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Application valuation Owner BOYD, PAMELA L 2830 BAY ST PORT ANGELES WA 98362 Permit Additional Permit pin Permit Fee Issue Date Expiration desc . number ELECTRICAL OWNER/ 200 121715 64.00 3/04/08 8/31/08 Date 08-00000244 Date 106820 210 W 7TH ST 06-30-00-0-2-3314-0000- ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY o Contractor OWNER ALTER RESIDENTIAL AMP SVC Plan Check Fee Valuation Qty 1. 00 Unit Charge Per 64.0000 ECH EL-R OR RM 0-200 ALT SRV FDR 3/04/08 N .00 o ~ o Extension 64.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .00 .00 [; ~ \f' "\ 'SPECTION ELECTRlCAL TYPE DATE: ,RESULTS: INSPECTOR: . DITCH SERVICE OUGH - IN FINAL v OMMENTS: - 62, ~ Y ELECTRICAL WORK PERMIT APPLICATION \., . Job wired by o Electrical Contractor 0 Owner Installation description o Commercial ~esidential License number Date Expires o New p1(ltered/Addition )1 Purchaser's mailing ad re~ . Vt-m ~~ 1.<63D s- nft\} Sr. , )tl/~ IAMC{ ~ ~ih\t. State ZIP '. l' uYr- 4 ~:$tol Telephone n mber ?( FAX number 3. . O~42.. bO' ~s own..er's name~ r(!1l==lA' t:r(J\/D Address of inspection LiD \0. ~ CitY.Vfl--( wq C]~3~2 Phone number to schedule inspection: 4ft 1)1{, S ?EtJ A~ -::;~e.1J l c.L \ '2 . ~03Z- 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. Ch)pter 296-46B, The City of Port Angeles Municipal Code, and Utility Sp'ecifiCatlons. / ~gna,~ ~riC tractor or el~t:i;;: z:itrator o Cash o Check # o Credit Card Card # Visa Mastercard Discover Electrical Load Additions and or su o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW $nspt;q tsb Service Information Voltage $ Phase 0 1 0 3 Service Size2:ClJ . Feeder Size: LAR K:(()verhead Service o Temp Service o Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 THERMOSTAT Date Approved By SERVICE 11J ~eb IdO ~ DITCH FEEDER Date Approved By Date Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector ...,. '2. - 2B -t)~ &~ t')e;: ,''''r .,...., ~i.e'( 18fla- ~ ()~ ( AloNG (~ ~ ~ .:) ;". 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Ul(.1 ~~ rl~U~\.Dr-- 0(.1>-1 ~.o..:ZP.loO O::>P< 0 O<:E '-E-< (.10 NPo: Po: Po: ~Po:U 0 " '" Po: "(.1 Cl< P< ZO '" Ol Q E-< "5 (.1 Ii< Ul -u rl Po: 0 UlE-<<< >-1Z Eo< 0< 0 << gj~!':&i~>-1 >-< Ul 0,>< ~ '- 0 OlE-< QZzzPo:o, 0, Ii< Po:H Q(.10~<<o, ~ >< >-1 o,u <<E-<UOP<<< 0, E-< '" rf90Rr~ J~O~~~ ha "- -=.a' ~ ~ """"'~ CITY OF POR,T ,ANGELES , PUBLIC WORKS- UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: .Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-00000475 Date' 1:2/12/07 962200 210 W 7TH ST 06-30-00-0-2-3314-0000- PAMELA BOYD RES REMODEL RESIDENTIAL HIGH DENSITY 15000 Owner Contractor PAMELA L BOYD 2830 BAY ST PORT ANGELES (360) 460-0392 WA 98362 MCKNIGHT CONSTRUCTION LLC .285 BLACK DIAMOND. RD PORT ANGELES WA 98363 (360) 4S2~'7467" -,- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -,~~ _ -.:. _ _ _ -,,:," _ _ _ _ _ _ _ _ -'-:.- - - - -_ -1- - - -- Permit . . . .. PUBLIC WORKS RES WATER SERV Additic;nal::desc.: SEPARATE ,2 ON 1 Permit pin:~umber 116889 Permit Fee 770.00 Cc'Issue Date:.';' ~.<...: ' 12/12/07 Expiration Date . 6/09/08 :.\ ".; ., Plan Check Fee :;,:. Valuation Ie:"',, Qty~ 1.00' Unit Charge Per .0000 EA , p.IY W/M 1" SERV 5 .."~,,.-;.