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Home My WebLink About1030 W 11th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor Other Fees COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000680 Date 7/15/07 226200 1030 W 11TH ST 06 30 00 0 3 5330 0000 JIM AMY GOSSARD RES ADDITION RS7 RESDNTL SINGLE FAMILY 36066 JAMES R /AMY S GOSSARD COZI HOMES CONSTRUCTION INC 1030 W 11TH ST 324 E 9TH ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452 9906 Structure Information 000 000 474 SF BED /BATH /LAUNDRY ADDITION Other struct info HARD SURFACE AREA Permit ELECTRICAL NEW RESIDENTIAL Additional desd EL SVC '200A SVC Permit pin number 106583 Sub Contractor ELECTRIC SERVICE Permit Fee 75 00 Plan Check Fee 00 Issue Date 7/15/07 Valuation 0 Expiration Date 1/11/08 Qty Unit Charge Per 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER Special Notes and Comments The Fire Department has reviewed the project application and has no comments 06/12/2007 10 48 AM SROBERDS The proposal will result in a residential addition in the RS 7 zone for total lot coverage of 30% No land use issues anticipated MAINTAIN CLEARANCES FROM SERVICE WIRES relocate meter which must remain accessible at all times 06/13/2007 08 18 AM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 79 50 79 50 00 00 Extension 75 00 DITCH ROUGH IN COVER SERVICE FINAL GENERAL COMMENTS: 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO 1 N 'i. 111.71.. -k A y xD -0 1 ,irsg.1 COMMENTS PW- 1102.151) Job wired by City X Electrical contractor name 7 J lectrical Contractor Purchaser's mai ing address Telephone number number 'Premises lowner's name J 0 E sc Inspection Date 1/ 04' Address of inspection City PA- Phone number to schedule inspection r� 3 to .7) L 1( 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 owner electrical contractor or electrical admiijistrator Electrical Lls(ad Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace Ai KW Heat Pump Ton LAR Fan -Wall KW SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH -IN THERMOSTAT Date Da FINAL rlri et c tate ZIP Approved By J Appr ed By Owner Lice se number Date Expires L.S fl c g3 Date rnpix Jr #r0. Overhead Service Temp Service Underground Service Date Appr ed By DITCH Date Approved By Area, Building or Equipment Inspected 1 ELECTRICAL WORK PERMIT APPLICATION 1 /Installation description Commercial Residential New Altered/Addition Cash Check Credit Card Card Expiration Date of card ragnoti_ qvO cLct t I Visa C Inspectioryfe� Service Information Voltage L i Phase ar 1 3 Service Size: 2_ h ri Feeder Size: S RVICE 7 Appro ed By FEEDER Date Appr ed By Action Taken Discover Electrical Inspector 0 PREPARED 9/20/07 9 46 54 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/20/07 ADDRESS 1030 W 11TH ST SUBDIV TENANT NBR JIM AMY GOSSARD CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906 OWNER JAMES R /AMY S GOSSARD PHONE PARCEL 06 30 00 0 3 5330 0000 APPL NUMBER 07 00000680 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFW 01 7/18/07 JLL BLDG FOUND FTG /STEM WALL 7/18/07 AP 07/18/2007 10 07 AM LPANGRLE BRAD 775 1807 FOOTING AND STEMWALL 07/18/2007 04 46 PM JLIERLY BL9 01 8/13/07 JLL BLDG SHEARWALL 8/13/07 AP 08/13/2007 10 55 AM LPANGRLE KEN 460 0036 SHEARWALL 08/13/2007 05 03 PM JLIERLY BAIR 01 8/22/07 JLL BLDG AIR SEAL TIME 03 30 8/22/07 AP 08/21/2007 04 31 PM LPANGRLE KEN 460 0036 AIRSEAL REQUESTED A LATE AFTERNOON INSPECTION 08/22/2007 04 14 PM JLIERLY BL3 01 8/22/07 JLL BLDG FRAMING TIME 03 30 8/22/07 AP 08/21/2007 04 31 PM LPANGRLE KEN 460 0036 FRAMING LATE AFTERNOON INSPECTION 08/22/2007 04 14 PM JLIERLY BLI 01 8/23/07 JLL BLDG INSULATION TIME 03 30 8/23/07 AP 08/21/2007 04 32 PM LPANGRLE KEN 460 0036 INSULATION REQUESTED A LATE AFTERNOON INSPECTION THURSDAY 08 23 07 08/23/2007 04 20 PM JLIERLY BL99 01 9/20/07 JAL BLDG FINAL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/20/07 LL MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/22/07 JLL 8/22/07 AP 09/19/2007 09 17 AM LPANGRLE KEN 460 0036 BLDG FINAL CALL ONE HOUR AHEAD SO HE CAN MEET YOU THERE 09/19/2007 09 18 AM LPANGRLE KEN 460 0036 MECHANICAL FINAL CALL ONE HOUR AHEAD SO HE CAN MEET YOU THERE