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Home My WebLink About1006 Cathleen St - Building VOR T,yA,o�f� CITY OF PORT ANGELES PERMIT APPLICATION ' " - Building Division/Electrical Inspections s l OWN 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 2-3-0 X 1 &2 Single Family Dwelling *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: IDO6-- Co4T~C4) Building Square Footage; Description of above 6 U 'ti qC Owner Information Contractor Information Name:__417n4 4 7u"E r/SGhf°-ti-- Name; 4P4, Mailing Address; 1015$- Mailing Ad 2—&A-0,r. A->(#* --• City: —State: Zip: City; State: Zip: Phone: Fax Phone: Fax; License#1 Exp, License#1 Exp. W ZZ 7 f Item Unit Charge ()t Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ ServicelFeeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp, $262,00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63,00 1 $ Each Additional Branch Circuit $ 5.00 � $ S - Branch Circuits 1-4 $ 75.00 $ Temp.Service]Feeder 200 Amp. $ 93.00 $ Temp,Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600Arnp, $149.00 $ Temp.Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit)Limited Energy-1 &2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft,or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $1100 $Total Owner as defined by RCW.19.28.261:(1)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 property is for sale,rent or lease, Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I 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 19.28,WAC.Chapter 296-4613,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner a ectri941contractor or electrical administrator; ❑ Cash )dl Check El Credit Card# X Dated: 0110112012 ELECTRICAL PERMIT 61 CITY OF PORT ANGELES 1 360-417-4735 l0 Application Number , , , . . 13-00000553 Date 7%26/13 Application pin number , . . 728173 Property Address . . . . . 1006 CATHLEEN ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-01-7-7-0020-0000- Application type description ELECTRICAL ONLY On your excise tax form Subdivision Name , . , Property Use to the City of Port Angeles Property Zoning , . . , , . . RS9 RESDNTL SINGLE FAMILY (Location Code 0602) Application valuation . . . , 4 Owner Contractor KEITH & JUIIP FISCHER BLACK DIAMOND ELECTRICAL CONTR 1006 CATHLEEN ST 502 BLACK DIAMOND RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 460-1559 (360) 565-1035 Permit . , . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc . , BDE DUCTLESS CIR Permit Fee . . , , 68.00 Plan Check Fee ISSue Date . . , , 5/23/13 Valuation . . . . 0 Expiration Date , , 11/19/13 Qty Unit Charge Per Extension BASE FEE 68.00 -----------------------°___----_-----_-------------------------------___---- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- �y Permit Fee Total 68.00 68.00 .D0 ,00 Plan Check Total .00 00 100 ,00 Crand• Total 68.00 68.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE " ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPTRE STX(6)MONTHS FROM LAST 1NSPFCT JON Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUTLDTNG r4orin FemrgLAia tlectric P-1 CM OF PORT ANGELES PMZWr APPLICATION Building DivisionMectrid jms�ons 321 East Fift 7h Street -Box"So'Po'rt Angeles Washington,98362 Ph.(360)411 Fax: (360)4174711 JUL 2 9 2013 Date!. 2'Single FUMY Dwelling ASPEC'noms Plan Review Wy Be Required Please Complete El Plan S Job Address: Emajon Sheet SVIding Square Footage: Ink oescriptioi)of above R�ia_cre _� ,---�Mp�dlrr_ HE� tC� Ommieff Inf5on Owner Name:: Contractor Info Lion Mailing Address Name: CitJr Zip. Wing Addms&, tate. ZjW Phone; FW stat License#I�EKP Phma• Far, Zi ni Item License P. E::. Servic6ffieeder 2GO Amp. 9!ILC_haMe_ LOW( Multi lied b Unit Cho e Selvice/Feediof 201-400 Amp. S 12D.00 SemcefFeeder 401$00 Amp $146.00 SenAWFeeder60i $205.00 -1000 Amp, $262.00 ServicElFeeder over 1000 Amp. $373.00 Srar�h CiMW W)Service Feeder $ 5.00 8ranch Cirailt WjG Service Feeder Each Additional Branch Circuit $ 63.00 Branch Cjruj13 14 5.Do 75,00 Temp,Ser/jc�e Feeder 200 Amp. S 93.00 ServicEVFeed-W201400 Amp. $11 Quo Temp.ServicalFeecler 401-6W Amp. �/Feeder 601-1 OW Amp. $168.00 Temp.ScrvicL 149.OD Portal to Pcft Hourly 96,07 Signal DFWiU Umfl9d Energy-1&2 Family Dv6 ing $ 64.00 Manufactured 140M COrInecUon $120.OG Renewable Electrical Energy-5KVA SAM or Less $102.00 Thermostat $ Me:$5.00 for each additional T-Stat NEW CONSTRUCTION QNLY- F'rsI $120.00 Each Additional SW Square FL or Portion of $ 40.00 Each Gitbuil[ding or Detached Garage $ 74.00 Each Wmfdcg POCI Or Hot Tub $11000 OMIT as defined by RCW.19.28.261:(1)Owner will occupy the structure for two Years afhythls $__L:�_Totiai to hire an electrical Contractor if above said property is for Me,rent or lease. Permit PIOCtdcal permit is InaRzed.(2)Owner is required tmij expkes after six months of W in specljon. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed BlOctical contractor.I am maidng the electrical installation or alteration in comphanCe with U electrical jam,N.E.C.,RCVV,Chapter 19.28,WAC_Chapter 296-46B,The City of Pod Angeles Municipal Code,and Uflity Specifications and PAIVIC 14.05.0so regarding Sectriral PerrnitAppllcations, Signature Of OVffief,electrical contractor or electrical admINSh-ator: ❑ CAsh ❑ Check 'U-Crefa c3rd N Vs ELECTRICAL PERMIT o CITY OF PORT ANGELES . Gd 360-417-4735 Application Number 13-40060846 Date 7%30/13 Application pin number 6.67092. A /� Cc+ TAX Property Address . . . . . . 1006 CATHLEEN ST REPORT SALES rd�t/1 ASSESSOR PARCEL NUMBER: 06-30-01-7-7-0020-0000- Application type description ELECTRICAL ONLY on your excise tax form Property Name to the City of Port Angeles Pro ert Use Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Owner Contractor KEITH & JULIE FISCHER NORTH PENINSULA ELECTRIC 1006 CATHLEEN ST 761 FRESHWATER PARK RD PORT ANGELES WA 98363 FORT ANGELES WA 98363 (360) 460-1559 (360) 477-1764 ___.._---------- Permit . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 73.00 Plan Check Fee 00 Issue Date , . . . 7/30/13 Valuation . , . . 0 Expiration Date 1/26/14 Qty Unit Charge Per Extension 2.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 10,00 1.00 63.0000 ECH EL--R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due Permit Fee Total 73.00 73;00 00 00 Plan Check Total 00 .00 .00 .00 �--+ Grand Total 73.00 73.00 00 00 ETA INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE - ROUGH-IN FINAL J COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGMIBUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000336 Date 4/08/10 Application pin number 762000 Property Address 1006 CATHLEEN ST ASSESSOR PARCEL NUMBER 06 30 01 7 7 0020 0000 Tenant nbr name KEITH JULIE FISCHER Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 500 Application desc INSTALL DOUBLE CHECK ASSEMBLY FOR LAWN SPRINKLER Owner Contractor KEITH JULIE FISCHER SANFORD IRRIGATION INC 1006 CATHLEEN ST PO BOX 2246 PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 460 1559 (360) 683 9807 Permit PLUMBING PERMIT Additional desc DBL -CHK BACKFLOW DEVICE Permit pin number 163428 Permit Fee 57 00 Plan Check Fee 00 Issue Date 4/08/10 Valuation 0 Expiration Date 10/05/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL LAWN SPRNKLR BCKFLW PREV 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 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 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 construction. 