The URL can be used to link to this page

Home My WebLink About2512 Rolling Hills Ct - BuildingROLLING HILL HOMES LLC 1312 MAIN ST VANCOUVER WA 98660 (360) 582 1899 Owner CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 Application Number 06 00001273 Date 12/04/06 Application pin number 768939 Property Address 2512 ROLLING HILLS CT ASSESSOR PARCEL NUMBER 06 30 01 7 9 0200 0000 Tenant nbr name GLENN TERRA Application type description FIRE SPRINKLER SYSTEM Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 2669 Contractor INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452 7583 Permit FIRE SPRINKLER RESID Additional desc Permit pin number 91264 Permit Fee 00 Plan Check Fee Issue Date 12/04/06 Valuation Expiration Date 6/02/07 Special Notes and Comments Call for cover inspection for all sprinkler installations A full acceptance test will be required for all systems 11/30/2006 10 01 AM KDUBUC Fee summary Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 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 complied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the ')rovisions of any state or local law regulating the work specified in the permit. Signature of Contractor or Autl ?rized Agent 'bate Signature of Owner (if 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 Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD KEEP PERM][T CARD AND APPROVED PLANS AT JOB SITE Date Passed UNDERGROUND STORAGE TANK (UST) ABANDONMENT 8-15 -o1 Kbcb Comments Completed by Contractor- Test #1 Piping pressure test psi Time initiated Test #2 Piping pressure test psi Time initiated 2/15/00 TYPE OF WORK. Residential New Constr Multi family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group: T•WORMS\BIdgPermitformwpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELI and in INK. I our 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 Apphcani or Agent. V a Vtf o e, Q t-1-G %f Owner .Q �n �n T Q y e i� Phone: Address: 1 3 G, P.)-1- 4 S 4- 4ZZ.3 City Pay-) 1.1p. le. Architect/Engineer: Phone: Contractor /jt lA/oV J 7 O State License e3i/AYO t-/ OJ?Exp g/ /2 /a Phone: y,S'z. 7,rffi3 Address: V2 GO /in- let- let—k Cityija r 1- ;4 P Zip Z6 6 2- PROJECT ADDRESS 2_572 d, 1 C O r✓�- e f ZONING LEGAL DESCRIPTION Lot: ao Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. Re -roof Stove Move Garage Demolition Deck Other No. of Stones: Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other 4. Phone: CIS" Z— 7 S 8 STZE/VALUATION SF /SF SF /SF SF /SF Zip FOR OFFIC Date kec. I Permit P:0 Date Approvedf Date Issued TO'AL VALUATION :t .s A 1/ F 1 r7 S p' v# k sr- Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. APPROVALS PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRTJCTION In all cases, a valuation amount must be entered by the apphcant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the buildmg permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. 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 I must obtain such permits prior to worJ Date: 1 -o6 -58 Project Name Private Residence Address. 2512 Rolling Hills Court Installer• Innovated Fire Sprinkler Installer Telephone 452 -7583 Type of System Open Additional Comments. PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Fire Sprinkler System Plan Review 13 Date 11.30.2006 PAFD Permit 06 -58 13 R 13 D We have checked this plan and find that it conforms to the requirements of the code. 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 kOn J 8 Building Department Date tk 30 O Fire Department NOV-21-2006 08;3qp FROM:ELECTRIC SERVICE 0' (31) QS26Q2Q TO: Q17Q711 P.I " " S t1 ~ 'I \ ",.<1' ....... ELECTRICAL WORK PERMIT APPLICAT~' p;. Job wired by o elrica' Contractor 0 Owner License number Date Expires ~1132."" 'nSlallarion description ________ CI Commercial C>>-1t'esldeotJal CI New a Alteredl Addition 0....+ Telephone number . \.4- ("'t--{,. " 2.. ..., premllj~~I-'2 \l""V'(/ Addre~or Inspection 0 ,?5"'I2- 1'\OL..W ~ City '1=6....+ ~~~ --l Phone number to schedule InspectJon: State Z W....:;p lo~ . ? FAX number q tG\SD ;'1 <1 ,- r +}\.-.:..'-'~ c.,. 113:;;'7 '1crO .;J....J,.J/ Owner as defined by RCW/9.28.261:(I) Owner will occupy 'he ,f(rllClure for two years after this electrical permit i.f finalized. (1) Owner is required to hire an electrical contractor if above said property i.f lor .vale, rent or lcase. After reading the above Slttl~ntenl, I hereby certify that J am the Owner of the 'above named property or D licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws. N.E.C., RCW. Chapter 19.28, WAC. Chapler 296-468, The City of Pnrt Ang~les Municipal Code, and Utility Specifi s. SIgnature or own ractor or electrical administrator o Cash 1:1 Check # o Credit Card Card # Visa ~ ~te~~ Discover x ---------------- Date: Expiration Date of card Electrical Load Additions and or subtracl/ona o NO LOAO CHANGES IJ B~rd _ KW Iir1'Urnace. L ~W o Heat Pump _ Ton _ LAR . o Fan-Wall KW Q Overhead Service CJ Temp Service ~ .....lIoerground SOM'cS . Service Informallon Voltage \2..~"O Phase [j1'""o 3 ServIce Size: ::z.. Q:) Feeder Size: _~ SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ~~AD TIJERMOSTAT o Ie Apploved B)' Dille Approved By FINAL DITCH ff'~:'07 ~B' i:c;Jo7-iQ i " , SERVICE "7 l.e> ~ ,. .. FEEDER .. . 't, Inspection Dllte OllIe Approved By J1'" ~~, Area, Building or Equipment Inspected Action Tskcn Electrical 'ryspectoT I[ -U3~ ;J o , fll," .1.