HomeMy WebLinkAbout2504 Rolling Hills Ct - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
ROLLING HILL HOMES LLC
1312 MAIN ST
VANCOUVER
(360) 582 1899
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration
Special Notes and
WA 98660
desc
number 91280
00
12/04/06
Date 6/02/07
FIRE SPRINKLER RESID
Comments
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, WA 98362
06 00001275
939825
2504 ROLLING HILLS CT
06 30 01 7 9 0190 0000
GLENN TERRA
FIRE SPRINKLER SYSTEM
RS9 RESDNTL SINGLE FAMILY
2772
Contractor
INNOVATED FIRE SPRINKLERS
81 NEW HAVEN LANE
PORT ANGELES
(360) 452 7583
Plan Check Fee
Valuation
Call for cover inspection for all sprinkler installations
full acceptance test will be required for all systems
11/30/2006 10 04 AM KDUBUC
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Charged Paid Credited
00 00 00
00 00 00
00 00 00
Date 12/04/06
WA 98362
A
Due
00
00
00
00
0
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 examined 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
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
_1, �Lwc 0 C
Signature of Contractor or Au orized Agent a te Signature of Owner (►f Owner is builder) Date
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.
Inspection Type
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough -in inspection
Alarm final
LP -GAS
Underground piping inspection /pressure test
Above ground piping inspection/pressure test
Tank (container) inspection
Appliance inspection
LP -gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable /combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
GENERAL COMMENTS
FIRE PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
1 Date Passed
g -lc —o1 Kbip
Test #1
Piping pressure test
Time initiated
Test #2
Piping pressure test
Time initiated
Comments
Completed by Contractor-
2/15/00
psi
psi
Applicant or Agent.
Architect/En sineer
BUILDING PERMIT APPLICATION
Fill out COIVIPLETELI and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Q. tO Q.e
Owner 0,1 ev.. 1 J'Y 'en
1-x.0 Phone.
Address: 3 C 8 r(Je„ 7
Contractor 1M1,11/4-740 74 O T State License jy/y N.5U
Address: 8) 4,e w /AA_ u •e t.� L ►.L
PROJECT ADDRESS Z5O/ RA 1!
LEGAL DESCRIPTION Lot: 9 Block
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
X Residential New Constr
Multi family Addition
Commercial Remodel
Repair Sign
BRIEF DESCRIPTION OF THE PROJECT
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon 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.
Re -roof Stove
Move Garage
Demolition Deck
Other
COMMERCIAL/RESIDENTIAL. Occupancy Group
No. of Stones: Lot Size: Existing Sq Ft.
Total lot coverage oh
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
I hereby certify that I have read and examined this application and know the same to be true and correct l 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
must obtain such permits prior to wor"r.
TAFORI'1S\BIdgPermitform.wpd Applicant:
cit ,r-` s.3 p
Phone: L /6 xs 8
Subdivision.
Phone:
FOR OFFIC
Date Rec.(
Permit 11
Date Approved:
Date Issued:
Zip 2
81-24_2_ Phone: L/S2
Zip 3G 2_
ZONING
STZF,/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION 2772a�
Occupant Load. Construction Type:
R. Proposed Sq Ft. TOTAL Sq Ft.
USE OIIILY.
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER
Date: 1 V 2 8 /O
F: 6 O
Project Name Private Residence
Installer• Innovated Fire Sprinkler
Type of System
Date 11 30.2006
Additional Comments.
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417 -4650 FAX (360) 417 -4659
Open
Fire Sprinkler System Plan Review
Address 2504 Rolling Hills Court
Installer Telephone 452 -7583
13
PAFD Permit 06 -60
13 R 13 D
We have checked this plan and find that it conforms to the requirements of the code.
Date (t 3o. n G,
All systems, including underground mains, shall be installed by a state licensed and certified
company Systems shall be installed per the applicable NFPA 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
E1 Building Department
Fire Department
PREPARED 8/31/07, 10 11 48
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
11
8/31/07
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC.
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
PHONE
PHONE
(253) 853-3535
(360) 621-9433
BLDG FINAL
08/15/2007 04 13 PM LPANGRLE
JOSH 808-1077
BLDG FINAL
08/16/2007 04 32 PM PBARTHOL ---------------------------
FIRE DEPARTMENT NOT FINALED, CAULK AROUND DRAIN LINE FOR
PEDISTAL SINK
FIRE FINAL
08/29/2007
Flre flnal
08/29/2007
Flre flnal
8/31/07 JLL /1 BLDG FINAL
1?fr! 1<!Ir./ 08/30/2007 03 31 PM LPANGRLE
~~ JOSH 808-1077
f./. BLDG FINAL
----------- ------------------------------------------------------------------------------------
TYP/SQ
REQUESTED
COMPLETED
BL99 01
8/16/07
8/16/07
FFNL 01
8/29/07
8/29/07
BL99 02
INSP
RESULT
PB
DA
KDD
AP
SUBDIV
DESCRIPTION
RESULTS/COMMENTS
11 05 AM
8 29 2007
11 06 AM
8 29 2007
KDUBUC
KDUBUC
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PLUMBING ROUGH-IN
PAUL 460-8896
12/12/2006 02:33 PM DYASUMUR ---------------------------
12/13/2006 04:37 PM PBARTHOL ---------------------------
leak from 2nd floor (bath?)
PLUMBING WATER SUPPLY
12/28/2006 08 25 AM PBARTHOL
GARY 477-1863
12/28/2006 04 31 PM PBARTHOL ---------------------------
PLUMBING ROUGH-IN
01/22/2007 03 27 PM PBARTHOL
JASON 670-3427
01/23/2007 04 42 PM
PLUMBING FINAL
08/15/2007 04 15 PM LPANGRLE
JOSH 808-1077
PLUMBING FINAL
08/16/2007 04 32 PM PBARTHOL ---------------------------
FIRE DEPARTMENT NOT FINALED, CAULK AROUND DRAIN LINE FOR
PEDISTAL SINK
PL99 02 f/?/31 07 7lfLL, PLUMBING FINAL
08/30/2007 03.32 PM LPANGRLE
JOSH 808-1077
PLUMBING FINAL
------------ ------------------------- COMMENTS AND NOTES --------------------------------------
PL2
12/13/06
12/13/06
01
PL6
12/28/06
12/28/06
01
PL2
1/23/07
1/23/07
02
PL99 01
8/16/07
8/16/07
JLL
DA
JLL
AP
JLL
AP
PB
DA
TIME
13:00
JLIERLY ----------------------------
.. .,.
PREPARED 8/16/07, 10 18 50
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR'
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
..
INSPECTION TICKET
INSPECTOR. JAMES LIERLY
PAGE
DATE
8
8/16/07
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
PHONE
PHONE
(253) 853-3535
(360) 621-9433
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
BL99 01
.
JLL.
])~
SUBDIV
DESCRIPTION
RESULTS/COMMENTS
BLDG FINAL
08/15/2007 04.13
JOSH 808-1077
BLDG FINAL
PM
LPANGRLE
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME1 01 1/19/07 JLL
1/19/07 DA
ME1 02 1/24/07 JLL
1/24/07 AP
ME1 03 1/31/07 JLL
2/01/07 AP
ME6 01 1/31/07 JLL
2/01/07 AP
MECHANICAL ROUGH-IN
01/18/2007 03 28 PM PBARTHOL ---------------------------
01/19/2007 01 46 PM JLIERLY ----------------------------
MECHANICAL ROUGH-IN
01/23/2007 03 44 PM PBARTHOL ---------------------------
01/24/2007 03 43 PM JLIERLY ----------------------------
MECHANICAL ROUGH-IN
01/30/2007 03 14 PM PERMITS
SHAWN 565-0100
02/01/2007 10 11 AM JLIERLY ----------------------------
MECHANICAL GAS LINE
01/30/2007 03.55 PM PERMITS
KEN 460-8896
02/01/2007 10:11 AM JLIERLY ----------------------------
""'_"'____~~____~_ ..~~~~1!I1";!:::'__'M__"'ANGR"'________________________________
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 12/13/06 JLL PLUMBING ROUGH-IN TIME. 13 00
12/13/06 DA PAUL 460-8896
12/12/2006 02 33 PM DYASUMUR ---------------------------
12/13/2006 04 37 PM PBARTHOL ---------------------------
leak from 2nd floor (bath?)
