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HomeMy WebLinkAbout931 Glenbrook Cir - BuildingPREPARED 10/22/10 8 12 24 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/22/10 ADDRESS 931 GLENBROOK CIR SUBDIV TENANT NBR TERRY K GOLDMAN CONTRACTOR PHONE OWNER TERRY K GOLDMAN PHONE (360) 457 9364 PARCEL 06 30 15 5 9 0010 0000 APPL NUMBER 10 00000688 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 7/28/10 JLL BLDG FRAMING TIME 04 00 7/28/10 AP July 27 2010 4 48 20 PM 1pangrle TERRY 477 7386 FRAMING HE REQUESTED A LATE AFTERNOON INSPECTION PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE July 28 2010 4 28 30 PM jlierly BL99 01 10/22/10 BLDG FINAL October 21 2010 11 46 05 AM pbarthol Terry 457 9364 COMMENTS AND NOTES PREPARED 7/28/10 8 14 47 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/28/10 ADDRESS 931 GLENBROOK CIR TENANT NBR TERRY K GOLDMAN CONTRACTOR OWNER TERRY K GOLDMAN PARCEL 06 30 15 5 9 0010 0000 APPL NUMBER 10 00000688 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 7/28/10 JLL BLDG FRAMING TIME 04 00 July 27 2010 4 48 20 PM 1pangrle TERRY 477 7386 FRAMING HE REQUESTED A LATE AFTERNOON INSPECTION PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES SUBDIV PHONE PHONE (360) 457 9364 Owner Application Number 10 00000688 Application pin number 375840 Property Address 931 GLENBROOK CIR ASSESSOR PARCEL NUMBER 06 30 15 5 9 0010 0000 Tenant nbr name TERRY K GOLDMAN Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 9000 Application desc CHANGE ROOF SLOPE RE ROOF ADD 3 SKYLIGHTS TERRY K GOLDMAN 931 GLENBROOK CIRCLE PORT ANGELES WA 98362 (360) 457 9364 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 7 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 BASE FEE 14 0000 THOU BL 2001 25K Charged 193 75 125 94 4 50 324 19 Contractor OWNER BUILDING PERMIT RESIDENTIAL CHANGE ROOF SLOPE ETC 168690 193 75 7/07/10 1/03/11 (14 PER K) STATE SURCHARGE Paid Credited 193 75 125 94 4 50 324 19 00 00 00 00 Date 7/07/10 CHANGE ROOF SLOPE RE ROOF ADD 3 SKYLIG Plan Check Fee 125 94 Valuation 9000 Extension 95 75 98 00 4 50 Due 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) r 0-- Z 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 7 a 0 Gexonufro Gyre /1t 11 %1 Th ate Print Name Signature of Contractor or Authorized Agent ignaturto Own (if owner is builder) BUILDING PERMIT INSPECTION RECORD u�. PLEASE F'ROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Cc) Building Inspections 417 4815 Electrical Inspections 417 4735 QQ Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION. 'Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit Z$ lo ;SLL PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By 7p to-22-10 Sm� Applicant /rn Property Owner /f /Y &O40 Property Owner's Address 93 grell /oo/ G rp Contractor l £/2(2,N Jrfl,3 Contractor's Address License Expires PROJECT ADDRESS cti'1 e A Ac. G� Parcel Number Proiect Type Brief Des Check all that apply New Construction Addition k Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1St Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures s Site Coverage the amount of impervious surface and other impervious surfaces (see PAMC 17 94 Max height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 cription. Residential Multi- family Commercial Industrial 'w� G.o_ sr b ,A e-e' a (0 e� (3 eat A c.. C Po o. s,„ enN,Noe c- re� ►�o'�c n ex r Sti-.- \2 r c-4244 c-4244 ()__Q _�g Es Cc (ex n vf House garage offer tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) ft. T Lot size arcel including structures for exemptions) ccupancy group ccupant load Construction type Date /C���h Print Name "7 y e0 iY lht0 Signature T Forms /B ilding Division /Building permit application Pho Phon Phone E -mail Lot Zoning per sq ft. l ca3 La 1por TOTAL VALUATION sq ft. Lot coverage ok ave driveways sidewalks patios Site coverage I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects For City Use Only Date Received "7 I 0 Permit 1 n Date Approved Ji oco u564,00 OOO 00 of bedrooms of full baths of half baths o 9 .S7 93(`f 9 c/ 3(v 1S7 9 ,mcr\ c2 \Ads-1, cow Clallam County Assessor Treasurer Property Details 68129 TERRY K GOLDMAN Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 68129 TERRY K GOLDMAN for Year 2010 2011 Property Account Property ID Geographic ID Type Tax Area. Open Space: Historic Property' Multi Family Redevelopment: N Township Range Location Address: 931 GLENBROOK CIR PORT ANGELES WA 98362 Cycle 4 Res 10952130 Neighborhood Neighborhood CD Owner Name Mailing Address. 