- '.' .... , . --------------,-----------,--- -,,,-,,' . ' "' Spe2ial and Comments OS/25/2007 03:36 PM SROBERDS --The proposal significant renovation of a nonconforming st:i\lct~re in 'the'" . :~f~~~~~g T~~c:~~~~t~~e t~:ef~~ ~o. b,~J:{:f~;~C,,~~,;~:.~~~~,~:,'::k;:;::.':l~,': dO .' The Fi~'~' Department has reviewed the pro'j'ec't"i,ipP'n6atiori'" and" has no comments December 3 '. 2007 11: 51: 47 AM sroberds. Assessed value of the nonc~nforming structure is $32,000. The proposed significant remodel will not exceed 75% of the valuation of the structure and is therefore permissible under Section 17.95.030(2) PAMC. The structure must have its':: .own water meter and electric service. NO expansi.on ,o,f the. use is permitted in its current location. Per "the property owner, site development will include the retention of a parking space along the east side of the, structure. ~~ectrical load calculations and electrical permits are ': ;:r'equired. :.. Public Works Utility Engineering has no requirements for this plan review. :'"",...-Y ~ , ' ,'-, Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credi ted ' , Due.,', .' , ' " . ---------------------------------------------------------------------------- Permit Fee..Total Plan CheckcTotaJ :"Qther F~e Total. ",Grand, 'Total 770.00 .00 4' .=iO, 774 '50,: ", .00 s" .' "';",'. Separat~ 'Pe;'rnitS'~re required f67'eie.ctrkal woik;'SEP 1(' SfiO:relln~;ESA, utiliti~s; privatel:1ncfp;JblicimproVemerits',This'pi3rmit becomes riuIJ~ildV()id if V>'9r~prco~stru'cti()tl'a,ytho~j~ep,i~ no.t commepc;edwithin180 days, if construction or w()rk is s~spenged or abandoned fora'period'of"f80-aays' aftef.thework'as.'commericed, 6{ifrequinid}nspections tlavenof'6"een requested within 180 days from the last inspection; I :'here,by certifY that,'r hay~'~~~~;~6;:i;~~amined this ap'plication and know the saIne to be true and corr~ct. All pr~Ylsions of . la'1sanClo~di~aQc.~s go~ernilJg.:t\Jipxpe~qf \Y~fK,<<!1I be c.o~plied yvithwhether specified herein o~ hot. The gr~nting of a permifdoes not pre1G!'l1~,to/glve authOrity t6 vipJ?~~.:'~r S~8~~:I}h~,prOvlslons of a,ny state or local law regulating construction or the performance of c()~~~tru.G IO,,~,,'.,' ',,: "',: i':;'~~" , :, '. t.,., -.' , ..' ..01 T:\Poli~ie~\I 102.15R [Wl5] . .'-~ ' ';. '" \ ,..b ...."".,<:,.-.., ,..' _ '.' Date ,,~;... ;,<;,{:"",.- .. ':' pigna~8,~~:of,owQer'(it9iD~ri~ b~,i!t9?r): - ': I_~" , ;;:;~ .'l, -;; ';"~:\"~i ~' ", I:' PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION' SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\11 02.15R [1/05] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner PAMELA L BOYD 2830 BAY ST PORT ANGELES (360) 460-0392 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 07-00000475 Date 12/12/07 962200 210 W 7TH ST 06-30-00-0-2-3314-0000- PAMELA BOYD RES REMODEL RESIDENTIAL HIGH DENSITY 15000 Contractor WA 98362 MCKNIGHT CONSTRUCTION LLC 285 BLACK DIAMOND RD PORT ANGELES WA 98363 (360) 452-7467 BUILDING PERMIT -RESIDENTIAL FOUNDATION, ROOF, REPLUMB 100800 277.75 Plan Check Fee 12/12/07 Valuation 6/09/08 111.10 15000 Qty Unit Charge Per BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 95.75 182.00 13.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ,MECHANICAL PERMIT 101766 75.15 12/12/07 6/09/08 Plan Check Fee Valuation .00 o Qty Unit Charge Per 2.