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Home My WebLink About1009 Dunker Dr - BuildingOp pORT,k,C I UM Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type descript.on Subdivision Name Property Use Property Zoning Application valuation Owner NORTH PENINSULA BUILDERS P 0 BOX 748 PORT ANGELES (360) 452 8160 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T•\Policies\ 1102.15R [1/05) ASSOC WA 93362 00 9/14/07 3/12/08 Charged 00 00 1663 51 166 51 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000969 599426 1009 DUNKER DR PUBLIC WORKS tTILITES UNKNOWN 0 OWNER RIGHIr OF WAY DRA (PROCESSING PERMIT 109322 CITY DRA DRA FEES PLUS INTEREST Paid Credited 00 00 1668 51 1668 51 Contractor Plan Check Fee Valuation 00 00 00 00 Date 9/14/07 OG930 0183 0110 77 83 1590 68 Due 00 00 00 00 00 0 Separate Permits are required forele ctrical 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 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \1102.15R [1 /05] RESIDENTIAL PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING ripp.Licacion Numner Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner NORTH PENINSULA BUILDERS ASSOC OWNER P 0 BOX 748 PORT ANGELES WA 98362 (360) 452 8160 Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00001031 139910 2322 W 10TH ST 06 30 00 1 0 5510 0000 NORTH PEN BUILDERS RES NEW SFR RS9 RESDNTL SINGLE FAMILY 164889 Contractor TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL SHAMP/ 2420 SFR DE GARAGE 93963 SHAMP ELECTRICAL CONTRACTING 1164 00 Plan Check Fee 1/29/07 Valuation 7 /28/07 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 requiredlprior to prouring concrete Fees for DRA(Mt View Estates F Milwaukee Dr)to be determined at a later date SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 1F4 00 164 00 00 Date 1/29/07 27 80 1 00 9375 00 2614 00 1 00 00 0 Qty Unit Charge Per Extension 1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00 3 00 22 0000 5C EL R SQFT ADDITIONAL 500 66 00 1 00 29 0000 ECH EL R OUTBD /DTCH GAR W /SERV 29 00 Special Notes and Comments Electrical load calculations and elctrical permits are required Electrical design cost esimate for short plat not yet completed Connection fee to u/g power will be $713 00 09/25/2006 04 46 PM GMCLAIN Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required 870 00 4 50 1200 00 Due 00 ELECTRICAL PERMIT INSPECTION RECORD BALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COMA INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH I I I ROUGH -N COVER I I I SERVICE I I I FINAL I I I GENERAL COMMENTS: I I I I I I I 1 I I PW -1 im.I$ [4/961 Application Number Application pin number Plan Check Total 00 Other Fee Total 20"4 50 Grand Total 22 ?8 50 COMMENTS /ACTION HEELED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00001031 139910 00 2074 50 2238 50 00 00 00 Page 2 Date 1/29/07 00 00 00 cc& ELECTRICAL PERMIT INSPECTION RECORD 'ALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVED INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCI4 ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: 3 o I I I I I I I I I PW- 1102.13 [4961 l 25/200? 