- ~?OAT -v,. <:::"O~<<,~ O~" ,'W -- "t.tiuc~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 (J{;;J'-: 179 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description subdivision Name Property Use Property Zoning . . . Application valuation 06-00000479 Date 531769 2512 ROLLING HILLS CT 06-30-01-7-9-0200-0000- GLENN-TERRA RES NEW SFR 6/05/06 Owner Contractor 15/Z- f:::;tt ~ -- . ~~ RS9 RESDNTL SINGLE FAMILY 145432 GLENN-TERRA 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 1. 00 9224 _ 00 2299.00 1. 00 Permit Additional Permit pin Permit Fee Issue Date Expiration desc number PUBLIC WORKS 3/4" DROP IN 78733 195.00 RES WATER SERV METER plan Check Fee Valuation .00 145432 Date 12/02/06 _________~:~___Unlt_~~::~:__:::__BASE_FEE_______________________~~~ permi t RIGHT OF WAY Additional desc . Permit pin number 78725 Permit Fee 50.00 Plan Check Fee .00 Issue Date Valuation 145432 Expiration Date 12/02/06 nnal -- / 4 -() 7 )- ________=~~~___Unlt5~~~~~~_~~;:__~=~~:_OF_WAY_P~~~=:____________~::~ Permit SANITARY SEWER HOOK UP Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 78717 110.00 plan Check Fee Valuation .00 145432 12/02/06 Qty Unit Charge Per CtenSl~ 1.00 110.0000 EA SAN SEWER HOOKUP 110.OO~ -------------------------~-------------------------~----------- - --- Special Notes and Comments OS/22/2006 12:53 PM SROBERDS -~Front setback not shown, must be 25' minimum. Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be 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 orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested wilhin 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\1102.15R [1/05) ~?ORr"" lO~<'(~ '-'...... F;;~ !'! -- -'tiii.1Cw:f<'P CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES .DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000479 Application plD number 531769 Page Date 2 6/05/06 Special Notes and Comments 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 (IFe) and National Fire Protection Association (NFPA). OS/22/2006 12:51 PM SROBERDS -- New sfr w/garage in RS-9. No larid use issues noted. Electrical load calculations and elctrical permits are required. Electrical connection fee $713.00 05/15/2006 04:46 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. ' -----;~~~~-;~~~--~-~-~-~-~-~-~-~-~--~;~~~-~;~;;~-;;~;-~~~;-~;;~-- _____________________________~______~~~~;=;~~~~;;_~:~_~~~_~ 120~~__ Fee summary Charged Paid Credited Due I'.' Permit Fee Total Plan Ch~ck Total Other Fee Total Grand Total 355.00 .00 2074.50 2429.50 355.00 .00 2074.50 2429.50 .00 .00 .00 .00 .00 .00 .00 .00 .j Separate Permits are required forelectricaJ 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 lhat I have read and examined this application and know lhe same to be true and correcl. All provisions of laws and ordinances governing this type of work will be complied wilh whelher specified herein or nol. The granling of a permit does nol presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signalure of Contractor or Aulhorized Agent Dale Signature of Owner (if owner is builder) Date T:\l'olicies\] l02.15R [1105] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . I REQUEST: Date 2 - jUv- 0, Time Received by 'Kv (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): '2 5" I z.. '120 (1,'",-<( Red -... II, 'I Is C T Phone No. 9'O~_ >~/D Permit No. Ob - f../F9 Sewer Excav. Other Pr:v<?WesJ.; I Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Inspected: Date ;z - / Lj- 07 Time By #2V Remarks: C"'" (!.~.d-e- 'Dr,'v'e- U..klLY t:..Il<M. I-e:f'of- J I .5)..or't c:)f asphaIf-- +0 c<ce..oWl-a/dcde {'.....+""v-e. wed9<3/ rolled c~,U'.b p<:::.v s-leve... 2€.-",c>v~c., RESTORATION REQUiRED...... YES NO ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . . . . . . ./ REQUEST: Date Z - i'o - 07 Time Received by Rv (phone. person) Location of Work to be inspected 25 12 -g"l\~ "ell, Ii: It s t t Name of person requesting inspection c-:>re.3 Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. Ybj - 3993 Permit No. D(O" i..i~ cr ~er E~Other Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Inspected: Date 2 ~ b - 07 Time Remarks: N.ew 'III j>VC c.ofll'1e.c.,i,'oYl +6 ,Drooe,,1'/ t,',.e- . , ' By RV ex:&f.''''''3 :r::,11 RV-..C- /oleon:::t/ cd- RESTORATION REQUiRED...... YES NO >< / > j<",:-St;..5 ""'\ II? vc. I"{.<- '" ( liS ) ') )~ 1\1 l' \;2olli"'j b-I~~\s C~ vt,.j.,/ MOllY! I .5'1, ._~<.e~ ,"" I" "2-z.. I Ilf ~ /' 1'-' --------? I 5.10 J """-q .s .6d~ 'i'" o ""lit ryL P( I- ,~~ ~\ "\~~ ~ Q(1<f . IJ - I,S <LQ.f' L S~v:,? J ~ 3.71 SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Asphalt 0 PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~ ~ J .~ -I ,- f1 -~' ,- ',---'-"-' -=- ';;I. ~ ,.....,- J 1 '!7 I ) I I , .~ if-, @) @) tro "'::::;- .....,- '-"~'';-. 1.. r' . ! -J. 1('"4 t ;c,,,,..." " , ." I ,- -- .'" . ~ -' , ~ eC:, '\ ,........:"'. " ;>-:_--~.- . -,; -c.-. -".~ " " , , .' -or.~ - ~,.- 1'.t: ')1:tt": if y ""-' , - ,~~~ ;.. .,"..t. ~... --'-,t, , . ~ .,~ ,. , ,- -~ .' '7 ---:/=!:-~ . '. , ,0. ~ . '~i'"_ , ".,." ~ , . ., ,':.- --:-"-:-)' :.-\ - .:~ -,. ." ~- . - : n'._.' ~:-:~~':.;: -. " :;-. - ::~: _~. :o..~:. . " - -~... ... ~ ~ ~...~- ~. } . ~, ~......-.:~..'~ .. ... ~ , -....... ~ , o , r:>-7 ,I } U ,,', ,'j ":;;. . -. J " J :"i/ " -'" " "-. : -,::':- ~; '~";' . '- ;.. ~ (' ..../ r ..'''?'\ '- 'r~, I...~"-' ;' ~~ I J;_ .t, ..c.::.:' '-....._-.r"-f . , , '--......... .. ~~ <:> . " ~ o ,'f 1, ,- ~.. .;-......:-,.--,.. =-.-...., ./ '-. , , . -'1":-. ;......-:0 r ~.;. ":~, . " ~ ~-'" . , .....- :'" ...,l;.; J'{ v " ;~'i.~~. ~ o " .......... "--:t-..... '. r..... ...: \...s.. '.:-: '--'-., . , " ,...,.- " "-.('r:G~~' ~ ..:~.. ~-, ':C~;- ""'; ,{-'. ~ '" ~ @ @ (ffi ~ @ ~, (ffi -....;:- o . -.....4>.... " ~ .~ . .- i- " . ,. . '~~ o .~. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date tl ~ I J.ro 7 Time ~'?l:!