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HomeMy WebLinkAbout2020 Westview Dr - BuildingPREPARED 12/05/07 13 22 58 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 2020 WESTVIEW DR TENANT NBR JOHN KILZER CONTRACTOR PROPANE NORTHWEST INC OWNER JOHN KILZER PARCEL 06 30 00 9 3 2110 0000 APPL NUMBER 07 00001346 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTOR JAMES LIERLY SUBDIV PHONE (888) 446 7599 PHONE (360) 670 6076 ME6 01 11/19/07 PB MECHANICAL GAS LINE 11/19/07 AP November 19 2007 9 23 39 AM 1pangrle JOHN 360 670 6076 GASLINE ME99 01 12/05/07 L MECHANICAL FINAL December 5 2007 8 26 01 AM 1pangrle JOHN 417 3830 MECHANICAL FINAL PROPANE TANK GAS FIREPLACE COMMENTS AND NOTES PAGE 6 DATE 12/05/07 Y-Po j9+.( Sri— i /itf c S g-6. PREPARED 11/19/07 10 26 09 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES ADDRESS 2020 WESTVIEW DR SUBDIV TENANT NBR JOHN KILZER CONTRACTOR PROPANE NORTHWEST INC PHONE (888) 446 7599 OWNER JOHN KILZER PHONE (360) 670 6076 PARCEL 06 30 00 9 3 2110 0000 APPL NUMBER 07 00001346 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 11/.9/07 JLL NoCembIrA1 GAS 0INE November 19 2007 9 23 39 AM 1pangrle JOHN 360 670 6076 GASLINE INSPECTOR JAMES LIERLY DATE 11/19/07 COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor JOHN KILZER 2020 WESTVIEW DR PORT ANGELES (360) 670 6076 WA 98363 Permit MECHANICAL PERMIT Additional desc GAS FIREPLACE Permit pin number 115576 Permit Fee 60 65 Plan Check Fee 00 Issue Date 11/16/07 Valuation 160 Expiration Date 5/14/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 ECH ME GAS PIPE 1 TO 5 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 for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. /d/D 7 C1 Al D ate Print Name Signature of Contractor or Authorized Agent Signature of Owner Of owner is builder) T Forms /Building Division/Building Permit (I0 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00001346 353992 2020 WESTVIEW DR 06 30 00 9 3 2110 0000 JOHN KILZER MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 160 Date 11/16/07 PROPANE NORTHWEST INC PO BOX 494 KINGSTON WA 98346 (888) 446 7599 FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING I FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT tt's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -47 5 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 I ACCEPTED COMMENTS II 19 -0-I Ps YES NO FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES I NO CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 I I FIRE DEPT I I I I PLANNING DEPT 417 -47'0 I �,r i f I _1 I PLANNING DEPT I I I BUILDING 417 -4815 I LA 1 Ice I 11 I BUILDING I I I T Forms /Building Division /Building Permit (10 /01 /07).wpd h a 0 I GTh 2 Proiect Type Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Sign Heat System Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent J Kt`lze_Af— Owner j d lAv a &r Owner's Address e9o.0 AestV rrAt/ 1 s r-e__ Contractor /Engineer P. N W Contractor /Engineer's Address 70 Bo L/q License PT- P t 8' C- C__.— ADDRESS oZoa& W-es it�V✓� 'e Parcel Number Residential Commercial G as 4 t re ib /nSY -a) L,D ,(r)C3 4 /�/A frl-e," -e r Vec„.c Phone Phone 8 AS 1 746 z'? htvtle4 WA Expires Phone Lot For City Use Only Date Received (1 (0-07 Permit ©7 Lik Date Approved Multi family 60 7") eo 74' Q .l A i L ti a A A n v Zoning Industrial i +n 2') r W covk s c- cry >n 3wIr s.S U V`s 'f' e s-t- 11"s% -c-i- wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sq ft. Heat pump wood burning stove Agas fireplace pellet stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION J GO Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant Toad of full baths Will a fire sprinkler system be installed? Construction type of half baths I have read and completed this application and know it to be true and correct. 1 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. 