68129 Taxes and Assessment Due Property Tax Information as of 07/01/2010 Amount Due if Paid on. 7 0630155900100000 Real 0010 PA 121 PORT ST CNTY H2 L N N TERRY K GOLDMAN 931 GLENBROOK CIRCLE PORT ANGELES WA 98362 Year Statement ID Taxing Jurisdiction 2010 49860 ST SCH STATE SCHOOL 2010 49860 CC -GEN COUNTY 2010 49860 PORT PORT 2010 49860 PORT ANG PORT ANGELES 2010 49860 SD #121 SCHOOL DISTRICT #121 2010 49860 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 49860 HOSP #2 HOSPITAL #2 2010 49860 WSMET PK DIST WILLIAM SHORE MET PARK 2010 49860 CITY_STORMWATER CITY STORMWATER 2010 49860 WEED_CONTROL WEED CONTROL 2010 49860 TOTAL. 2009 681292008 ST SCH STATE SCHOOL 2009 681292008 CC -GEN COUNTY 2009 681292008 PORT PORT 2009 681292008 PORT ANG PORT ANGELES 2009 681292008 SD #121 SCHOOL DISTRICT #121 2009 681292008 NTH OLY LIB NORTH OLYMPIC LIBRARY 2009 681292008 HOSP #2 HOSPITAL #2 Legal Description Agent Code. Land Use Code DFL Remodel Property Section Mapsco Map ID Owner ID Ownership Exemptions: GLENBROOK, PLAT OF LT 1 11 N N 27039 100 0000000000% First Half Second Half Base Due Base Due Penalty Interest Base $221 48 $221 48 $0 00 $0 00 $22 $117 85 $117 88 $0 00 $0 00 $11 $16 56 $16 57 $0 00 $0 00 $1 $272.89 $272.90 $0 00 $0 00 $27 $286 88 $286 88 $0 00 $0 00 $2E $34.25 $34.25 $0 00 $0 00 $C $48 35 $48 35 $0 00 $0 00 $4 DIST $15 38 $15 39 $0 00 $0 00 $1 $36 00 $36 00 $0 00 $0 00 $Z $0 82 $0 81 $0 00 $0 00 9 $1050.46 $1050.51 $0.00 $0.00 $10° $231.27 $231.27 $0 00 $0 00 $4€ $117 05 $117 03 $0 00 $0 00 $2C $16 58 $16 58 $0 00 $0 00 $256 72 $256 72 $0 00 $0 00 $51 $285 99 $286 01 $0 00 $0 00 $57 $34 01 $34 01 $0 00 $0 00 $E $48 00 $48 00 $0 00 $0 00 V. http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =68129 7/1/2010 3 tz 1.0 S1 psk, r ne 'nek,a /3 J (i ate* 17-:" 1' 671., 1,9 M IG •X4, FT_ io SerAa Cj2tP VarSr 12_ 4 "1Y-1 0 ('1T NS c•u kyo..) 10 GEC CYl�frwg eas m- r I9 FIL ti 3(Q S c 1 Cc eci 3(470 4 CM' OF pv,,T A roGELF a Conr tructiOri P1$11" The Issuance of this permit based upon these plans, specifi• canons and other data shall not prevent the building official tr rn thereafter requiring the correction or errors in said plar specifications and other data, or from preventing building operations being carried cn thereunder when in violation of ail codes and ordinances of this uron. C. �1 "nvret i �n nl ;proval tt PREPARED 11/12/09 9 54 44 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/12/09 ADDRESS 931 GLENBROOK CIR TENANT NBR TERRY K GOLDMAN CONTRACTOR OWNER TERRY K GOLDMAN PARCEL 06 30 15 5 9 0010 0000 APPL NUMBER 09 00000961 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 11/12/09 JLL j l SUBDIV PHONE PHONE (360) 457 9364 MECHANICAL FINAL TIME 01 00 November 12 2009 9 15 08 AM 1pangrle TERRY 457 9364 MECHANICAL FINAL PELLET STOVE AFTERNOON COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000961 Date 9/17/09 Application pin number 115079 Property Address 931 GLENBROOK CIR ASSESSOR PARCEL NUMBER 06 30 15 5 9 0010 0000 Tenant nbr name TERRY K GOLDMAN Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 3700 Application desc PELLET STOVE INSTALLATION Owner Contractor TERRY K GOLDMAN 931 GLENBROOK CIRCLE PORT ANGELES WA 98362 (360) 457 9364 OWNER Permit MECHANICAL PERMIT Additional desc INSTALL PELLET STOVE Permit pin number 153775 Permit Fee 60 65 Plan Check Fee 00 Issue Date 9/17/09 Valuation 0 Expiration Date 