HomeMy WebLinkAbout228 Juniper Ln - Building CITY OF PORT ANGELES
'�i DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
c 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000648 Date 5/24/12
Application pin number 564808
Property Address 228 JUNIPER LN REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-7-8- 0010 -0000-
Application type description MECHANICAL APPL. PERMIT on your state excise tax form
Subdivision Name to the City of Port Angeles
Property Use y y
r Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 11749
Application desc
HEAT PUMP
Owner Contractor
MORGAN, RICHARD AIR FLO HEATING CO INC
PO BOX 182 221 W. CEDAR
PORT ANGELES WA 983620338 SEQUIN WA 98382
(360) 460 -3127 (360) 683 -3901
Permit MECHANICAL PERMIT
Additional desc HEAT PUMP
Permit Fee 64.80 Plan Check Fee .00
Issue Date 5/24/12 Valuation 0
Expiration Date 11/20/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80
Fee summary Charged Paid Credited Due n Q I
Permit Fee Total 64.80 64.80 .00 .00 w
Plan Check Total .00 .00 .00 .00
Grand Total 64.80 64.80 .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.
e 7 25 Zoe 2 /4
Date Print Name Signa re of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
P
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments r�
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL:
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney /I
Commercial Hood Ducts FINAL Date (gap; I (/Accepted byjJW
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
t
Electrical 417 -4735
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T•rnrmc /P iIr1lnn rlivicinn /Rtiilrlinn Parmit
0
0
N N
H
W W
O. ca
H 0
O N
0 H
M t+1
0 O
0 ,0
l0 0
O O 0
100 N
a ro
W U
H H .L'
H W W
W 0 a 0 0 0 0
0 w 000 �Q F
u cnaa 0
H i0 z
F h 0
0 0 2 0 f
H 0 F 0 a" N
F F H F RC co 0 co
U u
co W a W H 'N z
0 a w 5 w o O w
V70 W 0 0 00
Z Z 0 0 0 0 a N 0 0
F u u
0 (3.0 1-4,00
a H F Z N
u 5 x a 0
U o a 0 0 U C U
H o u E Q a h a
O H H
0 z
U O Z
0 zz a o W a 0,1
io fX�ii H I4
a W W r H a VET=.
CO H in
Z
N H o \0 N 004
l0
Lop< N< X 0 H 0 0 0 0.4 N
N 0 0
0 0 W 0 ,0
OCO x au
0 CO CO
w W w V]U H
00 cn< az E 0 o
,c4 41 w AZ 2 a 0
a u 4 0 0 W K a F 0
05/24/2012 THU 10: 28 FAX 360 683 3971 Air Flo Heating Co. 0001 /003
I
eroHr44.. BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn: Building Permit Technician Date Received 4 la-
321 E. Fifth St., Port Angeles, WA 98362
For City
1 `ty ty LAS
Use Only
(360) 417 -4815 fax (360) 417 -4711 Date ApprovedS Ia'
Applicant or Agent Ai Q FL° if e tecTi N Ls Phone 913 d 3'o l
Owner RIGIAlkti�..D mo A 0 Phone ✓.00 -3 1 a1
Owner's Address 11 SV� �Pa k l.�tMC t PAT �1N coc4 -ES, ul �C 6 15‘3 to 1-
Contractor /Engineer 1 1 IR- Fu I42kT, 1I Er- Phone yqo 1
Contractor /Engineer's Address 22.‘ W. c Epfre_ ST S 524.0,a o ak q• 3 Y '3
License ft kY FLI A_iDle b& Expires 41 .S I t4
PROJECT ADDRESS X SO If 1g g- LAW,
Parcel Number Lot Zoning
Project Type Brief Description: AResidential o Commercial o Multi- family Industrial
Check all that apply
New Construction
o Addition
o Remodel
o Repair
o Re -roof
o Demolition
o Sign wall- mounted o projecting o freestanding awning other
Total sign area sq..ft, Maximum allowed sign area sq. ft.
10eat System (Heat pump wood burning stove o gas fireplace pellet stove o other
o Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch R. C I V
Deck I
Shed MAY 2 4 2012
Other
CIUI DING DIVI ON TOTAL VALUATION 11 1
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 load 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. I a thorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, a to obta permits prior to wor ing on
projec ,l
Date 0 a V) Print Name CL� F� ?k "G &S Signature Q.• :r.
l T:Forms /Building Division /Bldg Permit Appl. -2006 Code.doc
Clallam County Assessor Treasurer Property Details 68312 RICHARD A MORGA... Page 1 of 1
Cie. Darn County Assessor Treasurer
Property Search Results 68312 RICHARD A MORGAN for Year 2011 2012
Property
Account
Property ID: 68312 Legal Description: LOT 1 JUNIPER
COURT V15 PG27
Geographic ID: 0630157800100000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space: N DFL
Historic Property: N Remodel Property: N
Multi-Family Redevelopment: N
Township: Section:
Range:
Location
Address: 228 JUNIPER LN Mapsco:
PORT ANGELES, WA
Neighborhood: PA South Res Map ID: 2
Neighborhood CD: 4151000
Owner
Name: RICHARD A MORGAN Owner ID: 41952
Mailing Address: PO BOX 182 Ownership: 100.0000000000%
PORT ANGELES, WA 98362
Exemptions:
Taxes and Assessment Details
Values
Taxing Jurisdiction
Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
Database last updated on: 5/24/2012 3:54 2012 True Automation, Inc. All Rights
Website version: 9.0.32.2200 AM Reserved. Privacy Notice
http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=68312 5/24/2012
ELECTRICAL PERMIT �1
CITY OF PORT ANGELES
360- 417 -4735
Q
Application Number 12- 00000649 Date 5/30/12
Application pin number 115691
Property Address 228 JUNIPER LN REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-7-8- 0010 -0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
T -stat new furnace heat pump
Owner Contractor
MORGAN, RICHARD AIR FLO HEATING CO INC
PO BOX 182 221 W. CEDAR
PORT ANGELES WA 983620338 SEQUIM WA 98382 w y
(360) 460 -3127 (360) 683 -3901
Permit ELECTRICAL ALTER RESIDENTIAL I v
Additional desc
Permit Fee 56,00 Plan Check Fee .00
Issue Date 5/30/12 Valuation 0
,Expiration Date 11/26/12
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL- LVT- THERMOSTAT 56:00
Special Notes and Comments
Public works electrical engineering has no requirements for
this plan review. 7"
Fee summary Charged Paid Credited Due C"
Permit Fee Total 56.00 56.00 .00 .00 Al
Plan Check Total .00 .00 .00 .00 C
Grand Total 56.00 56.00 .00 .00
.INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN j fr z,
FINAL v5 y °12
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
05/24/2012 THU 10:28 FAX 360 683 3971 Air Flo Heating Co. 0003 /003
i
nEcEm El N)
CITY OF PORT ANGELES PERMIT APPLICATION r
C)"
Building Division/Electrical Inspection 2
`-r_
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL
Ph: (360) 417 -4735 Fax: (360) 417 -4711
INSPECTIONS
Date: 6 2• 1 J 1 2 Single Family Dwelling
Plan Review May Be Required, Rost. Complete ec real Plan Review Information Sheet
Job Address: P
3I»J PEA I
Building Square Footage:
Description of above Irmo AlLIELP1011 t'
Owner formation Contractor nfognation
Name: IC.4h A'. i 4 Name: ft 1 K IFLAD S 4 t 1J Cr'
Maili Address: III Q _1 t✓ Mailing Address: Z 1 C Pd&. 51
City: T State: %I Ps Zip: City: U State: Zip: latii", 7-
Phone: t 2.1 Fax: Phone: ax:
License Exp. License tf Exp. 1 PL-I4 C 00 C I
Item Unit Charge gti Total (Qty Multiplied by Unit Charge)
Service /Feeder 200 Amp. 120.00
Service /Feeder 201 -400 Amp. 146.00
Service /Feeder 401 -600 Amp 205.00
Service /Feeder 601 -1000 Amp. 262.00
Service /Feeder over 1000 Amp. 373.00
Branch Circuit WI Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 75.00
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Service /Feeder 201 -400 Amp. 110.00
Temp;Servi6e/Feeder401 -600 Amp $149-00..
Temp. Service /Feeder 601 -1000 Amp 168.00
Portalo- PorlatHourly 9600
Signal Circuit/ Limited Energy 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Electrical Energy 5KVA System or Less 102.00
Thermostat 56.00 ._i_ 4(. en)
Note: $5.00 for each additional T-Stat
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 120.00
Each Additional 500 Square Ft. or Portion of 40.00
Each Outbuilding or Detached Garage 74.00
Each Swimming Pool or Hot Tub 110.00
go. 61) Total
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Signature of owner, electrical contractor or electrical administrator: Cash Check
Credit card i3
X IC IAA6 Dated: 2,4\ 1 01/0112012
I
N
ELECTRICAL PERMIT s
CITY OF PORT ANGELES
360 417 -4735 c-S)
Application Number 12- 00000719 Date 6/08/12
Application pin number 965780
Property Address 228 JUNIPER LN REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-15-7-8-0010-0000- your excise tax form
Application type description ELECTRICAL ONLY on Y
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
1 -4 circuits Heat pump
Owner Contractor
MORGAN, RICHARD CASCADE ELECTRIC
PO BOX 182 PO B0X369
PORT ANGELES WA 983620338 PORT HADLOCK WA 98339
(360) 460 -3127 (360) 531 -0385 0 377 du
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc 1 -4 CIRCUITS
Permit Fee 75.00 Plan Check Fee .00
Issue Date 6/08/12 Valuation 0 v
Expiration Date 12/05/12
Qty Unit Charge Per Extension CP
BASE FEE 75.00
Fee summary Charged Paid Credited Due
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 75.00 75.00 .00 .00'
G
..s,q
(a
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN b 1,25li
FINAL l 511i- 7
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
2012 -06 -06 10:38 CASCADE ELECTRIC 3603799043» 360 417 4711 P 1/1
1
r r J
N
O �y''1
CITY OF PORT ANGELES PERMIT APPLICATION 6 00.4.0...-
Building Division /Electrical Inspections O
IL
321 East Fifth Street— P.O. Box 1150/ Port Angeles Washington, 98362 ELECdRiCr -I Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS
Date: G /d /L'L. 1 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: 2 Z g 1 IA h. i o r L N
Building Square Footage:
Description of above li d r e ,4./ t2 c4/ 'k 1 e Al ph /1
Owner In rma on Contra or Inform. Ion
Name: t 6 /1 ctir ems. l--1 Name: a (:..1 L 4 4 4--
Malling dress: /r MailingAddre f' 6 1 0
City: State: I, .J }--Zip: City: f cid i (KA State: -2ip: r
Phone: Fax: Phone: 36 4 ?J 3Yr Fax: Amer
License xp. License Exp. L-S s G "1 e L 9 3 ii 7A_
Item Vnit Charge Q(y Total (Qty Multiplied by Unit Chanel
Service/Feeder 200 Amp. $120,00
Service/Feeder 201.400 Amp, 146.00
Service /Feeder 401 -600 Amp 205.00
Service /Feeder 601 -1000 Amp. 262.00
Servlce/Feeder over 1000 Amp. 373.00
Branch Circuit W/ Service Feeder 5.00
Branch Circuit W/O Service Feeder 63.00
Each Additional Branch Circuit 5.00
Branch Circuits 1-4 75.00 __L,.- 7'-6 {a
Temp. Service/ Feeder 200 Amp. 93.00
Temp. Service/Feeder 201 -400 Amp. 110,00
Temp, Service/Feeder 401 -600 Amp, $149.00
Temp. Service/Feeder601 -1000 Amp 166.00
Portal to Portal Hourly 96.00
Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00
Manufactured Home Connection 120.00
Renewable Elecrical Energy 5KVA System or Less 102.00
Thermostat 56.00
Note: $5,00 for each additional T -Slat
NEW CONSTRUCTION ONLY;
First 1300 Square FI, 120.00
Each Additional 500 Square Ft. or Portion of 40.00
Each Outbuilding or Detached Garage 74.00
Each Swimming Pool or Hot Tub 110.00
7 CZ 1 Total
Owner as defined by RCW,19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical Contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC, Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications.
