBARTHOL
MIKE 460-9176
MORNING INSPECTION 10:30 - 11 00 A M
STUDENTS WILL STILL BE THERE
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 9/27/05, 12-45 50
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
1515 W 10TH ST
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV
PHONE
PHONE
(360) 452-8160
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
9/20/05 JLL
9/20/05 AP
9/20/05 JLL
9/20/05 AP
~J+
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION WALL
09/20/2005 01 26 PM PBARTHOL
09/20/2005 01:37 PM PBARTHOL
BUILDING FOUNDATION FOOTING
09/20/2005 01:26 PM PBARTHOL
09/20/2005 01:38 PM PBARTHOL
BUILDING FOUNDATION DRAINAGE
09/27/2005 07:48 AM PBARTHOL
MIKE 460-9176
******* AM ********
PAGE
DATE
11
9/27/05
BI2 01
BL1 01
BLFD 01
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 9/20/05, 13 29,29
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
9/20/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
1515 W 10TH ST
SUBDIV
PHONE
PHONE
NORTH PENINSULA BUILDERS ASSOC
06-30-00-0-3-0676-0000-
05-00000702 RES NEW SFR
(360) 452-8160
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
:::--::----~~--!~(~(~!:i:~:::::;:::::~;;;;-:::::::::::::::::::::::::::-----
09/20/2005 01 26 PM PBARTHOL ---------------------______
-------------------------------------- COMMENTS AND NOTES -----------------------------------___
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Appl~cation Number . . . . . 05-00000702
Application pin number 710016
Page
Date
2
8/30/05
Special Notes and Comments
by Building Department is required prior to backfill.
Address numbers shall be plainly visible from the street.
Address numbers shall be a m1nimum of six inches high and be
of contrasting color from the background.
08/11/2005 05:22 PM SROBERDS --- The proposal will
result in a s.f. res w/attached garage in the RS-7 zone for
total lot coverage of 30%. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Connection fee $222.00
08/03/2005 08:50 AM GMCLAIN ----------------------------
Sidewalk to City standards required for school walking
route.
Sanitary sewer connection inspection is required by
Public Works prior to back f111 of ditch.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
--
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 875.00 875.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2649.50 2649.50 .00 .00
U\
.c---
vI
<'
~
~
D
)r
~~
.-\
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 ordmances governing this type of work Will be complied with whether specified herein or not The granting of a permit does not
pre ume to give authority to violate or cancel the provisions of any state or local law regulatmg construction or the performance of
ctlon
Signature of Owner (If owner IS bUilder)
Date
T \POhCICS\I 102 15R (l/05J
,..'
~
~"'\. ..~'" :i"'1
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your applicatior: 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: A.(~ /~ ,LJ:~//e//il~ ~.c:::<-
Owner. ~/?'"
Address: rp ~
PROJECT ADDRESS:
State LIcense #:
City: /~'? Llu~
,
/O-l:t1 .s J.
Block: '1 () G SubdlVlSlOn:
CLALLAMCOUNTYPARCELNUMBER: (!) @,o (O(Qf!:)'3 0(..0 7 t,
Phone: #52- ~&:;c:>
/~//-C~ ...
Phone: 4V~ -7/~ ~
,dY~~~ ZIp: 7"'~6.z....
Phone: ~--5".2 -~//~
~5Z-
Phone: ~~
ZIp: '7 ~~<:;,Z-.
ZONING: R.7
Exp.
Address: PL? ~ 7~~
Archltect/Engmeer: ..~L' /Lfi~.,.-
Contractor .-A/,PB-H
CItY' ~'?
~/;?A
+-
7~/5
IS/5 W
LEGAL DESCRlPTION: Lot: I?
