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Home My WebLink About1218 Rolling Hills Dr - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 5 ton heat pump Owner NATHAN BRUNS 1218 ROLLING HILLS DR PORT ANGELES WA 98363 (360) 477 6873 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 167650 56 00 6/16/10 12/13/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000613 868951 1218 ROLLING HILLS DR 06 30 01 7 9 0270 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL ALTER RESIDENTIAL DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Plan Check Fee Valuation Special Notes and Comments June 15 2010 8 05 29 AM Brian 417 4708 OK Fee summary Charged Paid Credited Permit Fee Total 56 00 56 00 00 Plan Check Total 00 00 00 Grand Total 56 00 56 00 00 Date 6/16/10 Due 00 00 00 DATE RESULTS 6111110 4? /1 rb(ln _4) 00 0 Extension 56 00 Signature of owner or Electrical Contractor X Date INSPECTOR. -44o Application Number 10 00000615 Date 6/16/10 Application pin number 964485 Property Address 1218 ROLLING HILLS DR ASSESSOR PARCEL NUMBER 06 30 01 7 9 0270 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Heat pump outside outlet 2 circuits Owner Contractor NATHAN BRUNS 1218 ROLLING HILLS DR PORT ANGELES WA 98363 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 15 v Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 167684 Permit Fee 76 10 Plan Check Fee 00 Issue Date 6/16/10 Valuation 0 Expiration Date 12/13/10 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 60 Fee summary Charged Paid Credited Due Permit Fee Total 76 10 76 10 00 00 Plan Check Total 00 00 00 00 Grand Total 76 10 76 10 00 00 DATE RESULTS Signature of owner or Electrical Contractor X Date INSPECTOR. e. PREPARED 6/16/10 8 20 19 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/16/10 ADDRESS 1218 ROLLING HILLS DR TENANT NBR NATHAN BRUNS CONTRACTOR DAVE S HTG COOLING SRVC INC OWNER NATHAN BRUNS PARCEL 06 30 01 7 9 0270 0000 APPL NUMBER 10 00000618 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 452 0939 PHONE (360) 477 6873 ME99 01 6/16/10 JLL MECHANICAL FINAL TIME 01 00 June 15 2010 4 52 43 PM 1pangrle JEANIE FROM DAVE S HEATING 452 0939 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application desc INSTALL A HEAT PUMP Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation NATHAN BRUNS 1218 ROLLING HILLS DR PORT ANGELES WA 98363 (360) 477 6873 Qty Unit Charge 1 00 14 8000 EA Fee summary Charged Permit Fee Total Plan Check Total Grand Total T:FormsBuilding Division/Building Permit MECHANICAL PERMIT INSTALL A HEAT PUMP 167718 64 80 6/15/10 12/12/10 Per 64 80 00 64 80 10 00000618 496010 1218 ROLLING HILLS DR 06 30 01 7 9 0270 0000 NATHAN BRUNS MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 6730 Contractor Date 6/15/10 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 BASE FEE ME FURN /HP /FAU OR 5 TON 64 80 00 64 80 Plan Check Fee Valuation Paid Credited 00 00 00 Due Extension 50 00 14 80 00 00 00 Date Print Name Signature of Contractor or Authorized Agent 00 0 fi via ee 6 16 -►0 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of c. ction. c Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION. Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bidgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 4886 Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T Forms /Building Division /Building Permit Inspection Type Comments IFINAL Date Accepted by FINAL Date 6 -I6 -I Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Jun 141009 21a Parcel Number Dave s Heating Cooling Proiect Tune Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair o Demolition o Re -roof 14 Heat System o Other BUILDING PERMIT CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St, Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Floor Areas Existing (sq. ft) Posed (sq. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type 3604520939 p1 APPLICATION Print in ink For City Us Oniyy Date ReceivedJn- x`+_10 Permit# I0 Date Approved Applicant Ve- s Phone 4-7'5 o q3 q Property Owner /17. -F 1 a v �EA h S Phone ,f -7- C., 8 73 Property Owner's Address f. (<'0 1 l r 4_ k I l s brk v-e.- Contractor i av-e t s Phone <-1`5'a 09 3 9 Contractor's Address F 0 .$o K 4. 1 Po y-4- A" Q_l..z._s License DA VES 14 c 19 1 c_ 'Expires .5 l t E -mail d4,es 1,_„4-r rte G.- C1> yr, PROJECT ADDRESS (a 1 (t s D Lot Zoning XResidential o Multi family o Commercial o Industrial o House o garage a other o tear off re -roof o lay over one layer Heat pump o wood burning stove o gas fireplace o pellet stove u other per sq. ft. TOTAL VALUATION 13 b Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage °ro Site Coverage the amount of impervious surface on a parcel, including structures paved driveways sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage of bedrooms of full baths 4 of half baths 1 have read and completed this application and know it to be true and correct. t am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and io obtain permits prior to working on projects. Date 697/ Print Name ieo_frt Cf4 en k a P Signature J C' I:Forms/Building Division/Bldg Perm,t.doc JUN -14 -2010 10 23 PM City of Port Angeles Permit Application Building Wvtafot lectrical InepectIons 321 East Fifth Street P.0, Box 1190 Pon Angeles Weehington, 00362 Ph; (360) 417.4735 Fax: (360) 417.4711 011e:j1P /p },nit Champ. 5119.90 5 1 45.50 S 204.90 S 262.20 a 872.50 2.60 5 73.50 5 2.60 92.70 S 110.30 148,70 5 187.90 S 95,90 88.20 5 95.90 S 63.90 4 63.90 S 119.90 5 102.30 5110.30 5 35.20 /3.50 5110.30 56.00 E JANSSEN 1 2 Single Family Dwelling Meth- Family or Commercial' Commercial Addition I Alteration Remnd» »l r t+al Flan Review May o Requirod, P ease Lome left: Eiocldcal Pien R w Information Sheet Jab Address. J l e 101, 14 4. 11 1 _161.164. Building Square Footage' J. Description of above rt.,s O_._ 7P.,ttnip_ 41- 0.0. t O vatitiuf Owner Information Contractor Info( ation Nome: pLkr fij4 EXfi 5 Name: p 4e reGa s; G�`'� Mailing Address t II RA: Ai Ltti IAA t:. j'�(t.1J4. Mailing Address: Y/9 c l�F fit'; City' P. q. Stote. _WIN_ Z rf _3 3. s City A State Of Pi- Zip' `-i Phone: q 77 -4,175:F ax: Phone:!