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Home My WebLink About1104 Cathleen St - BuildingPREPARED 11/03/10 8 20 56 INSPECTION TICKET PAGE 19 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/03/10 ADDRESS 1104 CATHLEEN ST SUBDIV TENANT NBR ELLEN WITTMANN CONTRACTOR FERRELLGAS LP PHONE (816) 792 1600 OWNER ELLEN WITTMANN PHONE (253) 514 5705 PARCEL 06 30 01 7 7 0050 0000 APPL NUMBER 10 00001193 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MEG 01 10/15/10 PB MECHANICAL GAS LINE TIME 01 00 10/15/10 AP October 14 2010 4 54 23 PM 1pangrle ELLEN 253 514 5705 GAS LINE AFTERNOON October 15 2010 4 26 09 PM pbarthol ME99 01 11/03/10 LL MECHANICAL FINAL TIME 01 00 November 2 2010 11 48 54 AM 1pangrle ELLEN 253 514 5705 MECHANICAL FINAL TANK SET GAS LINE FOR EXISTING GAS FIREPLACE AFTERNOON COMMENTS AND NOTES PREPARED 10/15/10 8 18 59 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/15/10 ADDRESS 1104 CATHLEEN ST SUBDIV TENANT NBR ELLEN WITTMANN CONTRACTOR FERRELLGAS LP PHONE (816) 792 1600 OWNER ELLEN WITTMANN PHONE (253) 514 5705 PARCEL 06 30 01 7 7 0050 0000 APPL NUMBER 10 00001193 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 10/15/10 JLL MECHANICAL GAS LINE TIME 01 00 October 14 2010 4 54 23 PM 1pangrle ELLEN 253 514 5705 GAS LINE AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner ELLEN WITTMANN PO BOX 2536 GIG HARBOR (253) 514 5705 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Permit MECHANICAL PERMIT Additional desc TANK SET GAS LINE Permit pin number 175570 Permit Fee 121 30 Issue Date 10/14/10 Expiration Date 4/12/11 Qty Unit Charge 1 00 1 00 1 00 10 6500 EA 10 6500 EA 50 0000 HR WA 98335 Per Fee summary Charged Permit Fee Total 121 30 Plan Check Total 00 Grand Total 121 30 T.Forms /Building Division /Building Permit 10 00001193 270699 1104 CATHLEEN ST 06 30 01 7 7 0050 0000 ELLEN WITTMANN MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 300 Application desc TANK SET GAS LINE FOR EXISTING GAS FIREPLACE Contractor FERRELLGAS LP 1 LIBERTY PLAZA ATTN OPERATING TAX DEPT LIBERTY MO 64068 (816) 792 1600 FRPLC Plan Check Fee Valuation BASE FEE ME STOVE /FIREPLACE /MISC APP ME FUEL GAS PIPING 1 5 OUTLETS ME INSPECTION MIN 1 HR Paid Credited 121 30 00 00 00 121 30 00 Date 10/14/10 Due 0 0 Extension 50 00 10 65 10 65 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 6A k\Q41 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. r r l y 1 CD 0 e.eN t i T Con ra Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDIING 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 Biggs 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 4 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 10 -l5-(b 'S FINAL Date PLANNING DEPT Separate Permit 1S SEPA. Parking I Lighting I ESA. Landscaping I SHORELINE. T Forms /Building Division /Building Permit I FINAL Date Accepted by 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 Accepted by cJ l Date Accepted By O s Applicant 1 c,� -r Property Owner Property Owner's Address t Contractor Contractor's Address 1 4-t License Expires PROJECT ADDRESS e_Aes Parcel Number Lot Zoning Project Type Brief Description. Residential Multi family Commercial Industrial Check all that apply New Construction ti QL. N om Addition qI Chre fArk .e h r p K s-04- Remodel (f -1-60 Repair ci'reolace.'is Demolition a�t1°a� tn44 h oMa. Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2nd Floor 3 Floor Garage I Carport Covered Porch 1 Deck Shed Other Total footprint of structures Site Coverage the amount of impervious surface on and other impervious surfaces (see PAMC 17 94 13 Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? V r r- L. \v �1�7rC' SS BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 sq ft. T Lot siz S T l cw tw�c-. P S Phone 83 aq E -mail including structures exemptions) Oc pancy group Occu..ant load Constr ction type 4 TAL VALUATION J 3 Phone a s Phone a5 t833S p ed driv For City Use Only Date Received_16- 14-16 Permit# )p_ 103 Date Approved sq ft. C6t2aveiaye "/o ays sidewalks patios Site coverage of bedrooms full baths o alf baths I have read and completed this application an I know it to be true and correct I aim 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. Date Imo- I Print Name e, on r-‘ v•-\. Signature C"-- o T Forms /Building Division /Building permit application e ti Clallam County Assessor Treasurer Property Details 63348 ELLEN WITTMANN f Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 63348 ELLEN WITTMANN for Year 2010 2011 Property Account Property ID 63348 Legal Description CATHLEEN ESTATES V15 P21 LOT 5 Geographic ID 0630017700500000 Agent Code. Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property' N Remodel Property' N Multi- Family Redevelopment: N Township Section Range Location Address: 1104 CATHLEEN ST Mapsco PORT ANGELES WA 98363 Neighborhood Cycle 5 Res Map ID 3 Neighborhood CD 10955130 Owner Name. ELLEN WITTMANN Mailing Address: PO BOX 2536 GIG HARBOR, WA 98335 Taxes and Assessment Details Property Tax Information as of 10/14/2010 Amount Due if Paid on 11. Owner ID 194834 Ownership 100 0000000000% Exemptions. NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid 2010 45822 ST SCH STATE SCHOOL $249 88 $249 88 $0 00 $0 00 $249 88 2010 45822 CC -GEN COUNTY $132 98 $132.97 $0 00 $0 00 $132.98 2010 45822 PORT PORT $18 69 $18 69 $0 00 $0 00 $18 69 2010 45822 PORT ANG PORT ANGELES $307 89 $307 88 $0 00 $0 00 $307 89 2010 45822 SD #121 SCHOOL DISTRICT #121 $323 66 $323 66 $0 00 $0 00 $323 66 2010 45822 NTH OLY LIB NORTH OLYMPIC LIBRARY $38 64 $38 64 $0 00 $0 00 $38 64 2010 45822 HOSP #2 HOSPITAL #2 $54 55 $54 55 $0 00 $0 00 $54 55 2010 45822 WSMET PK DIST WILLIAM SHORE MET PARK DIST $17 36 $17 36 $0 00 $0 00 $17 36 2010 45822 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82 2010 45822 TOTAL. $1144.47 $1144 44 $0.00 $0.00 $1144 47 2009 633482008 ST SCH STATE SCHOOL $286 94 $286 93 $0 00 $0 00 $573 87 2009 633482008 CC -GEN COUNTY $145.21 $145.21 $0 00 $0 00 $290 42 2009 633482008 PORT PORT $20 57 $20 57 $0 00 $0 00 $41 14 2009 633482008 PORT ANG PORT ANGELES $318 51 $318 53 $0 00 $0 00 $637 04 2009 633482008 SD #121 SCHOOL DISTRICT #121 $354 84 $354 85 $0 00 $0 00 $709 69 2009 633482008 NTH OLY LIB NORTH OLYMPIC LIBRARY $42.19 $42.20 $0 00 $0 00 $84 39 http. /vpn.clallam.net 8084 /propertyaccess /Property aspx ?cid =0 &year 2010 &prop_id =6 10/14/2010 .,.ro o , r< N , III r>lr>l (9E-< <t:<t: 0.0 >< ..:l t>: r>l H ..:l 00 00 r<r< 00 , , III III "'''' III III 00 "'''' MM > H r>lr>l 0 ZZ ~ 00 :r::r: (I) 0.0. 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E-< x r>l Z o f-o Z o (:1 r>l ::> Z H f-o Z o U :>: '" BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice " Job Located at ( ( (9 cf ~(ecJ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: 72-~ ~ S l-LD lCt~)' Lot!-lL '-- tJ~c;- TWas'~ ~~ (~~pr.r r- These corrections must be made and are not to be covered until reinspection is ma e. When correctio have been made, please call __ L for inspection. Date Ifl30/0ff ,. Inspector for Building Division DO NOT REMOVE THIS TAG mco o ...... o ,., ...... "" rilril l'JE-< ..;..; 0.0 00 00 .-<.-< 00 , , lI'IlI'I IDID lI'IlI'I >< ..:I ~ ril H ..:I E-< rilUl ~ril ~:ii E-<o-, Z O~ HO E-<E-< UU rilril 0.0. 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Application valuation 08-00000289 Date 222393 1104 CATHLEEN ST 06-30-01-7~7-0050-0000- ELECTRICAL ONLY 3/11/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor Glenn Terra, INC> 136 e 8 st #223 PORT ANGELES OWNER WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 122309 Permit Fee 35.00 Plan Check Fee Issue Date 3/11/08 Valuation Expiration Date 9/07/08 Qty Unit Charge Per 1. 00 35.0000 EC EL-LOW VOLTAGE .00 o CY L Extension 35.00 ~ ~ ~ r M ~ 7 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 ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: Nr- 0 '- '" r- N N '- CO N ri ri CO 0 WW t!JE-< W <>:<>: :<: 0.0 H E-< , , 0 0 r- 0 0 0 00 '- 0 00 \D 0 riri 0 0 00 '- 0 o , ri 0 UlUl ri (l) 0 \D\D (l) ri , UlUl "rl '" , W'" OJ 0 E-<OJ <:: 0 00 <>: <:: <1l 0 \D\D o <1l 0. >< 0 """" 0. rl ..:1 0 rl r- ~ 0 N W , .. 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Application valuation 07-00001237 Date 11/05/07 081684 1104 CATHLEEN ST 06-30-01-7-7-0050-0000- GLENN-TERRA, INC. FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2700 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE 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 FIRE SPRINKLER SYSTEM 113985 50.00 Plan Check Fee 11/05/07 Valuation 5/03/08 .00 o Qty Unit Charge Per BASE FEE Extension 50.00 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 ~ ~ 0/ 9~ /7 /: ~ ) O\?- This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and 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 th provisions of any state or local law regulating the work specified in the permit. ~~ Signature of Owner (if Owner is builder) Date ., .,' ,t '7l't:t' 1 ;. ~ ~.:t.1 k ("'1'.1' o .:-J \ FIRE PERMIT INSPECTION RECORD ~ \N. -J 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 \-n-O~ KDtJ 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 o -C (") .~ ~ - ~ 5 V) T 2/15/00 J:\ (t: V\ -0 J_ :::s ^ .--.. J" GENERAL COMMENTS: PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 ~(:)1/ ~~ '1;1 Fire Sprinkler System Plan Review Project Name: Private Residence Address: 1104 Cathleen Street Installer: Innovated Fire Protection Installer Telephone: 452-7583 Type of System: Open 130 13RO 13D~ Date: 10.31.2007 PAFD Permit #: 07-32 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. Contractor Reviewed by: _\&Q",-l'do Date: lo.~t.o'"7 o ell o Building Department Fire Department , ._;' ~.....,'/ -';r ... 7,'" -.."-,~~.,,,,.~~~~~~, BUILDING O-IVISION CITY OF PORT ANGELES * * Correction Notice Job Located at / !f) 4 tllmuu:d . Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: LiZ A k @ k IZ!j IZ-A/ ?- ~~ ~.e/ z o,v /'79-z '-y ~F IJ ()T c*J" ,&; - !A-,v/- buvt 7/1 ~-/&( These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call LI/'7 - ~P/r- for inspection. 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':>0< ':>0< r-r- r- r- t 00 00 "'-"'- "'-"'- 00 00 .-<.-< .-<.-< "'-"'- "'-"'- r-r- r-r- .-< .-< rl 0 0 0 '" >=I N ..:1 0. ..:1 0. 0. 0. I' f ~ " ~ ~ 'J }\l ~ ~ ~ .~ N CIl ~~ <>1 E-< 0 Z >=I ~ !J CIl E-< Z <>1 :<: :<: 0 U ~ ~ I BUILDING PERMIT - APPLICATION FCJ!~ OFFICIAL USE ONLY: Dalt !