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213 Juniper Ln - Building
Application Application pin number Property Address ASSESSOR PARCEL NUMBER .Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits sump pump and outside outlet Owner HARRISON W HINDS 213 JUNIPER LANE PORT ANGELES Permit ELECTRICAL Additional desc Permit pin number 158154 Permit Fee 59 50 Issue Date 12/11/09 Expiration Date 6/09/10 Qty Unit Charge Per 1 00 57 5000 ECH__. EL BRANCH CIRCUIT WO /FEEDER 1 00- 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Fee summary Permit Fee =Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVIC -E ROUGH IN FINAL COMMENTS WA 98362" 'Charged Paid- 59 50 00 59. 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735. 09 00001307 357.431 213 JUNIPER LN 06 30 15 7 8 0070 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ALTER RESIDENTIAL 59 50. 00 59" 50 -Plan Check Fee Valuation D ATE Signature of owl or Electrical .C.ontractor X Credited 0( to b frI (ro 00 00 00 Date 12/11/09 WA 98363 Extension 57 50 2 -00 Due 00 00 00 RESULTS 00 0 Date INSPECTOR. v (J3 �i1 ;0 City of Port Angeles Permit Application Building DlvlsionlElecttiCal Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph; (360) 4174735 Fax: (360) 411-4711 Date: /A-bp-0 x 1 2 Single Family Dwelling Multi- Family or Commercial" Commercial Addition 1 Alteration f Remodel Repair Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above C p-1105, 1 0,Z4 C &d &exJ L igm i 19Eir- LA/ Owner Inform lion D I f ation�� CI- 0 PSt? L/ Name: e.�: Mailing Address: a state J 63 City. State: zip Fax: 7 Phone:- p- 244¢D,_Fax: J F8X: 1 License #1 Exp, Unit Charge Total Qty Multiplied by Unit Charoe1 93,75 ServicelFeeder 200 Amp. $113.75 Service /Feeder 201-400 Amp. $16000 Service /Feeder 401 -600 Amp. $205,00 Service /Feeder 601 1000 Amp. $291.25 Service /Feeder over 1000 Amp, 2.00 Branch Circuit WI Service Feeder 57.50 I 5 'I.Sa Branch Circuit WlO Service Feeder 2.00 —,r .D Each Additional Branch Circuit 6 72.50 Temp. Service/ Feeder 200 Amp. 6 86.25 Temp. Service/Feeder 201 -400 Amp. $116.225 Temp. Servlce/Feeder 401 -600 Amp. 6131.25 Temp. Service/Feeder 601 1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75.00 Signal Circuit/ Limited Energy Commerci it 50.00 Signal Circuit/ Limited Energy 1 2 Fain ly Dwelling 50.00 Signal Circuit/ Limited Energy Multi -Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA Syst :m or Less 86.25 First 1300 Square Ft, 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Mot Tub 43.75 Thermostat 60_ Total Owner es defined by RCW.1928.267: (1) Owner will occupy the structure for two years after this electrical permit is nr alized. (2) Owner is required to hire an electrical contractor it above said property is for sale rent or lease After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed elm trial contractor 1 am making the electrical installation or alteration in compliance with the electrical laws. N.E.C. RCW. Chapter 19.28, WAC. Chapter 256.469, T ,e City of Port Angeles Municipal Code, and Utility Specifications. SI. tore of owner electric c ntractor or electrical administrator RECEIVED DEC 10 2009 c 1' Aso— ELECTRICAL INSPECTIONS 0 Cash O Check Date: D.-3 Credit Card 4 Conlrac j orm Name:. ,L, L71 Mailing dress City: c Phone: S License 4 1 Exp. 0 i L(9/14/2 Linda Pangrle finals From Ken Dubuc To Linda Pangrle Date 9/14/2009 1 35 PM Subject: finals Good afternoon Linda 209 Juniper was finaled on 9.8.2009 213 Juniper was finaled on 8.12.2009 Thanks, Ken Page 11 E' (8/20/2009) Linda Pangrle Final Fire Sprinkler System Inspections From Linda Pangrle To: Ken Dubuc Date' 8/20/2009 11 38 AM Subject: Final Fire Sprinkler System Inspections Hi Ken, When did you do your final fire sprinkler system inspections for these two permits? #08 -426 213 Juniper Lane (a new home) #08 -377 2140 W 18th St. #1050 (Westport's I.T room waterless A -1 clean agent) Linda aae 1 PREPARED 8/13/09 8 44 17 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/13/09 ADDRESS 213 JUNIPER LN TENANT NBR GLENN TERRA INC CONTRACTOR GREYWOLF CONSTRUCTION OWNER GLENN TERRA INC PARCEL 06 30 15 7 8 0070 0000 APPL NUMBER 07 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/11/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 2/11/08 AP February 11 2008 8 14 42 AM 1pangrle SHAWN 477 0778 FOOTING MORNING February 11 2008 2 10 30 PM 3 ierly BLFO 01 2/15/08 JLL BLDG FOUNDATION 2/19/08 AP February 15 2008 8 21 42 AM permits WILSON 670 8062 FOUNDATION February 19 2008 4 27 32 PM jlierly DSD 01 2/22/08 PB BLDG DOWN SPOUT DRAINS 2/22/08 AP February 22 2008 8 25 47 AM 1pangrle GREG 477 1862 'GUTTER DRAINS February 22 2008 4 18 55 PM pbarthol BL9 01 3/24/08 JLL BLDG SHEARWALL 3/24/08 AP March 24 2008 8 34 50 AM 1pangrle SHAWN 808 1078 SHEARWALL March 24 2008 4 00 49 PM jlierly DRW 01 3/24/08 JLL BLDG DRYWELL 3/24/08 AP March 24 2008 8 38 18 AM 1pangrle GREG 477 1862 DRYWELL March 24 2008 4 00 49 PM jlierly BAIR 0 5/22/08 JLL BLDG AIR SEAL 5/22/08 AP May 21 2008 4 57 10 PM 1pangrle SHAWN 808 1078 AIRSEAL May 22 2008 4 34 13 PM jlierly BL3 01 5/22/08 JLL BLDG FRAMING 5/22/08 AP May 21 2008 4 56 55 PM 1pangrle SHAWN 808 1078 FRAMING May 22 2008 4 34 13 PM jlierly BLL 01 5/30/08 JLL BLDG INSULATION 5/30/08 AP May 30 2008 9 03 13 AM 1pangrle SHAWN 808 1078 INSULATION May 30 2008 4 46 30 PM jlierly PW99 01 6/22/09 RV PUBLIC WORKS FINAL 6/22/09 AP BL99 01 8/1 V 09 PERMIT ME 00 MECHANICAL PERMIT SUBDIV PHONE (360) 460 9686 PHONE (360) 565 0100 BLDG FINAL August 13 2009 8 39 16 AM 1pangrle TOM 460 9686 BLDG FINAL THE KEY IS IN THE LOCKBOX ON THE FRONT DOOR THE COMBINATION IS 98362 PREPARED 8/13/09 8 44 17 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/13/09 ADDRESS 213 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GREYWOLF