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HomeMy WebLinkAbout1216 O St - BuildingApplication Number 06 00001060 Date 10/06/06 Application pin number 325560 Property Address 1216 0 ST ASSESSOR PARCEL NUMBER 06 30 01 7 9 0070 0000 Tenant nbr name GLENN TERRA Application type description FIRE SPRINKLER SYSTEM Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 2813 Owner ROLLING HILL HOMES LLC 1312 MAIN ST VANCOUVER WA 98660 (360) 582 1899 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 Contractor INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452 7583 Permit FIRE SPRINKLER RESID Additional desc Permit pin number 87775 Permit Fee 00 Plan Check Fee 00 Issue Date 10/06/06 Valuation 0 Expiration Date 4/04/07 Special Notes and Comments Call for cover inspection for all sprinkler installations A full acceptance test will be required for all fire alarm systems 10/02/2006 03 58 PM KDUBUC Plans approved 10 2 2006 Fee summary Charged Paid Credited Due Grand Total 00 00 00 00 Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Z/ r` O A 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 examined 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 the'pro issions of any state or local law regulating the work specified in the permit. 1 1 1 --t 1 1 18.-ab a__ 6 /0 Signature of Contractor or Autho reed Agent 'bate Signature of Owner Of Owner is builder) Date Inspection Type 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 FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP -gas final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD Call 360 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 1 Date Passed 1 4-12.-01 2. -0 1 ILC D UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Completed by Contractor- Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated Comments 2/15/00 psi psi Applicant or Agent. vi C Q V 11 .QJ .Phone: LI/S Owner G 1 v T- v O.. T C� Phone Address: 3 G E S City a �t e1+2.i` Zip 9gJ 6 Architect/En Qmeer Phone: Contractor Mfril I 7 I9 F ,1 State License /,Yellav L/1P) Exp 02.. 07 Phone: 4 1/S2 Address: Bv Ne t.t' 4 o t[ City 'PG e A�- ,•�fL.P' Zip 9 2 PROJECT ADDRESS I 2-16 0 ZONING LEGAL DESCRIPTION Lot: 7 Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. X Residential New Constr. Multi- family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group: No. of Stones: Lot Size: Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INIL. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 OA Re -roof Stove Move Garage Demohtion Deck Other Existing Sq. Ft. ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other T•WORMS\BIdgPermitformwpd Applicant: FOR OFFIC Date Rec. Pennit i1 Date Approved Date Issued: STZE/VALUATION SF /SF SF /SF SF /SF TOTAL VAI, U TION Fi' f� Q Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. Of APPROVALS PLAN BLDG DPWU FIRE. 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 Buildmg Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. l 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 1 must obtain such permits prior to wo k. Date: sr/O TAW 06. -50 Project Name Private residence Installer• Innovated Fire Sprinklers Type of System. Date 10.2.2006 Additional Comments El PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Open Fire Sprinkler System Plan Review Address. 1216 South "0" Street Installer Telephone 452 -7583 13❑ 13 13D PAFD Permit 06- 50 We have checked this plan and find that it conforms to the requirements of the code All systems, including underground mains, shall be installed by a state licensed and certified company Systems shall be installed per the applicable NFPA Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. Contractor Reviewed by 0 Building Department Date Fire Department 10 2. Oc. PREPARED 8/31/07 10 11 48 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/31/07 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA, INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 0131 07 4 JLL 10/06/2006 07 56 AM DYASUMUR 10/06/2006 03 50 PM JLIERLY PLUMBING FINAL 08/30/2007 03 18 PM LPANGRLE JOSH 808 1077 PLUMBING FINAL COMMENTS AND NOTES PREPARED 1/31/07 8 22 04 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/31/07 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 10/23/06 JLL MECHANICAL ROUGH IN TIME 13 00 10/24/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 10/20/06 TIME 13 36 32 10/20/2006 01 36 PM DYASUMUR 10/24/2006 08 26 AM JLIERLY block joist and beam intersection /fire block tub /fire block chimney chase /j11 ME1 02 11/16/06 JLL MECHANICAL ROUGH IN TIME 13 00 11/16/06 AP 11/15/2006 11 25 AM DYASUMUR 11/15/2006 12 11 PM DYASUMUR 11/16/2006 03 36 PM JLIERLY ME6 01 1/31/07 J L MECHANICAL GAS LINE Al, 01/30/2007 04 46 PM PERMITS (1,■ KEN 460 8896 COMMENTS AND NOTES PREPARED 1/17/07 8 55 13 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/17/07 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA, INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 