PL6 01 12/28/06 JLL PLUMBING WATER SUPPLY
12/28/06 AP 12/28/2006 08 25 AM PBARTHOL
GARY 477-1863
12/28/2006 04 31 PM PBARTHOL ---------------------------
PL2 02 1/23/07 JLL PLUMBING ROUGH-IN
1/23/07 AP 01/22/2007 03 27 PM PBARTHOL
JASON 670-3427
01/23/2007 04 42 PM JLIERLY ----------------------------
PL99 01 8/16/07 JLL PLUMBING FINAL
~ ~ 08/15/2007 04 15 PM LPANGRLE
JOSH 808-1077
PLUMBING FINAL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
-.-..c-~~""'--" -.--....... --......'-"""'-'-~r_~.;;~ .__vr_~-..~-_u. --"st,,--u,.-- .....-~--- '<:
.,.
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
Job Located at ;)5 0 I PaaM/f d,. e-
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~ /)<;:/2/ Ahr ;;:/A/A""'.
)7z (-'fie /ku)/,/, ~"iP
().ppJ/- ,~4-L
(?{4-UL~
~/_!r7q-/
4:7/
)r2/If/pl/ ,. L'/l/~ @ tul1-z- L ~
!;/;V0.
These corrections must be made and are not to be
covered until reinspection is made. ~hen co}rectj..o.ns
have been made, please call <f 17- ~/:j/(
for inspection.
Date ~4k? In~'f?, OI'I,'on
DO NOT REMOVE THIS TAG
PREPARED 1/31/07, 8 22 04
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
1/31/07
--------~------------------~-----------~------------------------~-------------------------------
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
PHONE
PHONE
(253) 853-3535
(360) 621-9433
SUBDIV
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 8/01/06 JLL BUILDING FOUNDATION FOOTING TIME 13.00
8/01/06 AP ROD 908-5510
07/31/2006 11 30 AM DYASUMUR ---------------------------
08/01/2006 04'52 PM PBARTHOL ---------------------------
BL2 01 8/10/06 JLL BUILDING FOUNDATION WALL
8/10/06 AP 08/10/2006 09: 33 AM PERMITS
ROD 908-5510
MORNING
08/10/2006 03 37 PM JLIERLY ----------------------------
DSD 01 8/16/06 JLL BUILDING DOWN SPOUT DRAINS TIME: 13 00
8/16/06 AP greg 08/16/2006 08 26 AM DYASUMUR
---------------------------
08/16/2006 04 47 PM DYASUMUR ---------------------------
BUILDING DRYWELL TIME. 13 00
GREG 477-1862
08/31/2006 11 53 AM DYASUMUR ---------------------------
09/01/2006 02 34 PM PBARTHOL -------------------------__
BUILDING SHEARWALL
SEAN 621-9786
11/07/2006 11 02 AM
11/08/2006 02 50 PM
not ready f1n1sh and
BUILDING SHEARWALL
SEAN 621-9786
11/13/2006 02 23 PM
11/14/2006 04 14 PM
BUILDING AIR SEAL
01/18/2007 03 27 PM
01/19/2007 01'43 PM
BUILDING FRAMING
01/18/2007 03 26 PM PBARTHOL
SHAWN 360-621-9786
01/19/2007 01 44 PM JLIERLY ----------------------------
block soff1t at fp/ver1fy lateral thrust on room w1th fp no
rafter t1es or collar t1es/duct chase 1n framed floor (w1ll
ver1fy w1th code 1f lln1ng lS requ1red/]11
BUILDING AIR SEAL
01/23/2007 03 42 PM PBARTHOL
SHAWN 360-621-9786
01/24/2007 03 43 PM
BUILDING FRAMING
01/23/2007 03 43 PM
01/24/2007 03 43 PM
BLI 01 1/!t/07 if BUILDING INSULATION
~ 01/30/2007 03 05 PM PERMITS
SHAWN 565-0100
------------------------- ----------------------------------------------------------------------
DRW
9/01/06
9/01/06
01
BL9
11/08/06
11/08/06
01
BL9
11/14/06
11/14/06
02
BAIR 01
1/19/07
1/19/07
BL3
1/19/07
1/19/07
01
BAIR 02
1/24/07
1/24/07
BL3
1/24/07
1/24/07
02
JLL
AP
JLL
DA
JLL
AP
JLL
AP
JLL
DA
JLL
AP
JLL
AP
PERMITS ----------------------------
JLIERLY ----------------------------
recall/] 11
TIME 13.00
DYASUMUR ---------------------------
JLIERLY ----------------------------
PBARTHOL ---------------------------
JLIERLY ----------------------------
JLIERLY ----------------------------
PBARTHOL ---------------------------
JLIERLY ----------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PREPARED 1/31/07, 8 22 04
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
1/31/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
SUBDIV
PHONE
PHONE
(253) 853-3535
(360) 621-9433
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
MEl 01 1/19/07 JLL MECHANICAL ROUGH- IN
1/19/07 DA 01/18/2007 03 28 PM PBARTHOL --~------------------------
01/19/2007 01 46 PM JLIERLY ----------------------------
MEl 02 1/24/07 JLL MECHANICAL ROUGH-IN
1/24/07 AP 01/23/2007 03 44 PM PBARTHOL ---------------------------
~ 01/24/2007 03 43 PM JLIERLY ----------------------------
MEl 03 1/31/07 MECHANICAL ROUGH - IN
d 01/30/2007 03 14 PM PERMITS
SHAWN 565-0100
ME6 01 1/31/07 MECHANICAL GAS LINE
l \ 01/30/2007 03:55 PM PERMITS
KEN 460-8896
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 1/24/07, 10 18 10
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
1/24/07
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
PHONE (253) 853-3535
PHONE (360) 621-9433
SUBDIV _
------------------------------------------------------------------------------------------------
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01 8/01/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
8/01/06 AP ROD 908-5510
07/31/2006 11- 30 AM DYASUMUR ---------------------------
08/01/2006 04 52 PM PBARTHOL ---------------------------
BL2 01 8/10/06 JLL BUILDING FOUNDATION WALL
8/10/06 AP 08/10/2006 09 33 AM PERMITS
ROD 908-5510
MORNING
08/10/2006 03 37 PM JLIERLY ----------------------------
DSD 01 8/16/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 - 00
8/16/06 AP greg 08/16/2006 08,26 AM DYASUMUR
---------------------------
08/16/2006 04 47 PM DYASUMUR ---------------------------
BUILDING DRYWELL TIME 13,00
GREG 477-1862
08/31/2006 11 53 AM DYASUMUR ---------------------------
09/01/2006 02 34 PM PBARTHOL --------------------------_
BUILDING SHEARWALL
SEAN 621-9786
11/07/2006 11 02 AM
11/08/2006 02 50 PM
not ready f1n1sh and
BUILDING SHEARWALL
SEAN 621-9786
11/13/2006 02 23 PM
11/14/2006 04 14 PM
BUILDING AIR SEAL
01/18/2007 03 27 PM
01/19/2007 01 43 PM
BUILDING FRAMING
01/18/2007 03 26 PM PBARTHOL
SHAWN 360-621-9786
01/19/2007 01 44 PM JLIERLY ----------------------------
block soff1t at fp/ver1fy lateral thrust on room w1th fp no
rafter t1es or collar t1es/duct chase 1n framed floor (w111
ver1fy w1th code 1f 11n1ng 1S requ1red/Jll
~ BUILDING AIR SEAL
01/23/2007 03 42 PM PBARTHOL
SHAWN 360-621-9786
;~~;;-~-~~~~~;;~~~~~!~~~~~~~~~:~~~!=--~~--~~~~=~~~-===========================-----
REQUESTED INSP DESCRIPTION
COMPLETED RESULT RESULTS/COMMENTS
DRW
9/01/06
9/01/06
JLL
AP
01
BL9
11/08/06
11/08/06
JLL
DA
01
BL9
11/14/06
11/14/06
JLL
AP
02
BAIR 01
1/19/07
1/19/07
JLL
AP
BL3
1/19/07
1/19/07
JLL
DA
01
BAIR 02
1/24/07
-t-t-
TYP/SQ
PERMITS ----------------------------
JLIERLY ----------------------------
recalllJ 11
TIME 13 00
DYASUMUR ---------------------------
JLIERLY ----------------------------
PBARTHOL ---------------------------
JLIERLY ----------------------------
------------------------------------------------------------------------------------------------
ME1 01 1/19/07 JLL MECHANICAL ROUGH-IN
1/19/07 DA 01/18/2007 03 28 PM PBARTHOL ---------------------------
01/19/2007 01 46 PM JLIERLY ----------------------------
ME1 02 1/24/07 JLL MECHANICAL ROUGH-IN
----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------_
PREPARED 1/24/07, 10 18:10
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
9
1/24/07
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
SUBDIV
PHONE
PHONE
(253) 853-3535
(360) 621-9433
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------\-i------~---~~/;;/;~~;--~;-~~--~~--~~~~;~~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~-----
---------------------~~-~------------ COMMENTS AND NOTES --------------------------------------
PREPARED 1/23/07, 9 59 35
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
SUBDIV.