/r7 r 2 a e Fax: S 7 mss; License fj l -Kp._ License 8 I Exp. e /yZ 15231 (e I- /.'s 6 /ie �D I AN 1 L 2008 ELECTRICAL INSPECTIONS 360 452 2982 Total fOly Mullioned by Unit Charc{ Service /Feeder 200 Amp. Service/Feeder ServicelFeeder 201 -400 Amp Service/Feeder 401.000 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp Branch Circuit W/ Service Feeder rel Branch Circuit W/O Service Feeder Each Additional Branch Circuit rernp Service/ Feeder 200 Amp temp. Se/vice/Feeder 201 -400 Amp. temp ServicelFeeder 401 -600 AM Temp Service/Feeder 601 -1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signet Circuit/ Limited Energy Commercial. Additions rill; $C Signal Circuit/ Limited Energy 1 8 2 Family Dwelling Signal Circuit/ Limited Energy Mu10•Family Dwetlln6 Manufactured Home Connection Renewable Electrical Energy SKVA System or est First 1300 Square Fl. r_ach Additions' S00 Square Ft. nr Portion o` Each Outbuilding or Detacne0 Garage Facn Swimming Pool or Hot Tub rhermostel Total ]Q, n Owner as defined by RCW.11.78.261• (1) Owner will occupy the structure for two years after this electrical permit is finelize..9 ^i Owner is required 10 hire an electrical contractor t above said property is for sato, toot or tease. Part of expires abet s1. months of last inspection. After reeding the above statement, 1 hereby certify that I sin the owner of the above named property or a licensed electrical contractor 1 am making the electrical Installation or alteration In compliance with the electrical lows r4E.G R.CW Chapter 13.28. WAC, Chapter 296.4611, The City of Pon Angnter• Munirrpar Code, and Utility Specifications. Signature or owner electrical contractor oreleclr•cal administrator 0 Cash OZ Credit Card d P 01 Jun 14 10 10'06a Dave s Heating Cooling City of Port Angeles Permit Application Building DivisionlElectricaI Inspections 321 East rifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: (/`7 1 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, Please Complete lectrical Plan Review Information Sheet Job Address: 2 1 f< c l 1 t 1. a. 1 I (s .l) r't V--e-- Building Square Footage: 1 7 D Desch ction of above 1 054'1-1-k u.*t or oc.0 Jo f exo,Q.- PE.. A 5 ins- c i (a (.3 .s Owner Information Name: Nor+(.. h e S Maibn ddress: ia18 Ko 11ir,g Nif1s uri City o r °1as Slate t ;A Zip: .A Phone: ax: License Exp. Unit Charoe S 119.90 5 145.50 5 20&.60 5 262.20 5 372.50 5 2.60 73.50 S 2.60 9270 5110.30 S 148.70 167.90 95.90 5 88.20 5 95.50 5 6190 5 63.90 5 119.90 5 102.30 S 110.30 35.20 5 73.50 5 110.30 5 56.00 5 5 5 5 S s 5 5 5 S S 5 S s S 5 S S S 5 5 5 5 .c"'‘,. 0 �(o. p Owner as defined by RCW.19.28.261 Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify thal 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter 1928, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. gnature of owner, electrical contractor or electrical administrator Cash &/(e7 RECENED JUN 14 200fl ELECTRICAL INSPECTIONS Contractor Information Name: IAA tre is 14 0 4- Se4r i Mailing ddre_ ss 1'. 6 k a `f 4 3 C City r o Y .i- /i.-. sState.Cs.,�l Zip: °T? Phone 5. _e .3'f Fax: License 1 Exp. DA IVES 91 I a G Total (Qtv Multiplied by Unit Charnel ServicelFeeder 200 Amp. Service/Feeder 201 -400 Amp. Servioe/Feeder 401 -600 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 000 Amp. Branch Circuit VI/ Service Feeder Branch Clout VJ /O Service Feeder Each Additional Branch Circuit Temp Service/ -eeder 200 Amp. Temp. Service /Feeder 201-400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Outline Lighting Signal Circuit! Limited Energy Commercial. Additional 1500 $5.00 Signal Circuit/ Lmited Energy 1 8 2 Fami y Dwelling Signal Circuit/ Lmited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electron/ Energy 504 System or Less First 1300 Square Ft. Eafi Additonai 500 Square Ft. or Portion of Eafi Outbuilding oy Detached Garage Each Swimming Pool or Hot Tub Thermostat Total Credit Card! 3604520939 p 2 4 i t 1 1 0 e i f e r~ "t<i;;;:;ii' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EASTSTH"SlREET, PORT ANGELES, WA 98362 0&- 747 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation Qty Unit Charge Per ~xt . BASE FEE 195.00 -------------------~---------------------------------------------- . ------ Permit RIGHT OF WAY Additional desc . Permit pin number Pe rmi t Fee Issue Date Expiration Date --------=:~~---~:~:=~~~~~~-~~;:_-~=~~=-~~-~~=-~~~==--------------~~~~ Permit SANITARY SEWER HOOK UP Additional desc Permit pin number Permi t Fee Issue Date Expiration Date Owner GLENN-TERRA 136 E. 8TH STREET PORT ANGELES (360) 565-0100 Other struct info Permit Additional desc . Permit pin number Pe rmi t Fee Issue Date Expiration Date 06-00000747 Date 8/01/06 205191 1218 ROLLING HILLS DR 06-30-01-7-9-0270-0000- GLENN-TERRA RES NEW SFR /z,tB e~~ ~VE &/~~ RS9 RESDNTL SINGLE FAMILY 149130 Contractor GLENN-TERRA, INC. 9689 7TH AVE, NE' WA 98362 POULSBO (253) 853-3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS # 124 WA 983707531 23.00 2.00 9750.00 2261.00 1. 00 PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 83188 195.00 Plan Check Fee 8/01/06 valuation 1/28/07 .00 149130 ~y;-,J //01 \ /\~ " 83170 50.00 8/01/06 1/28/07 Plan Check Fee Valuation .00 149130 ~ 83162 110.00 8/01/06 1/28/07 Plan Check Fee Valuation .00 149130 Qty Unit Charge Per ~n~i^: --------=~~~------==~~~~~~-~~----~~_:~~~~-~~~~~~--~~------------~--==~~~~~ 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 Separate Permits are required forelectrtcal 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 pertod 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 <:orrect. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authortty to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authortzed Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02.ISR [I/OS} .' S L~ ~;;;o> CITY OFi'ORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST5111STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000747 Application pin number 205191 Page Date 2 8/01/06 Special Notes and Comments residential fire sprinkler systems that comply with the International Fire Code (IFC) and National- Fire Protection Association (NFPA). 07/31/2006 12:12 PM SRQBERDS --The proposal will result in the const~uction of a sfr in the RS-9 for total lot coverage of23%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Connection fee of $713.00 required. 07/17/2006 02;27 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 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 concre~e. -----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~;~;~-~~~;;~-~;~;-~~~;----~~-- STATE SURCHARGE ~ ' PW WATER SYSTEM USE FEE 1200.00 -------------------------------------------------------------- ----- ------ Fee summary Charged Paid Credited Due Permit Fee Total Plan Check 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 Separate Permils 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 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 ilrovisions 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 (ff owner is builder) Date T:\Policies\II02.ISR [lIOS} CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS / . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 2.. - I 4-07 Received by _i2::V (phone. person) Time /2 C 'B R,tl:~3 \1: tis b" Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation. Framing Chimney Plumbing Phone No. ~rmit No. 6(,-7'f7 Fina~ Other INSPECTION NOTES: Inspected: Date 2. - t '1-6 1 Time By Remarks: NeYJ 7' /, PVe. c..-o.,,,,e<:. t,'"", +0 /;:/</' f'.." 0- t p /L i?c.,c k w<>.t.ev Vo..l~.e. vJQ.~ ,'...sia fie ~ ,. i , 'KvI / // P " / t I b '-.... -e",<t,' \ RESTORATION REQUiRED...... YES N x. rk yS~ D ^o..d< uv Ct..{lO VQ.\V It . .-' '" :s e../o ,'Jeep , >~ IV"'-"'"' 4'fr~. . ~ R<bI '>'/~ d~ J~';' \4- !Jor~,~ - - - \'2.1'0 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC '2-'_ I~ o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE r t) ~ . II ~>l.1'5j;^) & l",-\~.,..,,-\ ~~;~ ~",,') '?P'\\~ ~' . 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I, ~ <> : ~e7 y APPLICATION FOR WATER City Water Division Port Angeles, Washington ,20 I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: ~(po-f3&S~OIOO /3Lt' S B~ Size of Service Service Left On 0 Installed by Remarks:"-"pen'V11? Otr 748 cf; / q -5 t}!l.. 'i- '* I 2DD~ l<e5 ~ APPLICATION FOR WATER City Water Division Port Angeles, Washington ,20_ I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: 3 (PO-?u>? - 0 / DO /3(; fi;8~ Name of Applicant: (i/el1l11. =TeV'V'tL. 'IV\G . 12-1 ~ 1<0 \ \IY\~ I.kl...to 'bY". Address: Renewal 0 6 Size of Service Service Left On 0 Installed by Remarks: ---;peY'J11IT:J:L{)~ -7"17 '1 )q'5~+~IZOO- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date 3- 2",- 07 Time Received by 7<.\/ (phone. person) Location of Work to be inspected j 2 I?:' ~.11;~ Name of person requesting inspection ~d Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final ~tr- Phone No. Permit No. o~-7lf 7 Sewer Excav. Other Driv~ LV~)" INSPECTION NOTES: Inspected: Date 3 - 2. 6 - 0 '7 Remarks: Time By Kif Of< 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 II-oS - 07 Time Received by (phone, person) Location of Work to be inspected ~ ~ ~ ~ . Name of person requesting inspection __~ Address of person requesting inspection Phone No. <;>04 - / (? 7 7 :~:.:f1;::::::;::d';:::::P;:::::' Plom.,wjYw" ,,,:'''::.:'0 o{r747 INSPECTION NOTES: Inspected: Date / /- Db - 07 Time Remarks: S--e.WQ.r 2..-t~-o7 Pr;vew.:>..v :5-'26-D'7 '"'"' / 1'.. .vOl.C"Sf'~urs t-b ~""yweh 7 By Rv t:v~'\ ~~ RESTORATION REQUiRED...... YES NO X 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 ner:essarvl C'-rnr-r--r r>llnr-nlluTr-Il.I,...,r-IU... Ir"\^"~' PREPARED 5/01/08, 9 09.52 CITY OF PORT ANGELES ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 5 5/01/08 1218 ROLLING HILLS DR GLENN-TERRA GLENN-TERRA, INC. GLENN-TERRA 06-30-01-7-9-0270-0000- 06-00000747 RES NEW SFR 8/18/06 8/18/06 JLL AP SUBDIV PHONE PHONE (253) 853-3535 (360) 565-0100 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 BL2 01 DRW 01 DSD 01 BL9 01 BAIR 01 BL3 01 BLI 01 PW99 01 BL99 01 BL99 02 8/30/06 8/30/06 JLL AP BLDG FOUNDATION FOOTING ROD 908-5510 08/17/2006 04.51 PM DYASUMUR --------------------------- 08/18/2006 04:41 PM DYASUMUR --------------------------- 10/31/2006 08:39 AM AOMAN ------------------------------ BLDG FOUNDATION STEM WALL TIME: 09:00 08/29/2006 02.57 PM DYASUMUR ROD 908-5510 MORNING INSPECTION 08/30/2006 11 06 AM JLIERLY ---------------------------- BLDG DRYWELL TIME: 13:00 GREG 477-1862 09/01/2006 08:00 AM 09/01/2006 02 34 PM BLDG DOWN SPOUT DRAINS 09/01/2006 08 01 AM 09/01/2006 02 34 PM BLDG SHEARWALL 01/10/2007 03:12 PM PBARTHOL JOSH 360-912-0254 01/11/2007 03 18 PM JLIERLY ---------------------------- over bent straps/1st /2nd floor connect1ons (ver1fy)]11 BLDG AIR SEAL 03/01/2007 07.54 AM PBARTHOL --------------------------- 03/01/2007 04:52 PM PBARTHOL --------------------------- BLDG FRAMING 03/01/2007 07.53 AM PBARTHOL --------------------------- SEAN 360-621-9786 03/01/2007 04 52 PM PBARTHOL --------------------------- BLDG INSULATION 04/04/2007 04.47 PM PUBLIC WORKS FINAL November 8, 2007 8 09 13 AM rvess. November 8, 2007 8 09.31 AM rvess. BLDG FINAL Apr11 28, 2008 9.01:30 AM Ipangrle JOSH 808-1077 BLDG FINAL Apr11 28, 2008 3 52 14 PM ]11erly cf 11ghtlng at eX1ts/ sleeve gas 11ne though open1ng of fplJ 11 BLDG FINAL May 1, 2008 8 34 55 AM Ipangrle JOSH 808-1077 BLDG FINAL TIME: 13 :00 DYASUMUR --------------------------- PBARTHOL --------------------------- TIME: 13:00 DYASUMUR --------------------------- PBARTHOL --------------------------- PERMITS ---------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- 9/01/06 JLL 9/01/06 AP 9/01/06 JLL 9/01/06 AP 1/11/07 JLL 1/11/07 DA 3/01/07 PB 3/01/07 AP 3/01/07 PB 3/01/07 AP 4/04/07 JLL 4/04/07 AP 11/05/07 RV 11/05/07 AP 4/28/08 JLL 4/28/08 DA 5/01/08 4f- PREPARED 4/28/08, 13 48,22 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR, JAMES LIERLY PAGE DATE 6 4/28/08 ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL . . APPL NUMBER, 1218 ROLLING HILLS DR GLENN-TERRA GLENN-TERRA, INC GLENN-TERRA 06-30-01-7-9-0270-0000- 06-00000747 RES NEW SFR SUBDIV, PHONE PHONE (253) 853-3535 (360) 565-0100 REQUESTED INSP DESCRIPTION TT''Q____co"'"'T'"___R'~-R"U"T'I'""'"T'---------------_________________________________ Apr11 28, 2008 9,01 58 AM Ipangrle. , JOSH 808-1077 I MECHANICAL FINAL ---------------------------- ------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERM REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 1/31/07 JLL PLUMBING ROUGH-IN 2/01/07 AP 01/30/2007 02 28 PM PERMITS PAUL 460-8896 02/01/2007 10 11 AM JLIERLY ---------------------------- PL6 01 2/07/07 JLL PLUMBING WATER SUPPLY 2/07/07 AP . OVERRIDE TAKEN BY PERMITS DATE. 02/07/07 TIME. 09,41,58 02/07/2007 09,41 AM PERMITS GREG 477-1862 02/07/2007 04,44 PM JLIERLY ---------------------------- PL99 01 4/28/08 ~ PLUMBING FINAL Apr11 28, 2008 9 02,21 AM Ipangrle JOSH 808-1077 PLUMBING FINAL -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/28/08, 13:48:22 CITY OF PORT ANGELES ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL . . : APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 5 4/28/08 1218 ROLLING HILLS DR GLENN-TERRA GLENN-TERRA, INC. GLENN-TERRA 06-30-01-7-9-0270-0000- 06-00000747 RES NEW SFR PHONE PHONE (253) 853-3535 (360) 565-0100 SUBDIV: PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLDG FOUNDATION FOOTING ROD 908-5510 08/17/2006 04:51 PM DYASUMUR --------------------------- 08/18/2006 04:41 PM DYASUMUR --------------------------- 10/31/2006 08:39 AM AOMAN ------------------------------ BLDG FOUNDATION STEM WALL TIME: 09.00 08/29/2006 02:57 PM DYASUMUR ROD 908-5510 MORNING INSPECTION 08/30/2006 11:06 AM JLIERLY ---------------------------- BLDG DRYWELL TIME 13:00 GREG 477-1862 09/01/2006 08:00 AM 09/01/2006 02:34 PM BLDG DOWN SPOUT DRAINS 09/01/2006 08:01 AM 09/01/2006 02:34 PM BLDG SHEARWALL 