03 1/17/07 JLL BUILDING FRAMING 01/16/2007 10 49 AM PBARTHOL I l SHAWN 360 621 9786 COMMENTS AND NOTES PREPARED 1/09/07 12 52 17 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/09/07 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA, INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/19/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/19/06 AP ROD 908 5510 06/16/2006 04 58 PM DYASUMUR 06/19/2006 04 24 PM JLIERLY 20 ground /j11 BL2 01 6/22/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/22/06 AP ROD 908 5510 06/21/2006 09 26 AM DYASUMUR 06/22/2006 04 38 PM JLIERLY BL9 01 8/30/06 JLL BUILDING SHEARWALL TIME 13 00 8/30/06 AP 08/29/2006 10 22 AM DYASUMUR SHAWN 621 9786 08/30/2006 03 15 PM JLIERLY DSD 01 8/30/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00 8/30/06 AP 08/29/2006 03 41 PM DYASUMUR GREG 477 1862 08/30/2006 03 15 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 477 1862 09/01/2006 07 58 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 10/23/06 JLL BUILDING AIR SEAL TIME 13 00 10/24/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 10/20/06 TIME 13 35 55 SEAN 621 9786 10/20/2006 01 35 PM DYASUMUR 10/24/2006 08 26 AM JLIERLY block joist and beam intersection /fire block tub /fire block chimney chase/j11 BL3 01 10/23/06 JLL BUILDING FRAMING TIME 13 00 10/24/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 10/20/06 TIME 13 36 11 10/20/2006 01 36 PM DYASUMUR 10/24/2006 08 26 AM JLIERLY block joist and beam intersection /fire block tub /fire block chimney chase/j11 BAIR 02 11/16/06 JLL BUILDING AIR SEAL TIME 13 00 11/16/06 AP SEAN 621 9786 AFTER 1PM 11/15/2006 12 10 PM DYASUMUR 11/16/2006 03 36 PM JLIERLY BL3 02 11/16/06 JLL BUILDING FRAMING TIME 13 00 11/16/06 AP 11/15/2006 11 24 AM DYASUMUR 11/15/2006 12 10 PM DYASUMUR 11/16/2006 03 36 PM JLIERLY BUILDING INSULATION TIME 13 00 SEAN 621 9786 12/07/2006 11 39 AM DYASUMUR 12/08/2006 03 37 PM JLIERLY BLI 02 1/09/07 `L BUILDING INSULATION TIME 13 00 01/08/2007 01 41 PM PBARTHOL SHAWN 360 621 9786 BLI 01 12/08/06 JLL 12/08/06 AP COMMENTS AND NOTES PREPARED 12/08/06 9 52 51 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/08/06 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/19/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/19/06 AP ROD 908 5510 06/16/2006 04 58 PM DYASUMUR 06/19/2006 04 24 PM JLIERLY 20 ground/j11 BL2 01 6/22/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/22/06 AP ROD 908 5510 06/21/2006 09 26 AM DYASUMUR 06/22/2006 04 38 PM JLIERLY BL9 01 8/30/06 JLL BUILDING SHEARWALL TIME 13 00 8/30/06 AP 08/29/2006 10 22 AM DYASUMUR SHAWN 621 9786 08/30/2006 03 15 PM JLIERLY DSD 01 8/30/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00 8/30/06 AP 08/29/2006 03 41 PM DYASUMUR GREG 477 1862 08/30/2006 03 15 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 477 1862 09/01/2006 07 58 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 10/23/06 JLL BUILDING AIR SEAL TIME 13 00 10/24/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 10/20/06 TIME 13 35 55 SEAN 621 9786 10/20/2006 01 35 PM DYASUMUR 10/24/2006 08 26 AM JLIERLY block joist and beam intersection /fire block tub /fire block chimney chase/j11 BL3 01 10/23/06 JLL BUILDING FRAMING TIME 13 00 10/24/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 10/20/06 TIME 13 36 11 10/20/2006 01 36 PM DYASUMUR 10/24/2006 08 26 AM JLIERLY block joist and beam intersection /fire block tub /fire block chimney chase/j11 BAIR 02 11/16/06 JLL BUILDING AIR SEAL TIME 13 00 11/16/06 AP SEAN 621 9786 AFTER 1PM 11/15/2006 12 10 PM DYASUMUR 11/16/2006 03 36 PM JLIERLY BL3 02 11/16/06 JLL BUILDING FRAMING TIME 13 00 11/16/06 AP 11/15/2006 11 24 AM DYASUMUR 11/15/2006 12 10 PM DYASUMUR 11/16/2006 03 36 PM JLIERLY BLS 01 12/08f06 SEILDIN1 INSULATION TIME 13 00 U SEAN 621 9786 12/07/2006 11 39 AM DYASUMUR COMMENTS AND NOTES PREPARED 11/16/06 12 01 20 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/16/06 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 02 11/16/06 chimney chase /j11 MECHANICAL ROUGH IN TIME 13 00 11/15/2006 11 25 AM DYASUMUR 11/15/2006 12 11 PM DYASUMUR COMMENTS AND NOTES PREPARED 11/16/06 12 01 20 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/16/06 ADDRESS 1216 0 ST SUBDIV TENANT NBA GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/19/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/19/06 AP ROD 908 5510 06/16/2006 04 58 PM DYASUMUR 06/19/2006 04 24 PM JLIERLY 20 ground /j11 BL2 01 6/22/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/22/06 AP ROD 908 5510 06/21/2006 09 26 AM DYASUMUR 06/22/2006 04 38 PM JLIERLY BL9 01 8/30/06 JLL BUILDING SHEARWALL TIME 13 00 8/30/06 AP 08/29/2006 10 22 AM DYASUMUR SHAWN 621 9786 08/30/2006 03 15 PM JLIERLY DSD 01 8/30/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00 8/30/06 AP 08/29/2006 03 41 PM DYASUMUR GREG 477 1862 08/30/2006 03 15 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 477 1862 09/01/2006 07 58 