(ec.:JO -2. Lt:.Q] l'cnnilll Of - \731 Dal~ )'.ppro\'ec: Dale Issued: Fill out COMJ'LETEL Y and in INK. Your application and site plan MUST BE COMJ'LETE to he accepted for ,'eview, If you have any questions, caU PERMITS (.160) 417-4815 FAX(360)417-4711 Applicant or Agent: i v\.c e. 'V\ ~ .e.., ++0.. Q..r -- .-:"" ;;:J Owner: G J.Q, '^ '-'\.. 1..Q. V' 'If' ~ .l- k C- Phone: Address: / J b ~ e + '-"'- .s i- #223 City: P (}.r of /) ~ e- {e.J' ArchitectfEngineer: Phone: Contractor INAI{)'U/f-/;{;jJ r/ ~ State License #:IN./VtJUf-sal.{4fJ1-. Exp: J'/hl"e- Phone: YS'-2-7S9.1 Address:8/ N-€,..LJ Ha...vQ.",,- LV\. City: P~.r.J /J-""-J,~/0 Zip: 9S36"2- PROJECT ADDRESS: I J () 1-1 CQ.+~ 1.e...R..'-"'.. S +-""~lLt ZONING: S' Phone: LfS2.-7~83 Zip: 98-3 G 2. LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: SIZE/VALUATION: I'Residential 0 New COliStr. 0 Re-roof 0 Stove SF. @$ /SF. = $ o Multi-family 0 Addition 0 MoveD Garage SF. @$ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TO;(AL VALUATION $ 2. 70'0 ( 0 C) BRIEF DESCRll'TION OF THE PROJECT: :r ,---,y 1'1. J ( i-:\r'e s p Ytt~/<l JV' .s '7~ I- e VI.A-. , COMMERClAL/RESIDENTlAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft Total lot coverage % Occupant Load: & Proposed Sq. Ft Construction Type: =TOTALSq.Ft J 7S Lf PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetIand(s): 0 Yes oNo SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IT 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. EXPffiA nON OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 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 itis my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. nFORMSlBIdg}'"",,;"_wpd Applicant tJ~ fj~ Date: / cJ /'2. 2- / (j 7 , t .".,~. $fio'~~ D! .....~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 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 07-00000535 Date 671920 1104 CATHLEEN ST 06-30-01-7-7-0050-0000- GLENN-TERRA INC. RES NEW SFR 7/15/07 RS9 RESDNTL SINGLE FAMILY 146055 Owner Contractor GLENN-TERRA INC 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 Other struct info GLENN-TERRA, INC. 136 E. 8TH ST. #223 WA 98362 PORT ANGELES WA 98362 (360) 565-0100 TOTAL % LOT COVERAGE 27.00 CONSTRUCTION TYPE V-N NUMBER OF STORIES 2.00 LOT SIZE 9238.00 PROPOSED LOT COVERAGE 2428.00 TOTAL LOT COVERAGE 2428.00 NUMBER OF UNITS 1.00 - -- CY -L Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL. SVC. 1860 SQ FT SFR 106492 ELECTRIC SERVICE 113.00 7/15/07 1/11/08 Plan Check Fee Valuation .00 o 9 -) ~ ~ .z:. Qty 1. 00 2.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 44.00 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). OS/25/2007 03:44 PM SROBERDS --The proposal will result i a new sfr in the RS-9 for total lot coverage of 27%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Customer electrical connection fee: $713.00. 05/17/2007 01:51 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. ~ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 1000.00 4.50 COMMENTS/ ACTION NEEDED ELECfRlCAL PERMIT INSPECflONRECORD .- CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE , INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO UITCH Rlll J{~l-I-LN I CUYbK SERVICE FINAL GENERAL COMMENTS: PW.lI02.1' (4'96) d'''.'~ $ti~~ Da ~~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98:\62 .. ~ Application Number Application pin number 07-00000535 671920 Page 2 Date 7/15/07 Other Fees PW WATER SYSTEM USE FEE 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 113.00 113.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2347.50 2347.50 .00 .00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECfION.RECORD J CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ~ INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.1101.U (4196] "'<- '-<0 , 0 .-< , <- (>1(>1 ~E-< <(<( 0..0 00 Z 00 0 .-<.-< H 00 E-< , , <( "'''' 0 "'''' ~ "'''' 0 ~ 00 "'''' (>1 >< "'''' (>1 :>: (>1 ..:I ..:I E-< ..:I I>: I>: I>: (>1 ~ 0 ~ H :> ~ E-< ~ ..:I H (>1(>1 E-< 0 ZZ 0.. I>: 0.. '" (>1", @ 00 ..:I (>1Z..:I (>1 :<:(>1 :>::>: E-<H E-< ~~ '" 0..0.. ~i:i:;:", 0 ><:;: Z E-<'J ..:10..'" 00..'" 0.. 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'-~~ "~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000535 Date 671920 1104 CATHLEEN ST 06-30-01-7-7-0050-0000- GLENN-TERRA INC. RES NEW SFR 6/27/07 RS9 RESDNTL SINGLE FAMILY 146055 Owner Contractor GLENN-TERRA INC 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 Other struct info GLENN-TERRA, INC. 136 E. 8TH ST. #223 WA 98362 PORT ANGELES WA 98362 (360) 565-0100 TOTAL % LOT COVERAGE 27.00 CONSTRUCTION TYPE V-N NUMBER OF STORIES 2.00 LOT SIZE 9238.00 PROPOSED LOT COVERAGE 2428.00 TOTAL LOT COVERAGE 2428.00 NUMBER OF UNITS 1.00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4" DROP IN METER Permit pin number 103614 Permit Fee 230.00 Plan Check Fee Issue Date 6/08/07 Valuation Expiration Date 12/22/07 .00 146055 Qty Unit Charge Per BASE FEE Extension 230.00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 103622 120.00 6/08/07 12/22/07 Plan Check Fee Valuation .00 146055 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). OS/25/2007 03:44 PM SROBERDS --The proposal will result i a new sfr in the RS-9 for total lot coverage of 27%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. 