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3504523498
OLYMPIC ELECTRIC
PAGE 01
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ELECTRICAL WORK PERMIT APPLlCAT;ION
.: ~
Job wl1-ed by
Q Electrical Conlraclor Q OWDcr
Inslo.Ualiotl descriplion. ./
o COlDmerolaJ Ill"Resldelltlal
EI(~trlC:lI.l c:qntractof N1mfl LICl:fI.$tl number Dille l!Jr.plTe3
OLymp~c Electric Co. OLYMPEC285D1
Pw.;:hlLSC'T'S mDilina addresl
4230 Tumwater Truck Route
o New
o Alt,r,dlAddlttoo
WA 98363
~
.2JOY j ~/- ~1/ ,/74-51;-
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City
Port Angeles,
Telephone number
(360) 452-5303
Suue ZIP
FAX number
pr~ o"ae.,.IJ Dllml!~ ~
;;/.../ [/J/J V7-
Addrtll or lalpectloD
12/.77 ~~/r p,r:
CIIPa-:f- A r,{r
PbOD' nIObe, \0 '~dUI' loop.e.lou:.y
Owner 4J dt/lfltd by RCIf.19.28.161:(f) Ownu will oet:uP)' tltt SIMle'Urr for :...."
yetIN tJftu IJILt el~ctricaJ pvnlll U j1~Uztd. (2) Own" ~ rf41#irtJ 10 hlrt t2JI electrical
cotJJ1Yl:CtOl' fI obove ~id p1'Operty U lor .JaJ~. ,~,,' or ltJa.se.
Afttr 1CIdlnl the .boYe ltatement, 1 bmcby certifY 1hllt I am 1M Owtl(lf or thE above.
umed prvpm)' or I ticcmed electrical c:onlrac:tOT. I am mlloldng tM electrical Insla J-
Illion or 8lteration in oompllancc with the electrIcal lawl. N.E.C.. J1.CW. Chap1er
19,28, WAC, Chlpler 296-4611. The CilY of Pori Ansel.. Mcnjelp"1 C06c, ond
Utlliry Speel ficarlODJ.
SICDUUrI or OWIIIr, ehlclrlul UDlrlctor or electrlr:.J administrator
/7..iZ
'i" n:_>
L 3 08
Q Cash [J Check #
~ilCard VISIl
Mastercard
Discover
Caro #
- - -
-------~---------
"
x
Date:/,
Expiration Dote
of oard
o NO ~OAD CHANClES
o e...board _ KW
o FumDce _ KW
Q He.l Pump _ Ton _ LAR
CJ Filii-Wail KW
o D.omead S6rvloe
~ !9mp Servlc..
9"!ndorground SDrvlo.
VOllags 2'ft?
Ph....lIil't 0 3
Sorvlce SI%e: ~
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT SERVICE
J/J.f/.'17 ~ Ollt ^PPI'O'W'Il,8y #'~4fJ 7 ~
~AL~ Drren ,r FEEDER
2-i:;- 07 6R bl" -., ,
InspCClioll Area, Building or Equipmenllnspeoied \
Action Taken I!lectrical
Dale In~p~otO' ..-
/-20' 07 tJ 7J~.ao ~^,N",-r IFF 4' ,5/f(
~.
OJ) /1-30-0'/ L
, -
$-0
1---,,; '-/ ~ a ?
Jan 12 07 01 :52p
DAVE'S HEATING & COOLING
p.l
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ELECTRICAL WORK PERMIT APPLICATJ(~N
Job wired by
o Electrical Contractor 0 Owner
Installation description
o Commercial ~idential
Electrical contractor n<Jm(
.Dave'::; .e...j-,'"
Purchaser's m:liling address
.f.D,boxQ/3
Cit),
!t)'('.f- A-.~)
Telephone number
7'- f)...-OH '9
License number Dale E)I(pires
.yCool,' j), V~$Hc..4"lIOLc.-5.o
S-.:=.vv,' c.e.l -=:z:;.. c..