- Received by .--r~ / ~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. {;JUt -477 Sewer Foundation Framing Chimney Plumbing Bsewer Excav. Other c?:J;:!!!~~~&L- INSPECTION NOTES: Inspected: Date Ij-';;??-/J 7 I Remarks: Time By RI( 0k ~7kJA 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 (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) PREPARED 8/16/07, 10:18 50 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/16/07 ------------------------------------------------------------------------------------------------ ADDRESS 2512 ROLLING HILLS CT SUBDIV. TENANT, NBR GLENN-TERRA CONTRACTOR GLENN-TERRA, INC. PHONE (253 ) 853-3535 OWNER GLENN-TERRA PHONE (360) 621-9433 PARCEL 06-30-01-7-9-0200-0000- APPL NUMBER: 06-00000479 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------~------------------------------~--------- BL1 01 8/10/06 JLL BLDG FOUNDATION FOOTING 8/10/06 AP 08/10/2006 09 34 AM PERMITS ROD 908-5510 MORNING 08/10/2006 03 37 PM JLIERLY ---------------------------- BL2 01 8/17/06 JLL BLDG FOUNDATION STEM WALL TIME 13:00 8/17/06 AP ROD 908-5510 08/17/2006 08 15 AM DYASUMUR --------------------------- 08/17/2006 04 27 PM JLIERLY ---------------------------- DSD 01 8/23/06 JLL BLDG DOWN SPOUT DRAINS TIME: 13 00 8/23/06 AP GREG 477-1862 08/23/2006 08 00 AM DYASUMUR --------------------------- 08/23/2006 04 35 PM JLIERLY ---------------------------- DRW 01 9/01/06 JLL BLDG DRYWELL TIME 13.00 9/01/06 AP greg 477-1862 08/31/2006 11 52 AM DYASUMUR --------------------------- 09/01/2006 02 34 PM PBARTHOL --------------------------- BL9 01 11/21/06 JLL BLDG SHEARWALL 11/21/06 DA sean 621-9786 11/20/2006 04 37 PM PERMITS ---------------------------- 11/21/2006 04 33 PM JLIERLY ---------------------------- not ready flnlsh and recall/Jll BL9 02 12/04/06 JLL BLDG SHEARWALL TIME 13 00 12/04/06 AP SEAN 360-621-9786 12/01/2006 02 48 PM PERMITS ---------------------------- 12/04/2006 04 44 PM JLIERLY ---------------------------- BL3 01 2/12/07 JLL BLDG FRAMING 2/13/07 AP 02/09/2007 04 30 PM PERMITS JOSH 360-912-0255 02/13/2007 03 14 PM JLIERLY ---------------------------- BLI 01 2/20/07 JLL BLDG INSULATION 2/20/07 AP 02/16/2007 12 30 PM PERMITS ---------------------------- JOSH 360-912-0254 02/20/2007 03 56 PM JLIERLY ---------------------------- PW99 01 4/27/07 RV PUBLIC WORKS FINAL 4/27/07 AP 05/01/2007 04.17 PM RVESS ------------------------------ 05/01/2007 04 17 PM RVESS ------------------------------ BL99 01 8/16/07 7f/J BLDG FINAL 08/15/2007 04 16 PM LPANGRLE JOSH 808-1077 BLDG FINAL ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME6 01 1/31/07 JLL MECHANICAL GAS LINE 2/01/07 AP 01/30/2007 03 56 PM PERMITS KEN 460-8896 02/01/2007 10 11 AM JLIERLY ---------------------------- ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 8/16/07, 10 18.50 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/16/07 ------------------------------~----------------------------------------------------------------- ADDRESS 2512 ROLLING HILLS CT SUBDIV. TENANT, NBR: GLENN-TERRA CONTRACTOR GLENN-TERRA, INC. PHONE (253) 853-3535 OWNER GLENN-TERRA PHONE (360 ) 621-9433 PARCEL 06-30-01-7-9-0200-0000- APPL NUMBER: 06-00000479 RES NEW SFR ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME1 01 2/12/07 JLL MECHANICAL ROUGH-IN 2/13/07 AP 02/09/2007 04 30 PM PERMITS JOSH 360-912-0255 02/13/2007 03 14 PM JLIERLY ---------------------------- """ '/rt;- ~c'^"~" em" ~ 8/15/2007 04 16 PM LPANGRLE I JOSH 808-1077 MECHANICAL FINAL ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 1/10/07 JLL PLUMBING ROUGH-IN 1/10/07 AP * OVERRIDE TAKEN BY PBARTHOL DATE: 01/10/07 TIME 09:42 15 01/10/2007 09.41 AM PBARTHOL PAUL E 461-9090 01/10/2007 03:01 PM JLIERLY ---------------------------- PL6 01 2/06/07 PB PLUMBING WATER SUPPLY 2/06/07 AP 02/05/2007 01:15 PM PERMITS GARY 460-6807 02/06/2007 04:01 PM PBARTHOL --------------------------- PL2 02 2/12/07 JLL PLUMBING ROUGH-IN 2/13/07 AP 02/09/2007 04.31 PM PERMITS JOSH 360-912-0255 11 02/13/2007 03:14 PM JLIERLY ---------------------------- PL99 01 8/16/07 PLUMBING FINAL 8/1" 08/15/2007 04.17 PM LPANGRLE JOSH 808-1077 PLUMBING FINAL -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/20/07, 11:37 48 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR- JAMES L LIERLY DATE 2/20/07 ------------------------------------------------------------------------------------------------ ADDRESS 2512 ROLLING HILLS CT SUBDIV TENANT, NBR. GLENN-TERRA CONTRACTOR GLENN-TERRA, INC PHONE (253) 853-3535 OWNER GLENN-TERRA PHONE (360 ) 621-9433 PARCEL 06-30-01-7-9-0200-0000- APPL NUMBER 06-00000479 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLl 01 8/10/06 JLL BUILDING FOUNDATION FOOTING 8/10/06 AP 08/10/2006 09 34 AM PERMITS ROD 908-5510 MORNING 08/10/2006 03.37 PM JLIERLY ---------------------------- BL2 01 8/17/06 JLL BUILDING FOUNDATION WALL TIME 13.00 8/17/06 AP ROD 908-5510 08/17/2006 08:15 AM DYASUMUR --------------------------- 08/17/2006 04.27 PM JLIERLY ---------------------------- DSD 01 8/23/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13:00 8/23/06 AP GREG 477-1862 08/23/2006 08.00 AM DYASUMUR --------------------------- 08/23/2006 04:35 PM JLIERLY ---------------------------- DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 , 9/01/06 AP greg 477-1862 08/31/2006 11:52 AM DYASUMUR --------------------------- 09/01/2006 02:34 PM PBARTHOL --------------------------- BL9 01 11/21/06 JLL BUILDING SHEARWALL 11/21/06 DA sean 621-9786 11/20/2006 04:37 PM PERMITS ---------------------------- 11/21/2006 04:33 PM JLIERLY ---------------------------- not ready flnlsh and recall/Jll BL9 