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. Oh f1~ le- 7 Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date T:\Policies\1102.1SR [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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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:\Policiesll102.15R [1/05] I. ...<6 ,ORT ~ f,U'~~~ ,. ib. -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000535 Application pin number 671920 Page 2 Date 6/27/07 Special Notes and Comments Customer electrical connection fee: $713.00. 05/17/2007 01:51 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. 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 nof 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102.1SR (1/05] 1 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 & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIVSE 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] dl'o"-r~",~ t~~ r-&ii L~ ~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07-533 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant obr, name Application type description Subdivision Name Property Use Property zoning Application valuation 07-00000535 Date 671920 1104 CATHLEEN ST 06-30-01-7-7-0050-0000- GLENN-'TERRA INC. RES NEW SFR 6/27/07 RS9 RESDNTL SINGLE FAMILY 146055 /104 ('~ t!;~r~ Owner Contractor GLENN-TERRA INC 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 Other struct info GLENN-TERRA, INC. 136 E. 8TH ST. #223 WA 98362 PORT ANGELES WA 98362 (360) 565-0100 TOTAL % LOT COVERAGE 27.00 CONSTRUCTION TYPE V-N NUMBER OF STORIES 2.00 LOT SIZE 9238.00 PROPOSED LOT COVERAGE 2428.00 TOTAL LOT COVERAGE 2428.00 NUMBER OF UNITS 1.00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS 3/4" DROP IN 103614 230.00 6/08/07 12/22/07 RES WATER SERV METER Plan Check Fee Valuation .00 146055 Qty Unit Charge Per Extension ---------------------------------~~~~-=~~------------------------~~ Permit SANITARY SEWER HOOK UP Additional desc Permit pin number Permi t Fee Issue Date Expiration Date . 103622 120.00 6/08/07 12/22/07 plan Check Fee Valuation .00 146055 (r(\~>>B 4 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP ~X' . 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). OS/25/2007 03:44 PM SROBERDS --The proposal will result i a new sfr in the RS-9 for total lot coverage of 27%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. 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"cays after the work as commenced, or if required inspections have riot 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 Date Signature of Owner (if owner Is builder) T:\Policies\1102.1SR [1/05] ~pORT """ .......O~%~ O~. ~ -- ~"'" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA98362 Application Number Application pin number 07-00000535 671920 page Date 2 6/27/07 Special Notes and Comments Customer electrical connection fee: $713.00. 05/17/2007 01:51 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public works prior to back fill of ditch. 24 hour advance notice is required. --------------------------------------------------------------~~ ^~ --'-- Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE ~ . STATE SURCHARGE ~ PW WATER SYSTEM USE FEE 1230.00 -----------------------------------------------------------,-- ------ ------ Fee summary Charged Paid Credited Due Permit Fee Total plan Check Total Other Fee Total Grand Total 350.00 _00 2234.50 2584.50 3$0.00 _00 2234.50 2584.50 .00 .00 .00 _00 _00 _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-Clays after the work as commenced, or if required inspections have not been requested within 180 days from. the last inspoction. 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\11 02.15R [l/05J CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date 1- (5- 07 Time Location of Work to be inspected ~J 0 '-f Name of person requesting inspection C::J" eq .....J Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing J-- . . . . . Received by RV (phone, person) o A tV\,lQQ.,'A S-r Phone No. '17( - I At...";> Permit No. 0 7- >s~ Final~ther INSPECTION NOTES: Inspected: Date 7 -17 ~ 07 Time Remarks: /VQ,lAJ c.,Ql.l).e1l'- <:.-=Vlcv1..<E:("".'f,'a.,.. /o:lev-o.../ 0+ '{?t?oe.r-/v J.../I7..f?___ - / / By KV , c/ I ",/ j)//t'l e. )(-/ c:; T, "'5 ~ , n...... -10 RESTORATION REQUiRED...... YES rlL NO ><: .;-~t.{~~'lv ~'lp c.... t ~ II DLI ., / N<'.OI'1?" pV{. o/"r~1L ~ c-c..\l\"-e.,,, 51 (C.u.\d'L 50.'-., SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Repaired by City [] Repaired by Permittee o No Damage Found [] Other Work Order # o COMPLETE [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) , ~ 'I'!":. ~,.~'\' )..' -"'1;,./ .,...,'1,;'//'-' ,',.1 , .(';)1,--,' \"- ..r;,-t l;}'" '.~ .. ~" If J f,\tf'. ;" ~., " '-.1j ," .," C ~ ...-,' , ~ V,: 0 ~4 '-C. t i_ Q' 21 *"'~' \ .;....., Vrt~ ~~~ . . .. , '1 '" ',;:j, _(''''; f " ~ ,'"'''''","" ,... ..t\ r...' ;t,:, \..~ 6' , 'f' APPLICATION FOR WATER City Water Division, Port Angeles, WA Issued date: Installed by & date: Permit # 0 7 -55'S I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: , ' cfjl7l7 Nrrd:- 3c/;(J-6t:;-5-uJDO sfMailingAddress: /3(4 /-:- P M :z:!,;;:t..:< 7 arcel#: /J cfJ~ () 17 / (<:Jc;-r; W/O#: nssl ~ c'o I 8' -I- cJ/ ~ F:toration Required: F ij.;? i7TJ , Applicant Name & Phone: Site Address: /10 Blk: Svc: 0 Remarks: N , " 1\)~ \\,)~ w E q, CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . INSPECTION REPORT. . . . . . . . / REQUEST: Date 1- IB- O~ Time Received by RV (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): It () '-( r,o.,ilA lee"" ;;: + 7o.