PLUMBING ROUGH IN TIME 03 30 08/21/2007 04 29 PM LPANGRLE CONTINUED ONTO NEXT PAGE PREPARED 9/20/07 9 46 54 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/20/07 ADDRESS 1030 W 11TH ST SUBDIV TENANT NBR JIM AMY GOSSARD CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906 OWNER JAMES R /AMY S GOSSARD PHONE PARCEL 06 30 00 0 3 5330 0000 APPL NUMBER 07 00000680 RES ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 9/2/07 KEN 460 0036 ROUGH IN PLUMBING LATEST INSPECTION POSSIBLE 08/22/2007 04 14 PM JLIERLY PLUMBING FINAL 09/19/2007 09 18 AM LPANGRLE KEN 460 0036 PLUMBING FINAL CALL ONE HOUR AHEAD SO HE CAN MEET YOU THERE COMMENTS AND NOTES PREPARED 8/23/07 9 41 04 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/23/07 ADDRESS 1030 W 11TH ST SUBDIV TENANT NBR JIM AMY GOSSARD CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906 OWNER JAMES R /AMY S GOSSARD PHONE PARCEL 06 30 00 0 3 5330 0000 APPL NUMBER 07 00000680 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFW 01 7/18/07 JLL BLDG FOUND FTG /STEM WALL 7/18/07 AP 07/18/2007 10 07 AM LPANGRLE BRAD 775 1807 FOOTING AND STEMWALL 07/18/2007 04 46 PM JLIERLY BL9 01 8/13/07 JLL BLDG SHEARWALL 8/13/07 AP 08/13/2007 10 55 AM LPANGRLE KEN 460 0036 SHEARWALL 08/13/2007 05 03 PM JLIERLY BAIR 01 8/22/07 JLL BLDG AIR SEAL TIME 03 30 8/22/07 AP 08/21/2007 04 31 PM LPANGRLE KEN 460 0036 AIRSEAL REQUESTED A LATE AFTERNOON INSPECTION 08/22/2007 04 14 PM JLIERLY BL3 01 8/22/07 JLL BLDG FRAMING TIME 03 30 8/22/07 AP 08/21/2007 04 31 PM LPANGRLE KEN 460 0036 FRAMING LATE AFTERNOON INSPECTION 08/22/2007 04 14 PM JLIERLY BLI O1 8/23/07 L BLDG INSULATION TIME 03 30 4 08/21/2007 04 32 PM LPANGRLE KEN 460 0036 INSULATION REQUESTED A LATE AFTERNOON INSPECTION THURSDAY 08 23 07 COMMENTS AND NOTES PREPARED 8/22/07 8 48 34 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/22/07 ADDRESS 1030 W 11TH ST SUBDIV TENANT NBR JIM AMY GOSSARD CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906 OWNER JAMES R /AMY S GOSSARD PHONE PARCEL 06 30 00 0 3 5330 0000 APPL NUMBER 07 00000680 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLEW 01 7/18/07 JLL BLDG FOUND FTG /STEM WALL 7/18/07 AP 07/18/2007 10 07 AM LPANGRLE BRAD 775 1807 FOOTING AND STEMWALL 07/18/2007 04 46 PM JLIERLY BL9 01 8/13/07 JLL BLDG SHEARWALL 8/13/07 AP 08/13/2007 10 55 AM LPANGRLE KEN 460 0036 SHEARWALL 08/13/2007 05 03 PM JLIERLY BAIR 01 8/22/07 ILLS BLDG AIR SEAL TIME 03 30 08/21/2007 04 31 PM LPANGRLE KEN 460 0036 AIRSEAL REQUESTED A LATE AFTERNOON INSPECTION BL3 01 8/22/07 JAL BLDG FRAMING TIME 03 30 08/21/2007 04 31 PM LPANGRLE KEN 460 0036 FRAMING LATE AFTERNOON INSPECTION PERMIT TYP /SQ PL2 01 8/22/07 PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS PLUMBING ROUGH IN TIME 03 30 08/21/2007 04 29 PM LPANGRLE KEN 460 0036 ROUGH IN PLUMBING LATEST INSPECTION POSSIBLE COMMENTS AND NOTES PREPARED 7/18/07 10 27 46 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/18/07 ADDRESS 1030 W 11TH ST SUBDIV TENANT NBR JIM AMY GOSSARD CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906 OWNER JAMES R /AMY S GOSSARD PHONE PARCEL 06 30 00 0 3 5330 0000 APPL NUMBER 07 00000680 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLEW 01 7/18/07 BLDG FOUND FTG/STEM WALL 07/18/2007 10 07 AM LPANGRLE BRAD 775 1807 FOOTING AND STEMWALL COMMENTS AND NOTES 9z 0/wK w F. CITY OF PORT ANGELES Q I DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000680 Date 7/03/07 0 Application pin number 226200 0 Property Address 1030 W 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 5330 0000 Tenant nbr name JIM AMY GOSSARD Application type description RES ADDITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 36066 Owner Contractor JAMES R /AMY S GOSSARD COZI HOMES CONSTRUCTION INC 1030 W 11TH ST 324 E 9TH ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452 9906 Structure Information 000 000 474 SF BED /BATH /LAUNDRY ADDITION Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 474 SF BED /BATH /LAUNDRY ADD Permit pin number 104281 Permit Fee 538 95 Plan Check Fee 215 58 Issue Date 7/03/07 Valuation 36066 Expiration Date 12/30/07 Qty Unit Charge Per Extension BASE FEE 417 75 12 