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Home My WebLink About924 Seamount Dr - BuildingPREPARED 8/06/07 10 00 24 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 924 SEAMOUNT DR TENANT NBR ARLAND ELSTROM CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL1 01 ARLAND ELSTROM JR 06 30 00 9 5 0215 0000 06 00000798 RES NEW SFR BPR 00 BUILDING PERMIT REQUESTED INSP COMPLETED RESULT 9/06/06 JLL 9/06/06 AP BL2 01 9/11/06 JLL 9/11/06 AP BAIR 01 11/14/06 JLL 11/14/06 AP BL3 01 11/14/06 JLL 11/14/06 AP BLI 01 11/16/06 JLL 11/16/06 AP DRW 01 BL99 01 8/06/07 4/23/07 JLL 4/23/07 AP PW99 01 8/06/07 RV 8/06/07 AP PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 11/14/06 JLL 11/14/06 AP ME99 01 8/06/07 PERMIT TYP /SQ PL2 01 PL 00 PLUMBING PERMIT REQUESTED INSP COMPLETED RESULT 11/14/06 JLL L RESIDENTIAL DESCRIPTION RESULTS /COMMENTS SUBDIV PHONE PHONE BLDG FOUNDATION FOOTING ARLAND 457 0382 09/05/2006 08 47 AM DYASUMUR 09/06/2006 04 29 PM JLIERLY BLDG FOUNDATION STEM WALL TIME ARLAND 457 0382 09/11/2006 08 10 AM 09/11/2006 04 35 PM BLDG AIR SEAL TIME ARLAND 457 0382 11/13/2006 11 05 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BLDG FRAMING TIME 13 00 11/13/2006 11 06 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BLDG INSULATION arlan 4570382 11/15/2006 10 39 11/15/2006 12 09 11/16/2006 03 36 BLDG DRYWELL 04/20/2007 09 05 ARLAND 457 0382 04/23/2007 04 54 BLDG FINAL 08/06/2007 09 16 ARLAND 457 0382 BLDG FINAL PUBLIC WORKS FINAL MECHANICAL OVERRIDE 11/13/2006 11/14/2006 MECHANICAL OVERRIDE 08/06/2007 ARLAND 457 MECHANICAL DESCRIPTION RESULTS /COMMENTS TIME AM DYASUMUR PM DYASUMUR PM JLIERLY AM PM AM TIME 13 00 DYASUMUR JLIERLY 13 00 13 00 PERMITS JLIERLY LPANGRLE PLUMBING ROUGH IN TIME 13 00 CONTINUED ONTO NEXT PAGE 13 00 PAGE 1 DATE 8/06/07 ROUGH IN TIME 13 00 TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 06 38 11 06 AM DYASUMUR 04 14 PM JLIERLY FINAL TAKEN BY LPANGRLE DATE 08/06/07 TIME 09 16 51 09 16 AM LPANGRLE 0382 FINAL PREPARED 8/06/07 10 00 24 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/06/07 ADDRESS 924 SEAMOUNT DR SUBDIV TENANT NBR ARLAND ELSTROM CONTRACTOR PHONE OWNER ARLAND ELSTROM JR PHONE PARCEL 06 30 00 9 5 0215 0000 APPL NUMBER 06 00000798 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 11/14/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 07 03 11/13/2006 11 07 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY PL6 01 1/30/07 PB PLUMBING WATER SUPPLY 1/30/07 AP OVERRIDE TAKEN BY PERMITS DATE 01/29/07 TIME 14 30 52 01/29/2007 02 30 PM PERMITS ARLAND 847 347 2690 01/30/2007 04 55 PM PBARTHOL PL99 01 8/06/07 JAL PLUMBING FINAL OVERRIDE TAKEN BY LPANGRLE DATE 08/06/07 TIME 09 17 18 08/06/2007 09 17 AM LPANGRLE ARLAND 457 0382 PLUMBING FINAL COMMENTS AND NOTES N �POFT,k,O tT T ��N 1_ Application Number 06 00000798 Application pin number 432596 Property Address 924 SEAMOUNT DR ASSESSOR PARCEL NUMBER 06 30 00 9 5 0215 0000 Tenant nbr name ARLAND ELSTROM Application type description RES NEW SFR Subdivision Name Property Use Property Zoning Application valuation RS9 RESDNTL SINGLE FAMILY 134540 Owner Contractor ARLAND ELSTROM JR 14732 EMERY LANE WOODSTOCK IL WOODSTOCK Other struct info T•\Policies \1102.15R [1/05] IL 60098 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Date 8/06/07 18 00 2 00 10658 00 1922 00 1 00 Permit STREET ALLEY RESTORATION Additional desc STREET RESTORATION Permit pin number 108282 Permit Fee 400 00 Plan Check Fee 00 Issue Date 8/06/07 Valuation 134540 Expiration Date 2/02/08 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 0 rs e2.1 _co Qty Unit Charge Per Extension BASE FEE 400 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background A residential fire sprinkler system installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 07/25/2006 04 28 PM SROBERDS The proposal will result in a new sfr in the RS 7 for total lot coverage of 18% No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee of $713 00 required 07/26/2006 04 14 PM GMCLAIN Eelctrical service will be from the electrical pedestal on the northerly property line 07/26/2006 04 15 PM GMCLAIN Sidewalk to City standards required for school walking route along 10th Street ADA ramp to be installed at intersection of 10th Seamount Drive Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes 7. 