~ Wc:Xb/ Phone No. Sewer Foundation Framing Chimney Plumbing Final Permit No. 07 - 53;;;- Sewer Excav. Other ]Jr.'lle WI INSPECTION NOTES: Inspected: Date {- I P..-O ~ Remarks: Time By kV D!< '>t. - -- RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT !DATEl CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . .f REQUEST: Date J..{-"2.8 - 08 Time Received by ~v (phone, person) Location of Work to be inspected tJ DY, CAt,^- te..eVl ST Name of person requesting inspection ::r6S~ Address of person requesting inspection Phone No. a~ - 6 I,,,,, Type of Inspection (circle appropriate one): Permit No. 07- S35 Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other INSPECTION NOTES: Inspected: Date tf-2"A -68 Time Remarks: SeoA.1~""" 7 - I?- 07 t>,.iveu.J~Y. I-I~-oe :])~.\ s~,4~ 7-.... Cu..... b By ~V o-k RESTORATION REQUiRED...... YES NO X SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Of'OIlT~. ......~ .,.,..a .. -- ~;;o> CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 tJ7~4&O Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name' Property Use Property zoning . Application valuation 07-00000460 Date 265140 1104 CATHLEEN ST 06-30-01-7-7-0050-0000- PUBLIC WORKS UTILITES ~/OI/07 RS9 RESDNTL SINGLE FAMILY o .~eA / l" Owrer Contractor NEW VIEW INC. 133 MARlAR WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY DRA PROCESSING PRMIT 100560 .00 Plan Check Fee 5/01/07 Valuation 10/28/07 ~oo o Special Notes and Comments 04/30/2007 11:52 AM RVESS ------------------------------ ORA 2005-1A $954.15 + City Admin $52.05 ORA 2005-1B $615.18 + City Admin $33.57 Other Fees CITY ORA % DRA FEES PLUS INTEREST 85.62 1569.33 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, utililies, private and public improvements. This permit becomes null and void if work or corstruction 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 granling of a permit does not presume to give aulhority 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) .' ~ pORT ~ $.J..O~~~ hiii "-~ ~ 'l.&i:lC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 o --l , U\ 0.> "\ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner GLENN-TERRA INC 136 E. 8TH ST. #223 PORT ANGELES (360) 565 - 0100 Other struct info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 6/27/07 07-00000535 Date 671920 1104 CATHLEEN ST 06-30-01-7-7-0050-0000- GLENN-TERRA INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 146055 Contractor GLENN-TERRA, INC. 136 E. 8TH ST. #223 WA 98362 PORT ANGELES (360) 565-0100 TOTAL % LOT COVERAGE CONSTRUCTION TYPE V-N NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 27.00 2.00 9238.00 2428.00 2428.00 1. 00 BUILDING PERMIT -RESIDENTIAL 1748 SF SFR, 520 SF ATT/GAR 101790 1283.45 Plan Check Fee 6/08/07 Valuation 12/22/07 - 513.38 146055 0- ....(::. Qty Unit Charge Per Extension 1020.25 263.20 ~ S - ~ ~ BASE FEE 47.00 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 102756 118.40 Plan Check Fee 6/08/07 Valuation 12/22/07 .00 o fi: 0.5'< '?o/ecfl ('a ~ Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 3.00 7.2500 ECH ME-VENT FAN 2.00 10.6500 ECH ME-OTHER APPL. N/R 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 14.70 21. 75 21. 30 10.65 PLUMBING PERMIT 102749 170.00 6/08/07 12/22/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 50.00 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. ZI g \f) ~ Signature of Contractor or Authorized Agent On Rte.. "'i;;;,1{D7 Signature of Owner (if owner is builder) Date T:IPoliciesllI02_15 building pennit inspection rccord05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD -l\ CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES . PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORK BEFORE ", I1\'SPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TlON: FOOTINGS SHEAR WALLS/WALLS FOUNDA TJON DRAiNAGE / DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-TN WATER LINE (METER TO BLDG) GAS LlNE FlNAL DATE ACCEPTED BY: BACJ~ FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILlNG DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILlNG MECHANICAL ROUGH-IN HEAT PUMY lFURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CIDMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SIURTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LlGHT DEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W. ENGINEERJNG 4 I 7-4807 PW / ENGINEERJNG FJRE 417-4653 FJRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDlNG T:\Policies\1102 15 building permit inspection record05.wpd [1/4/2005] I ~~ORT~ . $.J"O~~~ ,. L -=-- ~ 'l.Oi:",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000535 671920 Page Date 2 6/27/07 Qty 13 .00 1. 00 1. 00 1.00 Unit Charge 7.0000 7.0000 15.0000 7.0000 Per ECH ECH ECH ECH PL- PL- PL- PL- EA. FIXTURE ON ONE TRAP EA. INSTALL WATER PIPE EA. BLDG SEWER EA. WATER HEATER Extension 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). OS/25/2007 03:44 PM SROBERDS --The proposal will result i a new sfr in the RS-9 for total lot coverage of 27%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Customer electrical connection fee: $713.00. 