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 10/23/06 JLL BUILDING AIR SEAL TIME 13 00 10/24/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 10/20/06 TIME 13 35 55 SEAN 621 9786 10/20/2006 01 35 PM DYASUMUR 10/24/2006 08 26 AM JLIERLY block joist and beam intersection /fire block tub /fire block chimney chase/j11 BL3 01 10/23/06 JLL BUILDING FRAMING TIME 13 00 10/24/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 10/20/06 TIME 13 36 11 10/20/2006 01 36 PM DYASUMUR 10/24/2006 08 26 AM JLIERLY block joist and beam intersection /fire block tub /fire block chimney chase/j11 BAIR 02 11/16 06 BUILDING AIR SEAL TIME 13 00 1 SEAN 621 9786 AFTER 1PM 1 11/15/2006 12 10 PM DYASUMUR BL3 02 11/16/06 LL BUILDING FRAMING TIME 13 00 11/15/2006 11 24 AM DYASUMUR 11/15/2006 12 10 PM DYASUMUR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 10/23/06 JLL MECHANICAL ROUGH IN TIME 13 00 10/24/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 10/20/06 TIME 13 36 32 10/20/2006 01 36 PM DYASUMUR 10/24/2006 08 26 AM JLIERLY block joist and beam intersection /fire block tub /fire block CONTINUED ONTO NEXT PAGE Job Located at c am% P tite 40 k_ Date BUILDING DIVISION Correction Notice 74)( c?-t. L t CITY OF PORT ANGELES /PN/lp 0 S/- Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction c e 7 These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call if t r ti for inspection ,(spector for Building Division DO NOT REMOVE THIS TAG PREPARED 10/23/06 8 25 35 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 1216 0 ST TENANT NBR GLENN TERA INC CONTRACTOR OWNER PARCEL APPL NUMBER GLENN TERRA INC 06 30 01 7 9 0070 0000 06 00000436 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/19/06 JLL 6/19/06 AP BL2 01 6/22/06 JLL 6/22/06 AP BL9 01 8/30/06 JLL 8/30/06 AP DSD 01 DRW 01 BAIR 01 10/23/06 BL3 01 10/23/06 ME1 01 10/23/06 8/30/06 JLL 8/30/06 AP 9/01/06 JLL 9/01/06 AP PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS Dt- INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE (360) 621 9433 BUILDING FOUNDATION FOOTING ROD 908 5510 06/16/2006 04 58 06/19/2006 04 24 20 ground /j11 BUILDING FOUNDATION WALL ROD 908 5510 06/21/2006 09 26 AM DYASUMUR 06/22/2006 04 38 PM JLIERLY BUILDING SHEARWALL TIME 13 00 08/29/2006 10 22 AM DYASUMUR SHAWN 621 9786 08/30/2006 03 15 PM JLIERLY BUILDING DOWN SPOUT DRAINS TIME 08/29/2006 03 41 PM DYASUMUR GREG 477 1862 08/30/2006 03 15 BUILDING DRYWELL GREG 477 1862 09/01/2006 07 58 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BUILDING AIR SEAL TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE SEAN 621 9786 10/20/2006 01 35 PM DYASUMUR BUILDING FRAMING TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 10/20/2006 01 36 PM DYASUMUR PM PM DYASUMUR JLIERLY PM JLIERLY TIME 13 00 COMMENTS AND NOTES TIME 13 00 TIME 13 00 13 00 PAGE 12 DATE 10/23/06 10/20/06 TIME 13 35 55 10/20/06 TIME 13 36 11 MECHANICAL ROUGH IN TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 10/20/06 TIME 13 36 32 10/20/2006 01 36 PM DYASUMUR PREPARED 10/06/06 12 22 38 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/06/06 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/21/06 JLL PLUMBING ROUGH IN TIME 13 00 9/21/06 AP MARK 808 0174 09/20/2006 08 43 AM DYASUMUR 09/21/2006 04 57 PM JLIERLY PL6 01 10/06/06 JLL PLUMBING WATER SUPPLY TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 10/06/06 TIME 07 56 30 GREG 477 1862 10/06/2006 07 56 AM DYASUMUR COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner GLENN TERRA INC 136 E 8TH ST #223 PORT ANGELES WA 98362 (360) 621 9433 Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Qty 1 00 2 00 Other Fees Unit Charge Per 73 0000 ECH 23 4000 5C COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000436 019780 1216 0 ST 06 30 01 7 9 0070 0000 GLENN TERA INC RES NEW SFR RS9 RESDNTL SINGLE FAMILY 152236 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL EL SVC 2315 SQ FT SFR 87700 ELECTRIC SERVICE 119 80 Plan Check Fee 9/27/06 Valuation 3/26/07 EL R SQFT FIRST 1300 EL R SQFT ADDITIONAL 500 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 r. 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) 05/22/2006 12 57 PM SROBERDS New sfr w /garage in RS 9 for total lot coverage of 27% No land use issues apparent Electrical load calculations and elctrical permits are required Electrical connection fee $713 00 05/15/2006 04 38 PM GMCLAIN Sanitary sewer connection inspection is required by Public Works prior to back fill of ditcli 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 Date 9/27/06 1 00 1 00 1 00 1 00 1 00 00 0 Extension 73 00 46 80 SEWER SYSTEM DELV CHARGE 870 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCI-I ROUGH -IN I COVER SERVICE FILIAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD I I I I I I I I I I I I I I I I PW- I102.15 1 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST 5TH STREET PORT ANGELES. WA 98362 Application Number Application pin number Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS/ACTION