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 7.2500 ECH 10.6500 ECH BASE FEE ME-VENT FAN ME-OTHER APPL. N/R Extension 50.00 14.50 10.65 PLUMBING PERMIT REPLUMB HSE & REMODEL 101774 121.00 Plan Check Fee 12/12/07 Valuation 6/09/08 ~CfIeJ 0/ -/6' 'OJ .00 o Qty Unit Charge Per BASE FEE 6.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA.WATER HEATER Extension 50.00 42.00 7.00 15.00 7.00 Special Notes and Comments OS/25/2007 03:36 PM SROBERDS --The proposal is a significant renovation of a nonconforming structure in the RHD zone. The structure needs to be relocated to a 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 cance th provisions of any. state or local law regulating construction or the performance of construction. /2 .7) '. //\ T.Forms/BlIilding DivisionlBuilding Permit (10/01/07).wpd Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD " CALL 417-4815 FOR BUILDING INSPECTIONS, CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MIN1MUM 24 HOUR NOT1CE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK "LOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CElLlNG DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEA l' PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT !I's SEPA: PARKING/LIGHTING ESA. LANDSCAPING SHORELINE: . - FINAL INSPECTIONS REQUIRI':D PRIOR TO OCCUI;ANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417:4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING l' I'orms/Bllilding DivisionlBllilding Permit (1010 1/07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32 I EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 07-00000475 Application pin number 962200 Page 2 Date 12/12/07 Special Notes and Comments conforming location on the lot. The Fire Department has reviewed the project application and has no comments December 3, 2007 11:51:47 AM sroberds. Assessed value of the nonconforming structure is $32,000. The proposed significant remodel will not exceed 75% of the valuation of the structure and is therefore permissible under Section 17.95.030(2) PAMC. The structure must have its own water meter and electric service. NO expansion of the use is permitted in its current location. Per the property owner, site development will include the retention of a parking space along the east side of the structure. Electrical load calculations and electrical permits are required. Public works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 473.90 473.90 .00 .00 Plan Check Total 111.10 111.10 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 589.50 589.50 .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 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 (1010 I/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. . . INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION, . FOOTINGS fJ... J;..j //1 (1 JJ)... SHEAR WALLS / WALLS I ' I FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMIlING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) jO-'L3.6"l ,iLL- GAS LINE F1NAL 0 \-Ib~ 0<1 DATE -:ILL..- ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING ;1-2..0-00 'J""LL- JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL ol~1 ~~O'1 DATE J"l-L ACCEPTED BY'. COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT /I's SEPA: . PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: . . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DAn: YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING , FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 Ol-Ih~oq ::rU BUILDING o ,-J I X .,J V) ~ ":--' o ~ .