1 Date /V/ I `07 Print Name �iJk� IK 1 IZ'�' r Signature 4 `6 T Forms /Building Division /Bldg Permit Appl. -2006 Code.doc "(1; 'I.oii ~ "",.., CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 91\162 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000847 Date 059262 2020 WESTVIEW DR 06-30-00-9-3-2110-0000- ELECTRICAL ONLY 9/09/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor KIRKMAN, ANITA 2020 WESTVIEW DR. PORT ANGELES WA 983621905 STRAITS ELECTRIC PO BOX 2914 PORT ANGELES (360) 452-9104 WA 98362 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL STRAITS/ 1-4 CIR. 59543 STRAITS ELECTRIC 48.10 Plan Check Fee 9/09/05 valuation 3/08/06 .00 o ~ \') '\J <:'J Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 t ~ LA " \ ~ ~ ~ '-., Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 ~ COMMJ:NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, 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 UIICH ROI JUf-!-lN I CUVbK SE~ VI{:H I FIN A T I 'JP1/ l> ,/ IA-o(./ , , GENERAL COMMENTS: PW-II02.1~ [4196] ,;' of "ORT ""'"'0 ~~ ~~~ U".. ...~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000093 Date .758432 2020 WESTVIEW DR 06-30-00-9-3-2110-0000- RES NEW SFR 2/24/04 RS7 RESDNTL SINGLE FAMILY 114833 Owner Contractor L DELGUZZI/VIRGINIA DELGUZZI 4016 OLD MILL RD PORT ANGELES WA 983621905 NEW VIEW INC. 277 MONROE RD PORT ANGELES (360) 477-9449 NEW 1709 SF W/ATT 575 SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 1.00 1. 00 8930.00 2284.00 2284.00 1. 00 ylc.Vv? 1,,,(0 N U t'J o 25.50 V-N Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 1101.25 Plan Check Fee Issue Date 2/24/04 Valuation Expiration Date 8/22/04 440.50 114833 E 1:"' (t -<. /j\ ~< \ -, (ti t Qty Unit Charge Per Extension 1017.25 84.00 BASE FEE 15.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc Permit Fee 86.65 Plan Check Fee .00 Issue Date 2/24/04 Valuation 0 Expiration Date 8/22/04 Qty Unit Charge Per Extension BASE FEE 47.00 4.00 7.2500 ECH ME-VENT FAN 29.00 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 t7 ~ --------------------------------------------------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 132.00 2/24/04 8/22/04 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 56.00 7.00 BASE FEE 8.00. 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE Separate P~rrnits 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. L -- 0(/ Date Signature of Owner (if owner is builder) Date Sig T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I 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 W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM 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./ 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:\PLANNING\FORMS\ I 102.15 [11/14/2003] t. BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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. I INSPECTION TYPE DATE -\ ACCEPTED COMMENTS r YES I NO FOUNDATION: FOOTINGS 2 -24-64 , LL WALLS II) -f).'7-ol{ ~V FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS I :s- I q - 01 J.J- CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS 3-IQ-olJ ...J. )... WALLS 1 ROOF 1 CEILING 3 -I Cf-o/J ::}, -/., DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I~ -').')-oJ../ I.J,L, MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE 1 METER . SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 i/~-!J- OJ-oJ-J /fecJ ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 /1f FIRE DEPT. PLANNING DEPT. 417-4750 t - I I II PLANNING DEPT. 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I Date Approved: J' ()~ 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, call (360) 417-4815 Applicant or Agent: 3~ .p,..~e..S+- ~ ~ '~~ V,l.,. '''-6 i Jj , rCj h vq .1R.1 ~",'2.2 ~ City: Phone: Phone: 477-Ql.fL./q Lj) ") -9</(/9 Owner: Address: Zip: ArchitectlEngineer: Phone: Contractor ">'uw Y ~- rn.;... State License #: i1~W~11';'~p: /..Jo .-o{, Address: "J) .f:S- ')n.......n..