PHONE (253) 853-3535
PHONE (360) 621-9433
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
PL2
01
PL6
01
PL2
02
12/13/06
12/13 /06
12/28/06
12/28/06
1/2r07
II
JLL
DA
JLL
AP
~
DESCRIPTION
RESULTS/COMMENTS
PLUMBING ROUGH-IN
PAUL 460-8896
12/12/2006 02 33 PM DYASUMUR
12/13/2006 04 37 PM PBARTHOL
leak from 2nd floor (bath?)
PLUMBING WATER SUPPLY
12/28/2006 08 25 AM PBARTHOL
GARY 477-1863
12/28/2006 04 31 PM PBARTHOL
PLUMBING ROUGH-IN
01/22/2007 03 27 PM PBARTHOL
JASON 670-3427
TIME
13 00
PAGE
DATE
3
1/23/07
COMMENTS AND NOTES --------------------------------------
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Job Located at
Correction Notice
;< oj
Inspection of your work revealed that t
not in accordance with the codes governi
this jurisdiction:
~
These corrections must be made an a
covered until reinspection is made. Wh
have been made, please call
for inspection.
/
Date
Inspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 1/19/07, 9 17 55
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
1/19/07
ADDRESS 2504 ROLLING HILLS CT SUBDIV
TENANT, NBR: GLENN-TERRA ~"/,
CONTRACTOR GLENN-TERRA, INC PHONE (253 ) 853-3535 ,.....
OWNER GLENN-TERRA, INC PHONE (360 ) 621-9433
PARCEL 06-30-01-7-9-0190-0000-
APPL NUMBER 06-00000478 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLl 01
8/01/06
8/01/06
BL2 01
8/10/06
8/10/06
DSD 01
8/16/06
8/16/06
DRW 01
9/01/06
9/01/06
BL9 01
11/08/06
11/08/06
BL9 02
11/14/06
11/14/06
BAIR 01
1/19/07
1/19/07
BL3 01
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
DA
JLL
AP
J~JJ
~
BUILDING FOUNDATION FOOTING TIME 13-00
ROD 908-5510
07/31/2006 11 30 AM DYASUMUR ---------------------------
08/01/2006 04 52 PM PBARTHOL ---------------------------
BUILDING FOUNDATION WALL
08/10/2006 09 33 AM PERMITS
ROD 908-5510
MORNING
08/10/2006 03 37 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS TIME 13 00
greg 08/16/2006 08 26 AM DYASUMUR
08/16/2006 04 47 PM DYASUMUR
BUILDING DRYWELL TIME 13 00
GREG 477-1862
08/31/2006 11 53 AM DYASUMUR
09/01/2006 02 34 PM PBARTHOL
BUILDING SHEARWALL
SEAN 621-9786
11/07/2006 11 02 AM
11/08/2006 02 50 PM
not ready flnlsh and
BUILDING SHEARWALL
SEAN 621-9786
11/13/2006 02 23 PM
11/14/2006 04 14 PM
BUILDING AIR SEAL
01/18/2007 03 27 PM PBARTHOL
BUILDING FRAMING
01/18/2007 03 26 PM PBARTHOL
SHAWN 360-621-9786
PERMITS ----------------------------
JLIERLY ----------------------------
recall/J 11
TIME 13: 00
DYASUMUR ---------------------------
JLIERLY ----------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
MEl
1/19/07
~
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PBARTHOL ---------------------------
01
MECHANICAL ROUGH-IN
01/18/2007 03 28 PM
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98JlJ2
""
l''+).
,:.
Appl~cation Number
Applicat~on pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning
Applicat~on valuation
Owner
GLENN-TERRA, INC
136 E 8TH ST
PORT ANGELES, WA
PORT ANGELES
(360) 621-9433
Other struct info
Permit
Additional desc .
Permit pin number
Sub Contractor
Sub Contractor
Permit Fee
Issue Date
Expiration Date
1/14/07
06-00000478 Date
378258
2504 ROLLING HILLS CT
06-30-01-7-9-0190-0000-
GLENN-TERRA
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
149370
Contractor
GLENN-TERRA, INC.
9689 7TH AVE, NE #
POULSBO
WA 98362 (253) 853-3535
124
WA 983707531
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.00
2 00
9002 00
2281.00
1. 00
~
~
~~
t' "
~
~
(
0\
ELECTRICAL NEW RESIDENTIAL
EL. svc.1 2245 SQ FT SFR
92585
ELECTRIC SERVICE
ELECTRIC SERVICE
119 80 Plan Check Fee . .
1/06/07 Valuation
7/05/07
.00
o
~
"\
\)
Qty
1 00
2.00
Unit Charge Per
73 0000 ECH
23 4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
46 80
Spec~al Notes and Comments
Address numbers shall be pla~nly visible from the street.
Address numbers shall be a min~mum 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
res~dential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA)
05/22/2006 12.54 PM SROBERDS -- New sfr wlgarage for
total lot coverage of 25% in RS-9 No land use issues
noted.
E1ectr~ca1 load calculations and elctrical permits are
required
Electrical connection fee $713.00
05/15/2006 04.44 PM GMCLAIN ----------------------------
Ditches & 12" culverts will be installed to City Stanards
See Publ~c Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works pr~or to back fill of ditch 24 hour advance
not~ce ~s required.
Construct driveway and Sidewalks to City Standards
~
"
~
~.
~
COMMENTS/ACTION NEEDED
~"':IJ~.
:'
ELECfRlCAL PERMIT INSPECfION RECORD
..cALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO CO,VER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS I
YIS I NO
I JlTI :H
1l1_"If"'~_lN /l,;UV.hK
~hK VICh
E'T1Ito.T AT I
,
GENERAL COMMENTS:
PW.lI02." I~
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTR~CAL DIVISION
12\ EAST 5TH STREET. PORT ANGELES. WA 98362
c,
..
Appl1cation Number
Appl1cation pin number'
06-00000478
378258
Page
Date
2
1/14/07
Special Notes and Comments
No concrete with exposed aggregate allowed in the City
road right of way. An inspect10n by Public works
Engineer1ng 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
870.00
4.50
1200 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 119 80 119.80 00 00
Plan Check Total 00 00 .00 00
Other Fee Total 2787 50 2787 50 00 .00
Grand Total 2907 30 2907.30 00 .00
COMMENTSI ACTION NEEDED
ELECfRICAL PERMIT INSPECfION RECORD
" CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA. WFUL TO COJlER,
INSULATE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.1S 1061
PREPARED 12/28/06, 12 06 56
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
12/28/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
SUBDIV.
PHONE (253) 853-3535
PHONE (360) 621-9433
PERMIT, PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL2
01
12/13/06
12/13/06
JLL
DA
TIME
13 00
PL6
PLUMBING ROUGH-IN
PAUL 460-8896
12/12/2006 02 33 PM DYASUMUR ---------------------------
12/13/2006 04 37 PM PBARTHOL ---------------------------
leak from 2nd floor (bath?)