13 11 FAX Job wired by as 's ma C VM aN t014 Z O gate C IC J2- hhoenuiltper„^ FAX number c Nis's /0D9 Ani,eg zfie. ki ��►�as� -ems q' 5 Pho uu er ti e lnspectiou 0 Owner as defined by RCW 19.28.261 Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required ro hire an electrical contractor ((above said property is for son. rent or lease, After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1 am making the electrical instal- lation or alteration in compliance with t1 c electrical laws, N.E.C. RCW Chapter 19.2t, WAC. Chapter 296 -468, The City of Port Angeles Municipal Code. and Utility Specifications. Sign re or owner, electrical contr;tetor or electrical a minist ator B, Date.t Electrical Load Additions and or subtractions NO LOAD CHANGES O Baseboard KW Furnace KW Heat Pump Ton LA9 0-Fan -Wall KW trical contras In Date Electric I Contractor Owner i 4ii e" tcd s .1 I �L1�1 \f`installation description Commercial �Aesidential Date I: t 3g` 7� 1Vew Altered/Additioe F vvwv /IN _\1111 a ClOtOASO J V Expiration Date f card Overhead Service O Temp Service O Underground Service SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH IN THERMOSTAT Approved By f FINAL DITCH !3/0� Dec Appeoyvd By Area, Building or Equipment Inspected 'l 2.6 -e 1 Gii .1 .i rid 1. o dr) RA Date Approved By tf -r( Tug ,ma 1 ELECTRICAL WORK PERIVIITAPPLICATION' Cash 0 Check Itrjredit Card Visa Masterc e ;cover Card j 2 �Q f-r .5/ Voltage Phase 0 1 3 Service Size: Feeder Size: SERVICE Approved Dv FEEDER Dote Approved By Action Taken (Ins e do fee 'Service Information Q 002/002 Electrical Inspector Application Number f Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner NORTH PENINSULA BUILDERS ASSOC P 0 BOX 748 PORT ANGELES WA 98362 (360) 452 8160 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total 40 00 Plan Check Total 00 Other Fee Total 20 50 Grand Total 21.4 50 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00001031 Date 1/24/07 2322 10TH ST (O'L9 ,�J C b(.. 06 30 00 1 0 5510 0000 NORTH PEN BUILDERS RES NEW SFR RS9 RESDNTL SINGLE FAMILY 164889 Contractor' OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL ANGELES COMMUNICATIONS 93880 40 00 Plan Check Fee 1/24/07 Valuation 7/23/07 Qty Unit Charge Per 1 00 40 0000 EL LOW VOLT SYS =2500 SQFT Special Notes and Comments Electrical load calculations and elctrical permits are required Electrical design cost esimate for short plat not yet completed Connection fee to u/g power will be $713 00 09/25/2006 04 46 PM GMCLAIN 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 Fees for DRA(Mt View Estates Milwaukee Dr)to be determined at a later date SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 40 00 00 2074 50 2114 50 00 00 00 00 Due 27 80 1 00 9375 00 2614 00 1 00 00 0 Extension 40 00 870 00 4 50 1200 00 00 00 00 00 r- CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. /TM UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. INSPECTION TYPE DITCH ROUGH -IN COVEk SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DA 'ACCEPTBD COMMENTS YES NO I I I I I I I I Imo- I I I I I I I I I I I I Pw- 1102.15 [1196J 8~.. .'.'. '."X."".. ..,...w<. ~'~ ~i~_.~. ~ CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 51h Street, Port Angeles, W A 98362 ~ ~ I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001031 Date 1/23/07 :, ~~:~-NTlr~T51~~~ ~5 Ch(il19€<~ io . \0 oq Dv nl0- br: ~N. BUILDERS 07/3l/07 RES NEW SFR No-Lv P(\r F~r ROJtVr Vess RS9 RESDNTL SINGLE FAMILY ce I ~ 164889 (I) b '30 0 I 8'3 0 \ )Q ooa 0 ......... ~ vl - Owner Contractor NORTH PENINSULA BUILDERS ASSOC P. O. BOX 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 27.80 1. 00 9375.00 2614.00 1. 00 Special Notes and Comments Electrical load calculations and elctrical permits are required. Electrical design & cost esimate for short plat not yet completed. Connection fee to u/g power will be $713.00. 