~ ~ ~ 7'J ~ T:forms/Building Division/Building Permit (I % I /07).wpd f E:-<- -\ \')e (;) y..; ner ::;;(;'-1 e~ ""'1"Y\€ I': .....O,~.--.-.. ".,.,\.C \ r( S-i-. p lIJor-k)J e ,rJ.P1.-- we s l'"U'YloV~ ~ 0 1(' \ Of"\. - I ~2;;';ill;f;YI'&li;;;::~r \U .. '--'I ^ ~ . "ev \.;;. \ , I j~~\ BUILDING PERMIT - APPLlC~ ON SUb'fY\!\ '\~~ Fill "u' COMJ'LETEL Y and i" INK Y"u" appli",",," and ,it, plan MUST Bl\~ I). COMl'LETE to be accepted for review. If you have any questions, caD ~ PERMITS (360) 417-4815 FAX(3(iO)417-4711 App!ica,ntor Agent: ~fL,A-t?(,1\jD Owner: Vft(4 E24 1?l>~ D Address: 2$36 E.. ~"ty Q-: iI Cityll, Phone: it 1{{).lB1L Zip: c;r ~L l-1\) 'JfrM l. ~ Phone: lone: ~xp: 0(;3 ;(;f't Pllone:452, 741.07 Addl'ess: PHOJECT ADDRESS: -:Jc::e ZONING: ~ Subdivision: / ":/OOLJO -:I- Note: fa-Melo... Boytt S'^j > the... lOJ"ge... hovSe of+- T\TE OF WORK: Jt"Residential 0 New Constr. 0 Stove o Multi-family 0 Addition o Commercial 0 Remodel ~Repair 0 Sib"!1 0 Other BRIEF DESCRIPTION OF TilE PRO.rE o ' 'TV ESA/Wetlanel(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: PLAN: BLDG: DPWU: FillE: OTHER: . .' - \'2.-l I VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. \'2-( 0,/ N6-ks plf This figure will be reviewed and may be revised by tbe Building Division to comply with current fee schedules. Contact the Permit OW'{\.e.v' 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 constmction 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 elate of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and~xa ined this application and know the same to be true and correct. J am authorized to apply for this permit and understanc/tha it is my respo!1lsib My to determine what permits are required ,not the City's, and that J must obtain such permits prior to wr, ( " ", T:\FORlY1S\BJdgPerrnitform.wpd Applicant u V t2 , Date: JJ1 IliA 2 I '2L1l.[ V J :/ , ~e 6 t?J ner '5eJ"~, ~€ 'I ,<:;.,~~,~.~'C,l/( ((Sto F Work ) (\~er wo..$ v-emov~. '" ~~ BUILDING PERMIT - APPLlC~ ~'" ~IW"-""" ',,"'q \'"..'''~''' ",,,~_~;,,,,,..~.....,,,,,,,Jh 'C.'t".."... ~~.. Fill out COMrLETEL Y and ill INK. Your application and site plan MUST B COMPLETE to be accepted for review. If YOll have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applica,nt or Agent: ~eLJt-~ owner~~ ~D t! Address: 28~ E:.- ~ .. City:' I zip:C{'K-3fo2.. on CW\ r.IM' J:"'el ' \j l Archit,ect/Engineer: <;ti.., ~'n~,e...? \-z;- \'1:-01 feJr 0 V-ln'€Y' Phone: ~"H'ent\it! ~ll CtL'\1 0 CO~l~,~tor ~.. \ ~~ State License #:J:::Cl~ Exp: O~Phol1e: Cc ) _\\ '-o"rl:>~f.fa.He.u . ~.. Address: .. S ct Y'\ V:>'-Clty: -J Zip: PROJECT ADDRESS:" . h ~ RtiJLlJ\-"" ZONING: ~ LEGAL DESCIUPTlON: Lot: Block: Subdivision: CLALLAM COUNTYPARCEL NUMBER: (")/0. q /)Ocn~3.3 / ~/CJC/CJO Phone: I f Phone: -.dko. D312.. b\} :r,.., L. " COMMERCIALIRESmENT AL: Occupancy Group: Occupant Load: Construction ype: No, of Stories: L Lot Size: Existing Sq, Ft.~ & Proposed Sq. Ft.~ = TOTAL Sq. Ft.~25 Tot~~a1z' 01 % ~~ or- . . PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: AI}PROV ALS: PLAN: BLDG: DPWU: FIRE: OTIIER:_ 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. EXPffiATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certifythat I have read andr;xa ined this application and know the same to be true and correct. J am authorized to apply for this permit and understan1tha iUs my respo sib'lity to determine what permits are required ,not the City's, and that I must obtain such permits prior to w r mORMS\BldgPomi~~wpd Applicmrt: n"" ~ ..