3/16/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65 Fee summary Charged Paid Credited Due Permit Fee Total 60 65 60 65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. D e Print Name Signature of Contractor or Authorized Ag ent ig r e o f Owner Of owner is builder) T:FocrosBuilding Division/Building Permit PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities ii 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough-hi 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 1 ESA. Landscaping 1 SHORELINE. Inspection Type Electrical Construction R.W PW Engineering Fire Planning Building T /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD Accepted By Comments 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 FINAL Date FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Date Accepted By 7 1- �1 l2_-b1 PE3 BUILDING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth .St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant /may Oouzn;?J9 Property Owner £`2i2y &Qom x> Property Owner's Address 93i Glen► /j, ,E C'� rcj— Contractor 7i2 /2w Contractor's Address q3/ G' 11 h node_ License Expires PROJECT ADDRESS ?',3 /Gkf -7`kte Parcel Number Lot Proiect Type Brief Description. 'Residential Multi- family Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amount of.imperviou and other impervious surfaces. (see PA House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace ;pellet stove other Existing. (sq. ft) 1 sq surfa Proposed (sq. ft.) For City Use Only Date Received Cf— I7 aq Permit# Date Approved Phone Phone Phone y E -mail 7 93(c/ 2/5 93G e., Zoning Commercial Industrial per sq ft. TOTAL VALUATION 3, 7616 Lot size sq ft. Lot cov on a parcel, includingstructures paved ivew 94 135 for exemptions) 0V_/YU i1 Ce Ceti" Max. height of proposed structures ft. Occupancy group of drooms Will a lawn sprinkler system be insta d Occupant load of ful paths Will a fire sprinkler system be inst ed? Construction type of half b s I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that1it is my res ponsibility to determine what permits are required, and to obtain permits prior to working on projects. DateC39// Zh Print Name ea- z)i')l171/4) Signature/ L% A< C' 1 T:Forms /Building Division /Bldg Permit.doc 7 age sidewalks patios ite coverage P r CTTY OF PORT ANGELES DEP,A.RTMENT OF COMMUNITY DEVELOPMENT BLTILDING DNISION 32l EAST STH STREET, PORT ANGELES, WA 95362 Application Number OS-00000340 Date 11/08/OS Application pin number 330660 Property Addresa 931 GLENBROOK CZR ASSESSOR PARCEL NUMBER: 06-30-15-5-9-0010-0000- Application type description MBCHANICAL APPL. PERMIT Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 2914 �e Contractor GOLDMAN TERRY IC/DEBRA L THURMANS SUPPLY 931 GLENBROOR CIRCLE I807 BAST FRONT STREBT PORT ANGELBS WA 98362 PORT ANGELES WA 98362 (360) 457-8591 e Permit MECHANICAL PERMIT Additional deac Permit pin number 53538 Permit Fee 50.00 Plan Check Fee .00 Issue Date 11/08/05 Valuation 0 0 Expiration Date 5/07/06 l y 1 Qty Unit Charge Per Extension 1.00 50.0000 ECH ME-WOOD BURNING APPL. 50.00 Pee aummary Charged Paid Credited Due Permit Fee Total 50.00 50.00 .00 .00 C Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 I�;� 11." �l1 C-.. b ,'�-i Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perFormance of construction. Signature of Contrac#or or Authorized Agent Date Signature of Owner (if owner is builder) Date T:�Policies\1102_15 building permit inspection recordOS.wpd [1/42005) BUILDING PERMIT INSPECTTON RECORD CALL 417-4815 FOR BUiLDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL iNSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES �i PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT TN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS CT' YES NO c FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGSJ PLUMBINC UNDER FLOOR SI,AB ROUGH-[N W ATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW WATER AIR SEAL WALLS CEIL[NG V FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS V J WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONL17 (b T-BAR INSULAT[ON V SLAB W ALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE �J Q pCCEPTED BY: WpOD STOVE PELLET CHIMIdEY FINAL I I�� `�O 1 DATE COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: ESA: PARKINC/LICHTING LANDSCAPING SHORELINE: F[NAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYNSE RESIDENTIAL QATE YES 1V0 COMMERCIAL DATE ACCEPTED YES NO �f �v ELECTRICAL LIGHT DEP'I'. 