Slgnatur of o er, el Meal ntracto electrical administrator: 0 can Check
cr�an
ostcd: l
. .
Applicatlon Number
Appllcation pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Applicatlon type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
07-00000801 Date
875113
228 JUNIPER LN
06-30-15-7-8-0010-0000-
GLENN-TERRA, INC
RES NEW SFR
1/03/08
RS9 RESDNTL SINGLE FAMILY
197533
Owner
Contractor
GLENN-TERRA, INC.
136 E 8TH ST #223
PORT ANGELES WA 98362
(360) 565-0100
Structure Information 000 000
Other struct info
GLENN-TERRA, INC
136 E 8TH ST #223
PORT ANGELES
(360) 565-0100
2,428 SF SFR, 580 SF GARAGE,
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
32 SF PORCH
28.00
V-N
2 00
10751.00
3040 00
3040 00
1 00
N
N
CO
Permit
Additional desc
Permit pln number
Sub Contractor
Permit Fee
Issue Date
Expiratlon Date
ELECTRICAL NEW RESIDENTIAL
EL SVC / 1920 SF SFR
111781
ELECTRIC SERVICE
113 00
1/03/08
7/01/08
Plan Check Fee
Valuatlon
00
o
Qty
1.00
2 00
Unit Charge Per
69 0000 ECH
22 0000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
69.00
44 00
~
z..
-
""tJ
~
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of SlX inches high and be
of contrasting color from the background
All homes in new subdlvisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Flre Protection
Association (NFPA).
07/19/2007 05 17 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage in the RS-9 zone for a total
of 28% lot coverage The slte DOES include an area that lS
designated as a buffer for the adjacent property The rear
25' of yard should NOT be maintalned wlth mechanlzed tools
and the open dltch should be maintained to be open, not
clogged THE PROPERTY OWNER SHOULD CONTACT THE CITY
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT IF THERE
ARE ANY QUESTIONS REGARDING MAINTENANCE OF THE 25' BUFFER
AREA
Electrical load calculations and elctrlcal permits are
requlred.
r
J'
l-
or
. .
INSPECTION ELECTRICAL
TYPE DATE: RESUL TS: INSPECTOR:
DITCH
SERVICE
- - - - - - -
~ -
ROUGH - IN
FINAL
COMMENTS:
. .
Application Number . . . . .
Appl~cat~on p~n number
07-00000801
875113
Page
Date
2
1/03/08
Special Notes and Comments
Sanitary sewer connection ~nspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is requ~red
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
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
713 00
1000 00
4 50
1230 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 113 00 113 00 .00 .00
Plan Check Total 00 00 00 .00
Other Fee Total 2947.50 2947 50 00 00
Grand Total 3060 50 3060.50 .00 00
. "
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
X'~ORr "4f.
..!::-~O~<((<'
Q~'"
..' Ii'"
'L ~
~
.'~,,~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Applicat~on Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER,
Tenant nbr, name
Applicat~on type descript~on
Subdiv~sion Name
Property Use
Property Zon~ng , .
Application valuat~on
07-00000801 Date
875113
228 JUNIPER LN
06-30-15-7-8-0010-0000-
GLENN-TERRA, INC
RES NEW SFR
8/02/07
RS9 RESDNTL SINGLE FAMILY
197533
Owner
Contractor
GLENN-TERRA, INC
136 E 8TH ST. #223
PORT ANGELES WA 98362
(360) 565-0100
Structure Information 000 000
Other struct ~nfo . .
GLENN-TERRA, INC.
136 E. 8TH ST #223
PORT ANGELES
(360) 565-0100
2,428 SF SFR, 580 SF GARAGE,
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
32 SF PORCH
28 00
V-N
2 00
10751 00
3040.00
3040.00
1 00
Permit
Addit~onal desc .
Permit pin number
PerrH t Fee
Issue Date
Expirat~on Date
BUILDING PERMIT -RESIDENTIAL
2,428 SF SFR, 580 GRG
106427
1569.05 Plan Check Fee
8/02/07 Valuation
1/29/08
627 62
197533
Qty Unit Charge Per
Extension
1020.25
548.80
BASE FEE
98 00 5.6000 THOU BL-100,001-500K (5 60 PER K)
Perm~t
Additional desc
Perm~t p~n number
Permit Fee
Issue Date
Expirat~on Date
MECHANICAL PERMIT
107508
132 90 Plan Check Fee
8/02/07 Valuat~on
1/29/08
00
o
107490
177 00
8/02/07
1/29/08
Plan Check Fee
Valuat~on
00
o
~
?<?(
O..t 0/
~-.?
"
O~
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
5.00 7 2500 ECH ME-VENT FAN
2.00 10 6500 ECH ME-OTHER APPL N/R
1 00 10.6500 ECH ME-GAS PIPE 1 TO 5
Extens~on
50.00
14 70
36 25
21 30
10.65
Perm~t
Additional desc
Permit p~n number
Perm~t Fee
Issue Date
Exp~rat~on Date
PLUMBING PERMIT
Qty Unit Charge Per
Extension
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 penod 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
~ and ordmances governmg 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 v olate or cancel the provIsions of any state or local law regulating construction or the performance of
constr ction.
Signature of Owner (If owner IS bUilder)
Date
T \Pohcles\1102_15 bulldmg peomt mspectlOn rccord05 wpd [1/4/2005]
Bun.,DING PERMIT INSPECTION RECORD
.'
'.
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS
CALL 417-4807 FOR PUBLIC WORKS UTIUTIES '.
PLEASE PROVIDE A Iv1INIMUIv1 24 HOUR NOTICE IT IS UNLA WFUL TO COVER. INSUL.r1TE OR CONCEAL ANJ' 1FORK BEFORE
IlVSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TJON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPI: DATE ACCEPTED COMMENTS
YES NO
FOUNDA nON
FOOTINGS
SHEAR WALLS/WA.LLS
FOUNDA TJON DRAINAGE 1 DOWN SPOUTS
PIERS I I
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYW ALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY
WOOD STOVE I PELLET I CIDMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLO DOWNS
SKJRTING
PLANNING DEPT SEPARATE PERMlT #'5 SEPA
P ARKING/LlGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W 1 PW I CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING nEPT
BUILDING 417-4815 BUILDING
T \Pohcles\1102 15 buIldmg penTIlt mspectlOn record05 wpd [1/4/2005]
. Of~ORT-v...O
. $"4. ~~~
..,.
'L~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Page 2
Application Number 07-00000801 Date 8/02/07
Application pin number 875113
Qty Unit Charge Per ExtensJ.on
BASE FEE 50.00
14 00 7 0000 ECH PL- EA.FIXTURE ON ONE TRAP 98.00
1 00 7.0000 ECH PL- EA INSTALL WATER PIPE 7.00
1 00 15 0000 ECH PL- EA BLDG SEWER 15.00
1 00 7 0000 ECH PL- EA. WATER HEATER 7.00
SpecJ.al Notes and Comments
PLEASE CONTACT RON BECKER AT 417-4886
REGARDING BACKFLOW PREVENTION, IF A
FIRE SPRINKLER SYSTEM OR LAWN SPRINKLER
SYSTEM WILL BE INSTALLED
Address numbers shall be plaJ.nly visJ.ble from the street.
Address numbers shall be a mJ.nJ.mum of SJ.X J.nches high and be
of contrasting color from the background.
All homes J.n new subdivisions that are outsJ.de of the FJ.re
Department four-mJ.nute response area shall be equipped with
resJ.dential fire sprinkler systems that comply wJ.th the
InternatJ.onal FJ.re Code (IFC) and NatJ.onal Fire Protection
AssocJ.atJ.on (NFPA).
07/19/2007 05.17 PM SROBERDS -- The proposal wJ.ll result
J.n a new sfr w/attached garage J.n the RS-9 zone for a total
of 28% lot coverage The site DOES include an area that J.S
desJ.gnated as a buffer for the adjacent property. The rear
25' of yard should NOT be maintained wJ.th mechanJ.zed tools
and the open dJ.tch should be maJ.ntained to be open, not
clogged THE PROPERTY OWNER SHOULD CONTACT THE CITY
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT IF THERE
ARE ANY QUESTIONS REGARDING MAINTENANCE OF THE 25' BUFFER
AREA
ElectrJ.cal load calculatJ.ons and elctrJ.cal permits are
requJ.red
SanJ.tary sewer connection inspection is requJ.red by
PublJ.c Works prJ.or to back fill of dJ.tch. 24 hour advance
notice J.S requJ.red.
Construct drJ.veway and Sidewalks to City Standards
No concrete with exposed aggregate allowed in the CJ.ty
road rJ.ght of way An J.nspection by PublJ.c Works
Engineering is requJ.red 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 1878.95 1878 95 .00 .00
Plan Check Total 627.62 627.62 .00 00
Other Fee Total 2234.50 2234.50 .00 00
Grand Total 4741 07 4741.07 .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 suspend~d 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 \Pohcles\1102_15 bUlldmg permIt mspectlon recOId05 wpd [1/412005]
BUILDING PERMIT INSPECTION RECORD
..
CALL 417-48] 5 FOR BUILDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS - 0
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES .
PLE'\SE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEALANJ' WORE BEFORE ~
II'l'SPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCA TlON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ()O
o
..
INSPECTION TYPE DATE ACCEPTED COMMENTS
YE~ NO
FOUNDA TlON ~wo.\1 .9/'2../07 PB
FOOTINGS q I .;I{'), PB
SHEAR WALLS / WALLS t\~21-67 J"LL
FOUNDA TJON DRAINAGE / DOWN SPOUTS q -"2.-\ -Of Jl-L
PIERS I
POST HOLES (POLE BLDGS )
PLUMl.llNG
UNDER FLOOR / SLAB
ROUGH-IN a l- l ~ -0 g, -;rl-L-
WATER LINE (METER TO BLDG) "-2.1- 01 :TL-L-
GAS LINE FINI\LOq-30--0gDATE -SU- ACCEPTED BY
BACl~ FLOW / WATER
AIR SEAL 6 L- 0'1-0 g j'c..L--
WALLS
CEILING
FRAMING ^ t- lb-o~ -Svv
JOISTS I GIRllERS
SHEAR WALL/HOLD DOWNS
C
WALLS / ROOF / CEILING :)
DRYWALL (INTERIOR BRACED PANEL ONLY) -
T-BAR ~
INSULA nON O\-l~-O<b -:\u
SLAB
WALL / FLOOR / CEILING I
MECHANICAL $)
ROUGH-IN OI-oQ-n5( :\/L J _~-15-0~ :rU- :5
HEAT PUMY lFURNACE/DUCTS re
GAS LINE o 2.-z.t-DS :rt..L. FINAL(Oq",:~O"'~~\TE (~(,~\( ACCEPTED BY
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB ~
BLOCKING & HOLD DOWNS
.