01/10/2007 03:12 PM PBARTHOL JOSH 360-912-0254 01/11/2007 03:18 PM JLIERLY ---------------------------- over bent straps/1st /2nd floor connect1ons (ver1fY)Jll BLDG AIR SEAL 03/01/2007 07:54 AM PBARTHOL --------------------------- 03/01/2007 04:52 PM PBARTHOL --------------------------- BLDG FRAMING 03/01/2007 07:53 AM PBARTHOL --------------------------- SEAN 360-621-9786 03/01/2007 04:52 PM PBARTHOL --------------------------- BLDG INSULATION 04/04/2007 04:47 PM PUBLIC WORKS FINAL November 8, 2007 8.09 13 AM rvess. November 8, 2007 8 09 31 AM rvess 4/28/08 ~ BLDG FINAL Apnl 28, 2008 9 01:30 AM Ipangrle r (.on.n.f.c r_ A n JOSH 808-1077 :::::>\\';;1r\J D ~ "'-:> =:;~~~~~[f~:~~::~~~~~~:::mnmn----n---------c:ymmm[ I g-tl~ BL1 8/18/06 8/18/06 01 BL2 8/30/06 8/30/06 01 DRW 9/01/06 9/01/06 01 DSD 9/01/06 9/01/06 01 BL9 1/11/07 1/11/07 01 BAIR 01 3/01/07 3/01/07 BL3 3/01/07 3/01/07 01 BLI 4/04/07 4/04/07 11/05/07 11/05/07 01 PW99 01 BL99 01 JLL AP TIME: 13:00 JLL AP JLL AP JLL AP DYASUMUR --------------------------- PBARTHOL --------------------------- TIME: 13.00 DYASUMUR --------------------------- PBARTHOL --------------------------- JLL DA PB AP PB AP JLL AP RV AP PERMITS ---------------------------- ME6 01 1/31/07 JLL MECHANICAL GAS LINE 2/01/07 AP 01/30/2007 04 42 PM PERMITS ---------------------------- 02/01/2007 10 11 AM JLIERLY ---------------------------- ME1 01 3/01/07 PB MECHANICAL ROUGH- IN 3/01/07 AP 03/01/2007 07 54 AM PBARTHOL --------------------------- 03/01/2007 04 52 PM PBARTHOL --------------------------- ME99 01 4/28/08 JLL MECHANICAL FINAL ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- L,I-t-& e ~fL~~C=f (f)) ;-4 c PREPARED 3/01/07, 11 21 35 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 3/01/07 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1218 ROLLING HILLS DR GLENN-TERRA GLENN-TERRA, INC GLENN-TERRA 06-30-01-7-9-0270-0000- 06-00000747 RES NEW SFR PHONE PHONE (253) 853-3535 (360) 565-0100 SUBDIV PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 8/18/06 JLL 8/18/06 AP BL2 01 8/30/06 JLL 8/30/06 AP DRW 01 9/01/06 JLL 9/01/06 AP DSD 01 9/01/06 JLL 9/01/06 AP BL9 01 1/11/07 JLL 1/11/07 DA BUILDING FOUNDATION FOOTING TIME 13 00 ROD 908-5510 08/17/2006 04 51 PM DYASUMUR --------------------------- 08/18/2006 04 41 PM DYASUMUR --------------------------- 10/31/2006 08 39 AM AOMAN ------------------------------ BUILDING FOUNDATION WALL TIME 09 00 08/29/2006 02 57 PM DYASUMUR ROD 908-5510 MORNING INSPECTION 08/30/2006 11 06 AM JLIERLY ---------------------------- BUILDING DRYWELL TIME 13 00 GREG 477-1862 09/01/2006 08 00 AM DYASUMUR --------------------------- 09/01/2006 02 34 PM PBARTHOL --------------------------- BUILDING DOWN SPOUT DRAINS TIME 13 00 09/01/2006 08 01 AM DYASUMUR --------------------------- 09/01/2006 02 34 PM PBARTHOL --------------------------- BUILDING SHEARWALL 01/10/2007 03 12 PM PBARTHOL JOSH 360-912-0254 01/11/2007 03 18 PM JLIERLY ---------------------------- ~/~07 ~__ over bent straps/1st /2nd floor connectlons (verlfY)Jll :::'.::..~..~..lr1l1i~!;!~!:f:".::..::::::::.:::::::.:::::::::::::.:.:::..... PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS JLL MECHANICAL GAS LINE AP 01/30/2007 04 42 PM PERMITS ---------------------------- MEl 01 ~7 J~ ~~~~~~~~Z R;~G~=INAM JLIERLY ---------------------------- ~ 03/01/2007 07 54 AM PBARTHOL --------------------------- ------------- ------------------------ COMMENTS AND NOTES -------------------------------------- ME6 1/31/07 2/01/07 01 '{I ~~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 .., Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . Application valuat~on 06-00000747 Date 205191 1218 ROLLING HILLS DR 06-30-01-7-9-0270-0000- GLENN-TERRA RES NEW SFR 2/01/07 RS9 RESDNTL SINGLE FAMILY 149130 Owner Contractor GLENN-TERRA 136 E. 8TH STREET PORT ANGELES (360) 565-0100 Other struct info GLENN-TERRA, INC 9689 7TH AVE, NE WA 98362 POULSBO (253) 853-3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS # 124 WA 983707531 23.00 2 00 9750.00 2261.00 1 00 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL SVC / 2245 SQ FT SFR 94227 ELECTRIC SERVICE 113 00 Plan Check Fee 2/01/07 Valuation 7/31/07 ~, ~ ~ ".. ~~ \', 00 o Qty 1. 00 2 00 Unit Charge Per 69.0000 ECH 22 0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 44 00 ~~ \ f'- o ~ <: G' Special Notes and Comments Address numbers shall be plainly 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) 07/31/2006 12 12 PM SROBERDS --The proposal will result in the construction of a sfr ~n the RS-9 for total lot coverage of23% No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee of $713 00 required 07/17/2006 02.27 PM GMCLAIN ---------------------------- Ditches & 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards San~tary sewer connection inspection is required by Publ~c Works prior to back fill of d~tch 24 hour advance notice is requ~red Construct driveway to City Standards No conCrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering ~s required prior to \. "- & ~ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL417-473S FOR ELECTRICAL INSPECTIONS PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, . INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INsPECTION TYPE DATE I ACCItP1'ED COMMENTS I I YES I NO I I lJITl,;l1 I IlfllICyH_IN {l,;UV.hK SERVICE I I I ...-TN A I I I I I I I I I I I GENERAL COMMENTS: I I PW-II02.1S (4196) S ~r.."'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION J2\ EAST 5TH STREET. PORT ANGELES. WA 98362 ", Application Number Application p1n number. 06-00000747 205191 Page 2 Date 2/01/07 Special Notes and Comments prour1ng 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 113.00 113 00 00 00 Plan Check Total 00 00, 00 00 Other Fee Total 2074 50 2074 50 ,00 ,00 Grand Total 2187.50 2187 50 00 00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD C~L 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, _ ! INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPEC110N TYPE I I I DATE NO , I I I I I I I I GENERAL COM~ENTS: I COMMENTS PW-II02.1S (4I9CIJ PREPARED 1/31/07, 8 22 04 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 12 1/31/07 ADDRESS TENANT, NER' CONTRACTOR OWNER PARCEL APPL NUMBER' 1218 ROLLING HILLS DR GLENN-TERRA GLENN-TERRA, INC. GLENN-TERRA 06-30-01-7-9-0270-0000- 06-00000747 RES NEW SFR SUBDIV PHONE PHONE (253) 853-3535 (360) 565-0100 PERMIT, ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~;~:'":'/:;/;;"'~'T:~:~:;~;:;i::;:N"N:_'''N'''___:::-___:::::::_:_:::::_:__::::: REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ;;;--;;----;;;;;;;---~---:t~:ij:::~::1:::~ -~--;~;;;---------------------------- ----- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 9/01/06, 8,12,21 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 10 9/01/06 ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL . . , APPL NUMBER, 1218 ROLLING HILLS DR GLENN-TERRA GLENN-TERRA, INC GLENN-TERRA 06-30-01-7-9-0270-0000- 06-00000747 RES NEW SFR SUBDIV PHONE PHONE (253) 853-3535 (360) 565-0100 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 8/18/06 8/18/06 JLL AP TIME 13,00 BUILDING FOUNDATION FOOTING ROD 908-5510 08/17/2006 04 51 PM DYASUMUR --------------------------- 08/18/2006 04 41 PM DYASUMUR --------------------------- BUILDING FOUNDATION WALL TIME 09 00 08/29/2006 02.57 PM DYASUMUR ROD 908-5510 MORNING INSPECTION 08/30/2006 11,06 AM JLIERLY ---------------------------- DRW 01 ~01 06 ~Lh BUILDING DRYWELL TIME, 13 00 /'fill!