NEEDED 06 00000436 019780 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due 119 80 119 80 00 00 00 00 00 00 2074 50 2074 50 00 00 2194 30 2194 30 00 00 Page 2 Date 9/27/06 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. INSPECTION TYPE DITCI-1 ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO COMMENTS PW- 1102.I5140961 PREPARED 9/21/06 11 20 08 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/21/06 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/21/06 PLUMBING ROUGH IN TIME 13 00 ♦A___ j Y MARK 808 0174 09/20/2006 08 43 AM DYASUMUR COMMENTS AND NOTES PREPARED 9/01/06 8 12 21 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/01/06 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/19/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/19/06 AP ROD 908 5510 06/16/2006 04 58 PM DYASUMUR 06/19/2006 04 24 PM JLIERLY 20 ground /j11 BL2 01 6/22/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/22/06 AP ROD 908 5510 06/21/2006 09 26 AM DYASUMUR 06/22/2006 04 38 PM JLIERLY BL9 01 8/30/06 JLL BUILDING SHEARWALL TIME 13 00 8/30/06 AP 08/29/2006 10 22 AM DYASUMUR SHAWN 621 9786 08/30/2006 03 15 PM JLIERLY DSD 01 8/30/06 JLL BUILDING DOWN SPOUT DRAINS TIME 13 00 8/30/06 AP 08/29/2006 03 41 PM DYASUMUR GREG 477 1862 08/30/2006 03 15 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 GREG 477 1862 09/01/2006 07 58 AM DYASUMUR COMMENTS AND NOTES PREPARED 8/31/07 10 11 48 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 1216 0 ST TENANT NBA GLENN TERA INC CONTRACTOR OWNER PARCEL APPL NUMBER REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS TYP /SQ BL3 03 PW99 01 FFNL 01 BL99 01 8/31 07 JLL PERMIT TYP /SQ ME1 01 ME1 02 ME6 01 ME99 01 8/31 PERMIT TYP /SQ PL2 01 1/17/07 JLL 1/17/07 AP 4/11/07 RV 4/11/07 AP 4/12/07 KDD 4/12/07 AP GLENN TERRA INC 06 30 01 7 9 0070 0000 06 00000436 RES NEW SFR ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 10/23/06 JLL 10/24/06 DA 11/16/06 JLL 11/16/06 AP 1/31/07 JLL 2/01/07 AP 07 JL 7 C PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 9/21/06 JLL 9/21/06 AP PL6 01 10/06/06 JLL 10/06/06 AP INSPECTOR JAMES LIERLY BLDG FRAMING 01/16/2007 10 49 AM SHAWN 360 621 9786 01/17/2007 03 30 PM PUBLIC WORKS FINAL 04/12/2007 12 59 PM 04/12/2007 12 59 PM FIRE FINAL 04/12/2007 04 17 PM Fire final 4 11 2007 04/12/2007 04 18 PM Fire final 4 11 2007 BLDG FINAL 08/30/2007 03 16 PM JOSH 808 1077 BLDG FINAL MECHANICAL ROUGH IN OVERRIDE TAKEN BY D 10/20/2006 01 36 PM 10/24/2006 08 26 AM block joist and beam chimney chase/j11 MECHANICAL ROUGH IN 11/15/2006 11 25 AM 11/15/2006 12 11 PM 11/16/2006 03 36 PM MECHANICAL GAS LINE 01/30/2007 04 46 PM KEN 460 8896 02/01/2007 10 11 AM CHANICAL FINAL 8/30/2007 03 17 PM JOSH 808 1077 MECHANICAL FINAL SUBDIV PHONE PHONE (360) 621 9433 PBARTHOL JLIERLY RVESS RVESS KDUBUC KDUBUC LPANGRLE TIME 13 00 YASUMUR DATE 10/20/06 TIME 13 36 32 DYASUMUR JLIERLY intersection /fire block tub /fire block TIME 13 00 DYASUMUR DYASUMUR JLIERLY PERMITS JLIERLY LPANGRLE PLUMBING ROUGH IN TIME 13 00 MARK 808 0174 09/20/2006 08 43 AM DYASUMUR 09/21/2006 04 57 PM JLIERLY PLUMBING WATER SUPPLY TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 10/06/06 TIME 07 56 30 GREG 477 1862 CONTINUED ONTO NEXT PAGE PAGE 7 DATE 8/31/07 PREPARED 8/30/06 8 31 56 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1216 0 ST TENANT NBR GLENN TERA INC CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL1 01 GLENN TERRA INC 06 30 01 7 9 0070 0000 06 00000436 RES NEW SFR BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 6/19/06 JLL 6/19/06 AP BL2 01 6/22/06 JLL 6/22/06 AP BL9 01 8/10 jr k DSD O1 8/30/06 BUILDING FOUNDATION ROD 908 5510 06/16/2006 04 58 06/19/2006 04 24 20 ground /j11 BUILDING FOUNDATION ROD 908 5510 06/21/2006 09 26 06/22/2006 04 38 BUILDING SHEARWALL 08/29/2006 10 22 SHAWN 621 9786 BUILDING DOWN SPOUT 08/29/2006 03 41 GREG 477 1862 SUBDIV COMMENTS AND NOTES PHONE PHONE (360) 621 9433 FOOTING TIME 13 00 PM DYASUMUR PM JLIERLY WALL TIME 13 00 AM DYASUMUR PM JLIERLY TIME 13 00 AM DYASUMUR DRAINS TIME 13 00 PM DYASUMUR PAGE 41 DATE 8/30/06 PREPARED 6/22/06 11 03 25 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/06 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA, INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/19/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/19/06 AP ROD 908 5510 06/16/2006 04 58 PM DYASUMUR 06/19/2006 04 24 PM JLIERLY 20 ground /ill BL2 01 6/22/06 BUILDING FOUNDATION WALL TIME 13 00 1 ROD 908 5 510 06/21/2006 09 26 AM DYASUMUR COMMENTS AND NOTES PREPARED 6/19/06 10 46 47 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/19/06 ADDRESS 1216 0 ST SUBDIV TENANT NBR GLENN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0070 0000 APPL NUMBER 06 00000436 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 ROIL9ING 5OUNDATION FOOTING TIME 13 00 ROD 908 5510 06/16/2006 04 58 PM DYASUMUR COMMENTS AND NOTES Op PORT Application Number 06 00000436 Application