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. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Application Number Application pin number Special Notes and Comments notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary T•\Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000798 432596 RES UNDERGRND SERVICE FEE 713 00 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Page 2 Date 8/06/07 Permit Fee Total 400 00 400 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2787 50 2787 50 00 00 Grand Total 3187 50 3187 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 fora 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 CALL 417 -4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102.15R [1/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I 1 CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING PREPARED 4/23/07 12 23 31 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/23/07 ADDRESS 924 SEAMOUNT DR SUBDIV TENANT NBR ARLAND ELSTROM CONTRACTOR PHONE OWNER ARLAND ELSTROM JR PHONE PARCEL 06 30 00 9 5 0215 0000 APPL NUMBER 06 00000798 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 9/06/06 AP ARLAND 457 0382 09/05/2006 08 47 AM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL2 01 9/11/06 JLL BUILDING FOUNDATION WALL TIME 13 00 9/11/06 AP ARLAND 457 0382 09/11/2006 08 10 AM DYASUMUR 09/11/2006 04 35 PM JLIERLY BAIR 01 11/14/06 JLL BUILDING AIR SEAL TIME 13 00 11/14/06 AP ARLAND 457 0382 11/13/2006 11 05 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BL3 01 11/14/06 JLL BUILDING FRAMING TIME 13 00 11/14/06 AP 11/13/2006 11 06 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BLI 01 11/16/06 JLL BUILDING INSULATION TIME 13 00 11/16/06 AP arlan 4570382 11/15/2006 10 39 AM DYASUMUR 11/15/2006 12 09 PM DYASUMUR 11/16/2006 03 36 PM JLIERLY DRW 01 4/2)/07 I LL/ BUILDING DRYWELL 04/20/2007 09 05 AM PERMITS II" ARLAND 457 0382 COMMENTS AND NOTES ■A Lk ,05?• FH-002 'Good Neighbors Since 1946' r1/ is 1 f .2 --;4 INVOICE NO 1 T i IL 19"!' F-;=!' 1I‘ te., P if 1.• 1. E nt...1cTC P0 BOX 6 POULSBO WASHINGTON 98370 1 -800-422-5010 .7v 4 5 1 :it VII a2:11 E:"L 7:5 C ir Ced L.. EN Se_avy) o unt t>rwet1 tr,se DATE 11' '7 c Th k 3 PREPARED 1/30/07 9 22 31 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/30/07 ADDRESS 924 SEAMOUNT DR SUBDIV TENANT NBA ARLAND ELSTROM CONTRACTOR PHONE OWNER ARLAND ELSTROM JR PHONE PARCEL 06 30 00 9 5 0215 0000 APPL NUMBER 06 00000798 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 11/14/06 JLL PLUMBING ROUGH IN TIME 13 00 11/14/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 07 03 11/13/2006 11 07 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY PL6 01 1/30/07 JLL PLUMBING WATER SUPPLY OVERRIDE TAKEN BY PERMITS DATE 01/29/07 TIME 14 30 52 t 542 01/29/2007 02 30 PM PERMITS ARLAND 847 347 2690 COMMENTS AND NOTES PREPARED 11/16/06 12 01 20 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/16/06 ADDRESS 924 SEAMOUNT DR SUBDIV TENANT NBR ARLAND ELSTROM CONTRACTOR PHONE OWNER ARLAND ELSTROM JR PHONE PARCEL 06 30 00 9 5 0215 0000 APPL NUMBER 06 00000798 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 9/06/06 AP ARLAND 457 0382 09/05/2006 08 47 AM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL2 01 9/11/06 JLL BUILDING FOUNDATION WALL TIME 13 00 9/11/06 AP ARLAND 457 0382 09/11/2006 08 10 AM DYASUMUR 09/11/2006 04 35 PM JLIERLY BAIR 01 11/14/06 JLL BUILDING AIR SEAL TIME 13 00 11/14/06 AP ARLAND 457 0382 11/13/2006 11 05 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BL3 01 11/14/06 JLL BUILDING FRAMING TIME 13 00 11/14/06 AP 11/13/2006 11 06 AM DYASUMUR /AI 11/14/2006 04 14 PM JLIERLY BLI 01 11/16/06 BUILDING INSULATION TIME 13 00 arlan 4570382 11/15/2006 10 39 AM DYASUMUR 11/15/2006 12 09 PM