417-4735 ELEC'fRICAL LIGHT DEP7' CONSTRUCTION R.W. CONSTRUC7ION R.W. PVV� 417-4807 PW 1 ENGINEERING ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-A750 PLANNING DEPT. BUILDING 417-4815 BUILDING 'T:�Policies\1102 15 building pem�it inspection recordOS.wpd 1/4/2005] PREPARED 11/12/09, 9:54:44 INSPECTION TZCKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE ll/12/09 ADDRESS 931 GLENBROOK CIR SUBDIV: CONTRACTOR THURMANS SUPPLY PHONE :(360) 457-8591 OWNER GOLDMAN TERRY K/DEBRA L PHONE PARCEL 06-30-15-5-9-0010-0000- APPL NUMBER: OS-00000340 MECHANICAL APPL. PERMIT PERMIT_ MS O1 M6CHANICAL PBRMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 O1 11/1 /09 JLL MECHANICAL FINAL TIME: 01:00 November 12, 2009 9:16:06 AM lpangrle. TERRY 457-9364 l� MECHANICAL FINAL PELLET STOVE AFTERNOON COMMENTS TES i ~~i .., '"" "'" """', , ' " - ~~ ~ pORT :'\011; $"'O~~~ rea 1L -=:;;.a' ~ ~~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 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 valuation 05-00000340 Date 330660 931 GLENBROOK CIR 06-30-15-5-9-0010-0000- MECHANICAL APPL. PERMIT 11/08/05 RS9 RESDNTL SINGLE FAMILY 2914 ~1 3)(r~ G/7!~ ~ \ ~ ~ Owner Contractor GOLDMAN TERRY K/DEBRA L 931 GLENBROOK CIRCLE PORT ANGELES WA 98362 THURMANS SUPPLY 1807 EAST FRONT STREET PORT ANGELES WA 98362 (360) 457-8591 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT ...S) ~ ---------------------------------------------------------------------------- 53538 50.00 Plan Check Fee 11/08/05 Valuation 5/07/06 .00 o ~S0 ~~ ~ ~ f" \' ~ ~ Qty Unit Charge Per 1.00 50.0000 ECH ME-WOOD BURNING APPL. Extension 50.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 i I Kc' VI 0(' d T~{,~.' ~-~.~ (.'l C ;. '- ~ ~" (' t, ! Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. r INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP/FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING 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. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051 '. , '" ^"".'" .."..' ....^'..".-.. -- ~ ... --~--=.._t"V"'~0'; CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000340 Date 330660 931 GLENBROOK CIR 06-30-15-5-9-0010-0000- MECHANICAL APPL. PERMIT 5/09/05 RS9 RESDNTL SINGLE FAMILY 2914 Owner Contractor GOLDMAN TERRY K/DEBRA L 931 GLENBROOK CIRCLE PORT ANGELES WA 98362 THURMANS SUPPLY 1807 EAST FRONT STREET PORT ANGELES WA 98362 (360) 457-8591 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT WOOD PELLET INSERT 48595 97.00 Plan Check Fee 5/09/05 Valuation 11/05/05 .00 o Qty Unit Charge Per Extension 47.00 50.00 -Q bJ BASE FEE 1.00 50.0000 ECH ME-WOOD BURNING APPL. ---------------------------------------------------------------------------- Fee summary Charged Paid credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 97.00 97.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.00 97.00 .00 .00 - ~ - (t, "", ...) cr Q o f" G ! 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. 