~ 'V ....., l ,; '"~ ..... , ..... , ..... , ..... , ..... , ..... ~"':, " , " " ..... " -?~ '&{ ......, ..... , ..... , ..... 'I. , '" , ..... , ..... , ..... , '>{~, , ..... '-.... >7' '<>', I ~. o ~ Ofl:i / ~ , 709~ I I / / I / -. / PRESCRIPTIVE APPROACH-SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information: Building Department Use Only: Lot: Addre~.. SJ. CIty:. ) U SUle ~ZiP:~~ Contact: u... f. . L - Phone: ----1Y:D 'O~'l Phone 2: FAX: ~S2'103L Permit # {) l'-4-JS Notes: Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Wa.11 ':E)Ct.~ri~r, Bel()w", ", i Grii'de;:"1: :i~: III Unlimited Group R-3 Occupancy Onl OAO 0.58 0,20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 This Project complies with the following: ..J The project is a single-family residence or duplex. ..J The project is a wood frame OR all of the insulation is interior or exterior of the framing, ..J All building components meet the requirements listed in Table 6-1, Option Ill. ..J 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.. o 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: o 602.6 Exception 2. Doors with aU-Factor of 0.40 allowed without calculatio~s, Option III only. Location of the door(s) taking exception: ' Type of Heat Source: a RiCtvlt J ,- ~c-a - u.rt+/- Electrical Service Information Form Public Works Engineering Department (360) 417-4700 Please complete and return to Public Works Engineering Department Name and address of party Street: responsible for permanent service billing? Site contact: Contractor: Company: Electrician: Daytime Phone: Name: T 'I:) Company: Excavator: Company: Voltage: sq. ft. Main disconnect size: amps 0120/240 1 ph 0120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph OOther: ~tandard residential loads (Lighting, refrigerator, dishwasher, washer) D AlC L FLA) 0"'Range/Oven D Hot Tub J6clothes Dryer 0'Heating D Pumps ~Hp) 0Water Heater D Elevator ( Hp) D Other Check all that apply: Supporting Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps of a I mo 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 F--i-- :_~t-~~-~++-r-+ -+-~~--- - t--_h- --~--1- -+-1- +--1-- ~-. __L~-t- ----tn-, --~:)--~- : th-L--+ ---T---- ~rj- - - ~"- -1+--" ,-~f-i w -- -- - -~--~r-- - Lt -- ,-~ - --- -~--- ---+- +- - - _ - ,~--,-- --1--_ - -- t-+ c--- '--~~-I- i--- -~.L -- _n - j-- - --I +- - ----~ - c- +--"--l--1 f-- e- -~+-- +--" ~~-;~ -;;'i~~u --~.- -"-- --.-Jt- - --- II {I- J+. - -t- ~- ~ - +-~ t---- ._,~-L_f--_~&.~if~_..~~!~~c-I_OG~I__;ti'Q~~\ ~-~-_'~-r-,--'7;;,-= C~ -~=-:~. ~I~[f~ -+~.~ _ ____ _ +___ . 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Sl' Ill) ~ULtt~ rz,1fJ p~ ~6~l~ t \k'.C ' crTYO F PORT Th~ Issuance of thO ANGELES - Co cations and otl IS permit based nstruction PI from the ler data shall upon these 0 elr!S plan. reafter requirin not Dreventthe pldns, specifi. "';tOi, ".,,,,,,,,,, ,,: '" """"', of b".". off.;" ,;,r,,,,; :i~tio" bo,. :" dolo. " fro~"'" ;, ~Id a I codes and drl.ed on theieund preventing . 0 or mances f . er when I' A 0 , 0 thIS 0 o. n pproval Date ) JU~'ction. J t.. ( ~ t!.'t) 3> J;2<... ~ SJa.,.J t:Lf- ~#1.