DYASUMUR COMMENTS AND NOTES PREPARED 11/14/06 8 10 43 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES ADDRESS 924 SEAMOUNT DR SUBDIV TENANT NBR ARLAND ELSTROM CONTRACTOR PHONE OWNER ARLAND ELSTROM JR PHONE PARCEL 06 30 00 9 5 0215 0000 APPL NUMBER 06 00000798 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/06/06 9/06/06 BL2 01 9/11/06 9/11/06 BAIR 01 BL3 01 PERMIT 11/4/06 11/14/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 AP ARLAND 457 0382 09/05/2006 08 47 AM DYASUMUR 09/06/2006 04 29 PM JLIERLY JLL BUILDING FOUNDATION WALL TIME 13 00 AP ARLAND 457 0382 09/11/2006 08 10 AM DYASUMUR 09/11/2006 04 35 PM JLIERLY BUILDING AIR SEAL TIME 13 00 ARLAND 457 0382 11/13/2006 11 05 AM DYASUMUR JLJ BUILDING FRAMING TIME 13 00 11/13/2006 11 06 AM DYASUMUR ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 11/14/06 J L I l PERMIT PL 00 PLUMBING P IT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTOR JAMES L LIERLY DATE 11/14/06 MECHANICAL ROUGH IN TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 06 38 11/13/2006 11 06 AM DYASUMUR PL2 01 11/14/06 J L PLUMBING ROUGH IN TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 11/13/06 TIME 11 07 03 11/13/2006 11 07 AM DYASUMUR COMMENTS AND NOTES Application Number 06 00001180 Application pin number 833260 Property Address 924 SEAMOUNT DR ASSESSOR PARCEL NUMBER 06 30 00 9 5 0215 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner SHAW JIM L /SHARRON G 6450 KINGLET WY CARLSBAD Permit Fee Total Plan Check Total Grand Total CA 920092700 36 40 00 36 40 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Contractor Permit ELECTRICAL NEW RESIDENTIAL Additional desc PEN H/ T STAT Permit pin number 89938 Sub Contractor PENINSULA ELECTRIC Permit Fee 36 40 Plan Check Fee Issue Date 11/13/06 Valuation Expiration Date 5/12/07 Qty Unit Charge Per 1 00 36 4000 ECH EL LVT FIRST THERMOSTAT Fee summary Charged Paid Credited Due 36 40 00 36 40 0 t r tctn Z1I7 Prrk FPF va 1 ttat it 4 00 00 00 Date 11/13/06 PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 Extension 36 40 00 00 00 00 0 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCH 1 I 1 ROUGH -IN COVER I I I SERVICE I I I FINAL I A 0 t. f I I I I I I I I I I I GENERAL COMMENTS: rw- 1102.15I 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 valuation Owner Contractor ARLAND ELSTROM JR 14732 EMERY LANE WOODSTOCK IL WOODSTOCK Other struct info IL 60098 COMMENTS /ACTION NEEDED 06 00000798 432596 924 SEAMOUNT DR 06 30 00 9 5 0215 0000 ARLAND ELSTROM RES NEW SFR RS9 RESDNTL SINGLE FAMILY 134540 OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Permit ELECTRICAL NEW RESIDENTIAL Additional desc PEN EL 1922 SQ FT SFR Permit pin number 90183 Permit Fee 119 80 Plan Check Fee 00 Issue Date 11/07/06 Valuation 0 Expiration Date 5/06/07 Qty Unit Charge Per Extension 1 00 73 0000 ECH EL R SQFTAFIRST'T300 "1 73 00 2 00 23 4000 5C EL R SQFT ADDITIONAL 500 46 80 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 A residential fire sprinkler system installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm. 07/25/2006 04 28 PM SROBERDS The proposal will result in a new sfr in the RS 7 for total lot coverage of 18% No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee of $713 00 required 07/26/2006 04 14 PM GMCLAIN Eelctrical service will be from the electrical pedestal on the northerly property line 07/26/2006 04 15 PM GMCLAIN Sidewalk to City standards required for school walking route along 10th Street ADA ramp to be installed,at--•»- intersection of 10th Seamount Drive *k Sanitary sewer connection inspection is required by -c ...a to led Date 11/07/06 18 00 2 00 10658 00 1922 00 1 00 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 41 -0735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO DITCI4 I N I ROUGH -IN COVER N I SERVICE I I I FINAL I I I M I N I COMMENTS vw- I10x.13I"961 Application Number Application pin number Other Fees Fee summary COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000798 432596 Special Notes and Comments 