CO(ge:> eJ
Credit Card Holder Name:
Billing Address: #0 ~ 7'#0
Credit Card Type VISA MC
TYPE OF WORK:
ij/" ResIdential ~New Constr 0 Re-roof
o MultI-faIJJJly 0 AdmtIon 0 Move
o Commercial 0 Remodel 0 DemohtIon
o Reparr 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT:
P::1~~ ~~ #~4'~
/
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No of Stones' L Lot,Size: -r. t77FD EXIStlng Sq. Ft
Total lot coverage~.:( ~.~ 7 %
City: /~-:r LZ.y-,- ~_r
.
#-
Exp. Date:
o fitove
V Garage
o Deck
o Other
~'7~-<J-?/..n./'
.
SIZEN ALUATION:
/57.3 SF @$1~.()q /SF.=$' 16,0~6
.5s-~ SF @$ 2..1. ?;g /SF. = $ \ (, 9J 4~ -
SF @ $ /SF. = $
/ TOTAL VALUATION $ , 27, 7?o -
h~, ~.6..c;; ~~ ,c5{,//k.AU"
p
Occupant Load'
& Proposed Sq. Ft
ConstructIOn Type:
W7T = TOTAL Sq. Ft. ~077
ESA/Wetland(s) 0 Yes 0 No SEPA Checkhst reqmred? 0 Yes 0 No Other
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applIcant. Tills figure will be reviewed
and may be revised by the Buildmg D1vIs1on to comply with current fee schedules. Contact the P enmt Coordmator at 417-4815 for assistance.
PLAN CHECK FEE- IF a plan check fee is due 1t must he submItted at the tlme the buildmg penmt applIcatIon and constructIon plans are
submItted All other penmt fees are due at the tIme of penmt 1ssuance.
EXPIRATION OF PLAN REVIEW: If no penmt IS 1ssued withm 180 days of the date of apphcatIOn, the application will expire. The
Bmldmg OffiCIal can extend the time for actIon by the applicant up to 180 days upon wnttenrequest by the apphcant (see SectIOn RI05.3.2
of the International Build1ng/Resldentml 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 authoT/zed to apply for this permit and
understand that ff" my responSibility to determ:ne what permffs are reqUl~ffY'S' and that J must obtain such permits pnor to work
TIP,ho,,\BL-llOl_Bwp' ApPh"m~~ ~ Dat" 'l"'....,.,.,../~
,.-'~'''' #~Lf# -~ #~
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
_Building Department Use Only
Lot
Permit #:
Address
City /Zr~ LA'//tC"/e:::.J
.. ...
State ~ Zip 7~~
Contact ~/~~ ~~4 -#/;:1,0#
Phone. #~O - 7/ 7~ e:::e:../ /'
Phone 2 ~/-C5>74/~ ~c--
Fax. 4"52- p~oo &1-?-/~
-Notes
1 ~'i
" ,
':l
',,-'
I' "
~ - ::' -", --~>;:-' " ',:
1,_ '",j I
, d'" - 'l.
- ,I,
_ ,~< l'!., - ,_' ;: 1 ~ ,.,
,';-< j."
" -::' ~ _" = ,- - - q" f' ;:. - - 1--" "'I :' =-~ : ,0.=, -,;:,1' _ "!__
-~ ,':':"'" :; ,< ~j
n lllllte azmg IT tlOn ny
Glazmg Glazmg V-Factor Door9 Wall Wall Wall SIab4
OptIOn Area JO V- Ceilmg2 Vaulted Above Int4 Ext4 Floors On
% of Floor Vertical Overhead J J factor Ceilmg3 Grade Below Below Grade
Grade Grade
ill Unlrmited
Group R-3 0.40 0.58 020 R-38 R-30 R-21 R-21 R-IO R-30 R-lO
Occupancy
Only
Table 6-1
PRESCRIPTIVE REQUIREM:ENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(UI 'dGl' O' 01)
See the code text for footnote references
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 mtenor or exterior of the frammg.
./ All bUilding components meet the requirements listed in Table 6-1, Option III
./ The project Will meet all other proVISions of the WSEC and VIAQ
The project will take advantage of the following exceptions to the prescriptive option
o 602 6 Exception 1 One door, that IS 24 ft 2 or less, that does not meet the standards IS allowed
Location of the door taking thiS exception
o 6026 Exception 2 Doors With a U-factor of 0 40 allowed Without calculations, Option III only
Location of the door(s) taking thiS exception
, T)" P E:.. D F ~h~' A t- S oc) 'i2. c...E"' (
~ K ~ /P.7 c:...t!!!'