I3"New
o Altered/Addition
.'.'-
State ZIP
wA-
lo~ vol+&<.~~s--fa:* un....e .
.'"
QZ3,f, ;;;t
FAX number
Premises IHt'ncr's name
t:;.<tvv5on COAS-rn...c.+r 0",-
Address of inspection
I:?o-r RODK j);~i\/-e.,
Cil~/o(',.j- Ar-..~5
Phone number to schedule jllspection: p
'b-57Lfc> Nz-vl ^ ^-U....ss..e.../1
O.l''1er- as defined by RCW:J9.28.26J:(J) O~'JIer will orxlWY the strUCture for two
Yt:Gr~' afier :hiJ electrical permir is finalized. (lj OWI/er is required fa Ilirc ::lit electrical
contraclOr if abo~f! stJid property ;3 for sale. Tem or lClJse,
After reading Ihe above SlaLcment, I hereby c~rtify that I am the OWfler of the above
nam~d properly or a licensed dectrical contractor. I am making Lhc clcctrical instal-
lation or alteration in compli.1oce 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.
ure or own~r.
o Cash 0 Check #
rniS-edit Card ~ Mastercard
Card #
Discover
x
Date: I
Expiration Date
of card
Ins~ction fee
$
I r al Load Additions and or subtractions
D NO LOAD CHANGES
D ~seboard _ KW
a;r'~urnace 1!!.. Kw
U"Heat Pump~ Ton-p5LAA
D Fan.Wall KW
Service Information
o Overhead Ser\'ice
o Temp Service
o Underground Service
Vollage
PhaseDlu3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH..fN THERMOSTAT SERVICE
D::uo: Appm"o:J 13}' 011(," ApPfO."Cd By 0110: '>'pproycd B)'
/..j fINAL DITCH FEEDER
I. D" d!.f2 OliO: ^pprm'ecl fly "- Due ~PP'<>Hd B~
Inspection Area, Building or Equipment Inspected Action. Taken EleClrieal
Dale Inspector
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98:\62
.,
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000892 Date
896660
1207 ROOK DR
06-30-14-6-7-0310-0000-
KEVIN RUSSELL
RES NEW SFR
1/31/07
e.
RS9 RESDNTL SINGLE FAMILY
228420
Owner
Contractor
Other struct info .
CLAWSON CONSTRUCTION
P. O. BOX 2683
PORT ANGELES
(360) 457-1473
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
LLC
DC MARGENE, LLC
PO BOX 1509,PORT ANGELES,WA
PORT ANGELES WA 98362
WA 98362
12.80
1. 00
18905.00
2428.00
1. 00
~
~
~
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
OLY. EL./ 2308 SFR
93922
OLYMPIC ELECTRIC
135.00
1/31/07
7/30/07
Plan Check Fee
Valuation
.00
o
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
~
~
1"
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
Building Division has no requirements.
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.
08/21/2006 11:48 AM SROBERDS --SFR in RS-9. 12.8% lot
coverage. 25 I .front and rear setbacks.
Electrical load calculations and elctrical permits are
required.
Ditches & 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Sanitary sewer .connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering i& required prior to prouring concrete.
D
~
,
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
870.00
4.50
COMMENTSI ACTION NEEDED
ELECfRICAL PERMIT INSPECfION.RECORD
. . ,
CALL 4174735 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
INSPItCIlON TYPE DATE I ACCEPTED COMMENTS
. I YES I NO
IJITI :H
11111 II y~-IN I COVER
~~K VICh
VT1tl..T AT .1 1
I
,
GENERAL COMMENTS:
PW-I 102.15 14I96J
'~
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CITY OF PORT ANGf:LES
PUBLIC WORKS - ELECTRIC;:AL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98362
~
Application Number . . . . . 06-00000892
Application pin number 896660
Page 2
Date 1/31/07
Other Fees
PW WATER SYSTEM USE FEE
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135.00 135.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 2209.50 2209.50 .00 .00
COMMENTS! ACTION NEEDED
ELECI1UCAL PERMIT INSPECfIONRECORD
,
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECIlON TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.1S(4I96J
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98:\62
-.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000892 Date
896660
1207 ROOK DR
06-30-14-6-7-0310-0000-
KEVIN RUSSELL
RES NEW SFR
1/19/07
RS9 RESDNTL SINGLE FAMILY
228420
Owner
Contractor
DC MARGENE, LLC
PO BOX 1509,PORT ANGELES,WA
PORT ANGELES WA 98362
CLAWSON CONSTRUCTION
P. O. BOX 2683
PORT ANGELES
(360) 457-1473
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
LLC
WA 98362
Other struct info .