pin number 019780 Property Address 1216 0 ST ASSESSOR PARCEL NUMBER 06 30 01 7 9 0070 0000 Tenant nbr name GLENN TERA INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 152236 Owner Contractor GLENN TERRA INC OWNER 136 E 8TH ST #223 PORT ANGELES WA 98362 (360) 621 9433 Other struct info TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 DROP IN METER Permit pin number 78634 Permit Fee 195 00 Plan Check Fee 00 Issue Date Valuation 152236 Expiration Date 12/02/06 T \Policies \1102.15R [1/05] Qty Unit Charge Per Signature of Contractor or Authorized Agent BASE FEE Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 6/05/06 1 00 1 00 1 00 1 00 1 00 Extension 195 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 78626 Permit Fee 110 00 Plan Check Fee 00 Issue Date Valuation 152236 Expiration Date 12/02/06 Extension 110 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) 05/22/2006 12 57 PM SROBERDS New sfr w /garage in RS -9 for total lot coverage of 27% No land use issues apparent Electrical load calculations and elctrical permits are required Electrical connection fee $713 00 05/15/2006 04 38 PM GMCLAIN Sanitary sewer connection inspection is required by 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 or local,Jaw regulating construction or the performance of construction Date Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T\Policies \1102.158 [I/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I I I I I yOf PORTAJ9 w Application Number Application pin number T \Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000436 019780 Special Notes and Comments Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Page 2 Date 6/05/06 Other Fees SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Fee summary Charged Paid Credited Due Permit Fee Total 305 00 305 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2379 50 2379 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 CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWF U1 TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I 1 T•\Policies \1102.15R [1/05] PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I I I I 1 I I of punr,�y� VF m T•\Policies \l 102 15 building permit inspection record05.wpd [1/4/2005] Application Number 06 00000436 Date 6/05/06 Application pin number 019780 Property Address 1216 0 ST ASSESSOR PARCEL NUMBER 06 30 01 7 9 0070 0000 Tenant nbr name GLENN TERA INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 152236 Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Permit PLUMBING PERMIT Contractor GLENN TERRA, INC OWNER 136 E 8TH ST #223 PORT ANGELES WA 98362 (360) 621 9433 Other struct info TOTAL s LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 1 00 1 00 1 00 1 00 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc SFR Permit pin number 76729 Permit Fee 1317 05 Plan Check Fee 526 82 Issue Date Valuation 152236 Expiration Date 12/02/06 Qty Unit Charge Per BASE FEE 53 00 5 6000 THOU BL -100 001 500K (5 60 PER K) Qty Unit Charge Per 1 00 36 4000 ECH EL -LVT FIRST THERMOSTAT Qty Unit Charge Per BASE FEE 1 00 14 7000 ECH ME INSTALL 100- FAU 5 00 7 2500 ECH ME VENT FAN 1 00 10 6500 ECH ME -OTHER APPL N/R 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 Extension 1020 25 296 80 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 79160 Permit Fee 36 40 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 12/02/06 Extension 36 40 Permit MECHANICAL PERMIT Additional desc Permit pin number 79152 Permit Fee 122 25 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 12/02/06 Extension 50 00 14 70 36 25 10 65 10 65 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied wh her specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any stat or to al law regulating construction or the performance of construction. 1 Signature of Contractor or Authorized Agent Dateignature of Owner (if owner is builder) YDate 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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB .;y ws WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING 417 -4815 I T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES NO FINAL FINAL SEPA. ESA. SHORELINE: DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT 417 -4807 PW ENGINEERING R.W 417 -4653 I I I I FIRE DEPT 417 -4750 I I I I PLANNING DEPT I I I BUILDING I I I I I I I I I CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING T \Policies \l 102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD I I I J'/%(_ It7z I I I Il z-/ i/ 00 I ins I ?47 Jp- k -1k I I II7,In" IJ If I FINAL 3131/67 DATE Tf ACCEPTED BY. 1 I I I 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 417 -4807 PW ENGINEERING 417 -4653 I I I I FIRE DEPT 417 -4750 I v I I I PLANNING DEPT 417 -4815 I A 1 3 tin 1 3"`--L' I I BUILDING e /xoic \rit /i/oo FINAL V 3 IO7 DATE -L L I I I I I I I I I ACCEPTED BY. SEPA. I I ESA. I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO Page 2 Application Number 06 00000436 Date 