-t. B.I) City: fJ- A . PROJECT ADDRESS: 20ZD v\Jes. 1-vi c,,-...l 1).. LEGAL DESCRIPTION: Lot: I i Block:;( CLALLAM COUNTY PARCEL NUMBER: OC:'']L'')CtJ 9'.3 .:lJ 10 Phone: YS)-,1"S~ Zip: 98'-J)';'1. ZONING: Subdivision: i.J<!.("r y,'-eA..l Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o Residential J1' New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZEN ALUATION:. (3 o Stove H~e.- 170' SF. @$ (P() 0 /SF. = $ i 0 2 '>'10 66 o Garage Cr"':r( S?S SF. @$ '2./.~A /SF. = $J2..2.q~ 00 o Deck SF. @ $ /SF. = $ o Other TOTAL VALVA nON $' Iq Q.:?S 00 <:"Il^'~ fo,..,;/" '-'",-,,,rif"lj '- COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: --L- Lot Size: 'a<f SO Existing Sq. Ft. 0 & Proposed Sq. Ft. :J.. f). '?If = TOTAL Sq.Ft. 2. 2 8 <{ Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage 2.~, S- % :i3#=PR?V ALS: BLDG DP : FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICA TION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 4 17-48 I 5 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pennit application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\FORMS\APPS\Buildingpermit.wpd Applicant: ,~II/)ju~A Date: ~ -...~ -oy Ie: ~ '^ -t ,~ t '-J ..,. ',. ( ':. ..............----) ~ __._._,_..J -..C') 'v .. "^, \:S> , I ;"E-- 't;;., _'-7 w c,- ~ ~ f' ~ "" -0 ...c:: ~-~ -t-._--~-_.... ,....---- - ~ t ..._" Vl ~ -a j-......J : . I vt " ~~- ~ I I .J -0 -c: ..,...""".-............ ...-.... ,- ~",,,-,''-_.-...._...,........-...,.- - ...~. ~. + l'J \; ~ tJii/ r- E ~ l\J +- c;; -'F E ~ {j'> t7-+- ~ c:. '" .. , (t t: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000093 Date .758432 2020 WESTVIEW DR 06-30-00-9-3-2110-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 114833 Owner Contractor Structure Information Construction Type Occupancy Type Other struct info NEW VIEW INC. 277 MONROE RD PORT ANGELES (360) 477-9449 NEW 1709 SF W/ATT 575 SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS L DELGUZZI/VIRGINIA DELGUZZI 4016 OLD MILL RD PORT ANGELES WA 983621905 3/23/04 WA 98362 25.50 V-N 1. 00 1. 00 8930.00 2284.00 2284.00 1. 00 '\\) \) ~ ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 2280 SQ FT SFR/ 200 A SER. ELECTRIC SERVICE 116.20 Plan Check Fee 3/23/04 Valuation 9/19/04 Qty 1. 00 2.00 unit Charge Per 70.8000 ECH EL-R-SQFT FIRST 1300 22.7000 5C EL-R-SQFT ADDITIONAL 500 .00 o ~\ ~t ~t Extension 70.80 45.40 ---------------------------------------------------------------------------- special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be in contrast in color of there background. A residential fire sprinkler system shall be installed per NFPA 13D will be required. 2nd option is to install an out side alarm bell that is eletronicly connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" Electrical load calculations and elctrical permits are required. DRIVE WAY CULVERT WILL BE REQUIRED. When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. ~ Other Fees ---------------------------------------------------------------------------- SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charqed Paid Crediterl n,,~ 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:\PLANNING\FORMS\1102.IS [11/1412003] BUILDING PERMIT INSPECTION RECORD CALL 4]7-48]5 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARA IE PERMIT: # ROUGH-IN I 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 DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANIT AR Y STORM 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 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 417-48]5 BUILDING T:IPLANNINGlFORMSII102.15 [1 ]/]412003] Appendix E: Sample Checklists & Worksheets , l ~ ~ Attac....ent C Pennlt No. Plans Examiner and Inspector Checklist 0'1 ..... q. ~ Address 20 z. D U).Q..s.tv~ ~ Df' Plana Examiner: Inapector: Check, write in NlA., or fill in value on shaded bakes. Check off bakes at left as items are found to comply. Compllance.ppro.ch: (check one) 0 Systems analysis o Component perfonnanoe o Presaiptive path Note: Some specifics on this form may not apply if A) compliance approach is systems analysis or component perfonnance: . B) compliance to minimum ventilation aiteria is demonstrated through engineering calculations or performance testing. FOUNDATION PHASE o Slab: R- ! Exterior down 10 frostllnelslab boltom; or Intclf10f 204- horlzontal or ver1lcal; or, If radiant under enUre slab o Below gnde exterior wallln.ulation: R- 1 (If Interior _ see Insulatlon Phase) o Radon mitigation: 1 ; If locally required. or aawtspace venting <1 fV300tt2 of aaw!, or vents 10000. an operable damper FRAMING PHASE o FramIng: IA}\:~h~~ Standard h/:;:AD.