12.80
1. 00
18905.00
2428.00
1. 00
""-.
~
<\::)
~
Permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
DAVE'S H&C/ T-STAT
93286
DAVE'S HEATING
35.00
1/19/07
7/18/07
& COOLING
Plan Check Fee
Valuation
.00
o
~
Qty Unit Charge Per
1.00 35.0000 ECH EL-LVT-FIRST THERMOSTAT
Extension
35.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
Building Division has no requirements.
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.
08/21/2006 11:48 AM SROBERDS --SFR in RS-9. 12.8% lot
coverage. 25' front and rear setbacks.
Electrical load calculations and elctrical permits are
required.
Ditches & 8" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Sanitary sewer.connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering i~ required prior to prouring concrete.
~
"
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
COMMENTS/ ACTION NEEDED
ELECfRICAL PERMIT INSPECfION ,RECORD
I
CALL 4 J 74735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COJlER,
INSULATE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. '
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC110N TYPE DATE ACCEPTED COMMENTS I
, I YES I NO
IlITCH
Wllllfy~_IN I l,;UYhK
:"lot"K VII .....
MOO A T
,
GENERAL COMMENTS:
PW-U02.t5(4I9oSJ
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
r-,
Application Number . . . . . 06-00000892
Application pin number. . . . 896660
Page 2
Date 1/19/07
Fee summary Charged Paid Credited Due
------------~---- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 2109.50 2109.50 .00 .00
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECTION.RECORD
..
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COJlER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
. , YES NO
1JITCH
IHlIl(TH~ I COVER
~.hK V lC.h
FINAl I I
GENERAL COMMENTS:
pw.I\OUS [41961
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~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TIfSTREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
9/01/06
06-00000892 Date
896660
1207 ROOK DR
06-30-14-6-7-0310-0000-
KEVIN RUSSELL
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
228420
Contractor
DC MARGENE, LLC
PO BOX 1509,PORT ANGELES,WA
PORT ANGELES WA 98362
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
CLAWSON CONSTRUCTION LLC
P. O. BOX 2683 .
PORT ANGELES
(360) 457-1473
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
12.80
1. 00
18905.00
2428.00
1. 00
PUBLIC WORKS RES WATER SERV
5/8" DROP IN WATER METER
85894
175.00 Plan Check Fee
9/01/06 Valuation
2/28/07
.00
228420
Qty Unit Charge Per
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
BASE FEE
Extension
175.00
RIGHT OF WAY
85878
50.00
9/01/06
2/28/07
Plan Check Fee
Valuation
.00
228420
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
permi t . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
85886
110.00
9/01/06
2/28/07
Plan Check Fee
Valuation
.00
228420
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
Building Division has no requirements.
Address numbers shall be plainly visible from the street.
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. / "'\ .
A---c..:J# 7- /. tJh
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder).
Date
T:\Policies\II02.ISR [1/05]
.'
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I 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
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\l102.15R [1/05]
.s
~
~--
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 06-00000892
Application pin number 896660
Page
Date
2
9/01/06
Special Notes and Comments
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background. .
08/21/2006 11: 48 AM. SROBERDS uSFR in RS-9. 12.8% lot
coverage. 25' front and rear setbacks.
Electrical load calculations and elctrical permits are
required.