6/05/06 Application pin number 019780 Additional desc Permit pin number 79178 Permit Fee 156 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 12/02/06 Qty Unit Charge Per Extension BASE FEE 50 00 11 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 77 00 1 00 7 0000 ECH PL EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL EA BLDG SEWER 15 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 Special Notes and Comments 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) 05/22/2006 12 57 PM SROBERDS New sfr w /garage in RS 9 for total lot coverage of 27% No land use issues apparent Electrical load calculations and elctrical permits are required Electrical connection fee $713 00 05/15/2006 04 38 PM GMCLAIN Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T• \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 5'0 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due 1631 70 1631 70 00 00 526 82 526 82 00 00 2074 50 2074 50 00 00 4233 02 4233 02 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 Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential -eNew Constr Multi- family Addition Commercial Remodel Repair Fill out COMPLETELY and in INK. Your application and site plan MUST B Date App ovi COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Date Issued. s Applicant or Agent: Owner' (7 Lf; Q]— T 2 4 i T v C. Phone: 3 4 0 s awO' Address 1 3 e.[ 7 E.. g Sr. Z23 City• r 4,u G E Leo Zip 3 6 Z Arclutect/Eugmeer• C ASCA DE PL-A- Al S gP—ta e e k �iv r-y Phone- ZS3 ZeP -317 0 (sr~ ,3 to Contractor 6 L. .NN -Ti R.R.A e., State License Q 8(o AJA Exp 8/ f /D( Phone:IQ 2I —1 l/ J3 Z 2 City f Address Co ST. ty' t 0 n-T /�/V f�EL ES Zip PROJECT ADDRESS I Z 1( O 't T. LEGAL DESCRIPTION Lot: ZONING t /ZaLLr,u� N.r CLALLAM COUNTY PARCEL NUMBER. ®r(2 3 ©r) 7 0 0 7 0 0 Sign BRIEF DESCRIPTION OF THE PROJECT PLANNING USE ONLY BUILDING PERMIT APPLICATION Block: City- Exp. Date. STZF,/VALUATION Re -roof Stove _J 4' 7SSF 1(o Oq /SF (0( 9 Move trGarage L/ L W SF 2.f 3 /SF q-,O Demolition .l'.l cPoua►t I N 0 SF !2.00 /SF Other TOTAL VALUATION 2 x,340 /V G. w mu u c. ,v SF �z COMMERCIAL/RESIDENTIAL. Occupancy Group R. 3 Occupant Load. Construction Type: UN No of Stories: Lot Size: Z aC /7.0 Existing Sq Ft. Proposed Sq Ft. ZyS -S TOTAL Sq. Ft. 2.. r$ Total lot coverage Z 7 q ex) !k r 7 S -.r tit W O f ill O ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other I hereby certify that I understand that it is my T•\Policies\BL 1102_13.wpd Subdivision. FOR orr•>c�a �ONLY 1 Date Rec. Permit #1 C‘, (D Col_ i- 9t-t3,1 GEi.t. Phone .3 (pO —S( 0/DO 983 Cp APPROVALS. PLAN BLDG DPWU FIRE OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued withm 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 RI 05.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. nd examined this applic tion and know the same to be true and correct. I am authorized to apply for this permit and ility to d ermin its are required ,not the City's, and that t must obtain such permits prior to work iDate: g ./0 V V Fax: 3 4 0 1 O III Unlimited Group R 3 Occupancy Only Prescriptive Approach Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone '1 Site Information Building :Department Use.On!y Lot: T Permit:, Address: J Z L S T, 'Notes.. City' Poizr Al GEL.6 State: WI}' Zip Z co Contact: AAJ PR..1 t tr 1 1 T TI?J 2 S Phone. 26 s s ©Lfa Phone 2: 2(O �p L 1 cl L132 GE LL 0 40 0.58 0.20 See the code text for footnote references Copyright 2002, WSUCEEP02 -056 Copied by permission from the Washington State University Extension Energy Program Thi cpject complies with the following The project is a single family residence- erdttpk 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 6 project will meet all other provisions of the WSEC and VIAQ Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing U- Factor I Door Wall Wall Wall Slab Option Area U- Ceiling Vaulted Above Int Ext Floor On of Floor Vertical Overhead l factor Ceiling Grade Below Below Grade Grade Grade The project will take advantage of the following exceptions to the prescriptive option 602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards is allowed. Location of the door taking this exception 602 6 Exception 2. Doors with a U- factor of 0 40 allowed without calculations, Option III only Location of the door(s) taking this exception T y pc_ b F l-1 r o�� �z c.