4 v f o l e a l,,d C 4 4fuiPf4 Date Print Name Signature of Contractor or Authorized Agent T:FormsBuilding Division/Building Permit Pnale4 6- 2-1 Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD 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 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 Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts 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 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting i ESA. Landscaping i SHORELINE. T Forms /Building Division /Building Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date IQ 2'16 Accepted by 11 FINAL Date Accepted by Date Accepted By Application'Number Application pin:number .Property Address ASSESSOR PARCEL .NUMBER 'Tenant nbr -name Application type :description Subdivision 'Name :Property Use .;Property Zoni g .Application valuation Application desc M INSTALL :DOUBLEz.CHECK._ASSEMBLY .EOR_.LAWN-,SPRINKLER___._.___ Owner Contractor KEITH &,JULIE;FISCHER SANFORD IRRIGATION INC :1006 CATHLEEN ;ST PD'BO 2 246 :PORTANGELES. =WA ?9,83:63 ;SEQUIM 4A:58352 (360')' 450 1559 136Q) 683 .9807 Permit .P.LUMBING PERMIT Additional desc DBL- .CHK.,BACKFLOW_DEVICE Permit pin number 163428 Permit `Fee 57. '00. ;Plan Check Fee 00 Issue'Date 4/08/10 Valuation 0 Ex Date :10 /05110 Qty :Extension 5D.:00 '1 .00- '7. '00'00 :EA "PL -LAWN ;SPRNKLR'BCKFLW •PREV 7 D00. Tee :summary Charged Paid Credited 'Due. :Permit -Fee "Total 557 QO :57 .00 .00 .00 .Plan °Check, D00 00 '0,0 Grand Total 57 57. 00 00 00 CITY OF PORT ANGELES >DEPARTMENTOF &.ECONOMIC:DEVELOPME'NT 'BUILDING DIVISION _321 5TH STREET PORT. ANGELES, WA 98362 'Unit .Charge T:FormsBuilding Division/Building Permit Per wd7/Q Cawa H 'T0 :000'0'0336 Date 4/'08/10 76200.0 1006 'CATHLEEN ST .06 :30- ,01 7 7 0020 0000 _KEITH JULIE FISCHER ,PLUMBING .REPAIR ,RS9.RESDNTL SINGLE FAMILY_ 500 ,BASE ":FEE z I: n greci oh ?ro-Va t LI, 1(1, c►.. Permits:are•required for'electtical 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 issus,pended''or abandoned.foraperiod of 180 days' after the work'has commenced, or if required. inspections -not been requested-within 180 days from the!last..inspection. TPhereby certify-that I have read:and examined this application -and' know the same to be true and correct. All provisions of laws and ordinance governing this type of work will be-complied with whether specified'herein or not. The granting of -a permit does not presurne'to give'authority'to violate or cancel the provisions-of any state or local law regulating construction or the performance of construction. Date Print Name- Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder). NAME OF PREMISES. L 1/ /SC hi C R SERVICE ADDRESS V v L. /S LOCATION OF DEVICE. W F5 7 G /'f Jdo .1 r e ASSEMBLY r r L� Car? IS THIS AN APPROVED ASSEMBLY" YES ErNO 0 IS ASSEMBLY INSTALLED CORRECTLY' YES' NO 0 DATE OF INSTALLATION MA 7 UNKNOWN0 Initial Test Repairs Details Final Test COMMENTS Initial Test Repairs Final Test Manufacturer REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY Cleaned 0 Replaced 0 I DateTime CHECK VALVE #1 Leaked Held at G psi Held at 3,!!' psi Tester 6 ,7.-/6 a if Cic rf' Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division CHECK VALVE #2 Leaked Closed Tight Held at Pte'" psi Cleaned Cleaned Replaced AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO 0 6 (2-1 g iF r is WHITE CUSTOMER COPY Model Closed Tight Held at 7 psi Replaced )let C r r~, 7c .1 CJ'Z RELIEF VALVE Did Not Open Opened at /4/ Size psi 3 psi Butler YES NO Opened at psi AIR INLET Did Not Open Opened at psi Leaked Cleaned Replaced Signature Cert. Test Kit Passed C YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# Received Serial No RP RPDA DC D- DCDA PVB Air Gap SVB AVB PVB /SVB CHECK VALVE Held at psi REPAIRS AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO 0 YES TYPE OF HAZARD G /1 Line Pressure IG psi Held Backpressure YES 111' NO 0 #2 Shutoff Held YES m""'NO Relief Valve Exercised YES NO Failed a BUILDING PERMIT APPLICATION Print in ink Applicant 41 a.pd vS, F s e It -2v Property Owner r s C.-4 eit Property Owner's Address I O O "6' Va>L4 -e1,, Sf v t Contractor fan 'or/ a oK C. Contractor's Address f, o Box 2 2 C License SANFOiT 99' 1 L PROJECT ADDRESS /0 0 l< Coq le ti Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System \gC0ther Floor Areas Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Existing (sq. ft.) Total footprint of structures Site Coverage the amount of impervious s and other impervious surfaces (see P Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 cription. `Residential r hs 7ct.a( oi,c6/-e I rv,9 /a f ,Ort Proposed (sq. ft.) S Date TL/ 2./La Print Name //Ct V I I Coui a. I/1 Signature T Forms /Building Division /Building permit application Phone Phone Phone Expires P6 /#12/20' E -mail Lot Multi- family Commercial C /-ect 4$ S /y 57 s I 141 For City Use Only Date Received "9 -g l "O Permit t& -S3(0 Date Approved I3S4 ¥'o /59 Ce` 3 ?f0 7 d4 Cokva .0/y1°'-ey Zoning House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other N for exemptions) Site e -rage ft. Occupancy group of bedrooms 1 0_5 Occupant load of full baths Construction type o half baths Industrial fo g r O OT TAL VALUATION 30O 00 Lot size —.&q. ---L�4-e,eve.Fage on a parcel including structures •-ved driveways sid walks patios 1 have read and completed this application and know it 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, and to obtain permits prior to working on projects. Clallam County Assessor Treasurer Property Details 63345 KEITH JULE FISHC Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 63345 KEITH JULE FISHCER for Year 2009 2010 Property Account Property ID Geographic ID Type Tax Area: Open Space: Historic Property Multi Family Redevelopment: N Location Address: Neighborhood' Neighborhood CD Owner Name Mailing Address. 1 1 axes and Assessments Due 0630017700200000 Real 0010 N N 1006 CATHLEEN ST PORT ANGELES Cycle 5 Res 10955130 KEITH JULE FISHCER 1006 CATHLEEN ST PORT ANGELES WA 98363 Property Tax Information as of 04/08/2010 Amount Due if Paid on. 2010 45819 12010 45819 2010 45819 2010 45819 12010 45819 2010 45819 2009 633452008 2009 633452008 2009 633452008 `2009 633452008 2009_633452008 2 009 633452008 2009 633452008 12009 633452008 993�.rt Statement Year ID Taxing Jurisdiction 2010 45819 ST SCH STATE SCHOOL 2010 45819 CC -GEN COUNTY 12010 45819 PORT PORT 63345 Legal Description CATHLEEN ESTATES V15 P21 LOT 2 PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property Agent Code Mapsco Map ID Owner ID Ownership Exemptions: PORT ANG _PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK DIST WEED CONTROL WEED CONTROL 2010 45819 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WEED CONTROL WEED CONTROL 2009 633452008 TOTAL. 11 N N First Half Base Due Second! Half Base Due 194030 100 0000000000% Base Amoi Penalty l Interest Paid Due $162.10 $162.09 $0 00 $0 00 $0 00_$324 $86.27 $86.26 $0 00 $0 00 $0 00 $17' $12.12 $12.13 $0 00 $0 00 $0 00 $2■ $199 72 $199 73 $0 00 $0 00 $0 00_$391 $209 96 96 $0 00 $0 00 $0 00 $411 $25 06 $25 07 $0 00 $0 00 $0 00 $51 $35 38 $35 39 $0 00 $0 00 $0 00 $71 $11.26 $11.26 $0 00 $0 00 $0 00 $2: $0 82 $081 $0 00 $0 00 $0 00 $742.69 $742.70 $0.00 $0.00 $0.00 $148! $184 49 $184 49 $0 00 $0 00 $368 98 $93 36 $93.38 $0 00 $0 00 $186 74 $1 $13.23_ $13.22 $0 00 $000 $26 45 $204 80 $204 79 $0 00 $0 $409 59 $1 $228 16 $228 16 $0 00 $0 00 $456 32 $0 00 $54.26 $0 00 $76 58 $0 00 $1 63 $0.00 $1580.55 $1 $27 13 $27 13 $0 00 $38.29 $38 29 $0 00 $0 82 $0 81 $0 00 $790.28 $790.27 $0.00 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2009 &prop_id =63345 4/8/2010 i. (3/6/~~~~~!lda Pangrle - Re: #08-424. Fire sprinkler perr:ni! fina.1 insp~tion. ,~ Page 1 I From: To: Date: Subject: Ken Dubuc Linda Pangrle 3/6/2009 1:47 PM Re: #08-424 Fire sprinkler permit final inspection Linda - That was on the 27th of February. Thanks, Ken U3/6/2009) Linda Pangrle:#08:424 Fire sprinkler permit final inspection Page 1 I From: To: Date: Subject: Linda Pangrle Ken Dubuc 3/6/2009 1:20 PM #08-424 Fire sprinkler permit final inspection Hi Ken, When did you give final approval on the fire sprinkler system at 1006 Cathleen St? Linda "'''' o , r- '" , '" "'"' "'f-< ~~ 0..0 >< '" <>: "' H '" f-< ",Ul "'"' 8~ f-<>:> Z .. 