09/25/2006 04:46 PM GMCLAIN ---------------------------- 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. Fees for DRA(Mt. View Estates @ Milwaukee Dr}to be determined at a later date. 0hqo/ ~y ~ "/ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID 93427 .00 1/23/07 7/22/07 Plan Check Fee Valuation .00 o Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 -k. ~'t ~ ~~~ o o -L\ Fee summary Charged Paid Credited Due ------- ---------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2074.50 2074.50 .00 .00 C' c. :s ~ '\T :1 , This pennit 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 examine:l 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 compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the rovisions of ny state Or local law regulating the work specified in the pennit. 1)0 Date " ~ FIRE PERMIT INSPECTION RECORD 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 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 ~. ,~. 01 wn FIRE 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 pSI Tank (container) inspection Time initiated Test #2 . Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments GENERAL COMMENTS: 2/15/00 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private residence Address: 2322 West 10th Street Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13RO 13D[gJ Date: 1.19.2007 PAFD Permit #: 07-03 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A 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 ofthe underground piping is required. A design sprinkler flow test and alarm test are required for all13D systems. . Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. D Contractor ~ Building Department o Fire Department Reviewed by: -1L Q()~ Date: (- lQ'Ol BUILDING PERMIT - APPLICATION FOR OFFlClAL}JSEP.NLY: Date Rec.: ',I11/J27 Pennit#: O~ -If) '3/ Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4 711 Applicant or Agent: \ V'\. C. Q.. V\.. + \ 5 \2., Phone: LJ .s 2. - 7 S 8 :s Owner: F \.A. .t V\.. V e. ~ L.-t\ {d ,Q r .J Phone: Address: 2 :s Z G \..0 I () -+ ~ S ""'city: 9 ov-f-If'-'J .e'e~ Zip: If.e,, 3 (, 3 Architect/Engineer: Phone: Contractor I AINtJvArE.(] i=-, It€... State License #:lNHovi=:\ OYl./PRE.,xp: Ell/yo/Phone: L-/S2 -7..s&3 Address: 8 / /)/ k LJ fIo.. () ~ '^ L vt City: Po v-f- A '"'- S Q' e.J' Zip: Cj Ss ~ <- PROJECT ADDRESS: "2... 3 2, G w. 10 + L, ~ '+v. ZONING: LEGAL DESCRFTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: .e(Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 MoveD Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other J BRIEF DESCRIPTION OF THE PROJECT: I l..1...S -..,.q If SIZEN ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TQJAL VALUATION $ .2 I e f od 1'-[ /'e. SP'Yt\''lI< Ie/' . is'1 s i-e..LA-t COMMERClAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. = TOTAL Sq. Ft. % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes oNo SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that / have read and examined this application and know the same to be true and correct. / am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such pemJns prior to wor1- _. J- T:\FORMS\BldgPermitform.wpd Applicant: JL~..IJ ,11/ rl. n Date: / /1 6/ CJ 7 ~~ 1/ . ('4"OR;~ ,:,C~",< iJr'tSiit. ...~ ~ 'tii;cW'it'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ ~ . Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001031 . 139910 .~ . 06-~0000- . NORTH PEN. BUILDERS RES NEW SFR RS9 RESDNTL SINGLE FAMILY 164889 Owner Contractor NORTH PENINSULA BUILDERS ASSOC P. O. BOX 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 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 87239 1384.25 10/04/06 4/02/07 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 65.