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 Charged 'Paid Credited' Due Page 2 Date 11/07/06 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 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 o vi o._ p�ou ing- cobnre;ta r_.,� ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVEk SERVICE FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO I -v7 .04-W COMMENTS Rwuat.I5 RAO Application Number 06 00001008 Application pin number 350784 Property Address 924 SEAMOUNT DR ASSESSOR PARCEL NUMBER 06 30 00 9 5 0215 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner ELSTROM ARLAND 924 SEANOUNT DR PORT ANGELES WA 98363 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Contractor Date 9/20/06 PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 Permit ELECTRICAL TEMPORARY SERVICE Additional desc PENINSULA/ 60A TEMP Permit pin number 86892 Sub Contractor PENINSULA ELECTRIC Permit Fee 42 20 Plan Check Fee 00 Issue Date 9/20/06 Valuation 0 Expiration Date 3/19/07 Qty Unit Charge Per Extension 1 00 42 2000 ECH EL TEMP SRV 0 60 SRV FDR 42 20 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 COMMENTS /ACTION NEEDED CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO ELECTRICAL PERMIT INSPECTION RECORD DITCI-1 I I I ROUGH -IN I COVER I I I SERVICE I I I FINAL I 7-/R-661 Ati-r_ I GENERAL COMMENTS: I I I I I I I I I I RV-1102.1314196] PREPARED 9/11/06 8 40 04 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/11/06 ADDRESS 924 SEAMOUNT DR SUBDIV TENANT NBR ARLAND ELSTROM CONTRACTOR PHONE OWNER ARLAND ELSTROM JR PHONE PARCEL 06 30 00 9 5 0215 0000 APPL NUMBER 06 00000798 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 9/06/06 AP ARLAND 457 0382 09/05/2006 08 47 AM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL2 01 9/11/06 J L BUILDING FOUNDATION WALL TIME 13 00 ti ARLAND 457 0382 JTT� 09/11/2006 08 10 AM DYASUMUR COMMENTS AND NOTES PREPARED 9/06/06 11 07 10 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/06/06 ADDRESS 924 SEAMOUNT DR SUBDIV TENANT NBR ARLAND ELSTROM CONTRACTOR PHONE OWNER ARLAND ELSTROM JR PHONE PARCEL 06 30 00 9 5 0215 0000 APPL NUMBER 06 00000798 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/06/06 JLLn BUILDING FOUNDATION FOOTING TIME 13 00 ARLAND 457 0382 09/05/2006 08 47 AM DYASUMUR COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor ARLAND ELSTROM JR 14732 EMERY LANE WOODSTOCK IL WOODSTOCK Other struct info IL 60098 Permit DRIVEWAY INSTALLATION Additional desc Permit pin number 84053 Permit Fee 170 00 Plan Check Fee 00 Issue Date 8/15/06 Valuation 0 Expiration Date 2/11/07 Qty Unit Charge Per TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS BASE FEE Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 84061 Permit Fee 715 00 Plan Check Fee 00 Issue Date 8/15/06 Valuation 134540 Expiration Date 2/11/07 Qty Unit Charge Per 1 00 715 0000 EA PW W/M 1 SERV 5/8 METER Permit RIGHT OF WAY Additional desc Permit pin number 84046 Permit Fee 50 00 Plan Check Fee 00 Issue Date 8/15/06 Valuation 134540 Expiration Date 2/11/07 Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 84038 Permit Fee 110 00 Plan Check Fee 00 Issue Date 8/15/06 Valuation 134540 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. T•\Policies \1102.15R [1 /05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5Th STREET PORT ANGELES, WA 98362 06 00000798 432596 924 SEAMOUNT DR 06 30 00 9 5.0215 0000 ARLAND ELSTROM RES NEW SFR RS9 RESDNTL SINGLE FAMILY 134540 OWNER Date 8/15/06 18 00 2 00 10658 00 1922 00 1 00 Extension 170 00 Extension 715 00 Extension 50 00 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies \1102.15R 1/05) RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 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 DATE ACCEPTED YES I NO 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 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 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 I I I I I COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT. I PLANNING DEPT BUILDING I I I I I I I I I I pone T•\Policies \1102.15R [1/05] Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 1045 00 1045 00 00 00 2074 50 2074 50 3119 50 3119 50 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page Application Number 06 00000798 Date Application pin number 432596 Expiration Date 2/11/07 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 A residential fire sprinkler system installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 07/25/2006 04 28 PM SROBERDS The proposal will result in a new sfr in the RS 7 for total lot coverage of 18% No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee of $713 00 required 07/26/2006 04 14 PM GMCLAIN Eelctrical service will be from the electrical pedestal on the northerly property line 07/26/2006 04 15 PM GMCLAIN Sidewalk to City standards required for school walking route along 10th Street ADA ramp to be installed at intersection of 10th Seamount Drive 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 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 00 00 00 00 2 8/15/06 Extension 110 00 870 00 4 50 1200 00 Due 00 00 00 00 Separate Permits are required forelectrical 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. AU 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 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. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION LW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\Policies\ 1102.15R [1/05) PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO 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 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 I I I I I I I I I I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION ILW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS I I I I I I I I I I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000798 Date 8/15/06 Application pin number 432596 Property Address 924 SEAMOUNT DR ASSESSOR PARCEL NUMBER 06 30 00 9 5 0215 0000 Tenant nbr name ARLAND ELSTROM Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 134540 Owner Contractor ARLAND ELSTROM JR 14732 EMERY LANE WOODSTOCK IL WOODSTOCK Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date IL 60098 PLUMBING PERMIT 84814 170 00 2/11/07 T•\Policies \I 102_15 building permit inspection record05.wpd [1/4/2005] OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 18 00 2 00 10658 00 1922 00 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 83097 Permit Fee 1216 25 Plan Check Fee 486 50 Issue Date 8/15/06 Valuation 134540 Expiration Date 2/11/07 Qty Unit Charge Per Extension BASE FEE 1020 25 35 00 5 6000 THOU BL -100 001 500K (5 60 PER K) 196 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 84806 Permit Fee 126 10 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 2/11/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 7 00 7 2500 ECH ME VENT FAN 50 75 1 00 10 6500 ECH ME VENT SYSTEM OTHER 10 65 Plan Check Fee 00 Valuation 0 Qty Unit Charge Per Extension BASE FEE 50 00 13 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 91 00 1 00 7 0000 ECH PL EA INSTALL WATER PIPE 7 00 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 1-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. Lr sue- 7 rs' -.14. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 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 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 I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO Page 2 Application Number 06 00000798 Date 8/15/06 Application pin number 432596 Qty Unit Charge Per Extension 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background A residential fire sprinkler system installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 07/25/2006 04 28 PM SROBERDS The proposal will result in a new sfr in the RS 7 for total lot coverage of 1St No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee of $713 00 required 07/26/2006 04 14 PM GMCLAIN Eelctrical service will be from the electrical pedestal on the northerly property line 07/26/2006 04 15 PM GMCLAIN Sidewalk to City standards required