SKJRTING ~\
PLANNING DEPT SEPARATE PERMlT #'5 SEPA cr.\
~
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED E
YES NO
ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRICAL \f)
LIGHT DEPT
CONSTRUCTIONR W /PW/ CONSTRUCTION - II. W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4 I 7-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 ()5 ...z~,,{)2 -;}L.--L- BUILDING
-
~
N
0<>
~
...
r-
~
.......
;
.J'
-;?\
~\
~/
-<:
Z~
I
~
'------
T IPo],c,e511 J02 15 bUlldmg penmt mspectlon Tecord05 wpd [1/4/2005]
:f"ORT~
lO~~~
r\liii
~--
liftc~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Appl~cat~on Number
Appl~cat~on p~n number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Applicat~on type descr~ption
Subd~v~s~on Name
Property Use
Property Zoning
Appl~cat~on valuat~on
GLENN-TERRA, INC.
136 E 8TH ST #223
PORT ANGELES WA 98362
(360) 565-0100
Structure Informat~on 000 000
Other struct ~nfo
Owner
Perm~t
Add~t~onal desc
Permit p~n number
Permit Fee
Issue Date
Expirat~on Date
8/02/07
07-00000801 Date
875113
228 JUNIPER LN
06-30-15-7-8-0010-0000-
GLENN-TERRA, INC
ORES NEW SFR
RS9 RESDNTL SINGLE FAMILY
197533
Contractor
GLENN-TERRA, INC
136 E 8TH ST #223
PORT ANGELES
(360) 565-0100
2,428 SF SFR, 580 SF GARAGE,
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
32 SF PORCH
28.00
V-N
2 00
10751 00
3040 00
3040 00
1. 00
DRIVEWAY INSTALLATION
107078
170 00
8/02/07
1/29/08
Plan Check Fee .
Valuat~on
.00
o
Qty Un~t Charge Per
BASE FEE
Extens~on '
170 00
Permit
Add~t~onal desc
Perm~t pin number
Perm~t Fee
Issue Date
Exp~rat~on Date
PUBLIC WORKS RES WATER SERV
3/4" DROP IN METER
107052
230.00 Plan Check Fee.
8/02/07 Valuat~on
1/29/08
00
197533
Qty Un~t Charge Per
BASE FEE
Extension
230.00
Perm~t
Add~t~onal desc
Permit pin number
Permit Fee
Issue Date
Exp~rat~on Date
RIGHT OF WAY
107060
50 00
8/02/07
1/29/08
Plan Check Fee
Valuat~on
00
197533
Qty Un~t Charge Per
1 00 50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Permit
Additional desc
Perm~t p~n number
SANITARY SEWER HOOK UP
107086
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit become:s
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
s and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
pre me to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
cons uction
T \Pohcles\1102.15R (1/05]
Signature of Owner (if owner is builder)
Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engmeenng 01 vIsIOn)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
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. 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
L\Poltclesll102 15R [1/05]
~ORT ~
lO~~~
~
~--
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Appl~cation Number
Appl~cation pin number
Perm~t Fee
Issue Date
Exp~rat~on Date
Page
07-00000801 Date
875113
120.00 Plan Check Fee
8/02/07 Valuat~on
1/29/08
2
8/02/07
00
197533
Qty
1 00
Un~t Charge Per
120.0000 EA SAN SEWER HOOKUP
Extension
120.00
Special Notes and Comments
PLEASE CONTACT RON BECKER AT 417-4886
REGARDING BACKFLOW PREVENTION, IF A
FIRE SPRINKLER SYSTEM OR LAWN SPRINKLER
SYSTEM WILL BE INSTALLED.
Address numbers shall be plainly v~s~ble from the street.
Address numbers shall be a minimum of s~x ~nches h~gh and be
of contrast~ng color from the background.
All homes in new subdivisions that are outside of the F~re
Department four-minute response area shall be equ~pped with
res~dential f~re sprinkler systems that comply with the
International F~re Code (IFC) and Nat~onal Fire Protect~on
Assoc~at~on (NFPA)
07/19/2007 05 17 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage in the RS-9 zone for a total
of 28% lot coverage The s~te DOES include an area that is
des~gnated as a buffer for the adJacent property. The rear
25' of yard should NOT be maintained w~th mechanized tools
and the open ditch should be maintained to be open, not
clogged THE PROPERTY OWNER SHOULD CONTACT THE CITY
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT IF THERE
ARE ANY QUESTIONS REGARDING MAINTENANCE OF THE 25' BUFFER
AREA.
Electr~cal load calculat~ons and elctr~cal perm~ts are
required.
San~tary sewer connection ~nspect~on ~s required by
Publ~c Works pr~or to back f~ll of d~tch. 24 hour advance
notice ~s required
Construct dr~veway and Sidewalks to C~ty Standards.
No concrete with exposed aggregate allowed ~n the C~ty
road r~ght of way An inspect~on by Public Works
Engineering ~s required pr~or 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 Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 570.00 570 00 00 .00
Plan Check Total .00 00 .00 .00
Other Fee Total 2234.50 2234.50 00 00
Grand Total 2804.50 2804.50 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 /1ot 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.\Pohcles\1102 15R (1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engmeenng DIvIsIon)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R W / PW/ CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T:\Pohclcs\1102 15R [1105]
PREPARED 8/30/07, 9 38.07
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 565-0100
(360) 565-0100
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
8/30/07
~
BLDG FOUNDATION FOOTING TIME 09 00
08/30/2007 08 13 AM LPANGRLE
TOMMY 477-0778
FOOTINGS
AM INSPECTION
10
8/30/07
-------------------------------------- COMMENTS AND NOTES --------------------------------------
v~(t'J bu.l)~~
trrv h-.)
~+
PREPARED 5/23/08, 8:50 48
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR.
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
13
5/23/08
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC.
GLENN-TERRA, INC.
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
PHONE
PHONE
(360) 565-0100
(360) 565-0100
~
-------------------------------------- COMMENTS
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
BLI 02 1/16/08 JLL
1/16/08 AP
BL3 02 1/16/08 JLL
1/16/08 AP
FFNL 01 4/14/08 KDD
4/14/08 AP
PW99 01 4/28/08 RV
4/28/08 AP
BL99 01 4/30/08 JLL
5/01/08 DA
BL99 02
5/23/08
SUBDIV
DESCRIPTION
RESULTS/COMMENTS
AFTER 3:00 PM
January 15, 2008 4:27 42 PM pbartho1.
not ready
BLDG INSULATION
January 16, 2008 9:41:07 AM 1pangr1e.
SHAWN 808-1078
INSULATION
January 16, 2008 4:39 54 PM J1~er1y.
BLDG FRAMING
January 16, 2008 9:40 41 AM 1pangr1e.
SHAWN 808-1078
FRAMING
January 16, 2008 4:39.54 PM J1~er1y.
FIRE FINAL
Apr~l 16, 2008 11 30:29 AM kdubuc
F~re f~na1
Apr~l 16, 2008 11 31:09 AM kdubuc.
F~re f~na1
PUBLIC WORKS FINAL
Apr~l 28, 2008 3 48.55 PM rvess.
Apr~l 28, 2008 3 49:30 PM rvess.
BLDG FINAL
Apr~l 30, 2008 8 40 22 AM 1pangr1e.
JOSH 808-1077
BLDG FINAL
May 1, 2008 4:58.03 PM J1~er1y.
prov~de eros~on contro1/cf l~ght~ng exter~or/m~ss~ng curb at
found ventlJ 11
BLDG FINAL
May 23, 2008 8:14 45 AM 1pangr1e
JOSH 509-209-1783
BLDG FINAL
AND NOTES --------------------------------------
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
Job Located at
~x-- JU'-""f~
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
These corrections must be made and are not to be
covered until reinspection is made. When c~tions
have been made, please call ~ - q ~ I 5--
for inspection.
Dale !i-f 701 tJ k'
DO NOT REMOVE THIS TAG
PREPARED 4/30/08, 10.01 18
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES LIERLY
PAGE
DATE
20
4/30/08
ADDRESS
TENANT, NBR:
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC.
GLENN-TERRA, INC.
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
PHONE
PHONE
(360) 565-0100
(360) 565-0100
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
SUBDIV:
DESCRIPTION
RESULTS/COMMENTS
AFTER 3.00 PM
January 15, 2008 4:27.42 PM pbartho1.
not ready
BLI 02 1/16/08 JLL BLDG INSULATION
1/16/08 AP January 16, 2008 9 41 07 AM 1pangr1e.
SHAWN 808-1078
INSULATION
January 16, 2008 4:39 54 PM J ber1y.
BL3 02 1/16/08 JLL BLDG FRAMING
1/16/08 AP January 16, 2008 9:40 41 AM 1pangr1e.
SHAWN 808-1078
FRAMING
January 16, 2008 4: 39 54 PM J11er1y
FFNL 01 4/14/08 KDD FIRE FINAL
4/14/08 AP Apn1 16, 2008 11 30.29 AM kdubuc.
F1re f1na1
Apr11 16, 2008 11 31:09 AM kdubuc
F1re f1na1
PW99 01 4/28/08 RV PUBLIC WORKS FINAL
4/28/08 AP Apr11 28, 2008 3:48 55 PM rvess.
Apr11 28, 2008 3 49 30 PM rvess.
BL99 01 4/30/08 ~ BLDG FINAL
Apn1 30, 2008 8 40 22 AM 1pangrle
JOSH 808-1077
BLDG FINAL
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
MECHANICAL ROUGH-IN
March 5, 2008 11:00 39 AM 1pangr1e.
March 5, 2008 11:01 09 AM 1pangr1e.
MECHANICAL GAS LINE
February 20, 2008 1 41 05 PM 1pangr1e
JAKE 670-3427
"ROUGH LP" (GAS LINE')
February 21, 2008 3 53 21 PM J11er1y
MECHANICAL ROUGH-IN
Apr11 15, 2008 9 01 03 AM 1pangr1e
JAKE 670-3427
"LP ROUGH-IN"
Apr11 15, 2008 4 29:23 PM J11er1y
~ MECHANICAL FINAL
Apr11 30, 2008 8 40:58 AM 1pangr1e
JOSH 808-1077
MECHANICAL FINAL
--------------------------- --------------------------------------------------------------------
ME1
1/09/08
1/09/08
JLL
AP
01
ME6
2/21/08
2/21/08
JLL
AP
01
ME1
4/15/08
4/15/08
JLL
AP
02
ME99 01
4/30/08
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PREPARED 4/30/08, 10.01'18
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES LIERLY
PAGE
DATE
21
4/30/08
ADDRESS
TENANT, NBR:
CONTRACTOR
OWNER
PARCEL . . :
APPL NUMBER:
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 565-0100
(360) 565-0100
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
PL6 01 9/21/07 JLL PLUMBING WATER SUPPLY
9/21/07 AP 09/21/2007 08:37 AM LPANGRLE
JOHN 477-8190
WATER SUPPLY LINE
09/21/2007 04:56 PM JLIERLY ----------------------------
PL2 01 1/14/08 JLL PLUMBING ROUGH-IN
1/14/08 AP January 14, 2008 8 46 38 AM lpangrle.
