Loading...
HomeMy WebLinkAbout813 Joshua St - BuildingFinal Test Initial Test Repairs Final Test NAME OF PREMISES SERVICE ADDRESS LOCATION OF DEVICE. Initial Test Repairs Details COMMENTS Leaked Held at J psi Cleaned Replaced Held at ci psi Date/Time Tester 5 i 3 ,7,;/ 4 /of;4 J/ /4/j ASSEMBLY (/t/ d• k j .G/ 7 Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES la-NO IS ASSEMBLY INSTALLED CORRECTLY YES L NO DATE OF INSTALLATION iv X L U UNKNOWND REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #I CHECK VALVE #2 AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES 6 3 1 'ecKc."? ✓S g/c C ti- If Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division Leaked Closed Tight Held at }"psi Cleaned Cleaned Replaced Replaced Closed Tight t Held at T psi NO TA/ i 9 c "t l f l r I C tov 5G" L 1 I, RELIEF VALVE Did Not Open Opened at 3 psi Buffer YES NO Opened at psi Signature Cert. r� .i.. e1 7'4' 4 psi Test Kit RP DC PVB SVB WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assent# Received PVB /SVB RPDA DCDA Air Gap AVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at REPAIRS Cleaned Replaced AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES TYPE OF HAZARD /`7 k'// Line Pressure psi Held Backpressure YES D NO #2 Shutoff Held YES EI NO Relief Valve Exercised YES NO 0` Av&f Passed Failed 0 0 CIO psi C Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation NANCY M POWERS 813 JOSHUA ST PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION cf 321 EAST 5T1-1 STREET PORT ANGELES, WA 98362 WA 98363 08 00000565 002865 813 JOSHUA ST 06 30 01 7 6 0140 0000 NANCY M POWERS PLUMBING REPAIR RS9 RESDNTL SINGLE FAMILY 3000 Application desc IRRIGATION SYSTEM DOUBLE CHECK BACKFLOW DEVICE Owner Contractor Qty Unit Charge Per BASE FEE 1 00 7 0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Date 5/12/08 LANDSCAPING BY COCKBURN INC 4950 SEQUIM DUNGENESS WAY SEQUIM WA 98382 (360) 681 0132 Permit PLUMBING PERMIT Additional desc IRR DBLE CHK BACKFLOW Permit pin number 126409 Permit Fee 57 00 Plan Check Fee 00 Issue Date 5/12/08 Valuation 3000 Expiration Date 11 /08 /08 Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 Extension 50 00 7 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 7 //a /a Dale Prim Name Signatur Contract�r�or Authorized Agent Signature of Owner Of owner is builder) T.Forms /Building Division/Building Permit (10 /01 /07).wpd c c r pORT,b, v� Date Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation NANCY M POWERS 813 JOSHUA ST PORT ANGELES chalo 8 T.Forms /Building Division/Building Permit (I0 /0I /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98363 0 C u Prin Name 08 00000565 002865 813 JOSHUA ST 06 30 01 7 6 0140 0000 NANCY M POWERS PLUMBING REPAIR RS9 RESDNTL SINGLE FAMILY 3000 Application desc IRRIGATION SYSTEM DOUBLE CHECK BACKFLOW DEVICE Owner Contractor Qty Unit Charge Per BASE FEE 1 00 7 0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Date 5/12/08 LANDSCAPING BY COCKBURN INC 4950 SEQUIM DUNGENESS WAY SEQUIM WA 98382 (360) 681 0132 Permit PLUMBING PERMIT Additional desc IRR DBLE CHK BACKFLOW Permit pin number 126409 Permit Fee 57 00 Plan Check Fee 00 Issue Date 5/12/08 Valuation 3000 Expiration Date 11/08/08 Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 0 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. G Extension 50 00 7 00 Signatury3t'Contract or Authorized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION• FOOTINGS I SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR 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 N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD 113 YES NO FINAL FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL I FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING I FIRE 417 -4653 I 1 1 FIRE DEPT I PLANNING DEPT 417-4750 1 1 1 1 PLANNING DEPT 1 BUILDING 417 -4815 I 1 1 BUILDING T Forms /Building Division /Building Permit (10 /01 /07).wpd DATE ACCEPTED BY. 0 OQ c- o c p I i DATE I ACCEPTED I 1 YES 1 NO 1 S P. 0 I I I I e- I I r cam Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed 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 461 C ckbutki% Phone Property Owner olte y L ev s Phone Property Owner's Address R 3 dos IA 09 Contractor /Engineer w C<DchL,,,,, 1 c Contractor /Engineer's Address rS� SP Qua, GiCA S u License �/7NQSC 1 q63 Q Expires PROJECT ADDRESS j cis S'r Parcel Number Project Type Brief Description. APResidential Commercial Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System et Other �p .r' y.--,(A \`P- Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq ft. Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Phone 6J o! 3 49/ cD/ 0 Lot For City Use Only Date Received 65 -12 Og Permit Ofd C,S Date Approved Zoning Multi- family Industrial per sq ft. TOTAL VALUATION sq ft. Lot coverage of bedrooms of full baths of half baths OA 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 ,pbtain permits prior to working on projects. 64. l Dateo /f Print Name ��OCh� Signature X�I T Forms /Building Division /Bldg Permit Appl.- 200' Code.doc ~--...... ,~ ~ l~~ rlC;:;?' l CITY OF PORT ANGELES pUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0'- b I APplication Number APplication pin number propel:ty AddreSS ASSES:30R pARCEL NUMBER: APplication type description subdivision Name property use propertY zoning . APpl:.cation valuation 07_00000061 Date 209600 613 JOSHUA ST 06_30-01-7-6-0140~0000- RES NEW SFR' 2/13/07 cg f"7J DS~ \,t~5r RS9 RESDNTL SINGLE FAMILY 204060 V eJ-~BfV(IT.E contractor ---------------------- CONSTRUCTION owner INC. GARRET DELBARRE 72 WELLMEN RD WA 963639306 pORT ANGELES (360) 417-1567 TOTAL % LOT COVERAGE CONSTRUCTION TyPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT CoVERAGE NUMBER OF UNITS 2.00 9026.00 1929.00 1929.00 2.00 ------------------------ WA 98362 GARRET S DELABARRE, 7 2 'i~ELLMAN RD pORT ANGELES (360) 460-2655 Other strUCt info 21.00 V-N -------------------------------------------- -------------------------------- permit Additional deSc permit pin number permit Fee IsSue Date Expiration Date PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 95133 230.00 plan Check Fee 2/13/07 valuation 6/12/07 .00 204060 j~ ?5-CJ~Dl Qty unit Charge per --------------------------------- BASE FEE ------------------------------- RIGHT OF WAY .00 204060 permit Additional deSc permit pin number permit Fee IsSue Date Expiration Date 95117 50.00 2/13/07 8/12/07 plan Check Fee valuation ~~~;;,;~::~~O""~;"::::;;i.::;;;;':;:::;::;~:;""~~~~~~~~~~~ Additional deSc permit pin number permit Fee ISSue Date Expiration Date 95125 120.00 2/13/07 6/12/07 plan Check Fee Valuation .<)0 204060 Qty unit charge per ~~-~ ~ ~~~~"O' ~"',o,~o~"'~~O""~""'~~"'~~~~~~ ~~.'-- ~"o~ special NoteS and commentS AddresS numbers shall be plainlY visible from the street. AddresS numbers shall be a minimum of siX inches high and be of contrasting color from the background. All homeS in neW subdiviSions that are outside of the Fire ",,,... "M'" ". "'"'"',,.,"",,'~". ,,'A. ,",""0'. C',. """"~. ,,,~.. ,," ,."" ;m.ro~m""" ,'" ".,m" -," """""'""" ,""." ~",,_" ""~"""'''""' wm-'" W,." '" ,.,.." w_o'"" "W"~" ,..,~,., M .,.",,, " . ."" "' ,.. ,.,. .,,, '" ~. ~ ""mm~"" " " ,,,",roO ,",,,."'""' ,,~ om ,~O ,.."~'" ~.'" ,.. ,.,. "m "0 , ""."'"" ""." ,,'~ .. , ;m~ ,,,", .", ,~m'"" "" .W',,,,," ,," ,- "" ~m' '" ;m ~ ""' ro"'" "' .ro."'" ".. ,"" ",,"""W, ,."m'" ." WO " ~. W,o; ;m Wm.'''' W,. .mo." -.""",, ""," "om ThO ,mO""' " · ".""' ,,' .""mo " ,,~ "",,,,, " "~.. " ,,"W' '" .'''''''"" " .., ,,,.. "' ~" '"" ,""''''"' ro",,.,,,," """ ".,,-- construction. Signature of Contractor or Authorized Agent Date Signature of owner (if owner is builder) Oa' --.-"'''''' rJI'OAT~_ .,:...~ O~ ~ -- "'.o;;d' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 07-00000061 209800 Page Date 2 ~/13/o7 Special Notes and Comments Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm syst.ems. 02/07/2007 04:09 PM SROBERDS - The proposal will result in a two story residence in the RS-9 zone for total lot coverage of 21%. No land use issues noted. Electrical load calculations and elctrical permits are required. Electrical connection fee $222.00 (under old policy) 01/31/2007 09:00 AM 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. Other Fees . . . . . . . .. SEWER SYSTEM DELV CHARGE 1000.00 STATE SURCHARGE _ PW WATER SYSTEM US.E FEE r-- 1230.00 - ------------------------------------------------------------~ Fee summary Charged Paid Credited Due Permit Fee Total plan Check Total Other Fee Total Grand Total 400.00 .00 2234.50 2634.50 400.00 .00 2234.50 2634.50 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and 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\1I02.15R [1/05J CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date 9 - q - 0 { Time Received by 'KV (phone. person) Location of Work to be inspected 815 .Tos k~~ Name of person requesting inspection c,a.... re t Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. 