CONSTRUCTION PHONE (360) 460 9686 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0070 0000 APPL NUMBER 07 00001295 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 5/22/08 JLL MECHANICAL ROUGH IN 5/22/08 AP May 21 2008 4 57 35 PM 1pangrle SHAWN 808 1078 ROUGH IN MECHANICAL May 22 2008 4 34 13 PM jlierly ME6 01 5/27/08 JLL MECHANICAL GAS LINE 5/27/08 AP May 27 2008 8 38 36 AM 1pangrle SHAWN 808 1078 GAS LINE May 27 2008 4 51 22 PM jlierly ME99 01 8/13/09 �JI MECHANICAL FINAL August 13 2009 8 40 30 AM 1pangrle TOM 460 9686 MECHANICAL FINAL THE KEY IS IN THE LOCKBOX ON THE FRONT DOOR THE COMBINATION IS 98362 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 2/27/08 JLL 2/27/08 AP PL99 01 8/13/09 PLUMBING WATER SUPPLY February 27 2008 8 52 46 AM 1pangrle GREG 477 1862 WATER SUPPLY LINE February 27 2008 4 25 55 PM jlierly PLUMBING FINAL August 13 2009 8 40 56 AM 1pangrle TOM 460 9686 PLUMBING FINAL THE KEY IS IN THE LOCKBOX ON THE FRONT DOOR THE COMBINATION IS 98362 COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc New house permit to cover expired permit #08 0265 Owner Greywolf Construction 342 Sunnyside SEQUIM Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98382 09 00000795 190930 213 JUNIPER LN 06 30 15 7 8 0070 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 ELECTRICAL NEW RESIDENTIAL 151357 141 25 8/10/09 2/06/10 Qty Unit Charge Per 1 00 86 2500 ECH EL R SQFT FIRST 1300 2 00 27 5000 ECH EL R SQFT ADDITIONAL 500 Charged Paid Credited 141 25 141 25 00 00 00 00 141 25 141 25 00 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Plan Check Fee Valuation DATE RESULTS 0� 265 08-2(,5 Date 8/10/09 WA 98362 00 0 Extension 86 25 55 00 Due 00 00 00 Si gnature of owner or Electrical Contractor X Date INSPECTOR. J 7 SEP -28 -2005 03 47P FROM ELECTRIC SERVICE CNy of Pon Amigo Psrm11 Applleollon euAdlnp tedhlenlerbint hareelbnM 821 Ean FMB Not t O SoR 1130 Pot Angola Viscid /so. ef31t Pn:pm I 1�fssin: Dots: 4113.75 $205110 $201,25 s zoo 3Ao s 72.50 S MSS $11825 $1115 75A0 0oo 7500 $00 S 27.00 57.50 1 11.23 43.75 gis co *Weil odololdtmov vk AUG 10 8 ELECTRIC C INSPECTIO e Ipegle Reify Pineal MuO-iemfy or Conanerdel' Commrdd Addeo 1 Onion 1 Remodel I Rapti" i Plan REUtow Wy aP i� Requbed, Please Bed* P M ow lMomediolt Job Addmor 7- L r BLOWN? 9pu1e Foa1I8I S t 4 I.- peeolptlon of dove i Owner rdormdbn s Nuns: k c Name: M11in0Addmu CRY: C S1Me: Phone' Rom Mottos 1 bp, MINI! t c 03.76 $.Ic lFeedtr Am SeMee Feeds Aom. 5 toommfdm t Moo. 1 61MdFseder I o00 a" t Bards COW Foram IMO Climil Wes Wm 1 Top 1111-400 Anio Temp. 401400 Mgt Pont lo Patti E I b5 u gy' 1 0 Mop; ato dGSradl 4 Emily E�- 1$2 Mal r PAINACONed Commotion A Rot 0 0le er, cony- WA ey�rna Lees 111.w M1130DSmg:,' ;j -2 r o E&I AddNon/ Son R n Patio d 1 Eedanerrd'; 1m Mot Tub T /91,2c TO 4174711 ,Tha cc ITIPc14 Rb^ Mgt &L( Sr *12_J thrum mach A3N11:111 Dow alO mpg es dun* is am OM ma abaldostra616. 6 moms/ m* *MO maim MaloNcoltryrtir maw am Alto mans Om a* motomot I tomb, aft Sal am seams aft am mot w a loommol *Mod coolsomm. too mow, Om dowied losimoos srdriftb waling, allbor *Old WWI= NU. CMS, lia igri":01,11141$4111.thetarg 81 OW Amidst Ibrkbli alb. NA IMAM ipodOu P 1/1-, Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc T stat to replace 08 310 Owner Greywolf Construction 342 N Sunnyside SEQUIM Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 43 7500 ECH EL LVT THERMOSTAT Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98382 ELECTRICAL HEATPUMP 149617 43 75 7/06/09 1/02/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 09 00000663 329189 213 JUNIPER LN 06 30 15 7 8 0070 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor ABSOLUTE AIR INC 2820 E HI WAY 101 PORT ANGELES PORT ANGELES (360) 452 8444 Plan Check Fee Valuation Charged Paid Credited Permit Fee Total 43 75 43 75 00 Plan Check Total 00 00 00 Grand Total 43 75 43 75 00 DATE. RESULTS c8-03(D fill, (09 ip Date 7/06/09 WA 98362 Due 00 00 00 00 0 Extension 43 75 Signature of owner or Electrical Contractor X Date INSPECTOR. R• Cify of Port Angelo PERM Application aImdlny Divide ~VA taepecttans 921 Mast Plfth Shut—P.0, 8a 11110 MAMAS West iapfon, X82 Ph: 1360) 4174738 P aic 1380)417.4711 2-6 1 1 2 single Family aw*g Mult FWrnity ur Commercial' Commercial Addtgon 1 Alteration 1 Remodel I Repair• Phan ReMevr May se Required, Remo Cemplete Job Panne: Buikdng Square Footage. Description of above _EPA) V," Owner In don Name: Wing A,dtkase: qty. �C'(�tk rY1 Phony License ft Ego, Unit Chirp 8&.75 $113.15 $18100 $206.00 $281.25 2.00 x7.50 200 1 7260 S ®625 311825 5131.45 $75.00 .00 �3ao $60.00 50.00 S X00 862 27.50 67.60 86.25 43.75 Wel lab MIIMPtitsd 4 Y V4 Ci w Sautes/Feeder 200 Amp. Senvice/Rader20140 Amp, SerAae:Feeder Amp. ServloefFee 801.1000 Amp, Ssence Feeder ever 1000 Amp. Branch Circuit WI Service Feeder Breech Qtct* MO Service Feeder Lett A4dMonai Brandt Gnu Temp Smite/ Feeder 200 Amp. Temp. serdee Feader 201-400 Amp Temp. Service/Feeder 401-800 Amp. Temp. SerdcelFFedere01 1000 Amp, Portal tr Portal Heady signfoul ine LIgh$ng &Ai Mai tmmad Energy Commercial 3lpnsl OraAl United Energy -1 2 Family Ovreelt14 Signal Ciroultf United Energy Atia-Farrily Deviling Man itecl rued Home 0orw edton Renewable %O leg Bee 6KYA System or Less First 1300 Square Ft. Each Additional 500 Square Ft er Palm of Each Outbuid ll6 er Detached Garage .S Eeell SWMtrrrdrg Pool or Htt'Tub T Tot own electrical contractor ora MANI administrator Plan Review Inform/ j m A RECE VED JUL 2 2Gu ELECTRICAL INSPECTIONS a b71t�: J r :iw -e1 ,i% �i:.I V Orow i. derined by RCW.19tffi.26P: (1) Ottrw wig occupy t►w abuc4 r (or two years aiw 0ua eiectrical peroth is *leered. (2) Naar le raqu(ree *hire en electrical contractor 'taboo ae4d property