Ditches & 8" culverts will be installed to City St1mards.
See Public Works Englneering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- - - - - - ..;."-...;. --
Permit Fee Total 335.00 335.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 2409.50 2409.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder). .
Date
T:\Policics\11 02.1 SR [1/05]
PERMIT INSPECTION RECORD
~
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I ACCEPTED COMMENTS
I YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKlNG
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGII'ffiERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING -
T:\Policies\11 02.1 5R [1/05)
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000892 Date
896660
1207 ROOK DR
06-30-14-6-7-0310-0000-
KEVIN RUSSELL
RES NEW SFR
9/01/06
()~
(S'>
~
~I
Q
!z. --
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DMSION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
RS9 RESDNTL SINGLE FAMILY
228420
Owner
Contractor
DC MARGENE, LLC
PO BOX 1509,PORT ANGELES,WA
PORT ANGELES WA 98362
CLAWSON CONSTRUCTION
P. O. BOX 2683
PORT ANGELES
(360) 457-1473
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
LLC
WA 98362
Other struct info .
12.80
1. 00
18905.00
2428.00
1. 00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc 1752 SF SFR,556 SF ATTGAR
Permit pin number 84764
Permit Fee 1742.65 Plan Check Fee
Issue Date 9/01/06 Valuation
Expiration Date 2/28/07
697.06
228420
Qty Unit Charge Per
Extension
1020.25
722.40
--p,~
b
-.::a
BASE FEE
129.00 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
85969
107.75 Plan Check Fee
9/01/06 Valuation
2/28/07
.00
o
t
~
~
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
3.00 7.2500 ECH ME~VENT FAN
1. 00 10.6500 ECH ME-VENT SYSTEM OTHER
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5
Extension
50.00
14.70
21.75
10.65
10.65
85977
135.00
9/01/06
2/28/07
Plan Check Fee
Valuation
.00
o
02
rye;- /
//~~rv
0,
0;>
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
Qty Unit Charge Per
Extension
50.00
56.00
7.00
.BASE FEE
8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
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. Ihereby-certify-ttlat-l-have-readand 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. J-. \
~Uv{ P~/. ()p
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
\
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDA nON DRArNAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-rN
WATER LINE (METER TO BLDG)
GAS LrNE FrNAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILrNG I I
FRAMING
JOISTS I GIRDERS
...
SHEAR W ALLlHOLD DOWNS -...
WALLS I ROOF I CEILrNG ,.
-
DRYWALL (rNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILrNG I I I
MECHANICAL
HEAT PUMP 1 FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET 1 CHIMNEY FrNAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKlNG/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.I PWI CONSTRUCTION - R. W.
ENGrNEERlNG 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDrNG 417-4815 BU/LDrNG
T:\Policies\1102_15 building pennil inspecl10n record05.wpd [1/412005]
e.
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll..DING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
06-00000892
896660
Page
Date
2
9/01/06
Qty
1. 00
1. 00
Unit Charge Per
15.0000 ECH PL- EA. BLDG SEWER
7.0000 ECH PL- EA.WATER HEATER
Extension
15.00
7.00
Special Notes and Comments .
Building address sign shall not be less than 6" & nQ't'~o;e
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
Building Division has no requirements.
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.
08/21/2006 11:48 AM SROBERDS --SFR in RS-9. 12.8% lot
coverage. '25' front and rear setbacks.
Electrical load calculations and elctrical permits are
required.
Ditches & 8" culverts will be installed to city Stanards.
See Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
".' """~. '...,
.;
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1985.40 1985.40 .00 .00
Plan Check Total 697.06 697.06 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 4756.96 4756.96 .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-l-have.readand 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_15 building pennit inspection record05.wpd [1/412005]
BUILDING PERMIT INSPECTION RECORD
INSPECTION TYPE
DATE
ACCEPTED
COMMENTS
(t)
~
~
~
~
~
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLOO)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL(mTE~ORBRACEDPANELONL~
T-BAR
INSULATION
SLAB
WALL I FLOOR I CEILING
MECHANICAL
HEATPUNW/FURNACE/DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
I YES
J I
?r/Gc."/al~
(1'/'2,/" ~ L1tu
NO
,IIV I{,~ ...\ J..V
I I
FINAL \o-to~Ol DATE "dlL
ACCEPTED BY:
,
11./~/t9'"
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FINAL \() - Ib-ol DATE 1" u...- ACCEPTED BY:
RESIDENTIAL
SEPA:
ESA:
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
DATE YES NO COMMERCIAL
DATE
ACCEPTED
YES NO
PLANNING DEPT. SEPARATE PERMIT#'s
P ARKING/LlGHTING
LANDSCAPING
ELECT~CAL - LIGHT DEPT. 417-4735
CONSTRUCTION R W.I PWI 417-4807
ENGINEERING
FIRE 417-4653
PLANNING DEPT. 417-4750 -
BUILDING 417-4815 l \- jO ....01 -:'S"tL--
ELECTRICAL
LIGHT DEPT
CONSTRUCTION - R.W.
PW I ENGINEERING
FIRE D~
PLANNmG DEPT.
BUILDING
"
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
~
P-1/V
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUS
COMPLETE to be accepted for review. If you have any questions, ca
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: /CevIN i!-v.s ~Cu- Phone: 3 ~(). 157 B Z. cf7
Owner: JJC M,,/L{~ tOWJP'~Y LL ~ Phone: 5",(}' '-Is 7 BZ.t./7
Address: Po L3~ /5"09 City: ~/!.T tlrvbt?lr?:J VA Zip: 98J{PZ-
Architect/Engineer: r:h~ UI>JJ6<A-l, Phone: J"" - (S2- - (PI/I.
Contractor ~LAi-JJ"1\J 10/11)7 LL~ State License #: A~seL 9f/}L> Exp: !tj"" Phone:
Address: /!?:J8J ~ City: Zip:
PROJECT ADDRESS: /207 tZvOJL bILI"b ZONING:
LEGAL DESCRIPTION: Lot: '3 I Block: Subdivision: /l/r9Jt!i-l-- ::z;:::.
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK: SIZEN ALUATION:
't,l( Residential )Cl New Constr. 0 Re-roof 0 Stove 175"Z, SF. @ $ /SF. = $
o Multi-family 0 Addition 0 Movet(, Garage s"Sl, SF. @ $ /SF. = $
o Commercial 0 Remodel 0 Demolition P~Q..D -Beclc 12.0 SF. @ $ /SF. = $ .
o Repair 0 Sign 0 Other t.-f TOTAL VALUATION $.... t-ZS ~~o
BRIEF DESCRIPTION OF THE PROJECT: .5; N ~u:: ~ J'-~ i) /'",Cz.-I-/ ,.J{~
COMMERClALIRESIDENTIAL: Occupancy Group: ((. ~
No. of Stories: L Lot Size: f 89CJ5 Existing Sq. Ft. 0
Total lot coverage_ r ~. a %
Occupant Load: Construction Type: II - IV
& Proposed Sq. Ft. 2"'~ Pi = TOTAL Sq. Ft. flJ./~B
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAIW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due itmust be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: 1fno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work. ~ / ~
T:\FORMS\BldgPerrnitAppl..wpd Applicant: ~~ Date: 0-' /0 tJ(,
y-
A. PLnvOOD OR O.S.B. SHEAR WALLS
1. MAXIMUM SHEAR = 2S0 P.L.F.
USE ~" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH- ad NAILS AT 6"
O.C. FOR FRAMING, USE OF NO.2. PROVIDE~" DIAMETER ANCHOR BOLTS AT
32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH
END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS.
2.. MAXIMUM SHEAR = 31S P.L.F. .