05/17/2007 01:51 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. 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 1571.85 1571.85 .00 .00 Plan Check Total 513 .38 513.38 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4319.73 4319.73 .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\II02_15 building penni! inspection rccord05.wpd [1/4/2005J Bun,DING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL 4J7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA H'FUL TO COVER. INSULATE OR CONCEAL ANJ' WORK BEFORE I1VSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: Jar UF~ FOOTINGS tplJ.r''/o", '\. TLc.. .e; ([,.R "AL~: WALLS c;l)~/07 'fU- DRAiNAGE 1 DOWN SPOUTS , FOUNDA TlON PIERS POST HOLES (POLE BLDGS.) PLUMBING \1.H'~1Z. S () P7~y 1-/10 loq-:ru.. UNDER FLOOR 1 SLAB 8t~\2. l)~AI~S -:r1,olo=1-::!t...\.; ROUGH-TN WATER LINE (METER TO BLDG) GAS LINE FINAL ~~Og DATE JLt,.. ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL II.....b-c1 ""3L-L- WALLS CEIUNG FRAMING 1/- h-O[ :)l...L- JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILTNG DRYWALL (TNTERlOR BRACED PANEL ONi Y) T-BAR INSULATION l , C) -(Yl d"u- SLAB WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-TN /l..... lo-ol :fLL.. HEATPU~/FURNACE/DUCTS FINAr'113~ [Oi~ATE -~~C ~ GAS LINE )2/27.....07 PH ACCEPTED BY: WOOD STOVE 1 PELLET / CHIMNEY MANUFACTURED HOMES FOOTfNG 1 SLAB BLOCKING & HOLD DOWNS SKJRTfNG PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSI'ECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417.4735 ELECTRlCAL LiGHT DEPT CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W. ENGINEERlNG 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNTNG DEPT. 417-4750 PLANNING DEPT. BUTLDfNG 417-4815 15-z..I--O~ ;JL,.L..- BUILDfNG ~ .-...j "\ ~ ~ .......... ~ ~ ~ " ~ ~ T:IPolicieslll02 15 buildmg permit mspectlOn record05.wpd [1/4/2005] ~ ~ I ""r-- , 0 , "- , Lfl , '" , "- , \D , , , , , r>1r>1 , C9f-< , <l:<l: , 0..0 , , , , , , , Lfl'" , ..,"" , Lfl"" , ..,'" , , , , ..,r-- , Lflr-- , 0 "''''' , 0 , .. , '" ..,\D , 0 Ll).., , >< '" , "r>1 ...:l , r>1...:l I>: , :EI>: r>1 , HC9 H t: , f-<~ ...:l r>1r>1 , f-< 0 ZZ , 0.. UJ r>1UJ gJ 00 , ...:l r>1 :':r>1 :r::r: : C9 f-< ~~ Ul 0..'" Z 0 E::~ Z f-<,"> 0 ~ Z .. 0 Z 01>: "'''' 0 HO UJ Lfl H f-<f-< f-< Z .. f-< UJ UU ~ 0'" U f-< r>1r>1 ~ HOr-- r>1 Z 0..0.. :E f-< Lfl 0.. r>1 UJUJ HZ:E <l: Lfl UJ :E ZZ ffioO Or--'" Z :E ~ H H HU SO' H 0 f-<"- 00 U j:lo..UJ ON\D~C) HHf-< ~""""'~ZZ CIlI>:...:l Lfl H H 'I>: ~U::> ~N)-1f-1Z 0'" UJC/) 0"-1>:01>: OUJ r>1r>1 ...:l\D<l:00 0 '01>: mot.?~~ O~ ':) 'r>1 ... OZ H ~t f-< 'U Lfl ~o..!:; UJUZ oUJ r-- ZH 0r>1 '" ZH 'I>: o..UJ::> r>1 -U r-- ZC/) "" Lfl ~~~~~~ ~Hr>1 0 iZi I>: ~ :r:1>:1>: 'Lfl H '" E-dxltr:l~ ...-iO ~ UJ <l:f-< f-<r>1 00 r>1 U, , H '0 HOO t -...:l ",,~~:>~g Pr>1r>1 r-- r--r>1 lllf-<f-< 0 0C9 o~~~ , , UJr>1 "- ;;;~ rlH~W\Dr-- 0r>1...:l Lfl rlt)t')ZOO 0::>0.. '" '" O:E "- "-f-< r>10 \D \DI>: I>: I>: I>:I>:U 0 . III I>: .r>1 0.. 0.. ZO III III j:I f-< .~ r>1'" UJ -U M 1>:0 UJf-<<l: ...:lZ ... a 0 <l: ~~~&ltl...:l H C/) 0..>< ~ "- r>1f-< OZZZI>:o.. 0.. M I>:H ~r>10~<l:o.. >< ...:l o..u f-<UOO..<l: 0.. f-< III d'O.'~ '(i CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 91B62 Application Number Application pin number - . Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000701 Date 849038 1104 CATHLEEN ST 06-30-01-7-7-0050-0000- ELECTRICAL ONLY 6/19/07 RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 133 MARIAH WINDS PORT ANGELES ( 36) 477-9449 WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE EL. SVC./ 60A TEMP 104638 ELECTRIC.SERVICE 40.00 plan Check Fee 6/19/07 Valuation 12/16/07 .00 o - - Qty Unit Charge Per 1..00 40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.00 o -l:::' Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 I 'Z ~ . . COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION .RECORD CALL 4 t 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE NO GENERAL COMMENTS: COMMENTS PW.II02.1S (4'96] . .l:;'. ;,;, .;} BUILDING PERM!T - APPLICATION FOR OFFICIAL USE ONLY: Dale Rec.: 05-14 -07 pe1l11it#:*35 Date Approved: 0 Date Issued: _ COMMERCIALIRESIDENTIAL: Occupancy Group: \"\ ~ No. of Stories:J... Lot Size: q J. 3~ ~ Existing Sq. Ft. Total lot coverage -:l.. -, % Fill out COMPLETELY and in INK. Your application and site plan MUS COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 I [,ell'. ~(,O 9().I.Qlj33 ApplicantorAgent: {\W\\\\tW N\. lyj,\\-\L.) Phone: 1,b01 <;(/~. 0100 (~ ~I ' \.:fLtl~~.:IHIl...I\ 1Ni Phone: ;'bO-S6s~OIOo \'~& ~, lj,f-\.- ~l, i:f.ll3 City: ~O\l-1 nNc.IiLr'~ LZip: tstif 9~36d. ~liSI G-IJ Phone: 603-". 61--'-/" c~5r; . trL~,~NU 'I Contractor <..rL~N\)-" \~\\\\~ 1-~{,. State LIcense #: cl4J.1J1\ Exp: d,,/,/d-OO~ Phone: 360" {.d.I~ql{n Address: .~ \3(, t ct,\\.. sll ~>>S City: 90\\\ ~HJ64:L-[L, , I I Zip: ~i )(dl PROJECT ADDRESS: J\O~ L\\I\\LfOl ST. :ztONlNG: c (I LEGAL DESCRIPTION: Lot: -.) Block: Subdivision: 1t-1H~q..r~ fs TATi5 I /IDH- I I I I I I Exp. Date: S~E^TALUATION: I o Stove \1Y1 SF. @$ Ib.OQ /SF. = $ ~ Garage S.).u SF. @ $ ~1."31b I /SF. = $ ~ ~ ford, Ii{) SF. @ $ \;\.0<\, I ISF. = $ o Other TOTAL VALUATION $ 1\3("" {0I\1~1\)..U(..