~ intermediate 1.'-~lRJ Advanced o 8td"r ....: eokIpVaubftr; ~ Je1Imud alll; wtndow & door fnns; penetratlon-wtre. pUITtJ, dud, pat1Idon studs, f1uo, light lbctwes o Source apeetftc exhauat fana: SIze reqlArement - bath. laundry (5Ocfm); Idtchen (100dm) o Whole hOUM exhauat fan I . .: .: ~ 1nC4M'l11Ittent aystem has manual & auto ex>ntroCs; Outdoor air supply req. 'or habitable rms. tK o Int~ret4KI forc.<klr .ystem CJ outslde air duct (whh d8mper) allowing between .35 and .5 ACH INUATIIN PHASE o R- w.n InsulaUon (_bove gr.de) o R- 1-1 WaIIlnautatlon (lMlow grwde): IntMtor walIlnsulatloo o R- 3D Roor InaulaUon o R- .1<6 c.lllng lnaulatlon: 1ndudln9 attic hatch o 8-..3Z I VeuftM celllng Inau'eUon o Yap<< rwterden: WdI, fIoora, oeIIlng o He.tlng ~ type: [J.k a.t @\J"'P . .: . .1 For~, bt eIz.e, HSPF, 'and COP I.. .:~;.;i:... .. FIW. PHASE o Radon monftor on aHe: wt1h InstnJctJon& and Q4HW8/lnfonndon o TlMnno.tet: heel r~, S&-7S; AC range, 70-85; both, 5S-85. Backup heet oontrob prevem ~ operation of prlmary ,ys. o SolId tu.1 appllane.a: glass or metal doonI; d1red comb. air 8OU'1::l8. oro4- dla., ~ed,lnc:Ired aouroe for lA'lOOnd. &feu o F\repIae.a: 8'" c::cmbusUoo aJr auppfy duct wldamper direct to firebox; dght ftUlng ~ or n'MIC.aI doora. o OHW~: HAEC"'~; Mpalll!. power or gas 1Ihu(~; on R-10 ped If eIedr1Cand In UlC.Ond...... or" on oonc:rete o Mechanical ventflaUon duct. lnaul.t.cf to ~: exhaust ducu In WlCOndttlOl'Mtd areeslaupply dud. In oondlIIoned aree.a o 8-..:... ... .... J HVAC d~.num lnIIuletlon: duds In lJnOOnd11loned areu are fnlUCaled and foInta are MeMd o PIpe lnauletlon: R-3 for hot and ookf WIlt<< plpng In t.flOOnCItIoned.... (If MMoe Of redrc::uld'1g,... TaIM 6-12) o Ground cover: 6 ,"I bWld( potye1hyteoele.pproved equaJ '-PPed 12" a:l tofnt1I and extending to foundaUon wall E-62 Appendix E: Bample Checkll... .. WoruhMt. IUZICG - Plans examlnef - fill out 11&5 p&ailng MCtion or attach . window 5CheduMt to this cheddist. Inspector - voerlfy ~ In. 'ormation during rteld inspections. Indude IkytiQhts, glass doo~ and all other Olazing on this Ionn. Use rough opening ...., for c:akallatlons. Size Quantity Area U-ValuelManufacturer I Vertfled Ljo ~ 0 S (pC 3S i ~ 2,0 0 I '0 JJ' ~ 305 0 IC" I 3S ," ,. '.;.l .,. .. , ,-' , G"D4O I ~D 3' .. .. r ~ V GO SC J 36 . , ('_. ,"",..:;, c(' ~ C> I !;L , ,. 3S- (! 0 I 't ,]0 _J ;I- -- lIt lfC> 1 . ,,?,r- ji..IJ ". _..; ';"kJ )0 yD d-.. ': 4D .' '. .- , -v;" , ...~.:...;.;_..~ ... .. . .~; I~~'~' \'. " i .-- ~. ',.~,',. u , "j ,', 00< .,. . .. . . . Togl glazing 81M: / 6 ) , Total conditioned ....: I 7'0 "l p.rcentage glaztng: "l._.: . L;" , r-) \....: v.rtfIed .; L,', DOORS j~-- t. Plans Examiner -list opaque doors by type (soIJd on, insulated. etc.), quantity, u.wIue.1Ild ~un.r. mpedor - wrtfy dOor informstion during field Inspection. Type/Quantity . U-ValuelManufacturer v.rtned G,o &,8 . :S~- d.-d (10 5/<;./).. '1_ ') C LI U . <) k , , J-,'f...