12/28/06 -ftf-JLL PLUMBING WATER SUPPLY
~ 12/28/2006 08 25 AM PBARTHOL
I ;- ...... GARY 477-1863
-----------------------~--------- COMMENTS AND NOTES --------------------------------------
01
"'lIIIIIII
PREPARED 12/13/06, 8 26,47
CITY OF PORT ANGELES
INSPECTION TICKET
iNSPECTOR JAMES L LIERLY
PAGE
DATE
6
12/13/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
SUBDIV
PHONE
PHONE
(253) 853-3535
(360) 621-9433
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 12/13/06
.~ / !l
I '11
JLL
bA-
PLUMBING ROUGH-IN TIME 13 00
PAUL 460-8896
12/12/2006 02 33 PM DYASUMUR ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
J..~
~ c7~ ~~,j
~ - .....~..~'~.--- .'.'-~..I'-'--""""'- ......
BUILDING BIVISION
CITY OF PORT ANGELES
* *
Correction Notice
Job Located at ;/.<J 05/ 2LON'l ~,s V
Inspection of your work revealed that the following is
no~ in accordance with the codes governing the work in
this jurisdiction:
Z / / ~ tf fJ ,---
~;7/471? L~A-f'L G/ - ~L-~(}~;
12~p7#u- 7Al"fr~C'/7dJL/
--- r
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call ~'
:~t~nsP:clion'l ~ h~ ~I . VI
; ~)' . '0$0"10' 10' B"'Idmgo""'oo
00 NOT RFMOVF= nu~ T4n
'~
~~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
'\21 EAST 5TH STREET. PORT ANGELES. WA 983()2
...
ApplicatIon Number
ApplicatIon pin number
Property Address
ASSESSOR PARCEL NUMBER.
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
06-00000478 Date 12/06/06
378258
2504 ROLLING HILLS CT
06-30-01-7-9-0190-0000-
GLENN-TERRA
RES NEW SFR
"
. - -
RS9 RESDNTL SINGLE FAMILY
149370
Owner
Contractor
GLENN-TERRA, INC
136 E 8TH ST
PORT ANGELES, WA
PORT ANGELES
(360) 621-9433
Other struct info
GLENN-TERRA, INC
9689 7TH AVE, NE
POULSBO
. WA 98362 (253) 853-3535
# 124
WA 983707531
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.00
2.00
9002.00
2281 00
1 00
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
T-STAT
79137
ABSOLUTE AIR INC
36.40
6/05/06
5/13/07
Plan Check Fee . .
Valuation
00
o
~
~
~ C>
~...t-
LA ......
~.
~~
~ t
",""
~
~
~~
~
V\
..
......-".,.. '-..-...- -. ~- -
Qty
1 00
Unit Charge Per
36 4000 ECH EL-LVT-FIRST THERMOSTAT
Extension
36.40
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a mInimum of six inches high and be
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). ... ~I n:~~rr
OS/22/2006 12.54 PM SROBERDS -- New sfr w/garage for
total lot coverage of 25% in RS-9 No land use issues
noted.
Electrical load calculations and elctrical permits are
required
Electrical connectlon fee $713 00
05/15/2006 04 44 PM GMCLAIN --------------.-.-----.-----
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill 'of ditch'. ';24';flOur advance
notice is required. ,. ---, ........--...--..-
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
~
COMMENTSI ACTION NEEDED
. ....,IJlf: f:l'l~nr the:,.ct ;,,..~t
'11 "'''''1"''....1- ~. ""'C'~~h' -.n- t.~.
}, -.... ,,_.
ELECfRICAL PERMIT INSPECfION RECORD
cAI!. 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A ~ 24 HOUR NOTICE. IT IS UNLAWFUL TO COJlER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPIt DATE I ACCEPTED COMMENTS
I YIS J NO
III II "M
HI II IIYH_IN7CUVhK
SERVICE
FIN AT J I
GENERAL COMMENTS:
PW.II02.1S (06)
-: :'-"-,~;-.., ...
g
\jjJ
CITY OF PORT ANGELES
PUBLIC woRks " ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
"
,
Application Number
Application pin number - .
06-00000478
378258
Page 2
Date 12/06/06
.- ,
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -. - - - - - ':' :" ..oW: - - ;" "',::", - - - - - -.- - - - - - - - - - - - -
Special Notes and Comments
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870 00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36 40 36.40 .00 .00
Plan Check Total 00 .00 .00 .00
Other Fee Total 2074 50 2074.50 ..00 .00
Grand Total 2110.90 2110.90 .00 .00
.. .. - .._~.;......-
'.1 ,,' 1'1::'< 'SYST~"$utt' FI::E
.- ,. _.... ...........~~""'l'---.-
~- ~ ..
\ ~,
COMMENTS/ACTION NEEDED
. >~A"'.. ~
.- -....,...- ~~-- -
,'~. ~ iItt..
-___-0 \?''''~
,
ELECfRlCAL PERMIT INSPECfION RECORD
CAt.L 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER,
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
I YES NO
UITCli
RnI J(yH.:}J\f I COVER
i:),r.K v lCh
/5..../~.t:n .L,C) I
GENERAL COMMENTS:
PW.1I0US 14'961
PREPARED 11/14/06, 8 10,43
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
11/14/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
SUBDIV
PHONE
PHONE
(253) 853-3535
(360) 621-9433
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ELI 01 8/01/06 JLL BUILDING FOUNDATION FOOTING TIME- 13 00
8/01/06 AP ROD 908-5510
07/31/2006 11 30 AM DYASUMUR ---------------------------
08/01/2006 04 52 PM PBARTHOL ---------------------------
BL2 01 8/10/06 JLL BUILDING FOUNDATION WALL
8/10/06 AP 08/10/2006 09 33 AM PERMITS
ROD 908-5510
MORNING
08/10/2006 03 37 PM JLIERLY ----------------------------
DSD 01 8/16/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 _ 00
8/16/06 AP greg 08/16/2006 08 26 AM DYASUMUR
---------------------------
~
"
'-....
08/16/2006 04 47 PM DYASUMUR ---------------------------
BUILDING DRYWELL TIME 13 00
GREG 477-1862
08/31/2006 11 53 AM DYASUMUR ---------------------------
09/01/2006 02 34 PM PBARTHOL ---------------------------
BUILDING SHEARWALL
SEAN 621-9786
11/07/2006 11 02 AM
11/08/2006 02 50 PM
not ready flnlsh and
BL9 02 ~1 14 06 ~LL BUILDING SHEARWALL
SEAN 621-9786
11/13/2006 02 23 PM DYASUMUR ---------------------------
------------------- - ---- - --------- COMMENTS AND NOTES --------------------------------------
DRW
01
9/01/06
9/01/06
JLL
AP
BL9
01
11/08/06
11/08/06
JLL
DA
PERMITS ----------------------------
JLIERLY ----------------------------
recall/] 11
TIME 13 00
'-~
PREPARED 11/08/06, 9 49 27
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
11/08/06
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
PHONE
PHONE
(253) 853-3535
(360) 621-9433
SUBDIV
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
8/01/06
8/01/06
JLL
AP
BL2 01
8/10/06
8/10/06
JLL
AP
DSD 01
8/16/06
8/16/06
JLL
AP
DRW 01
9/01/06
9/01/06
JLL
AP
BL9 01
11/08/06
~
BUILDING FOUNDATION FOOTING TIME: 13 00
ROD 908-5510
07/31/2006 11 30 AM DYASUMUR ---------------------------
08/01/2006 04 52 PM PBARTHOL ---------------------------
BUILDING FOUNDATION WALL
08/10/2006 09 33 AM PERMITS
ROD 908-5510
MORNING
08/10/2006 03 37 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS TIME 13 00
greg 08/16/2006 08 26 AM DYASUMUR
08/16/2006 04 47 PM DYASUMUR ---------------------------
BUILDING DRYWELL TIME 13:00
GREG 477-1862
08/31/2006 11 53 AM DYASUMUR ---------------------------
09/01/2006 02 34 PM PBARTHOL ---------------------------
BUILDING SHEARWALL
SEAN 621-9786
11/07/2006 11 02 AM PERMITS ----------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
~~
PREPARED 9/01/06, 8 12 21
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
11
9/01/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL _ _
APPL NUMBER
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
SUBDIV
PHONE
PHONE
(253) 853-3535
(360) 621-9433
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 8/01/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
8/01/06 AP ROD 908-5510
07/31/2006 11 30 AM DYASUMUR ---------------------------
08/01/2006 04 52 PM PBARTHOL ---------------------------
BL2 01 8/10/06 JLL BUILDING FOUNDATION WALL
8/10/06 AP 08/10/2006 09 33 AM PERMITS
ROD 908-5510
MORNING
08/10/2006 03 37 PM JLIERLY ----------------------------
DSD 01 8/16/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00
8/16/06 AP greg 08/16/2006 08 26 AM DYASUMUR
---------------------------
01
JLL
M
08/16/2006 04 47
BUILDING DRYWELL
GREG 477-1862
08/31/2006 II-53
PM DYASUMUR
TIME 13 00
DRW
9/01/06
T
-------------------------------------- COMMENTS AND NOTES --------------------------------------
AM
DYASUMUR
PREPARED 8/16/06, 9:10 27
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR:
CONTRACTOR
OWNER . . .