for school walking route along 10th Street ADA ramp to be installed at intersection of 10th Seamount Drive Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid, Credited Due Permit Fee Total 1512 35 1512 35 00 00 Plan Check Total 486 50 486 50 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 4073 35 4073 35 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. l- 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 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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL BUILDING PERMIT INSPECTION RECORD akio-4 64) DATE ACCEPTED I9 /6 /o,I ✓z I I ICf /ff /ex, I Iv� I I I I I I' I I I i I FINAL v I C7 I 0 DATE I U- ACCEPTED BY. 0/lila cliN 06 I I I I i I I I I I I I I I I I I I I I YES I NO SEPA. ESA. SHORELINE: COMMENTS DOW 4/23/0} zi,L 01114 11 f�F�a6 J� FINAL 1) 1 (17 1 67 DATE 711 ACCEPTED BY. 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ 417-4807 PW CONSTRUCTION RING W ENGINEERING FIRE 417 -4653 I I I I FIRE DEP I I I PLANNING DEPT 417 -4750 I o I I I PLANNING DEPT I I I BUILDING 417 -4815 I 97 167 in/ I TV I I BUILDING I I I f• \Policies \l IO2_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COIVIP LETS to be accepted for review If you have an) questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 a LSTievIvt Applicant or Agent: t..f J G L S A- r\ Owner a- R.Lt�+ =D G c- S [X4^1 Address 1J {?p ,x-" P42 r Archltect/Engineer• Contractor tit/1N eft 1 1 Lt2P,12-. State License Address PROJECT ADDRESS City• q s ,vvd fiJQ- LEGAL DESCRIPTION Lot: 2L Block. CLALLAM COUNTY PARCEL NUMBER. (7)4 73e1 •-C -°t SOZtS TYPE OF WORK. A Residential New Constr Re -roof Multi family Addition Move Commercial Remodel Demolition Repair Sign BRIEF DESCRIPTION OF THE PROJECT PLANNING USE ONLY Stove Garage Deck Other ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other Exp Subdivision. STTh VVALUATION IGl` Y1\- SF 7 SF SF TOTAL VALUATION Phone ?too 457. 6 Phone 3f f$ 7 O 3 8)— City 9 Oi—a And 4 Zip `i$.SCc Phone. Phone. Zip ZONING Sir: LG FOR OFF19 ]J 04 Date Rec. Date "�l !y/� fa Permit I f -L Date Approved. Sr Date Issued. ell /SF 13 4 4d /SF /SF $1 34, 540 COMMERCIAL/RESIDENTIAL. Occupancy Group R- 3 Occupant Load: Construction Type: V N1 No of Stories: Lot Size: 14 G 5£5 Existing Sq Ft. Total lot coverage 19? Proposed Sq Ft. l9 2L TOTAL Sq. Ft. VI ZZ APPROVALS PLAN BLDG DPWU FIRE. OTHER l o (0 V I cam, 4 141 011 6batu4 46 Tel-r) nom.( x VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon 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. 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 prior to work. T \Polic=es\BL 1102_13.wpd ApplicaA 0 l Date: 7 Z'N( a (Q 119- 4 in ��G�, C I( 1 S c✓1 L a 1 44 d 0%.,454- I Prescnptive Approach Simple Form For the Washington State Energy Code 2003 Edition Climate Zone 1 Site Information Building Department Use Only. Lot: a (n C.STrkC 5 Address: 92-9 Sq,0 City Pn a-■ sS &LeS State: W t- Zip 9.83(.•/.,_ Contact:Q E l_SoN„ Phone: 3 (,.,p Li o 3? 2 Phone 2. L 7 3 Lt7 Z (.1K FAX. S E e'! I Permit 06) Notes: Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 Unlimited Glazing Option Only Option Glazing Glazing U- Factor Door Wall Wall Wall Slab Area U- Vaulted Above Interior Exterior on of Floor Vertical Overhead Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unlimited III Group R 3 0 40 0.58 0.20 R 38 R 30 R21 R 21 R 10 R 30 R 10 Occupancy Only This Project complies with the following: The Project is a single family residence or duplex. The Project is wood frame OR all of the insulation is interior or exterior 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 602.6 Exception 1 One door, that is 24ft. Or less, that does not meet the standards allowed. Location of the door taking this exception 602.6 Exception 2. Doors with a U- Factor of 0 40 allowed without calculations, Option III only Location of the Door (s) taking exception Type of Heat Source: 144 -W Po/4j &C EA Pr i R EXHIBIT A 90 Feet N ?9 a Vern a/ Datum NA VD 88 Ho Ital Datum NA 83/9/ 3: 2 2 ab, e� 2 