'I6D -?.~ Permit No. 61>- hi (finau Sewer Excav. Other Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: Inspected: Date R~9- Ot Time Remarks: br-.'ve w"'15o 5;-29-07) 8~ 7-07 5e-uer 2 -2.0-0, 't;>tI'F" -Jdi.t-:> -h c u..r b RESTORATION REQUiRED...... YES NO BYYV o {<' "-- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue.on reverse side if necessary) STREET SUPERINTENDENT (DATE) \S\~A" APPLICATION FOR WATER City Water Division, Port Angeles, WA Issued date: 2- {s-D7 Installed by & date: 2 - 2, - 0, Permit # 0 7-O(P J I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: Applicant Name & Phone: IIIlVyd S. be.1tt.baV"~ L./&O-2PJ5S" Site Address: <; I ~ J/)SJ.,1411 > MailingAddress: 72. Wd/rnd/h P,.( Blk: Lot: /4 Addlsr@/l7JIwAUhuarceI#: t)u ~OOJ7t,DI1O Svc:ONIOFF Meter#'sC F~Z.C.~ WIO#: :;'/l'S4~-Z.q\ Svc: Size ~/~ ~~1-IZ3cJ Restoration Required: Signature: ~ Remarks: N w lh 1:::< rJ> c, Cr'. (J c' 7 . , v ~ E s . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . / p~ " REQUEST: Date ,j- '1. tf- f) 7 Time Received by '/~ J- I' (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Z / '3 J aSh fA t:l "'S:f >d~ Inspected: Date Remarks: INSPECTION NOTES: (i-Zq-07 Time Phone No. 4410- z8.s-S Permit No, 07-!# / Final Sewer Excav. Other du;y-. I . I f?~ -------- b? _By _' ~ '::!',. W7 #1 A-~ I t,o"'" /; u I- Sewer Foundation Framing Chimney Plumbing o i- +0 t;?l.4r" - O~/" Yl1 {,( S I- J4 cI t.v "j" '7 'c:,. RESTORATION REQUIRED. , , , ., YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ---~._---------- i. " ~ ~ I '1 t-( ~ ! i ? I \) t .... t r ,:"'" ,\ t':" " 'j I ~ 1 ! I I, I' I ~ ! [' [ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . / REQUEST: Date ?-. - 20, oj Time Received by 7<v (phone. person) Location of Work to be inspected 9l 3 ~skv...a.. c;.t- Name of person requesting inspection p"'-V\.. K..LD of" r,' So VI Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 0 { - {, I Sewer Foundation Framing Chimney Plumbing Final ~er Ex~ Other INSPECTION NOTES: Inspected: Date Z - Z 6 - 0 ., Remarks: N<l.w .;:et.lJ~..- c.o", Vlect I' 'I II? 11t..e. -, ,ke.F' J 4 VC f~o""," By b" Pvc- PfL +e:, UOlA...,e.. kv o:I~" a.. I Cl+ P~ooe.~1, RESTORATION REQUIRED. . . . .. YES NO J.- :J".".:. Ly....r, 5' -< ,.., PIL N t o/"""~<- . ",,'" 1./ ' 'f 0 I ~ 10 "-- { L- ,,~~~ 1/'pV (J,"'l\~ H . I ~ zc.t ",,5> 815 f'/L -L SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC I 7 M.'r o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE IContinu.e on reverse side if necessary) STREET SUPERINTENDENT (DATE) I I I VJ I I CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date ~-1-D1 Time Received by (phone. person) Location of Work to be inspected 8' /2:> Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing <)o~ Phone No. '-1&0- ZBsS' Permit No. /}7-~/ Final Sewer Excav. Other INSPECTION NOTES: 1-> Inspected: Date e -7 ~or Time By 1-<:" V Remarks: ~ r;p~~ . 6j( -to PoU-~/ \ RESTORATION REQUiRED...... YES NO X: ~ <' SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date '1'ztJ~/}7 Time Received by (phone, person) <?/ ~:~;-::;;: INSPECTION NOTES:, I. /~_ Inspected: Date 0/' Z I dL Time By Remarks: ~ ~~~ ok-1-2I'-o7 ",...J 5:'::'wev- z- -0 bcu.>.... S'f:t<..is. 16 Co'^- r- b ----.!""-do.l ok. 9-'1-0, RESTORATION REQUIRED . . . . .. YES NO ><. s-27-a7 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue_on reverse side if necessary) STREET SUPERINTENDENT (DATE) .? 1, ,.,./ -c/"' ." , L ~ " ) t. o /, p i;~! ;/ -~~~.~ ..... ~/ '}' , <':I . ) o )c_... ;.;;~, -<f,> " .~: .J " ., ~. " "'(~ I"~ .,' v ') ''-,',' " 17~ S)'~'?~ _, f.._ . c . , ",r -J' \.') l~r'J" (~......p -:; J" . .;.' . ~;/ -':-:rv' ~. .J .n '- ., - ...' ~'.';;. '..1- !c.i :,~l_:~ . .~7\:: f . ~- o _ -;t.~__ . , I~ , I ':f;j , I I ,,' PREPARED 9/12/07, 8 52 28 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 3 9/12/07 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR (360) 417-1587 (360) 460-2855 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 2/13/07 JLL 2/13/07 AP 2/15/07 JLL 2/15/07 AP 2/21/07 JLL 2/21/07 AP 2/21/07 JLL 2/21/07 AP 3/09/07 JLL 3/09/07 AP 4/27/07 PB 4/27/07 AP 5/03/07 JLL 5/03/07 AP 8/09/07 RV 8/09/07 # 9/12/07 BL2 01 BLFD 01 PL6 01 BL9 01 BL3 01 BLI 01 PW99 01 BL99 01 BLDG FOUNDATION FOOTING TIME 09.00 02/13/2007 07 55 AM PERMITS Garret 460-2855 02/13/2007 03:16 PM JLIERLY ---------------------------- BLDG FOUNDATION STEM WALL 02/15/2007 08:37 AM PERMITS GARRET 460-2855 02/15/2007 04:33 PM JLIERLY ---------------------------- BLDG FOUNDATION DRAINAGE TIME: 09 00 02/20/2007 03:56 PM PERMITS GARRETT 460-2855 02/21/2007 03 35 PM PLUMBING WATER SUPPLY 02/20/2007 03 57 PM GARRETT 460-2855 02/21/2007 03 35 PM JLIERLY ---------------------------- BLDG SHEARWALL 03/09/2007 08.46 GARRET DELABARRE 03/09/2007 04:24 FIRST FLOOR BLDG FRAMING 04/26/2007 04:47 PM LPANGRLE GARRETT 460-2855 04/27/2007 04:49 PM PBARTHOL --------------------------- BLDG INSULATION 05/03/2007 09,04 AM LPANGRLE GARRETT 460-2855 05/03/2007 04 35 PM PUBLIC WORKS FINAL JLIERLY ---------------------------- TIME 09 00 PERMITS AM PERMITS 460-2855 PM PBARTHOL JLIERLY ---------------------------- BLDG FINAL 09/11/2007 01 39 PM LPANGRLE GERRITT 460-2855 BLDG FINAL PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS JLL MECHANICAL GAS LINE AP 04/20/2007 03:48 PM LPANGRLE LAURA 683-4010 INT GAS PIPING ff 04/23/2007 04:54 PM JLIERLY ---------------------------- , MECHANICAL FINAL - 09/11/2007 01:40 PM LPANGRLE , GERRITT 460-2855 , MECHANICAL FINAL ~~-~-- --------------~------------------------------------------------------ ME6 01 4/23/07 4/23/07 ME99 01 9/12/07 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at ~{~ ~DSU J 4- ~ v&J- , tu J- r~ l-;::Z~~ L-t~+ These corrections must be made and are not to be covered until reinspection is made. When corre.sawns have been made, please call Lf 17 - L{ y/ / for inspection. Date 9Ir~l'? DO NOT REMOVE THIS TAG PREPARED 9/12/07, 8 52 28 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 4 9/12/07 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR SUBDIV PHONE PHONE (360) 417-1587 (360) 460-2855 TYP/SQ REQUESTED COMPLETED INSP RESULT DESCRIPTION RESULTS/COMMENTS PL6 01 2/21/07 JLL PLUMBING WATER SUPPLY 2/21/07 AP 02/20/2007 03.58 PM PERMITS GARRETT 460-2855 02/21/2007 03:35 PM JLIERLY ---------------------------- PL2 01 4/19/07 JLL PLUMBING ROUGH-IN 4/19/07 AP 04/19/2007 08:09 AM PERMITS GARRET 461-2259 04/19/2007 04:39 PM JLIERLY ---------------------------- PLSP 01 7/09/07 JLL PLUMBING SHOWER PAN 7/09/07 AP 07/06/2007 09:26 AM LPANGRLE GARRETT 460-2855 SHOWER PAN FLOOD TEST 07/09/2007 04.32 PM JLIERLY ---------------------------- PL99 01 9/12/07 jtf PLUMBING FINAL ') 09/11/2007 01:40 PM LPANGRLE . GERRITT 460-2855 PLUMBING FINAL -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 7/09/07, 9 08.45 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 6 7/09/07 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR SUBDIV PHONE (360) 417-1587 PHONE . (360) 460-2855 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL6 01 2/21/07 2/21/07 JLL AP PLUMBING WATER SUPPLY 02/20/2007 03 58 PM PERMITS GARRETT 460-2855 02/21/2007 03.35 PM JLIERLY ---------------------------- PLUMBING ROUGH-IN 04/19/2007 08 09 AM PERMITS GARRET 461-2259 '""."'....'I"'II(__.~.__~~~1;~~::~i~~o,:::::::,~~~~~~~~~~~~~~~~~~~~~~~~~~~~____. 01 4/19/07 4/19/07 JLL AP PL2 PREPARED 5/03/07, 9:42 21 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 7 5/03/07 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR 01 2/13/07 2/13/07 SUBDIV' PHONE (360) 417-1587 PHONE: (360) 460-2855 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLDG FOUNDATION FOOTING TIME 09:00 02/13/2007 07 55 AM PERMITS Garret 460-2855 02/13/2007 03 16 PM JLIERLY ---------------------------- BLDG FOUNDATION STEM WALL 02/15/2007 08 37 AM PERMITS GARRET 460-2855 02/15/2007 04 33 PM JLIERLY ---------------------------- BLDG FOUNDATION DRAINAGE TIME. 09 00 02/20/2007 03 56 PM PERMITS GARRETT 460-2855 02/21/2007 03 35 PM PLUMBING WATER SUPPLY 02/20/2007 03 57 PM GARRETT 460-2855 02/21/2007 03 35 PM JLIERLY ---------------------------- BLDG SHEARWALL 03/09/2007 08 46 GARRET DELABARRE 03/09/2007 04 24 FIRST FLOOR BLDG FRAMING 04/26/2007 04.47 PM LPANGRLE GARRETT 460-2855 fY! 04/27/2007 04 49 PM PBARTHOL --------------------------- L BLDG INSULATION 05/03/2007 09 04 AM LPANGRLE GARRETT 460-2855 ------------------------ ------------ COMMENTS AND NOTES -------------------------------------- BL1 BL2 BLFD 01 PL6 BL9 BL3 BLI 01 2/15/07 2/15/07 2/21/07 2/21/07 01 2/21/07 2/21/07 01 3/09/07 3/09/07 01 4/27/07 4/27/07 01 5/03/07 V{ JLL AP JLL AP JLL AP JLL AP JLL AP PB AP JLIERLY ---------------------------- TIME 09 00 PERMITS AM PERMITS 460-2855 PM PBARTHOL ,[; \fJ! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l2\ EAST 5TH STREET. PORT ANGELES. WA 98~62 ';" " ~ ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Applicat~on type description Subd~v~s~on Name Property Use Property Zoning Application valuation 07-00000061 Date 209800 813 JOSHUA ST 06-30-01-7-6-0140-0000- RES NEW SFR 4/27/07 ~ "" RS9 RESDNTL SINGLE FAMILY 204060 Owner Contractor GARRET S DELABARRE, 72 WELLMAN RD PORT ANGELES (360) 460-2855 Other struct ~nfo INC GARRET DELBARRE 72 WELLMEN RD WA 983639306 PORT ANGELES (360) 417-1587 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS CONSTRUCTION WA 98362 21 00 V-N 2 00 9028 00 1929 00 1929.00 2.00 CX) '- \.A Permit Additional desc . Perm~t pin number Sub Contractor Permit Fee Issue Date Exp~ration Date ELECTRICAL 3,055SQ/FT 99663 EXTRA MILE 157 00 4/27/07 10/24/07 NEW RESIDENTIAL EXTRA MILE TECH & ELECT., LLC Plan Check Fee Valuation 00 o k\ lA :t ~ ~ Qty 1 00 4 00 Unit Charge Per 69 0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 88 00 Special Notes and Comments Call for cover inspection for all sprinkler installations A full acceptance test will be required for all fire alarm systems 04/16/2007 04.38 PM KDUBUC ----------------------------- Add a sprinkler head over the stairs Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four-m~nute response area shall be equipped with residential fire sprinkler systems that comply with the Internat~onal Fire Code (IFC) and Nat~onal F~re Protection Association (NFPA) Call/for cover inspection for all sprinkler installations A full acceptance test w~ll be required for all fire alarm systems 02/07/2007 04 09 PM SROBERDS - The proposal will result in a two story residence in the RS-9 zone for total lot coverage of 21% No land use issues noted Electr~cal load calculations and elctrical permits are required Electr~cal connection fee $222.00 (under old policy) ~ " COMMENTS! ACTION NEEDED (j ~ ELECTRICAL PERMIT INSPECTION RECORD CM."L 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 NO UITCH ~()TTnJ..:r_IN I COVER :ShK VICE .I: I I GENERAL COMMENTS: PW.II02.1' [4'96) p->.I~. Jfid~~ D8 ~~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION '21 EAST 5TH STREET. PORT ANGELES. WA 98362 . \ ':> Application Number Application pin number 07-00000061 209800 Page Date 2 4/27/07 Special Notes and Comments 01/31/2007 09 00 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection ~s required by Public Works prio~ to back fill of ditch. 24 hour advance notice ~s required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed ~n the City road r~ght of way An inspect~on by Publ~c Works Eng~neering is required prior to prour~ng concrete Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000 00 4 50 1230 00 Fee summary Charged Paid Cred~ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 157 00 157 00 .00 00 Plan Check Total 00 00 00 00 Other Fee Total 2234 50 2234 50 00 00 Grand Total 2391 50 2391 50 .00 .00 COMMENTS! ACTION NEEDED >;i( . . ~'t:, ~ ELECfRICAL PERMIT INSPECfION RECORD .of ;fl. C~ 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINlMUM 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 COMMENTS NO GENERAL COMMENTS: PW -II 02.1 5 [4'96] PREPARED 4/27/07. 8 39 52 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 2 4/27/07 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC. 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR (360) 417-1587 (360) 460-2855 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLDG FOUNDATION FOOTING TIME: 09 00 02/13/2007 07 55 AM PERMITS Garret 460-2855 02/13/2007 03 16 PM JLIERLY ---------------------------- BLDG FOUNDATION STEM WALL 02/15/2007 08 37 AM PERMITS GARRET 460-2855 02/15/2007 04 33 PM JLIERLY ---------------------------- BLDG FOUNDATION DRAINAGE TIME 09 00 02/20/2007 03.56 PM PERMITS GARRETT 460-2855 02/21/2007 03 35 PM PLUMBING WATER SUPPLY 02/20/2007 03 57 PM GARRETT 460-2855 02/21/2007 03 35 PM JLIERLY ---------------------------- BLDG SHEARWALL 03/09/2007 08 46 GARRET DE LABARRE 03/09/2007 04 24 FIRST FLOOR 4/27/07 JLL BLDG FRAMING ~ ~ 04/26/2007 04 47 PM LPANGRLE Z; t:71 flf GARRETT 460 -2 855 --------- ---------------------------- COMMENTS AND NOTES -------------------------------------- BL1 2/13/07 2/13/07 JLL AP 01 BL2 2/15/07 2/15/07 JLL AP 01 BLFD 01 2/21/07 2/21/07 JLL AP PL6 2/21/07 2/21/07 JLL AP 01 BL9 3/09/07 3/09/07 JLL AP 01 BL3 01 JLIERLY ---------------------------- TIME 09 00 PERMITS AM PERMITS 460-2855 PM PBARTHOL PREPARED 4/23/07, 12 23 31 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 4/23/07 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR SUBDIV PHONE PHONE (360) 417-1587 (360) 460-2855 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED ~ESULT RESULTS/COMMENTS ---------------------------- - ---------------------------------------------------------------- ME6 01 4/23/07 J MECHANICAL GAS LINE 04/20/2007 03.48 PM LPANGRLE LAURA 683-4010 INT GAS PIPING -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/19/07, 9 10 12 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 4/19/07 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR SUBDIV, PHONE PHONE (360) 417-1587 (360) 460-2855 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL6 01 2/21/07 2/21/07 JLL AP PLUMBING WATER SUPPLY 02/20/2007 03 58 PM PERMITS GARRETT 460-2855 02/21/2007 03 35 PM JLIERLY ---------------------------- 'L'__O'____./:;/O'___~____~!l!:;~:::::::::~o'""":~"'-----_________________________.___ CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 .. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Appl~cat~on type descr~pt~on Subd~v~s~on Name Property Use Property Zoning . . . Application valuation 07-00000061 Date 209800 813 JOSHUA ST 06-30-01-7-6-0140-0000- RES NEW SFR 4/18/07 RS9 RESDNTL SINGLE FAMILY 204060 Owner Contractor GARRET S DELABARRE, 72 WELLMAN RD PORT ANGELES (360) 460-2855 Other struct info INC. GARRET DELBARRE 72 WELLMEN RD WA 983639306 PORT ANGELES (360) 417-1587 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS CONSTRUCTION WA 98362 21.00 V-N 2.00 9028.00 1929.00 1929.00 2.00 Perm~t . . . . . Add~tional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID FIRE SPRINKLER SYSTEM 99051 .00 4/18/07 10/15/07 Plan Check Fee Valuation .00 4244 Special Notes and Comments Call for cover ~nspection for all spr~nkler installations. A full acceptance test w~ll be required for all fire alarm systems. 04/16/2007 04:38 PM KDUBUC ----------------------------- Add a sprinkler head over the stairs. Address .numbers shall be pla~nly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes ~n new subd~visions that are outside o~ the Fire Department four-m~nute response area shall be equ~pped w~th residential f~re spr~nkler systems that comply with the International F~re Code (IFC) and Nat~onal Fire Protection Assoc~at~on (NFPA). Call for cover ~nspect~on for all spr~nkler ~nstallations. A full acceptance test will be requ~red for all f~re alarm systems. 02/07/2007 04:09 PM SROBERDS - The proposal will result ~n a two story res~dence ~n the RS-9 zone for total lot coverage of 21%. No land use issues noted. Electrical load calculat~ons and elctrical permits are required. Electr~cal connect~on fee $222.00 (under old policy) 01/31/2007 09:00 AM GMCLAIN ---------------------------- Sanitary sewer connect~on ~nspect~on ~s requ~red by Publ~c Works pr~or to back fill of d~tch. 24 hour advance not~ce ~s requ~red. Construct dr~veway and Sidewalks to City Standards. ~ fJ<[~ S1';/. - ~ 6.> ThiS permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examinffl 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 any state or 10callaw regulating the work specified in the perm it. ;;:::;:J.~, 12> 2 Vr) U U ... . Date Signature of Owner (if Owner is builder) _ Date FIRE PERMIT INSPECTION RECORD '" Call 360-417-4655 for fire inspectIOns. Please provide a mmimum 24-hour notIce It IS unlawful to cover, msulate' or conceal any work before inspected and accepted. Post permit m 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 pipmg inspection Dry system air tested at 40 pSI (24 hours) Sprinkler final 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 Time initiated Tank (container) Inspection Test #2 ApplIance mspection 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 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 Appllcatlon Number . . . . . 