� F IZG E t J? -lE L. G P2o P,44/ FFn.G PI..QG. E Prescriptive Simple Form Climate Zone 1 7/26/2004 05/03/2006 10 17 2532843183 May 3, 2006 Attn Port Angeles Building Department Building Location Lot 7 Parcel 063001790070 Port Angeles, WA Glenn Terra Homes is authorized to construct our plan 1875R/2 for a single use on the site address referenced above, based on the criteria in the accompanying construction documents and calculations Any, revisions or alterations must be authorized by Cascade Residential Design, Inc. prior to commencing work. Sincerely, CAS RES NWAF TDM PAGE 02 CASCADE RESIDENTIAL DESIGN INC. 102 S 26 Street Tacoma, WA 98402 253 284 3170 Fax 253 284 3183 Mark Myers P E. Project Engineer (ANAL vS EXPIRES. f 5 2006 /MAY /03/WED 03 20 PM CITY OF PA BLDG DEPT FAX No 360 417 4711 P 001 /001 __,vateEcus_ NW CORNER S58 45'5!1 E 5LI5UR5AN LOT 65 CURVE TABLE 1 N L)7E R.n5, •Y. 53 P 12 HAS 1 751E CURVE LENGTH I RADIUS 1 DELTA; I DEEO DIMENSf ALONG 7HE NORTHWESTERLY Cl 15.791 1x001 BOUNDARY (245 F A TO BE A MoRE-OR -LESS C1 E.al taw err CAL1.,.RES COO O A OS171° eP A SOU7Htt�57 CORNER W Of P THE SUR VEYED FOR TH PR CEL. 1 03 64.791 50.001 744 000 THAT 15 5 557049 W, 14.57 MOH THE C 7 °.901 00.00' POSt DETER►VNCO 8Y 5115 OFFICE WHICH x 7'a 90 -SOt 50.00 114 a d H01,D THE DEED•CALL OF 240 FEET FROM THE cs 2.07' 11100. 1 r NORTHWEST CORNE OF SUBURBAN LOT 68 C7 I 6311 1900 v. A COMPREHEN51 REVIEW OF ThE CHAIN OF Cr 9 15 rz 7 sfl 10.0011 70,00 1 a h' AJI E.fY1R SL 65 510115 G014SL5TENL Y OF c DIE 240 FOOT CALL .t 7' C10- i- 1vrII--30-00 a•. +g7r C11 32 .111 50.00 5'19' t a y �V, I C1 2 59.491 50.90 j y` +V 41.491 50.00 4 y 117138 ∎4•F.I, 24.951 50.00 .t. '7 1t 75.711 10.001 z` 19711 15001 ;1, _r •1 cf 9r 'Y �c P n PHD. (6/05) 3/r RWAR/CAP LS 22329' 566'09'25"M 0.$5' FROM CALCULATED CORNER POSITION 1 1 1 111D5s SO FT' p \CQ 25. 1 d 2 25 I A., _i;r� i I sa 35 �7'7r_g1 no T29 1 72030`, soy?: 25' I 1 i 30• Ia-" I I�0- I 1 26' REBAR/GAF "L2 22 V I W I 2 I f I 12 I 8 S33'07 14.47' I v I 9746 5Q.f7: I 1 g� FROM CALCULATED I 1 r 1 I 1 j 1 n n I 8000 SOFT. I 25' M1 CORNER POS1770N L L r v L I s 1 a t 4 R' WSa r 1 3 o 70 w ,s •r 1Arl o y w 0I I L 56 i 5'9 e 6 18' w w25. I 28 1-1. 113 r 1 24 L. 705435 1' I h I 15 21' 143 1 0 25' 1 9427 92S7. t Is I a 9744 SST/ o� I I•-I �R 45.!rEt 1 L s1554.5'47 WIDE POWER MO' N5643 150.OD^ ROW NO 1�.LS GOVaT N561454rPf I I10.DO�� 0 4, M4 4545 69.15' 4 a'ra 7e 23 V 1 20 1� I 19 I 11531 SOFT. I 9224 SQ.FT. I 9002 surd �j 1 I z I I a L_ J 75.00' 556445.47"E 76.00' 77.77' 79,75'_ 10 7n y I I 22 174, 1 21 I I m I $n PL0 1 I L(1) I �_�_J 904a SaFT. so o SO 9700 SOFT! FT 556 45 4 'EC 224.97 1 fo 556'45 THIS SURVEY MEETS OR EXCEEDS THE STANDARDS CONTAINED IN WAC 332- 730 -030. _EQUIPMENT. 5 5'" TOPCOND MODEL GTS 60 TbLTA .DA.TF -0 Y F SURVEY. PR11�G€GURE�' THIS RECORD OF SURVEY IS BASED ON A GROUND SURVEY UTILIZING CONVENTIONAL TRAVERSE METHODS. s I 11 25 IS 'f J J-- tor-1 le A 900 sa.n.. 1 1 -1 1 q4.• J I�J LLLLLL _F I 58s 45 4 I A --Im i ]2129- n f �r 1 /G 1 7L gy m 1 l 0 I 9000 3Q 11 I I 25 L _Iwo.. j 2 M g i 1 1 I I 0 1° I 9000 512111 i 'g W e I aDDO SQ.FT. I M1 d :o� 1• d 1 1 I n 2 ;4 5 s I I I V I L B'45 4 N L 5 a,4 7 2 'I �zoD,_ 7' a t 1 'El j 1 25 a I l34n i 11 Z I 9000 50.71. I r I 9000 50.F I 1n 25' i .A5.1 i L S5F X34 7�R� L 536446' 1 1;1 0 I rA-;1 1aesD Id' 1 1 1 31�i 1 25' 1 13/1 1 1, 4.y I 1� i. 3 I 3 I :?,117, ;I I 9000 so FE I n I 9000 Sall: 1 1 I I 25• I I Iz L :SS¢ •a5'd7 8 .5.56 45 47 F 8 I 10' I- r tYD_0 120.42 t c5 ��1 I 13 I N g I 16 I g -I 2 I 4II x w 16 1 9dOD sari: n I 1 9000 SQ.FL I 1 nl 1 1 25' I I 5 P I� L• '3'A 6�a547 E P� L_ SS'fz'E$ 1 1.4 1 1 z 4 12 7 re_ JAM= I t3 1 11 S 1 P 1 0 1 4 1 1 o Zi1 1 9053 55.1" T" i R L 90 San: I IN L__-1 3D' 1 .LSD' 7'L 25 IL, 4 Tis.ril a 1.1000l 4,a. T1a°o'_ r1D.oD' .DD 556 45 JO' DE PO WER ESA17 53 497 0 .n W. 14TH STREET N5B'45 534.97' n 1 .r '1 LW N h I 8000 5Qf I 1g1a T 9 1 7' 0 l 1 Sfi 4 I r 4 I 7 !z/!0 '1 L S 56'a� I 11-ZZ- I I 1 I 6. bbl a I 9000 SOFT. I h! L J 'fo sma•45'4YF R' 14 T. 25'I 1 I 1 r 310.00' n _1 J'9R•V�Y- GR'S- GE•R�faGAT_ 'I, BRADLEY R. LYMANGROVER, REGISTERED AS A LAND SURVEYOR BY THE STATE OF WA CERTIFY THAT THIS LAND SUBDIVISION IS- BASED ON AN ACTUAL SURVEY .OF THE LAND DESCRIBED HEREIN CONDUCTED BY ME. OR UNDER MY SUPERVISION; AND DECLARE THAT THE D COURSES AND ANGLES ARE SHOWN HEREON CORRECTLY. AND THAT MONUMENTS OTHER THAN THOSE MONUMENTS APPROVED FOR A iA ER HA4E BEfN A,T..L•QT"CORNERS ••STAKED "0(d. THE ;GROUND J1S DEPICTED ON THE PLAT. _o SEE FOR PER S-- V 154 so u# I 2.0 r zo .0/ ~V ~al Contractor ~ ELECTRICAL WORK PERMIT APPLICATION o Request Inspection ,. DOwner o Annual Permit 0 Alarm 0 CarnU'al 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Installation description Job wired by lectrical Qontractor 0 Owner Electrical contractor name c' _ _ L~nse number [~'- ~J~ lZL<...<::i-$./1>2D"" pu'chas8s):]IT~~t'ess ~ QQ C,t~ A State ZIP "o~r- 1'-h .f)" v..J '" .e-, ~'l, b'- ".. Telephone number 1 4: ,........._L,.'-('l..-- :2-'2<)cJ ">1 ~r f. .2 A . f) -<'" "' \ . " r. I . , FAX number Premises owner's name GLu-... .~ ""'-___"1 Address of inspection \ 2. II., PAr I '0'" "ST f~75 Lj<fD .J.- 5 I ~ .5'Q q-- .>;5t::. o Cash 0 Check # City I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Credit Card Visa Mastercard Discover Signature of 0 ec" e]ec'~ntnctor or electrical administrator x WALLS Insulation Only CEIUNG Insulation Only THERMOSTAT SERVICE .:V .JJ) /;I~~ Approved By FEEDER "- Date ApprovedBy / DI..:',!