0<>: HO f-<f-< UU "'"' 0..0.. UlUl ZZ H H "'''' ",rl 000 0'" , , 00'" "'00 OOr- "'''' LilO "'''' > H "'"' 0 ZZ (:Q 00 ::> :c:c Ul 0..0.. rl '" u '" '" U '" - "'Ul "' , <>: Zf-<Or>. 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U "' 0, Ul Z H Ul "' .. o Z o ~ Ul E-< Z "' :<: :2: o U .~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Date 2/18/09 Application Number 07-00001251 Application pin number 540658 Property Address 1006 CATHLEEN ST ASSESSOR PARCEL NUMBER: 06-30-01-7-7-0020-0000- Tenant nbr, name GLENN-TERRA, INC. '1 Application type description RES NEW SFR \\; i ~ ..... 0 , Subdivision Name , vl? _ ~ Property Use . . . . . . . . \ C; SV rJ.fJ' Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Wo..S --r- :'(""'fCA..) Application valuation. . . . 179302 . X\V\~ \~ -------------------------------------------------------------------------~\~ Application desc 2,176 SF SFR, 575 SF ATT. GARAGE, 119 SF COV PORCH ~~ ---------------------------------------------------------------------------- ~ ouJ V' Owner Contractor G"'oJI\~ I{\~ ~ cP()],_ \ ~()q NICKERSON STR ASSOCIATES, LLC PO BOX 80565 SEATTLE (206) 784-9019 Structure Information 000 000 Other struct info . . PRO-BUILT CONSTRUCTION LLC 13410 IllTH ST., COURT EAST PUYALLUP WA 98374 (253) 848-0842 2,176 SF SFR, 575 SF ATT/GAR, 119 PORCH TOTAL % LOT COVERAGE 18.70 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98108 V-B 2.00 9001.00 1685.00 1685.00 1.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 2,176 SF SFR, 575 SF ATT/GAR 114207 1468.25 Plan Check Fee 11/28/07 Valuation 12/06/08 587.30 179302 Qty Unit Charge Per Extension 1020.25 448.00 BASE FEE 80.00 5.6000 THOU BL-100,001-500K (5.60 PER K) permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 114991 129.60 Plan Check Fee 11/28/07 Valuation 12/06/08 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.8000 EA ME-FURN/HP/FAU < OR ~ 5 TON 14.80 6.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 43.50 1. 00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 1. 00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65 oe>c~'~ ~e..... \ kO 'Yf'C- . .00 o Fin a leI 02 --2 ~ (-09 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 has commenced, or ifrequired 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 ofa 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 Signature of Owner (if owner is builder) Print Name T:FormsfBuilding Division/BuiJding Permit BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTlONS- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rouqh-In Water Line (Meter to Bldg) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL: Walls I I Ceiling I I FRAMING: Joists / Girders / Under Floor Shear Wall/ Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T-Bar INSULATION: Slab I I Wall/ Floor / Ceiling I I MECHANICAL: Heat Pump / Fumace / FAU / Ducts RouQh-ln Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking / Lightinq I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit .(!j ~=~) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 32) EAST 5TH STREET, PORT ANGELES, W A 98362 Application Application Permit Additional Permit pin Permit Fee Issue Date Expiration Number . . . . . 07-00001251 pin number 540658 PLUMBING PERMIT Page Date 2 2/18/09 desc . number 115006 170.00 11/28/07 12/06/08 Plan Check Fee Valuation .00 o Date Qty Unit Charge Per BASE FEE 13.00 7.0000 EA PL-PLUMBING TRAP 1. 00 7.0000 EA PL-WATER LINE 1. 00 15.0000 EA PL-SEWER LINE 1. 00 7.0000 EA PL-WATER HEATER Extension 50.00 91. 00 7.00 15.00 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. 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). November 6, 2007 3:51:26 PM sroberds. The proposal will result in a new sfr in the RS-9 for total lot coverage of 19%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Customer connection fee $713.00. October 30, 2007 3:06:15 PM gmclain. 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1767.85 1767.85 .00 .00 Plan Check Total 587.30 587.30 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4589.65 4589.65 .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, ifconstruction or work is suspended or abandoned for a period of 180 days after the work has commenced, or ifrequired inspections have not been requested within 180 days from the last inspection. I hereby certify that) 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 Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnslBuilding DivisionIBuilding Pennit BUILDING PERMIT INSPECTION RECORD - 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 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rough-In Water Line (Meter to Bldg) Gas Line Date02.~Z 1,01Accepted bvJ" t-L- Back Flow / Water FINAL AIR SEAL: Walls I Ceiling I FRAMING: Joists / Girders I Under Floor Shear Wall/ Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T-Bar INSULATION: Slab I I Wall I Floor I Ceiling I MECHANICAL: Heat Pump I Furnace / FAU / Ducts Rough-In Gas Line Wood Stove / Pellet / Chimney Date 02.rl 7 -0 9 Accepted bv TL..L- Commercial Hood / Ducts FINAL MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s Parkin / Li htin Landscaping SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE Inspection Type Date Accepted By Electrical 417 -4 735 Construction - R.W. 417-4831 Fire 417 -4653 Plannin 417-4750 Building 417 -4815 ~.ee.. ~ frev~ovs f€<'ml'+ Issve.J.. \\-f,8-07 -For 1\'1!;pe.d-l0Y1S pn"o.......-fo 02.-27.01 T:Forms/Building Division/Building Permit 02-.-2-'1-6 L-L-- +0 G leh n- Ter-rq) ~c.. ~. S \ ~ \5{ o C> ()' o ~ *- - ~ ~ \j) ~ L- .. VOONG BANK AdminiAtrntion Tel (206) 298-2028 Fllll (20G) 283-01 S8 4 Nickerson Street Suite 100 Seattle. W A 98 t 09 www.vikingbonlc.com TO: Linda Pangrle FROM: Brian Robinson COMPANY: City ofPA Public Works Dept SUBJECT: Catbleen Estates PHONE: DATE: 2/18/09 FAX: 360417-4711 PAGES: 2 Linda, Here is verification that Pro-Built Construotion, LLC, is serving as general contractor for the Cathleen Estates subdivisions. Thanks, Brian Robinson Assistant Credit Administrator ph: (206) 298-2028 Fx: (206) 283-0158 Emai1: brianr~vikinl:!:bank.com The information cOnlaincd in this transmittnl mny be privileged Dnd con(idcntbl information intended (-or rhe nnmed rceip:cnts only. Ifyoll are not the Intended recipient or the employ~c .or agent rc~r1(,m~ible fo deliver it to the intonded fcclpient, you .1re hereby notified thaI any dis.\crr.ir."tic)O, di~friblltioll. or copying of this communico,i,ln is stricfly prohibited, lfYOll have rec~fved (hi, IrmlSll1irtc! ;11 error, pleMe immcdi~tcly notify "e' ll)' :o)ephc~c. . W VIKING BANK 2067849019 2067113 1295 f... Admini5t",tion tl Nickcrmn Strtel Suite 7.00 I~O. Box 19087 Sc:lttlc. WA ')8109 www.vildngbilnk.c:nm I,fJCld. PmOl"}1tliz~d. c.u.lt(l7t/t!r.Dri!Jc'~, Febnlary 17,2009 City of Port Angeles Public Works & Utilities Department 321 East Fifth Street .Port Angeles, Washington 98362 To Whom It May Concern, This letter is to seIVe as notice that Pro-Built Construction, LLC, has been retained by Viking Bank to seIVe as general con.tractor to coordinate and complete the construction of the Cathleen Estates subdivision. The subject properties are listed as follows: Address 1002 Cathleen Street ----7 1006 Cathleen Street 1010 Cathleen Street 1014 Cathleen Street 1104 Cathleen Street 1108 Cathleen Street 1109 Cathleen Street 1105 Cathleen Street 1015 Cathleen. Street 1011 Cathleen Street 1003 Cathleen Street Parcel No. 0630017700100000 0630017700200000 *- 0"1 - 12... is \ 0630017700300000 0630017700400000 0630017700500000 0630017700600000 0630017700700000 0630017700800000 0630017700900000 0630017701000000 0630017701200000 