~.-" ~/ ~'/,..
Copynght 2002, WSUCEEP02-056
Copied by permission from the Washington State University Extension Energy Program
Prescnptlve - Simple Form - Climate Zone 1
7/26/2004
PREPARED 8/15/05, 13:42:48
CITY OF PORT ANGELES
PAYMENTS DUE RECEIPT
PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER: 05-00000702 1515 W 10TH ST
FEE DESCRIPTION AMOUNT DUE
PLAN CHECK FEES
SANITARY SEWER HOOK UP
RIGHT OF WAY
PUBLIC WORKS RES WATER SERV
BUILDING PERMIT - RESIDENTIAL
MECHANICAL PERMIT
ELECTRICAL NEW RESIDENTIAL
PLUMBING PERMIT
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
TOTAL DUE
469.62
110.00
50.00
715.00
1174.05
101. 35
36.40
132.00
745.00
4.50
1025.00
4562.92
Please present this receipt to the cashier with full payment.
. ~~
ov. ~ oJ1)~ 1)f/~~
ft{~ / ~:.rv or
o ,j) Iv~ I}WJ ~ ,V 4'1
fI'r/t> J /
rV r\A'O~
'(i
......"...!t'"
"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 'EAST 5TH STREET. PORT ANGELES. WA 9R::\62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subd~v~s~on Name
Property Use
Property Zoning .
Application valuation
2/02/06
05-00000702 Date
710016
1515 W 10TH ST
06-30-00-0-3-0676-0000-
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
127730
Owner
Contractor
NORTH PENINSULA BUILDERS ASSOC
POBOX 748
PORT ANGELES
(360) 452-8160
Other struct info
OWNER
WA 98362
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
29.67
1. 00
7000 00
2077 00
1 00
'-
~
~
Permit
Additional desc
Permit pin number
Sub Contractor
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
SHAMP/ 2077 SQ FT SFR
70243
SHAMP ELECTRICAL CONTRACTING
SHAMP ELECTRICAL CONTRACTING
119 80 Plan Check Fee
2/02/06 Valuation
8/01/06
.00
o
t
Qty
1 00
2 00
Unit Charge Per
73 0000 ECH
23 4000 5C
Extension
73 00
46 80
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in he~ght Numbers colors must contrast with wall
color they are mounted on (Ord 14.36 050-E)
When roof gutters are ~nstalled, drains will located in dry
wells or piped to approved storm drain location No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill
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.
08/11/2005 05.22 PM SROBERDS --- The proposal will
result ~n a s f. res w/attached garage in the RS-7 zone for
total lot coverage of 30% No land use issues are noted
Electr~cal loaa calculat~ons and elctrical permits are
requ~red.
Connection fee $222 00
08/03/2005 08.50 AM GMCLAIN ----------------------------
Sidewalk to C~ty standards required for school walking
route.
Sanitary sewe~ connection inspection is required by
Public Works prior to back fill of ditch
~
\~
CI\
'\
....
Other Fees
SEWER SYSTEM DELV CHARGE
745.00
COMMENTS/ ACTION NEEDED
'~
~~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 98362
"
l
,
l
Application Number
Application pin number
05-00000702
710016
Page 2
Date 2/02/06
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 119.80 119.80 .00 00
Plan Check Total .00 00 .00 .00
Other Fee Total 1774.50 1774.50 .00 00
Grand Total 1894 30 1894.30 .00 00
COMMENTS/ACTION NEEDED
fA
j
ELECfRICAL PERMIT INSPECfION RECORD
f
J
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02 u 14'961
01/30/2008 12:58 FAX
~001/001
RerA.jy
~C\ll''-\11
(i
.......