- GREG 477-1862 DSD 01 9~:/J6 ' JL) ~ ~~i~~i~go~OW~8~~~UTA~RA~~~SUM~M~~-~;-~~------------------- ~~ ~ 09/01/2006 08,01 AM DYASUMUR --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- BL2 01 8/30/06 8/30/06 JLL AP PREPARED 8/30/06, 8 31 56 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . . APPL NUMBER, 1218 ROLLING HILLS DR GLENN-TERRA GLENN-TERRA, INC GLENN-TERRA 06-30-01-7-9-0270-0000- 06-00000747 RES NEW SFR SUBDIV PHONE PHONE (253) 853-3535 (360) 565-0100 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 8/18/06 8/18/06 13 00 01 JLL AP BUILDING FOUNDATION FOOTING ROD 908-5510 08/17/2006 04,51 PM DYASUMUR 08/18/2006 04,41 PM DYASUMUR BUILDING FOUNDATION WALL TIME 08/29/2006 02'57 PM DYASUMUR ROD 908-5510 MORNING INSPECTION 09.00 TIME 8/30/06 f;/~ I!J/ -------------------------------------- COMMENTS AND BL2 01 JLL PAGE DATE 47 8/30/06 NOTES -------------------------------------- PREPARED 8/18/06, 13'02 52 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 8/18/06 ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL . . APPL NUMBER, 1218 ROLLING HILLS DR GLENN-TERRA GLENN-TERRA, INC. GLENN-TERRA 06-30-01-7-9-0270-0000- 06-00000747 RES NEW SFR SUBDIV. PHONE PHONE (253) 853-3535 (360) 565-0100 PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 01 8/18/06 \( . BUILDING FOUNDATION FOOTING ROD 908-5510 08/17/2006 04 51 PM TIME, 13 00 BL1 ~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- DYASUMUR --------------------------- PREPARED 4/04/07, 11 09 59 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 10 4/04/07 1218 ROLLING HILLS DR GLENN-TERRA GLENN-TERRA, INC GLENN-TERRA 06-30-01-7-9-0270-0000- 06-00000747 RES NEW SFR PHONE PHONE (253) 853-3535 (360) 565-0100 SUBDIV PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 4/04/07 ~ -----------~ -------'---1\----------- BL1 01 8/18/06 JLL 8/18/06 AP BL2 01 8/30/06 JLL 8/30/06 AP DRW 01 9/01/06 JLL 9/01/06 AP DSD 01 9/01/06 JLL 9/01/06 AP BL9 01 1/11/07 JLL 1/11/07 DA BAIR 01 3/01/07 PB 3/01/07 AP BL3 01 3/01/07 PB 3/01/07 AP BLI 01 BUILDING FOUNDATION FOOTING ROD 908-5510 08/17/2006 04 51 PM DYASUMUR --------------------------- 08/18/2006 04 41 PM DYASUMUR --------------------------- 10/31/2006 08 39 AM AOMAN ------------------------------ BUILDING FOUNDATION WALL TIME 09.00 08/29/2006 02 57 PM DYASUMUR ROD 908-5510 MORNING INSPECTION 08/30/2006 11 06 AM JLIERLY ---------------------------- BUILDING DRYWELL TIME. 13 00 GREG 477-1862 09/01/2006 08 00 AM DYASUMUR --------------------------- 09/01/2006 02 34 PM PBARTHOL --------------------------- BUILDING DOWN SPOUT DRAINS TIME 13 00 09/01/2006 08 01 AM DYASUMUR --------------------------- 09/01/2006 02 34 PM PBARTHOL --------------------------- BUILDING SHEARWALL 01/10/2007 03 12 PM PBARTHOL JOSH 360-912-0254 01/11/2007 03 18 PM JLIERLY ---------------------------- over bent straps/1st /2nd floor connectlons (verlfY)J11 BUILDING AIR SEAL 03/01/2007 07:54 AM PBARTHOL --------------------------- 03/01/2007 04:52 PM PBARTHOL --------------------------- BUILDING FRAMING 03/01/2007 07.53 AM PBARTHOL --------------------------- SEAN 360-621-9786 03/01/2007 04 52 PM PBARTHOL --------------------------- BUILDING INSULATION TIME 13 00 COMMENTS AND NOTES -------------------------------------- -~ 'S ~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DMSION 321-EAST 5TH 'STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type descr~pt~on Subdiv~s~on Name Property Use Property Zoning . . . Application valuation 06-00000747 Date 205191 1218 ROLLING HILLS DR 06-30-01-7-9-D270-0000- GLENN-TERRA RES NEW SFR 8/01/06 RS9 RESDNTL SINGLE FAMILY 149130 Owner Contractor GLENN-TERRA 136 E. 8TH STREET PORT ANGELES (360) 565-0100 Other struct ~nfo GLENN-TERRA, INC. 9689 7TH AVE, NE # WA 98362 POULSBO (253) 853 -3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 124 WA 983707531 23.00 2.00 9750.00 2261. 00 1. 00 Permit PUBLIC WORKS RES WATER SERV Add~t~onal desc 3/4" DROP IN METER Perm~t p~n number 83188 Perm~t Fee 195.00 Plan Check Fee Issue Date 8/01/06 Valuation Expiration Date 1/28/07 .00 149130 Qty Unit Charge Per BASE FEE Extension 195.00 Perm~t Add~tional desc . Permit pin number Perm~ t Fee Issue Date Expiration Date RIGHT OF WAY 83170 50.00 8/01/06 1/28/07 Plan Check Fee Valuat~on .00 149130 Qty Un~t Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extens~on 50.00 Perm~t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 83162 110.00 8/01/06 1/28/07 Plan Check Fee Valuat~on .00 149130 Qty Unit Charge Per 1 00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Spec~al Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a min~mum of s~x ~nches h~gh and be of contrast~ng color from the background. All homes ~n new subdivisions that are outs~de of the F~re Department four-m~nute response area shall be equ~pped w~th Separate Permits are required for electrical wor1<, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if wor1< 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 wor1< 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 ofwor1< will be complied with whether specified herein1>r 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 cons i Signature of 'Owner (if owner is builder) Date T:\Pohcies\J J02.J3R [I/OS] I I I I CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE O~ CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. I i PERMIT INSPECTION RECORD .. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I~SPECTION TYPE DATE ACCEPTED COMMENTS I I YES 1 NO I PW UTILITIES I (Engineering DiviSIon) WATERLINE / tlmTER I SEWER CONNJjCTION SANITARY ! I STORM I SITE DRAINAGE I SITE EROSION[CONTROL PARKING [ SIDEWALK I CURB & GtJTri;:R I i DRIVEWAY AfPROACH 1 BACK-FLOW DEVICE J I I [ I I I I I ! I I I I I i [ I I I I I I , I I [ I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE I RESIDENTIAL DATE YES NO COMMERCIAL DATE . ACCEPTED I YES NO I CONSTRUCTION - R.W. CONSTRUCTION R. W./ PW/ ENGINEERING 417-4807 PW / ENGINEERING I FIRE I 417-4653 FIRE DEPT. I I 417-4750 PLANNING DEPT. PLANNING DEPT. I BUILDING I 417-4815 BUILDING I T:\POJicies\1102!ISR [lIOSJ I CITY,.