Nickerson Street Associates, LLC, is a wholly owned subsidiary of Viking Bank and is the legal owner of the above listed properties. In accordance with Pro-Built Construction, LLC's duties as general contractor, please extend Pro-Built Construction personnel every courtesy with. regards to accessing pennit data, inspecting and issuing permits, and any other steps as necessary to complete construction and obtain. final approvals for the above listed properties. Thank yo~ b--~ Brian Robinson Assistant Credit Admi.Distrator ..0 I".;>!;,\:. IIl111:d:'oJl; I.E~ll_'~_j ~1';M"I..1\ !"'i'.: Street Lookup Parcel Number 0630017700200000 Site Address: 1006 CATHLEEN ST PA I Quit I Taxpayer: NICKERSON STR ASSOCIATES, LLC PO BOX 80565 SEATTLE, WA 98108-2406 Title Owner: NICKERSON STR ASSOCIATES, LLC PO BOX 80565 SEATTLE, WA 98108-2406 Description: CATHLEEN ESTATES V15 P21 LOT 2 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 75,000 Improvements Value: 98,975 Total Assessed Value: 173,975 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 1113 THREE BEDRM Land Size (acreage): .21 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bldg. # for more details.) --.lL 6IdgJ-yp-L- Bldg,-SJyle Iot~LS.F. J:U:t _6A_ 01 House Two Story 2200 3 2 Tax History Sales History Other parcels at this address: I Quit I http://apps.clallam.net/website/sitis _ s.pgm?address= 1006 &street=CA THLEEN ST Page 1 of 1 ... 2/17/2009 riOJ o '- '" o '- '" 0101 t'JE-< ..:..: o.Cl 00 00 riri 00 , , LIlLll "'''' LIlLll >< ..:l ~ 01 H ..:l E-< OlUl ~Ol 8~ E-<>-:J Z O~ HO E-<E-< UU 0101 0.0. CIlCll ~~ 00 "'''' MM ;': Cl g) CIl 0101 ZZ 00 :r::r: 0.0. r- N o o ,~ 00. Oul o 0;3: '01 . 0 Z E-<UUUN UlZZZOul HHHOCt1 Z , ~ 01 - r- 01 ..: ..:..: , ri ..:l~~~r-LIl ::r: ~ 0:: 0:: IN E-tMMM...-Ir-i ":E-<E-<E-<OO U I I I 10 ",~?a~g oM M fxl , I OHHH\Ot' ...-ie"t)C)OO N riUl 01 -..:l OJ 01 0t'J ~~ o '-E-< "'~ o 0. 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CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 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 . . . . 08-00000424 Date 482520 1006 CATHLEEN ST 06-30-01-7-7-0020-0POO- GLENN-TERRA, INC. FIRE SPRINKLER SYSTEM 4/21/08 RS9 RESDNTL SINGLE FAMILY 2823 _ u _ A~;*~~~:~~~~~~~:~~ER S:;~..\_ ~_ ~_~~~m _ m _ _ n n _ _ _ _ _ ~ _ _ _ ~ ~ ~ ~~ 5; ~ ~ ~~la;ks > Ll..( Owner 02..' \ <6 ~~~=~~~=~~ _ _ _ _ _ _ _ _ _ _ __ _ _ 5ett+t\ e .J W A q <<3 \08 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE WA 98362 PORT ANGELES WA 98362 (360) 452-7583 INSTALL FIRE SPRINKLER SYSTEM Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID INSTALL FIRE SPRINKLERS 124339 50.00 Plan Check Fee 4/21/08 Valuation 10/18/08 .00 o Qty Unit Charge Per BASE FEE Extension 50.00 .. Special Notes and Comments Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 Fl nq leJ 02."" 2-, ( - Ocr 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 compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. J~~f.#,lJj,!4:e . ~/2.//(J9 .- _.. Signature of Contractor or Authorized Agent / Date Signature of Owner (if Owner is builder) Date '" ...,.._i" ".----MU _......J FIRE PERMIT INSPECTION RECORD o oQ I ....c: 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 (Vl.-2 7,-(jQ \< It)D FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # I Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection 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 o ~ 6' ~ ~ ~ .:5 ~ :n ~ 2/15/00 V') -U J.. => ^ ~ "" GENERAL COMMENTS: L. City Permit # 08-424 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: 1006 Cathleen Installer: Innovated Fire Installer Telephone: 452-7583 Type of System: Open 130 13 RO 13 D~ Date: 4.10.2008 P AFD Permit #: 08-14 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 all 13 D 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: ~ O~Q. ..J.d..O Date: &..{. \C. Zoa~ o ~ o Building Department Fire Department " ~ I DATE: Y-"l~O& I El FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRATI~N o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUlLDING DIVISION I ~ o o RE: ADDRESS:~OOCo CQ~t-eeY\ s+ NAME/CONTACT: V \ V\ (A> M+ Be., t- +j -e..y- PHONE: t..t 5 2-( 5 g~ PERMIT NUMBER: 08- 4'z..Ji PROJECT DESCRIPTION:--=:t:nSkLL-h' v-e >PY-l' MI< l-e.y- f!J 5~ g NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: ~VIEWIRETURN o FILE ~ oS. \"\ ( I" BUILDING PERMIT APPLICA TION Print in ink For City Use Only: Date Received 4 - '1- () 8 Permit # O~ - 42. ~ Date Approved Phone '-/'5' 2 - 7.s $)3 Phone Phone LlS.2.. - 7..5 EJ 0:3 Parcel Number PROJECT ADDRESS Cc- h 1-e.Q.'-\. S + Lot 2. Zoning Proiect Tvpe & Brief Description: Check alllhat apply pt:JJew Construction o Addition o Remodel o Repair o Re..roof o Demolition o Sign o Heat System o Other )(:Residential ,c- ,,/' J<.. o Commercial o Multi-family o Industrial J-r/-r{,/~ o wall-mounted 0 projecting 0 freestanding 0 awning Total si n area s . ft. Maximum allowed si n area s . ft. o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas Existinq (sq. ft.) Proposed (sq, ft.) Basement @$ per sq. ft. = $ 151 Floor 2nd Floor 3'd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ 2-B23 ~ad Total footprint of structures /~8'2- Lot size sq. ft. sq. ft. = Lot coverage % ft Occupancy group Occupant load Construction type Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? # of bedrooms # of full baths # of half baths I have read and completed this application and know it 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, and r obtain permits prior to working on projects. II' +)$ 14 t!~ /J f3 ,ltj ~::~n;l ",," g D~:,~:::t:'~:~'''L_~O:C:,o~o:-- ~ A,--S;gnature · {- - ~ m<Xl o ...... M o ...... '" WW (!IE-< .0:.0: 0.0 >< ... I>: W H ... E-< wrn ~'" 8~ E-<>-:> Z .. 01>: HO E-<E-< UU WW 0.0. rnrn ZZ H H 00 00 ........ 00 I I 1Il1ll "'''' 1Il1ll 00 "'''' MM :> H WW 0 zz ~ 00 :I::I: rn 0.0. m 1Il '" 1Il <Xl II>: 00. om o 03: IW . 0 Z E-<UUUN rnZZZorn HHHO~ Z 'I>: ~ .. .. ..r-- ~~~~~;ri :I: ~ ~ 0:: . 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Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000286 Date 846382 1006 CATHLEEN ST 06-30-01-7-7-0020-0000- ELECTRICAL ONLY 3/11/08 RS9 RESDNTL SINGLE FAMILY o Application desc T-stat Owner Contractor Glenn Terra, INC. 136 e 8 st #223 PORT ANGELES WA 98362 ABSOLUTE AIR INC. 2820 E. HI-WAY 101 PORT ANGELES PORT ANGELES (360) 452-8444 WA 98362 122267 35.00 3/11/08 9/07/08 Plan Check Fee Valuation .00 o ~ g <f\ Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL Qty 1. 00 Unit Charge Per 35.0000 EC EL-LOW VOLTAGE Extension 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 (\ ~ :r.. r ~ ~ ~ r--- m_ -- , '\, " SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN 5~o<B FINAL --wJ) OMMENTS: I ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000320 Date 270720 1006 CATHLEEN ST 06-30-01-7-7-0020-0000- ELECTRICAL ONLY 3/10/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor Glenn Terra, INC. 136 e 8th street PORT ANGELES WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 122705 Permit Fee 135.00 Plan Check Fee Issue Date 3/10/08 Valuation Expiration Date 9/06/08 .00 o '- CY Q CJ" Qty 1. 00 3.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 66.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135.00 135.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 135.00 135.00 .00 .00 \\ ~ ( f r -- , SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: ~/2)l!fj ~ 3ZD ELECTRICAL WORK PERMIT APPLICATION , Job wired by '7l. Electrical Contractor 0 Owner Installation description o Commercial 0 Residential Electrical contractor name ~+hV Su-V~C(, 'the..- Purchaser's mailing address <52- ,", License number o New o Altered/Addition City ~ ""3 Co L- n~~ Y'l!-~~~cA.