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 88195 115.00 Plan Check Fee 10/04/06 Valuation 4/02/07 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-VENT SYSTEM OTHER 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Permit . . _ _ _ Additional desc . Permit pin number permi t Fee Issue Date Expiration Date PLUMBING PERMIT 88203 142.00 10/04/06 4/02/07 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE Date 10/04/06 .-.. ~ \)J ....:... 0000 C) c -!.\ New a-Mres.s: (jr/~IJ07 1009 t:>ul"1ker- Dr fex' R0j~ Ve$:> N€-vJ Parce\ "*0 G30 Olg'3> OliO 27.80 1. 00 9375.00 2614.00 1. 00 553.70 164889 Extension 1020,25 364.00 .00 o Extension 50.00 14.70 29.00 10.65 10.65 ~ ~ ~ ~ 0> ..:--- Q. ~ S 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. d;A;A1 / fl(7~;t~ /~/'/ J() ~ Signature of Contractor or Authorized Agent (Date Signature of Owner (if owner is builder) Date .00 o Extension 50.00 63.00 7.00 T:IPoliciesl] ] 02_] 5 building permit inspection record05.wpd [] /412005] BUfi.,DING 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, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPJCUOUS LOCA TJON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS / GIIU)ERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (rNTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTlNG PLANNING DEPT. SEPARATE PERMIT#'s SErA: 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4]7-4815 BUILDING T:IPoliciesll 102_15 building permit inspection record05.wpd [1/4/2005] (. ~Of.'" . ,-<~~ ",.....a~ '- -==-- ~ ~-;--vd'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 06-00001031 139910 Page 2 Date 10/04/06 Qty 1. 00 1. 00 Unit Charge Per 15.0000 ECH PL- EA. BLDG SEWER 7.0000 ECH PL- EA.WATER HEATER Extension 15.00 7'.00 " ---------------------------------------------------------------------------- , . Special Notes and Comments Electrical load calculations and elctrical permits are required. Electrical design & cost esimate for short plat not yet completed. Connection fee to u/g power will be $713.00. 09/25/2006 04:46 PM GMCLAIN ---------------------------- 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. Fees for DRA(Mt. View Estates @ Milwaukee Dr)to be determined at a later date. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1641.25 1641.25 .00 .00 Plan Check Total 553.70 553.70 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 4269.45 4269.45 .00 .00 .. 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 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. t; ft/MJ flfi7-;jz( Signature of Contractor or Authorized Agent Jt}/I//(I{ . ( Date Signature of Owner (if owner is builder) Date T:\PoliciesIJ 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO rOUNDA TlON: I I FOOTINGS II0j , & tD" r:rw SHEAR WALLS 1 W . 0 -I, I ('FOUNDA T10NfLnRAfNAGE 1 DOWN SPOUTS 1 1\11 "'2.1/ TV VIAJ 11-0-07 .GMd 17ra~ .tI~ . PIERS POST HOLES (POLE BLOGS.) PLUMBING VJ~~ 50 PPL- 't ,:r- II CoI cFI- J1A.. UNDER FLOOR 1 SLAB ROUGH-IN I hTJ7;,n I J LJ-/ WATER LINE (METER TO BLDG) , '/ FINAL o11'~/07 SHOWER PAN DATE "J LL. ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING I I rRAMING S h€a-rwo- t/ 3/{).6/07 JU JOISTS 1 GIRDERS . SHEAR WALL/HOLD DOWNS 111<//07 J I-v -. WALLS 1 ROOF 1 CEILING DRYW ALL (rNTERIOR BRACED PANEL ONLY) T-BAR INSULATION <:' SLAB . I , WALL 1 FLOOR 1 CEILING If)../~y/o '7 .J J-L- MECHANICAL HEAT PUMP / FURNACE 1 DUCTS r ~ ~ GAS LINE '/l)-iTn JJ-.t. WOOD STOVE 1 PELLET 1 CHIMNEY FINALO q I Oij} () 1 DATE -S-t.L ~ ~ ACCEPTED BY:' COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES ., FOOTING 1 SLAB 7 BLOCKING &. HOLD DOWNS ~ SKIRTING PLANNING I>EPT. SEPARATE PERMlT#'s SEPA: P ARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL . LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING N FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 " PLANNING DEPT. BUILDING 417-4815 oq l()<h '1 '3L-L-. BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4120051 ~ , ~ ~ " ~- Z. <:> E ~ ! \I) 'i) ~ c :> W \7 '=' ~ t} ~ ~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001031 139910 2322 ~T \ 11 06~00-1-0":'5510-0000- (<\OOI.r€.. <; s NORTH PEN. BUILDERS RES NEW SFR Date 10/04/06 Owner Contractor c..h Cd1~~ 'in 1001 bunKE'.-V' DY'. 61/3tJ 07 rer' RO~0r V. RS9 RESDNTL SINGLE FAMILY 164889 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 27.80 1. 00 9375.00 2614.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 " DROP IN WATER METER Permit pin number 87890 Permit Fee 195.00 Plan Check Fee Issue Date 10/04/06 Valuation Expiration Date 4/02/07 .00 164889 Qty Unit Charge Per BASE FEE Extension 195.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 87908 50.00 10/04/06 4/02/07 Plan Check Fee Valuation .00 164889 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 87882 110.00 10/04/06 4/02/07 Plan Check Fee Valuation .00 164889 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments Electrical load calculations and elctrical permits are required. Electrical completed. 09/25/2006 design & cost esimate for short plat not yet Connection fee to u/g power will be $713.00. 04:46 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 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 Aut orized Agent Signature of Owner (if owner is builder) . Date T:\Policies\1102.1SR [1I0SJ PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. 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 I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE . SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\1102.15R [1105] , oS ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00001031 Application pin number 139910 Page 2 Date 10/04/06 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. Fees for DRA{Mt. View Estates @ Milwaukee Dr)to be determined at a later date. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 355.00 355.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2429.50 2429.50 .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 atter 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\11 02.1 SR [1/05] PERMIT INSPECTION RECORD "'. CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA.TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL I PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE T I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING . FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . 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ZO III III , 0 b .~ , (<It<, rtJ .U .... , ~O rtJb"; ...:IZ !-< 0 0 , ..; gj:i!~gj['}...:I .... rtJ , 0.>< ~ '- , (<lb 01J13~~g: 0. .... , ~H >< ...:I , o.U ~bUOo.,,; I>< b III , Prescriptive Approach-Simple Fonn For the Vl ashington State Energy Code ( 2003 Edition) Climate Zone 1 Lot: t) Site Information Building Department Use Only: Address: .z~-z,'2. fA) 10 fi)lj' City: jbp..,- kv~Cf5 State:~ Zip: 1~3V? Contact:~'e .9:/&1'VfJ Phone: ~~ -~n f4 Permit# tJV/ ~t?