02 12/04/06 JLL BUILDING SHEARWALL TIME 13:00 12/04/06 AP SEAN 360-621-9786 12/01/2006 02:48 PM PERMITS ---------------------------- 12/04/2006 04:44 PM JLIERLY ---------------------------- BL3 01 2/12/07 JLL BUILDING FRAMING 2/13/07 AP 02/09/2007 04:30 PM PERMITS JOSH 360-912-0255 02/13/2007 03:14 PM JLIERLY ---------------------------- BLI 01 2/20/07 ~LLL) BUILDING INSULATION \1 '\ g~~~6/2~~~-9i;~~~5/M PERMITS nnnn_nnnn___nnnn -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 2/12/07, 10 21 37 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/12/07 ------------------------------------------------------------------------------------------------ ADDRESS 2512 ROLLING HILLS CT SUBDIV TENANT, NBR GLENN-TERRA CONTRACTOR GLENN-TERRA, INC PHONE (253 ) 853-3535 OWNER GLENN-TERRA PHONE (360 ) 621-9433 PARCEL 06-30-01-7-9-0200-0000- ~ APPL NUMBER: 06-00000479 RES NEW SFR -----------------------------~-------------------------------------------~---------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 8/10/06 JLL BUILDING FOUNDATION FOOTING 8/10/06 AP 08/10/2006 09 34 AM PERMITS ROD 908-5510 MORNING 08/10/2006 03 37 PM JLIERLY ---------------------------- BL2 01 8/17/06 JLL BUILDING FOUNDATION WALL TIME: 13 00 8/17/06 AP ROD 908-5510 08/17/2006 08 15 AM DYASUMUR --------------------------- 08/17/2006 04 27 PM JLIERLY ---------------------------- DSD 01 8/23/06 JLL BUILDING DOWN SPOUT DRAINS TIME: 13.00 8/23/06 AP GREG 477-1862 08/23/2006 08 00 AM DYASUMUR --------------------------- 08/23/2006 04 35 PM JLIERLY ---------------------------- DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13.00 9/01/06 AP greg 477-1862 08/31/2006 11 52 AM DYASUMUR --------------------------- 09/01/2006 02 34 PM PBARTHOL --------------------------- BL9 01 11/21/06 JLL BUILDING SHEARWALL 11/21/06 DA sean 621-9786 11/20/2006 04 37 PM PERMITS ---------------------------- 11/21/2006 04 33 PM JLIERLY ---------------------------- not ready flnlsh and recall/Jll BL9 02 12/04/06 JLL BUILDING SHEARWALL TIME: 13 00 12/04/06 AP SEAN 360-621-9786 12/01/2006 02 48 PM PERMITS ---------------------------- ~ "1"1"" ,... 'M ""'" ------------------- . - - - BL3 01 2/12/07 L BUILDING FRAMING (I 02/09/2007 04.30 PM PERMITS JOSH 360-912-0255 -------------------------- --------------------------------------------------------------------- PERMIT: ME 00 MECHANICAL ERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME6 01 1/31/07 JLL MECHANICAL GAS LINE 2/01/07 AP 01/30/2007 03 56 PM PERMITS KEN 460-8896 02/01/2007 10 11 AM JLIERLY ---------------------------- Me," '1"1"' ~ M",,"'''' ,eue,-,. ~t 02/09/2007 04 30 PM PERMITS - JOSH 360-912-0255 ------------------------ --------------------------~--~-~-~------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 1/10/07 JLL PLUMBING ROUGH-IN 1/10/07 AP * OVERRIDE TAKEN BY PBARTHOL DATE 01/10/07 TIME 09 42 15 01/10/2007 09 41 AM PBARTHOL PAUL E 461-9090 ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 2/12/07, 10 21:37 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/12/07 ------------------------------------------------------------------------------------------------ ADDRESS 2512 ROLLING HILLS CT SUBDIV TENANT, NBR: GLENN-TERRA CONTRACTOR GLENN-TERRA, INC PHONE (253 ) 853-3535 OWNER GLENN-TERRA PHONE (360 ) 621-9433 PARCEL 06-30-01-7-9-0200-0000- APPL NUMBER 06-00000479 RES NEW SFR ---------------------~-------------------------------------------------------------------------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----~-------------------------------------------~-------------------------------------------~-- 01/10/2007 03 01 PM JLIERLY ---------------------------- PL6 01 2/06/07 PB PLUMBING WATER SUPPLY 2/06/07 AP 02/05/2007 01 15 PM PERMITS GARY 460-6807 02/06/2007 04.01 PM PBARTHOL --------------------------- "'"' '1"1"' ~ "","NG 'OUGN 'N _____________~___________ ___~::~:~2:::~::::~:::P:OT::R~:~~----------------------____________ ./ PREPARED 2/06/07, 9.09 01 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/06/07 -------------------------~---------------------------------------------------------------------- ADDRESS 2512 ROLLING HILLS CT SUBDIV TENANT, NBR GLENN-TERRA CONTRACTOR GLENN-TERRA, INC PHONE (253 ) 853-3535 OWNER GLENN-TERRA PHONE (360) 621-9433 PARCEL 06-30-01-7-9-0200-0000- APPL NUMBER 06-00000479 RES NEW SFR --------------~--------------------------------------------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 1/10/07 JLL PLUMBING ROUGH-IN 1/10/07 AP * OVERRIDE TAKEN BY PBARTHOL DATE 01/10/07 TIME: 09 42 15 01/10/2007 09 41 AM PBARTHOL PAUL E 461-9090 01/10/2007 03:01 PM JLIERLY ---------------------------- "", '/"/0' ~ "","'G "", ,U"" _ I 02/05/2007 01 15 PM PERMITS ~ (p GARY 460-6807 ------------ ------------------------- COMMENTS AND NOTES -------------------------------------- ! PREPARED 1/31/07, 8 22 04 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/31/07 ------------------------------------------------------------------------------------------------ ADDRESS : 2512 ROLLING HILLS CT SUBDIV TENANT, NBR: GLENN-TERRA CONTRACTOR GLENN-TERRA, INC. PHONE (253 ) 853-3535 OWNER : GLENN-TERRA PHONE (360) 621-9433 PARCEL : 06-30-01-7-9-0200-0000- APPL NUMBER. 