PARCEL . . :
APPL NUMBER:
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC.
GLENN-TERRA, INC.
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
8/16/06
SUBDIV:
PHONE
PHONE
(253) 853-3535
(360) 621-9433
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLl 01 8/01/06 JLL
8/01/06 AP
BL2 01 8/10/06 JLL
8/10/06 AP
DSD 01 8/16/06 ~
' (
BUILDING FOUNDATION FOOTING TIME: 13:00
ROD 908-5510
07/31/2006 11:30 AM DYASUMUR ---------------------------
08/01/2006 04:52 PM PBARTHOL ---------------------------
BUILDING FOUNDATION WALL
08/10/2006 09:33 AM PERMITS
ROD 908-5510
MORNING
08/10/2006 03:37 PM JLIERLY ----------------------------
BUILDING DOWN SPOUT DRAINS TIME: 13:00
greg 08/16/2006 08:26 AM DYASUMUR
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 8/10/06, 11 05:23
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
8/10/06
ADDRESS
TENANT, NBR:
CONTRACTOR
OWNER
PARCEL . . :
APPL NUMBER:
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC.
GLENN-TERRA, INC.
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
SUBDIV.
PHONE
PHONE
(253) 853-3535
(360) 621-9433
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 8/01/06 JLL BUILDING FOUNDATION FOOTING TIME: 13 00
8/01/06 AP ROD 908-5510
07/31/2006 11 30 AM DYASUMUR ---------------------------
08/01/2006 04 52 PM PBARTHOL ---------------------------
BL2 01 8/10/06 -tt- BUILDING FOUNDATION WALL
\( 08/10/2006 09 33 AM PERMITS
ROD 908-5510
MORNING
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 8/01/06, 11 51 15
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
8/01/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2504 ROLLING HILLS CT
GLENN-TERRA
GLENN-TERRA, INC
GLENN-TERRA, INC
06-30-01-7-9-0190-0000-
06-00000478 RES NEW SFR
SUBDIV
PHONE
PHONE
(253) 853-3535
(360) 621-9433
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
8/01/06
g( r
JLL
AP
BUILDING FOUNDATION FOOTING TIME 13 00
ROD 908-5510
07/31/2006 11 30 AM DYASUMUR ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Applicat~on p~n number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type descr~pt~on
Subdivision Name
Property Use
Property Zoning .
Application valuat~on
06-00000478 Date
378258
2504 ROLLING HILLS CT
06-30-01-7-9-0190-0000-
GLENN-TERRA
RES NEW SFR
6/05/06
RS9 RESDNTL SINGLE FAMILY
149370
Owner
Contractor
GLENN-TERRA, INC.
136 E. 8TH. ST.
PORT ANGELES, WA.
PORT ANGELES
(360) 621-9433
Other struct ~nfo
GLENN-TERRA, INC.
9689 7TH AVE, NE #
POULSBO
WA 98362 (253) 853-3535
124
WA 983707531
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.00
2.00
9002.00
2281.00
1. 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4" DROP IN METER
Permit pin number 78691
Perm~t Fee 195.00 Plan Check Fee
Issue Date Valuation
Expirat~on Date 12/02/06
.00
149370
Qty
Unit Charge Per
BASE FEE
Extension
195.00
Permit
Add~t~onal desc .
Permit p~n number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
78709
50.00
Plan Check Fee
Valuation
.00
149370
12/02/06
Qty
1. 00
Un~t Charge Per
50.0000 ECH RIGHT OF WAY PERMIT
Extension
50 00
Permit
Additional desc .
Perm~t p~n number
Perm~t Fee
Issue Date
Exp~rat~on Date
SANITARY SEWER HOOK UP
78683
110.00
Plan Check Fee
Valuation
.00
149370
12/02/06
Qty
1. 00
Un~t Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Spec~al Notes and Comments
Address numbers shall be pla~nly visible from the street.
Address numbers shall be a minimum of s~x inches high and be
of contrast~ng color from the background.
All homes in new subdivis~ons that are outs~de of the F~re
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 compiled Wit ther speCified herein or not. The granting of a permit does not
presume to give authority to Violate or cancel the provIsions of anr stat or local law regulating construction or the performance of
construction \
~t?1J
Signature of Contractor or AuthOrized Agent
Date
Date
T IPohclesll102 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 1 METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
I
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
BU!LDrNG 417-4815 BUILDING
T \Pohcles\1102 15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
. ~ppl~cat~on Number . . . . . 06-00000478
Appl~cation pin number 378258
Page
Date
2
6/05/06
Special Notes and Comments
Department four-minute response area shall be equipped with
resident~al f~re sprinkler systems that comply with the
International Fire Code (IFC) and Nat~onal Fire Protection
Associat~on (NFPA).
OS/22/2006 12:54 PM SROBERDS -- New sfr w/garage for
.total lot coverage of 25% in RS-9. No land use issues
noted. .
Electrical load calculations and elctrical permits are
"'required.
Electrical connect~on fee $713.00
05/15/2006 04:44 PM GMCLAIN ----------------------------
D~tches & 12" culverts will be ~nstalled to City Stanards.
See Public Works Engineering for Standards.
Sanitary sewer connection inspection ~s required by
Public Works pr~or to back fill of d~tch. 24 hour advance
.. "J."l<?tice is requ~red.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An ~nspection by Publ~c Works
Engineer~ng ~s required pr~or to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 355.00 355.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 2429.50 2429.50 .00 .00
Separate Permits are required for electncal 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 apRIi ation and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be compile Ith wether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions f any st te or local law regulating co struction or the performance of
construction.
Signature of Contractor or Authonzed Agent
10 ~ Ok
Date
Date
T IPolIclesl1102 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
I 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 OCCUPANCY/uSE I
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
I YES NO
CONSTRUCTION - R W I
CONSTRUCTION R W / PW /
ENGINEERING 417-4807 PW / ENGINEERING I
FIRE 417-4653 FIRE DEPT ,
PLANNING DEPT 417-4750 PLANNING DEPT ,
BUILDING 417-4815 BUILDING
I
T \Pohcles\1102 15R [1/05]
~pOr.'l'~
lO~\,
r'loA
"-~
~
'~,,~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application p1n number
Property Address . I. .
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
App11cation type descr1ption
Subdivision Name
Property Use
Property Zoning . . .
Application valuat10n
Owner
GLENN-TERRA, INC.
136 E. 8TH ST.
PORT ANGELES, WA.
PORT ANGELES
(360) 621-9433
Other struct info
Perm1t . . . . .
Additional desc .
P~rm1t p1n number
Permit Fee
Issue Date
Expiration Date
6/05/06
06-00000478 Date
378258
2504 ROLLING HILLS CT
06-30-01-7-9-0190-0000-
GLENN-TERRA
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
149370
Contractor
GLENN-TERRA, INC.
9689 7TH AVE, NE #
POULSBO
WA 98362 (253) 853-3535
124
WA 983707531
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.00
2.00
9002.00
2281.00
1. 00
BUILDING PERMIT -RESIDENTIAL
771 72
1300.25
Plan Check Fee
Valuation
520.10
149370
12/02/06
Qty Unit Charge Per
Extens10n
1020.25
280.00
BASE FEE
50.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Perm1t pin number 79137
Permit Fee 36.40 Plan Check Fee
Issue Date Valuation
Expiration Date 12/02/06
.00
o
Qty Unit Charge Per
1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT
Permit . . . . .
Add1t1onal desc .