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 121 20 Permit MECHANICAL PERMIT Additional desc Permit pin number 104778 Permit Fee 96 45 Plan Check Fee 00 Issue Date 7/03/07 Valuation 0 Expiration Date 12/30/07 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 7 2500 ECH ME VENT FAN 14 50 3 00 10 6500 ECH ME OTHER APPL N/R 31 95 Permit PLUMBING PERMIT Additional desc Permit pin number 104760 Permit Fee 114 00 Plan Check Fee 00 Issue Date 7/03/07 Valuation 0 Expiration Date 12/30/07 Qty Unit Charge Per Extension BASE FEE 50 00 5 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 35 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 The Fire Department has reviewed the project application and 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 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 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 riff 713107 Signature okontractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 0 70 N CALL 417-4S15 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRI CAL 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. I MANUFACTURED HOMES ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE 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 ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET I CHIMNEY BUILDING PERMIT INSPECTION RECORD 1'ES NO I I ACCEPTED COMMENTS FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #!'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I BUILDING 417 -4815 I I I I BUILDING T \Policies11102 15 building permit inspection record05 wpd [1/4/20051 I FINAL DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. DATE ACCEPTED I YES I NO I I I 1 I 1 I I I OF pORT qq, CITY OF PORT ANGELES h� N DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number 07 00000680 226200 Special Notes and Comments has no comments 06/12/2007 10 48 AM SROBERDS The proposal will result in a residential addition in the RS 7 zone for total lot coverage of 30% No land use issues anticipated MAINTAIN CLEARANCES FROM SERVICE WIRES relocate meter which must remain accessible at all times 06/13/2007 08 18 AM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees T \Policies \1102_15 building permit inspection record05 wpd [1/4/20051 Page 2 Date 7/03/07 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 749 40 749 40 00 00 Plan Check Total 215 58 215 58 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 969 48 969 48 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 certifythat 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 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -473' FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES 0 PLEASE PROVIDE k MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORE .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 C> 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 ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 T' \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES I NO I bizzto7 ALL 12L/o7 TJU. tt2'/ 7 SLL I I I1 A In1I I FINAL 0 C f 2 DATE 1 :1 ACCEPTED BY. FINAL 6 LO ATE ACCEPTED BY. SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING ACCEPTED I YES I NO V I I I I 0 I I I 1 I I I DATE Address: Architect /Engine Addre PRO City CT ADDRESS LEGAL DESCRIPTION Lot: TYPE OF WORK. Residential 0 Constr Re roof Stove Multi- family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B: r, COMPLETE to be accepted for review If you have any questions, call PERMITS (360)417 -4815 FAX(360)417 -4711 ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other -e is Applicant or Agent. i i V\ *'tk O5 A'q Phone Owner 4 M /k( 1.Q 2 .J L cit 1 G0 ACrJtv��` Contractor/ 7S 1 License Phone. Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. O( 5 coo= 3 5 3 3 C7Ao®o Phone. Exp ZONING Iskomeowhex 4w1 it dem10 SIZE/VALUATION SF /SF SF I /SF TOTAL VALUATION h Q k, (p OR OFFICIAL USE ONLY Date Rec. A- 11-07 71 !Permit o 7 (av Date Approved L ate Issued: 4' Zip ci s uo Phone t 0 ‘7-74A t LE-2 (1,J I 0 Sc Y�C r•J •v) (A As-re Rkr V u rJ 0 COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type No of Stories: t Lot Size: Li °Existin Sq Ft. 10 Proposed Sq Ft 414 TOTAL Sq Ft. 12. Total lot coverage `3 C) 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 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 wntten 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work,. T•\FORMS\BIdgPermitform.wpd Applicant: .tom Date. 030 ■V 4t I 1 e6))1))7 'I! Y! A Q J Wtk2 N ik'9 if WO k1.01" Fc.A. 1.1 Lot. 22 II Address.