- ~1~/,0 :;Jff- 27 c::;; ) '5 ~ ~-r ~ Premises ow~ name .pVlh Address of ins~ction \ () u (Q City f. )4 ~ --r:Lr ("C{. Cq1~ l~eY) Phone number 0 schedule inspection: - fs Owner as defined by RCW 19.28.261 :(1) 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 property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of OWIJe , o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW \(. Furnace WKW o Heat Pump Ton LAR .0 Fan-Wall KW o Overhead Service o Temp Service )(. Underground Service Inspection fe.;o $ lY7':- Service Information Voltage \.1.0 h\.\O Phase ~1 0 3 Service Size: :L 0 p 4- Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN G/'fJe8 ~edBY THERMOSTAT FEEDER Date DITCH 3/ ~f8 ~ved By Date Approved By Inspection , Electrical Date Area, Building or Equipment Inspected Action Taken Inspector 'J (.~ ~ OA-,A") r " :-\ 'V . 0. p D'3-03zD c/.."O"'A<\O l'~<,. ~. ... -=-.:;.;..1If "I.\==-''I -'..~.. .......... ELECTRICAL WORK PERMIT APPLICATION Job wired by 9t Electrical Contractor 0 Owner Installation description o Commercial 0 Residential Electrical,contractor name, I;.~Th~ Se-rV\c(, Lhc.....- Pilrchaser's mailing address ~'2- License number Date Expires o New o Altered/Addition .sc ~ n-e-\.Af Y'l!.- ~ ~ J..vn cA..- ~' ~\J 'I 0 : },~+- __ "5~ -;=--r City --r;Lr rot Cq1 ~ l...e.e t1 2? C7 } ..- ~." , J , o ,Cash 0 Check # " J ( Credit Card Visa Mastercard Discover "."" . ,~. x Electrical Load Additions and or o NO LOAD CHANGES o Baseboard KW ~ Furnace WKW o Heat Pump Ton o Fan-Wall KW LAR o Overhead Service o Temp Service R. Underground Service Service Information Voltage \ 1..0 ).2- \.10 Phase ~1 0 3 Service Size: :L 0 V IQ- Feeder Size: \' \< SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN~, THERMOSTAT FEEDER SERVICE DITCH Date Approved By " Date Approved BY. t.zJ- "l ~4111"""~ FINAL "':i Date Approved By Date Approved By Date Approved By Date Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector D-08 ~ Cf6 -o2f3h ~ ELECTRICAL WORK PERMIT APPLICATION . Job wired by o Eledrical Contractor a Owner Installation description CJ Commercial CIl ResideatIaJ o ~ Electrical contractor name ~\v\c- A-\<L\I\C Purchaser's mailin~address '2~7J) F,. JjJ ,J\). Chy -J ThY\- ~f\ O~ Telephone ~ . :1-<&4 y License number Date expires t:L.-\.oA\\~8)LA\qqOI\)t0 ~-2~ CJ New CJ Altered/Additioa v.> A- State ZIP QP;""6LtL FAX number \0v0 \ In Hn ~^J (, }\nertYlO StT4- f'J ~ (S' \0\ PremIses owner's name G \f'x,n Tt'xrC,-- Address of Inspection C . l(j)lP Cl\+)\eerl C'~ J ) (-\- ~eleJ:. Pbone number to scbeduJe Inspection: """'" lD+2.. ~4 Owner as defined by RCW.J9.28.26/:(J) Owner will occupy the strucflln? for two years after this electrical permit u finalized.. (2) Owner u required to hire an electrical contractor if above said property is for sale. rent or lecur. . After reading the above statement, I hereby certify that I am the owner of Ihe above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. SllDBtDre o(?o Jler,!ttrlcal cODtractor or electrical admlDlstrator X .//}; Date: 3-lj-O<6 Q Cash Q Check # a Credit Caret Card # VISa Mastercard Discover - - - ---------------- Expiration Date of card I nspection fee $ 35": 00 Service Information CJ NO LOAD CHANGES a Baseboard KW as Fumace l1.. KW CJ Heat Pump Ton CJ Fan-Wall KW LAR CJ Overhead Service a Temp Service CJ Underground Service Voltage Phase 0 1 03 Service Size: _ Feeder Size: SAME DAY INSPECTION. CALL BEFQRE 7:00 AM 360-417-4735 ( ROUGJI.IN " I THERMOSTAT " l SERVICE I 6/2/06 ~ ) '(~& oe .'1!2 By ) "- CIte Ap"",veiI By ./ Oate Approved By ./ ( FINAL DITCH " ( FEEDER " f 1 I ~~ I Date A/lPOY<d By ./ "- Dot. Apprond By ~ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector , D'6"32.0 r-OO o , "1 o , "1 MOO ~E-< ..:..: 0.0 00 00 r<r< 00 , , LtlLtl "'''' LtlLtl >< ..:I ~ 00 H ..:I E-< MUl "'''' 8~ E-<I-:> Z .. O~ HO E-<E-< UU MOO 0.0. UlUl Zz H H 00 "'''' "1"1 ~ o @ Ul MOO ZZ 00 "'''' 0.0. 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Q W'" <>:0 ..; 0.>< WE-< <>:H o.U <>: <>: " <Xl <>: " W ZO <Xl g; E-<- ~ 0-1 ~ ~~~gj~o-1 Qffi~~~g; ~E-<UOo...; Ul E-< ~ ~ HZ::;: ffiOO HU E-<'- Qo.Ul HHE-< UlI>:S 1ilgUl WW 'I'll>: OJ .... ... 01 <: '" 0. .... ~ .. .. C> .. Z'" H M E-< .. 000 o "'00 o ZON ON\O H 0 E-< -00 ";0' 8N~ !3 >. \0 0'" ~ "',"ZZ ;:IOH OIo4fJ}f-! Q.o0-10 HCLlHO <Xl"':':'" E-< ~ 0. ~llt- "'UlO ZUl' ~HWI II: <>:, H , ~ HQQ OWW tllE-<E-< UlW g[g<;; 0::;: WO <>:I>:U '" tll E-< ~ '" 00 o '- o N '- N .... o 0 Ul '- '" .... >< 0-1 E-< <Xl Ul W E-< o Z Q ~ Ul E-< Z W ::;: ::;: o U . cJ ,ORT ~ l~~<,., '~.. lit~ ~-- ~w;p CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH 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 07-00001251 Date 11/28/07 540658 . 1006 CATHLEEN ST 06-30-01-7-7-0020-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 179302 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 Other struct info . . GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 2,176 SF SFR, 575 SF ATT/GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 119 PORCH 18.70 V-B 2.00 9001.00 1685.00 1685.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 115303 230.00 Plan Check Fee 11/28/07 Valuation 5/26/08 .00 179302 Qty Unit Charge Per BASE FEE Extension 230.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 115295 120.00 11/28/07 5/26/08 Plan Check Fee Valuation .00 179302 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extension 120.00 ---------------------------------------------------------------------------- Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire 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). . November 6, 2007 3:51:26 PM sroberds. The proposal will result in a new sfr in the RS-9 for total lot coverage of 19%. No land use issues anticipated. Electrical load calculations and elctrical permits are Separate Permits are required for electrical work, SEP A, Shoreline, ESA, Litilities, 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 . spection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of la and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pre ume to give authority to violate or cancel the provisions of any state or local law regulating constructio'n or the performance of con truc n. \\ Signature of Owner (if owner is builder)' , Date uthorized Agent T:\Policies\ II 02.15R [1105] 4 PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY . STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTIER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] t Of fORT ~ l~"':.~ ~ .~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00001251 Application pin number 540658 Page 2 Date 11/28/07 Special Notes and Comments required. Customer connection fee $713.00. October 30, 2007 3:06:15 PM gmclain. 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 350.00 350.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2584.50 2584.50 .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:\Policies\1102.15R (1105] . 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 NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\ II 02.15R [1/05] " -. rft:l'ORT~ """'~~",, Or.- 11. -- ....C~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o 7-) 25/ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-00001251 Date 11/28/07 540658 . 1006 CATHLEEN BT 06-30-01-7-7-0020-0000- GLENN-TERRA, INC. RES NEW SFR /()O~(>~ RS9 RESDNTL SINGLE FAMILY 179302 Owner Contractor G'~~ GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 Other struct info GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 2,176 SF SFR, 575 SF ATT/GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 119 PORCH 18.70 V-B 2 9001 1685 1685 1 ,00 ,00 ,00 ,00 ,00 Permit Additional Permit pin Permit Fee Issue Date Expiration desc number PUBLIC WORKS 3/4" DROP IN 115303 230.00 11/28/07 5/26/08 RES WATER SERV METER Plan Check Fee Valuation ,00 179302 Date Qty Unit Charge Per ~. , BASE FEE 230.00 - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit . . . . . . SANITARY SEWER HOOK UP Additional desc Permit pin number Permit Fee Issue Date Expiration Date 115295 120.00 11/28/07 5/26/08 Plan Check Fee Valuation ,00 179302 /. r;Jv'^, \' '1i 1-)/ Qty Unit Charge Per ~x 'on 1.00 120.0000 EA SAN SEWER HOOKUP 120. 