Perm1t p1n number
Perm1t Fee
Issue Date
Exp1rat1on Date
Extension
36.40
~
~L
~~
~//
/0;>
MECHANICAL PERMIT
79129
129.50 Plan Check Fee
Valuation
.00
o
12/02/06
Qty Un1t Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
6.00 7.2500 ECH ME-VENT FAN
1. 00 10.6500 ECH ME-OTHER APPL. N/R
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5
Extension
50.00
14.70
43.50
10.65
10.65
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 withm 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 wit ether specified herein or not. The granting of a permit does not
presume to give authonty to violate or cancel the provisions of a y s te or ocal law regul ting construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Date
~ ~ ob
T \Pohcles\ll02_15 bUIldIng penmt InspectIOn record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING '" . ,
FRAMING "
JOISTS 1 GIRDERS .
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA
P ARKING/LIGHTING ESA
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W 1 PW 1 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 \Pohcles\1102_15 bUlldmg pennll mspectlOn record05 wpd [1/4/2005]
..or"~
,,~o~~\<,
~"''Eii~
L -=:;;..ao
----
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page
Appl1cat1on Number . . . . . 06-00000478 Date
Application p1n number 378258
Perm1t PLUMBING PERMIT
Additional desc .
Perm1t pin number 79145
Perm1t Fee 177.00 Plan Check Fee
Issue Date Valuat10n
Expiration Date 12/02/06
2
6/05/06
.00
o
Qty Un1t Charge Per
BASE FEE
14.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1. 00 7.0000 ECH PL- EA. WATER HEATER
Extension
50.00
98.00
7.00
15.00
7.00
Special Notes and Comments
Address numbers shall be plainly v1s1ble from the street.
Address numbers shall be a m1n1mUID of SlX 1nches h1gh and be
of contrast1ng color from the background.
All homes in new subd1vis1ons that are outside of the Fire
Department four-m1nute response area shall be equipped w1th
res1dent1al fire sprinkler systems that comply w1th the
Internat10nal Fire Code (IFC) and Nat10nal F1re Protection
Association (NFPA).
Q5/22/2006 12:54 PM SROBERDS -- New sfr w/garage for
total lot coverage of 25% 1n RS-9. No land use issues
noted.
Electr1cal load calculations and elctrical permits are
required.
Electrical connection fee $713.00
05/15/2006 04:44 PM GMCLAIN ----------------------------
D1tches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
San1tary sewer connection inspect10n 1S requ1red by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sldewalks to City Standards.
No concrete w1th exposed aggregate allowed in the City
road right of way. An 1nspection by Public Works
Engineering is requ1red prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Cred1ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1643.15 1643.15 .00 .00
Plan Check Total 520.10 520.10 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 4237.75 4237.75 .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 appli and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied wit wheth specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the proVisions of a y state local law regulating construction or the performance of
construction.
Date
'(0 c:, Vb
Signature of Contractor or Authorized Agent
Date
T \Pohcles\1102_15 bUIldmg pennlt mspectlOn record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
\0
~
,
~
~
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION: V?Jwc...I , C(-I-"~ .J J.&,.
FOOTINGS -1-06 (.}B
SHEAR WALLS 1 WALLS 1./0106 " hi-
FOUNDATION DRAINAGE 1 DOWN SPOUTS ll/O/Or. rt::J
PIERS
POST HOLES (POLE BLDGS )
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN rlf)..lJ 107 U-
WATER LINE (METER TO BLDG) lo:./~/o6 fJy3;,
GAS LINE I FINAL <6f 1.1/01 DATE Jl-L
ACCEPTED BY
BACK FLOW 1 WATER
AIR SEAL I I
WALLS IIUfln7 JLV
CEILING Iji /4ft /07 J L..L.--
I
FRAMING
JOISTS 1 GIRDERS I
SHEAR WALL/HOLD DOWNS II, I." DC, \/f,v
WALLS 1 ROOF 1 CEILING I f},j In.., J LV
DRYWALL (INTERIOR BRACED PANEL ONLY) I I I
T-BAR
INSULATION
SLAB I /
WALL 1 FLOOR 1 CEILING II /~)'/177 J L/..-
MECHANICAL . ( ~g;~"tvt I J.IPI/{77 J J-"-
HEAT PUMP 1 FURNACE 1 DUCTS I Oh~W\. 1'//~? J LL
GAS LINE 1/.",1 n" LLJ/
WOOD STOVE 1 PELLET 1 CHIMNEY I " FINAL ?J 11:1 07 DATE J L-L ACCEPTED BY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s 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 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 <hI 3 t , 01 :J L- L- BUILDING
N
~
~~
r"
~
~
"
r-....
~
\)
~
,
T IPohclesl1102_15 bUlldmg penmt mspecl10n record05 wpd [1/4/2005]
"
,,0\ r~~_T,I,\ c,(
,. -~-Y:;<l"'~' ~J"'" (/
1 .'V.I..r-'~r??'W':~_..r
c:'~~~
1........- IYI'
~
BUILDING PERMIT - APPLICATION
.t Fill out COMPLETELY and in INK. Your applicatior. and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
~(PO-(b"Z.1 - Q'1J;t c...t..L.
Apphcani 01 Agent:AAJDI2.E:W M. "IE: 1<-~:r:-.s. Phone: ,Jroo - S-~.s-- (!;)LOt""::)
Owner: G:,l-€--AJAJ- IE:.t-aiZ..A 1 T'AJr~ Phone: .3""'0 -S"6;J.,r-C>/Ot)
Address'/ S ~ f:. I ~."" S T;" :JrZ;z..:s CltY:~JIL,..A-A /0E:- L...E..s Zip' Cf J' :s Co "L
Archltect/Ellg1l1eer~.A.s t:..Ap6 PI- AN S~~:z:c....E Phone: ZS.1- '2..$>'1- J I 70
61l1N T:C ~ ~o-
Contractor (},L/;:'NJII- TefLR.A ~tate License #: 'f"'" MA Exp: 3/1/0" Phone: tD~J - '~.1)
Address: /.3 ~ E. 8"''' ~r. ;#::-z:t..::r Clty: f>Da.:r A-.AJ&&.L&~ ZlP: Cf X' sv; "2-
PROJECT ADDRESS. LSD L.J R..t:)LL.T:: AJl? }.J.rLu (:;"'1": ZONING:
LEGAL DESCRIPTION: Lot':---/.-.!:!- Block: Subdivision: f<.o L(...J:'".AJ(. I-J:r: u-.s
CLALLAM COUNTY PARCEL NUMBER: (')~.5 1:9t) I 7 Cj b I Cf 0
Credit Card Bolder Name:
Billing Address:
Credit Card Type VISA MC
TYPE OF WORK:
~eSldentIal i;'New Constr 0 Re-roof
o MultI-family 0 AddITIon 0 Move
o Commerclal 0 Remodel 0 Demolition
o Reparr 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
#
Exp. Date:
SIZEN ALUATION:
o Stove laLlr SF.@$ 7~ 01 ISF.=$!40(.?llJ0 --:.,'
~Garage 'too SF.@$~/SF.=$ ?l ~~'Z.., 0"
~~?DR"" .?(,; SF.@$ /"2-,OOISF.=$ 4:1 2,.., Or?
o Other TOTAL VALUATION $ /4-q :) 1 0 ~ /"<
LVe.,w C'--4J~T R.1Ac...T~~AJ ..sF ~ '\
COMMERCIALIRESIDENTIAL: Occupancy Group: R. .l
No. of Stones; ~ Lot SlZe: Jl'1.~ 79_ Existing Sq. Ft.
Total lot coverage z.. .s;- % '=t 00 z. i::p
Occupant Load: Construction Type:--L1L1L--
& Proposed Sq. Ft. Z. 'Z., I = TOTAL Sq. Ft. '4?"'JP J
I 'iI'1r -to "10 D "'Jti '
APPRO V ALS:
PLAN:
BLDG:
DP"YVU:
FillE :
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s). 0 Yes 0 No SEPA Checldist required? 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 Buildrng DlVlslOn 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 he submitted at the time the building permit application and construCTIon plans are
subrmtted. All other permit fees are dne at the tinle of pennit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued WIthm 180 days of the date of application, the application will expire. The
Bmldrng Official can extend the tmle for action by the applicant up to 180 days upon wntten request by the applicant (see Section R1 05.3.2
of the InternatIOnal Buildrng/ResIdential Code, 2003). No application can be extended more than once.