~1 Notes: Phone 2: FAX: 4-~-llJ~ Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 ( Unlimited Glazing 0 tion Onl ) Option Glazing Glazing U-Factor Door Wall Wall Wall Slab Area % .U- Vaulted Above Interior Exterior on of Floor Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unlimited III Group R-3 R-30 R-2l R-IO R-lO Occupancy Only This Project complies with the following: .I The Proj ect is a single family residence or duplex. .I The Project is wood frame OR all of the insulation is interior or exterior of the framing. .I All building components meet the requirements listed in Table 6-1, Option Ill. .I The Project will meet all other provisions of the WSEC and VIAQ. , , The Pte,iect will take advantage of the following exceptions to the prescriptive option. ' "'S..602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed. Location of the door taking this exception ~P1"'" ~. o 602.6 Exception 2. Doors with a U-Factor of 0.40 allowed without calculations, Option III only. Location of the Door (s) taking exception Type of Heat Source: f&L~.. ~b"1 PtAmp EXHIBIT A lQ '.ti!.) JIll fo .ti!J!q!suodsJJ Jill Jq 101lllvlfS 3u!."vJp;dvUl S!III fo J.m ,MillO ,{UV Jl 'SJsod.Hld pllD JSll 1/."0 n! .1O/SJ/J2uv I.lOdjo .ill,] tllfl.t'q ptlJlIpo.ld Sl :3u,utv,lp;dvw S!III .." 'uo!Jd!.IJstlp /vaJ/ D so pJS11 tlq 01 PtlPlltllUl lOll Sf dmu sll/I N I6Ifg aVN = lUnllJO flJluozf.loll 88 all VN = ,unl/JO /lJ,'!UiJA 1""=1 dvw ViJ.lV 06 IS' VIO, &'-(1 <r' 0\. :..~~.~~: '~V\'c.~1. G' f'~~I\;~J' .~~\ l~ -~"j ~~ BUILDING PERMfT - APPLICATION Fill out COMPLETELY and ill 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)417~4 711 Applicant or ~t: ? ~/,..TT$ Sin )(T1.J Owner: IV p ~ l3A Address: City: ArchitectlEngineerJ 1 ~ ~ '?m lVJ.l /J. gVJJ 171:J(;r$ Contractor~ ~~ ' State License #: Phone: ~ - ~ J) 14 Phone: Zip: Phone: ~"Z-611 ~ Exp: Phone: Zip: ZONlNG: f2~-4 ;;~:~TADDRESS: 28k~ W. JO~:SI. I ] LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: ...... 'I}TE OF WORK: ~ ~IZE/V AL~T~: ~esidential 0 New Constr. 0 Re-roof 0 Stove ) 'b~ SF. @$16. /SF. = $1 o Multi-family 0 Addition 0 Move}l Garage 5, h SF. @ $. /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck IO'Z-2 SF. @$ l~.#'O /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION, $ BRIEF DESCRIPTION OF THE PROJECT: ~VW ~'1VtA~~ ~At1>IL.VJ pJiJ!;/P(fJ'JtA tA;' f1::(j~l5P <Sr~ &' COMMERClAL/RESIDE1\T'flAL: Occupancy Group: No. of Stories: .-L Lot Size: q ~ 7 5 Existing Sq. Ft. Total lot coverage '2'1, S % Occupant Load: Construction Type: ~ & Proposed Sq. Ft. 2" 14 = TOTAL Sq. Ft. ~~ lA. ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FffiE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at4l7-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN RKVIEW: Hno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl05.3.2 of the lnternational Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that itis my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits pri~r to w~. , ... T:\FORMS\BldgPermitform.wpd APplicant:~ Date: I ~., ?f5Pr.. e::; (p '" Application Number Application pin number Prop€!rty Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description subdivision Name Property Use Property zoning Application valuation c1'ORr~_ l~ ,. 'II. -- ~i<i'" Owner CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TII STREET, PORT ANGELES, WA 98362 06-00001031 139910 2322 W 10TH ST 06-30-00-1-0~5510-0000~ NORTH PEN. BUILDERS RES NEW SFR 10/04/06 Date RS9 RESDNTL SINGLE FAMILY 164889 Contractor NORTH PENINSULA BUILDERS ASSOC P. O. BOX 748 PORT ANGELES (360) 452-8160 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date OWNER WA 98362 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 27.80 1. 00 9375.00 2614.00 1. 