06-00000479 RES NEW SFR --------------------------------------------------------------------------------------------~--- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------- --------------------------------------------------------------------------------------- ",.", '/"/" ~ "'","'CAe GA' ""' l1 01/30/2007 03.56 PM PERMITS KEN 460-8896 ------------------------- - ---------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/10/07, 10 57 52 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR. JAMES L LIERLY DATE 1/10/07 ------------------------------------------------------------------------------------------------ ADDRESS 2512 ROLLING HILLS CT SUBDIV: TENANT, NBR GLENN-TERRA CONTRACTOR GLENN-TERRA, INC PHONE (253 ) 853-3535 OWNER GLENN-TERRA PHONE (360) 621-9433 PARCEL 06-30-01-7-9-0200-0000- APPL NUMBER 06-00000479 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 1/10/07 ~f PLUMBING ROUGH-IN U * OVERRIDE TAKEN BY PBARTHOL DATE 01/10/07 TIME 09 42 15 01/10/2007 09 41 AM PBARTHOL PAUL E 461-9090 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/04/06, 16 43 11 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/04/06 ------------------------------------------------------------------------------------------------ ADDRESS 2512 ROLLING HILLS CT SUBDIV: TENANT, NBR GLENN-TERRA CONTRACTOR GLENN-TERRA, INC. PHONE (253 ) 853-3535 OWNER GLENN-TERRA PHONE (360) 621-9433 PARCEL 06-30-01-7-9-0200-0000- APPL NUMBER: 06-00000479 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 8/10/06 JLL BUILDING FOUNDATION FOOTING 8/10/06 AP 08/10/2006 09 34 AM PERMITS ROD 908-5510 MORNING 08/10/2006 03 37 PM JLIERLY ---------------------------- BL2 01 8/17/06 JLL BUILDING FOUNDATION WALL TIME 13 00 8/17/06 AP ROD 908-5510 08/17/2006 08.15 AM DYASUMUR --------------------------- 08/17/2006 04 27 PM JLIERLY ---------------------------- DSD 01 8/23/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00 8/23/06 AP GREG 477-1862 08/23/2006 08 00 AM DYASUMUR --------------------------- 08/23/2006 04 35 PM JLIERLY ---------------------------- DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13.00 9/01/06 AP greg 477-1862 08/31/2006 11 52 AM DYASUMUR --------------------------- 09/01/2006 02.34 PM PBARTHOL --------------------------- BL9 01 11/21/06 JLL BUILDING SHEARWALL 11/21/06 DA sean 621-9786 11/20/2006 04:37 PM PERMITS ---------------------------- 11/21/2006 04:33 PM JLIERLY ---------------------------- not ready flnlsh and recall/Jll '"'__"___"/'J::'____'"~---:l;::;:!::~~:~:::,':::::',::,''::::::__::__::::::::::-::-:_____ ,~ "- ... 'QI CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~ 32\ EAST 5TH STREET. PORT ANGELES. WA 98362 ~r~ ,. '" Application Number 06-00000479 Date 11/30/06 Application pin number 531769 , Property Address 2512 ROLLING HILLS CT . ASSESSOR PARCEL NUMBER: 06-30-01-7-9:020~~o6bo- Tenant nbr, name GLENN-TERRA App1icatlon type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 145432 Owner Contractor ------------------------ ------------------------ GLENN-TERRA GLENN-TERRA, INC. 136 E. 8TH. ST. 9689 7TH AVE,.NE # 124 PORT ANGELES, WA POULSBO ," ','r. WA 983707531 PORT ANGELES WA 98362 (253 ) 853-3535 (360 ) 621-9433 Other struct info TOTAL % LOT COVERAGE 25.00 NUMBER OF STORIES 1. 00 LOT SIZE 9224.00 TOTAL LOT COVERAGE 2299.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- \J Permit ELECTRICAL NEW RESIDENTIAL Additional desc . EL. SVC.2227 SQ FT SFR ~ Permit pin number 91231 '....,., ::';.\~-t. ~ Sub Contractor ELECTRIC SERVICE ' ,..... .... .... ......... w:;, ...-.....~..... '" ~ -. ~ Permit Fee 119 80 Plan Check Fee .00 ~ Issue Date 11/30/06 Valuation 0 ~, Expiration Date 5/29/07 , Qty Unit Charge Per Extension ~ 1 00 73 0000 ECH EL-R-SQFT FIRST 1300 73.00 ~ 2 00 23.4000 5C EL-R-SQFT ADDITIONAL 500 46.80 0, ---------------------------------------------------------------------------- ~ ~ Special Notes and Comments OS/22/2006 12 53 PM SROBERDS --Front setback not shown, must be 25' minimum. ..; . """UN'",,, 8r~W~ILT ...... , 'l"lif, - . Z Address numbers shall be plainly visible'from~the screet~-... , Address numbers shall be a minimum of six inches high and be of contrasting color from the background. f\ 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) '. OS/22/2006 12 51 PM SROBERDS -- New sfr w/garage in ~ RS-9. No land pse issues noted. Electrical load calculations and elctrical permits are ~ required l .~, ,'" " ''''if'' ~~. - . c Electrical connection fee $713! 00 LG'i'- "Q~5-R.~&":,'., ,r ~.. -2.'''~ \10, ..".... ....... 05/15/2006 04:46 PM GMCLAIN _______J~::;________________ Ditches & 12" culverts will be installed to City Stanards. 1 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. : i-. , '.'.,....9 ... ~ '" . ....;" I .. j{ .sOI-:];....~ii...l.iPll . " ..,~~_..... ,~..~ _~J~ .tV COMMENTSI ACTION NEEDED :" ':f'Tfrdli)\.' S ~ ,.. . ~", ,....t.. .ultlPL?- w~th tl,6 , -- .1.1.... , _ad t:at~Oi1~l_ .!!J~~.t;e+:'; "n ~. _.. ._ ~~. ) 1t i ,. , ELE\..uuCAL PERMIT INSPECTION RECORD / CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVE~ INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEC110N TYPE I DATE I A,-'",Ilw" ......, COMMENTS YIS , NO DITCH ROUUH-lN / COVER SER V ICE FINAL I t , I GENERAL COMMENTS: .l'W-ll02.1S (4'961 ~ : . " '" ~ ~. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION , 321 EAST 5TH STREET. PORT ANGELES. WA 983()2 '\ol~ 7'> ~ ;~ ~::< ~...~::.;,,~ ~ ~.. . .............. "".olio. -..... ..u,..__. _'.." Page 2 Application Number 06-00000479 Date 11/30/06 Application pin number. . 531769 ---------------------------------------------------------------------------- Special Notes and Comments No concrete with exposed aggregate allowed in the City road right of way. An ~nspection by Public Works Engineering is required prior to prouring concrete. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE 870.00 STATE. SURCHARGE:..- ~~':: 4.50 - PW WATER SYSTEM~ USE.'FEE 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 2074.50 2074 50 .00 .00 Grand Total 2194 30 2194.30 .00 00 . . -~"_."lP~~~~~\~~~' ~-~..._- . . -. ,,\~~ . ____..1 ..1'';.,__::J.;tte.3.11€l.1.'u:A ", t- ,. 