N 2' 2' f 3 49 S Area Map 909 Si 3 u9 F N. 92 2 08 Seam °unt Dr N 210 20 "^sk 818 This map is not Intended to be used a legal desntpnoi This map /di ig pioth ed bi th Cih of Port Angeles (a its se and pi ipo Ai whet use of this map /dra■ ig shall of be th responsibility of th Cin CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date ! - ,) <,- - 0 7 Time / /: ()i) fJ/J1 Received by phone, person} Location of Work to be inspected ~:) L/ ') ea/J1[vn t (J r Name of person requesting inspection tr fa fer 0111 Address of person requesting inspection /7u3, <; d [S sT Phone No. (.1/7 - '/~Y7 Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ C ~tL Ie r INSPECTION NOTES: Inspected: Date ! -,J ') - D "7 Remarks: Time d: ,riJ .,/'t4't , By 7/7 I/ffA1 /X% (..J,J/?.r S-CYt//;:e RESTORATION REQUIRED . . . . .. YES NO X fft 9 ( ~ ~ ?"t,;I r 1&4' \-.:.. ~ /0 f"- ." \- l:l '" 'i '<. "t 'l.l ..... 10" fIe- \;) , \ SURFACE RESTORATION: SURFACE TYPE: 1jfunimproved DGravel o Repaired by City [] Repaired by Permittee o No Damage Found o Asphalt 0 PCC 0 Other Work Order # ~Oy{~- ~S Y o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT _IDATEI 10/JO/06 14:51 FAX J606812086 Peninsula Heat I4i 01 A1IrJ~ A-l () tM{LVl ELECTRICAL WORK PERMIT APPLICATION i o Electrical Contraclor 0 Owncr I BleCLriH conlrac5r~ama J!ea r- Lic~~ ~~~ p""7rS~"?{~rfchen_ tJ;d-/;e1 Cily~Ulm a7;lc;9:SC Td,t~7~h3333 FAXn"1b<r~ cJ8 E (,-:;--fnrJn yvll\ u vd-I D-r I :He Expires o New o AJtered/AdditioD Job wired by Inslall:nioQ descrip~jon ____ D Commerdsl ~idential ~w ~ /k9~<3I-a,-f- !Jf3W OJ!\/5TR ucn aNT" SPf:ctionlf-5 I Oa!/JI!/' fJS d(~f;tle.d by RCTY.J9.28.261:(J) Owner will occupy tile .nrur.rllrcfo,. tWO yecm' "fie:,. Jhis electrical pert/lir ir fillali:.!.ed... (2) Ownerlis rr:quin'(f ICJ hin' an decrrica/ ermrr-acto,. if' abovt: ;:;aid properrv is for sale.. rem flr Jea.fe. . I Afler n:aclinj; lhe above sbtemcnt. I hereby certify that [ urn the owner of the above named property or il. licensed el:coical can'tTactor. r ain Al'3king the electric::!l instal- lation or alteration in cOJllpliance with the electrical laws., N.E.C" RCW. Cbapler 19.28. W ,Chapler 296-468, The City of Port ,{ngeles Municipal Code, :md Utility' ci cations. I ;" t ele ,,,I "' t"I'e: 'j;7ito ~g' Load Additions and or subtractions o NO LOAD CHANGES I CJ Baseboard KW ~Fum.cn lJ)<w ~Heal Pump ;;J.!j:,Jon _ LAR D Fan.Wall KIN o Cash 0 Check # ~rcditCard (VtSa.J Mastercard Card# __tJ_A/_FI.LE _-____ Discover Expiration Date of card ~h>~e~ 6' 'f!?- Service Information tJ Overhead Sel'\lice o Temp Service o Underground Service Voltage Phase 0 1 0 J Service Size; _ Feeder Slze: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417 4735 i ROUGH-IN . r, /1-IJ..c( . )(iyj rhl~ ^flJ'rQ~o:tl 1', THERMOSTAT SERVICE l,).t,,, ^P.l'n>~~<l ~y Oll~ "'I'P"'''~oJ B)' ANAL ~ -E. . I ~ J}, ~ - Appm~e.d "'r DITCH FEEDER D!,'~ ^~~rn~o1 f.ly D;llt J\plln:l\'~d By IllspeC:lion DaL~ ID <II (J'" Area. BJilding or EquiplTll:nt Inspected I Action Taken. ) ..i-crJ.(<..(/L ,I ~.~ - ",'O."~ ~~ l~.'~' 't\~; 'tt-~.t'" .....-" ELECTRICAL WORK PERMIT APPLICATION Job wired by Electrical Contractor ;:] Owner Installation Jescription / o Commercial V Residential Elcctric~J oonlra<;tor name , . (L\i\\V\su..l, 'd-<L~[\L Purchaser's mailing address ll;>\ r::, .e.>\" \,VN\2,' Ci'+-, ( U'ct License number Date Expires \.LV\;"'" '\4 '(;(y; .'-')-u :J :"ie\,' 0 Altered/Addition I .,J.:- F/\X number 403<"'3 GO /t~d.. f"-l..v-'1> ,p-lt' D..,1l. Telephone 3(" U 4q.J-<.':l number -1..\" -\ State ZiP (.;, Pr"mises owner's rame /J, 11f.LV\.] 'i1"~'L"^"- Address of jn~ection { ~1 Jl\ -~.....VV\<-'-U'" ~ C ".>U'/ \- A-n(./ eX../..,> Phone nllmber to schedule ins 3.,u. 4 Dft LM~ q~JC.-'3 Owner as dejillea hy RCWIIj,28.2ti/.//J 01~ner will OCCUpl' (he structure jor two vcars after this r.'lectl'lcll! permil is finalized. (::) Owner IS reqlllrcd to hire an electrical contractor if ahove said properlY is forw/t!. rent or lease After reading the above statement, I hereby certify thaI I am the owner of the above named property or a licensed electric:!l contractor. J am making the electrical instal- lation or alteration in compliance with the electrical la\\<;, ~EC, RCW. Chapter 19.23, W,\C Ch3pter 296-468, The City of Port Angeles vlunicipa! Code, and Ltility SpecificJlionj. Signature or owner, electrical contractor or electrical administrator o C)'h 0 Check # m:redit Card Visa Mastercard Discover Card # X' Date: r -/ '3--0~? Expiration Date o f card Electrical L ad Additions and or subtractions o NO LOAD CHANGES ':J Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW o Overr.ead Service o Temp Service Q Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: SAME 0 W I:\SPECTTON. CALL BEFORE 7:00 AM 360-417-4735 ROCGH-l:'i / THER\lOSTAT / SERVICE I " Dak Apprll.ed lh n,11<: Approv~d 8,' "- Dale Appro.ed By / / FJ;'i,\L DITCH FEEDER I ('7: r Ln ',"m"dB'~ /-{- -Cl ,- Dal" APP,UVCUl:l"./ "- D.u,' Da1~ Appm.cti lIy 1l1spcct\on Area, Building or Equipment Inspr:cted Action Takl.'n Electrical Date Inspector .&0 '7/ 1'1 ,0L <I..,,~,~~ ,t ' -.;;";. ~~ ~~J; 'tt-~'; -~' ELECTRICAL WORK PERl\1lT APPLICATIG.. ~ectrical contractor name {I (CA\\I'\,>"Jt\ yJ,d,;... pur~~\ m~jlcg/~:ILS \.AJ1~ City 70",1;;- ,~u...L, I Telephone number -; 0- License number {t) It \\~ tt Cf4\"J f Vc,-,''L ZIP Date Expires tOy) c-'Y{ Installation description :J Commercial ~ew esidcntial Job wired by lecrrical Contractor 0 Owner o Altered/Addition State W<-- '1'6'\(,;-:; wi In"^-< 0 ~ ~ '-,-00 Co (, '0U' ~l:..."- \ ;:) GO FAX number '_[-...,Jot , ,.etA- ~I ~_u..j: ~~ ! 9 '2/2.. '.x) PI Premises owner's name _ l A-, l,^-~,,-J <C:~ <,\;-1 ~. "V\.. 3'~ In,p"r;:;. ,{-- ~ ~l. '-\ ,-e (__ ,v\. ( )U i:\. ~\- .~.d-lc. W\ Phone nllmber to sell dule Inspect I . (" '''',L-C - \C D? Ci S ")<'<2- O,Hler a.1 defined b) RClt:19,J8.261:(/j OWl/a ,'iI! occupy ,/if.' strllCllm: for !lliO years aft;,r IIl'is elecrrical permit is finalized C!) Owner is /'(:quired [0 hire an electrical contractor if ahove said property is for sale, rent ur lease. After reading the above statement. I hereby certify that I am the owner of the above named property or a licensed electrical contractor. ! am making the electrical instal- lation or alteration in compliance with the electrical laws. s.E.e.. Re"',,' Chapter 19.28. \I.,'AC Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. ~;ta~.nlract.r .r el~t~I;;:/(:;':~:r o Cash 0 Check # ~edit Card Visa Mastercard Discover Card # Expiration Date of card Electrical Loa :J NO LOAD C o Baseboard o Furnace o Heat Pump :=J Fan-Wall :4ddit;ons and or subtractjons ANGES KW KW Ton LAR KW o Overhead Service o Temp Service o Underground Service V oJtage Phase :J 1 0 3 Service Size: Feeder Size: THERMOSTAT '1 SERVICE /- :!..t: b7 /CU Dale Al'pro"c<.l lh "- Dale DITCH FEEDER "- [Jme Approved H~ Dale ApproHd 8, Inspection Area, Buiiding or Equipment Inspected Action Taken Electrical Date Inspector ,1- " -" /.. ,7 U~ il ~;r< ,-./ ,\," I . r-r--........ if J l~ /1 :"'~I':'r-__ ~.7! (1;: I,'~'~"-"- - " ,- I ~ - I I /)r7 ) Ilf /7!;,L I / SA:\IE DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-[;\' ~. l'i<-{ Dal~ -' Appn"'ca By FL"iAL ". .-- f': I _ Appmved Ih ""''''''-...-- ""' ELECTRICAL INSPECTION WiRING REPORT 417-4735 /~/{l(; I~~, h~ ~,y,~RACTOR . / c:;/;//1L,_L'-'- ADDRE:.,S /J iLL~Ld~cvl#/ , IN5;};o L?A:- APPROVED NOT APPROVED o ".................. DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . ROUGH IN/COVER. . . 0 D. . . . . . . , . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D...................AN~................D CORRECTIONS NEED@'/ &zll4C~p~~ j}IV ^/e~~"T-D-----&(r i&f2----C1~jC .: -12, ---i7LU<iLl<. 71';6>-(:"" ~"- (:',10) i O,c,v_ .NO I (]) CkJ]:5aJ6; ~}4- i2~t- neD-TO ! I -5E?::l.f1K/ ;:;J;Z..7ELL~"q::. //k~/J,-t/) i @ t:t 10 /,~&(.d"P4''''/)' rJ70Jr {,~.NL)i Loc 5.4-V1...LL~ 0 (;;;/-1 -or: Z)j~c.r- ,~J-J1644M:J goCL~ OIL k,,~r/&L~ I tlI--52Z1&fc:.L {)/e..~ "LV (3:,.-LV-<-r:..;;,- i I h,~'/1 i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC P!'lINTERS.INC. (360) ,152-1361