00 PUBLIC WORKS RES WATER SERV 3/4" DROP IN WATER METER 87890 195.00 Plan Check Fee 10/04/06 Valuation 4/02/07 .00 164889 Qty Unit Charge Per Extension _________________________________~~~~_~~~________________________~95.0~;::> City Unit Charge Per ~r:lfn9n ________=~~~_______=~~~~~~_~=~___~=~~=_~~_~~=_~~~==_____________~__50.0~ Permit SANITARY SEWER HOOK UP Additional desc . Permit pin number Permit Fee ISSUE: Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 87908 50.00 10/04/06 4/02/07 Plan Check Fee Valuation .00 164889 0&-- /D8-/ 1/:;;?1 / () 7 lJ ~. /009 D~~ . t) -rh ~)Z6W/ - NPBIt- 70~--O?lSI [) a;n, ~{l8-0~ ~'5a;n S~ "]X:-A ~ 005, A A- ,,01 2 ODS, LB ~/tfJ q&7gj4732 U~5 ~+-f3D 'EJ ~rW\l T 07-qttq ~ - ________=~~~___~~~~=~h~~~~_~er__:~_:~~~~_~~~~~~_cc___________~~~ special Notes and Comments Electrical load calculations and elctrical permits are required. Electrical completed. 09/25/2006 87882 110.00 10/04/06 4/02/07 Plan Check Fee Valuation .00 164889 design & cost esimate for short plat not yet Connection fee to u/g power will be $713.00. 04:46 PM GMCLAIN -------------------~-------- (, (lfJ1 . q~ Separate Permits are required for eiectrical 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. Date Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:\Policies\II02.15R [1105] "t " ~ ".. , ~ 'I, .' ~" f' $ " ". , ,~'> ,; 1: , '. , . ~ r/l'OR7""'G l~~~ ",. ..... ~- "'i<;;;;<> CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07-Q&1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 07-00000969 Date 599426 1009 DUNKER DR 06-30-00-1-0-5510~0000- PUBLIC WORKS UTILITES 9/14/07 .00 Plan Check Fee 9/14/07 valuation 3/12/08 .00 o o~yf\4~ q 'i" "1..... .0 p(L-f\: vt11~-er fi Y r" )()o ~~ \ Oil / , lmKNOWN o Owner Contractor NORTH PENINSULA BUILDERS ASSOC P. O. BOX 748 PORT J~GELES WA 98362 (360) 452-8160 OWNER Permit. Additional desc Permit pin number Permit: Fee Issue Date Expiration Date . RIGHT OF WAY DRA PROCESSING PERMIT 109322 Other Fees CITY DRA % DRA FEES PLUS INTEREST 77.83 1590.68 Fee summary Charged Paid Credited Due - ~ - - - -. - - - - - - - - - - - ---------- ------- - - ~ - - - - - -- ---------- Permit Fee Total .00 .00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 1668 .51 1668.51 .0.0 .00 Grand Total 1668 .51 1668.51 .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. Date Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T;\Policies\II02.15R [1/05] _.~ .~-"'r,:"=,......."?_",,,,n~?.!l'O"."'F.'l:. fl,-!t~~tftli9F'1I I , . () p.f- ,*:;;. IV 6" J (tVl: '3~ {t:<- ~ d ~ . APPLICATION FOR WATER City Water Division, i? .I' ~ , ~ (../ ?-'r /"/ Port Angeles, Washington r, 20~" f?P) Y I hereby apply for water to be furnished in accordance with rates and,rules of the Cill.for the following premises: "iI dB - (;; 35/ Name of Applicant: Nt). !p/1/n5tt,6 me '&/d/tll!'r.5' .>IS5a:!.- Address: -z ') Zz.. VII it? 4J. / (){)q Vt.lI7i::..e.r Renewal 0 New service;a1li( Lot Add Size of Service /-;; -% IId.YPf/~ Meterfbrber d :~Oj~ Servic~ Left On 0 Service Left O~ Signed ~.lL^," c h 10/'9/00 Installed by Remarks: t1?nVlI,=tf. O~- /0"31 ~lq~~/L{? + ~/ZDD~ N W /07L E 1)"' i 61' " 1 .... '- . ..... ~ .. ~{ S CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date -1...:- c:; - D I Time Received by ~v (phone. person) Location of Work to be inspected I OO~U,\I\-Ke..-r "])r Name of person requesting inspection Address of person -requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. <Q~ - l(j~ I Sewer Foundation Framing Chimney PIUmbing~eWer Excav. Other INSPECTION NOTES: Inspected: Date q - 5 - 01 Remarks: ~..e.w Q.r- "1'\\ U",...)i> I.ua..y Time By k?v b-28-o"7 '1 - 5" -D I o'K RESTORATION REQUIRED. . . . .. YES NOX SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) PREPARED 8/20/07, 11:30:29 CITY OF PORT ANGELES APPLICATION NUMBER: 07-00000969 1009 DUNKER DR FEE DESCRIPTION AMOUNT DUE CITY DRA % DRA FEES PLUS INTEREST TOTAL DUE 77.83 1590.68 1668.51 PAYMENTS DUE RECEIPT PROGRAM BP820L Please present this receipt to the cashier with full payment. 