07-00000061 Application pin number 209800 Page 2 Date 4/18/07 Speclal Notes and Comments No concrete with exposed aggregate allowed ln the Clty road rlght of way. An lnspectlon by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2234.50 2234.50 .00 .00 .' ., ..I This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examiner! this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work wIll be compled I with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the pr.~vision~?f a~y state or local law regulating the work s~ecifie~ i~ !he l?~r:nit. ~-~*';~.oj ;; .~ S.ig[~t1}l~ of-Contractor or Authorized Agent -. Date .... .~:: ~jgna!ure of Owner (if Owner is buIlder). . '~~~j.t~":;i :t.~.:: Date ~r ~~ ~.~. ~-l~"';b.~-"" . .~.' ,"'~. ."'-~ .0 FIRE PERMIT INSPECTION RECORD ~:r ~ \ \ Call 360-417-4655 for fire inspections. Please provide a mInImUm 24-hour notice. It is unlawful to cover, Insulate ~' or conceal any work before inspected and accepted Post permit in a conspIcuoUS location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type I Date Passed I Comments FIRE SPRINKLER Underground piping hydrostatically tested Undergro~nd pipmg flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Spnnkler final 8-1 ~ -o( '-<bt: FIRE ALARM Rough-in Inspection Alann final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Pipmg pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance mspection Piping pressure test pSI Time illltiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids 3J ~ Tank appropriately abandoned c.P UST abandonment final ~ PERMIT OTHER (specify) --,;- 5 permit final 'J( ~ (/) c....c Vl q-- ~ ~ \f.) ....-. Vi ~ \I" :;- C ~ ~. . GENERAL COMMENTS. 2/15/00 L-. 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: 813 Joshua Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13RO 13D~ Date: 4.16.2007 P AFD Permit #: 07-13 We have checked this plan and find that it conforms to the requirements of the code. 1) Add coverage over the stairs. 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 NFPA Standard. This 13D system will require a measured flow test. Contractor Reviewed by: \O\,J~ Date: J..t.tfo'01 o ~ o Building Department Fire Department BUILDING PERMIT - APPLICATION for, OFnCIA)2;~ ONLY Dale T(ec. ""~ "'~ t) 7 1'cnmt# ~? -b I D~le ....pplOved Oll -I" -07 Dale Issued D ~- L 8--0"7 Fill out COMPLETELY and in Th'K. Your application and site plan MUST B[ COMPLETL to he accepted for review. If you have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4711 Address: 8 J IV €!.-t..t..J PROJECT ADDRESS' LEGAL DESCRlPTION. Lot. ApplIcant or Agent C- V'\. + Owner: '7:) eJ Q 13 C\.. tr vc...... Cc"", r+ ~ . Phone City. ~ C r .:t- .4 l..-t..-S .e Le..J> ArchitectlEngmeer Phone Contractor i AJNIJLlA-Tlb..1J ;::=-/ RE State License #: IIY/fWt:=,f'CJYy1J1l-Exp: 3/.2. ?.k8Phone:(./$'z'-'7,r.8~ , .,. ....) ;:Je....V fl.'a-. '- '-' CIty. Pt3v-f IJ.~ ..e,lR-J> ZIp <7e3 c.. 2 8/3 rn.s~~ ~ Phone '-/~2-IS83 (Lf~2 -LfJ L{L{ ZIp: 99J62- Address' ZONING: Block: SubdIVISIOn. CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: )(:Resldenual D New COliStr. D Re-roof D Stove D MultI-family D AddItIOn D MoveD Garage D Commercial D Remodel D DemolitIOn D Deck o Reparr D SIgn D Other BRIEF DESCRIPTION OF THE PROJECT: :r~,f f-eLlI SIZEIVALUATION: SF. @ $ /SF. = $ SF. @ $ /SF = $ SF. @ $ /SF = $ rb TOT~ VALUATION, $"''1:; 4~So 1= ~ 'v (L S (] '.,. , '-' k '.-i(/"- s .s . .....--. , COMMERCIAL/RESIDENTIAL: Occupancy Group' Occupant Load. & Proposed Sq Ft Construction Type' = TOTAL Sq Ft No. of Stories: Lot Size. Total lot coverage Existing Sq Ft % PLANNING USE ONLY: APPRO V ALS: PLAN: BLDG: DPWU: ESAlWetland(s)' DYes 0 No SEP A Checklist requrred? 0 Yes D No Other: FIRE: 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 peIIDlt application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPffiA nON OF PLAN REVIEW: If no pennit is issued within 180 days of the date of applIcatIOn, the application will expire. The Building Official can extend the tune for action by the applIcant up to 180 days upon wntten request by the applicant (see Section R105.3.2 of the International BuIlding/Residential Code, 2003). No 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 pennits prior to wot- , ' T:\FORMS\BldgPermJtform.wpd ApplIcant \)~ 13~!.jfl- Date: 'i) 2./ c::J 7 I DATE:rj~fc,7 I El FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKSIENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRA TI~N o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUlLDING DIVISION I w o o o RE: ADDRESS: T I '6 J CJ Sh u 0.. NAME/CONTACT: r ) I V1 C ~n t I~ +f-~ V- PHONE: J-I6"J-- 7~~-E? _-:S PERMIT NUMBER: 0'7 -6 / PROJECT DESC~ION: ~ 1:<" 5;i?,..., V] fd <' r- % s -J-." f/V' KE' s,cl~1 l,c<_ J (.~ ;;~,~ J D~ ".~ (~,rf:":~t~ (?qt:.L' w.p_d - g NEW CONSTRUCTION tJ ADDITION/ALTERNATION COMMENTS/CONDITIONS: ~ REVIEWIRETURN o FILE ~ffi 07-'3 f"}.'~ ~ O(j ~""'r~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION l2\ EAST 5TH STREET. PORT ANGELES. WA 98~62 Appllcation Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type descrlption Subdlvlslon Name Property Use Property Zoning Applicatlon valuation 07-00000061 Date 209800 813 JOSHUA ST 06-30-01-7-6-0140-0000- RES NEW SFR 4/06/07 RS9 RESDNTL SINGLE FAMILY 204060 Owner Contractor GARRET S DELABARRE, 72 WELLMAN RD PORT ANGELES (360) 460-2855 Other struct info INC GARRET DELBARRE 72 WELLMEN RD WA 983639306 PORT ANGELES (360) 417-1587 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE' NUMBER OF UNITS CONSTRUCTION WA 98362 21 00 V-N 2 00 9028.00 1929 00 1929 00 2 00 Permit Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL AIR FLO / T-STAT 98947 . AIRFLOW HEATING 35 00 4/06/07 10/03/07 ~ '" <A Plan Check Fee Valuatlon .00 o Qty 1 00 Unit Charge Per 35 0000 EC EL-LOW VOLTAGE Extension 35 00 L) ~ f Special Notes and Comments Address numbers shall be plainly vislble from the street Address numbers shall be a mlnimum of SlX inches high and be of contrasting color from the background All homes in new subdivislons that are outside of the Fire Department four-minute response area shall be equlpped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Assoclation (NFPA). Call for cover inspectlon for all sprinkler installations A full acceptance test will be required for all fire alarm systems 02/07/2007 04 09 PM SROBERDS - The proposal will result in a two story residence in the RS-9 zone for total lot coverage of 21~ No land use issues noted Electrical load calculations and elctrical permits are required Electrical connectlon fee $222.00 (under old policy) 01/31/2007 09 00 AM GMCLAIN ---------------------------- Sanltary sewer connectlon inspection is required by Public Works PFior 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 ~ COMMENTS/ACTION NEEDED \[ \, , \ '.-., " '::'} ELECfRlCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, (\ INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. I KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO Uln...:tl IH 1I Ie i-H-lN / COVER :ShR ViCE FINAL GENERAL COMMENTS: PW.II02 15(4'96] .~ 'ttlir~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 Application Number Application pin number 07-00000061 209800 Page Date 2 4/06/07 Special Notes and Comments road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000 00 4 50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35 00 00 .00 Plan Check Total 00 00 00 00 Other Fee Total 2234 50 2234 50 00 00 Grand Total 2269 50 2269 50 00 .00 COMMENTS/ACTION NEEDED '\ ., \ ..~, , . -) '\ "'\ .~ ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, ,""" INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. J " KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO I I. (.H --- JH IUUH-LN / CUV nK :SbK V lCb FINAL I 7...3/-0'1 ~,J GENERAL COMMENTS: PW.II02.13 (4196] Ai ~., PREPARED 3/09/07, 10 17.50 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 10 3/09/07 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DE LABARRE , INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR SUBDIV. PHONE (360) 417-1587 PHONE, (360) 460-2855 PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING TIME 09 00 02/13/2007 07 55 AM PERMITS Garret 460-2855 02/13/2007 03 16 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL 02/15/2007 08 37 AM PERMITS GARRET 460-2855 02/15/2007 04 33 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 02/20/2007 03 56 PM PERMITS GARRETT 460-2855 02/21/2007 03 35 PM PLUMBING WATER SUPPLY 02/20/2007 03 57 PM GARRETT 460-2855 02/21/2007 03 35 PM JLIERLY ---------------------------- 3/09/07 tfI2 BUILDING SHEARWALL ~ 03/09/2007 08 46 AM PERMITS -"1--~---- GARRET DELABARRE 460-2855 nu_ mnmmmmnUn CO_'" T '~~n~~~n.;~n k;vL- 4 \J Ii- 'w-- BL1 2/13/07 2/13/07 JLL AP 01 BL2 2/15/07 2/15/07 JLL AP 01 BLFD 01 2/21/07 2/21/07 JLL AP PL6 2/21/07 2/21/07 JLL AP 01 BL9 01 TIME 09 00 JLIERLY ---------------------------- TIME 09 00 PERMITS PREPARED 2/21/07, 12 16 11 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE 7 2/21/07 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER, 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR SUBDIV PHONE PHONE (360) 417-1587 (360) 460-2855 ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 2/13/07 2/13/07 JLL AP PL6 BUILDING FOUNDATION FOOTING TIME 09 00 02/13/2007 07 55 AM PERMITS Garret 460-2855 02/13/2007 03 16 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL 02/15/2007 08 37 AM PERMITS GARRET 460-2855 ~ 02/15/2007 04 33 PM JLIERLY ---------------------------- L BUILDING FOUNDATION DRAINAGE TIME, 09 00 02/20/2007 03 56 PM PERMITS GARRETT 460-2855 J PLUMBING WATER SUPPLY TIME 09 00 02/20/2007 03 57 PM PERMITS GARRETT 460-2855 ------------------------ ---------------------------------------------------------------------- 01 2/15/07 2/15/07 JLL AP BL2 BLFD 01 2/(1]07 01 2/21/07 II PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL6 ~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- 01 2/2'1/07 ( I PLUMBING WATER SUPPLY 02/20/2007 03 58 PM GARRETT 460-2855 PERMITS ~ PREPARED 2/15/07, 9 11 48 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 12 2/15/07 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR SUBDIV PHONE PHONE (360) 417-1587 (360) 460-2855 -------------------------------~---------------------------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 2/13/07 2/13/07 JLL AP BUILDING FOUNDATION FOOTING TIME 09:00 02/13/2007 07 55 AM PERMITS Garret 460-2855 02/13/2007 03 16 PM JLIERLY --------------______________ BUILDING FOUNDATION WALL 02/15/2007 08 37 AM PERMITS GARRET 460-2855 BL2 01 2/15/07 \l , ~ -------------------------------------- COMMENTS AND NOTES ----------------------------------____ PREPARED 2/13/07, 9 14'36 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 12 2/13/07 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 813 JOSHUA ST GARRET DELBARRE CONSTRUCTION GARRET S DELABARRE, INC 06-30-01-7-6-0140-0000- 07-00000061 RES NEW SFR SUBDIV PHONE PHONE (360) 417-1587 (360) 460-2855 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION ~~~~:~~___~;~~~~~__~~~~~L_ ___~~:~~:~~:~;~~~~~~~~~~~~~~:::;~~~__~;_~~__________._.._.._.____ Garret 460-2855 -------------.-------..---- --------- COMMENTS AND NOTES -------.--------.----------------..--- (' C!JI~ Q.-o ~ {)~ db j- ~ ~ORT ~ t~..~ rea L~ ~ 'ltIi,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 \) fl ~ ......... 07-00000061 Date 209800 813 JOSHUA ST 06-30-01-7-6-0140-0000- RES NEW SFR 2/13/07 Applicatlon Number Appllcatlon pln number Property Address ASSESSOR PARCEL NUMBER: Appllcation type descrfption Subdlvision Name Property Use Property Zonlng . . . Applicatlon valuation RS9 RESDNTL SINGLE FAMILY 204060 Owner Contractor GARRET S DE LABARRE , 72 WELLMAN RD PORT ANGELES (360) 460-2855 Other struct lnfo CONSTRUCTION INC. GARRET DELBARRE 72 WELLMEN RD WA 983639306 PORT ANGELES (360) 417-1587 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 21. 00, V-N 2.00 9028.00 1929.00 1929.00 2.00 Permit BUILDING PERMIT -RESIDENTIAL Addltional desc 2 STORY SFR Permlt pin number 93732 Permlt Fee 1608.25 Plan Check Fee Issue Date 2/13/07 Valuatlon Expiratlon Date 8/12/07 643.30 204060 Qty Unit Charge Per Extension 1020.25 588 00 BASE FEE 105.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permlt . . . . . Addltional desc . Permit pln number Permit Fee Issue Date Explration Date MECHANICAL PERMIT 95026 150 95 Plan Check Fee 2/13/07 Valuatlon 8/12/07 .00 o Qty Unlt Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 5.00 7.2500 ECH ME-VENT FAN 1. 00 50.0000 ECH ME-WOOD BURNING APPL. Extension 50.00 14.70 36.25 50.00 Permlt PLUMBING PERMIT Addltional desc Permlt pln number 95034 t Permlt Fee 170.00 Plan Check Fee .00 Issue Date 2/13/07 Valuation 0 Explration Date 8/12/07 Qty Unlt Charge Per Extenslon BASE FEE 50.00 13.00 7 0000 ECH PL- EA. FIXTURE ON ONE TRAP 91.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 ~ ........ LN L <3 (Y) ~ <; f f7 f,et/ eJ (j9-IC;_()/ (?r) :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 constructio T.\Pohcles\1102_15 bUlldmg peomt mspecllOn record05 wpd [1/4/2005] Signature of Owner (If owner IS builder) Date -~ BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECT]ONS. CALL417-47~5 FOR ELECTRICALINSPECTIONS CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES 'PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL AN}' H"ORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS , YES I NO FOUNDATION FOOTINGS I 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 FINA..L DATE ACCEPTED BY BACK FLOW / WA TER AIR SEAL , WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (fNTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN - HEAT PUMP I FURNACE / DUCTS GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE FINAL INSPECTIONS REQurRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRICAL LlGHTDEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R W ENGINEERlNG 417-4807 PW I ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T'\Pohcles\J J02 15 bulldmg penmt mspectJon Tecord05.wpd [1/4/2005J </.ORT ...... t' ~~~ ". L~ ~ ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicatlon Number Appllcatlon pln number 07-00000061 209800 Page Date 2 2/13/07 Qty 1. 00 1 00 Unlt Charge 'Per 15.0000 ECH PL- EA. BLDG SEWER 7.0000 ECH PL- EA. WATER HEATER Extenslon 15.00 7.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a mlnimum of SlX lnches hlgh and be of contrastlng color from the background. All homes in new subdivisions that are outside of the Flre Department four-minute response area shall be equipped wlth residential fire sprlnkler systems that comply wlth the International Fire Code (IFC) and Natlonal Flre Protectlon Assoclatlon (NFPA). Call for cover lnspectlon for all sprinkler lnstallations. A full acceptance test wlII be required for all fire alarm systems. 02/07/2007 04:09 PM SROBERDS - The proposal will result in a two story resldence in the RS-9 zone for total lot coverage of 21%. No land use lssues noted Electrlcal load calculations and elctrical permlts are requlred. Electrlcal connectlon fee $222.00 (under old pollcy) 01/31/2007 09:00 AM GMCLAIN ---------------------------- Sanltary sewer connectlon lnspectlon is requlred by Public Works prior to back fill of ditch. 24 hour advance notlce is requlred. Construct driveway and Sidewalks to Clty Standards No concrete with exposed aggregate allowed in the City road right of way. An inspection by Publlc Works Englneerlng lS requlred prlor to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000 00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 1929.20 1929.20 .00 .00 Plan Check Total 643.30 643.30 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4807.00 4807.00 .00 .00 ,.. (f 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 authonzed is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing thiS type of work will be complied with whether specified herein or not. The granting of a permit does not 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 IPohcleslllOZ_15 bUlldmg penml mspeclJon record05 wpd [1/4/2005] B{ill;DING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL417-47~5 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS l.JTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER. INSULATE OR CONCEAL ANI' WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ~ I \'J' - INSPECTION TYPE DATE ACCEPTED COMMENTS I I YE& NO FOUNDATION. FOOTINGS JJ~ '0 '7 Jll. 3NEBR !'l/At ~ / WALLS 7/~ ItrJ "./'LL. FOUNDATION DRAINAGE / DOWN SPOUTS . /^.l, 'n? I PIERS POST HOLES (POLE BLDGS ) PLUMBING 5<<olAB~ VA-N W'foq f 01..:JLL UNDER FLOOR / SLAB ROUGH-IN 4 I /'=\ J 01 -Su.- WATER LINE (METER TO BLDG) 11./'l./ / n7 GAS LINE I FINAL ~ -I z.. - 07 DATE 11..-L ACCEPTED BY BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS . I '4/z7h7 fYo-V)\; V)j 'J"LL SHEAR W ALLIHOLD DOWNS 3/9 /~7 JJ.L- WALLS / ROOF / CEILING DRYWALL (fNTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I05103ifJ7 ~L-L. . MECHANICAL ROUGH-IN - HEAT PUMP / FURNACE / DUCTS FINAL 0 ~ - \ l. - 01DATE '"J l- L.- GAS LINE 4/1..'?/Dl 1-:\ L-L- ACCEPTED BY. WOOD STOVE / PELLET / CillMNEY T MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING SEPARATE PERMIT#'s SEPA. . PLANNING DEPT PARKING/LIGHTING ESA- LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - UGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R. W / PW / CONSTRUCTION - R. W ENGINEERlNG 4 J 7-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 q--ltl -0"'1 3t.A.