JAKE 670-3427
ROUGH-IN PLUMBING
January 14, 2008 4:55:19 PM J l1erly.
PL99 01 4/30/08 ~ PLUMBING FINAL
Apnl 30, 2008 8 41'37 AM lpangrle.
JOSH 808-1077
PLUMBING FINAL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 4/15/08, 9 40:32
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR. JAMES LIERLY
ADDRESS
TENANT, NBR:
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
SUBDIV:
PHONE
PHONE
(360) 565-0100
(360) 565-0100
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
MEl
01
1/09/08
1/09/08
2/21/08
2/21/08
JLL
AP
JLL
AP
MECHANICAL ROUGH-IN
March 5, 2008 11 00.39 AM Ipangrle.
March 5, 2008 11:01:09 AM Ipangrle.
MECHANICAL GAS LINE
February 20, 2008 1 41 05 PM Ipangrle.
JAKE 670-3427
"ROUGH LP" (GAS LINE?)
February 21, 2008 3 53:21 PM )11erly.
MECHANICAL ROUGH-IN
Apr11 15, 2008 9 01 03 AM Ipangrle.
JAKE 670-3427
"LP ROUGH-IN"
ME6
01
M" " ~ #-
--------------------------------------
~
PAGE
DATE
7
4/15/08
COMMENTS AND NOTES --------------------------------------
PREPARED 2/21/08, 8 59_24
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR:
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES LIERLY
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 565-0100
(360) 565-0100
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 1/09/08 JLL MECHANICAL FINAL
1/09/08 AP January 9, 2008 8-28 42 AM lpangrle
SHAWN 808-1078
MECHANICAL ROUGH-IN
if- January 9, 2008 3 32-24 PM ) herly
ME6 01 2/21/08 MECHANICAL GAS LINE
r( February 20, 2008 1. 41. 05 PM lpangrle.
JAKE 670-3427
"ROUGH LP" (GAS LINE? )
COMMENTS AND NOTES
PAGE
DATE
5
2/21/08
PREPARED 1/16/08, 9 50 01
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
TYP/SQ
INSPECTION TICKET
INSPECTOR, JAMES LIERLY
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
SUEDIV:
PHONE (360) 565-0100
PHONE (360) 565-0100
REQUESTED
COMPLETED
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
AFTER 3 00 PM
January 15, 2008 4.27 42 PM pbarthol
#- not ready
BLI 02 1/16/08 BLDG INSULATION
January 16, 2008 9:41 07 AM Ipangrle
SHAWN 808-1078
INSULATION
BL3 02 1/16/08 * BLDG FRAMING
January 16, 2008 9 40 41 AM Ipangrle
SHAWN 808-1078
FRAMING
PAGE
DATE
4
1/16/08
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 1/15/08, 9 16 01
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
2
1/15/08
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
PHONE
PHONE
(360) 565-0100
(360) 565-0100
SUBDIV
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
r~fr-
----------------------------------- C~~ED O)T~XT
;J 0 ,- pvl'ft /)1
BL1
01
8/30/07
8/30/07
JLL
DA
BL1
02
9/05/07
9/05/07
PB
AP
BL2
9/12/07
9/12/07
PB
AP
01
DSD
9/21/07
9/21/07
JLL
AP
01
BL9
11/19/07
11/19/07
PB
DA
01
BL9 02 11/21/07 PB
11/26/07 AP
BAIR 01 1/09/08 JLL
1/09/08 AP
BL3 01 1/09/08 JLL
1/09/08 DA
BLI
1/15/08
JLL
01
BLDG FOUNDATION FOOTING TIME 09:00
08/30/2007 08 13 AM LPANGRLE
TOMMY 477-0778
FOOTINGS
AM INSPECTION
18' street s1de yard set back reqd/)ll
08/30/2007 04 36 PM JLIERLY ----------------------------
BLDG FOUNDATION FOOTING TIME: 09:00
09/04/2007 04 25 PM LPANGRLE
TOMMY 477-0778
FOUNDATION FOOTING
MORNING INSPECTION
GROUND ROD OK
BLDG FOUNDATION STEM WALL TIME: 09 00
09/11/2007 04 20 PM LPANGRLE
TOMMY 477-0778
STEMWALL
MORNING INSPECTION
09/12/2007 11 39 AM PBARTHOL ---------------------------
BLDG DOWN SPOUT DRAINS
09/21/2007 08 37 AM LPANGRLE
JOHN 477-8190
"GUTTER DRAINS"
09/21/2007 04 56 PM
BLDG SHEARWALL
November 19, 2007 8 33 50 AM lpangrle
SHAWN 808-1078
SHEARWALL
November 19, 2007 4 33 21 PM pbarthol
RE-NAIL WITH 6D COMMON NAILS PER DESIGN
BLDG SHEARWALL
November 20, 2007 3:45 49 PM lpangrle
SHAWN 808-1078
SHEARWALL
BLDG AIR SEAL
January 9, 2008 8 28 19 AM lpangrle
SHAWN 808-1078
AIRSEAL
January 9, 2008
BLDG FRAMING
January 9, 2008 8 27 49 AM lpangrle
SHAWN 808-1078
FRAMING
January 9, 2008 3.31 41 PM )11erly
ffi1ss1ng na1ls 1n hangers/k brace top be reversed/)llok to
1nsulate
BLDG INSULATION TIME 03.30
January 15, 2008 8 39 20 AM lpangrle
SHAWN 808-1078
INSULATION
JLIERLY ----------------------------
31 35 PM
)11erly
PAGE -----------------------------------
PREPARED 1/14/08, 9 19.18
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
4
1/14/08
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC.
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
SUBDIV
(360) 565-0100
(360) 565-0100
PHONE
PHONE
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
9/21/07
9/21/07
PL6
01
JLL
AP
PLUMBING WATER SUPPLY
09/21/2007 08.37 AM
JOHN 477- 8190
WATER SUPPLY LINE
09/21/2007 04:56 PM
PLUMBING ROUGH-IN
January 14, 2008 8:46
JAKE 670-3427
ROUGH-IN PLUMBING
LPANGRLE
JLIERLY ----------------------------
i1f
-------------------------------------- COMMENTS AND
1/14/08
PL2
01
38 AM
1pangr1e
NOTES --------------------------------------
PREPARED 1/09/08, 9 41 48
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
INSPECTION TICKET
INSPECTOR, JAMES LIERLY
PAGE
DATE
1
1/09/08
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
PHONE (360) 565 - 010 0
PHONE (360) 565-0100
SUBDIV,
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLDG FOUNDATION FOOTING TIME 09,00
08/30/2007 08 13 AM LPANGRLE
TOMMY 477-0778
FOOTINGS
AM INSPECTION
18' street s1de yard set back reqd/J11
08/30/2007 04 36 PM JLIERLY ----------------------------
BLDG FOUNDATION FOOTING TIME, 09,00
09/04/2007 04 25 PM LPANGRLE
TOMMY 477-0778
FOUNDATION FOOTING
MORNING INSPECTION
GROUND ROD OK
BLDG FOUNDATION STEM WALL TIME 09'00
09/11/2007 04 20 PM LPANGRLE
TOMMY 477-0778
STEMWALL
MORNING INSPECTION
09/12/2007 11 39 AM PBARTHOL ---------------------------
BLDG DOWN SPOUT DRAINS
09/21/2007 08 37 AM LPANGRLE
JOHN 477-8190
"GUTTER DRAINS"
09/21/2007 04 56 PM
BLDG SHEARWALL
November 19, 2007 8 33.50 AM 1pangr1e
SHAWN 808-1078
SHEARWALL
November 19, 2007 4.33 21 PM pbartho1
RE-NAIL WITH 6D COMMON NAILS PER DESIGN
BLDG SHEARWALL
November 20, 2007 3.45 49 PM 1pangr1e.
SHAWN 808-1078
SHEARWALL
~ BLDG AIR SEAL
January 9, 2008 8,28,19 AM 1pangr1e
SHAWN 808-1078
AIRSEAL 7
BL3 01 1/09/08 ~ (\. BLDG FRAMING n. \
~;;;~m;;~~:7~;~~::':~,:~:' '''''=n "':'"'.m=mJ:/~~~ I--j h0 ~ ~VLi, r-J ~ ~ S S j fLl-J-
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~;;;;m;;;;;;; {i;~mili~::::~:\3gyjl~:;:fNm mmnnnmnm D ~ J--o
................................. ".","," """ "" 'AG' ................................... ~~ () (~,
BL1
8/30/07
8/30/07
01
BL1
9/05/07
9/05/07
02
BL2
9/12/07
9/12/07
01
DSD
9/21/07
9/21/07
01
BL9
11/19/07
11/19/07
01
BL9
11/21/07
11/26/07
02
BAIR 01
1/09/08
JLL
DA
PB
AP
PB
AP
JLL
AP
PB
DA
PB
AP
JLIERLY ----------------------------
PREPARED 11/21/07, 9 17'42
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR.
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
4
11/21/07
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
PHONE
PHONE
(360) 565-0100
(360) 565-0100
SUBDIV
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 8/30/07
8/30/07
BL1 02 9/05/07
9/05/07
BL2 01 9/12/07
9/12/07
DSD 01 9/21/07
9/21/07
BL9 01 11/19/07
11/19/07
BL9 02 11/21/07
tl!Lt'
JLL
DA
PB
AP
PB
AP
JLL
AP
PB
DA
-tft2
BLDG FOUNDATION FOOTING TIME 09 00
08/30/2007 08 13 AM LPANGRLE
TOMMY 477-0778
FOOTINGS
AM INSPECTION
18' street slde yard set back reqd/J11
08/30/2007 04 36 PM JLIERLY ----------------------------
BLDG FOUNDATION FOOTING TIME 09 00
09/04/2007 04 25 PM LPANGRLE
TOMMY 477-0778
FOUNDATION FOOTING
MORNING INSPECTION
GROUND ROD OK
BLDG FOUNDATION STEM WALL TIME 09 00
09/11/2007 04 20 PM LPANGRLE
TOMMY 477-0778
STEMWALL
MORNING INSPECTION
09/12/2007 11 39 AM PBARTHOL ---------------------------
BLDG DOWN SPOUT DRAINS
09/21/2007 08 37 AM LPANGRLE
JOHN 477-8190
"GUTTER DRAINS"
09/21/2007 04 56 PM JLIERLY ----------------------------
BLDG SHEARWALL
November 19, 2007 8 33-50 AM 1pangr1e
SHAWN 808-1078
SHEARWALL
November 19, 2007 4 33 21 PM pbartho1
RE-NAIL WITH 6D COMMON NAILS PER DESIGN
BLDG SHEARWALL
November 20, 2007 3 45 49 PM 1pangr1e
SHAWN 808-1078
SHEARWALL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 11/19/07, 10 26 09
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
~
\
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
3
11/19/07
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC.