5-f(-S Date Signature of Owner (if owner is builder) Date T:\Polic.ies\II02_15 building permit inspection record05,wpd [114/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS 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 I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERlOR BRACED PANEL ONLY) T,BAR INSULATION SLAB WALL / FLOOR / CEILING I 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 SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL, LIGHT DEPT. 417,4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION, R.W. ENGINEERING 417.4807 PW / ENGINEERlNG FIRE 417,4653 FIRE DEPT. PLANNING DEPT. 417,4750 PLANNING DEPT BUILDING 417,4815 BUILDING T:IPoliciesll102_15 building penn it inspection record05.wpd r 1/4/2005] CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15073 -;--;;0 './ Port Angeles, Washlngtonm....._.n_nm_n._________m..mm_m.m___mmm. 19.'::000__. In ae<:ordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in. on. or about any building or other structure in the City of Port Angeles, per- mission is her:fJb granted to do electrical work as listed below. " , ~/"'l \~- Ib. 1) () tr,..,' yr. Iii ! /I_~? Address ooo-k.~_ .~2. ..&1l _ _.. -&::?;;-_~.. ...t.,..'-~'~..~:~nnmn_._ Occupancynn.<!.,l.'~____..ooo..ooom.ooo..m.m. . j( . Owner ..ooo:~?'~m__:___:"~.~.ooo.ooo.........oooooo_. Tenant_n_n__nm._n..____m_____..._ooom__n....____.___..__mooo....n . - ~ Yl Wiring Contractor --ntJ:.',..f1-!:h..~2...oooati'.~:':.:ooo......-.---.. Byn_nnn___n_..ooom.m.moooooo._.mm______n__ooo..____..___ Light OUtlet8nn......~...?n....n...~__... Service, volts ./.P.n()/f!:f:.!:!nn Type of WIring: R t I 0 tl t ./ 0 N w es "3 Armored Cable ....n..m.................. ecep ac e u e s....~...............m.... o. ir ...........___~mm.......:..m.... Dryer, KWI......?mm..............mm. SIze wlres....j('/t!.,af.-!.......... Range, KW mn./::Lnmnnn... MaIn fuse ...:~.c?4.............. Water Heater: KW.n.n.5I.!...Cmmmmnnnmmn I1eat: RW.."/YC[J}!J....n...... Enclosure ....5...................__m...m Type of wiring: Entrance Cable ...mm.mm..........m RigId Conduit ..00...0000...........00....... Motors: size, volts and phase: ...../..I~!,_'':":.:n_.........n..n_.........n_.. ..../.&~......_.._....................... Metallic Tubing .mm.................... Current transtormers: No. & Size.....mm........m................. Ser. NO.........._................n................. Ser. NO.-...............................n............ Ser. No.....................................__........ Total Load.mm..m.mm_........ Ser. NO...............................n............. Non.Metallic ............m......m...___m Knob & Tube RIgid Conduit Metallic Tubing ...............mm...... Race\vay .......................................... CIrcuits, Light...~........m....___m..___m. '- Utlllty .00,2......00..........................00... ...Ln......n._n...._.......__....... Heat CJ. Range .........................__.................. fi). Water Heater ................m............ Motor ..._...............__....................... @ Dryer.................................................. Furnace .........................__................__ ,;) ).- Total....................................... Remarks : .h.u.....:u-_?~__L_;::,__~~_~.~..nnd~_.C=-_~~..:.._~_u~.nnn.nn:n.nn..n..___..U.U.nd..h.nnn__u.u.uu.uuuu___n.__n.__. Permit Fee $.____"3.d.Id..________m__ooo__.. Treas. Receipt No.._...___ooo_______ooo____.. By j{;t2K;..~dd.d.e4!,'___'nm._______.~ NOTIC~urrent must not be turned on until Certificate ot Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION /" I. / I r/l) 1w ed3 /~r- C~ ,..,...711--. ELECTRICAL PERMIT N~ 15073 Date called for;~pi,Von.,A~~~~:AL~::-r.O.~.o.:.:4.....~b,.(Pe~;;."..........---......00........................_00....00...00.....____..._.......__...... . --:1.",-" 0.::~ preliml~aryinSpeCt1ona:~~~~:~~...."&i;;:s:i?.....-_........................................................................................._......._......_ Inspectloncompleted..._..........~1......_.....................................................................................................................___................_..................... \i Total Load ..................................._..................................................._ '.'''..'n ..............................................................................._........_......_ 1M 3.72 Olympic Printers, Inc.