Is fbrsalg rant onions. After reeding is shove statement, 1 hereby certify that t am the weer of tee /hove named im aKY or a llcented et cal Cenboctor t em plaAtttQ tho Mactfldel installation or atarellon 1h cerepttsnce with the elect/Coal Iawa, N.E.C., RCW. (hepter 19.1$, WAC. Chapter 2064 19, The City at Port Angeles Municipal Code, end tdtfllty elpeel leatfona CIO Q chock G t r r d it Card PREPARED 5/30/08 10 28 40 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/30/08 ADDRESS 213 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA, INC CONTRACTOR GLENN TERRA, INC PHONE (360) 565 0100 OWNER GLENN TERRA, INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0070 0000 APPL NUMBER 07 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/11/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 2/11/08 AP February 11 2008 8 14 42 AM 1pangrle SHAWN 477 0778 FOOTING MORNING February 11 2008 2 10 30 PM jlierly BLFO 01 2/15/08 JLL BLDG FOUNDATION 2/19/08 AP February 15 2008 8 21 42 AM permits WILSON 670 8062 FOUNDATION February 19 2008 4 27 32 PM jlierly DSD 01 2/22/08 PB BLDG DOWN SPOUT DRAINS 2/22/08 AP February 22 2008 8 25 47 AM 1pangrle GREG 477 1862 'GUTTER DRAINS February 22 2008 4 18 55 PM pbarthol BL9 01 3/24/08 JLL BLDG SHEARWALL 3/24/08 AP March 24 2008 8 34 50 AM 1pangrle SHAWN 808 1078 SHEARWALL March 24 2008 4 00 49 PM jlierly DRW 01 3/24/08 JLL BLDG DRYWELL 3/24/08 AP March 24 2008 8 38 18 AM 1pangrle GREG 477 1862 DRYWELL March 24 2008 4 00 49 PM jlierly BAIR 01 5/22/08 JLL BLDG AIR SEAL 5/22/08 AP May 21 2008 4 57 10 PM 1pangrle SHAWN 808 1078 AIRSEAL May 22 2008 4 34 13 PM jlierly BLDG FRAMING May 21 2008 4 56 55 PM 1pangrle SHAWN 808 1078 FRAMING May 22 2008 4 34 13 PM jlierly BLI 01 5/30/08 J BLDG INSULATION BL3 01 5/22/08 JLL 5/22/08 AP May 30 2008 9 03 13 AM 1pangrle SHAWN 808 1078 INSULATION COMMENTS AND NOTES PREPARED 5/27/08 13 21 33 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/27/08 ADDRESS 213 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA, INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0070 0000 APPL NUMBER 07 00001295 RES NEW SFR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 5/22/08 JLL MECHANICAL ROUGH IN 5/22/08 AP May 21 2008 4 57 35 PM 1pangrle SHAWN 808 1078 ROUGH IN MECHANICAL May 22 2008 4 34 13 PM jlierly ME6 01 5/27/08 MECHANICAL GAS LINE f May 27 2008 8 38 36 AM 1pangrle SHAWN 808 1078 GAS LINE COMMENTS AND NOTES PREPARED 5/22/08 8 50 43 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/22/08 ADDRESS 213 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0070 0000 APPL NUMBER 07 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/11/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 2/11/08 AP February 11 2008 8 14 42 AM 1pangrle SHAWN 477 0778 FOOTING MORNING February 11 2008 2 10 30 PM jlierly BLFO 01 2/15/08 JLL BLDG FOUNDATION 2/19/08 AP February 15 2008 8 21 42 AM permits WILSON 670 8062 FOUNDATION February 19 2008 4 27 32 PM jlierly DSD 01 2/22/08 PB BLDG DOWN SPOUT DRAINS 2/22/08 AP February 22 2008 8 25 47 AM 1pangrle GREG 477 1862 GUTTER DRAINS February 22 2008 4 18 55 PM pbarthol BL9 01 3/24/08 JLL BLDG SHEARWALL 3/24/08 AP March 24 2008 8 34 50 AM 1pangrle SHAWN 808 1078 SHEARWALL March 24 2008 4 00 49 PM jlierly DRW 01 3/24/08 JLL BLDG DRYWELL 3/24/08 AP March 24 2008 8 38 18 AM 1pangrle GREG 477 1862 DRYWELL March 24 2008 4 00 49 PM jlierly BAIR 01 5/22/08 BLDG AIR SEAL May 21 2008 4 57 10 PM 1pangrle SHAWN 808 1078 AIRSEAL BL3 01 5/22/08 JL BLDG FRAMING May 21 2008 4 56 55 PM 1pangrle SHAWN 808 1078 FRAMING PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 5/22/08 MECHANICAL ROUGH IN May 21 2008 4 57 35 PM 1pangrle SHAWN 808 1078 ROUGH IN MECHANICAL 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 Application desc INSTALL FIRE SPRINKLER SYSTEM Owner GLENN TERRA INC 136 E 8TH ST #223 PORT ANGELES WA 98362 (360) 565 0100 Structure Information 000 000 Permit Additional Permit pin Permit Fee Issue Date Expiration Date desc number Qty Unit Charge Per Fee summary Permit Fee Total Plan Check Total Grand Total "Charged 50 00 00 50 00 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5 Street, Port Angeles, WA 98362 08 00000426 744230 213 JUNIPER LN 06 30 15 7 8 0070 0000 GLENN TERRA, INC FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2812 Contractor Date 4/21/08 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES (360), 452 7583 INSTALL FIRE SPRINKLER SYSTEM FIRE SPRINKLER RESID INSTALL FIRE SPRINKLER 124362 50 00 Plan Check Fee 4/21/08 Valuation 10/18/08 BASE FEE Special Notes and. Comments Call for cover inspection for all sprinkler installations A full acceptance test will be required for all fire alarm systems WA 98362 Paid Credited Due 50 00 00 50 00 00 00° 00 Extension 50 00 00 00 00 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 thq provisions of any state or local law regulating the work specified in the permit. ,Lti e 2J Signature ofContractor or.A orized_Agent Date Signature of Owner (if Owner is builder) Date 00 -.0 81-12_07 0 FIRE PERMIT INSPECTION RECORD Call 360- 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover insulate V- or conceal any work before inspected and accepted. Post permit in a conspicuous location. 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Date Passed UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final S -l2 oq KbC Completed by Contractor- Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated Comments psi psi DAT OWNER/CONTRACTOR 2 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTOR 3B o2GS' ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED ',Ott a r' WV- IC- Ali M, R/, RFS1�i `f NEc. 23-A- �tEc 7 b12 7' 'fz 9- 1 Z z' �(T�F( 1)11c.- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 w14L 3E rt/i pe LAWe J (for-, 4 /A Fit /136"i,, e Ao, c s o s G g E Ywo4 ,NvG tio pw11.4 APR 1 4 2009 CITY OF PORT ANGELES BUILDING DIVISION (1` 30acrn Project Name Private Residence Installer Innovated Fire Installer Telephone 452 -7583 Type of System Open 13 13 R 13 D Date 4 10.2008 PAFD Permit 08 -15 Additional Comments City Permit 08 -426 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Fire Sprinkler System Plan Review Address 213 Juniper Lane 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 t Q�J (l Building Department Fire Department Date `t 10 Zoo 8 Applicant or Agent \,'vtc st,.• Phone c/S 2 75e 3 Owner C1/ -e. „L,� T tra, .L Phone Owner's Address z E Z 3 Contractor /Engineer /JuA /p/4 775:/o i=/ E Vii* Phone 4 -/52 7S v 3 Contractor /Engineer's Address 5/ /c_ a L-� License //yA/C/ O 4 L ye, Expires c° //z /a 8 PROJECT ADDRESS a 3 Lot 7 Zoning Parcel Number Proiect Type Brief Description.?esidential Check all that apply 't Jew Construction Addition Remodel Repair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other 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 F r For City Use Only Date Received 9- '-Q2 Permit Lf2(e Date Approved Commercial Multi- family Industrial V-4%, t.--1-4 7 4 e wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sq ft. Heat pump wood burning stove o gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq ft.) Total footprint of structures /8 7S sq ft. Lot size Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type per sq ft. TOTAL VALUATION 2 a/ 2 „TO sq ft. Lot coverage of bedrooms of full baths of half baths ok I have read and completed this application and know it to be true and correct t am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects t /7 Date /ae Print Name I, v1.C.e -4 6 e s ignature /,7` r Forms/ ;Ad g Division 'Bldg Permit Appl. -2006 Code doc PREPARED 3/24/08 9 03 23 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/08 ADDRESS 213 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0070 0000 APPL NUMBER 07 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/11/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 2/11/08 AP February 11 2008 8 14 42 AM 1pangrle SHAWN 477 0778 FOOTING MORNING February 11 2008 2 10 30 PM jlierly BLFO 01 2/15/08 JLL BLDG FOUNDATION 2/19/08 AP February 15 2008 8 21 42 AM permits WILSON 670 8062 FOUNDATION February 19 2008 4 27 32 PM jlierly DSD 01 2/22/08 PB BLDG DOWN SPOUT DRAINS 2/22/08 AP February 22 2008 8 25 47 AM 1pangrle GREG 477 1862 'GUTTER DRAINS February 22 2008 4 18 55 PM pbarthol BL9 01 3/24/08 Jl BLDG SHEARWALL March 24 2008 8 34 50 AM 1pangrle SHAWN 808 1078 SHEARWALL DRW 01 3/24/08 J BLDG DRYWELL March 24 2008 8 38 18 AM 1pangrle GREG 477 1862 DRYWELL COMMENTS AND NOTES Application Number 08 00000310 Application pin number 867580 Property Address 213 JUNIPER LN ASSESSOR PARCEL NUMBER 06 30 15 7 8 0070 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor TERRA GLENN 213 JUNIPER LN PORT ANGELES Permit Fee Total Plan Check Total Grand Total WA 983620338 Permit ELECTRICAL NEW RESIDENTIAL Additional desc ABSOLUTE/ T STAT Permit pin number 122531 Permit Fee 35 00 Plan Check Fee 00 Issue Date 3/11/08 Valuation 0 Expiration Date 9/07/08 Qty Unit Charge Per 1 00 35 0000 ECH EL LVT FIRST THERMOSTAT Fee summary Charged Paid Credited Due 35 00 00 35 00 ABSOLUTE AIR INC 2820 E HI WAY 101 PORT ANGELES PORT ANGELES (360) 452 8444 35 00 00 35 00 00 00 00 Date 3/11/08 WA 98362 Extension 35 00 00 00 00 IN SPECTIOI\ TYPE DITCH SERVICE ROUGH IN FTh AL COMMENTS EL FCTRICAL DATE RESULTS INSPECTOR 3111/dl iaaicPrw-sTiP °eAp 1' Job wired by 0 Electrical Contractor Owner Electrical contractor name .60-sAQc.. o EU b 1rR ONN Purchaser's mailin address Cit AY u uo ta- Telephone numtiei y.h2- �6L4�t�t Premises owner's name C- ,\inn TP1'r&. Address of inspection ty� 2. l D r Lcune U 7 Ci -N� (r IVY I-,( Phone number to schedule inspection: Inspection Date ale FINAL State ZIP FAX number tead By J Date Approved By J License number 3ia� t E 62 -F+-t i Date Date Date Expires 2 ri Owner as defined by RCW 19.28.261 Owner will occupy the structure for two years after this electrical permit is finalized (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. (Signature of ner, X Electrlcali -oad Ad is and or subtractions O NO LOAD CH O Baseboard KW IS Furnace /Q. KW heat Pump Ton LAR O Fan -Wail KW tricai contractor or electrical administrator Date: 3 y -6(4 O Overhead Service O Temp Service O Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360 -417 -4735 ROUGH -IN THERMOSTAT Approved By J DITCH Area, Building or Equipment inspected ELECTRICAL WORK PERMIT APPLICATIO14 Og '\/Installation description Commercial Residential D New D Altered/Addition If?ik) i e 1 ner`mo O Cash O Check v Credit Cart Visa Card Expiration Date of card Approved By J Due Mastercard Discover Voltage Phase 0 1 O 3 Service Size: Feeder Size: SERVICE Date Approved By FEEDER C\ Action Taken C Inspection fee fiandsainlanuallan AAprovett By J Electrical Inspector Application Number 08 00000265 Date 3/04/08 Application pin number 566710 Property Address 213 JUNIPER LN ASSESSOR PARCEL NUMBER 06 30 15 7 8 0070 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor MORRISON DAN PO BOX 3051 PORT ANGELES WA 983620338 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Fee summary Charged Paid Credited Due WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 121962 Permit Fee 135 00 Plan Check Fee 00 Issue Date 3/04/08 Valuation 0 Expiration Date 8/31/08 Qty Unit Charge Per Extension 1 00 69 0000 ECH EL -R SQFT FIRST 1300 69 00 3 00 22 0000 5C EL R SQFT ADDITIONAL 500 66 00 Permit Fee Total 135 00 135 00 00 00 Plan Check Total 00 00 00 00 Grand Total 135 00 135 00 00 00 Ili SPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH II�T FINAL COMMENTS: 3 )l1`0 9 6- (0? DS —02-to '/Installation description Job wired by Electrical Contractor Owner Electrical contractor name License number Date Expires c Q In c- FLECTs1t3 °yr! Purchaser's ailing addre s City �c y-± n QR� -5 ZIP wr 1-1 Telephone n ber (J FAX number 'Premises own 's ame C ter Address of ins ect'on City Ph Phone number to sG 1 e Owner as defined by RCW 19 28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N E.C. RCW Chapter 19 28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Utility Specifications. /Signature of eyy electrical o acctor or a electrical dmm s ra o t t r Electrical'oad Additions and or subtractions s NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW ROUGH -IN Inspection Date V Date Approved By FINAL 0R --03 lb ntr C t j b Date .3 i /oe of card SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360417 4735 7/3. °o PAID I'HERMOSTAT Date 2 Date Appr ed By Date Overhead Service Temp Service Underground Service Appr ed By DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APP!.,ICATION Commercial Residential NO„ New Altered/Addition h e- J r )6 Cgs, 2A O' zS $q y Appr ved By Expiration Date Date Cash Check CI Card Visa Ms�et�d r Discover Card# C Inspection fee Service Information Voltage I 'a- -1i'D r Phase p, 1 3 Service Size: 2b 011 Feeder Size: SERVICE !Sate Approved By FEEDER Ac tion Taken s' Appr ed By set-v% c Electrical Inspector PREPARED 2/27/08 9 29 15 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/27/08 ADDRESS 213 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0070 0000 APPL NUMBER 07 00001295 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 2/27/08 PLUMBING WATER SUPPLY February 27 2008 8 52 46 AM 1pangrle GREG 477 1862 WATER SUPPLY LINE COMMENTS AND NOTES PREPARED 2/22/08 9 03 53 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/22/08 ADDRESS 213 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0070 0000 APPL NUMBER 07 00001295 RES NEW SFR PERMIT BPR 00 BUILDIN G PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/11/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 2/11/08 AP February 11 2008 8 14 42 AM 1pangrle SHAWN 477 0778 FOOTING MORNING February 11 2008 2 10 30 PM jlierly BLFO 01 2/15/08 JLL BLDG FOUNDATION 2/19/08 AP February 15 2008 8 21 42 AM permits WILSON 670 8062 FOUNDATION February 19 2008 4 27 32 PM jlierly DSD 01 2/22/08 JLL BLDG DOWN SPOUT DRAINS February 22 2008 8 25 47 AM 1pangrle Z GREG 477 1862 GUTTER DRAINS COMMENTS AND NOTES PREPARED 2/15/08 9 40 11 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/15/08 ADDRESS 213 JUNIPER LN SUBDIV TENANT NBR GLENN TERRA INC CONTRACTOR GLENN TERRA INC PHONE (360) 565 0100 OWNER GLENN TERRA INC PHONE (360) 565 0100 PARCEL 06 30 15 7 8 0070 0000 APPL NUMBER 07 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/11/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 2/11/08 AP February 11 2008 8 14 42 AM 1pangrle SHAWN 477 0778 FOOTING MORNING February 11 2008 2 10 30 PM jlierly BLFO 01 2/15/08 BLDG FOUNDATION February 15 2008 8 21 42 AM permits WILSON 670 8062 FOUNDATION 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 (360) 565 0100 Structure Information 000 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T•\Policies \1102.15R (1 /05] WA 98362 Qty Unit Charge Per Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 07 00001295 181890 213 JUNIPER liN 06 30 15 7 8 0070 0000 GLENN TERRA, INC RES NEW SFR RS9 RESDNTL SINGLE FAMILY 155165 000 1 875 TOTAL CONSTRUCTION TYPE. NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS DRIVEWAY INSTALLATION 115709 170 00 Plan Check Fee 11/28/07 Valuation'. 5/26/08 BASE FEE PUBLIC WORKS RES WATER SERV 3/4 DROP IN METER 115634 230 00 Plan Check Fee 11/28/07 Valuation 5/26/08 BASE FEE Signature of Contractor or Authorized Agent Date CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor GLENN TERRA INC 136 E 8TH ST #223 PORT ANGELES (360) 565 0100 SF SFR 480 ATT /GAR LOT COVERAGE Special, Notes and Comments Address numbers shall be plainly visible from tkie street Address numbers shall be a minimum of six inches high and be Date 1i/28/07 VB WA 98362 185 PORCH 22 00 1 00 11733 00 2540 00 2540 00 1 00 00 0 Extension 170 00 00 155165 Extension 230 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 115642 Permit Fee 120 00 Plan Check Fee 00 Issue Date 11/28/07 Valuation 155165 Expiration Date 5/26/08 Qty Unit Charge Per Extension 1 00 120 0000 EA SAN SEWER HOOKUP 120. 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public irriprovements. 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 struction. Signature of Owner (if owner is builder) Date 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \1102.15R 1/05] RE SIDENTIAL FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO PERMIT INSPECTION RECORD YES 1 NO CONSTRUCTION RW PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING Application Number Application pin number Special Notes and Comments of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) November 6 2007 4 32 39 PM sroberds The proposal will result in a new sfr in the RS 9 for total lot coverage of 22% No land use issues anticipated Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells Or. piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior, to backfill Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway to City Standards No concrete. with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior "to pouring concrete Other Fees Fee summary 07 00001295 181890 Charged Paid Credited Due Permit Fee Total 520 00 520 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2234 50 2234 50 00 OA Grand Total 2754 50 2754 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 1 after the work as commenced, or if required inspections have nal :been requested within 180 days from the last inspection. I hereby certify that.I have read nd a examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type ofworkwill be complied with whether specified herein or hot. 