()F PORT Al'lGELES PUBLIC WORKS - UTILI'FffiS DNISION 321 EAST5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000747 Application pin number 205191 Page Date 2 8/01/06 Spec~al Notes and Comments res~dent~al f~re sprinkler systems that comply w~th the International Fire Code (IFC) and National Fire Protect~on Association (NFPA). 07/31/2006 12:12 PM SROBERDS ~-The proposal w~ll result in the construct~on of a sfr in the RS-9 for total lot coverage of23%. No land use ~ssues ant~cipated. Electr~cal load calculations and elctrical permits are required. Connect~on fee of $713.00 required. 07/17/2006 02'27 PM GMCLAIN ---------------------------- D~tches & 12" culverts will be ~nstalled to C~ty Stanards. See Public Works Engineer~ng for Standards. Sanitary sewer connection ~nspect~on ~s requ~red by Publ~c Works pr~or to back f~ll of d~tch. 24 hour advance notice is required. Construct dr~veway to C~ty Standards. No concrete w~th exposed aggregate allowed ~n the City road right of way. An inspection by Publ~c Works Eng~neering is 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 ----------------- ---------- ---------- ---------- ---------- Perm~t 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 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\J 102.ISR (1105) PERMIT INSPECTION RECORD ., CALL 417-48p7 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 I NO PW UTILITIES I (Engineering Division) WATERLINE / METER I SEWER CONN1(CTlON SANITARY I STORM I SITE DRAINAGE I SITE EROSION FONTROL PARKING I SIDEWALK I CURB & GUTTER I DRIVEWAY AIJPROACH BACK-FLOW DEVICE I I I I I I I I I I I I I I I 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. CONSTRUCTION R. W./ PW/ ENGINEERING \ 417-4807 PW / ENGINEERING FIRE I 417-4653 FIRE DEPT. I 417-4750 PLANNING DEPT. PLANNING DEPfT. BUILDING I 417-4815 BUILDING I T ""1;",,11102. "j ( '''''] 4.0f~RT~ t~~ r.a L -=.:or ~ 'l.,it,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Appllcation pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type descrlptlon Subdlvlsion Name Property Use Property Zonlng . . Applicatlon valuatlon Owner GLENN-TERRA 136 E. 8TH STREET PORT ANGELES (360) 565-0100 Other struct lnfo Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiratlon Date 8/01/06 06-00000747 Date 205191 1218 ROLLING HILLS DR 06-30-01-7-9-0270-0000- GLENN-TERRA RES NEW SFR RS9 RESDNTL SINGLE FAMILY 149130 Contractor GLENN-TERRA, INC. 9689 7TH AVE, NE # WA 98362 POULSBO (253) 853 -3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 124 WA 983707531 23.00 2.00 9750.00 2261.00 1. 00 BUILDING PERMIT -RESIDENTIAL 82313 1300.25 8/01/06 1/28/07 Plan Check Fee Valuatlon 520.10 149130 Qty Unlt Charge Per Extension 1020.25 280.00 BASE FEE 50.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permlt ELECTRICAL NEW RESIDENTIAL Addltlonal desc Permit pln number 83865 Permlt Fee 36.40 Plan Check Fee Issue Date 8/01/06 Valuatlon Expiration Date 1/28/07 .00 o Qty Unit Charge Per 1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Explration Date Extension 36.40 MECHANICAL PERMIT ~ /? 0$\ 7'L ,y ~ "\.. ~ 83840 129.50 Plan Check Fee 8/01/06 Va1uatlon 1/28/07 .00 o Qty Unlt 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-VENT SYSTEM OTHER 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Permlt Extenslon 50.00 14.70 43.50 10.65 10.65 PLUMBING PERMIT 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, jf 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 -inspectton;-+hereby-certify-that I-have read-and-8xamined-this application and-know.the-same to be true_and correct. AIL 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 const ti ~ Signature of Owner (if owner is builder) Date T \Pohcles\1102_15 bUlldmg penmt 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING -"- JOISTS __ _..RS -, SHEA~ 1l%L#.OLD DO,iNS -...... WALLS 7 R00F ~CEILING l., DRYWALL (INTERIOR BRACED P~EL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP / FURNACE 1 DUCTS GAS LINE WOOD STOVE:I PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAU HOOD / 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 - IJIGHT 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 BUILDING T \Pohcles\1102_15 bUlldmg permIt mspectlOn record05 wpd [1/4/2005] ~~ORT "'-\0: ,,~O~~ i)n.~ "--~ ---- ~.c~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 " Applicatlon Number Appllcatlon pin number Additional desc . Permlt pin number Permit Fee Issue Date Explration Date 06-00000747 205191 Page Date 2 8/01/06 83857 177.00 8/01/06 1/28/07 Plan Check Fee Valuatlon .00 o Qty Unit 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 .E:lit~~lQn . . . 50.00 98.00 7.00 15.00 7.00 Speclal Notes and Comments Address numbers shall be plainly vlslble from the street. Address numbers shall be a mlnlmUffi of six lnches hlgh and be of contrastlng color from the background. All homes in new subdlvlslons that are outslde of the Fire Department four-minute response area shall be equlpped wlth residential fire sprlnkler systems that comply with the Internatlonal Flre Code (IFC) and Natlonal Fire Protection Association (NFPA). 07/31/2006 12:12 PM SROBERDS --The proposal wlll result in the construction of a sfr in the RS-9 for total lot coverage of23%. No land use issues antlcipated. Electrical load calculatlons and elctrical permlts are requlred. Connectlon fee of $713.00 requlred. 07/17/2006 02:27 PM GMCLAIN ---------------------------- Dltches & 12" culverts wlll be installed to Clty Stanards. See Publlc Works Engineerlng for Standards. Sanitary sewer connection inspection lS requlred by Public Works prlor to back fill of ditch. 24 hour advance notice lS requlred. Construct driveway to City Standards. No concrete wlth exposed aggregate allowed in the City road rlght of way. An inspection by Public Works Engineering lS required prior to prourlng concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 i~ Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total l643.l5 l643.15 .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 ,. .' . I . 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. '-hereby-certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. , . Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T \Pohcles\ II 02_15 bUIldmg penml mspecllon record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD . . CALL 4 I 7-48 I 5 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 I 7 -4807 FOR PUBLIC WORKS UTILITIES 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 I NO FOUNDATION: RrlclU~tI f-f-()fJ .J I-~ FOOTINGS g It ~ ItPG Ju.. ,/ U1~ ~ I'tI~ 1-I-t:>b J LL SHEAR WALLS I WALLS .