't",~_. u - ~- " 1'11r Wild.., . ov \ ";' LJv k .. 1)"1; ") 2~'lLSCl'. ,: ~'",,"il:'"~o :..._ _ _. _ " (,1 __ J cq ,0 . # .00 . .t,. ..."\'.~ ..~ .. ' . "'I,, " ' _....:...- -- - - ..~-....~ , <'\., .~, ',,;," : COMMENTS/ ACTION NEEDED ~~ ' ,.~ ...." ~ ~ ! J -1:- ~--:_ -. ". .", \ { '" , . . 1.. ~ I r ' .. ~"' ,I ~_~~_..~ ............ ......,.'t '',J' ,. ~ ELECfRICAL PERMIT INSPECfION RECORD " CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COII:>"'~ INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. ~. PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACC.... 0"'-1 com.&....~ YES I NO DITCH II, ~,- (>7 ~ RUUUH-lN I CUV.ER ~~#o""DI1' SER V ICE .. ''/'07 ~ FINAL I $ .../S' ~ t>1 I Ar.~~ GENERAL COMMENTS: .PW-II02.1514196] . I : . PREPARED 11/21/06, 10 02 57 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/21/06 ------------------------------------------------------------------------------------------------ ADDRESS 2512 ROLLING HILLS CT SUBDIV TENANT, NBR GLENN-TERRA CONTRACTOR GLENN-TERRA, INC. PHONE (253) 853-3535 OWNER GLENN-TERRA PHONE (360 ) 621-9433 PARCEL 06-30-01-7-9-0200-0000- APPL NUMBER 06-00000479 RES NEW SFR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 8/10/06 JLL BUILDING FOUNDATION FOOTING 8/10/06 AP 08/10/2006 09 34 AM PERMITS ROD 908-5510 MORNING 08/10/2006 03: 3 7 PM JLIERLY ---------------------------- BL2 01 8/17/06 JLL BUILDING FOUNDATION WALL TIME. 13 00 8/17/06 AP ROD 908-5510 08/17/2006 08:15 AM DYASUMUR --------------------------- 08/17/2006 04: 27 PM JLIERLY ---------------------------- DSD 01 8/23/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13:00 8/23/06 AP GREG 477-1862 08/23/2006 08 00 AM DYASUMUR --------------------------- 08/23/2006 04 35 PM JLIERLY ---------------------------- DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP greg 477-1862 08/31/2006 11 52 AM DYASUMUR --------------------------- 09/01/2006 02 34 PM PBARTHOL --------------------------- BL9 01 11/21/06 ~~ BUILDING SHEARWALL sean 621-9786 11/20/2006 04.37 PM PERMITS ---------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- Nb~ ?tl(}-[)j fhs-v~i; ,.-- fU , .c/Z .}- . l --- ---------- -------- 0' pORT ~ CITY OF PORT i\NGELES ~4.",~~ ~r....a . DEPARTMENT OF COMMUNITY DEVELOPMENf - BUILDING DIVISION \ ~~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 \- ~ ~ ~ , Applicatlon Number . 06-00000479 , Date 6/05/06 ~ Appllcatlon pin number 531769 ....:J Property Address 2512 ROLLING HILLS CT ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0200-0000- -.1l Tenant nbr, name GLENN-TERRA Application type descrlption RES NEW SFR Subdlvlslon Name Property Use Property Zoning . RS9 RESDNTL SINGLE FAMILY Application valuation 145432 Owner Contractor ------------------------ ------------------------ GLENN-TERRA GLENN-TERRA, INC. 136 E. 8TH. ST. 9689 7TH AVE, NE # 124 PORT ANGELES, WA. POULSBO WA 983707531 PORT ANGELES WA 98362 (253) 853-3535 (360) 621-9433 Other struct info TOTAL % LOT COVERAGE 25.00 NUMBER OF STORIES 1. 00 LOT SIZE 9224.00 TOTAL LOT COVERAGE 2299.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- I Permit BUILDING PERMIT -RESIDENTIAL Additional desc . Permit pln number 77180 Permlt Fee 1277.85 Plan Check Fee 511.14 Issue Date Valuation 145432 Explratlon Date 12/02/06 Qty Unlt Charge Per Extension BASE FEE 1020.25 ~ ~ 46.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 257.60 24 ---------------------------------------------------------------------------- Permlt ELECTRICAL NEW RESIDENTIAL ...... Addltlonal desc . ~ Permit pin number 79012 Permit Fee 36.40 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 12/02/06 ~ Qty Unit Charge Per Extenslon ~ 1. 00 36.4000 ECH EL-LVT-FIRST THERMOSTAT 36.40 ..... ---------------------------------------------------------------------------- ~ Permit MECHANICAL PERMIT Additional desc . Permlt pln number 78980 .::t.. Permit Fee 115.00 Plan Check Fee .00 ~ .... Issue Date Valuation 0 ~ Explration Date 12/02/06 Qty Unit Charge Per Extension 0& q'o/ BASE FEE 50.00 ;1% (0 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 4.00 7.2500 ECH ME-VENT FAN 29.00 0> -:i 1 00 10.6500 ECH ME-OTHER APPL. N/R 10.65 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 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 within 180 days from the last inspection. I hereby certify that I have read and examined this apjJlication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied Ith ether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions 0 any st e or local law regulating construction or the performance of construction. _ &7{? Db Signature of Contractor or Authorized Agent Date /Signature of Owner (if own r is builder) Date T:\Pohcles\1102_15 building permit Inspection record05.wpd [1/412005] BUILDING PERMIT INSPECTION RECORD .. I , 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 B~FORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE I DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS I 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 I AIR SEAL WALLS I I I , CEILING I FRAMING JOISTS 1 GIRDERS SHEA!- W ALUHOLD DOWNS ... W ALi.~/ RdoF 1 eEILING I DRYW A\.L ~TERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I I I WALL 1 FLOOR 1 CEILING 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 #'5 SEPA: PARKINGfLIGHTING I I I { 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 I 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 41 7.~,~~,,_ _~__" BUILDING T.'n.'._.