GLENN-TERRA, INC.
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
PHONE
PHONE
(360) 565-0100
(360) 565-0100
SUBDIV.
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLDG FOUNDATION FOOTING TIME 09 00
08/30/2007 08 13 AM LPANGRLE
TOMMY 477 - 0 778
FOOTINGS
AM INSPECTION
18' street s~de yard set back reqd/Jll
08/30/2007 04:36 PM JLIERLY ----------------------------
BLDG FOUNDATION FOOTING TIME 09.00
09/04/2007 04.25 PM LPANGRLE
TOMMY 477 - 0778
FOUNDATION FOOTING
MORNING INSPECTION
GROUND ROD OK
BLDG FOUNDATION STEM WALL TIME: 09 00
09/11/2007 04:20 PM LPANGRLE
TOMMY 477-0778
STEMWALL
MORNING INSPECTION
09/12/2007 11 39 AM PBARTHOL ---------------------------
BLDG DOWN SPOUT DRAINS
09/21/2007 08 37 AM LPANGRLE
JOHN 477-8190
"GUTTER DRAINS"
09/21/2007 04.56 PM
BL9 01 :''Pf1/19/0 r BLDG SHEARWALL
November 19, 2007 8 33 SO AM 1pangrle
SHAWN 808-1078
SHEARWALL
---------------------~~~~------ COMMENTS AND NOTES
BL1
8/30/07
8/30/07
JLL
DA
01
BL1
9/05/07
9/05/07
PB
AP
02
BL2
9/12/07
9/12/07
PB
AP
01
DSD
9/21/07
9/21/07
JLL
AP
01
JLIERLY ----------------------------
------~--------- --------- ---~
2WInL--- ~~ ~
T _ _
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
Job Located at ~ J LJt.Ul~~ uf
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
?~ NQ-7L W ~ lJ U-w~J
~ t#/Z- ~
These corrections must be made and are not to be
covered until reinspection is m~. w~ cor):ections
have been made, please call 7 - 9 / r
for inspection. _~
~ ~
Inspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 9/21/07, 9 02 38
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
12
9/21/07
SUBDIV,
PHONE (360) 565-0100
PHONE (360) 565-0100
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
8/30/07
8/30/07
JLL
DA
BL1 02
9/05/07
9/05/07
PB
AP
BL2 01 9/12/07 PB
9/12/07 AP
DSD 01 9/21/07 -Pt-
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
PL6 01
9/21/07
~
BLDG FOUNDATION FOOTING TIME, 09,00
08/30/2007 08 13 AM LPANGRLE
TOMMY 477-0778
FOOTINGS
AM INSPECTION
18' street slde yard set back reqd/Jll
08/30/2007 04 36 PM JLIERLY ----------------------------
BLDG FOUNDATION FOOTING TIME, 09 00
09/04/2007 04,25 PM LPANGRLE
TOMMY 477-0778
FOUNDATION FOOTING
MORNING INSPECTION
GROUND ROD OK
BLDG FOUNDATION STEM WALL TIME 09,00
09/11/2007 04 20 PM LPANGRLE
TOMMY 477-0778
STEMWALL
MORNING INSPECTION
09/12/2007 11 39 AM PBARTHOL ---------------------------
BLDG DOWN SPOUT DRAINS
09/21/2007 08 37 AM LPANGRLE
JOHN 477-8190
"GUTTER DRAINS"
DESCRIPTION
RESULTS/COMMENTS
PLUMBING WATER SUPPLY
09/21/2007 08 37 AM LPANGRLE
JOHN 477-8190
WATER SUPPLY LINE
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 9/12/07, 8,52 28
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
INSPECTION TICKET
INSPECTOR. JAMES LIERLY
PAGE
DATE
10
9/12/07
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
8/30/07
8/30/07
JLL
DA
SUBDIV.
PHONE
PHONE
(360) 565-0100
(360) 565-0100
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
BL1 02 9/05/07 PB
9/05/07 AP
BL2 01 9/12/07 ~
BLDG FOUNDATION FOOTING TIME, 09 00
08/30/2007 08 13 AM LPANGRLE
TOMMY 477-0778
FOOTINGS
AM INSPECTION
18' street slde yard set back reqd/]11
08/30/2007 04 36 PM JLIERLY ----------------------------
BLDG FOUNDATION FOOTING TIME 09,00
09/04/2007 04 25 PM LPANGRLE
TOMMY 477-0778
FOUNDATION FOOTING
MORNING INSPECTION
GROUND ROD OK
BLDG FOUNDATION STEM WALL TIME 09 00
09/11/2007 04 20 PM LPANGRLE
TOMMY 477-0778
STEMWALL
MORNING INSPECTION
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date
Time
';A:rf\
Received by LJ ~
Location of Work to be inspected 2-Z-~ __:s Uh\ p'QX""'
Name of person requesting inspection , 0 rn my
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Lt4I\e.-
Bpersonl
Phone No. ~7 '7-07715
Permit No. <07 -8irL
Sewer Foundation Framing
Chimney Plumbing Final Sewer Excav. Other
S~wOvll
INSPECTION NOTES:
Inspected: Date
Remarks:
Time
By
RESTORATION REQUIRED. . . . .. YES NO
C\ \V
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
Cl Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
,_ .'__ _ __ ~_..____ .....:...1,,:4= ...,.._,...r-............,\
t"'Tn,...,...T ~I .n[:DII\ITI::J\.Ir\I:I\IT
1r\^T!::\
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST: I
Date oy ~ 07
I
Time
ArYL
Received by
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
2-2-8 J u V\ \ f-ex
-ff2mmy
L CLV) e.-
Phone No. ~ -, 1- 0'118
Permit No. Ot - <6 () I
Sewer Foundation Framing
Chimney Plumbing Final Sewer Excav. Other
Inspected: Date
Remarks:
~1JV\~-\-\6V\ ~V\)
Time By
INSPECTION NOTES:
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
_ __ __..__.....-. .....:....a......:.a: ........._,......."...."..,,\
"'''T''nr-r. C"llnr:OII\.ITr:P\.lnr;I\IT
1r'\^TE::\
PREPARED 9/05/07, 9,10,52
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR- JAMES LIERLY
PAGE
DATE
10
9/05/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
228 JUNIPER LN
GLENN-TERRA, INC
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-15-7-8-0010-0000-
07-00000801 RES NEW SFR
SUBDIV.
PHONE
PHONE
(360) 565-0100
(360) 565-0100
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
8/30/07
8/30/07
JLL
DA
BLDG FOUNDATION FOOTING TIME: 09 00
08/30/2007 08'13 AM LPANGRLE
TOMMY 477-0778
FOOTINGS
AM INSPECTION
18' street s1de yard set back reqd/Jll
08/30/2007 04:36 PM JLIERLY ----------------------------
BLDG FOUNDATION FOOTING TIME: 09 00
09/04/2007 04 25 PM LPANGRLE
TOMMY 477-0778
FOUNDATION FOOTING
MORNING INSPECTION
BL1
9/05/07 JLL
~ -f8-ftf
~~(,
-------------------------------------- COMMENTS AND
NOTES --------------------------------------
02
U?/!~/2007) Linda Pangrle - BUilding Applicat~o~ Review 7-10-:qL",,~.~.~
~Pag.~~1J
From: Ron Becker ~aV( fa
To: Linda Pangrle Rb V\ L\ && ' ~ ~(' ~ "J:A
Date: 7/16/20078:03 AM 1\ (1..... (ef!joJlvV ~..u lOW
Subject: Building Application Review 7-10-07 ./ \? ~tfoV1
JThe following permit number locations are outSide the fire dept. response time of four minutes: 1. #07-801, 2. #07-'to7, 3. ~
, #07-803,4,#07-799:' Are they gOing to Install fire sprinkler systems, and are they gOing to be open or closed systems7
Also are they planing on Installing lawn sprinkler systems7
Ronald D. Becker
rbecker@cltyofpa.us
I .
the.. yah'1:lh,' J \ - R I 'l-q-or B'dfy en{exeJ FOR OFFIClAL USE ONLY
B1'LD'NG PERMIT - APPUICATIONetj'~~W Dale Rec. 7/~ /('}1
I ' I VI H T€ II Pennlt # 0 ~,
Fill out CaMP ETELY and in INK. Your applicatior: land site plan MUST B . D t A ' D
I I' , , a e pplove , I
< . . review.. If you ha,;e any qnestions, call : /ir ' I
~ PEHMITS (360) 4,17-4 FAX(36 0)417-4711 : f Date Issued -"0
\f\6S \OJI\ ~2; 8: I !
- I :s (DO - ~,G..J- cp., ~J c.6w-
---r; I Phone: S {PO - ~{Q S- - 0/ c9 0
I Phone: 31(00 - .s- Vl S- - 0 100
2-"2..1 dIty: P<9J2,... T AAtI(?E::L-E...5 I ZIp: cr 8'~? (0 c-
s..r I Phone: 15-003 -{Q",'i-OSS.s-
I · c.<t~Z~t I Ho-
State Ucense #: Exp: X' / / ~oR Phone: (0 '- J -'1 t-t .1.t
# 2- 2-. I City:Yc91L1 Al-i) (?E.l-ES I ZIp: q 8'.:s w L
I I' i --
PROJECT ADDr~SS: 2.. 6.IV ZONING:
LEGAL DESCr&TION: L;t.~ BlOC~C: ~ubdivision: ~)..^':t: lOP 6"- c....~
CLALLAM COUNTY PARCEL NUMJ3ER: Co,.3 V I ~ I 7 S' - (:) b I ()
, I
I '
I !
Credit Card Holder Name: I i
Billing Address: I City: I
Credit Card Type "VISA MC I # I Exp. Date:
TYPE OF WORK: I I ' S~[\T ALUATION: i
~ReSldent1al fS(New Const: 0 !Re-roof 0 Stove . J..Y 2,a SF. @ $ , G laC! /SF. = $
o Multi-farmly 0 AddIhon 0 Move .ardarage Se(D SF. @ $ "2..1. J ~ /SF = $
o CommercIal 0 Remodel 0 pemolition ~~~ac,,, .3 ~ SF. @ $ I?. \O~ /SF. = $
o Repair 0 p-ign 0 o~er TOTAL V ALUATI8N $
BRIEF DESCRIPTION OF THE P~OJECT: AJ ~W ~/U.s IlL. ~ TIn AJ S F fC....
I I I '
, , i [
I Irl I I
COMMERClAL/RESIDENTIAL: qccupancy Group:-.l.l~ S occupani Load: C~nstruchon Type: ~/;1J
No. of Stones: Z. Lot SIZe' ~7S-1 ExisTIng Sq.~ ,t.; & Proposed Sq. Ft. .3 iHtO = TOTAL Sq. Ft. .s) () LID
Total lot coverage L- rp % i I....'" 'L. ~ +- s 10 "'t- S "'l..
, I !
PLANNING USE ONLY: I I I
- -- - -. -- - - ~j - -.. --- .. -: :
I I ' I
ESAlW etland( s): 0 Yes 0 No SEPt Checklist require1? ILl Yes 0 No OtheIj' I
I I I I
VALUATION OF CONSTRUCTIO~: In all cases, a valu,ation amount mustlbe entered by the applicant. This figure wIll be revIewed
and may be revIsed by the Building DlV,slon to comply with !cuhent fee schedules. Contact the Permit Ooordinator at 417-4815 for aSSIstance.
PLAN CHECK FEE: IF a plan checldfee IS due it must'be sabmitted at the time ~he buildmg permit ~pplication and construCTIon plans are
subnutted. All other permit fees are dub at the tune of per.dut:Issuance. I I
EXPIRATION OF PLAN REVIEW:! lfno permit is issJed within 180 days o~the date ofapplicat~on, the application will expire. The
Building Official can extend the time f~r action by the appltC~nt up to 180 days u~on written request b,y the applIcant (see SectlOn Rl 05.3.2
of the Intemational BmldmglResidentill Code, 2003). No applicatlOn can be ext9nded more than oncF.
l 1 ' I i
I hereby certify that I have read and mined this application n~ know the same to be true and correct. I a~ authorized to apply for thIS permit and
understand that It IS my responslbM to determm hat perm' : re equired ,not the Cityl and that I must obtain such permits prior to work.
T\Pohcles\BL-ll02_13wpd Date: 17/63/2..007
. . i
I
I
(.
. "'
"
(?5 y \ 7t.JG.;;2
I "Z.., . '--I 00. Y 0
- . <::> Ir .,- r;
, t"\ I.D I -..> ~
I Q7" Ssl'. Yi'
I
ArPROVA..LS:
PLAN:
BLDG:
DPWU:
FillE :
OTHER:_
\
~\
v
S.. If.'
l,e .n orma'llon
1- ;
Address 2.2.: 31:N::t'-f'l;~ u.flJE.
City: rolt.. .. A Ai ~LJ :
State --WA- '18 :s to L
Lot.
I II
Prescripti've Approach - Sim~le Form !:
!ror the Washington State Energy Code (2003 Edition) II
· Climate Zone 1 ' II
II
II '
Building Dep1artment Use Only
II
per!nlt #: Or '--' ~QJ
1\
"
'if' ,
, Notes:
Contact.
:1
II
11
q ,
_', ,t,
, ~ ~ ,"J il
Phone oS wD - .s;-rar 0 100
Phone 2, :$ hO- (p 21~ q '1 J3
~ ' ""
, ,,' " .1j
Fax, .3 ftJO - ~ro S- 0 I cD I, '. 1',- , ," "" '.:' ~:i',: . "
I -. '1';,1,
"I.' f.. 1 - . ~ "_=i~ ,0'" -... 1 :>
I i
I '
Table 6-1 I
PRESC1 RIPTIVE REQuiREMENTS 0,1 FOR GROUP R OCCUP: NCY
I CLIMATE ZONE 1 ' :1
(Unlimited Glazing 0 tiOll <bnly) I
Door9 'Wall Wall
U- Ceiling2 VaU:lted Above Int4il
factor Ceiling3 Grade Belolw
Grade
, 11
II
ii
II
1I
:1
'-" 'ii
", '
1-;. I'
" = ,. I>
l_. J_',
,'-' ,
"- j !:,'..= ", ,'11"
OptIon
Glazmg
A~ealO
%'ofFloor
Glazing V-Factor
V ,rtif~ Ovcrh"d"
Wall
Ext4
Below
Grade
Floors
SIab4
On
Grade
ill
UnlimIted
Group R-3
Occupancy
Onl
0.40
I
I f!) , @ i
I
0.58 iO.20 R-30 R-21 R-lO
! I
I
I
i
R-IO
, I See the C~de text for footnote references
Thi roject complies with ~he following: :
v::: The project is a SIng'j family resldence~1 dUJJIt:^. ,
~ The project IS wood frrame OR all of the ,insulation is interior or exterior of the framing.
All building compone~ts meet the requl~ements listed in Table 6-1, Option III :1
"../ ,The project will meet ill other provisloni of the WSEC and VI:AQ I
The project will take advantrge of the followiing exceptions to th~ prescriptive op~ion'
o 602 6 Exception 1. One door, that is 24 ~. 2 or less, that does not meet the standi lards IS allowed.
Ii!
Location qf the door taking this exception !I
I I : 'I
o 602 6'Exceptlon 2 DlDors with a U-facto1r of 0 40 allowed without calculations, Option III only.
I I 'I
Location qf the door(s) taking thiS exception I ,I
T >,'p E- D F . ~+ A 1, <.:0.0,,4 c. e f ~o &'C"j) 4 TLIf"LFq ~:z;: '-'_
I ! ILof Al-NG F '
Copynght 2002, WSUCEEP02-056 I 'It-€. r' '- 4 c..G
Copied by permission from the Washington State UniverSity IExtension Energy Program
, I
I
Prescnpt'ye - Simple Form - Climate Zone 1 7/26/2004
I
I
i
/~
,. j
.' .
.
~
~
:St'
;1{ J
__ ~ i~);i'~'
( -v . - ' rt:.-
N
"-
---- ..._....---.._-~ --~~_._-- - ----.------
tor. 1
I
II '
~
I +.' \1 ~=:-
!: +Z 20\ ~~~
,I' 12~'<"~~re. " -I *_
~ 'I N I .~
I 'N '(AM~u..:R~: I
I ~~": 1
I I~ _ \
~'A ()lI-- - ': I . _ ' \
trt-> . -..... _ I
~,~.~'-:~~ ' ::11
2.e>' - ' ~...~ ~ ,
- ~
'" ~
~ ,,::: ~
~ ~ ~.., ~:\.~ '----" or
L. ' J"'" ~~ -.\1
I ,...... ~\.
~~.'8JB1
226
:ru~rPE1<. ~~
.:; \ ~ t I --7 '?1:3.6 --:r [Y '\1\. s:- I _J- c,:;; -'f
~
56.55'
~ r
.,;
~
L
.... 8'
~r
p
~~I
:0"
s 85'26'". E
...22.71'_
15
9606 SO. FT.
l
'7"ii9<' -.-i"
N 65'26'''' W
UNE
LI
L2
LJ
L4
L5
L6
L7
Scale:
SO'
I
," = 50'
100'
8237'
I~ 8r-
'"
E
E
E
E
W
E
E
LENGTH
1392'
5.09'
25.59
3524
J092
~224
1650
150'
I
N 8r5trW W
7506'
~
75.01' 7500' 7500'
~ il ~
, 8' l 8;-- I 8("-
r
l~ 11 ;0 I 10 9
~ 21 11147 SO FT f."'''' 17393 SO FT"
I~~I ''''''1 I~ ~f 11640 SO
I~~ "''''
c c-
'" '" I I'" 1
"J8 L
.J8, L -18 L
75.09' 7507
62.38'
;!j
- ~ JUNIPER
N 8526'".. W b - -- - --2699-;:- _
..,
ClIR~
Cl
C2
CJ
C4
C5
C6
C7
CB
C9
ClO
Cll
Cl2
Cl3
Cf4
00
00
230 00
2JOoo
17000
2000'
4650
465()
4650
..l5Sa
.7000
2JO.00
27!;"J'
446 07'
WlGlH
'430'
,.f.5s'
894'
12.'6
1112'
561
760
2088'
57J8
JJ39
2042'
8341
'2.J
164-5'
~
75.00'
75.00
,8r-
1;0 I
~
, 8r-
B 1;0 I 7
FT ..~ (b 11736 SO FT. ~ f.o 11733 SO
If; il I~ ~I
~- 0-
I'" I
754'4'
~
,8r-
1;0 1
75.00'
6
1"'1
FT. ;15: ~"I 11921 SO. 17 .10).
Ii :: 1~~1
~- ~:2
-18' L
-18 L
L2
7500'
69J9'
C7
/"'1
-18, L
C6 CS
I'" I
J8 L
6406'
CJ S 8r59"i9.~ ;4947
C2 LANE
SBj'49'427- '26 iT
crJ
'2918' 25.43'
~
~ trr-
...
:2
WETLAND ... I
MlTlGA TlON "
- AREA ~~I 4
.... 20750 SO FT ~ ~ 71711 SO
.., '" I
....
...
l>
~ L
'"
:J 7500'
'35.05'
N 87'59'49' W
37J" 75.20'
~
'I 8r-
I.... I
:". 3
t~~
FT 0- 11.138 SO
I'" I
-18, L
3 ;..,
'"
ZENOVIC&
ASSOCI A TES
INCORPORA lED
7500'
JUI"i~~~~!:~/:JE
TH~ W 1/2 OF THE SW 1/4
S~CnON 15, T .30 N., R. 6 w., W.M.
CITY OF PORT ANGnE:S.
CLALLAM COUNTY, WASHINGTON
PR!PARaJ FOR
DANIEL & KEL/E MORRISON
'.
I
I
I
I
I
I
I
I
~
I~
12700 SO FT.
~~
,'"
I~
'"
-18
62.J7
C4
5 87"55'JO' E '22.62'
o
..,
l:t
c
..,.
l:
l:t~
lil
cr
5 87'SS'JO' E 121.60'
;!j
Ll cr4 44,89' 75.89'
kl ~
ll-ll-
l
~~J
."'...
FT '" ol
I~:!:I
'"
2 ~kl 1
11029 sa. FT ~ ~ 7075' SO
10-/
'"
30
I~~
FT ... ~
I ..
J
Ja, L
J8 L
~
~
7500'
7087'
430 72'
301 E. SlXlI< ST, STE. 1
PORT ANGELES. WA 98.362
PHONE. (350) ., 7-0501
FAX. (360) 417-0514
SHEET 2 OF .3
DA7E 5/01/07
JOBI 01206
I,
I'
, I
II
.# , !
II
I
E1 ~
I ,
I !
I I
,
I I
!
i
,
i
, 0
I a:
~
;0
a.
I
I
I
I
I
I
I
I
I
I
I
I
I
!
I
I
I
- ,-- ---- -- -- '-, _'h_"__ I
---.-.-----------p~ sapol/~__ --.-----------t
-- ------ ~- -~ ~
~--_._--------~----------
_.~ w~__ __ ._..... _Y
1- 9\ ~~ '1t 0\0
r; U..\4d.M () ? s 1
b'u 1\0\ log ON ill
\ r <, ~'O'\o N
! 'd\5 d
I odo1
IF
I
I
'T~ J9?I;J~ I h ~.? r 11----------- -- --- --..
i~ I I I
: Ii, I i
1 I ' .
'-------'--,l--------L_-1________l
oU1rf --rad ~\.f ~--..---.------ -,-, '" -""
r---~----i----- r---"'--.__ ;-- -----l---
I ' I I' ; I
I I 'I
I.----------E:l{ I I'
I "
, I
I I
I
,
\.
--- -__ v~
I
I
I ,
! --1
~/A
: I
- - 1
I
"-- -'1'\
I '-,
I
o
I
_ L __,
___..t. ,~~
__L_
I
-----.-_, I)
I ",.
, '""" ,~
I --'.
I
I
I
-- -;
-'. ' '/
"
e '
,:
/1 I
, :
~'-I
Application Number
Appl~cat~on p~n number
Property Address
ASSESSOR PARCEL NUMBER
Appl~cation type description
Subd~vision Name
Property Use
Property Zoning
Applicat~on valuation
08-00000316 Date
185056
228 JUNIPER LN
06-30-15-7-8-0010-0000-
ELECTRICAL ONLY
3/11/08
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
TERRA, GLENN
228 JUNIPER LN
PORT ANGELES
WA 983620338
ABSOLUTE AIR INC
2820 E HI-WAY 101
PORT ANGELES
PORT ANGELES
(360) 452-8444
WA 98362
Permit
Addit~onal
Permit pin
Permit Fee
Issue Date
Expiration
desc
number
ELECTRICAL NEW RESIDENTIAL
ABSOLUTE/ T-STAT
122598
35 00
3/11/08
9/07/08
Plan Check Fee
Valuation
.00
o
"-1
N
~
Date
Qty
1 00
Unit Charge Per
35 0000 ECH EL-LVT-FIRST THERMOSTAT
Extension
35 00
Fee summary Charged Pa~d Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 00 35.00 00 .00
plan Check Total 00 .00 00 .00
Grand Total 35 00 35 00 .00 .00
6
G
L
~
~
~
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, WA 98362
Applicat~on Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subd~v~sion Name
Property Use
Property Zoning
Applicat~on valuation
07-00001491 Date
281275
228 JUNIPER LN
06-30-15-7-8-0010-0POO-
GLENN-TERRA, INC
FIRE SPRINKLER SYSTEM
1/15/08
RS9 RESDNTL SINGLE FAMILY
2960
Owner
Contractor
GLENN-TERRA, INC
136 E 8TH ST #223
PORT ANGELES WA 98362
(360) 565-0100
Structure Informat~on 000 000
INNOVATED FIRE SPRINKLERS
81 NEW HAVEN LANE
PORT ANGELES WA 98362
(360) 452-7583
INSTALL FIRE SPRINKLER SYSTEM
Perm~t
Additional desc .
Perm~t p~n number
Permit Fee
Issue Date
Exp~rat~on Date
FIRE SPRINKLER RESID
FIRE SPRINKLER SYSTEM
117705
50.00 Plan Check Fee. .
1/15/08 Valuat~on
7/13/08
00
o
Qty Un~t Charge Per
BASE FEE
Extension
50 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 50.00 50 00 00 00
Plan Check Total .00 00 00 00
Grand Total 50.00 50.00 00 00
~
. Os;- ~
'/; ~
y
b
EP-
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 examimrl 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 Pr.?_vl~.io_~~_ of a?y state or local law regulating the work specifie~.i~ !he p~_nn it.
'J~~~'g iJJT;.rL..~' "~J /~/dB
Sigl}5lture of-Contractor o~rized Agerft.. Date,.~ S}g!1~~.ure of Owner (if Owner is builder). Date
'~~2U,.,t_- *:;: ~~
, '1;"
~3:
-,:",y~
$O'.:n~;
o
FIRE PERMIT INSPECTION RECORD ...J
,
Call 360-417-4655 for fire inspectIOns. Please provide a mmimum 24-hour notice. It is unlawful to cover, Insulate.-
or conceal any work before inspected and accepted. Post permit in a conspicuous location. ,..[
-0
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Intenor plpmg hydrostatically tested
Interior plpmg inspection
Dry system air tested at 40 psi (24 hours) N
Sprinkler final 61{- lY-08 1Lt> ) 'N
FIRE ALARM
ROllgh- in inspectIOn
Alann final c
LP-GAS Completed by Contractor: .,
-
Underground piping inspection/pressure test -c:J
Test # 1 ~
Above ground pipmg 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
11
-"
(6
V'l
\:)
Inspection Type
I Date Passed I
Comments
0<)
~
2/15/00
J_
:;
1'-
f
Vl
GENERAL COMMENTS'
<-
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362 Q \
(360)417-4650 FAX(360)417-4659 \'-\ \
0;1/
.~
Fire Sprinkler System Plan Review
Project Name: Private Residence Address: 228 Juniper
,~ ",v>.,=--===--,,~_,,=, "'''=<h''''''''''_~""w~~>"~_~,,,,,~_",,,,,,,,__w
Installer: Innovated Fire Protection Installer Telephone: 452-7583
-""'_"_".<<0"___"''=''''''""",,*,,''_'->>m>W''''h~~' """'~~_'-'_<<<'>>>>Y/"'_",<<_.w.<v>>>>>>>>>>:<<.-.,.."""-""">",_/_..._""^=._/__",,,____,,,,.~
Type of System: Open 130 13RO 13 D [2J
Date: 12.17.2007 PAFD Permit #: 07-42
We have checked this plan and find that it conforms to the requirements of the code.
Provide protection IF bonus room is added.
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 of the underground piping is required.
A design sprinkler flow test and alarm test are required for all 13D 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: ~l O(}.~"'\.O
\
Date: 11.-11 - 0.,
o
~
o
Building Department
Fire Department
I DATE: I Z-(3-o71
[=:J
FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
o ENERGY
o ENGINEERING
o POLICE DEPARTMENT
o ADMINISTRATION
o CITY CLERK
o RISK MANAGEMENT
I FROM: PUBLIC WORKSIBUlLDING DIVISION I
)Q'
o
o
o
RE: ADDRESS: ~ 2- ~ J Un, f €Jf
NAME/CONTACT: VtV)cen~ B-e~er
PHONE:~52... -i 5g 3
PERMIT NUMBER: 07- (jj-'
PROJECT DESCRIPTION: :Z:YlS~U Ft'Y"t.- Sph'n.~ Sy~
( Rest' deh-Htt\)'. v
~ NEW CONSTRUCTION
o ADDITION/ALTERNATION
COMMENTS/CONDITIONS:
~VIEWfRETURN
o FILE
~~D a1-YZ.
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 \1 : ,:,,"c-e..v.. -I- ~.e. ff-5 ~
Owner ~I..Q V\. V"\. T..e vv-c- .i ~ c-
Owner's Address /3 b t;, 8 -J-t..., P- 223
Contractor/Engineer 1/),/#01//1-.'/&/2 ~/~ S"/.J~hL..,Phone
Contractor/Engineer's Address 8/ /lie. vJ /It>\. 1/ e ~ L..:..-"'-.
License # j/vNClV?=S 0 '-1'-/0 '{l... Expires
BUILDING PERMIT APPLICA TION Print In Ink
For City Use OnlY
Date Received 1Z--lb-07
Permit # 01 - I L-t q l
Date Approved .
Phone
Phone
LfS:2 -/..5 213
L./52--7SB3
J J /Ci/ 0 "7
. ,
2- 2 6' \J V\. V\. ~ ~~r-
t
Parcel Number
PROJECT ADDRESS
Zoning
1
Lot
Project Tvpe & Brief Description:
Check all that apply
!fJ'Jew Construction
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
o Sign
o Heat System
o Other
~Residential
i=- ,f r
o Commercial
o Industrial
o Multi-family
o wall-mounted 0 projecting 0 freestanding 0 awning
Total Sl n area s ft Maximum allowed Sl n area s
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
ft
Floor Areas Existrnq (sq. ft.) Proposed (sq. ft.)
Basement @$ per@ $ 10, 7 J
1 sl Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ 2- 0; 00,00
Max height of proposed structures
Will a lawn sprinkler system be Installed?
Will a fire sprinkler system be Installed?
Total footprint of structures
sq ft
%
Lot size
sq ft = Lot coverage
ft
Occupancy group
Occupant load
Construction type
# of bedrooms
# of full baths
# of half baths
I have read and completed thiS application and know It to be true and correct I am authOrIZed to apply for thiS permit and
understand that It IS my responsibility to determine what permits are reqUired, and to obtain permits pnor to working on
7;:;:,2-) 10/61 Print Name Vi VLC ~ Vl. -I- B ~ ~~ Signature J~ Il, 13 ~O-..
r F orr nslBulldlng Dlvlslor;!i1ldg Permit /\[:'[:'1 -2006 CorJe doc
'c1PORT'4<
l~~~
~
'- ~-
'~.e~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
o 7-~O /
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning .
Application valuation
07-00000801 Date 8/02/07
875113
228 JUNIPER LN
06-30-15-7-8-0010_0000_
GLENN~TERRA, INC
RES NEW SFR
zz8 ~0
RS9 RESDNTL SINGLE FAMILY
197533
Owner
------------------------
Contractor
q/~ /~
GLENN-TERRA, INC.
136 E. 8TH ST. #223
PORT ANGELES WA 98362
(360) 565-0100
Structure Information 000 000
Other struct info .
------------------------
-------------------------------------- ----------------- -------------------
GLENN-TERRA, INC.
136 E. 8TH ST. #223
PORT ANGELES
(360) 565-0100
2,428 SF SFR, 580 SF GARAGE,
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
32 SF PORCH
28.00
V-N
Permit
Additional desc
Permit pin number
Permi t Fee
Issue Date
Expiration Date
2.00
10751.00
3040.00
3040.00
1. 00
DRIVEWAY INSTALLATION
107078
170.00
8/02/07
1/29/08
Plan Check Fee
Valuation
.00
o
t( r~~~
~~iB/0U
Qty Unit Charge Per ~x _ -'_
BASE FEE '"'170.-0
----------------------------------------------------------------- ---------- '
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4" DROP IN METER
Permit pin number 107052
Permit Fee 230.00 Plan Check Fee .00
Issue Date 8/02/07 Valuation 197533
Expiration Date 1/29/08
Qty Unit Charge Per ~.
BASE FEE 230.0
----------------------------------------------------------------- ----------
Permit . . . . . . RIGHT OF WAY
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
107060
50.00
8/02/07
1/29/08
Plan Check Fee
Valuation
.00
197533
Qty
1. 00
Unit Charge Per . ~xt.
50.0000 ECH RIGHT OF WAY PERMIT 50.0
---------------------------------------------------- --------
SANITARY SEWER HOOK UP
-------------
Permit
Additional desc
Permit pin number
107086
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
iaws 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 vioiate or cancei the provisions of any state or iocal 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\ll 02.15R [1/05]
-
-
. rJ'ORT~
;r,~":'<'.
f"_
... --
'-..;;;~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Permit Fee
Issue Date
Expiration Date
Page
07-00000801 Date
875113
120.00 plan Check Fee
8/02/07 Valuation
1/29/08
2
8/02/07
.00
197533
Qty Unit Charge Per Extension
--------~~~~------=:~~~~~~~~~-~-_:~_::~:~-~~~~~~----------------~
Special Notes and Comments
PLEASE CONTACT RON BECKER AT 417-4886
REGARDING BACKFLOW PREVENTION, IF A
FIRE SPRINKLER SYSTEM OR LAWN SPRINKLER
SYSTEM WILL BE INSTALLED.
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-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).
07/19/2007 05:17 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage in the RS-9 zone for a total
of 23% lot coverage. The site DOES include an area that is
designated as a buffer for the adjacent property. The rear
25' of yard should NOT be maintained with mechanized tools
and the open ditch should be maintained to be open, not
clo9ged. THE PROPERTY OWNER SHOULD CONTACT THE CITY
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT IF THERE
ARE ANY QUESTIONS REGARDING MAINTENANCE OF THE 25' BUFFER
AREA.
Electrical load calculations and elctrical permits are
required.
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
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
permi t Fee Total 570.00 570.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2804.50 2804.50 .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 1800ayS after the work as commenced, or if required inspections have n'ot 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 reguiating 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 [1105]
. . . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . " . INSPECTION REPORT. ....
. . . .
REQUEST:
Date
1~Z-1-~ 7
. Time
,?if.)
. Received by fr
.J / .
location of Work to be inspected ~~e..J\.../b ~ --;;."" ~
Name of person requesting inspection ~? f'/Z..L.r: AT LIlA A
Address of person requesting inspection Phone No. C71
Type of Inspection (circle appropriate one): Permit No. (/7 -P"l!J
~Foundation Framing Chimney Plumbing Final Sewer Excav. Other
(phone. person)
INSPECTION NOTES:
Inspected: Date q- 2 '/-tJ7 Time
Remarks: j./e:.<v '-I/!, PV~ Se.(.,{...>e..-- Gc>.... YJ e c..;f-,'=..,
lo..fev=..1 Qt- PIL
.
4'/.?
-115
By
, .1'
e)C,~Ti vtq
---J
?// PVL
RESTORATION REQUIRED...... YES NO
.-J io....\A. ~ f><Lv'
:>
""f.o., ..........
.I...- I 4-- i;:)i;s~"':j l:/'~\I"
1> . r~
ilL "50
~ Y'fVCJ
:;r',Jd:' - r 9",~~,II- ~
2 ~~J"
<I" j,
2.'-
?' < r
N
t
.
DlD
......;t/
"RJ
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Repaired by City
D Repaired by Permittee
D No Damage Found
o Other
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUP~RINT~Nn""T
-
?
Issued date: % .. \ -0,
;~.<~
" APPLICATlON FOR WATER
City Water Division, Port Ange es, WA
. ~
Installed by & date: ~-;nnit# 07- SOL
r hereby apply for water to be furnished in accqrdance with ra s and rules oX the City for the
following premises:
A~plicant Name & Phone: Glehn. '-e.\'Ya-.J~-l(~ "3lJ;O-0(CS- OJ 00
Si;e Address:-z.z..8 r 11 n I ,oe.v-"~ MailingAddress: ~ ~& E: E; it>
Blk ~ Lot -l-- Add~U~W(l~,P1=-- Parcel # ()ft1?tJlJ5 '79 D::lln
Svco~leDMeter#'sC FQ(l1100~/O# lfJ3~JJJ51
Svc Si~,*~ cI Z;y):+ =11 ~ Restoration Required
Stgnature. ~; emarks:
I N ,
I -
I ~
I
""0
r
.(J
I
i W
E
'L- 91\
I .
~-.;.-
s
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT. . . . . .
vi
REQUEST:
Date L-j-29- 08
Time
Received by
~V
(phone, person)
Location of Work to be inspected 2.2. e .} !.-.c..., ; ~ t--- ~
Name of person requesting inspection J D6 "'-
Address of person requesting inspection Phone No. ~ - 0 I )7
Type of Inspection (circle appropriate one): Permit No. 07 - 80/
Sewer Foundation Framing Chimney Plumbing 8ewer Excav. Other
INSPECTION NOTES:
4-Z'CS _Oel>
Inspected: Date _ co
Remarks: 5:euv eor 4 -"2.4 -C7
1>o.....lS s tx\t.\, t5 16 c.u.1""h
J>,.:~e Wo.-y L;-29-d3
Time
By
'RV
AI<
?~kk
RESTORATION REQUIRED . . . . .. YES
Co ~r 10 - 'boo.)'" ~f>O~ is +-0 W <C!.-€-p
NO )(
hoJ-Q..,
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
C.TDI:I:T C.IIDI=DII\ITCl\lnI:I\IT
InATl=l
(,..-1.,,7
(I....
t: . .,
~-"'_..''1
~~ "'.-
.......
Job ..ired by
DOwner
ElcClricJI cootro.Clor non~
t(.~c- ~d
purchase ~iljng 31t~~~~ J ~ ~
CiIY'R,.., f\.-~~ SI.IW).-. 9 j'~,"
Telephone number FAX number
'(r.z...- ~'fL-r
Owner as dcjim:d by RCW.J9.28.2fJ/:(I) OWller will QCC/lpJ' the structure {or fwo
yeurs after this electrical permit ;s Jinali%ed. (2) Ow",:r is required to "ire all electrical
co1llroclo,- if abol'l1 said properly is for mlf!, relit ur reuse.
After reading the above statement, I hereby certify lhOlt 10m the owner of the above
named property or II licensed electrical contrnctor. I 3m making the electricnl inslDI-
lation or :lllerlllion in cClnlplillllCe with the electrical laws. N.E.C., RCW. Chapler
19.28. WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
UtilifY Specifications.
Signal
~
Prcmlse"owncr's name
1..:>\........,.................
Address of in5peCtI~ ..
'!1..... lr V-- '-'l'-'-
City ? A-
Phone lIumbl'r to schedule Inspeclion:
x
License number Dale Expires
ft..>....e.-c-~Sl 1,2."~
contractor or electrical adminlslrator
Dote:
Electrical Load Additions and or subtractions
a NO LOAD CHANGES
a jjllSllboard KW
'U"Fumaco ...LQ<w
CJ Heat Pump _ Ton _ LAR
a Fan-Wall KW
. ELECTRICAL WORK PERMIT APPLICATION
Installation description
a Commerdal (J kesideotial
.aNew
a Altered! AddUion
'---
\ q 'l-O
~.Cf-
o Cash 0 Chcck #
Q Credit Cu-o Visa Mastercard Discover
r IL'
Card# __~_~____-____
Expiration Date
of card
Inspection fee
$ . cD
ServIce Informatlon
Vollago I t.~(~" "
Phaso ty1 a 3
Service Size: _ 2..00
Feeder Size: ~
(J Overhead Service
o Temp Service
CJ Underground Service
SAME DAY INSPECTION CALL BEFORE 7-00 AM 360-417-4735
b2b92Sb
3)I~~3S )I~1)3l3:WO~~ ~SS:L0 b002-6T-d3~~
.
/' ROUGH-IN / THERMOSTAT SERVICE "l?P
~hf:J ~ 11-1 lIP} ~
t/?Ltf!. Appruw~ By
, -"'!P Appton:d /ly
/' /
FINAL DrrCH FEEDER
1//2fi1)&(j W
'- DnlC ApprowooUy./ , Oale ^JlP~wcd By Dale Ap(HUwrd By
Inspection Area, Building or Equipment Inspected n Action Taken Electric;]1
Date Inspeclor
'1- Z€, "..7 17)5,00 !J:"VNnr ffC //'d_ -"( ~v ~HL # p
,~... \
jgl~C~! ~ElQl
~ 1_
vc.r ...--;y- jUUI
-,
. . .
uun I ... 'Cs~6~lk
2/T d
TTLbLTb-Ol
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
z
-d!f) l
-:; 1EJ"Z.c
1~R:
PERMIT #
L-AN
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . .. . . . . . . . . . . . ROUGH IN/COVER. . .. . . . . . . . .. . . 0
D. . .. . . . . . . . . .. . . . .. . SERVICE. . .. . . .. . . .. . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . .'tJi<
CORRECTIONS NEEDED:
AT2..L ~AVcr HOr t..0bfZ.l.<I~fa FolZ...
-
G,UE<;..l l3E-D12OohS
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
DATE
"""~-O'8
OWNER/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
L
1tcTYz.( C-
f~
LFtN-~
ADDRESS
:2 2-CO
APPROVED. NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
0' . . . . . . .". . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . K
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . :-ii
D..................... FINAL.................... 0'
CORRECTIONS NEEDED: G \ I ~ 2. ,) 'l?\J-C ~ ~ ):;'ErA\ 'R.
} 2-2. I v-.I. "1J'\~F".L (...,AJ2""",,-Coi: Cl g~U~
..zC-tll'LiE.. {2..j!\\1 t-)Ct,1 \ -z..:- 3- 0.12-2 1 Z -2.. ,
I
. 1'1
~~"'?L.."J%..- F""v-e.Nl"I( ~ .,~ lR~. S,~ \ f'"1
1
. .' ~
Ibl:\c..ld. 1='11-0 M.. .'l'd:>Co-E.. otF Sl\)(,~ (..~ 01'{ 0 u.0lI'~
,
C-l'Cl1...-..lb ~. ~~?f\\ R ~-ft"'l'K..~~ lZD"<1i0l..
,
K \,C\1 i:"N .. Cc>N~ bl2OUN. D 7 ~j.J Sll"Oki:=S
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
Job wired l!v
o Electrical ConlracmT 0 Owner
Installation description
CI Commercial III Resldeodal
o
(J)
I
c..,J
~
(Y'
fa
ELECTRICAL WORK PERMIT APPLICATION
Electrical contractor name
A~\()\c ('t-,!L;C\{,
Purchaser's mamn~ address
1r,]D F, j]d\A
Ci~ . '-J
Tel=~ll;~
j' . ;2.-"'b4Y
Premises owner's Dame
G \-ell" TrY!<^...
Address ,~ ,Inspt;:dlon .
1- t. 'i < )l)Il\~1' lr'J1(' ~
CI~(1, ~f:\..eJ,.
Phone Dumber to ubedult Inspection: .
License number Oak Elt"pires
EUoA\\~8J\...AW1Dt0!\l ~-Z'b<1i
o New
o A1leredlAddltlo.
G<lA
State ZIP
qf\CV:L.
FAX number
\rM.j \Jnm~j( )The(mDst?rt
\0\
-'6'4'-{ .-
~.
l~\-\
Owner as defined by RCw'J9.28.161:0) Owner will QCcuPY the slnK/urefor two
year.! rifter this electrical permU is finalized. (2) OMmer is requj~d to hire an electrical
contractor if above .mid property is for sale. rent or leose. -
After reading the above statement, I hereby certify that I am the owner of the above
named propen:y or a licensed eleetrical contractor. I am making the electrical instal-
latton or alteration in l;ompliance with the electrical laws, N.E.C., RCW. Chapter
J9.28. WAC. Chapter 296.468. The City of Port Angeles Municipal Code, and
Utility Specifications.
;I..,oro 0 ~. el~tr'o
,
o Cash 0 Check #
o Credit Car4 V...
Card #
Mastercard
Discover
trattor or electrical admiulstrator
Date:
-Lf-"(,
Expiration Dote
of card
Inspel:tion fee
$"3-5 ~D
ServIce Information
CI NO LOAD
CI Baseboard
I!I Furnace
CI Heat Pump
CI Fan-Wall
HANGES
KW
1R..KW
_ Ton_LAR
KW
CI Overhead Service
CJ Tamp Service
CI U_rground Service
Vol1age
Phase CI 1 CI 3
Service Size: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/' ROUGH-IN THERMOSTAT SERVICE
I {7'cf2, -. .~ I
"- Dale ~~8)"/ "It Approved By "- D.. Approved By
FINAL Drren r FEI!DER
l,tI-z.J.og ~
"- . AppttIved By 0.0 Approved By "- 0"0 Apptoved By ./
Inspection Mea, Building or Equipment Inspected Action Taken Electrical
Date .~... Inspector
0'7-08cl