- ~ FOUNDATION DRAINAGE I DOWN SPOUTS I'CI ~/ t:th \711/ PIERS .I I ~ POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR I SLAB I ROUGH-IN J I.~'l / lJ .., "I j..t,.... WATER LINE (METER TO BLDG) I I GAS LINE ~-,2-g~()g DATE'Tu.....- ACCEPTED BY' BACK FLOW I WATER AIR SEAL .- WALLS 12, /~ / /)7 JL.L CEILING I . t I FRAMING JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS I ROOF I CEILING ~ /~ / n 7 .J J-,(.. DRYWALL (INTERJOR BRACED PANEL ONLY) . I T-BAR INSULATION oLf 10'1/0f- ::fL\...-- SLAB WALL 1 FLOOR 1 CEILING I I I MECHANICAL .- HEAT PUMP 1 FURNACE I DUCTS *'Z.lh 107 j )-L.. GAS LINE O,,'lo/ .1 j..L FINAL t,f- 2!6-D ~ WOOD STOVE I PELLET 1 CHIMNEY , . 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/LIGHTlNG ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W 1 PWI CONSTRUCTION - R W ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 Ot;-OJ-()~ PLANNING DEPT BUILDING 417-4815 ~~0'6 -:fL.\., BUILDING ~ ~ "\1 ~ ~~ ~C\ S,1~ ~~ ~~ :'1 ....... ~ ~ ~ T IPohc.esl1102_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005] ~ ~". .. BUILDING PERMIT - APPLICATION FOR OFFIC~ UA ONLY Date Rec 7. '{2; OL Pe11111t#t>b.. 74-7 Date Apploved ~ Date Iss u ed Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. !fyou have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ?~O- ~ C ~ ApplIcant or Agent: A AJ PI?' E:fIJ M. I € R..R.:r..s Phone: 3 (00 -.rtD..>- 0 IOD Owner /l"'LE.AJAJ - T!;;:R.RA T A/C- Phone: JUJ()-.r~.r- 0/00 l; ) Address: 13(0 E.. ~ s:T. # 2,"..1 CIiy PD/2-T AAJ('.,e /..,f=:.~ ZIp. q J'.,s (Q 2- , Arclntect/Engmeer: (1_ A S cAD ~ P< AAJ S € R,'f'I:.c..G: Phone: '2..S J- "2. S?Lf- .l If 0 G f.. fAJN "'.J: .s (DC- Contractor bLE:.AJAJ- 7;;.n.Il..,A,z;.ur:State LIcense #. Cf J>(o AlA Exp. 3/I/O(P Phone' ~ 'L/- tflf J] Address 1.l(oE. 8-t~r. :f:t 2. Z.3 CIty: POR..' AAJ(;"E.LE,.S ZIp: 9 ~...?(o"2- PROJECT ADDRESS: 1'-' ~ f2. Ot...I....I'AJ{.., f/2:LL..$. DR.. ZONING: LEGAL Imsc:R..1PTioN: Lot: - '2. 7 Block: SubdlVlslOn: !2..oLL:rAl{; /-J::r LL..S CLALLAM COUNTY PARCEL NUMBER: () (0 300 I 7 q 0 2.. 70 Credit Card Bolder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: ~esIdenhal ~ew Constr 0 Re-roof o Mulh-famliy 0 Addihon 0 Move o Commercial 0 Remodel 0 Demohtion o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: City: MC #- Exp. Date: SIZE/V ALUATION: o Stove lIP 'frSF @$.2bQi/SF = $ 1'10 :s ~lO, 0.\ k'Darage ~SF @$~/SF.=$ 'R J.rr~loo ~PDnGN II;; SF.@$ (2.o0/SF.=$ 14z!.00 o Other TOTAL VALUATION $ / "I q Il O. O~ /l) I!iIAJ (' ~ J ~ T Jlu..C.:r-:r:-~ A I .s F 12- . ) , COMMERClALIRESIDENTIAL: Occupancy Group. R-:S No of Stones: 2 Lot-SlZe:J10~1r EXlShnEjSq.Ft Total lot coverage 2. 3 % ." "I f# " Occupant Load: ConstructIon Type.~ & Proposed Sq. Ft Z t" I = TOTAL Sq. Ft. 'Z. '-" I ,r"ls- +- "100+-111 APPRO V ALS: PLAN: BLDG: DP"WU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s) 0 Yes 0 No SEPA Checkhst requrred? 0 Yes 0 No Other. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. Tills figure wIll be revIewed and may be revIsed by the BuildIng DlVlslOn to comply WIth current fee schedules Contact the PeIIDlt Coordmator at 417-4815 for assistance. PLAN CHECK FEE- IF a plan check fee IS due It must he subrmtted at the tIme the buildmg peIIDlt apphcatIOn and construchon plans are subrmtted All other peIIDlt fees are due at the tm1e of permIt issuance. EXPIRATION OF PLAN REVIEW: Ifno permIt IS Issued WIthm 180 days of the date of apphcatIon, the application will expire. The Buildmg OffiCIal can extend the trrne for achon by the apphcantup to 180 days upon written request by the applicant (see SectIOn R105.3.2 of the InternatlOnal Buildmg/ResIdent13l Code, 2003). No applIcation can be extended more than once. T \Pohcles\BL-l102_13 wpd I') - /' . , I 1{1 ---~- I I Lo-r """, . ~~t - & . ~ - ~ 'lJ.,t Z~'f ~le.. d) ~ - \~::,'*" ~ o~ 1t~~ 1t7' i~\'\ .. r. 20.~ -.Dcr-r~ ~ ~f7 ~ -K? I ~. 2a " f 1"0' J'~ . · 'Z\~ foLL\l--\~ ~1L? ~ I It=- 20 I \ \ '--- .... r~ , . 'a ~- -- {--- ~ r \ :-: 2006IMAY/03/WED 03:20 PM CITY OF PA BLDG DEPT FAX No. 360 417 4711 P. 001/001 /', . '~.'"'''-'''''''''''''''''''~''''''''''''-'''''''-"--'''''''''-''~''''''-'-''''''''"'''''-'"'''''''_'''o'IooIl_'___J''''''''''''' -, I' , I' 1 . 1~1~ ~.. 1'1'" 2;', r I .. _ __..__... .. ___ \ I~-' . I 1- 11\ 1'1"- I~ ~ .2\5': ~ o Q. l'l~ Ibl ;;1. ~~~ I, l~ .I8'I~tJ I~ ~ ,.:-= f" c ;,. .... .., &l t ~ .. l;: :t / I I i I , .' -; .J I ! -PR-GGf9lJR-E.$: S(;/RJ/H.gR~-R~F-ICA:t:ii,. THIS RECORD OF SURVEY /S BASED ON A GROUND SURVf:Y I, 8RADt..tY R. l YMANGROVER. RJ:(;tSTERED AS A LAND UTlUZIN(; CONVENTIONAL TRAVERSE: Mc1HODS. ' SURVEYOR BY THE STA7E" OF WASHINGTON. C[RTlfY'THAT THIS LANO SUBDIVISION IS 8A$~{) ON AN ACTUAL SURVEY ,OF THIS SURVEY MEETS OR EXCCEDS 77-IE STANDARDS THE LAND DESCRIBED HCRf:tN CONDUCrro BY ME. OR UNDER CONTAINED IN WAC .J32-1JO-OgO. MY SUPERVISION;. AND '()F:CLARE THAT THE D/STANCES. . COURSES AND ANGLES ARE SHOWN HEREON CORRECTLY; AND EQUIPMENT: ' THA T MONUM(NTS OTHER. THAN, THOSE MONUMENTS -foPco/l/@ MODEn1S6lj5-5"'-TtJ/AC~TA 110N;"'-- --......- -l'.;PPRD'tED-roR-s!T1ING"7Ii'"7\-tA'ff/HJf\TE:;-H1\-Vf.:-BEEN-sET- --- . ','., A.T. t:Qr:COBtYERS STA~fD. 'QN .THE .4.RQU"ND. ~ DEPICJE/) ON .DATfi;-...oF SURVEY:. mt PLAT. ~.;; IIlf ~ -~- r ' '/ . '" . "'. Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only Lot. 2.. 7 Address' .t2J8 R.OLI 'r:AJ(t. I-J~LL$ DR.. City PORT A AJ(~ELe.~ State. -W.A- ZIP? t .:s to '-.. Contact .A NDR..f:1Al ,ALL Tf:Ja1l.r:..,S Phone 3 (QO-_S-~S-- OlbO Phone 2: ..:r l:;;D - Co 2./- q 'i J ~ Fax' J CtlO - SloS""- 0/01 Permit #. Notes: - -. _ i~ 1- , t ~ _, / l \ ,'~' ,~ ,"-x' ." v-' -,' -' l'" ~=> - - ':',- , n UnIte azmg Jl tlOn ny Glazmg Glazmg U-Factor Door9 Wall Wall Wall Slab4 Option Area 10 U- Ceiling2 Vaulted Above Int4 Ext4 Floors On % of Floor Vertical Overhead II factor Ceiling3 Grade Below Below Grade Grade Grade ill UnlImIted 8J e @ 8 Group R-3 0.40 0.58 0.20 R-21 R-IO R-IO Occupancy Onlv Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Ur'dGl' 0' 01) See the code text for footnote references roject complies with the following: The project IS a Single family resldence..er efl:ll'3l~ The project IS wood frame OR all of the insulation is intenor or extenor of the framing. All bUilding components meet the reqUirements listed In Table 6-1, Option III 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 6026 Exception 1 One door, that IS 24 ft 2 or less, that does not meet the standards IS allowed Location of the door taking thiS exception o 6026 Exception 2 Doors With a U-factor of 0 40 allowed Without calculations, Option III only, Ty'ps- Location of the door(s) taking thiS exception l-h~'A -\- SOVi2-c..E' DF ( (e>R-ckD A:r. R... ~_LE:..c..TI? Ie Pn.. of> AAJ G. F:r=. ft...E P LA c.. E. Copynght 2002, WSUCEEP02-056 Copied by permisSion from the Washington State University Extension Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 . B5/3B/2BB5 14:47 2532843183 CAS RES NWAF TDM " PAGE B7 " " ~ , $ CASCADE RESIDENTIAL DESIGN INC~ 102 S 26th Street Tacoma, WA 98402 253.284.3170 Fax 253.284.3183 May 30,2006 Attn: Port Angeles Building Department Building Location: Lot 27 1218 Rolling Hills Dr. 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, CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East Slh Street, Port Angeles, W A 98362 Applicatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appllcatlon type description Subdivision Name Property Use Property Zoning . . . Appllcatlon valuatlon 06-00001274 Date 12/04/06 854382 1218 ROLLING HILLS DR 06-30-01-7-9-0270-0000- GLENN TERRA' FIRE SPRINKLER SYSTEM " ~ , RS9 RESDNTL SINGLE FAMILY 2772 - Owner Contractor ~ ~ ROLLING HILL HOMES LLC 1312 MAIN ST VANCOUVER WA 98660 (360) 582-1899 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 Permit . . . . . Additional desc . Permlt pln number Permit Fee Issue Date EXplratlon Date FIRE SPRINKLER RESID 91272 .00 12/04/06 6/02/07 Plan Check Fee Valuatlon .00 o Special Notes and Comments Call for cover lnspection for all sprlnkler lnstallatlons. A full acceptance test wlll be required for all systems. 11/30/2006 10:03 AM KDUBUC ----------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 ~ ~,5' "- 0....> ~ '5 9~ ~ 1J N ~ ~ ~ ~ r- E " ~ ..- ----- -- o 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 examine:! 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 rovisions of any state or local law regulating the work specified in the permit. v Signature of Owner (if Owner is builder) Date '-- FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate or conceal by work before inspected and accepted Post permit in a conspicuous location I . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I Inspection Type Date Passed Comments I FIRE SPRINKLER I UndergroJnd piping hydrostatically tested I UndergroJnd piping flushed I Interior piPing hydrostatically tested Interior piPing inspection Dry systerlt air tested at 40 psi (24 hours) I I Sprinkler ~nal C)g-2.9~07 Kb) FIRE ALARM I I Rough-in inspection I I Alarm final I LP-GAS I Completed by Contractor: UndergroJnd piping inspection/pressure test Test #1 I Above grdund piping inspection/pressure test Piping pressure test psi I Time initiated Tank (container) inspection Test #2 I Appliance! inspection Piping pressure test psi I Time initiated LP-gas final I I UNDERGROUND STORAGE TANK (UST) ABANDONMENT I Rem;val 6fflammable/combustible liquids I Tank app~opriately abandoned I UST abandonment final I PERMITIOTHER (specify) permit fin~1 I I I I GENERAJ COMMENTS: I I 2/15/00 BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caU PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent ,\ \Ac. JL Phone' 'Is 2 --7-5"83 Owner: G J R. ~ V\ 'T 1<. V' v-c. I ""'- C. Phone' Address' l~~ ~. B-i-'-t #2.2::$ City: PcJrf-lJ~ .e.l1LJ> W/f-ZIp: 9 ~3b G ArchitectlEngmeer Phone Contractor I}./ NO i/ /t-r ~ J} F / ~ ~State License #' / NN(J{) FS CJY "Jo'txp. 8.)10/09 Phone: t.( [) .2- - 7 S-B3 Address' 81 N~vJ' /)0\. u et.-t L...., CIty: Pc, /" f I) vt..<s. e' t2J Zip: ''l33b ~ PROJECT ADDRESS 12/8 Rali'~\A...!j F-} ,lis 1)y-;1IJL.t ZONING: 2. 7 Block: LEGAL DESCRlPTION. Lot CLALLAM COUNTY PARCEL NUMBER: Subdivision: TYPE OF WORK: 1'- ResIdential D New Constr. D Re-roof D Stove D Multi-family D AddItIOn D MoveD Garage D CommerCIal D Remodel D DemolitIOn D Deck o RepaIT 0 SIgn 0 Other ) BRIEF DESCRIPTION OF THE PROJECT: 'I &.-t...9 ~ II SIZEIV ALUATION: SF @ $ /SF. = $ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $ ~~~~:~ f:. .fr..JL Sp 11' j' ....,.-/<lt2r- ___ _ _ 'I COMMERCIAL/RESIDEl'i"TIAL: Occupancy Group: Occupant Load. & Proposed Sq Ft ConstructIOn Type: = TOTAL Sq Ft. No. of Stones: Lot Size: Total lot coverage Existing Sq. Ft. % PLANNING USE ONLY: ESA/Wetland(s): DYes D No SEPA ChecklIst reqUITed? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ VALUATION OF CONSTRUCTION In aU cases, a valuation amount must be entered by the applicant. ThIs figure will be revIewed and may be revised by the Building DivisIOD 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 subrmtted at the time the building peIllllt application and construction plans are subillltted. All other perrmt fees are due at the tIme of permit issuance. EXPIRATION OF PLAN REVIEW: Hno permit is issued WIthin 180 days of the date of application, the application will expire. The Buildmg Official can extend the trme for actioD by the applIcant up to 180 days upon written request by the applIcant (see Section R105.3.2 of the lnternational BUlldmg/Residential Code, 2003). No application can be extended more than once I hereby certify that I have read and exammed thIS application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits pri~r to wOfk .. T:\FORMS\BldgPermitform.wpd Applicant: \J~ [j ~ Date: 11/ 2..B /0 G y.t\ F.D 'b ~ - 5 r PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private Residence Address: 1218 Rolling Hills Drive -.. Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13RO 13D[:g] Date: 11.30.2006 P AFD Permit #: 06-59 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: , , All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. Contractor Reviewed by: -1Q (}.OO Date: \ t. 30. Of-l o ~ o Building Department Fire Department g ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 983()2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdiv~sion Name Property Use Property Zoning Application valuation 06-00001163 Date 10/24/06 068272 1218 ROLLING HILLS DR 06-30-01-7-9-0270-0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY o Owner Contractor ROLLING HILL HOMES LLC 1312 MAIN ST VANCOUVER WA 98660 (360) 582-1899 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Perm~t Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date . ELECTRICAL TEMPORARY SERVICE EL. SVC./ 60 A TEMP 89433 ELECTRIC SERVICE 42 20 Plan Check Fee 10/24/06 Valuation 4/22/07 00 o ~ .......... ~ Qty Unit Charge Per 1.00 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42 20 ~ ~ t z U"\. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 20 42 20 .00 .00 Plan Check Total .00 .00 .00 00 Grand Total 42 20 42 20 .00 00 ~ C D (\ II.- t _J! COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEcTION TYPE DATE ACCEPTED COMMENTS I 1 YES NO i IJITCH I ROT TnH_IN 'Il.:UV.t.K :o.""_K VII :1-<_ I I I 1/.0 - /J3.pt.., k/JI I I I I I I GENERAL COMMENTS: I PW-Il02..' (4'961