__\1'n"> 1< h",lnlno ",,"".t ,""""ction record05.wpd [1/4/2005] -l.OfVORT~ CITY OF PORT ANGELES t~~ .rea DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DIVISION y .. 00;;;;.;0, 321 EAST 5TH STREET, PORT ANGELES, WA 98362 'i_ < ~ Page 2 Appl1catlon Number 06-00000479 Date 6/05/06 Application pin number 531769 Perm1t PLUMBING PERMIT Additional desc Permit pin number 78998 Permit Fee 149.00 Plan Check Fee .00 Issue Date Valuation 0 Exp1rat1on Date 12/02/06 Qty Unit Charge Per Extension BASE FEE 50.00 10.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 70.00 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 ---------------------------------------------------------------------------- Spec1al Notes and Comments OS/22/2006 12:53 PM SROBERDS,--Front setback not shown, must be 25' minimum. Address numbers shall be plainly v1s1ble from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. I All homes 1n new subd1v1sions that are outs1de of the Fire Department four-m1nute response area shall be equipped with residential fire sprinkler systems that comply w1th the ~nternat1onal Fire Code (IFC) and National Fire Protection Association (NFPA). OS/22/2006 12:51 PM SROBERDS -- New sfr w/garage 1n RS-9. No land use issues noted. Electr1cal load calculat10ns and elctr1cal perm1ts are requ1red. Electrical connection fee $713.00 I 05/15/2006 04:46 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 w1th exposed aggregate allowed 1n the C1ty road r1ght of way. An 1nspect1on by Publ1C Works Engineer1ng 1S required prior to prour1ng concrete. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE 870.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1200.00 -------------------------------------------------------~-------------------- Fee swnmary Charged Pa1d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1578.25 1578.25 .00 .00 Plan Check Total 511.14 511.14 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 4163.89 4163.89 .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 requfilsted 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:\Policles\1102_1S buildmg permit mspectlOn record05.wpd [1/4/20051 .. 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 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 I DATE I ACCEPTED COMMENTS YES I NO ~ FOUNDATION: O~a \P-<-J , 1-1-D6 Jk.- \ FOOTINGS ~//O/tJb l/tu ~ WALLS fJ/11;g 6 JH ~ FOUNDATION DRAINAGE 1 DOWN SPOUTS (Z!J 6t (ffi A./ PIERS J . a POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB -- f1}--rry ) J1o}- ROUGH-IN _/~ tDl<- ~ . WATER LINE (METER TO BLDG) GAS LINE FINAL 3lth/ol DATEdLL ACCEPTED BY, BACK FLOW 1 WATER AIR SEAL I WALLS I I I CEILING FRAMING JOISTS 1 GIRDERS J ~ SHEAR W ALUHOLD DOWNS (>>-;'11 ot. if"'- WALLS 1 ROOF 1 CEILING t;r.!Jr).JO? J J.. J..- DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB liL!~/07 1..\ '- L I WALL 1 FLOOR 1 CEILING MECHANICAL ~(.7cr-' n I). J8--0? JJ-V .,;0 L" HEAT PUMP 1 FURNACE 1 DUCTS I /"t/~ 7 GAS LINE J L'-' 9x~ WOOD STOVE 1 PELLET 1 CmMNEY , FINAL <3 , I b / 07 DATE dLl <1.J' ACCEPTED BY'. ~ I , COMMERCIAL HOOD 1 DUCTS :k MANUFACTURED HOMES FOOTING 1 SLAB ~ I BLOCKING & HOLD DOWNS SKIRTING ~~ PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: ~~ PARKlNGILIGHTlNG I I I i 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 '3 LL- BtnLDING ~ '"."_._.111m 1< h,,;J<lma "pnml m<nection record05 wpd [1/412005] " q CITY OF PORT ANGELES (; ~ ,~~ PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ Application Number 06-00000479 Date 6/05/06 Applicatlon pin number 531769 Property Address 2512 ROLLING HILLS CT ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0200-0000- Tenant nbr, name GLENN-TERRA Application type descrlption RES NEW SFR Subdivision Name Property Use Property Zoning . RS9 RESDNTL SINGLE FAMILY Appllcatlon valuation 145432 Owner Contractor ------------------------ ------------------------ GLENN-TERRA GLENN-TERRA, INC. 136 E. 8TH. ST 9689 7TH AVE, NE # 124 PORT ANGELES, WA. POULSBO WA 983707531 PORT ANGELES WA 98362 (253 ) 853-3535 (360) 621-9433 Other struct info TOTAL % LOT COVERAGE 25.00 NUMBER OF STORIES 1. 00 LOT SIZE 9224.00 TOTAL LOT COVERAGE 2299.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- Permit PUBLIC WORKS RES WATER SERV Addltlonal desc 3/4" DROP IN METER Permit pln number 78733 Permlt Fee 195.00 Plan Check Fee .00 Issue Date Valuation 145432 Expiration Date 12/02/06 Qty Unit Charge Per Extension BASE FEE 195.00 ---------------------------------------------------------------------------- Permlt RIGHT OF WAY Addltlonal desc Permlt pln number 78725 Permit Fee 50.00 Plan Check Fee .00 Issue Date Valuation 145432 Expiration Date 12/02/06 Qty Unlt Charge Per Extension 1. 00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 ---------------------------------------------------------------------------- Permit SANITARY SEWER HOOK UP Addltional desc Permlt pin number 78717 permi t Fee 110.00 Plan Check Fee .00 Issue Date Valuation 145432 Explration Date 12/02/06 Qty Unit Charge Per Extension 1. 00 110.0000 EA SAN SEWER HOOKUP 110.00 ---------------------------------------------------------------------------- Special Notes and Comments OS/22/2006 12:53 PM SROBERDS --Front setback not shown, must be 25' mlnlmum. Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of SlX lnches hlgh and be 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 y s Ie or 10'alla~nslru'I'0=1~ l~l;z'e of construction. Signature of Contractor or AuthOrized Agent Date Igna ur of Owner (If owner IS bUilder) Date T \PollCles\ 11 02 15R [1/05] PERMIT INSPECTION RECORD " ( , CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I I ......._.. _.~. , "meTION Tm DATE ACCEPTED COMMENTS I YES I NO ,.- .