___ _03 Inf I ITS City State: Contact: Phone: Phone 2. FAX. Unlimited III Group R 3 Occupancy Only Type of Heat Source: Zip Prescriptive Approach Simple Form For the Washington State Energy Code 2003 Edition Climate. Zone 1 Site Tnformation Building Department Use Only Permit a 6 V EXHIBIT A Notes. Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 Unlimited Glazing Option Only Option Glazing Glazing U- Factor Door al Area U- Vaulted A of Floor Vertical Overhead Factor Ceiling Ceiling G Wall Wall Slab Intenor Exterior on Below Below Floor Grade Grade Grade 0 40 0.58 0.20 R 38 R 30 R21 R 21 R 10 R -30 R 10 This Project complies with the following: The Project is a single family residence or duplex. The Project is wood frame OR all of the insulation is intenor or exterior of the framing. /All building components meet the requirements listed in Table 6 -1 Option III. V 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 24ft. Or less, that does not meet the standards 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 exception 91 a n 0 N 9.4 9- o. Application Number . . . , 15-00000758 Date 6/30/15 Application pin number . . . 546800 DITCH Property Address . . . 1030 W 11TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5330 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use FINAL Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Meter main service on garage Owner Contractor JAMES R/AMY S GOSSARD APS ELECTRIC 1030 W 11TH ST 546 BENSON RD. PORT ANGELES WA 98363 PORT ANCE1,ES WA 98363 (360) 452-6753 Fermi t ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 120.00 Plan Check Fee .00 Issue Date 6/30/15 Valuation 0 Expiration Date 12/27/15 Qty Unit Charge Per Extension 1.00 120.0000 ECH EL -0-200 SRV FEEDER 120.00 Fee summary Charged ---- Paid Credited ------- Due Permit Fee Total 1.20.00 120.00 00 .00 Plan Check, Total .00 .00 ,00 ,00 Grand Total 120.00 120.00 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 -71, fi57 ROUGH -IN FINAL COMMENTS: PEUIT IF11j, Signature of owner or Electrical Contractor X GAEXCHANGEWILDUG FROM : A.P.S. ELECTRICAL CONTRACTOR FAX NO. : 360 452 6753 Jun. 29 2015 01: 15PM P1 CITY OF PORT ANGELES PERIVfa APP><,rCATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 95362 Ph: (360) 4174735 Fax: (360) 417-4711 Date: L -,',;2q 'L!5 LV I & 2 Single Family Dwelling Apra ',� w,111'Il •Plan Review Ma Be R tlil�l, P� e mplete Electrical Plan Review Information Sheet Job Address: 0 a f la ding Square Footage; C"aWn.of above CA gA t` QL 4- 4 Owner Info loation Contractor In rm on 1 , 5 1 ea�'r e� Hame: rs�: - r I M MailingACity: Ma#ing Adder;. =Stele:-Zip: �"» r Rhone. Far Phow----------- t�1p: _Fax: ' License 0 / Exp. Lio nse ri° / Earp. Item I.nll Chaim (qty total Multi' liedby.UV' rel ServioeiFeeder 200 Amp. $120.00 Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 $- ServioelFeeder601-1000 Amp. $ 262.00 $ ServicelFeeder over 1000 Amp. $ 373.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O 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/Feeder201.400Amp. $110.00 $ Temp. ServicelFeeder 401-600 Amp. $149.00 Temp. Service/Feeder 601-1000 Amp . $168.00 Portal to Portal Hourly $ 96.00 $ Signal Circuil/ 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 U0gM S7 C1"IOIN OtoNl.'Y: 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 . $— / � � Total $_L!2 Ow er as definedby RMA918.261: (1) towner will occupy the structure for two years atter this electrical perrnk is finalized, (2) Owner is required to hire an electrical contractor it above said property is for sale, rent or lam. Permit expires alter six months of last inspection. After reading the above statement, l 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 Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cub 0 check Y * aV n y 1� callfCard# 61Ao .r - O.W.-�a! 110112012