5ee {b,?1I?l~fir01}T #. (}c,,-/03/ p/W 10/ L//O r;", re(#1IT::ti o7-9w'1 VeveJoper /((); 177 bt( 1G5e/77 ~.5 DRIr 2005,1A- SO?1.5~ Dlfif- ZODS,IS 5~ IVpf34-@()L'IP~n, (!OJ'?l )JOI<T.LI H/?/~ s t</t<'--- 81(//cZe.-Y5 ASOG ;;P (') BoX. 7-18 "Fby "/ ,dn&",o/,o r m/. Y/r?wB7/9-7t!S ~ ,41//wak.t"'ee ,by. I I , f 46.2- <g/00 / Filed at the request of City of Port Angeles P.O. Box 1\50 Port Am,eles. W A 98362 J 00'1 'lAthk'e.r-Pr 2008-1227083 Page 1 of 1 Release Port Angeles City Of Clailam County Washingtcn 09/25/2008 09 31 09 AM 1111 ~'I"'.. ~lII1 JIIi~ ,iII/I:I,"1 ,~ll, UIl! IfI'll"'i,~"':~r,l~~,,t I! III CERTIFICATION OF PAYMENT AL'lD RELEASE for CITY OF PORT A.NGELES DEVELOPER REIlVIBURSEMENT CHARGE DRA # 2005- 1-.A Sanitary Sewer DRA # 2005- 1-.B 10" Street Road Improvements Payment to the City of Port Angeles, \Vashington, is hereby acknowledged for sewer, street system connection or use charges levied pursuant to the Developer Reimbursement Agreement as recorded under Clallam County Auditor's file Numbers 20071197342 &20071197343 intheamountsof$ 610.12 (plus interest charges) and $ 946.45 (olus interest charges) for each of the following described real properties situated in the County ofClallam, State of Washington: 0630018300100000 0630018301000000 0630018301100000 1003 Dunker Drive 1002 Dunker Drive 1009 Dunker Drive Said property is hereby released from further obligation for such sanitary sewer and lOIb. Street Road improvements developer reimbursement fees. This certification is filed for record with the Clallam County Auditor. 011. ro-. , 2008. , ATTEST: C~C{~ J.Jrk^ COPY TO CITY E:-.IGINEER: . J"b wind by ~lectric:al Contractor 0 Owner Dale Bll.J)i~~ Telepn<me nu~y~ rre^jl~~f+ame Address of Inlpel.'Uon P!:~ City 212-- r;- Ie:> (~, w I~ P)lon~ number- 10 Ilcbedule In.llpectlon: '8'68' ... d ~51 OWlltr a-' defined by RCW /9.28.2M:(I J Owner will ocCupy the sttll.dure for two )'f!a.n a.fter this electrical permit is finaliz~ (2) o..vn~r i~ required tt) h.ire llPl electrical CMlractor if above said p"()~rly ;$ for sale. rent or lease. After readJng the above statement, ( hereby certify that I 11Im the owner or tbe above named property or a licensed elec.trical contractor. I am making the electrical instal- lation or alleracion in compliance with tl1:e electrical laws. N.E.C.. RCW. Chapter 19,18, WAC. Chapter 296-466, The City of Port Angeles Municipal Code. and Utility Specifications. Slgnture f owner, electrleal cOllfr.ll.ctor or electrIcal .dmlnlstrcuor X Date: /- '7~(J1 I oadA Itl Q NO LOAD CHANG o Baseboard KW o Furnace K,W Cl Heat Pump Ton [J Fan-Wall KW . ELECIRlCAL WORK PERMIT APPLICATION Installation description [J Commercial ~kleDdal ON.", Q Alterodl Addltlob Un lee J ~+Q ~ t::.Ut Dc. o Cash 0 Check # 0 I) f'dQ. )( Credit Card VISa Mastercard Discover Dro#___~_______~____ Expiration Date of card LAA D Overhead Service o Temp 5.rv1c9 D Undetground Service Voltage Ph... CJ 1 Q 3 Service Size: Feeder SiZ6: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 '2./ r; !~GH-lN ) / THERMOSTAT " SERVICE /0",'/ -~ ODIc; ~~ "- D.. Awoved Qy --'" /' DITCH / FEl!DER lJ.. . o'flNAL -f-1--4~ '- D~tc J\ppIV\'C'It 5y../ "- Dllt~ Approv..d B}' D~ce TOV y Inspection Area, Building or bquipment Inspected Action Taktn EleQuical Oale Inspector - iJlO 1~,J'f-O(