I hereby certify that I have rea n xamined this application and know the same to be true and correct J am authorized to apply for this permit and
understand that it is my respon 'bility t etermi what e~ . are r quired ,not the City's, and that I must obtain such permits prior to work.
:~
T'\Pohcies\BL.] ]02_13 wpd
p
o .
Prescriptive Approach - Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site Information
Building Dellartment Use Only
Lot. J!j
Address: 2.5""0'1 ~c)l-t,...1"..A1t. H~u.r C-r;
City: _PC '~"I A.AJ Go ~ L. ~.s
State:_WA Zip' q g..! to "l-
Contact. A 4} i:> J~ t:: w M f Tb 1212..r:;J
Phone: .s~O -r~r -0/00
Phone 2: .1 (p 0 - Co ?...I- q t,fJ:t CGI,L..
Fax: ?too - S"""6r- 0101
..
Permit #:
-, ,~. , - _ I, ,
, Notes:
" I; ~ ':"- - ~.-
" i' ~r' I _, ~ l~!:.'.l,,:-r,.
"
-'C);:~ < ',~ '. -, < -
::~!-'" , \.'::': :d"'~
,l' ',,- " .": - '" '.," "1'
\:'J,"- , '
.
;.cL
".',1
'e I
;-" .', .;
'.'
OM , r 1-....'
I", ,,":@.". ,. r-., -.'. _ _
~ <. '"' 1;" 11 H ~ t. ' '" ";
.r ;'_, " ". , ,: H ..
r H f. I 1 " .,"' .:" 5 '" .r, , ,- ~ ,\ I H H , ,,'..'
::';. .," :!:'::<-'-'J~"~H" '.~~~: :'~~ H I ""- , ,," I, ~H"'1: r"~~H __I ~~, , ~:,r H I 'M' -: HIt ,_ .1- -,:l=~,' ~ _' \~ ,,; .:f.:;;
,. I ,1< ',> "'''", '_I/",~. \~. ;', r H ,':..'11' - 0" " I' ',_ ,_ i." ,', _,! t.' r "".'
H~>)....~,,';:f:..l.=< ,l~~~-, '~\:<I' 'I'l".:,):.,l .," ~\,~rlf"";t!.:, ,l!\<;'~,',= ~t :";:: "'~.. "::'1"=- lj;:\~.:o ..-, r, :I,J:.~
OptIon
Glazing
Area 10
% of Floor
Table 6-1
PRESCRIPTIVE REQUlRE1Y.1ENTS 0,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(Unlimited GJazin 0 tion Onl )
Door9
u-
Vertical Overhead 1l factor
GJazin U-Factor
Ceiling2 Vaulted
Ceiling3
Wall
Above
Grade
WaII
Int4
Below
Grade
Wall
Ext4
Below
Grade
FloorS
Slab4
On
Grade
ill
Unlimited
Group R-3
Occupancy
Onl
DAD
0.58
0.20 @
R-21 R-IO
R-IO
See the code text for footnote references
Thiioject complies with the following:
The project is a single family residence fir 8MI9Ie'J:':"'
The project IS wood frame OR all of the insulation is interior or exterior of the framing.
All buildmg components meet the reqUIrements listed in Table 6-1, Option III.
-e; The project will meet all other proVisions of the WSEC and VIAQ
The project will take advantage of the following exceptions to the prescriptive option:
o 602 6 Exception 1 One door, that IS 24 ft.2 or less, that does not meet the standards is allowed.
Location of the door takmg this exception
o 602 6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option "' only.
Location of the door(s) taking this exception
T)"pE... D F I-\GAt- SOl.)v_c...~ (
Copyrrghl 2002, WSUCEEP02-056
Copied by permission from the Washington State University ExtenSion Energy Program
F 0 Ju.,r;.o A r R... E- L-E,.c..T Ie. -rc-
f,eOPAAJ& F r=rc..61Pl-AC,G:.
Prescnptive - Simple Form - Climate Zone 1
7/26/2004
05/10/2005 15:04 2532843183
CAS RES NWAF TDM
PAGE 02
"
CASCADE RESIDENTIAL DESIGN INC.
102 S 26th Street
Tacoma, WA 98402
253.284.3170 Fax 253.284.3183
May 3,2006
Attn: Port Angeles Building Department
Building Location: Lot 19
Parcel # 063001790190
Port Angeles, WA
Glenn Terra Homes is authorized to construct our plan 1845/2A for a single use
on the site address referenced above, based on the criteria in the accompanying
construction documents and calculations. Any, revisions or alterations must be
authorized by Cascade Residential Design, Inc. prior to commencing work.
Sincerely,
L.UUO/l'/lJ\ U Uj/WhD U3: 20 PM
CITY OF PA BLDG DEPT
FAX No, 360 417 4711
P.001/001
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TI-I/S RECORO OF SURVEY IS BASED ON A aROUND SURVEY 'I, 8FMOWf R. LYMANGROVER. RfG/STERED AS A LAND
UlIUZINO CONVENTIONAL 7RAVf:RSE METHODS. SURVEYOR BY THE: STAn: OF WASHINGTON. CERTIfY mAT .
" 11-115 LAND SUBDIVISION IS 8AS~f) ON AN ACTUAL SURVEY OF
THIS SURVEY MEfTS OR EXCEfDS THE: STANDARDS THE LAND OESeRIBED HcRDN CONDUCTED 8Y ME: OR UNDER
CDNI:AJ'YED IN WAC .:s32-730-0t10. " MY S/JPERVl5I0N;. AND DECLARE THAT THE OIST,ANCES, '
., .' COURSES AND ANGLE'S ARE: SHOWN HEREON CORRECTLY; AND
EQUIPMENT: . rHA T MONUM~Nrs OTHER. THAN, THOSE MONUMENTS
-rOPCON@ MODf:'i:"GfSw5S"ToTiiC"STA lJCiN:'''-- -;-_......--;n:PPR011EDrOR-s(1'1ING-Ai-"1\"1.:A"f'ER-/jAiE;-r/A-I,If-BEf:N-sET- ___
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Of;J--41B
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
subdivision Name
Property Use
Property Zoning
Application valuation
06-00000478 Date
378258
2504 ROLLING HILLS CT
06-30-01-7-9-0190-0000-
GLENN-TERRA
RES NEW SFR
6/05/06
WA 98362
GLENN-TERRA, 'INe.
9689 7TH AVE, NE #
POULSBO
(253) 853-3535
12.
WA 983707531
z)7JIf~
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RS9 RESDNTL SINGLE FAMILY
149370
Owner
Contractor
GLENN-TERRA, INC.
136 E. 8TH. ST.
PORT ANGELES, WA.
PORT ANGELES
(360) 621-9433
Other struct info
,?-
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
25.00
2.00
9002.00
2281.00
1. 00
d~~
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
3/4" DROP IN METER
78691
195.00 Plan Check Fee
Valuation
.00
149370
12/02/06
Qty
Unit Charge Per
BASE FEE
Extension
195.00
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expir.ation Date
RIGHT OF WAY
78709
50.00
plan Check Fee
valuation
.00
149370
(:nrU
;4/01
1)/
12/02/06
Qty
1. 00
Unit Charge Per
50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
78683
110.00
Plan Check Fee
valuation
.00
149370
12/02/06'
Qty
1. 00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
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
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policics\II02.15R [1/05)
~ ?ORT "-I'
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t~~
~~
~
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 06-00000478
Application pin number 378258
Page
Date
2
6(05/06
Special Notes and Comments
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code lIFe) and National Fire Protection
Association (NFPA).
05(22/2006 12:54 PM SROBERDS -- New sfr w/garage for
total lot coverage of 25% in RS-9. No land use issues
noted.
Electrical load calculations and elctrical permits are
requi~ed.