USE W' SHEAT/NG - ONE SIDE OF WALL. NAIL ALL EDGES WITH ad NAILS AT S"
O.C. FOR FRAMING, USE OF NO.2. PROVIDE~" DIAMETER ANCHOR BOLTS AT
32" O.C. MAXIMUM SPACING A-rTHE FOUNDATION. FOR TIE DOWNS AT EACH
END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS.
3. MAXIMUM SHEAR = 37S P.L.F.
USE %" SHEATIN~ - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 4"
O.C. FOR FRAMING, USE 3X OF NO.2. PROVIDE W DIAMETER ANCHOR SOL TS
AT 24" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT
EACH' END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS.
4. MAXIMUM SHEAR = 490 P.L.F.
USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3"
O:C. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE
REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHoR BOLTS. PROVIDE 5/8"
DIAMETER ANCHOR BoLTS AT 32" O.C. MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOYVNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS. .
5. MAXIMUM SHEAR = S60 P.LF.
USE %." SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10dNAILS AT 3" .
O,C. FOR FRAMING, U$E 3X OF NO.2. DOUBLE BOTTOM PLATES ARE
REQUIRED, BOLT THROUGH BOTH P!-A TES WITH ANCHOR BOLTS. PROVIDE 5/8"
DIAMETER ANCHOR BOLTS AT 24" O.C. MAXIMUM SPACiNG AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
MAXIMUM SHEAR = 685 P.L.F.
USE~" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
21/2" O.C. STAG<?ERED: FOR FRAMING, USE 3X OF NO.2. DOUI;3lE BOTTOM
PLATES ARE REQUIRED, SOL T THROUGH BOTH PLATES WITH ANCHOR BOLTS. .
PROVIDE 5/8" DIAMETER ANCHOR' BOLTS AT20'~0.C. MAXIMUM SPACING AT THE
.. FOUNDATION. FOR TIE DOWNS AT EACH ENp OF THE WALL, SEE .
FRAMING/SHEAR WAll PLANS.
6.
7.
.MAXIMUM SHEAR = 770 P.l.F.
USE~" SHEArING - ONE SIDE OF WALL. NAil All EDGES WITH 10d NAILS AT
2'; O.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOl)BlE BOTTOM
?LATESARE REQUIRED, BOLT THROUGH BOTH PLATESWITH.ANCHOR BOLTS.
~RO.vIDE 5/8" DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE
FouNDATION. FOR TIE DOWNS AT EACH END OF THE.WALL, SEE ;
. FRAMING/SHEAR WALL PLANS.
'.
8. MAXIMUM SHEAR = 870 P.L.F.
USE %" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH ad NAILS AT
31/2" O.C. FOR FRAMING, USE3X OF NO.2. DOUBLE BOTTOM PLATES ARE
REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 314"
DIAMETER ANCHOR BOLTS AT 20" O.C. MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
9. MAXIMUM SHEAR = 980 P.L.F.
USE W' SHEATING -BOTH SIDE OF WALL NAIL ALL EDGES WITH ad NAILS AT
3" O.C. FOR FRAMING, USE 3X OF NO.2.boUBLE BOTTOM PLATES ARE
REQUIRED, BOLT THROUGH BOTH PLATES'WITH ANCHOR BOLTS. PROVIDE 3/4"
DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
10. MAXIMUM SHEAR = 1,200 P.L.F.
USE~" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT-
3~ O.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM
PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS.
PROVIDE'3/4" DIAMETER ANCHOR BOLTS AT 14" O.C. MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
11. MAXIMUM SHEAR = 1,540 P.L.F. .
USE %" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
2~ O.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2; DOUBLE BOTTOM
PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS.
PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 11" O.C. MAXIMUM SPACING AT THE
FOUNDATION~ FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
12. MAXIMUM SHEAR = 1,740 P.L.F.
USE 5/8" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT
2" 9.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM
P~TES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS.
PROVI[)E 3/4" DIAMETER ANCHOR BOLTS AT 9" O.C. MAXIMUM SPACING AT THE
FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE
FRAMING/SHEAR WALL PLANS.
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