- BUILDING 00 - vJ ~ \f) :s- c ~ \f\ T ~ \ T \Pohcles\1102 15 bUlldmg penmt mspectlOn Tecord05 wpd [1/4/2005] -z t \0 ~ .. :ff'ORT~ lO~ rea '- -=-- ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 3,21 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Appllcatlon pln number Property Address ASSESSOR PARCEL NUMBER: Application type descrlptlon Subdlvision Name Property Use Property Zoning . . . Application valuatlon Owner GARRET S DELABARRE, 72 WELLMAN RD PORT ANGELES (360) 460-2855 Other struct lnfo Permlt Addltional desc . Permit pln number Permlt Fee Issue Date Expiration Date 2/13/07 07-00000061 Date 209800 813 JOSHUA ST 06-30-01-7-6-0140-0000- RES NEW SFR RS9 RESDNTL SINGLE FAMILY 204060 Contractor INC. GARRET DELBARRE 72 WELLMEN RD WA 983639306 PORT ANGELES (360) 417-1587 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS CONSTRUCTION WA 98362 21. 00 V-N 2.00 9028.00 ~929.00 1929.00 2.00 PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 95133 230.00 plan Check Fee 2/13/07 valuati'on 8/12/07 00 204060 Qty Unit Charge Per BASE FEE Extension 230.00 Permlt . . . . . Additlonal desc . Permit pin number Permit Fee Issue Date Explratlon Date RIGHT OF WAY 9511 7 50,.00 2/13/07 8/12/07 Plan Check Fee Valuatlon .00 204060 Qty Unlt Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permlt . . . . . Additlonal desc . Permlt pin number Permit Fee Issue Date Explratlon Date SANITARY SEWER HOOK UP 95125 120.00 2/13/07 8/12/07 Plan Check Fee Va1uatlon .00 204060 Qty Unlt Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extenslon 120.00 Special Notes and Comments Address numbers shall be plalnly visible from the street. Address numbers shall be a minimum of SlX inches hlgh and be of contrastlng color from the background. All homes ln new subdivisions that are outside of the Flre 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 t give a thority to violate or cancel the provisions of any state or local law regulating construction or the performance of construe' n. T \Pohcles'll 02.lsR [1/05] Date Signature of Owner (if owner is builder) Date PERMIT INSPECTION RECORD r 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 , YES NO PW UTILITIES (Engmeenng DivIsIOn) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL , PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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:\Pohcies\1 102.15R [1/051 .. f pORT ~ ~...O~% Or___~~ ,. 'E!iI -- ~ ~ "l,\~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000061 Appl~cation pin number 209800 Page Date 2 2/13/07 Spec~al Notes and Comments Department four-m~nute response area shall be equipped w~th residentlal fire sprinkler systems that comply wlth the Internatlonal Flre Code (IFC) and Natlonal Fire Protection Assoclatlon (NFPA). Call for cover inspection for all sprinkler lnstallatlons. A full acpeptance test will be required for all fire alarm systems. 02/07/2007 04.09 PM SROBERDS - The proposal will result ln a two story resldence ln the RS-9 zone for total lot coverage of 21%. No land use issues noted. Electrical load calculations and elctrical permits are required. Electrical connection fee $222.00 (under old POllCY) 01/31/2007 09:00 AM GMCLAIN ---------------------------- Sanitary sewer connection lnspectlon is requlred by PubllC Works prlor to back flll of dltch. 24 hour advance notlce lS requlred. Construct drlveway and Sidewalks to Clty Standards. No concrete wlth exposed aggregate allowed in the Clty road right of way. An inspection by Public Works Engineering lS required prior to prourlng concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credlted Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 400.00 400.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2634.50 2634.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a perr(lit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. , Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T \Pohcles\1102.15R [Jl05] PERMIT INSPECTION RECORD " .' .. ... 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 / I YES NO PW UTILITIES (Engmeering DiVISIon) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE , SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH I , BACK-FLOW DEVICE , FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE 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 T'\Pohcles\1102.15R [1/05] rl 0' , .. - ~\'\'r -:':-',~(Ir ~;:J t1lf ~) 1" t!tff,l,--- J ~.._- -'""'--;;; ~-- ~ '~- BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY ale Ree /- z.z,..tz:> 7 Pmill" tb7- ~ atc Approved ~ ""} Date issued ~ Fill oui COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted tor review. It you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApphcantorAgent' Gt\rret <;.l)el4h~r('e../ I Jf\(, Owner: ~~('re! ~. he ["'bOo. rre... Address:" 7.2 INellW\t{t'\ R. (J , Phone' 3&0' 'I" 0 ' 2. CO S-~ ArchItecl/Engmeer Contractor at( r t" ef De tt b&1. r (' e Address SAM e: A':> A ~ 00 E PROJECT ADDRESS 8' 13 -ToSHuA <ST I ZIp" t:jg3C,3 enO\lIL~ ~SOL, Phone:'3'O.L//7.0SlJ/ State LIcense #. DELA {3Gl-qsl i3bJExp' I S- Phone: Jc.o l{(,{) 2s~~ C~. Z~ LEGAL DESCRIPTION: Lot: / If Block: CLALLAM COUNTY PARCEL NUMBER: SIIB t6T ? 6, ZONING: SubdIVIsion: t$IA1tES 4.1 ft,//W41I.kee ex 12. \ JV 8fv J.&eSI&'/~(}() Oc..~"OI7~OI'lO TYPE OF WORK: SIZE/VALUATION: )( ResIdential '!!.1' New Constr. 0 Re-roof 0 Stove 2 S-3 ~ SF @ $ 7(" "9 /SF = $ o MultI-family 0 AddltIOn 0 MoveD Garage 6M: S-ICf SF @$:2J,j~ /SF.=$ o Commercml 0 Remodel 0 Demol1tIOn 0 Deck SF. @ $ /SF. = $ o RepaIT 0 SIgn 0 Other TOTAL VALUATION $ 2..t!J 4,0 G, 0 I BRIEF DESCRIPTION OF THE PROJECT Nerv Z STOIL1 3 8012./1 t+oM E bJ / A-HA-lneJ (;a.Y'C{Je 192 qr,'f ~ /1.'tJq~ ~ , 2....4..- CO:MMERCIAL/RESIDENTIAL: Occupancy Group No. of Stones' J.... Lot SIZe q 02.. <6 sr; Existmg Sq. Ft Total lot coverage 2...1 % Occupant Load: Construction Type (/ & Proposed Sq Ft I'l;!~ = TOTAL Sq. Ft t q~9 --/5T- /41rJ <;.F> ., I- v . 2ND - j /2..(., S F ~53" I II\J~ "- GIJ-t2.. - 01 <=t PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s) 0 Yes 0 No SEPA Checkhst requITed? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant This figure will be revIewed and may be revIsed by the Buildmg DIVISIOD to comply WIth current fee schedules. Contact the Permit Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE- IF a plan check fee IS due It must be submitted at the tlme the bUlldmg penmt applicatIOn and constructIOn plans are subillltted. All other peTIlllt fees are due at the tlille of penmt Issuance EXPIRATION OF PLAN REVIEW: 1[:10 penmt IS Issued withm 180 days of the date of apphcatIOn, the application will expire. The Buildmg OffiCIal can extend the tlille for actIOn by the applIcant up to 180 days upon wntten request by the apphcant (see SectIOD R105.3.2 of the InternatIOnal Buildmg/Resldentlal Code, 2003). No appl1catIOn 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 If is my responsibility to determme what permits are required ,not the Cdy's, and that I must obtain such permits prior to work . A _~ T\FORMSlBldgPomrtf~wpdAppli",mt ~ Date, / ' 22- '07 ~ ADDENDUM 2-7-07 To: City of Port Angeles Building Permitting From: Garret S. DelaBarre 72 Wellman Rd. Port Angeles, W A 98363 Cell: 360-460-2855 Regarding Plot / Site Plan amendment for new residence at 813 Joshua Street In the interest of establishing an accurate "As Built" of our project; I am attaching an updated Plot plan for the new residence at 813 Joshua Street in Port Angeles. Items of Note: o The Development's Electrical cables are located approximately 11 feet inside the property lines instead of inside the 10' electrical easement. o Extension of the driveway to allow safe exit from the garage parkway for home owner. These findings are the result of a call for locate on the lot's utilities (accuracy of locations are dependa upon the system used to mark the lines.) Garret S. DelaBarre President, G.S.D., Inc. DELABC*95IBG Licensed & Bonded 0 General Contractor 0 GARRESD023LE ~ h 72 Wellman Road 0 Port Angeles. WA 98363 0 Ph/Fx: (360) 452-4144 0 Cell: (360) 460-2855 0 Emad: garrett2044@msn com Parcel Lookup Page 1 of 1 Parcel Number 0630017601400000 Site Address 9999 JERI LYNN ST PA [ Quit 1 I Back I Taxpayer: GARRET S DELABARRE, INC 72 WELLMAN RD PORT ANGELES, WA 98363-9306 Title Owner: GARRET S DELABARRE, INC 72 WELLMAN RD PORT ANGELES, WA 98363-9306 Description: ESTATES AT MILWAUKEE LOT 14 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties) Land Value 56,575 Improvements Value 0 Total Assessed Value 56,575 Property Characteristics: Note: Use Code IS for Assessor's purposes only Contact the appropnate plannmg or bUlldmg departments for ZOning