\1-0kJ SFP, I I co~truction Type: V N & Proposed Sq. Ft. "J. J '1 ~lt = TOTAL Sq. Fi:. -;},., \j d- i& I 11 "I 'f... <;'~Il.. 1'0 ; Owner: Address: Architect/Engineer: Su tv " ~ [... CLALLAM COUNTY PARCEL NUMBER: Ob 3o~~ (O'::;'(D 0630 0117 0050 Credit Card Bolder Name: Billing Address: Credit Card Type VISA TYPE OF WOrJ(: ~ Residential ~ New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Me # \ 3 ~) 0 o~. 3 ~ II) 111.60 11~~;L'lO lY~IO;~.1().. Occupant Load: , I I I I I I I VALVA TION 0 F CONSTRV en ON, In all '""', avalnation amount must b, ,ntmd by tho .Jfli,~nt n.;, figu" will b',,"i,w'd and may be revIsed by the Bmldmg DlVlSlOn to comply WIth current fee schedules. Contact the Pernnt Coordmator at 417-4815 for assistance. PLAN CHECK FEE: IFa plan checlcfee is due it musthe:submitted at the time the building permit application and construction plans are submitted. AU other permit fees are due at the time of permit issuance. I EXPlRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date ofapplicati911, 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 Rl 05.3.2 of the International BuildingIResidential Code, 2003). No application can be eA1ended more than oncd. J hereby certify that J have read nd ex ine this applicatiDn a d knDw the same tD be true and CDrrect. J a1 authorized tD apply for this permit and understand that it is my respDnsib' ity tD te) ell(' s required ,nDt the City's, and that Just DbtaiA such permits priDr to work. T:\PoIicies\BL-l102_13.wpd Ap lic . Date: D \ 0 I I, PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPVVU: FillE : OTHER:_ ESNWetlaud(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: \ \ / / \ -~ \ Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 S Address: \ 10 \.{ L 1\ 11\ L~ UJ City: ,J()\1.1 R~IG6-L,f.;(, ~l ..... '. . . .j" . .. BuiIdin.gDepartmentUseOn!y' .' p~r~it:#:'''O~='~3'S' c, ....,...". 'Notes: .. . ....1 Site Information Lot: State: ~~ Zip: Qc&3 GJ.. I I .,....".1... " .' ',:"'.. <""<::l.':,~,',: ',._~-, .'.. '!t:, ;..;: :" \ ,"i' ':;:.! i. .', . ,." . ~',;:, ~'.' . '. "~:'.':, ':, '.',-:,"~: ,",-.l.::."" :,:,,,~.:. ,; . 'l~".." ~I t;~ :;" "'<.,. ". :! i. f} .' "''''''1''.'',''':' . .~. :'. 'F"" :[,.... . .. ....:1 .;.. ',., ~...;. . --;,~.r,'''''-j - .>c. "c".. .",', . "",.,:.,>, .., ~,'" . ' '~.':.:'t,;J':',':;';'.""": ''':.,;': ,:' ,',. ,. .. ,'(,,,.':,,. ,'. "i"C" ':\;J.\t ;~~i;:,-J~,~ ~~,~;~:~"2~,':.~,:~:~, :,( '.~;~',l:~::;;':~. :,;,i: ~!~. ,: :~,' ;', :i'N,~-f,;.;:)i; ." : .;.~:_.' : r"l:...~.",i ,..',,:.;,!~, ,t;, ~l;! ;_::~t:,.l ;,;_:~.;, :!,\ ",;:1,~ t!j tiT';;,' :.f.i:. i/:"}_I ~ ~;~r;~\::,~.,i;,:'{'!~,;=~~::::: ;;~j~~ !:,~,~'>it,~;;: i,; 1\~:~;~:7~!~ ~i3X.~:,t,~;~/r~}~:: ~ i.t'J ~:,;,~;':t~:~iJ~r::fl:;'!;.~ '.i:;~',~;l~~';.,:)f:,;";:!~'c~; ,.i{:/~;jr!~o':i:/l:i~ ;:::,\:,.i,\~~!f :.'""7,;::U,,"i',' , : '\'i:! ~f!-:' ,; ':'." -'i' - :~: . ~ " . '. ; :!. ~ '.' .. Contact: ~!\,\\)\\CW k\, \'i\l..~\S Phone:)60- S(,~- 0100 Phone 2:~00 - bd-. \ - qt~ ~ ~r Li~ Fax: ~bO- (,l.S- 0\0\ I" .' '.! ", -. '.-,::~ . ,'_"I.: !!.,..,' . -." "".;" ... ,:;.',,: ,i!-.' ,. ";:':~ ;';i:J'!-;'; :1:' '.' ".';.:1 .: -j ~ ~~-ii, j!i(:\,~, ',.J;'h,', n Imlte azmg J) tlOn ny Glazing Glazing U-Factor Door9 Wall Wall I Wall SIab4 Option Area 10 u- Ceiling2 Vaulted Above Int4 Ext4 FloorS On % of Floor V erti cal Overhead II factor Ceiling3 Grade Below Below Grade I Grad~ Grade ill Unlimited 8 e I 18 Group R-3 0.40 0.58 0.20 R-30 R-2j R-IO R-IO Occupancy Only Table 6-1 I . PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPKNCY CLIMATE ZONE 1 I (u I' . d GI . O' 0 I ) See the code text for footnote references This ,project complies with the following: ~ The project is a single family residence or duplex. I V The project is wood frame OR all of the insulation is interior or exterior of the framing. . All building components meet the requirements listed in Table 6-1, Option III. The project will meet all other provisions of the WSEC and VIAQ. TypE:. The project will take advantage of the following exceptions to the prescriptive optibn: o 602.6 Exception 1. One door, that is 24 ft.2 or less, that does not meet the stand~rds is allowed. Location of the door taking this exception I o 602,6 Exception 2. Doors with aU-factor df 0.40 allowed without calculations, O~tion III only, Location of the door(s) taking this exception I D F . l-h:A+- 'SOQi2.C..E' ( ~O~G1, \:\ \1 \ ~ ~/ L S~ \' ~ \(., O~DGI\"'" \' I Copyrighl2002, WSUCEEP02.056 \ l\ '\ q \\Jt~, \' \ \!"Ll..- ~ \ !\c{ Copied by permission from the Washington State University Extension Energy Program I I I I I Prescriptive - Simple Form - Climate Zone 1 7/26/2004 r $ Ii\ ~I j ! I ~/ , ""-\- 'CV1 N I - I. ~ - TbZW ~r-I-~~ 01-1 ~. r 7; 1!7,/1 ~-----I ~ , . I ~ J 1 ~I J. - . =' ~>: :IJ / :!~ ~ ~r) 'I<<~ '~.'t ~! ~, ~-11 ~'/-: I ~.I ~ :n~~ .?rZ · '!:"( '" ~ / \ : ./b t1~ / /' /// ~1''b\J .~ ~ j ~ ~ of >OIl'~. ~~ ~r. ~~- CITY OF PORT ANGELES . PUBLIC WORKS -UTILITIES DIVISION 321 EAST 51H STREET, PORT ANGELES, W A 98362 o .~ , ...c. . G'" ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-00000460 Date 5/01/07 265140 11 04 CATHLEEN ST 06-30-01-7-7-0050-0000- PUBLIC WORKS UTILITES RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 133 MARIAH WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY DRA PROCESSING PRMIT 100560 .00 5/01/07 10/28/07 Plan Check Fee Valuation .00 o ~ - o ......