- ,com APP~ ~~BY f;;f6(;cover ;;0' D Approved By Date Approved By DITCH p, 1;QBY 0" Electrical Load Additions and or subtractions o NO LOAD CHANGES D Baseboard KW ~ace Ti:kw D Heat Pump Ton LAR D Fan-Wall KW Service Informalion o Overhead Service o Temp Service ~ound Service Voltage l:a.oJi Il.~ Phase IYl"O 3 Service Size: ~ Feeder Size: ~ " ~ I Electrical Inspector Inspection Date Area, Building or Equipment Inspected Action Taken ,,-H, ~O c.::rp ,::> . /. '5J 0" ?~ ( tJA- '. .- f;HIH--- AP \ . , C~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date Time Received by (phone, person) fi\~/{1 >"03> Phone No. Location of Work to be inspected -Q..J I i V\-~ lJ: II 'S ~ ~ t -j,l. Name of person requesting inspection I) ,. s- ~ 0,,, ,p, I I i I J r-. Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Permit No. Final ~ Exc0 Other INSPECTION NOTES:. ~ Inspected: Date / () -I rJ - 0 S Time d: :SOD,,^- By ,~ Remark~:T1\.;S '''''''pEC../-''O'-, lv.4S cccl.-f'....+< ~ 6, '-0.../'1 0..(1. "'- 0"'- $;+<:. v,'",..+",,,,..Ji.<.J,"I-l, +ke .." C'e.--w",.A;",,, p...o u; J~ J b-{ +h c.. c.on+~c..c..kr. I,," '<:. St".Wfj!.. s, feu ;cl:. WA-;, .' '" <; .j..",tleci Ctvtd .4<.k. C:/l", b.., ,;-eo L... :^",l." teL-v.... -\-l..,,-; vts "" l,,,,.j (,,"-10" P [.It:...- wy-.: @ ( I fo~' { .sou -h, o-f! m-I 4+ I;:; Nor- () S+ Onr! A1'!fev.l3 'clap / {P ''PiJL- "3 '5"' to <' /)451- /J/oft'~l/ lJ1 t: Tn ,<;/'</II",rI '-11'1;10 -:,f I I I RESTORATION REQUiRED...... YES NO:.x. /&3/ /3' _6 ( J-11 ~~ y {,~o 1 0>ef\ \ JJ10f'rp (f~ ~ It>~~ "\ l ~I I/'~i/C (.''PVL 3S' \:-i \~\ ....... I....,.J l- I>' \0 ... 1- \f\ o . .~ Lo/P/.f 3 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC 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 (DATEI FROM : FAX NO. : Mar. 10 2010 8 :13RM P1 RECEIVED lui f„ CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street -- P.O. Boa 11501 Port Angeles Washington, 98362 Ph: (360) 4174735 Fam (360) 4174711 D &: t2 Single Family Dwe9ling Plan Review May Be Required, Plepe C mplete Electrical Plan Review lnfomtaltlon Sheet Job Address; Building Square Foobgs: — o v a Description of above Owner Inform on ���v~L5 Names Cl4r �Q lC- S fVlC5- Name: Wi "t' dd C Sbte�- ' zjp: 9 d G €- Phone - .3v ��4fc Phone:W _ c. ax 5 license #1Up License #!Exp. •r -..k 1121111 unk charne -ch Tom, PY Mm Mod 5erviaelFeedw 200 Amp. $ . $ewicdFeeder 201.400 imp. $146.00 $ 8wvk*1Feader 401-600 Amp $ 205.00 $�_ SeMoeTeeder 601 -10W Amp. $ 262.00 $ SeMoelFeeder over 1000 Amp. $ 97 W $_ Bmnch Clrcuk Wl Service Feeder $ 5.00 S Branch Circu4W10 Servico Feeder $ 63.00 Ewh Adddonel Branch Circud $ 5.00 S Branch Orcub 14 $ 75.00 Temp. Servloel Feeder 200 Amp. $ 93,00 $ Temp. SavicelFeeder 201.400 Arno. $ 110.00 $ Temp, seMoelFwder 401 p. $149.00 $ Temp: SeMcelFeeder 601 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ $grW Cinaatl Unit Energy -1 R 2 Family Dwelling $ 64.00 $- . - -..--- Manurawtred.Home Connection $120.00 Rwea" Electrical ENw - 5WA System or Less $ 10200 $ Them ostst 1 $ 56,00 __— Nate. $5.00 rar each addl&*W T-SW NEW QMSFRUCTIAN QNLY: First 1300 Square FL $120.00 $ l:aoh AdcO oW 540 Square Ft or Portion of $ 4100 . .....,, $ Each Outbuilding or detached Garage $ 74.00 $ Each Swimming Pool or HotTub $110A0 $ $_ Total Owner as denied by RCW.19.2$. 261: (1) Owner vA occupy the structure for two years after ft electrical pefrnft is 8na%ed. (2) Omw is required to hire an eledical owtractor N above said property Is for sale, rent or Imo, Perrnit expires after six mordlts of last inspwcdon. After reading the above statement, I hereby certify that I am the owner of lhs above named property or a li mew electrical conhacE . I am making the eleetricai installs6on or N%ratlan in, compliance wish the electrical laves, N.E.C., RCW, Chapter 1928, WAC, Chapter 296-468, The City of Port Angeles Municipal Code, and LW ty Specillcallons end PAMC 14.05.050 regarding Electrical Permit Applrcatbns. $1911atom of own , el I contractor or electrical edmlnW ator: 0 CWk 0 Chu* i 4_eQ a crr�c.rrfi# �:. _... otrotrzorz ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . , . . . 14- 00000762 Date 6/16/14 Application pin number , . . 864110 Property Address 1216 0 ST ASSESSOR PARCEL NUMBER; 06-30-01-7-9-0070-U000- Application type description ELECTRICAL ONLY Subdivision Name . • . • , . Property Use . . . . . Property Zoning , . . , • , . RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Damaged Wall Owner Contractor GLENN W AND PAULA NORRIS ELECTRIC.SERVICE 1216 SCUTH 0 ST 82 DRAPER RD PORT ANGELES WA 96363 PORT ANGELES WA 98362 {360} 452 -6424 Permit , , , . . . ELECTRICAL ALTER RESIDENTIAL Additional desc , . 1 -4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee 00 Issue Date 6/16/14 Valuation 0 Expiration Date 12/13/14 Qty Unit Charge Per Extension BASS FEE 75,00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .4D Plan Check Total .00 .00 ,00 .00 Grand Total 75.00 75.00 00 .00 r- REPORT SALES TAX on your excise fax form to the City of Pori Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING