HomeMy WebLinkAbout1317 Bent Cedars Way - BuildingONSITE MONITORING INSPECTIONS (OMI)
232 CHAMBERS ROAD
PORT ANGELES, WA 98362
vat led
Agency (OMI) Onsite Monitoring Inspections
Address. 232 Chambers Road
Port Angeles, WA 98362
Phone Number (360) 457 -9438
OPERATION MAINTENANCE AGREEMENT
Pressurized Sand Filter
1 &S co y
This agreement is entered into between the Grantor OMI, hereinafter referred to as the Operator and the
Grantee, James Charlotte Lierly hereinafter referred to as the Owner(s), on the 14 day, of November
2009
Property Address: 1317 Bent Cedars Way, in Port Angeles.
Legal Description. FREDERICK'S ADDITION LOT A BL A SURV V48 P59 .24A
Tax Parcel ID# 063014310010
Customer 340
The dwelling unit on the property utilizes a method of sewage treatment that is required to be monitored
and maintained in accordance with the regulations as stated in WAC 246 -272 and WAC 246-272A and with
County Department of Health directives. Removal, replacement or alteration of this system must be in
compliance with all applicable, current state and county regulations governing on -site sewage.
The Owner(s) of the property are responsible for all costs associated with monitoring and maintaining
the Sand Filter system. The agency responsible for monitoring the system is.
The purpose of this agreement is to outline the responsibilities of the Owner(s) and the Operator
regarding the monitoring and maintenance of the Sand Filter system.
If the property is sold, the new Owner(s) must be advised of and assume responsibility for the current
obligations, under the terms of this agreement. The agreement will become effective immediately and shall
continue for two years. Inspections will be completed every 12 months. The rate charged for this
service is $120.00 per inspection. (Plus a $5 filing fee, per inspection.) This fee may increase on future
agreement renewals. This agreement will automatically renew every two years, unless replaced by a new
agreement with OMI or by another maintenance agreement approved by the local health department, with
an Operator certified to monitor and maintain the Sand Filter system. If this agreement is cancelled, the
Owner must notify the Operator in writing, ten days prior to the renewal date. The Operator will then
notify the local health department within 10 days after the cancellation date.
Inspections performed by the Operator shall include, as applicable, but will not necessarily be limited to, the
following items.
OMI will check the septic tank/pump tank and the drain field for signs of surfacing effluent, evidence of
heavy traffic, inappropriate buildings or impervious materials, erosion or abnormal settling.
All pumps, as applicable, will be checked for run -time per cycle and draw -down.
All alarms, as applicable, will be checked for proper operation at high and low liquid levels.
All control panels, as applicable, will be checked for correct settings of on and off" times, as
submitted on the final `as- built' drawing.
The septic tank and pump chamber as applicable, will be checked for excessive scum and sludge
accumulations, for signs of leakage in tanks or risers and for secure riser lids, with material integrity
All baffles will be checked for blockages, proper placement and material integrity
All baffle filters, as applicable, will be cleaned and inspected for material integrity
Such inspections will generate 'a .report, which will contain, observations or recommendations to repair
or improve the functionality of the system. Copies of this report will be filed online, mailed to the
Owner(s), mailed to the local health department and will be maintained `on file' at OMI.
The Owner shall be responsible for notifying the Operator of perceived problems with their septic
system. Particular attention must be paid to pump or timed dosing problems. All access risers or inspection
ports must be kept free of obstructions, at all times. The Owner(s) shall grant access to the property to any
OMI personnel.
Labor charges and p te billing by OMI, for all service calls on alarms,
adjustments and/or rep. L b r charged re d at $85 00 per hour (1 hour minimum.)
(bate)
STATE OF WAINGTON
COUNTY OF( DV
On this day of ,Il2J' 2009 before me, the undersigned, a Notary Public in and for
the State of Washington, personally appeared 2i ,-,-,P S L.
the individuals described in this agreement and who
acknowledged to me that they signed the same as their free and voluntary act.
GIVEN UNDER MY HAND AND OFFICIAL SEAL THIS DAY OF /L/1'
/P./
(Notary Public in and for the S)te of Washington)
Residing at 4)
Expires
0
h O T AR
I- N
E X P Co m e J above this line.)
pF 44/BUG
O
VtI 5
with C
(Onsite ent Inspections
tti Jr O &M Specialist)
2009
DI"ISION OF E..VIRONMENTAL HEALTH
223 EAST FOURTH STREET /P 0 Box 863
PORT ANGELES, WA 98362
(360) 417 -2332
APPLICANT INFORMATION (Property Title Owner)*
NAME: Jim Lierly
FIRST MI LAST
CURRENT p 0 Box 2151
MAILING ADDRESS:
CITY Port Angeles STATEWa ZIp 98362
PHONE: (H) 360 417 4816 (w).(
Denial or approval of an On -Site Sewage Disposal Permit may be
appealed to the Health Officer within 15 days of the decision date.
This construction permit expires 3 years from date of issuance.
Repalr Permits are valid for 6 months only
Any change in building or sewage disposal plans or location invalidates
thls permit unless prior approval is obtained from the Environmental
Health Division and Certified Designer
I hereby acknowledge that I have read this application and state that the
information supplied is correct. I agree to comply with alt County and
State laws regulating activities covered by this permit.
No refund available after plan review completed.
'Purchaser may also be listed here:
Dennis J Swope for Jim Lierly
APPLICANT SIGNATURE
03 -29 -06
DATE
Name:
Address: Phone:
Draw a scaled or dimensioned plot plan of
the proposed site. Include all applicable
items listed in instructions.
SCALE: 1
Dennis J Swope
airs
Designer signature
nmental
(APPROVED
xpira D
Iler
FINALED
Signature
DENT D
Link) 1t7,
.aectio
Y
DATE
CLALLAM COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL HEALTH
SITE REGISTRATION
ON -SITE SEWAGE CONSTRUCTION PERMIT SEP 4.66 ODa�o
PLOT PLAN
See Attached
PROJECT INFORMATION
DIRECTIONS TO PROJECT SITE (from Courthouse)
Mt. Angeles Road to Bent Cedars Way to 1317
PROJECT ADDRESS.
1317 Bent Cedars Way
LOT SIZE0.2 A. s, v `A/SF ZONING C1 4V BEDROOMS 3
WATER SYSTEM City of Port Angeles
PROJECT DESCRIPTION (NEWX. EXPANSION
2/- N C)'F P A
Position of Septic Tank Pump Chamber Sand Filter may vary
—5/.
DATE
As Buil
ELEVA rIONS:
See Attached
SR# 2006 -00160
NORTH
Intermittent Sand Filter Infiltrator
0
6
3
0
I
4
3
1
0
0
1
0
1
0
SYSTEM TYPE Press. Part. Fill
COMMUNITY SYSTEM
NAME.
NUMBER OF
CONNECTIONS:
SYST USE. S.F R.
GAL/DAY 360
APP RATE 10 &06
TANK SIZE 1250 Gal. 1000 Gal.
DRAINFIELD
Length 19.25 S.F 200 Ft.D.F
Width 19.25 S.F.& 3 Ft.D.F
De pth D F 9 Inches
Total Fees $300 00
Date Received 03 29 06
/t 10
Receipt shack
to
5
'/ .;,
FORTANGELBS
WAS H I N G TON, U. S. A.
Community & Economic Development Department
June 5, 2008
Cailin R. McEachern
Environmental Health Specialist I
, Clallam County
223 East 4th Street, Suite 14
Port Angeles, W A 98362-3015
--'--~------
"....-- ------.
RE<~~i'317 Bent Cedar~
c:::::: v,.,
Lierly - Septic Permit #2006-00096
Dear Cailin:
This correspondence is in response to your letter to Jim Lierly regarding Septic Permit 2006-
.00096. The Lierly residence borders a property that contains a sensitive area, i,e., a portion
. of Whites' Creek and its required critical area buffer. 'Mr. Lierly tried unsuccessfully to
work with the'City and neighbors to the north of his site in an effort to extend sewer :from
Rook Drive to his property, which is the. preferred waste disposal method. However,
. without an easement for that utility, a septic drainfield system is required.
\j)
.--
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4-
The Lierly property is situated entirely outside of the critical area arid its buffer. The western
edge of the critical area buffer is approximately 60' from the most eastern drainfield reach of
the installed septic system. Given this distance, the City of Port Angeles has no concerns
with the septic installation location.
~
~
Please don't hesitate to contact this Department, or me personally, if you have any questions
regarding this matter.
L
U
Sincerely,
~~
Sue Roberds
Planning Manager
Phone: 360-417-4750/ Fax:360-417-4711
Website: www.cityofpa.us / Email: smartgrowth@cityofpa.us
321 East Fifth Street - P.O. Box 1150/ Port Angeles, WA 98362-0217
IJ '
0'1:1 ~
Clallam County Department of
Health and Human Services
Environmental Health Services + 223 East 4th Street, Suite #14 + Port Angeles, WA 98362-3015
Tele: 360-417-2258 + FAX: 360-417-2313
20 May 2008
Jim Lierly
1317 Bent Cedars Way
Port Angeles, W A 98362
Re: Intermittent sand filter and pressurized partial fill septic system installation at 1317 B~nt
Cedars Way, Port Angeles,'.V A 98362
Parcel number 063014310010
Septic permit number 2006-00096
Dear Mr. Lierly:
This correspondence documents the status of the above referenced septic permit and on-site
septic installation to date. In reviewing additional information about the installation of the system
unfortunately we are finding additional problems. We are outlining the current status as clearly
as we are able.
It is our understanding that you hired On-site Services to document that the deficiencies in the
system installation listed in our August 3, 2007 letter were addressed. Listed below are the
deficiencies and actions taken:
· The issue of water above the drainpipe in the sand filter must be resolved. There appears to
be problems with the floats and the panel for the sand filter. It is strongly recommended that
you hire an electrician with experience in septic system panels and floats, specifically the
Rhombus panel and float system that was specified in the design. The electrician should
work closely with your designer to correct the problems with water levels in the sand filter.
Action: On-Site Services verified that the water is no longer above the drainpipe and is at an
acceptable level due to float adjustments.
· The remaining check valves must be installed and verified by Environmental Health at the
next inspection.
Action: On-Site Services verified that there are check valves on the two lower laterals.
· The original specifications in the design for the panel and floats must be followed. Please
work with your designer, installer and electrician to see that the original Rhombus panel and
floats are re-installed correctly.
Action: Environmental Health will accept On-Site Services' control panel settings and floats.
· Please provide documentation from the City of Port Angeles Utilities inspector that L&I have
approved the electrical work has been approved.
Action: Documentation was received on August 31,2007.
· The uppermost lateral's orifice pointing upward in the monitoring port needs to be corrected.
You may insert a stainless steel screw in the orifice to prevent it from discharging to the
surface.
Action: The correction was verified on March 6, 2008.
· The electrician must work with the designer to ensure that the redundant off float is working
as designed. Again, an electrician with experience in septic system panels and floats is
strongly recommended.
Action: On-Site Services verified that the redundant off float is working correctly.
However, On-site Services identified additional issues with the system installation. We received
a copy of the final inspection and record drawing submitted by On-Site Services on April 1,
2008. The final inspection noted several deficiencies in the installation which must be remedied.
· The transport pipe leading from the sand-filter pump basin to the drainfield manifold is
exposed at the point where it exits the sand-filter containment vessel. The transport pipe
must be covered to prevent damage and discharge of effluent onto the surface of the ground.
. There is insufficient soil cover over the east end of the drainfield. A minimum of six inches
of cover is required over the top of the chambers. From the edge of the chambers the cover
material snOtilifbegmfo'taperdown to grade in a manner'Hiaf will shed surface water.
Environmental Health strongly recommends that the additional recommendations noted in On-
Site Services' final inspection be performed in order to attain and maintain a functioning septic
system.
A review of the record drawing also shows problems with the system installation. The system
was installed in such as manner that several required setbacks (i.e. septic tank setbacks and
drainfield to property lines) are not met. The drainfield appears to be undersized for the number
of bedrooms built in the house. There appears to be insufficient drainfield repair area as required
by the State on-site code. Weare also concerned that the system, if improperly operated and
maintained may impact the abutting City of Port Angeles designated Critical Area.
~/
With these issues now identified Environmental Health has the following additional
requirements.
. Due to the undersized drainfield, an operation and maintenance agreement stating how much
water the septic system can be expected to process and still function correctly and the
optimal pump settings will be required. As part of the operations and maintenance
agreement a flow meter will need to be installed with accompanying alarms and monitored to
assure that the volume o'f water entering the septic system has been adequately restricted.
. Due to failure to meet required setbacks to property line, written acknowledgement from the
neighbor stating that there are no objections is required.
5,r.
The record drawing shows a nonconforming (i.e. insufficient in size) reserve area. Either a
conforming reserve area must be established or a binding agreement be created that specifies
that in the event of a drainfield failure the single family residence will hook up to the
municipal sewer.