- PW UTILITIES (Engmeenng DlVlslOn) I WATERLINE / METER I SEWER CONNECTION I SANITARY . -..-..--.--.--- STORM SITE DRAINAGE I .. ,-- "--.--.... SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER _.,._~_._-_. -... DRIVEWAY APPROACH I I I BACK-FLOW DEVICE I -....- ----- -... ...-.- I I I I I I .... ... I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO I CONSTRUCTION R W / PW/ CONSTRUCTION - R W I ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT I PLANNING DEPT 417-4750 PLANNING DEPT I I BUILDING 417-4815 BUILDING I T \PolIcles\1! 02 15R [1/05] t~) CITY OF PORT ANGELES ~ PUBLIC WORKS - UTILITIES DIVISION . f ,!!f!J ,,- , 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ Page 2 Application Number 06-00000479 Date 6/05/06 Appl1catlon pin number 531769 ---------------------------------------------------------------------------- Special Notes and Comments of contrast1ng color from the background. All homes in new subdivis10ns that are outside of the Fire Department four-minute response area shall be equipped with resident1al fire sprinkler systems that comply with the International Fire Code (IFC) and Nat10nal F1re Protection Association (NFPA) . OS/22/2006 12:51 PM SROBERDS -- New sfr w/garage in RS-9. No land use issues noted. Electr1cal load calculations and elctr1cal permits are required. Electrical connect1on fee $713.00 05/15/2006 04:46 PM GMCLAIN ---------------------------- Ditches & 12" culverts will be installed to City Stanards. See Publ1C Works Engineering for Standards. Sanitary sewer connection 1nspection 1S requ1red by Public Works prior to back fill of d1tch. 24 hour advance notice IS required. Construct dr1veway 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 870.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 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 forelectncal 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 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 Authonzed 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED COMMENTS I YES I NO --.-" PW UTILITIES (Engmeenng DIvIsIOn) WATERLINE I METER SEWER CONNECTION I SANITARY STORM I SITE DRAINAGE I I I SITE EROSION CONTROL PARKING SIDEW ALK CURB & GUTTER DRIVEWAY APPROACH I I I BACK-FLOW DEVICE I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE I RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED YES NO I CONSTRUCTION R.W I PWI CONSTRUCTION - R W ENGfNEERING 417-4807 PW I ENGINEERING I FIRE 417-4653 FIRE DEPT I I PLANNfNG DEPT 417-4750 PLANNING DEPT I BUILDING 417-4815 BUILDfNG I I T \Pohcles\1102 15R [1105] 'r~ paR O:rFIC~ u~ ONLY . BUILDING PERMIT - APPLICATION ale ReG /f; ,/0 (JV Fill out COMPLETELY and in INK. Your applicatior: and site plan MUST B P"m'" ~ Date App10ved COMPLETE to be accepted for review. If you have any qnestions, call Date Issued. ~ PERMITS (360) 417-4815 FAX(360)417-4711 \ ApplIcant or Agent AN () f2. bU) .111. .1G:1O - (Q 7../- q I.{.J.J C6,L ~ 'J 6J~ p!:.I.s Phone: :J (of) - .s- ~.s.- - rJ 100 Owner. ~ L..~AJN.. I (;'la~A) r....A/C- Phone: oS CoO-..r~s:-- O/t!)O Address: IJ tP f;~ v.. s r: -t:J;.:z, z..I CIty: foJ"l.... T ~ & L...ri::.,r ZIp: Cf s:> .3 (0 ""2- ArchItectlEngmeer: Sl.UJIG:L- /Fu '-L~R.. f..AJ~.AJS6.g.~G- Phone: SO~-rJ~ - SIQ/) - o."SNN r.::t:: .:r~{) _ Contractor r., L.E..AJAI- I ~Q ,~A J;.fJcstate License #'.:zf&:, /IIA Exp: 8' /V O~ Phone:~ "2../- 9 '1U Address:J ~ 0 6.-3-#:114 51': :JFz,'l,] Clty:bR.'- &E:.LS$ ZIp: Cfcr3to"?- PROJECT ADDRESS: Z.s- L2- /2-D L 1-j::.AJ If, fb= L.L.S c....~ ZONING: - - - - -- 2-0 f2- Ol-l.. 'In 1'., l-lrLt...S LEGAL DESCRIPTION: Lot' Block Subdivision: CLALLAMCOUNTYPARCELNUMBER: _rJ ~ F) Qj 7 Cf-1'!n2 tJ Credit Card Bolder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: T\"PE OF WORK: SIZEN ALUATION: ~ReSIdentlal ~ew Constr, ORe-roof o Stove ---1J?. L SF. @ $ 1rP.. aq /SF. = $ (~q', () (~ :0 ~ o Multi-family 0 Adchtlon o Move t!( Garage L1.l2a.- SF @ $ 'Z-1. J R /SF. = $ ~ _ s-' <:-2. 00 o Commercml o Remodel o Demolition ~ ~"IU" .., z... SF @ $ I 2.. 00 /SF. = $ ~ <:;; f! o Repair 0 SIgn o Other TOTAL VALUATION $ I ,0,-, 'J.;,1.--;{J7J BRIEF DESCPJrTION OF T.tf..I!.; PROJECT: ~ (2.. ~ AJ ~ Tl~ L\.t...""'" .I:.(jN ..s E& ) COMMERCIAL/RESIDENTIAL: Occupancy Group:-1'2- 3- Occupant Load: Construction Type: \IN No. of Stories' L Lot-SlZe: 8j1*119: Existm~S~ Ft. & Proposed Sq Ft. Z'Z. t::t.!l.- = TOTAL Sq. Ft. z:~~ Total lot coverage 2-r % c:w l. 1. I r\. '7 + '10D + 7 'l. PLANNING USE ONLY: APPRO V ALS: - --~"._--- - -- - PLAN: BLDG: DPV'iT(J: FIRE: ESA/W etland(s): 0 Yes 0 No SEP A Checklist requITed? 0 Yes 0 No Other OTHER: VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be revIewed and may be revised by the Buildmg DlVlsIon to comply with current fee schedules. Contact the Permit Coordmator at 417-4815 for assIstance PLAN CHECK FEE: IF a plan check fee is due it must be subIDltted at the time the buildmg pemnt apphcation and constructlon plans are subnutted All other penmt fees are due at the tlme of penmt Issuance. EXPIRATION OF PLAN REVIEW: If no permit is Issued '-''lthm 180 days of the date ofapphcatlOn, the application will expire. The BUlldmg Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see SectIOn Rl 05.3.2 of the International BmldmglResidentlal Code, 2003). No application can be extended more than once. I hereby certify that I have I oJ d examined this application and know the same to be true and correct I am authorized to apply for thiS permit and understand that it is my res nSlbili to det mine w at p its a required ,notthe Cily:', aThal rUSI oblain such pemils prior 10 worn, T \Pohcles\BL-] 102_13 wpd _ Date: ~ \0 () (0