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. T•\Policies \1.102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS. UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Date 11/28/07 SEWER SYSTEM DELV'CHARGE 1000 00 STATE SURCHARGE A..50 PW WATER SYSTEM USE, FEE 1230 00 =s: Signature of Owner.(if.owner r builder) bate 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 T\Policies \1102.15R 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO I I I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I1. GLENN TERRA INC 136 E 8TH ST #223 PORT ANGELES WA 98362 (360) 565 0100 Structure Information 000 000 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 5 00 1 00 1 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per T Forms/Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001295 Application pin number 181890 Property Address 213 JUNIPER LN ASSESSOR PARCEL NUMBER 06 30 15 7 8 0070 0000 Tenant nbr name GLENN TERRA, INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 155165 Owner Contractor MECHANICAL PERMIT PLUMBING PERMIT 115980 163 00 11/28/07 5/26/08 Date Print Name Signature GLENN TERRA 136 E 8 PORT ST #223 WA 98362 Grey WO' Coins -r v cMo h 1 875 SF 480 0100 185 PORCH aM 2 N Sunn4 51 c e TOTAL W LOT COVERAGE cJ CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 1 875 SF SFR 480 ATT /GAR 114843 1333 85 11/28/07 Valuation 5/26/08 Plan Check Fee Qty Unit Charge Per BASE FEE 56 00 5 6000 THOU BL -100 001 500K (5 60 PER K) 115972 122 35 Plan Check Fee 11/28/07 Valuation 5/26/08 Plan Check Fee Date 11/28/07 41M inc new ConI Yidth iS: VB 22 00 5 4 V t m 1 00 11733 00 16o -9 686 2540 00 2540 00 1 00 533 54 155165 Extension 1020 25 313 60 00 0 Unit Charge Per Extension BASE FEE 50 00 14 8000 ECH ME INSTALL 100- FAU 14 80 7 2500 ECH ME VENT FAN 36 25 10 6500 ECH ME OTHER APPL N/R 10 65 10 6500 ECH ME GAS PIPE 1 TO 5 10 65 00 Valuation 0 Extension Rviai (3 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 provj5iotis of any state or local law regulating construction or the performance of construction. ontractor or Authorized Agent V Signature of Owner (if owner is builder) FOUNDATION• FOOTINGS 1 SHEAR WALLS WALLS 1 FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING 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. 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 /LIGFITING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 1 T Forms /Building Division/Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT COMMENTS FINAL DATE ACCEPTED BY. 1 FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT 1 PLANNING DEPT 1 BUILDING I I I O IGM Application Number Application pin number Qty Unit Charge Per Extension BASE FEE 50 00 12 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 84 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) November 6 2007 4 32 39 PM sroberds The proposal will result in a new sfr in the RS 9 for total lot coverage of 22% No land use issues anticipated Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00001295 181890 SEWER SYSTEM DELV CHARGE 1000 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1230 00 Charged Paid Credited Due Page 2 Date 11/28/07 1619 20 1619 20 .,00 00 533 54 533 54 00 00 2234 50 2234 50 00 00 4387 24 4387 24 00 00 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 I ACCEPTED COMMENTS I YES I NO oz-t5-03 FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE�DOWN SPOUT IOZ-zz-oSI 1 PIERS POST HOLES (POLE BLDGS.) I I PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) 1 0 Z 0 g I I LL GAS LINE BACK FLOW WATER AIR SEAL 522. -08 WALLS CEILING FRAMING 5 -Z2 -O JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION 5- O -os sw SLAB WALL FLOOR CEILING I I MECHANICAL HEAT PUMP /FURNACE /DUCTS p GAS LINE 5 Z• 08 I WOOD STOVE PELLET CHIMNEY I I COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT it's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 I PLANNING DEPT 417 -4750 I P� 1 I BUILDING 417 -4815 I �r 13-09 I /,1, 1 T Forms /Building Division/Building Permit (10 /01 /07).wpd 5 hearw M 1 3 2_4 -0 9-- .S(,c. ©r c{ 0J.Q. i 3 °Z4 -O 8 Z FINAL 3-1 I J ACCEPTED BY. MeC- niC4 rou96 -1h 5- 22. -08 �u- FINAL 2 I O `DATE J+ ACCEPTED BY, SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE I ACCEPTED CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT 1 PLANNING DEPT I BUILDING YES I NO 0 r Proiect Type Brief Description. Che k that b'New Construction o Addition Remodel Repair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 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 T Si 6 N .A r ?Ion Applicant or Agent A lsmit. u1 Owner i A Owner's Address l F., R rrH ST _7. Contractor /Engineer Am) 7 F j A )r Contractor /Engineer's Address /..3 R c License C,/ EAL,J qgc AIAJ PROJECT ADDRESS 7 3 Parcel Number _2 OD 7 S =N C- E. FA-Ai =LY '5 x-190 I �s Total footprint of structures 2. sq ft. T Lot size ft A/o YES Existing (sq. ft.) Proposed (sq. ft.) Occupancy group Occupant load Construction type C_S >C�t1r.F I have read and completed this application and know it to be true and correct. understand that it is my responsibility to determine what permits are require projects An Date 1/1/n7 Print Name AmbeE.tAl M, T ��2 Signatur T Forms /Building Division /Bldg Permit Appl. -2006 Code doc r For City Use Only ate Received ►H 5 -01 P ermit# 0`7- 1 95/ Date Approved PI6ine Cno 24i-i- /0 79 Phone Phone Lot 7 Zoning VResidential o Commercial o Multi- family TOTAL VALUATION per sq ft. of bedrooms of full baths of half baths 3/ c ?ten~ S(0.C-o /)n X7.2.3 Expires n r P Industrial wall- mounted o projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sq ft. Heat pump wood burning stove gas fireplace o pellet stove other 7� 234, RO /5s /GS 5s 1 I 7 3.3 sq ft. Lot coverage 22.