05 ~ 7oz-
ELECTRICAL WORK PERMIT APPLICATIO~\
,
Job wired by
ef"Electrical Contractor 0 Owner
InSlallation description
D Cnmmerr:ial ~eliidcDti.a1
Elecuical cOlHrac~or name
.")h"..p E'~b',l',J
Purchaser' malhng address
PO jl.,.,)( 3-&3
ejiy
Pell'-+- ~l'':>
T lcphonc nl,.lln
Licens~ numb~r
DnLe Expires
DNew
D Altered/AdditioD
,e, \\-t\~r=cC'\.2':l, P,3
Stale ZTr
Premises OWller's name
Ftr\,)'fe_ Jl..1I\q~v-:..
AdZ" or,ml.ll.~
~/;) ~t-IO-\-lr,
.~f 1-
~'(' f\~/'::, 11'/ 1\
Phone numb 0 JChedU.( Inspection:
s+.
~
x
Date: /
/5.;7--3
~S-'1
o ~sh 0 Check # ~o 7 7 $Q ff
litCred't Card VISa Mastercard Discover
Card# -C'1Lt&..,----.---------
Expiration Dale ..f:j. , '0
f d nspcctlon lee
o car $
Servic9 Information
OWllel> a._ defined by RCW/9,18.J6J:(J) Owna wi1/ occupy /hi: structure for two
YfO"S gfter (h~ deetrical permit j.J finalized. (2) Owner i.t reqlfj,ed (IJ hire all efccr,icCl(
contraclor if ahove said p"opereJ' is for mk refit or lease.
After readine: the above SI,Htmenl, I hereby cenify that I am the owner of the above
!lamed property or 11 licensed eleetrical contractor. I aI''' making. (he tleCll'ic31 in:.\3.I.
Innoo 01 altc181itm in complian~e wilh the electrical laws, N.E.C.) RCW. Chapter
19.28. WAC. Chapter 296-468, The City of POrt Angeles Municipal Code_ amI
UtililY Specifications.
Signature or oWller. eleclrical eont....adol'" or l:!ledric.a1 admtnlslralor
,
Electrical Load Additions and or subtractions
(J ND LOAD CHANGES
o Baseboard KW
o Furnace _ KW
o Heal Pump _ Ton _ LAR
(J Fan-Wall KW
o Overneaa Service
o ;ramp Service
,....eJ Underground Service
Voltage
PhasetlJ1U3
Service Size: _
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
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SERVICE
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Area, Building or Equipment Inspected
Action Taken
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
OS--70"L
Application Number
Application pin number
F'-roi)E~rty Address
ASSE:SSOR PARCEL NUMBER;
..,App)J.cation type description
Subdivision Name
Property Use
Property Zoning . . .
Applicati?n valuation
05-00000702 Date 8/30/05
710016
1515 W 10TH ST
06-30-00-0-3-0676-0000-
RES NEW SFR
/SI5WJO'th
RS7 RESDNTL SINGLE FAMILY
127730
2.'fD.~::;:
Contractor
N~B;4ss0L
NORTH PENINSULA BUILDERS ASSOC
P. O. BOX 748
'po'R.'-i;"ANGELES
(360) 452-8160
Other struct info
OWNER
WA 98362
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
29.67
1. 00
7000.00
2077.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
"Tss'ii.e-' Date
Expiration Date
PUBLIC WORKS RES WATER SERV
57091
715.00
8/30/05
2/26/06
plan Check Fee
Valuation
.00
, 1~7730
Qty Unit Charge Per Ec:?RS~O~
1.00 715.0000 EA PW W/M 1" SERV 5/8" METER 715.00~~
------------------------------------------------------------------- ----- .
Permit . . . .. RIGHT OF WAY
Addit..ional desc .
Permit pin number
.....Periili't Fee
Issue Date
Expiration Date
57083
50.00
8/30/05
2/26/06
Plan Check Fee
valuation
.00'
127730
~\
. __,"H,.,. Qty Unit Charge Per E~lOn
1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
-----;~~~~~--~-~-~-~-~-~--;~~;~;-~;~;;-~;;~-~;----------------------------
Additional desc .