(: Special Notes and Comments 04/30/2007 11:52 AM RVESS ------------------------------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-1B $615.18 + City Admin $33.57 Other Fees CITY DRA % DRA FEES PLUS INTEREST . 85.62 1569.33 ~ ~ 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 If' -t 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 Owner (if owner is builder) . Date Signature of Contractor or Authorized Agent Date T:\Policies\1102.ISR [1/051 [, PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO 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 I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ 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\1 I02.15R [1105] rA Job wired by ~.... .t. '-'~ ~~(; "'t' "4'''' ""... ELECTRICAL WORK PERMIT APPLICATION DOwner Installlltioll description ~ o Commercial lI)oo1[esidentlal E1~to~_k pureZ \l1ai'i1)~rcss U C;I>I.J .k"l)"?.... Telephone number " Ll- (""' 1..--<.. '-fL" pre~L:~~" Address or InspeCClorn _\ \01..\ ~\.u-.- cu, \) A I)hone number to schedule lospecllon: License nUl1lber Date E~pires "L\..~c.,,' 3"Wl- B.J o New 0 AUered/AddUlon St3tCllJ.,.. Cfl1' L ""'\ ~e~ ~'i a- (Jwllf':r us de filled by RCW-/9.28.26/:(I) Owner will occupy the structure fur two years after this electrical permit is finalized. (2) OwmH'is reqllired 10 hire an electric:ul cuntractor if "boye said pTClperly is for sa/f!, r('"1 or lecU'(!. Ancr reading the above statement, I hereby certify Lhal I 3m the owner of the above named properly or a licensed electrical contractor. I am making the clCClrical illstal- li1lion or alteration in compliance with the electrical laws, N.E.C.. RCW. Chapter 19.28, WAC. Chaptcr 296.469, The City of Port Angeles Municipal Code, and Utility Sp ificalions. o Cash 0 Check # hiscover o Credit Card Visa ~card Card# _~-____.________ Signal onlratlor or @Ieclrical adml senior x Dote:"""1 Expiration Date ofcard InspeClion fcc $ //3. era SaNies Information Vollage l~v ("'2-.... 0 Pha.old"'fo 3 Service Size: ~ Feeder Size: rt~ : <4;,1,.;. Electrical Load Additions and or subtractions IJ NO LOAD CHANGES ~ J!asaboard KVV 'er'Furnoco IDKw Cl Heat Pump _ Ton _ LAR IJ Fan-Wall . KW Cl Overhead Service o J.8mp Service B""'" Underground Service SAME DAY INSPECTION, CALL BEFORE 1:0tJ AM 360-417-4735 ROUGH-IN THERMOSTAT 7Jf/ Appro~cd lJy D~IC App"l~ed By SERVICE 1l)7/rn ::.J) 'Omfc ~ FEEDER FINAL '1-/7-7!~ Omle ~aY D;C~ AppN~ed By OlIO ApplV~ed By Electrical Inspector ~ Inspection Date Are~, Building or Rqutpmentlnspected Action Taken A U ~ . 9/S-d TTLbLlb:Ol b2b92Sb 3Jln~35 JI~lJ3l3:WO~~ ~b2:80 b002-[-lnr ElECTRICAllNSPEClilON WIRING REPORT 417-4735 PERMIT # OWNER/CONTRACTOR 'E~~L- ADDRESS lZ.vV:::-L"S. ~ APPROVED NOT APPROVED o .................... DITCH................. ... 0 ~ D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . [fV"' ~ D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . ~ D. . .. . . . . .. . . . . .. . . . . . FINAL... . . . . . .. . . . ... . . . . 0 CORRECTIONS NEEDED: ,p""oIl,(..-P;: '\) FA~lE-L ~ ,,-1J. b \)C..\t:rl2-::, C JJ~ ~ t- <l"s'"A2.Vl.2 W 1l>2...1L. ""r", - J;'lL- 7ti___~ 14 H-J.StPL ~t>N./E.CT7>1L~,., ~ .\.... ~ 1><-1 L- '?LA"TE.- ~ADe Il7 L!1>sun...lJ7/C. tr " NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - ," OLYMPIC PRINTERS, INC. (360) 452-1381 -C) Z:(f1 fi: ELECTRICAL WORK PERMIT APPLICATION o 03 Job wired by o Electrkal Contractor 0 Owner Installation description 1:1 Commerdal IlI1 Resld""tlaI Electrical contractor neme ~\v\e- ~\,,-;{$ , Purchaser's mailing address t'l':,7n F. \1"n, \0\ Ci~ ~J \tt\- f.\..rv..,PI ,,~ VJA Telephone ~ ) " " 1-"19-\ y License number Date Expires Eu.oA\J.~LA\qqDI$!\l ~"ZlfC1 o New 1:1 A1teredlAddltlo. S) -D State ZIP Qi\6l.CL FAX number I(w \kJHn~':l }\nermoStr4 Premises owner's a.me G ,-('('W, TtYrC,- Addre5S of Inspection r . i I 014 Clt-hIUf\ CI'.\t) (\- ~t;LeJ,. Pbone Dumber to schedule inspedlon:3~ 4. Owner as defined by RCW/9.28.26/:0) Ow"er will occupy the structure for ~o years qfier this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or JN3~ . After reading the: above statement. I hereby certify that I am the owner of the above named property or II licensed electrical contractor. I am making the electrical instaJ- lation or alterntion 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. SlgD.tore 0 0 De1!le'CtrJ~.1 COli tractor or electrical administrator X, J); Date:3-t{-0'6 -ls'4'-! "' Lol6 ~. o Cash 0 Check # o Credit Cant Visa Card # Mastercard Discover ---------------- Expiration Date of card Inspection fee $ 5,00 ServIce Informatlon Q NO LOAD CHANG' S I:lBaseboald KW Il!I Furnace 1L KW o Heat Pump _ Ton _ LAR 1:1 Fan-Wall KW 1:1 Overhead Service 1:1 Temp Service 1:1 Underground Service Voltage Phase 0 1 1:13 Service Size: _ Feeder Slz.: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 / ROUGH-IN r THERMOsTAT " r SERVICE IJlb-zb7 ~BY } J '- """ _By J Date "- Dale ApptoYai By / r DITCH /" FEEDER ~bjoes FINAL o.ill -~B)' D~. ApProYed By 0... _8y Inspection Area. Building or Equipment Inspected Action Taken Electrical Date Inspector 67~ go "5 ">