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Home My WebLink About1916 Village Cir - BuildingPREPARED 5/21/10 8 05 21 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/21/10 ADDRESS 1916 VILLAGE CIR TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO OWNER HABITAT FOR HUMANITY CL COUNTY PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS February 11 2010 10 36 44 AM jlierly BLI 02 2/17/10 JLL BLDG INSULATION TIME 01 00 3/10/10 AP February 17 2010 8 19 04 AM 1pangrle HARRY 681 6780 OR 808 0049 'EXTERIOR WALL INSULATION' AFTERNOON March 10 2010 9 22 09 AM jlierly BLDR 01 2/25/10 JLL BLDG DRYWALL IBWP 2/26/10 AP February 25 2010 8 33 26 AM 1pangrle HARRY 808 0049 SHEARNAILING ON DRYWALL February 26 2010 10 36 36 AM jlierly PW99 01 5/11/10 RV PUBLIC WORKS FINAL 5/11/10 AP May 20 2010 10 40 21 AM rvess May 20 2010 10 40 41 AM rvess BL99 01 5/21/10 JLL/ BLDG FINAL May 20 2010 10 28 57 AM 1pangrle HARRY 808 0049 BUILDING FINAL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 10/26/09 JLL MECHANICAL ROUGH IN 10/26/09 DA October 23 2009 4 11 19 PM 1pangrle HARRY 360 808 0049 'RADIANT HEAT TUBING FOAM UNDERSLAB clean street and provide construction entrance recall inspection jll ME99 01 5/21/10 J L, MECHANICAL FINAL May 20 2010 10 29 33 AM 1pangrle MECHANICAL FINAL HARRY 808 0049 PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 681 6780 PHONE (360) 681 6780 PERMIT TYP /SQ PL1 01 10/14/09 JLL PLUMBING UNDER SLAB 10/14/09 AP October 14 2009 8 49 51 AM 1pangrle VINCENT 461 9635 UNDERSLAB PLUMBING October 14 2009 4 16 14 PM jlierly PL1 02 10/27/09 JLL PLUMBING UNDER SLAB 10/27/09 AP October 27 2009 8 18 09 AM 1pangrle CONTINUED ONTO NEXT PAGE PREPARED 5/21/10 8 05 21 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/21/10 ADDRESS 1916 VILLAGE CIR TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO OWNER HABITAT FOR HUMANITY CL COUNTY PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 681 6780 PHONE (360) 681 6780 HARRY 808 0049 UNDERSLAB FOAM RADIANT TUBING October 27 2009 3 50 26 PM jlierly PL6 01 1/28/10 JLL PLUMBING WATER SUPPLY 1/28/10 AP January 28 2010 9 07 47 AM pbarthol HARRY 808 0049 January 28 2010 4 34 30 PM jlierly PL2 01 2/08/10 JLL PLUMBING ROUGH IN 2/11/10 AP February 4 2010 12 01 07 PM 1pangrle HARRY 808 0049 PLUMBING (ROUGH IN February 11 2010 10 36 44 AM jlierly PL99 01 5/21/10 J L PLUMBING FINAL May 20 2010 10 29 59 AM 1pangrle I HARRY 808 0049 PLUMBING FINAL COMMENTS AND NOTES PREPARED 2/25/10 8 35 41 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/25/10 ADDRESS 1916 VILLAGE CIR SUBDIV TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO PHONE (360) 681 6780 OWNER HABITAT FOR HUMANITY CL COUNTY PHONE (360) 681 6780 PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 02 2/17/,10 BLDR 01 2/25/10 February 11 2010 10 36 44 AM jlierly BLDG INSULATION TIME 01 00 February 17 2010 8 19 04 AM 1pangrle HARRY 681 6780 OR 808 0049 'EXTERIOR WALL INSULATION' AFTERNOON BLDG DRYWALL IBWP February 25 2010 8 33 26 AM 1pangrle HARRY 808 0049 SHEARNAILING ON DRYWALL COMMENTS AND NOTES PREPARED 