Permit pin number
,Permi t Fee
Issue Date
Expi-ration Date
57075
110.00
8/30/05
2/26/06
Plan Check Fee
valuation
.00
127730
Qty
1_00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Special Notes and Corrunents
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36. OSO-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
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:\l'olicics\JJ02.1SR [1/05]
Of,.~Rr~c;>""
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
32] EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000702
Application pin number 710016
Page
Date
2
8/30/05
Spec~al Notes and Corrunents
, by Building Department is required prior to backfill.
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.
08/11/2005 05:22 PM SROBERDS --- The proposal will
result in a s.f. res w/attached garage in the RS~7 zone for
'tot.al lot coverage of 30%. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Connection fee $222.00
08/03/2005 08:50 AM GMCLAIN ---------------------~------
Sidewalk to City standards required for school walking
route.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
-------------------------..-.-----------------------------------~.._~-
Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 745.00
____________________________________~~~~;:;~~~~;;.~SE_FE~__C=;:~~
F7e .s~ary Charged Paid Credited Due
PeImit Fee Total
Pla.n Check Total
Other Fee Total
Gra.nd Total
875.00
.00
1774.50
2649.50
875.00
.00
1774.50
2649.50
.00
.00
.00
.00
.00
.00
.00
.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction 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 correcl. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
T:\l'olicies\ll02.15R [liDS]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: /!t.
Date _ /I~I 0 V Time Received by fr '(phone, person)
Location of Work to be inspected
Name 01' person requesting inspection
Address of person requesting inspection
~Inspection (circle appropriate one):
~9lUndation Framing Chimney Plumbing
ff?~ ~r _
-r:/.;MJ #I mad h-;-
Phone No. 177-/6/$0
Permit No. 06- 702-
Final Sewer Excav. Other
INSPECTION NOTES) ~
InspectE,d: Date , .I. ~ tJ k Time z...? I--/\. By 1:?... \ <-
Remarks: a.lt:::-, ? ~~\-"'"1 s -h <..". 7{vcc! Cats.. "I")
OK-~Pi~;:A/ 6~en~
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RESTORATION REQUIRED. . . . .. YES NO
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SURFJl~CE RESTORATION:
SURFACE TYPE: D Unimproved ~ravel D Asphalt D PCC
D Other
D Repaired by City
~ [] Repaired by Permittee
D No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
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APPLICATION FOR WATER
City Water Division
Port Angeles. Washington 'S / ~
I
I hereby apply for water to be furnished in accordance with rates and rules of the Cify for fhe
following premises: lflOO- '1/70
Po 60'1. ,'if!,
/?'u I LO 1 .u~_ A ~<,o<'- \ ~T ION
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.20~
Name of Applicant: NO~TH PIS- N I N~u LA
Address: 1'515 uJ. IO+h -&.i
Renewal 0 New Service IBSlk 300 Lot /7 Add
Size of Service J x. 5/ e MeIer Number O~6 t; ~
Service Left On 0 Service Left Off ~ Signed ~~ ?, /'
Installed by 7 I 7
Remarks: P E tl11l T -# 05 -10;;2
1IID;)5.0~ d-$l-71S.~
Pfli2CEI..:l'i O"30Qoo30~ 700000
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
q-Z8-0h Time
/,
~
Date
Received by
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Ilnspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
I-I~ fi;,Oh~ I)
I () .t;b.
c'~11 If'.
Phone No. '1'6/- Sl.J f, \
Permit No. oS -702-
,
Sewer Excav. Other 'S ( de__i.VI'rLt:::...
Inspecte,d: Date
Remarks:
INSPECTION NOTES:
1-/- ze- 6<0
Time By Rv
S:de... \;\0..\ \<.
CJ I< 1-6 :p.,,,,,,v-
RESTORATION REQUiRED...... YES NO X-
SURFJ~CE RESTORATION:
SURFA.CE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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