0 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - ~ - - - - - - - - - - - - - - - - - - - -- Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire 'Protection Association (NFPA). November 6, 2007 3:51:26 PM sroberds. The proposal will result in a new sfr in the RS-9 for total lot coverage of 19%. No land use issues anticipated. Electrical load calculations and elctrical permits are 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 of180 days aflerthework as commenced, orif 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 vioiate 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\l102.15R [1105] . of~ollr...... l~ "" ,.....,a L -- ~Oii" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 07-00001251 540658 Page 2 Date 11/28/07 Special Notes and Comments required. Customer connection fee $713.00. October 30, 2007 3:06:15 PM gmclain. 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Fee summary Charged Paid Credited Due - --------- ---------- -------~-- ---------- ---------- Permit Fee Total 350.00 350.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2584.50 2584.50 .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:\Policies\1102.15R [1/05] APPLICATION FOR WATER City Water Division, Port Angeles, WA Issued date: ;1j"I!.ll 7t!ni Installed by & date: 1'2,-j-CL QJ)rPermit # 07-/aS/ I 1 hereby apply for water to be furnished m accordance with rates and rules of the City for the following premises: ApplIcant Name & Phone: Gj/P/7/J 7e~ ~C-- Site Address: /006- ~k/J5/ MailingAddress ~EJ>~ ;zt";;>~...E;' , Blk: _ Lot: ~ Add:~~ ~..c> Parcel #: a-,,-3co/ -7 7-00ze; SVC:ON/6) Meter#'sC Fb&>7raoc7 w/o#: 303<f1l - 375 ,., "" ~,., ~ ~~D R'~"'"" R,"""~ SIgnature: -r':~ _ ~ Remarks: ------ N wit> .sf; w E /0" c.. <1'1 " ".... ~~ ... --3~ 0<.) '" \ V) ~ L- V) s ~ ~ :::f <l:- r f/,Oo'lT~_ !:>...~ ""-&Ii .... -- ~;;;;.> CITY OF PORT ANGELES PUBLIC WORKS - UTlLITIES DNISION 321 EAST 5TIISTREET, PORT ANGELES, WA 98362 D7-464 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description subdivision Name Property Use Property Zoning . Application valuation 07-00000454 Date 5/01/07 752986 1006 CATHLEEN ST 06-30-01-7-7.-0020-0000- PUBLIC WORKS UTILITES Owner Contractor IDD&O~ -peA RS9 RESDNTL SINGLE FAMILY o NEW VIEW INC. 133 MARlAH WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit RIGHT OF WAY Additional desc DRA PROCESSING PERMIT Permit pin number 100503 Permit Fee .00 plan Check Fee .00 Issue Date 5/01/07 Valuation 0 Expiration Date 10/28/07 Special NoteS and Comments 04/30/2007 11:35 AM RVESS ------------------------------ ORA 2005-1A $954.15 + City Admin $52.05 ORA 2005-1B $615.18 + City Admin $33.57 Other Fees CITY ORA % ORA FEES PLUS INTEREST 85.62 1569.33 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- -------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1654.95 1654.95 .00 .00 Grand Total 1654.95 1654.95 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ot construction. . Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder). Date T:\Policies\1102.15R [liDS) r CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . REQUEST: Date S - I-( - 0 ~ Time Received by i<v (phone. person) Location of Work to be inspected 100 (,0 C, C<- ~ lee V( S r Name of person requesting inspection (., {' €...3 Address of person requesting inspection Type of Inspection (circle appropriate one): I~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other Phone No. Permit No. o,-/2.$;1 INSPECTION NOTES: Inspected: Date 5- 4 -c'e;, Time Remarks: N~..,J '7"// PC/C C-orlne..cf'0H Yr-oper+'1 I,'",f:. Qa...,u. er-,,- i3,.-I+""';es O~ NtJ ?k",j o~ Eo'/! blcl3 h....$ bee", -f'lop.ed -NEed.: ;1~\oU s;..+~ ,p/o"! RESTORATION REQUiRED...... YES 1-0 By , I' -€x,c;-"'-'<;3 KV k, "/ ?Ve 0+ NO X / ~N 3<<.r':J""- 'f(l '?II-- , 94 '1,,0 '1 "I' I ---lc7I~,I: ?1> -;- 2."-1'" S',j,IlOP <<-- t yo S' SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other 33' o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) ~TAI:I:T ~IIDI:AINTI:NnI:NT 1n4TFI CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 3 - 2 - 0'1 Time Received by RV (phone, person) Location of Work to be inspected / (')(")~ G't), /-f>8 V\ s:.+ Name of person requesting inspection..JhJA 'J'\. t?u.v-d<;<.-t\:- Address of person requesting inspection Type of Inspection (circle appropiiate one): Sewer Foundation Framing Chimney Plumbing Phone No. 253- 777-.503S- Permit No. ~ 7 -I '2.:<;- ( 0ewer Excav. Other INSPECTION NOTES: Inspected: Date .3 - 2 - O"'j Time Remarks: LVa+e.r- 1"2 - :5 - 67 ~v..:;.Q,"-- 'S- Lf - 08 j).....:ve..Wo..7 ~-2-0'1 flZ>t.<M ~1~::f:S 70 ~v-b 3 -2-0'9 By R~/ Ok 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 D No Damage Found Work Order # o COMPLETE o INCOMPLETE ,I"'ft....i....14 ft" ..au....ulo airl.. if ...,a........IIl..", '....A...~\ , I ., ~VORT~ ,,~....O~<'}~ ~ L -=..;or ~ \ 'l.,;;~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH 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 07-00001251 Date 11/28/07 540658 1006 CATHLEEN ST 06-30-01-7-7-0020-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 179302 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES . WA 98362 (360) 565-0100 Structure Information 000 000 Other struct info . . GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 2,176 SF SFR, 575 SF ATT/GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 119 PORCH 18.70 V-B 2.00 9001.00 1685.00 1685.00 1. 00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc 2,176 SF SFR, 575 SF ATT/GAR Permit pin number 114207 Permit Fee 1468.25 Plan Check Fee Issue Date 11/28/07 Valuation Expiration Date 5/26/08 587.30 179302 Qty Unit Charge Per Extension 1020.25 448.00 BASE FEE 80.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 114991 129.60 Plan Check Fee 11/28/07 Valuation 5/26/08 .00 o Qty Unit Charge Per BASE FEE 1. 00 14.8000 ECH ME- INSTALL 100- FAU 6.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-OTHER APPL. N/R 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Extension 50.00 14.80 43.50 10.65 10.65 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 115006 170.00 11/28/07 5/26/08 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension Separate Perm its 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 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 pr isions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) T:Forms/Building DivisionIBuilding Permit (1010lI07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 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. , - J ; INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOVNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL om Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417.4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:Forms/Building Division/Building Permit (1010 1/07).wpd ~ f pORT ~ f 8~O~tc(~ ~ "- ~ ~ \ . "l.,;{~ .. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Page 2 Application Number 07-00001251 Date 11/28/07 Application pin number 540658 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 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 Addre~s numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). November 6, 2007 3:51:26 PM sroberds. The proposal will result in a new sfr in the RS-9 for total lot coverage of 19%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Customer connection fee $713.00. October 30, 2007 3:06:15 PM gmclain. 