- / S6Qnatun of Building Offtc:t,I: Date of Rnllln.pecUon: ..F\ ; ..J - ., 8',; <,,~....;~ E.53 "~'!;7 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000093 pin number . . .758432 Page 2 Date 3/23/04 Permit Fee Total Plan Check Total Other Fee Total Grand Total 116.20 .00 1774.50 1890.70 116.20 .00 .00 .00 .00 .00 1774.50 .00 .00 1890.70 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11114/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMlT #'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 6bCf Iot./ /!d) ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ I' / CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNINGlFORMSII 102.15 [11/14/2003] i FROM FAX NO. Aug. 05 2003 08:02PM P1 I PM OFFICIAL 1.158 oNc ELECTRICAL PERMIT APPLICATION O Ode ppo•.d: 1 The EIecbtcsl Permit Application must UMW t jorn Dletaly. Oat. Wad P tease type or reprint In ink. If you have any qu•stIone, please sell (9le) 417.4735 0V 73 Fu number: (U0)4174711 Owner or Elec. Contractor Agent: .le c r, c1 �Q {V i ca t ly Phone: �2' Fax Property Cooler 9 Y -1... i Phone: Address: .A Z0 w!--? CItY O �r ZIPAFkbt,.. ElecMdl Convector; E C, t1 t c C-.- Lianas II: ,se ggeiv Exp: G ;/f `i/ r Phone:'.,, -L,:t Address: R i_ ()re, V G 1 ig R CRY: r l �k�li�.l.l -T' ff ZIP: ..5L52,31 INSTALLATION WIRED SY: 0 OWNER 0 ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address City: Zip: n- 4 Exp. Date: Credit cry JNur�Jber. J�xp VISA: J PROJECT ADDRESS: 2..02-C 4./9 T YPE Check is that apply: mew 0 Altetation/AdditIon .'7 5 Antal 0 Multi- family 0 Commercial 0 Mobile Sq. Ft- 'Z.2. 0 Remote Motor' 0 Detached garage *0 Hot Tub :.0 Swim Pool 0 Septic Pump r. D Low Voltage .0 Telecom. Number of Circuits'added or altered: rtl —era. DESCRIPTION OF THE ELECTRICAL PRQJECT: Z:pE) 1 i Ejectdcai Load Addlggns and or aubtractlon 8arvdce Information 0 Baseboard KW Voltage: 1 0 Furnace II KW a Overhead Service Phase: 1 0 3 ED Meat Pump I TON LAR o Tem Mce- Service Size: 4.0c) 0 Fan -Wall I KW Q.i rground Service Feeder Size: 4 PAMC 14.05.060(8): For industrial, corn mercial, P. residential projects larger than a duplex a one line drawing of the Electrical Sery Feeders, building size (sq. ft.), load calculations, and the type of cxnductors and/or raceway is required and shell accompany the Electrical Permit application. 1 hereby certify hat I have read and examined this application and know that same to be true and correct, anc euthort ed to pply for this permit. I understand it is not the Cify's legal responsibility to determine what perm, ere required; it re mains the applicants responsibility to determine what permits are required and to obtain sucJ I Credit Card Holder's Signature: Ll' 'Y' .:31.,k, 9/ 3/ y Vighe( Owner or Elec. Ctrett. slsnatur•• Date �jl% vvv. ,gm a PERMIT FEE: 1 10,S0 MA, ELECTRICAL WORK PERMIT APPLICATION O Request Inspection f Electrical Contractor} 0 Owner Annual Permit Alarm V 0 Carnival Commercial 0 Residential) ❑Residential Mahn. 0 Signs 0 Thermostat Tel m. installation description Job wired by El Electrical Contractor 0 Owner Electrical contractor name I License number Straits Elec STRAIE *011 0S Ma_ (J) c,hec 4.(+ Purchaser's mailing address I P.O. Box 2914 41W 1 t1cY City I Ste ZIP LG Port Angeles WA A 98362 Telephone number FAX number 360 452 -9104 360- 457 -4698 eP mi9ey wner's n me 11 L Ad ress of spec Vi j s h Dr 711 PdAg I Cash Check I hereby certify that I am the owner of the above named property or a licensed electrical c tractor (or the firm's authorized agent) and am malting the electrical Q Credit Card Visa Mastercard Discover install o alteration in compliance with the electrical law, Chapter 19.28 RCW. Card On File (Si natt#e 1 1 i ner, electrical contractor or electrical administrator Expiration Date of card I spe; itt !'ee/ d 0 WALLS r CEILING THERMOSTAT SERVICE insulation Only) Insulation Only DMe Approval By Date Approved By Date Approved By Date Approved By DPI FEEDER Cover I Qom Approved By Date Approved By Date Approved By Date Approved By Electrical Load Additions and or subtractions Service Information O NO LOAD CHANGES O Baseboard KW Voltage Furnace KW O Overhead Service Phase 0 1 3 D Heat Pump Ton LAR Temp Service Service Size: 0 Fan -Wall KW I Underground Service Feeder Size: Inspection 1 or Equipment Ins ended Electrical Area, Date a Building p Action Taken Inspector €75/r7 Ati /4t_., ,47- 'OP 977/ 5 I i TO lA DI2i,LD3'!3 SIIV IIS 869I•LSt' 09C XVd t0:60 5OOZ/L0/60