- Z3 vAJ authorized to apply for this permit and in pri.r to working on mai u. L11 r I ri LL N 8758'11 W 66.55' 8Z37- 75.06" 75. N 7 N 75.00" 75.00" 73414 t F� h i'n' N ry 75.00" 75.00' r --1-2.--- g 8 8I- 8. ry N 75.00' 80.14' LS 8 m I 10184 14 50. R. a. 13 I 12 1p I 11 I 10 I; I s I I I 9013 50. FT. 9084 50 R. a 147 50. FT. Ip 8 13 I o N N f 1393 50. R. a. 7 L I ,vr p N p n 11640 S0. FT. a 1T I 1736 50. R. b nl b 17777 50 F!. 3 fit 6'` y o I I N Ic��l I� el Ip yl p b 1921 90. FT. 11700 50. Ff. W I I" I6 t� "I p E '11 E N e r �G \n ry �8 I� I yl N p 5 8526 99.71. L I L J L I 1 a I I I Z I I I a J L �J 2 15 4s e L 2 SI 9606 S0. FT. CB 75 7 5.07 L2 Jg 8 L I I J 62.38' 75.0 e 25• h C7 69.39' C6 F.5 64.06 L JUN /PER 62.37' c4. S 8755'30' E 12zsz N 8526' w 177574 8 h 26 9.99' A. 85 26'11• W C3 5 87;19'49 E 14 C2 9.47' LANE o 17 5.17' S BJ 99 "42• E n h 26.47' m 44 6.07' C1 S 8 E 111.60' 129.18' ^7 o g 25.43' J7J1' 75.20'(1 C14 ti ry .69' 75.89' 8. a N IWI I 1 a r 7 1 LINE 1 LI I L2 1 L3 L4 L5 L6 L7 BEARING LENGTH S 634942 E 13.92' S 875949' E 5.09' 5 214076' E 25.59" 51'0179 E 3524' N 852611 W 30.92' S 510179' E 32.24' N 047349 E 16.50' Scale: 1 50' 50' 100' 150' CURVE C, C2 CJ C4 C5 C6 C7 C8 C9 C70 C11 Cl? C1 C14 RADIUS LENGTH 200.00' 14.30 200.00 14.55 200.00' 894' 170.00' 12.16' 230.00' 11.12' 230.00' 5.61' 170.00' 7.60' 20 00' 20.86' 46.50' 57.36' 46.50' 33.39' 46.50' 20.42' 46.50' l 83.41' 170.00' 1 12.37' 230.00' 1 16.45' DELTA 405"48 4'10'07 2'33'38 405'48 2'46'13' 12554' 2'33'38" 59'45"03' 704050" 410823" 25-19'22" 102'4628 410 405 "49 WETLAND MITIGATION AREA 20750 S0. FT. 735.05' N 8759'49• W 8 WI 2 JUNIPER LANE BEING A 0080M510N WITHIN THE W 1/2 OF THE SW 1/4 SECTION 15, T 30 N. R. 6 W. W.M. CITY OF PORT ANGELES, CLALLAM COUNTY, WASHINGTON PREPARED FOR DANIEL KELIE MORRISON 11711 o. Fr. p I 1 7 3 1:::1;t1 2 I 1 Ik 11338 S0. FT.a 11029 S0. FT. y 10757 50. FT. .2. A 161 IZ 1.1 a Ja' L J L J 75.00' 75 00' 1067' v 430.72' E NOVIC 301 E. 970111 ST. STE. ASSOCI ATES POR NE: (60) 17- 0501 INCORPORATED (360) 417 -051 SHEET 2 OF 3 GATE. 5/01/07 J09// 01206 2i3 �uN�� \-10—f 1- 1 0?-)i ti sly.. L. z 5 Q 1 \-'7 t s°)` i Site Information Building Department Use Only- Type of Heat Source. PRESCRIPTIVE APPROACH- SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Lot: Address. 7 L A z r &2 L AA) E 1� City r- 27 C, Fs t_ G S State IAA Zip Rfi' 3 6 2 Contact. _A Al p R w M 7 S Phone 3 n D O Phone2 3(oD /(79 FAX 3(n �6D-�- ,l Permit Notes 0 7'"�Zl� Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) `Wall Wall .Glazing `Glazing 'U- Factor Door Vaulted Wall' 'cInterior Exterior option Ar Floor.0f .Vertical Overhead Factor Ceiling. Ceiling Above Below' Below 6 38 Grade Grade Unlimited III Group R 3 0 40 0 58 0.20 R 30 R -21 R 10 Occupancy Only This P 'ect complies with the following. The project is a single family residence -er-ti rpi'e= The project is a 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 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 allowed. Location of the door taking this exception SIa6 Floor ;on e C oncret 602.6 Exception 2. Doors with a U- Factor of 0 40 allowed without calculations, Option III only Location of the door(s) taking exception. A 4, BIZ P2oPit ti E Fsx.EPL4cE R 10 Please complete and return to Public Works Engineering Department plicn n'tln f ormatii Permanent service. Name and address of party responsible for permanent service billing? antaliove Site contact: Contractor Electrician: Excavator Single- family residence Commercial Overhead service Underground service Electrical Service Information Form Name i,_EA)A) VG-RP-A =Al C-. Street QT-1 ST 2-7 City State ZIP ?-al /4.. J A (Ai A Daytime Phone. -3 (,O S ..S'— 0 /00 WIR4E14 Daytime Phone: 3 6 O 1) Name: 1, Y Pa -I Company Daytime Phone: .3 (p r N Z Multi- family residence, of units ❑Subdivision; of Tots ❑General service Other• Public Works Engineering Department (360) 417 -4700 Name: I l p� Title S 7 Daytime Phone. /P') 71r �y Name: 7q,v1)REt 1 Company 09 Lg o fhti Daytime Phone: .3 (o D 2 0 N— 107 q I Name. -r H var.- (Z u..wfl Company E. L7 S+: �v=GF --TAx (4.y rti2'Esr x c, AL UA T ZN ('7 Street address lot number Nearest cross street: Desired connection date Eleotrioai f Total square footage. 2. 3 SS sq ft. 2- c >z I A- it) Ir T �7 COLD A ki LI I et) Voltage. Check all that apply Main disconnect size. ZO 0 amps 0277/480 3ph ❑120/240 3ph ❑480 3W 3ph ❑Other I Standard residential I ads (Lighting, refrigerator dishwasher A/C FLA) nge /Oven Hot Tub Klothes Dryer PO Heating Pumps Water Heater Elevator Hp) Other [0/240 1 ph ❑120/208 3ph washer) Hp). ppm� bop A 5 s "7Yfi Please provide a copy of the following *Detailed plot plan (dwg or dxf format mandatory for subdivisions). *Electrical one -line drawing showing the service entrance panel and location *Connected Toad data. *Size and locked rotor amps o all otors 6 er 500p ll/ /07 Applicant's Signature: MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360 417 -4709 EMAIL. gmclain @cityofpa.us (west half of city) Information form rlarson @cityofpa.us (east half of city) WS CASCADE RESIDENTIAL DESIGN INC 1901 Center Street Tacoma, WA 98409 253 284 3170 Fax 253 284 3183 October 16 2007 Attn Port Angeles Building Department Building Location 213 Juniper Lane Port Angeles WA 98362 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 Mark Myers P E Project Engineer EXPIRES, 6 Application Number Appllcatlon pln number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuatlon 07-00001451 Date 12/07/07 914259 213 JUNIPER LN 06-30-15-7-8-0070-0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY o Owner Contractor MORRISON DAN PO BOX 3051 PORT ANGELES WA 983620338 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit Additlonal desc Permit pln number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 0-60 AMP TEMP POLE 11 7226 ELECTRIC SERVICE 40 00 12/07/07 6/04/08 Plan Check Fee Valuatlon .00 o Qty Unlt Charge Per BASE FEE Extenslon 40 00 y ..