and allowable usage of property Use Code 9100 UNDEVEL LAND Land Size (acreage) 00 Note Acreage IS not listed for all properties In the Assessor's records More information about land size Tax Status Taxable Tax Code Area 0010 Note Zonmg and zOning codes change constantly Venfy all zonmg with the appropnate planning or bUilding department Building Characteristics: (Click on Bldg # for more details) # Bldg. Type Bldg. Style Total S.F. BD BA Tax History Sales History I Quit I I Back I http://apps.clallam.net/website/sitis --'p.pgm?parcel=06300 1760 1400000 1/22/2007 r) Look Up a Contractor, Electrician or Plumber License Detail Page 1 of2 Topic Indek I (Onlil,-t Info Search y Home Safety Claims & Insurance Workplace Rights ""? Trades & Licensing Find a Law or Rule Get a Form or Pubhcation Look Up a Contractor, Electrician or Plumber Pr:inter Friendly VersiQn General/Specialty Contractor A business registered as a construction contractor with Lal to perform construction work within the scope of its specialty. A General or SpecIalty construction Contractor must mamtain a surety bond or assignment of account and carry general liability insurance. License Information License DELABC*951 BG Licensee Name DELABARRE CONSTRUCTION Licensee Type CONSTRUCTION CONTRACTOR UBI 602458608 YJ~(ify_Wo(lsers_ CQ01P~cero tUI1J Status Ind. Ins. Account Id Business Type CORPORATION Address 1 72 WELLMAN RD Address 2 City PORT ANG ELES County CLALLAM State WA Zip 98363 Phone 3604524144 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/7/2005 Expiration Date 1/7/2009 Suspend Date Separation Date Parent Company GARRETT S DELABARRE INC Previous License GARRESD_023LE Next License Associated License https://fortress.wa.gov/lni/bbip/detail.aspx?License= D ELABC*951 BG 1/22/2007 ~ r/ / Look Up a Contractor, Electrician or Plumber License Detail Page 2 of2 Business Owner Information Effective Expiration Name Role Date Date DELABARRE, GARRET 5 PRESIDENT 01/07/2005 Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date UntIl #1 CBIC 508323 01/01/2005 Cancelled $12,000.00 01/07/2005 Savings Information No Matching Information Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Oate Date Date Amount Date #4 CBIC C11508323 06/05/2006 06/05/2007 $300,000.00 04/19/2006 #3 CBIC C11508323 06/05/2005 06/05/2006 $300,000.00 07/08/2005 #2 CBIC C115063657 06/05/2005 06/05/2006 $300,000.00 06/0212005 NORTHFIELO #1 INS CO CP472231 06/05/2004 06/05/2005 $300,000.00 01/07/2005 Summons / Complaints Information No Matching Information Start a New S~ar(h ~riflJer Frien_dly_Y_ession About Uti I Find a job at LEt! I Informacion on espaho( I Site Feedback I 1-800-547-8367 )\,,1,: (_ \'\',1\)11 "- L' ., -washIngton I \V~lsh'll~lton S'<ltl...~ [>"1); ~)f LZ'b~) ~)"d lnel stncs U',c ,~. t' J~, "Jtc J:, sd);( ~ t to the 21V<l of :h~~ f\CCC'S5 AQJZ'(>112nt ~)p\'a'_';, ZH1d S~"~,,ll~V s.t?tLmcl'~ I :nterdc.( us("c<t(..l(al (on~ClL Dolley I Vi\lt alLe~~<V{d ~ov ')!<H1 on y' {llik. https://fortress.wa.gov/lni/bbip/detai1.aspx?License= D ELABC*9 51 BG 1/2212007 f_T~. t:O~ ha L~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Applicatlon pin number Property Address ASSESSOR PARCEL NUMBER: Applicatlon type descriptlon Subdivislon Name Property Use Property Zonlng . . . Appllcation valuation 06-00000922 Date 8/23/06 407432 918 JOSHUA ST 06-30-01-7-6~0070-0000- PUBLIC WORKS UTILITES Owner Contractor ~ ~ ~ ~ RS9 RESDNTL SINGLE FAMILY o Sarwan Daljlt/Amarjit Seera 331 W 1st St PORT ANGELES WA 98362 OWNER Permit Addltlonal desc . Permlt pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY REPAIR SEWER 85332 .00 8/23/06 2/19/07 plan Check Fee valuation .00 o Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 ~ 'I\)~ . ~~ E.~ 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 V) laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not ") presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of . construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD 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 YES NO PW UTILITIES (Engmeering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL I P AR.KING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE 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 [1I05J Prescriptive Approach-Simple Foml For the Washmgton State Energy Code ( 2003 EdItion) Climate Zone 1 Site Infomlation Bmldmg Department Use Only- Lot: itl Address 8/3 J1J sl, t/ A <; -t CIty ({If h"e/es / tJA CJK3tz State PJA- ZIp 1'!~r;, ?- Contact. ;;1AY'(, if- De/a i34.f ( e- Phone. 5 ~ 0 . '-/ t. 0 . 2 <6 t;C:;;- Phone 2 3 (p 0 ,~/ 7 . / 5T57 FAX 3&0' t.(!>-z. . till/If Penmt # Notes' Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 OptlOn Glazrng Glazrng U-Factor Door Wall Wall Wall Slab .Area % U- Vaulted Above Intenor Extenor on of Floor Verucal Overheac Factor Ceilrng Ceilrng Grade Below Below Floor Grade Grade Grade Unlmnted III Group R-3 040 0.58 0.20 R-38 R-30 R2l R-21 R-10 R-30 R-lO Occupancy Only ( UnllImted Glazmg OptlOn Only) Tills Project complIes WIth the followmg: v' The Project IS a smgle fannly reSIdence or duplex v' The Project IS wood frame OR all of the msulatlOn IS mtenor or extenor of the fi'aming v' All bmldrng components meet the requIrements lIsted ill Table 6-1, OptIOn III. v' The Project WIll meet all other proVIsIons of the WSEC and VIAQ~-' The ProJ ect WIll take advantage of the followmg exceptlOns to the prescnptIve optlOn . o 602.6 ExceptlOn 1. One door, that IS 24ft. Or less, that does not meet the standards allowed Location of the door takrng tins exceptlOn o 602.6 Exceptlon 2. Doors WIth a U-Factor of OAO allowed WIthout calculatlOns, Optlon III only. LocatlOn of the Door (s) takrng exception Type of Heat Source: /I JI /fC- / !Jl'otJtll1e 5/zJVe , I !2A-OIIfNT I-htoro/\ I L. EXHIBIT A # Plot Plan 813 Joshua St., Port Angeles, WA 98362 / N Joshua St. Estimated Location of utilities ~/ w b N o 0 ~ ~ , o! ~~ z ~ {g:\~ N 0- ~ c:o \"" (it- ~ _0 (Il ~: \~ c:O <3-: \ , '-G & ,"19~ "' 19,. , 1 I ~ -D :zJ<S) ~ Go ~ i(S) c, ('..~ ~, '0 '" v '\ ~ \ \~ Proposed Residence t-.. ...0 11' 48' 8'-6" t bl g. Service Panel 10' 8' Deck 18' Setback "Q) c '5 "S .0 Q r-... N S tn~ ~ '~.' , e lOOJCK [~1n~~s . E@ 25' ( 84' / Property line to Line Locate i 8 al l3 B- e... a: <D ~. -< ::J ::J en :-+ ) Joshua St. Plot Plan 813 Joshua st" Port Angeles, WA 98362 / N Estimated Location of utilities EJ[]@ b N :;: 8' ( Proposed Residence ~ -0 25' 48' Deck 84' \ ^\ ':;' 18' c...... CD ~. -< :=J :=J en :-+ ) Joshua St. Estimated Location of utilities ~~@ Plot Plan 813 Joshua St., Port Angeles, WA 98362 / N b N 8' =:: Proposed Residence r-.. -0 48' Deck 25' 84' " \\, \, 18' c..... <D ~. -< :J :J en :-+ ) 'fi ""..~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98:\()2 App11cat1on Number Application pin number Property Address : ASSESSOR PARCEL NUMBER: Application type descr1ption Subdivision Name Property Use Property Zoning Application valuation Owner GNL DEVELOPMENT GP 1115 E FRONT ST PORT ANGELES WA 98362 (360) 452-7861 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date 2/07/07 07-00000121 Date 270303 813 JOSHUA ST 06-30-01-7-6-0140-0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY o Contractor EXTRA MILE TECH & ELECT , LLC 418 N. RACE ST PORT ANGELES WA 98362 (360) 457-0198 ELECTRICAL TEMPORARY EXTRA MILE/ TEMP SVC 94656 EXTRA MILE 40 00 2/07(07 8/06/07 SERVICE TECH & ELECT , LLC Plan Check Fee Valuation .00 o Qty Unit Charge Per 1 00 40 0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40 00 ~ -- \N Fee summary Charged Paid Cre'di ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 00 40 00 .00 00 Plan Check Total 00 00 .00 00 Grand Total 40.00 40 00 .00 00 COMMENTS/ACTION NEEDED ~ (j\ { ~. ~( ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTeD AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PlANS AT JOB SITE I INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO lJllt;l1 ROTlnH.IN I (:1 IV....K ~-- -.-- SERVICE l<INAl I~.&>-~., .Ad'~)1 GENERAL COMMENTS: PW-I 102.15 14'96J APR-17-2007 01:16 PM E.JANSSEN 368 452 2982 P.81 Job H';r~d by ~ ~;eetrleal Contractor ELECTRICAL WORK PERMIT APPLICATION E\cjetriclIl tonlruelar llome ~/<". . M./..c... Pur "i)' nlo.;J Pdd'RA Cil . Ie. 7 1+~1 -e-l tS Tcl~ph(t!le nllmb~r -s",l. 2- Pt~he' owner's name ~...~.. * '"D oL \ "- <R.....IULE ~n 01 I1Uipectloll -LS:.15 \)",~l...u 'S.I-....t ~tL+- ~...cA.~ f'h.ne number' 10 ,,~hcdol; Inspel~flon: EI-tv~;c;::}lJlnb~r 0010' Expire,!; InSll\lI:nion descriptiol\ J o Commercial URe8identhd ~ew IJ Altered/Addltl.. o Ownor Slate ZIP vi 4- f\Jo(,.o.U l oru~(..J-.o.u. .u,,,'Z. $r..r ;2.{.~? 5/ j 8L"J OM'~'''''' ff,~ clt:finl'J hy RCW.JfJ,18,1(jf'(1) Oll'ff/"I" will O(.'I:"I'Y "It' slrrl('/rll'r: fm' /w" .n'>'o;;v ~(Ie" IIIt..f I".'('''k(ll Pf!I"t'if is .ji'UIlJud. (1) OII'II('!I' f,~ required to Jrin: all tt!t'r:lI.iclll oon'!''tIt:fOr if olmv., ,'oM property;" Jm' ,valr!. "em flr l(~rJ.\.(' An~r rl!lIdinEllhe llbo\'c statement. J hC'roby certifY Ihllt I pm .hl:' owner or the abllve n..~ed f'TOpCt1y or a liceMCld electrical c:rmlr.oC:l(1f. ,I nm milking the dCClrlC:31 insml. b.\i \~ OT llIhcrntion in eomplillncc wilh the elc:ctr,clIl 18w~. N.F..C., R.CW, Chapter 19, 8. WAC', Chapter 296-469. The City o( Pori ^"I>cle~ Mllll;clPill Code, and Uti it)' Spi!dfiC:Ulio"s, Silln.1ut'~ r owner, .10 jtrlnl eOn~B(IOr fir f!lectrh:al IIdlRlnlUt'atnr ~ "---J . Dole: -/1 -01 ~c1rlc.1 Loed Addlllal1R.IIIUll!U_~RlliI~ Cl NO LOAD CHANGES I.J e...board KW o Fumaca KW (J Overhead Serviee o ~ea1 Pump Ton LAA U Temp Service lJ : an-Wall kW ~ Underground Servlee S4ME DAY INSPECTION, CALL Br:;FORF: 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT ~ D'" A"p'''.'''' o Cash o Check II o Cred;tCard Visa Mastercard Discover Card # --.--------- --------- Expiration Date of card I !5 7. 00 -'nspecti,," lUll $ 'Jr-:." ~rvlce Information VOltago I"ZA> I ~ot... Phase" 1 [J 3' S.rvlce Slz.: ,;. OD 4 Feeder Slze~ --"'7~ SERVICE ~~~ -.Q1 ~~ Utile ApflIUVC"l py DITCH 7'-,?:[-b7 if:l? FEEDER n..... ^ppro,,~ll Oy lnspcClioll D;,tc "t-14-1l1 e(J~(M~c-:r;;iOfJ . ~ .$ Z'Z2bO Eloclrical Inapcclor, , Area, Building or Equipment Inspected Action Taken .: ~!Jm. .-JV rfl ~~ (' ~""" I -~ ~6'" .i Z007 APR 1 8 2007 UGbl'ii' .. 04/03/0i TIm 10:25 FAX 360 683 39i1 AIR FLO HEATING I4i OO_L.._ ... (I"". - , . ~"iiO;;~l''' ELECTRlCAL WORK PERMIT APPLICATION . '\ ~iCetl$e number Date Cltpil"es: , t;Put-(l..f)fY1{!f; Jnstsll.!!fion d~r::riprioll CJ Commercial W ResJd~llti.9.1 .. Job wired by Cl ElectTical Contractor [J Owncr ~ o Altered! Addition wll1~I?1r F X Itlhet l}tJ,Vrl11()<;..,-ja.f 'Lkl~ ?vP'Q ? OWl'll.!r as defln~r:/ by RCW:J9.2S.16J:(I) D'l1iller .....iII occupy the ~truCtun: jo,. f1.t'Q YIMf"J" after this t!'~ict1.l p~lit L~ finalized. (2) Owlle,. is reqwl!J to hire o.n ch:ctr;cal COttlrac{or if abr,vc: said prvperty is jor .~aIe, rel1r ()r lco:;€.. AfiCT reading the :9.00V1: statement, I nereby certify thst 1 ;Im the Owner of the ~bove nllmed property or <l Jicen~cd electrical conll'::!(:tGT. J am m~lctns thll electrical tnst:d- lation or ;).1L~ration ill compliance wllh the electrical laws. N.E.C., RCW. C1litpter 19.28. W Chapter 296-46B, The Cil)' of Pori ^ngclc!l Mllnicipsl Code, and Ulility cificariorlS. Sil:' ow rl~c( cal o Cash 0 Check # Credit Card V1Sa Mastercard Discover c~#DW~_~__~___~ ExpirationDate of card Electrical Lo Add ~ NO LOAD CHANGES o Baseboard _ KW '0 Furnace ill KW ~ Heat Pump e2. iun _ LAR o Fan~WaJl 'rf'/II Service Information CJ Overhead Service CJ Temp Servlc~ o Underground ServlcriI VOltage Phae:e CI , Q :3 SeMce Slze:_ Feeder Size: __ SAME DAY INSPECTION CALL BEFORE 7"00 AM 360-41 i-4i3S . ;- ROUGH-IN ~ TF.lERMOSTAT I" SERVICE ~~?:.b- 07 .d..-fl I [lll.le ^ppf'\l~c" [j,)'____, D.\~ "'PPI'll1'eclBy- - I" I FINAL DITCH ) }'EEDTcR ~~/ Dlll~ A.~proVed S)' Dill: Appm"';d 9,.-/ Inspection Areo., RuHding or EQLlipment Inspected Action TakeD Ele::mcal D.a1e Inspector .. - - ..L_ FEB-05-2007 10:16 AM E.JANSSEN 'V'^-- to e Job "'Ired by leelrleol Conlroelor 0 Owner Eleelrieul conlrlclor n'n'e License number Dale Expires ./rillJ- M,!.t €1.t{h'l.IC M.... I'Uf'C 1e1"~ lnailin~ addrc:!I11 (e tJ. RI1~ F- "flzm <(ill(A .IOle W'll -.1::."......t ~wQ~\~." WI\'- qtS'G:.'Z.. Tclc~llOl1C: nllmber I FAX nurnbcr ....1..-- ~ D Ad ren or lIupecHon .1'3 005 ~ ~<>J ~~~- rh01lc number- 141 u!hedult. i\.peetlon: OW I~" tJ.~ dejllH:rl',y RCW.IY.28.161,'(J) OWI/{". will flCCUp.l' tl/t' ~"'j1C(llrl'for 111'0 .1"('01 rifif.J' fllI.f elec'rkul{}Ct'mlr LI; fI"QIi~crl. (1) ~HIC'. j.t n~qliirl!(1 to J,i,.,! tJ" 1//(/(',..1<.'(11 coo~raclol' if ubuvt: sold ,wopBrfY l.J for .ftfk '.l~n' Of' Ica~.f!. Af\ r l'1:uding the above Slalernel1t, 1l1crcby cenify that I {1m the owner of ,)<Ie above: Mil cd property or u licCTlsed ekelncul conlrnclor. I 01.111 mnking 11lr: ~lcclrical inSI...l. lali n ('Ir allerltion in complienc:e with \he elec1rieallaw5, N.E.C.. RCW, Ch:lptcr 19. 8. WAC. Chl\l)tcr 296.46D, The Cily or Pc,rl ^ngcl("~ Mu,licip3\ Codl:. and Uli ity Spccinc~tioll'. SlCnatun n owner, .ell!ctrh: x ~- IJ 0 I.OAD CHANGES IJ a.aboard ._ KW o Furnace _ KW Cl ea1 Pump _ Ton __ LAR IJhn-Wan _KW S~ME DAY INSPECTION, d 0 lillb!,,"clionl! Date: ;;."' ~ -07 360 452 2982 P.01 ELECTRICAL WORK PERMIT APPLICATION InSlllllGtion dellcription CJ Commercial o New .::r< "" \' o Cash o Credit Card Card # Expir1ltion Date ofcard o Overhead SeNlco o Temp ServIce o Underground SCl"Vlce ROUGH-IN CALL BEFORE 7'00 AM 360-417-4735 ~ D~l' Alll'''~n..t Ii)" .!/~ 1n;INALdfd / In!lIJ~CliOll DAle CRMOS:::,..,." ' CCH ^"'''~I'''' ATta, Building Of" Equipment In~pec'ed 2-6 -0 1 6-JN,,\ t5:::::r(()0_.~ dl '2. '2. '2. - a0 4r-</1 -' / __J~ o AlI.rodl Addition . .,-. - ':) -<A.Ai""\ L 0 o Check II Visa Mastercard Discover ---------~--- Voltage PhasaO,03 Sarviea Slza: _ Feeder Size: _~.~ / " SERVICE >--~~~.~ AI'pN~ed 8y FEEDF.R '--_ D.~~ "I'pro"o:lI By ^ctton Taken Electrical !nspec.lor APT.). /:',- .-11- ~ ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , , , . , 15- 00001326 Date 10/20/25 Application pin number 548424 Property Address 813 JOSHUA ST ASSESSOR PARCEL NUMBER; 06- 30-01 -7 -6- 0140 -0000- Appl.ication type description ELECTRICAL ONLY Subdivision Name Property Use , . , , , , . . Property Zoning . , , , , , , RS9 RESDNTL SINGLE FAMILY Application valuation , , , , 0 Application desc Protect your home Owner Contractor GNL DEVELOPMENT GP PRQTECT YOUR HOME 1115 E FRONT ST 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 98362 ##200 (360) 452 -7$61 INDINAPO.LIS IN 46240 (317) 810--472.0 -__- -------------------------------°_--------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional desc , . Permit Fee , . . . 64.00 Plan Check Fee DO Iasue Date . . , . 10/20/1.5 Valuation , . , , 0 Expiration Date 4/I7/I6 Qty Unit Charge Per Extension 1, 00 64,0000 ECH EL- SINGLE CTR LIMITED RES 64,00 Fee summary Charged Paid Credited Due Permit Fee Total 04.00 64,00 .00 .00 Flan Check Total 00 .00 .00 .00 Grand Total 64.00 64,00 ,00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:IEXCHANGEWILDING Date: CITY OF PORT ANGLE S PERMIT APPLICATION 13W cling Division/Elvetrical Inspee.flons 321 East Fifth Street — P.O, Box 1150 / Port Angeles Washington, 98362 Ph. (360) 417-4735 Fum (360) 417-4711 Date: 10119Y2015 -- & 2 Single Family Dwelling n 'R ion She a Plan Roview May Be Required, Please Complete Elcctri��al Pion Review I fort at I A Addf%s: —L13 105hua E&J911 Sqt1afe Foaj,)go: 2350 2, 0 0 flj"'( id ' C K1. Owner Infomation Contractor Information Name: Nan,, Powers Matt Adftss: -L13-10-Lhua �6t-- Nne: Protect Your Home MAI jWd10S5; 3750 Priority Way South Dr _ROrt angeles ,__ ftto: WA _2.835�_ 45240 P' *AD; 3604524729 FaKj License # I Exp. _-r-ax, _317-564-2547 Ltmo P I Exp. PRoTEYH 934Rs exp _12/1o/2013 Is gamhm 2ty Total (Qtv Multiplied SarvicUffeeduir 200 Anv. $120,00 ServicefFeedar 201490 AMP, $ 945,E Urviceffudor 401,600 Amp $205,00 &eN1crff,ud6r 601-IOW Amp, $262.00 Servicell"Wer aym 00 AriV, $373,00 Dfanch Cirwft W/ Swvkme Feedtv $ 5.00 Dentich ckruit W0 Service Feeder $ GUO Each AdditionM 8(awb Gird $ 5,M Branch C�Cults 14 75.00 Temp, Servical Feadef 200 Amp, S 03,00 Temp, fvic iFearier 201.400 Amp, S 910,00 Temp. Saivlceffieedw 401.600 Amp. $149-00 TWP, SvrlicOeedef 601-101 1 Amp. $1040 poflid 10 Pala *"Y $ 96,00 Signal CAW W UmOd Energy., I A 2 Fan fly Dwdinq $ 64.00 1 S 6100 thanufaclurN Rome Connecilua $120,00 Renewoble NcWcaf energy. %VA System of Lem $102,00 Tbormosial $ We: $UR fV each addfioria$ T-Sial �F-W CONSTRUCTlg"NLY; Fiat 1U0 Square ft $120.00 Uch Ad0onsl 500 Scare R, ot Parma of S 40.O Each Outbui6ng or Ntachod Gliraga 3 74.00 Each SWmming Pool (Y Hof Tub 3110.00 Total Owneras defined byRCW,19.28261: (1) Owner ON O=py the strOure for Nvo years after this electrical permit Is finalized. Omer is required to Wean et trtcal trncdtsr it above saW property is for sale, rant orNase, Permitexpires after six months of last inspection. Alter reading tht aboves[aternent, I hereby certify that I am the owner of the above named property or a licensed eeieclilr*l contWor, I am making tk* electrical inStAtilion or aitaration In compliance with the electrical lows, KU., RCW, Chaplet 19.26, WAC< Chapter 296-468, The City of Port Angeles Municipal Code, and UtR[ty Speciricallons and PAN40 14.05,050 regarding Electrical Pj rmil Applicallorrs, Signature of owner, electrical contractor or electrical administrator, 0 CaSh 0 Ch "k --E/292/0 15