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1767.85 1767.85 .00 .00 Plan Check Total 587.30 587.30 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4589.65 4589.65 .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 orwork 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 construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit (IO/OI/07).wpd BUILDING PERMIT INSPECTION RECORD , CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4 J 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. t INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: 2. -Zb -08 PB FOOTINGS ,( -2D-O g ;)L.-L- SHEAR WALLS / WALLS 't- 2,-0& :rl""" FOVNDA TION DRAINAGF/f"DOWN SPOUT~ ~-3-0% ~l.L- PIERS POST HOLES (POLE BLDGS.) PLUMIlING UNDER FLOOR / SLAB ROUGH-IN t5 .-+-08 ~U- WATER LINE (METER TO BLDG) 3-3-08" JL.-L GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL 5 -l2..- 03. -zrLL- WALLS CEILING I FRAMING 5 -30- 08 "SL..L- JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING . DR YW ALL (INTERIOR BRACED PANEL ONLY) , T-BAR INSULATION . t-....~-OX ;ru.,..-- SLAB WALL / FLOOR / CEILING I MECHANICAL lYlE ROUjh-.:H, -J"l-L 5~t2-{.l~ HEAT PUMP/FURNACE/DUCTS GAS LINE (o~" -DB '::\ t..-L- WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: /1 LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 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 BUILDING T:Forms/Building Division/Building Permit (10/0 1/07).wpd 5ee. -fu.e.. V do-:{ ,eJ eX' t-t- I'SSV 02-1 -0 i-o \ . " I ~ l f'l 'Si - o D 0' R * - ~ ~ ~ I c...~$cV\ S~ lu~()c.,\.fA.+e..> J LLC j...;-he.. Pi m. -F-l ntL\ 4 It'\ q:> e.e--H 0 t'\ >~ 8 7 l/) ~ I~ Address: B LLDING PEkMIT - APpubATION ~ . ~I I , I ! / Fill out COMP~TELY and in INK.. Your application land site plan Must. BC/E C01\1PLE E to be accepted fbr review. If you ha~e any questions, cap I PERMITS (360) ~17-4815 FAX(360)117~4711 ,I. Gr- \ 8 ~2- :\er t~I-No.\'Y\0& ex- S!~o.wh croW-...h :?too, -2..0~- 10-'''1 I Phone: S &O-Sf:D:>-O 100 I Phone: .:s1 (00 - S-u, S- - 0 I 0 0 i &.s. ! Zip: 98' .s0 <- E. $ I Phone: Iz~.s- 2.9lj- 5/70 :DVc I ('E>>~ I State Licensc #: <( IN. ~ Exp: S' / l~oR Phone: .J' h::J - S-ihS -ola "2- c.. City:.p (')Jh.T --.F. LF ~ i Zip:~ S (0 "2. , I N S ZONING: e-kTH LEE.N E5JAJ~1 I ' 1"2...0 FOR OFFICIAL USE ONLY: Date Rcc.: 10 -7_b- 07 Pom'''': 07- \~51 ate ApPlOvedl /A ~'1 " ate Issued: ----.. Owner: Address: PROJECTADDlillSS: " ...'''''. ._.......~."I'......... . -. ". ..... - .~ .:........... LEGAL DESCRJPTION: Lot: CLALLAM COUNTY P MCEL , No. of Stories: 2. Lo(Size: Total lot coverage IF. 7 I I I : o Stove -n-Gr:age ~F'o/l..c..I-J' o Oifuer City: Exp. Date: Credit Card Bolder Name: Billing Address: Credit Card Type VISA Mcl # Tl.rpE OF WORK: I ~esidential ~w Comtr. 0 Re-roof o Multi-family 0 Addition 0 ~ove , o Commercial 0 Remodel 0 temolition o Repair 0 frign BRillF DESCr-IT'TION OF THE P10JECT: SIZEIV ALUATION: "J./7G. SF. @$ 71P,O t /SF. = $ I "'S~ 5' 7/, Y'I S7S"1 SF.@$ :z.1..?J? /SF.=$' 17-, 2is .SD Ilq ! SF.@$ 1'Z.6K ISF.=$ 1,IY3/. S"-z- ~'OTAL V ALUATI~N $ I, '=t ).361.. 8' (0 cT : ..s Existing Sq, PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPViT(J: FIRE: OTHER:_ ESAlWetland(s): DYes 0 No SEP Checlclist require I i VALUATION OF CONSTRUCTION~: In all cases, n,' Iuation nmount mustlbe entered by the a~Plicant. This figure will ~e 'reviewed and may be revised by the Building Div sio~ to cO~lply w~t~h up. 'en: fee schedu~es. Fonta~t t~e PeImi~ ~oor~ina:or a.t 417 -4 815 f~r' sistance. PLAN CHECK FEE: IF. a plan checkee IS due'!t must b :'s*brmtled at the tune the buildmg pellmt applIcatIOn and cons1mctio 'plans are submitted. All other pemnt fees are due at the time of pe 't:issuance. I I EXPmATION OF PLAN REVIEWi' lfno permit is issJed within 180 days ofjthe date ofapplicat+oll, the application will exp're. The Building Official can extend the time fI r action by the applicant up to 180 days upon written request By the applicant (see Section .1 05.3.2 of the International BuildinglResidenti 1 Code, 2003). No ~pplication can be extdnded more than oncb. 1 I ! I hereby certify Ihall have read a e m ned this applicatiDn no knDw the same tD bB true and CDrrect. I ahl authorized to apply for Ihis p rmil and undersland that iI is my respDnsibilly tD lerolin whal Ref. . s Jr required ,nDI the Cily'1, and that J must obta}n such pelmits priDr tD wDrk. T:\Policies\BL-11D2_13,wpd Appli nt: te: ! {() /2... S- /2-Db? , I I ..; I I '< / ...., ;' """" "'" ......,..... " ftofo ~e~ "'''" 5 (ie '" "'-., ........" ................, '''". :?;;J.::i .....,........ ''', '-.......'" ..., '-'"). I / / / / / ". / <'I I / / / / / / . "."" ". Jt.J/~ ~~ 26290' I ~10D:4s:--.~- , I. - . - " n~,1 5 . /1,@'ff' N~ 25 I ~I ~091 50,FT, ~.,' g, ! C #1003)! g I I I I 1-8,r!'._._.j I S 56'45'27" E 100.45' 8' I ,'-'-'l , . . . I I /1,@1l NY ., ~I tJ001 50,FT. ~. ~I T f' ~ ~ '0 i C #100 iJ i '0 : ~ f5' . . 25":2 ~'._. J N 56'45'27" W I . 100..46. 8' . . 0' ! IUm/f UfIJ 0 I IC!I ~001 50.FT- IC! 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(#1109) '~I I~ . - . - . - . - 8' r;j L J I .-.-.. ~ '-'- '-'-'- '-. 8' I N56'45'03"W ~ iI) 260.93' 130.46' C\j 130.46' I b -,oii:9J'--l.,~.~_ .~,o~~~-~o.oo, a ....; r1 t'_'.t_~: t' U),: {}!; - J; ;:} - mo. 2" 8RASS CAP, STAMPED 1071-1 STREET I ~Nn-NES~~~ ~P344" ~ FNO. ;1/2" :::~4~~~~ . ~69r~ '" WIlli BRASS NAIL ,--;,.;.:. ~ .~ ~ ~ ~ T.'~~~~~;,25?;W . ~ I .- 30' I 30' r'-'-', 0' I I . /1,@}1l y, 25' I I ,'~ ~091 SO,Ft. ~ ,;:.:.\ ~ g ! (#1002)! g I '< . I ~ I 25' ! ! .:;) , :g I I.1t _ . . ~ I ..\. S S6'4S~7" E . ~:/ I 8' ./00.45' l I ',., . /0' X 10' POWER i /J.@1l ~ 25' . to I I EASEMENT (5' EACH tJ001 SO,FT, a ~ I SIDE OF LOT LINE) T r' ~ Ii (#1006) . i '0 I 25' . . ~"-'-hJ Is 56'45'27 E I c'.; r lQP,46"l8 I 1_ I -:l;\,::' ':,~' i fL@}/f Ji 25' ,.;~,'-' \t,~-:-, '.:' 10 6001 SO FT ~ I ~ ';:. \;-:.;::., I ~ 'j' , ;, 0) ...~)' I '(;',':;~".,\. .' 1'0,' (#1010 ),' '0 I (. .. .. \ I .. ,,:;:,. ..:\~""~ I~)::..,.\ I 2S'~' 8' J' ,:)'..1 _ (~." '.:., I S 56'45'27" E I 8' .100..46 ~ Ill) 10 ~ in ~ ~I (j :sl. ~C\j ~11C! r- ';j- ~~ (/)1 I I 1 I I I I I 1 ~.. 8 10 CA T. . TO ' PUB PO\1 ARE POR I I I I I I . I I I I .' , ,~--r=-- _ _{6q. ,,"0 I .\0-\ - ~ ~ l?6 ~ ?~ -t<\ ~ 1S\ _~ ~ ,~, : ~ I~ N _ d) ~ I ~ 2. ~ ~~ < . Z'~; 6+-' ~ ~ J ~,.c!' ~~ ~...vtl _ r-:;I-~ , f ;J\'~, ~ . , ~.~;" '20 ." ~ ~ ~I ...... ~ . YrJ 1- ~ -- I . ~ RECEf\fED ( HARO~ 2~ CITY OF PO", ANGELES iJ.f Lvr 2- BUILDING OIVISION ~~~~~\af\ )oob cAlltll=E:N5TR~T I . I I 111. (00 --- '.S\ \j ,\ - - 0 ~ -->- - ~ .::r . .~ ....t - a , tJr (j - - L-or2. I a!J (p Otn-\L.e!:N ~ zl-- Phone 2: , Prescriptive Approach - Sim~le Form !I li=or the Washington State Energy Code (2003 Edition) II Climate Zone 1 ; II ! I. I 'I ! . .... . 0 ." il'. '" .' '., i '~Builaing.De~'artmentUse.On!y' Re'~ij~;02:- ~l....... .... ...... Jj '.. , '.. .. .. i .,' ""J: .... :. . '.'... '.' ".'.' .'. '. ~<.'.',.,), 1......, ... '.' .' '. .. '. '. ,,'. ...,. ",. .. .,'. ........ . . 'r .. :,.. ,'-p.,;.}-~;:; .;:P"ll. ':~'I'/~":'~'7;":'\':i"';~;,,:,:,!. ,.~;\,\~:\.,., '.Jh~;;;':;\:.:'J!',.;';;J'" ,.;,; 'O,",'.';'.(} ;,':' .(."';,'d,:~';~ ".'~"',r'..''''''i;' "'1""," " '" """'..rr::~"';~"'" ",' '.'." "'~,""" '" :.; ,',', . ,. . FE . . <",':'T.: ::1....:: ': . " . '.:,'>.' ';1).'" ,,',' .." .... ,..,........, ',,'. . ,'.' '",,"'. ..... '.'''. '," .. :1 "(" . . .. . ',' '''.'' .d;, , ',',;;';'; :::~:;:.L.'"" !;;:"";";:.;:;,:,:~;:~~',,~!,: '.~ '>';: >,::~J:!.;,:.::':,,);, Site Information Lot: "2... I AddffiSS ~~~:f'~1 EE~S.. City: _POlL: A ~ slale~ j 'if? stO~ Contact: AAJ t? rLE:W \ Tc../Z-rz..:r ~ ,Notes: """..:.'- . Phone: Fax: ~:E,:~:;:J.::'~~i:::~::,t::;;':~:l~',:'~.ft?:;.;::,~::i{r!~~~:;I';: .""i:;,,,,,'.,:::!,::,'.'::~:,;:::ji'~.'i,i,:;~,,,:i:~;,~ <~'/:t~;,:~ ~:,;;~t ~Fl<i,\~! ';: rl:~,~.'i~:! ~~i,;rt\~!~.::~:;~~,~l:r t~'!~:~jJ:l: .~\;~;! ~~t:'~:F:,;,L !:~!t~\'\\~:'~(;.:t ~\t:~.lr~~:!f.: :l:.~.: ~~~~;i~I\1~ii~t~:,1~:t~ i;~::~:;[ if\i~i~: (Unlimited Glazing O~tlOl1 Only) Glazing Glazing U-Factor Door9 , Wall Walj Wall SIab4 i Option Area 10 V ,rti~oJ U- Ceiling2 Vaulted Above Int4i Ext4 FloorS On , . Belbw % of Floor Overhead II factor Ceiling' Grade Below Grade Grade Grade III Unlimited OAb ~ : ~ i S Group R-3 0.58 , 0.20 R-30 R-21 R-IO R-IO Occupancy I ! ! Only I l' , I. Table 6-1 I PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R occurl NCY I CLIMATEZON~1; II I See the co:de text for footnote references roject complies with ~he following:, . The project is a sing,} family residenco-er eftlJ3IQ)(. , I ,I The project is wood fname OR all of the ,insulation is interior or exterior of the fra~ing. All building componetts meet the requir~ments listed in Table 6-1, Option III. The project will meet ill other proVisioni of the WSEC and VI;AQ, The project will take advantage of the following exceptions to the prescriptive option: o 602.6 Exception 1. Ohe door, that is 24 ft.2 or less, that does not meet the stand1ards is allowed. Location of the door tal<in6 this exception i ! !\ o 602.6 Exception 2. Dlors with a U-facto!r of 0040 allowed with:out calculations, O~tion III only. Location of the door(s) tJing this exception!1 ---, \ , \ I L ~ J -? i=: ' A 'I \' . J ipG:- DF 'l-~r"\ JO"'r" Op~.:~p~~~L~I~f;::;::;~L Copyright 2002, WSUCEEP02-056 i ! Copied by permission from tile Washington State uniVerSijY!ExtenSion Energy Program ' preSCriPtiJe - Simple Form - Climate Zone 1, 7/26/2004 I I I , I i J REC-E~VED NOV 0 5 2007 CITY OF PORT ANGELES BUILDING DIVISION \ C) r;l,~ (A'(Y' ?ftf Electrical Service Information Form Public Works Engineering Department (360) 417-4700 Applicant Information Please complete and return to Public Works Engineering Department Permanent service: Name: Name and address of party responsible for permanent :s U2 "'Z.- service billing? Contact Information (if other than above) Site contact: Name: SH4WN .s Title: S v-il ., Contractor: Electrician: Excavator: Voltage: Main disconnect size: "'2- 00 am s 0120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph DOther: Standard residenti~ds (Lighting, refrigerator, dishwasher, washer) D!jIc L FLA) rn ~nge/Oven 0 Hot Tub ~'ylothes Dryer IE'Heating 0 Pumps (_Hp) [0"Water Heater 0 Elevator '-Hp) 0 Other Check a/l that apply: Supporting Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps of I mot Applicant's Signat Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4709 EMAIL: gmclain@cityofpa.us (west half of city) Information form rlarson@cityofpa.us (east half of city) WS -~ s ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 51H STREET, PORT ANGELES, W A 98362 o .-J l ~ ~ J;.. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000454 Date 5/01/07 752986 1006 CATHLEEN ST 06-30-01-7-7~0020-0000- PUBLIC WORKS UTI LITES RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 13 3 MARIAH WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit RIGHT OF WAY Additional desc DRA PROCESSING PERMIT Permit pin number 100503 Permit Fee .00 Plan Check Fee ;00 Issue Date 5/01/07 Valuation 0 Expiration Date 10/28/07 Special Notes and Comments 04/30/2007 11:35 AM RVESS ------------------------------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-1B $615.18 + City Admin $33.57 o o 6' Other Fees CITY DRA % DRA FEES PLUS INTEREST 85.62 1569.33 o .~ f ~ Fee summary Charged Paid Credited Due" ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 1654.95 1654.95 .00 .00 Grand Total 1654.95 1654.95 .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 constructio"n or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder). " Date T:\Policies\1102.ISR [1105] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECfION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNEcnON SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTIER DRIVEWAY APPROACH I BACK-FLOW DEVICE I I I . . FINAL INSPECfIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUcnON 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 BUILDING - T:\Policies\1 102.15R [1105] RECEIVED CITY OF PORT ANGELES PER IIT APPLICATION SEP 2 4 2014 Building Division /Electrical inspections ELECTRICAL If _ 321 East Fifth Street— P.O. Box 11501 Port Angeles vVashington, 98 INSPECTION Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date:' of _ Mul ' r y-0; Commercial * Plan Review May Be Job Address, Building Square Footage: Description of above ete Electrical Plan Review inforrration Sheet Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat $ Total Owner as defined by RCW,19.28.261: (1) Owner will occupy the structure far two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease, Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I 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, REC., RCW, Chapter 19,28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Gode, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: El cash © checi LZ Credit Card # x ��'° -� dated: ^ry lCf 0110112012 1 Owner Informatiov,, Name: 1Z)P_k'- Contractor Inform lion Name: Mailing Address C�.. _ Mailing Address:. _ "}(cc� City: I'- A- State: LJDL Zip: IW3 V?� City:. (� r State: lti Zip: Phone: Q�C� dad[`L -Z Fax: Phone:340- 4.7`+-DW Fax: Z)& ^ eccf-� License # 1 Exp. License # 1 Exp._ &,b4 f4,4 7 - '7W,,mz_ Item Unit Charge Total Q Multiplied by Unit Charge) Service /Feeder 200 Amp. $132.00 $ Service /Feeder 201 -400 Amp. $160.00 $ Service /Feeder 401 -600 Amp $ 225.00 $ Service /Feeder 601 -1000 Am p, $ 288.00 $ ServicefFeeder over 1 DCO Amp, $ 410.00 $ Branch Circuit WI Service Feeder $ HO $ Branch Circuit WIO Service Feeder $ 74,00 $ Each Additional Branch Circuit $ 5.00 $ O'D Branch Circuits 1-4 $ 86A0 $ Temp. Service! Feeder 200 Amp. $ 102.00 Temp, ServicelFeeder201-400 Amp, $121,00 $ Temp, ServicelFeeder401- 600 Amp. $164,00 $ Temp. Service/Feeder 601 -1000 Amp , $155.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy - Multi - Family $ 64,00 $ Signal Circuit! Limited Energy 1 First 1500 sf - Commercial $ 96,00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T -Stat $ Total Owner as defined by RCW,19.28.261: (1) Owner will occupy the structure far two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease, Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I 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, REC., RCW, Chapter 19,28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Gode, and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: El cash © checi LZ Credit Card # x ��'° -� dated: ^ry lCf 0110112012 1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , . . . , 14- 00001141 Date 9/24/14 Application pin number . . . 114520 DITCH Property Address , , . . . . 1006 CATHLEEN ST ASSESSOR PARCEL NUMBER: 06- 30- 01- 7- 7- Q020 -0000- Application type description ELECTRICAL ONLY Subdivision Name , . , . . , L� Property Use . , . • . • . . FINAL Property Zoning , , , . , . . RS9 RESDNTL SINGLE FAMILY Application valuation . , . . 0 Application desc Car charger Owner Contractor KEITH & TULIE FISCHER NORTH PENINSULA ELECTRIC 1006 CATHLEEN ST 761 FRESHWATER PARK RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 4.60 -1559 (360) 477 -1764 Permit . . . . , . ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Alan Check Fee .0,0 Issue Date 9/24/14 Valuation 0 Expiration Date 3/23/15 Qty Unit Charge Per Extension BASE FEE 75.40 ' Fee summary Charged. Paid Credited Due Permit Fee Total 75.00 75,00 00 .00 Plan Check Total 00 00 •00 .00 Grand Total 75.00 75.00 •00 .00 REPORT SALES TAX on your excise tax form to the City of Pod Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN L� FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGF-.\BU1LD1NCj