-- vJ Fee summary Charged Paid Credlted Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 40 00 40 00 .00 00 Plan Check Total 00 00 .00 00 Grand Total 40 00 40 00 00 00 o 5 -~ ~ ~ , f cJ> INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE . ROUGH - IN /2/ 1/~7 fit? ~ FINAL COMMENTS: , Ot-l'--l>1 ~.~. .tJ .. ..r t r.w .."iiiiii....;t ELECTRICAL WORK PERMIT APPLICATION . DOwner Installation description Q Commercial Q Residential License numb!:f Dale Expires /...~51 ,~Z- (4p IJ New (J Altered! Addition City Po TelePhLi;'~~t, \.fL...! PAX number ~S~ Premi~ lfwner's.. name l2 ~ '--e...,......, Address .r In5~eCtlon ~ ,... 2. 1_ ~~\~ City f Phone number to schedule inspection: 00~~1' L- Owner as defi/led b)' RCW.J9.28.261:(J) OW/ler will OCCIIPY ("~ 5tructure fur two years after this electrical permit i~ fillalized. (2) Owner i~' required to hire an electrical con/raclor if above .mid property is for sa/e. rl!llt Qr lease. After reading the above statement, I hereby ccrtiry that I Am the owner of the above .lamed propeny or a licensed electrical contractor. I om nll.lldng the electrical instal- lation or Itlte:ration in compliance with the electr\cal taws, N.E.C., RCW. Cl\a~ler 19.28, WAC, Chapter 296-468, The City or POll Angeles Municipal Code, and Utility Spccificalio!1:5. Signature or 0 ne electric I ontrae r or electrical administrator o Cash 0 Check # ~a~:dilcard _ v.~as:_U:o:r__ x Date: Expiration Date of card Electrical Load Additions and or subtractions IJ NO LOAD CHANGES IJ Baseboard _ KW 1:1 Furnace _ KW a HeatPump _ Ton_LAR IJ Fan-Wall KW Service Information aO~e tr1'8mp Service Cl Underground Service Vollage PhaseD 103 Service Size: _ Feeder Size: SAME DAY INSPECTION CALL BEFORE "'.00 AM 360-417-4735 . / ROUGH-IN I THERMOSTAT ( SERVICE ~Z!~If; ~ "- Dille Ap(lro~ed 8y Dille ^pprovQ.] By FlNAL /" , IZL~!h7 .g DITCH FEEDER Dllte Appto~ed 8y "- OllIe ApproycdBy"'/ Inspection Area, Building or Equipment Inspected Electrical Dale Action Taken Inspector , ~ I: 2 d HL17!..l17.01 17217<J2S17 3)I~cl3S )Icll)313:WOclj dI:T:2T 17002-S2-N~r CITY OF PORT ANGELES PERTYIIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street -- P.O. Box 1150 I Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: //-/-/V K 1 & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 2.1 JVNlP641L L- 0i Building Square Footage: Description of above G tiN Owner Information Name: hS"d '9"1 /#/VOf _ Mailing Address: x-13 JV^4 P City: State: Zip: Phone:' -2YoI Fax: License # ! Exp. Item Unit Charge ServicelFeeder 200 Amp, $120.00 Service /Feeder 201 -400 Amp. $146,00 Service /Feeder 4.01 -600 Amp $ 205.00 Service /Feeder 60 1 -1000 Amp. $ 262.00 Service /Feeder over 1000 Amp, $ 37100 Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5,00 Branch Circuits 1-4 $ 75.00 Temp. Service/ Feeder 200 Amp. $ 93,00 Temp, Service/Feeder 201-400Amp, $110,00 Temp, Service /Feeder 401 -600 Amp, $149.00 Temp. Service /Feeder 601 -1000 Amp , $168,C0 Portal to Portal Hourly $ 96,00 Signal Urcu!Y Limited Energy -1 & 2 Family Dwelling $ 64,00 Manufactured Home Connection $120.00 Renewable Electrical Energy - 5KVA System or Less $102.00 Thermostat $ 56.00 Note: $5,00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $ 120,00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 C °' V as � �-. of r r,�:vc� 1 E'I.ICTRICAt- �... fN1SPECTIONS Contractor Info mation Name: fL? Mailing Address: City: State: Zip: Phone: Fax: License #IExp. $��t.K64 V9 fa?- Qty _Total (Qty Multiplied by Unit Chargel $ $ $ et. $ $ $ $ $ $ $ $ $ Total Owner as defined by RCW.19.28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease, Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, N,E,C., RCW, Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Codnd Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications, Signatures of own r, rica l contractor or electrical administrator: ❑ Cash Check 0-17 ❑ Credit Card ft 0 110 112 0 1 2 ELECTRICAL PERMIT CITY OF PORT ANGELES - - 360- 417 - 4735 Application Number , , , , . 14- 00001446 Date 12/02/14 Application pin number . . . 706660 Property Address , , . , . , 213 JUNIPER LN ASSESSOR PARCEL NUMBER; 06- 30- 15- 7- 8- Q070 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use . , . . , . , , Property zoning . , , . , , RS9 RESDNTL SINGLE FAMILY Application valuation . . , , 0 ---------------------------------------------------------------------------- Application desc Furnace haet pump Owner Contractor HARRISON W HINDS BLACK DIAMOND ELECTRICAL CONTR 213 JUNIPER LANE 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98353 (360) 565 -1035 -----------------------------------.___°_°_°_- °_--------- __.- .- __...______ - -_ Permit , . . . . , ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee 68.00 Plan Check Fee .00 Issue Date . , . . 12/02/14 Valuation . . , . 0 Expiration Date 5/31/15 Qty Unit Charge Per Extension 1100 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 1.00 63,0000 ECH EL -R- BRANCH CIR 190/ SER FEED 63.00 ______. -- -- ----------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 68,00 68,Q0 .00 ,00 Plan Check Total, .00 ,00 .00 .00 Grand Total 68,00 68,00 .00 00 REPORT SALES TAX on your excise tax form to the City of Port 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:IEXCHANGRBUII.i)ING i C'