Electrical connection fee $713.00
05/15/2006 04:44 PM GMCLAIN ----------------------------
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
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
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------
Permit Fee Total 355.00 355.00 .00 .00
Plan Chi:;ck Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 2429.50 2429.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days 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 Jaw regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policics\ 1102.15R [1/05]
~
APPLICATION FOR WATER
City Water Division
Port Angeles. Washington l? 1 c::;
.2000
Name of Applicant: (} /PI1 Vl- Ii: VVt[, k~
I
Address: :;?-? I 'l-- ~O 1111'1<1 bL 110 r+:
Renewal 0 New Service t~lk. t '2-0 Ad~ .
Size of Service I f. ~t I clro.p I Y') Mete ~~~9ozog, ;)07'1J
Service Left On 0 Service Left O~Signe
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: f+Ptc1rew TeYV'es
'3lPO- uiZ,,/- q.g-S. i!.L.f4!
':2,{fX)- 5toS--o I Ot")
l3ut=.~
Installed by
Remarkr.---teVV\1\-rJlOlt>_ 41 'l
i lq'5~-+ 'f l"lOoC-O
-1<e7
'~
APPLICATION FOR WATER
City Water Division
Port Angeles, Washington <o{ S
2cPc:'
, -
I hereby apply for water to be furnished in accordance with rates and ruies of the City for the
following premises: J:Htdf-&.u TeYY€5
3(;~zJ-q43:3> ~
Name of Applicant: t2!R11J1- reyy~; :r;.,c.- 3wo- t;;7"s- OJ aD
Address: 2504 eolllNj ~oo C!::b l~w~8~
Renewal 0 New service~Blk. Lot ~ AdjR{) 0, nq w. ()~
Size of Service ~ g V l M ter ff3ff,i7'101'90 Lf
Service Left On 0 Service Left Off p
Installed by
t>lq?~ +-1-lzeo"Y"
Remarks: @VMly-U- 0 &, - ~ 1 t'?
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . .
REQUEST:
Date 12 -2'1-0~
Time
Received by
1<. V
(phone. person)
Location of Work to be inspected 27(Y-/ "Ro/&~ fg lls: Q.t
Name of person requesting inspection C..,r e-5
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. O()~ 7 e
Sewer Foundation Framing Chimney Plumbing Final ~wer Exc~v Yther
INSPECTION NOTES:
Inspected: Date I 2. - 2." - 6 b
Remarks: N<!.v.J 'ill ?ve -f~oWL
Time
~s+~ ","
By
PvQ. lo.:f.e.~
fr2.V
""f i>/L
.
fo 1Icu.s.e...
RESTORATION REQUiRED...... YES
NO 'x:
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f.,)3e o~ t&.
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6...~b
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"7
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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:
tJ- Z([07
Date
Time
?-f?
Received by
(phone. person)
IF
~:::i:~ ::r:o:~et:u::t:~:~~::eedction ~!~~~-!:: ~cLJ
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 0& -4 78
Sewer Foundation Framing Chimney Plumbing 8 Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date t.J -;?, 7 -07 By 72 V
Remarks: /va..;t;i/L
.
RESTORATION REQUIRED . . . . .. YES NO X-
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 0 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)
12/05/2006 10:07 FAX 36045284445
Absolute Air. Inc.
14J1!Q1
0'Ob wired by
Elet:trical contr::actor na~c
-BD~AIK\L ~\r \(\C B'ltN~\o,::d{l\ Cf101''-)
Purchaser's mailing address u.. . _, I
'2. 'b 1.-0 PI 1lJ.N\ \Ci\
,
Cit:t _ _', -.....J State qir
t1~~~f,l-e, ~~ r,umb~ItJL
. I
Pr(~liSeS cwr.e4-name
~cl:\~Xl(), lerrR.>
Adlll,.~S5 or in~c~~,D
2SoLj '~INh llit\~ ('t.
Ci,"U";{,\ AvvA.> U
P.'~~ '..pee"oo;
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--_.._---~._-
ELECTRICAL WORK PERMIT APPLICATION
License number
Dale Expires
"l'Z-0IC<>,
JJl$taJ)ation description
CI Commercial 'fi Residential
~I..,trical Coatractor
o Owaer
ClN...
Q AlteredlAdditioa
.
-r:- S-trL~ l JJle-P .)
~
'.
( lot-
\CI ')
Owlle, a.s d~fined by RCJY./9.28.16/JJ} Own!!r will occupy the struc~l4refo' 1....0
yrars. afier 1m electrical permi, is finaJued.. (2) Owner is required 10 /lire an eJ<<trical
t.:tHlfrQ~'O' if above said properly U fex sole. rent ar J~
Afh~ reading the above statement, J hereby certify that) am the owner of the above
mnr'ed proP'='rt)' 0.. a licen'Scd dectric&f confraC'!o!'". , l'Im m.u;nr the d~trical instal-
lation or alleration in compliance with the e\<<tnca.l laws, N.E.C., RCW. Chapter-
19.28. WAC. Chapler 296-46B, The Cjty of Port Angeles Municipal Code, and
Utility Spedfic<:.tioos
rs....,.... or 0 .
~ ' '
Ell: fL
(J NO LOAD CHA
D _board
o Furnace
Q Heat Pump
CI Fan-Wall
(J Cash 0 Check #
~:d;!Carrl _ vJSa_:.stercar~_~iSCOVC~_
on~\c
Expimtion Date
of card
s'
KW
KW
_ Ton_LAR
KW
o Ov9rhead S811r.ce
[J Temp Service
o Underground Service
VolUlge:
P~ar.e CJ 1 0 3
Service Size: _
Feeder Size:
SAME, DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
/' ROUGH-IN ") ( THElljVlOSTAT '
~~u~ App.ovcoi. 1>)< D~~ AypwyOOj B)'
FlNAL
l!-~:-O7 1:!l.,)
DITCH
(
(
l
D..;~
=_..~
AppravcdB)' )
-
o.tc ~8)1
DM.
Inspection
Date
Acrion Taken
Electrical
Inspector
._._~---_.._-----_....._'-_._---------_..-._._._..__..
~
/';'-S'-Ob
2.AH-8-2004
~f
03:401'1 FROM:ELECTRIC SERVICE
4526424
TO:4174711
P.l
Ci'.'
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ELECTRICAL WORK PERMIT APPLICATION,
.
Job wired by
o Owner
Installation description ~
Q Commercial ~tlal .
o New
CI Altered/Addition
~
City
S.Dte ZIP
W.......
qY)J,L-
,C{ ~O "=1-01-.
...
.
i
.
Telephone number FAX number
Lt I-L -(p 2. ~
premiV~ n~e.,V'o.-~
Addr"'~'~e4n R'Dl..L;'^-l lJ-\c:.L~ (j-
City 9. A-
Phone number to schedule Inspection:
/
/
, I,
Owner as defined by RCWJ9.28.261:(l) Owner will occupy tire structure for Iwo
Yl!ars after this electricol permit is flnolized. (2) Owner is required to hire an elec/rical
contractor if above said property is for sale. rem or '...a~e.
AOer reading the above statemenl, I hereby certify that I am the owner of the above
flamed property or a licensed electrical contractor. I nm making the electrical instal-
lation or alteration in compliance with the electrical laws, N,E,C.. RCW. Chapter
19.28, WAC. Chapter 296~46B, The City or Port Angeles Municipal Code, and
Utility Specificat'
Sl~nature of wn . electrl 1 onln or elec:trtcnl administrator
2-2-tr 5
cb FT
:::, rc-R-...
o Cash 0 Check #
o Credit Card Visa Mas~~ Discover
Card# ___ QV\.....'-~__-~~__
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o 8~oard KW
~rnace ...lD<w
o Heat Pump ~ Ton _ LAR
o Fan-Wall KW
Date:
Expiration Date
of card
o Overhead Service
Q Te~ervice
WAffiderground Service
o
Service Informallon
voilogo . y<> /2.... 0
Phas.1if1 0 :i
Service Size: 2. 0 l.7
Feeder Size: ~
x
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
TIIERMOSTAT
ROUGH-IN
/5'{!?? ~'d 0,
llDIC
Approved Oy
SERVICE
.:2" 7-0 7 Az,[;)
D..lC ApflmwcdBy
FINAL
~-~ -07 ~JJ
Olll~ Approved By
DITCH
J~b-tJ7 ~
DOIC ^ proved By
FEEDER
ODIC Approvcd 8)'
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspeclor
/JA
C,Of-If.jt3:--lcOU KG
d;'1I~
APP IZoJ"-\r'\