Due to the undersized septic system and the abutting City of Port Angeles Critical Areas,
written acknowledgement from the City of Port Angeles stating that there are no objections is
required.
\ ;\~~
)'\ ~
You previously stated that you had hired Dave Calloway as your septic system installer. We
strongly recommended that a designer and your installer work closely to complete the needed
corrections. Please be aware that C1allam County Health and Human Services Environmental
Health Division may charge a technical fee of $70.00 per hour for any further reinspections of
this installation since we have already spent approximately 34 hours in review, technical
assistance, and inspections of your system in an attempt to have an installed system that complies
with state regulations.
If you have any questions you may reach me at 360-417-2529.
s~~C~relY. '
0~ ~<V
CaHin R. McEachern
Environmental Health Specialist I
c: Andy Brastad, Environmental Health Director
Dr.. Thomas .Locke,-Health.Officer
Iva Burks, Health and Human Services Director
Dave Calloway, Septic System Installer
Jerry Jacobs of On-Site Services, Septic System Designer
Parcel file
Correspondence file
Encl: Copy of April 1, 2008 final inspection
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TRACY'S INSULATION
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PO. BOX 567
PORT ANGELES, W A 98362
INSULATION CERTIFICATE
THE INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE
CURRENT THERMAL PERFORMANCE STANDARDS OWASHINGTON
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:121 EAST STH STREET. PORT ANGELES. WA 98J('2
<I
~
#
.. ~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000180 Date 10/31/06
296300
1317 BENT CEDARS WAY
06-30-14-3-1-0010-0000-
JIM LIERLY
RES NEW SFR
'I
UNKNOWN
158415
Owner
Contractor
JOHNIE KEY/JUNE ANDERSON
PO BOX 2151
PORT ANGELES WA 983620408
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
21.74
2.00
10330.00
2246.00
1. 00
~
"-
'-J
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
HALVORSEN/ 4000SF+SEPTIC+REMOT
89896
HALVORSEN ELECTRIC
255.30
10/31/06
4/29/07
plan Check Fee
Valuation
.00
o
~
~
Qty
1. 00
6.00
1. 00
1. 00
Unit Charge
73.0000
23.4000
11.4000
30.5000
Per
ECH
5C
ECH
ECH
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
EL-METERS REMOTE INSTALL
EL-R-SEPTIC PUMP W/SRV
Extension
73.00
140.40
11.40
30.50
Special Notes and Comments
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
Address numbers shall be plainly visible from the street.
Address numbers' shall be a minimum of six inches high and pe
of contrasting color from the background.
03/09/2006 05:20 PM SROBERDS -The proposal will result
in a new s.f. res in the RS-9 zone for total lot coverage
of 22%. A crit~cal area is located adjacent to the site
but no land use issues are anticipated with proposed
setback/design.
Electrical load calculations and elctrical permits are
required.
Connection fee $713.00. ' . I'~"':'.~!'
02/28/2006 01:18 PM GMCLAIN ----------------------------
An copy approv~d septic system permit is required from
Clallam County prior to issuence of building permit.
J
Other Fees
STATE SURCHARGE
4.50
COMMENTS/ACTION NEEDED
r-\ "'I Wf"',J.~
J.;-~t '\..rV
,--- --
<< ELECTRICAL PERMIT INSPECTION.RECORD
..
_. ...
CALL 41 ,-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER,
~ · INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPKCTlON TYPE DATE I ACC1tPT1!D COMMENTS
va I NO
IITI :H
lllll II ;~-IN I COVER
~"'IlVII ....
I
GENERAL COMMENTS:
PW-U02.lS [4f96]
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CITY OF PORT ANGELES
PUBLIC WORKS -. ELECTRICAL DIVISION
32\ EAST 5TH STREET. PORT ANGELES. WA 98362
~
..
.
, .
Application Number . . . . . 06-00000180
Application pin number. . . . 296300
Page 2
Date 10/31/06
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 255.30 255.30 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 259.80 259.80 .00 .00
n,-
COMMENTSI ACTION NEEDED
4
III
ELECfRICAL PERMIT INSPECfION.RECORD
~f.LT, 41"-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER,
r INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
NO
GENERAL COMMENTS:
COMMENTS
PW-U02.IS 141961
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East Slh Street, Port Angeles, W A 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
06-00000993 Date
253600
1317 BENT CEDARS WAY
06-30-14-3-1-0010-0000-
JIM LIERLY .
FIRE SPRINKLER SYSTEM
9/14/06
UNKNOWN
3850
~
\
JOHNIE KEY/JUNE ANDERSON
PO BOX 2151
PORT ANGELES WA 983620408
INNOVATED FIRE SPRINKLERS
81 NEW HAVEN LANE
PORT ANGELES WA 98362
(360) 452-7583
~
\)3
Owner
Contractor
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
FIRE SPRINKLER RESID
86728
.00
9/14/06
3/13/07
Plan Check Fee
Valuation
.00
o
Special Notes and Comments
09/12/2006 02:53 PM KDUBUC -----------------------------
plans reviewed 9.12.2006
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------- ..
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
F.
//;~
t<~
c:?~
0>
This penn it becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
thelrov~ion~ of any ~te,or local law re~ulating the work specified in the permit.
J 'M.-g:f'-/J --2'~ '1 , ?,//y/-t f;
Signature of Contractor or'- uthonzed Agent Date Signature of Owner (if Owner is builder) Date
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..........
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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 any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final 4( Z:1{Of Kt>\'>
FIRE ALARM
Rough-in inspection
.. Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test . pSI
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
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: 1317 Bent Cedars Way
Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583
Type of System: Open 130 13RO 13 D [gI
Date: 9.12.2006 P AFD Permit #: 06-45
We have checked this plan and find that it conforms to the requirements of the code.
The area under the stairs in the daylight basement must be protected with a sprinkler or it
must be enclosed with sheet rock..
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all 13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFP A Standard. This 13 D system will require a
measured flow test.
o Contractor
8 Building Department
o Fire Department
Reviewed by: \d20S)Q
Date: ~.IZ'Ob
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in U',TK. 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:
~\
Owner: I
Zip: CYb:r is.2
Address: Ro. [JCI~
Architect/Engineer:
Contractor 1/JI..;<j (J VA- TE/J F I /2... E.. State License #://tI/YO 1/ F.fCJ tj Lf P)L,Exp: B/ ~R'7 Phone: '-/ S2 -7-f.8 J
Address:8/ )YU--c.J JJ~tJ.fL--. ~\..o"l City: ?d,'"f-))i..-,.) e( l} zip:9'.63~ 2-
PROJECT ADDRESS: /~5/ 7 6..e.l.--t.1- C R-cJa..J'j IAJ~ ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
TYPE OF WORK:
?(Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family D Addition 0 MoveD Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair D Sign 0 Other j
BRIEF DESCRIPTION OF THE PROJECT: T'.", J7 1-0. / /
SIZEfV ALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TQ.T(>L VALUATION / $ -3'~~, 00
r. ./'..e S p ~ I ~ :; S' ..j.~:.---,
COMMERCIAL/RESIDENTlAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
%
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance,
PLAN CHECK FEE: 1F 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.
EXPffiATION OF PLAN REVIEW: Ifno 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 BuildinglResidential 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 perm<<s prior to ,~. ,
nFORMS\BldgP.,,;,f_wpd Applioant\~ fOj~ n"""
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1--
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
0-
6"'"'
,
OQ
o
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000180 Date
296300
1317 BENT CEDARS WAY
06-30-14-3-1-0010-0000-
JIM LIERLY
RES NEW SFR
3/23/06
UNKNOWN
158415
Owner
Contractor
JOHNIE KEY/JUNE ANDERSON
PO BOX 2151
PORT ANGELES WA 983620408
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT.SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
21.74
2.00
10330.00
2246.00
1. 00
~.(t
(1
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
72710
1350.65
3/23/06
9/19/06
plan Check Fee
Valuation
540.26
158415
Qty Unit Charge Per
Extension
1020.25
330.40
j:;.
111 Cl/&c/
OS-OD
0_0>
\N
-
--.\
BASE FEE
59.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Special Notes and Comments
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
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.
03/09/2006 05:20 PM SROBERDS -The proposal will result
in a new s.f. res in the RS-9 zone for total lot coverage
of 22%. A critical area is located adjacent to the site
but no land use issues are anticipated with proposed
setback/design.
Electrical load calculations and elctrical permits are
required.
Connection fee $713.00.
02/28/2006 01:18 PM .GMCLAIN ----------------------------
An copy approved septic system permit is required from
Clallam County prior to issuence of building permit.
~
~
~
~
c
V
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1350.65 1350.65 .00 .00
Plan Check Total 540.26 540.26 .00 .00
Separate Permits are required for electrical work, SEP A, 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
constr. tion.
Date
Signature of Owner (if owner is builder)
Date
T:\Policics\II02_1S buildingpcrmit inspection rccord05.wpd [1/412005]
\
BUILDING PERMIT INSPECTION RECORD
.,
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAJNAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN . ,
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ,
ESA:
LANDSCAPING SHORELINE:
FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 bwldmg permit inspection record05.wpd [1/4/2005]
f pORT ~
lO~~~
~
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~W'J;I"
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUTI-DlNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
Application pin number
Grand Total 1890.91
06-00000180
296300
1890.91
Page
Date
2
3/23/06
.00
.00
'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 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:\Policies\II02_15 building permit inspection record05.wpd [1/4120051
BUILDING PERMIT INSPECTION RECORD
...
...
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
~
\
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS I~/~L f1L ~ 7 h/Of- If?
WALLS IL'/ { Ill' JPA
FOUNDATION DRAINAGE / DOWN SPOUTS I I
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING I I
UNDER FLOOR / SLAB ~/').11 Of- f>tb
ROUGH-IN
WATER LINE (METER TO BLDG) 'r5f<t( 07
GAS LINE FINAL DATE MEfYl ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS I,,^ L I mtt".u1
CEILING I- . , I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS '(::f / 11. fflh (~
'/!~.
WALLS / ROOF / CEILING 1;", -l.t. h1 '- .A
DRYWALL (INTERIOR BRACED PANEL ONLY) IV I
T-BAR
INSULATION ~
SLAB 7/; Inc" pe
WALL / FLOOR / CEILING JI/_.../,.r~ IV/b~VT
MECHANICAL I ,
HEAT PUMP/FURNACE/DUCTS
GAS LINE Sl
WOOD STOVE / PELLET / CHIMNEY FINAL S/01 DATE [YJEfYj ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGfLIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL.lNSPECTlONS REQUIRED PRIOR TO OCCUPA~CYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 5/,,/67 rr1Em BUILDING
~
\)\
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~ ~
~-4
J ~
~
V\
~
T:\Policies\1102_15 building permit inspection record05.wpd [1/412005]
I
- - -
.
~
BUILDING PERMIT - APPLICATION
Permit #:
,
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COM PLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Dale Issued:
Applicant or Agent: ....J""\~
Owner: jo ~ )...j " is''
L,e~)'
\<f27~
~, S-\
Phone:~S-d.... C>~c).
Phone:
Address: ~B
Architect/Engineer:
\~~
Contractor -J C ~
City:
t==:>A-
Zip: J t' .3(0:::1
Phone:
~~1~
State License #:
Exp:
Phone:
Address:
PROJECT ADDREss:_l "3>1/
LEGAL DESCRIPTION: Lot: Q..
CLALLAM COUNTY PARCEL NUMBER:
City: Zip:
~-+ ~aj~d~ (AI Y ZONING: _12..s ~
Block:'gL ~Ol-(); Subdivision: ~f<-- - "( J ~ LJ -C~ J8i)
d.o S h I c...J ~ I 00 I ,n)DDDC?
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA _ MC _ #
TYPE OF WORK:
)(Residential ~ew Constr. D Re-roof D
D Multi-family D Addition D MoveD Garage
D Commercial D Remodel D Demolition D Deck
o Repair D Sign D Other
BRIE DESCRIPTION OF THE PROJECT:
l2: U SFTZ-
SIZE/V AL U A TIO N:
Stove ~ SF. @ $ 7c.~/sF. = $
SF.@$ /SF.=$
SF. @ $ /SF. = $
TOTAL VALUATION $
I ~1 LJJS::- ~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: _ Lot Size: ~33L) Existing Sq. Ft.
Total lot coverage ;;21. --, %
Occupant Load: L c::> Construction Type: V. R..
& Proposed Sq. Ft.n4.~ ~ TOTAL Sq. Ft.
PLANNING USE ONLY:
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
ESA/Wetland(s): DYes D No SEPA Checklist required? 0 Yes D No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the 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: Ifno 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
RI05.3.2 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 determine what rmits a required ,not the City's, and that I
must obtain such permits prior to work. ~ ~I Lr
Applicant: Date: _ /~
I
r -
~
Lot:
Prescriptive Approach-Simple Foml
For the Washington State Energy Code ( 2003 Edition)
Climate Zone 1
Building Department Use Only:
~
Address: 1 ~ \ J
City:--SJ ~
W(J-
, Site Infol111ation I
, -g.\~ ""1 I
~~t-
Pemnt #
Cf.;'~2
Notes:
State:
q ~ 3~~
L'8t~Ly tfS-d-~d.
- Y~llJ;
Zip:
Contact ....J; __
Phone:-AD
Phone 2:
0"
FAX:
o
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
Unlinnted
III Group R-3 0.40 0.58 0.20 R-38 R-30 R2l R-2l R-10 R-30 R-10
Occupancy
Only
This Project complies with the following:
./ The Project is a single fannly residence or duplex.
./ The Project is wood frame OR all of the insnlation is interior or extelior 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.
D 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
D 602.6 Exception 2. Doors with a U-Factor of 0.40 allowed without calculations, Option III only.
Type of Heat Source:
Location of the Door (s) taking exception
bbJ-
epIC. 01 -.J.in J
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ELECTRICAL WORK PERMIT APPLICA,TlON
Job wired by
~Electrical Contractor 0 On'ner
lnstallulioll description
Cl Commercial .JQ- Residential
Electrical contractor name;
License number Date Expires
HALV/JF-To14CL 2//3/"B
p;f New
D Altered/Addition
I-{RLI/i>R C;PM S ';;;U;;cT/?/C
Purchaser's mailing address!
P44? PLACE RjJ
City
ptJR r /}/VGE/.J~5
Telephone number
5-7- ,.03
<q~-::;(.,"
"jF.P/lC SY'>i t=M
7/~
'.
;.
3{),50
1
IIJIO
4M>/; SJ:;' +'T F<t;<;i/JENr:.P
Stale ZIP
FAX number
Premises owner's name
'4'7
R,fM'~ Mt:=-rr-12
JOliN Ki:!V
Address of inspection
17,17 gENl' Cf3;o./tRS
,
City
PLJm- /,vVCP/J'.7 f
Phone number to schedule inspection:
1'7- q !
Owner as defined by RCWJ9.28.26J:(1) OWller .vill occupy the structure for two
years a.fier this electrical penrll'f is finalized. (2) Owner is required /0 hire all elec/rica!
cOll/metor if abol'e said pro~CI"/Y is for sale, rent or lease. 0 Cash
After reading the above statement, I hereby certify that I am the owner of the above
named property or a license1 electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-~6B, The City of Port Angeles Municipal Code, and
Utility Specifications. I
Signature of owner, electrical contractor or electricul administrator
'L/ rl '
X . WJ;1I -V'f1'--t~'1.- Date: /D/27/0~
Electrical Load Additions and or subtractions
D NO LOAD CHANGES :
o Baseboard KW
o Furnace KW 0 Overhead Service
o Heat Pump Ton _ LAR 0 Temp Service
~ Fan-Wall 22- KW I ~ Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
o Check #
}il Credit Card @d> Mastercard Discover
Card# __~-avE ~-~___-~___
Expiration Date
of card
Inspection fee
$Z5~.3D
Service Information
.
.--:-
Voltage /20/240
Phase)iil1 D 3
Service Size: 4~tJ A
Feeder Size:
.1"'\...
;
/'. ROUGH-IN
/~iA~ ~Qy
FINAL
-A.fl
Approved By /
THERMOSTAT
I
;' SERVICE
l-it-f)7 ..J. n
",Date ~
FEEDER
.
Dale
Approved By
,
5-J-~7
'-... Dme I
DITCH
/-1t,--~7 )~n
Dal~ ~/
Dale
Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
/0-30 _ o~
17(1..00 G,,,JNcc.r he;
/ ,...,
J IYI~ /
Afl
eI~.
I
.
,
I j
:{1tf
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A . - '-. i
/--:{A/ /tJ /3t' /b&:.
~-
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ELECTRICAL INSPECTION
WIRING REPORT
417-4735
- /81]
ADDRESS
APPROVED NOT APPROVED
o .. '" ' , . , . . . . . . . . , , , . . DITCH, , . . . . . . . b" " " " " " 0
X ' . . . . . . . . . . , , , , ROUGH IN/COV . , . . . . . . . . . 0
D. . . . . . . . , , , , , . . . . . . . SERVI . . . . , ... . . . , , , 0
D. . , . , , . , . . . . . . . . , , , , . FINAL. . , , . .. . ...,.... ,
CORRECTIONS NEEDED~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381