2/17/10 8 20 26 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/17/10 ADDRESS 1916 VILLAGE CIR TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO OWNER HABITAT FOR HUMANITY CL COUNTY PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 02 2/17/10 SUBDIV February 11 2010 10 36 44 AM jlierly BLDG INSULATION TIME 01 00 February 17 2010 8 19 04 AM 1pangrle HARRY 681 6780 OR 808 0049 EXTERIOR WALL INSULATION AFTERNOON COMMENTS AND NOTES PHONE (360) 681 6780 PHONE (360) 681 6780 PREPARED 2/08/10 8 17 19 INSPECTION T CKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/08/10 ADDRESS 1916 VILLAGE CIR SUBDIV TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO PHONE (360) 681 6780 OWNER HABITAT FOR HUMANITY CL COUNTY PHONE (360) 681 6780 PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 10/14/09 JLL PLUMBING UNDER SLAB 10/14/09 AP October 14 2009 8 49 51 AM 1pangrle VINCENT 461 9635 UNDERSLAB PLUMBING October 14 2009 4 16 14 PM jlierly PL1 02 10/27/09 JLL PLUMBING UNDER SLAB 10/27/09 AP October 27 2009 8 18 09 AM 1pangrle HARRY 808 0049 UNDERSLAB FOAM RADIANT TUBING October 27 2009 3 50 26 PM jlierly PL6 01 1/28/10 JLL PLUMBING WATER SUPPLY 1/28/ 0 AP January 28 2010 9 07 47 AM pbarthol HARRY 808 0049 January 28 2010 4 34 30 PM jlierly PL2 01 2/08/ 0 February ROUGH IN /J February 4 2010 12 01 07 PM 1pangrle HARRY 808 0049 PLUMBING (ROUGH IN COMMENTS AND NOTES PREPARED 2/08/10 8 17 19 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1916 VILLAGE CIR SUBDIV TENANT NBA HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO PHONE (360) 68 6780 OWNER HABITAT FOR HUMANITY CL COUNTY PHONE (360) 681 6780 PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/22/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 9/22/09 AP September 22 2009 8 35 34 AM 1pangrle TOMMY 477 0778 FOOTING MORNING September 22 2009 4 15 24 PM jlierly BL2 01 9/24/09 PB BLDG FOUNDATION STEM WALL TIME 09 00 9/25/09 AP September 24 2009 8 19 07 AM 1pangrle DANNY 477 7315 STEMWALL MORNING September 25 2009 9 19 51 AM pbarthol BLFD 01 10/01/09 JLL BLDG FOUNDATION DRAINAGE 10/01/09 AP September 30 2009 3 07 49 PM pbarthol HARRY 808 0049 October 1 2009 4 23 13 PM jlierly BLIS 01 10/01/09 JLL BLDG INSULATION /SLAB 10/01/09 AP September 30 2009 3 08 28 PM pbarthol HARRY 808 0049 October 1 2009 4 23 13 PM jlierly DSD 01 10/01/09 JLL BLDG DOWN SPOUT DRAINS 10 /0 /09 AP September 30 2009 3 07 12 PM pbarthol HARRY 808 0049 October 1 2009 4 23 13 PM jlierly BLI 01 12/01/09 JLL BLDG INSULATION TIME 01 00 12/01/09 AP November 30 2009 10 21 38 AM 1pangrle HARRY 681 6780 INSULATION BEHIND THE TUB /SHOWER AFTERNOON December 1 2009 4 05 22 PM jlierly BL9 01 12/01/09 JLL BLDG SHEARWALL TIME 01 00 12/01/09 AP November 30 2009 10 20 41 AM 1pangrle HARRY 681 6780 EXTERIOR WALL OSB NAILING AFTERNOON December 1 2009 4 05 22 PM jlierly BAIR 01 2/08/10 BLDG AIR SEAL February 4 2010 12 00 07 PM 1pangrle HARRY 808 0049 AIRSEAL BL3 01 2/08/10 L BLDG FRAMING February 4 2010 12 00 48 PM 1pangrle HARRY 808 0049 FRAMING PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CONTINUED ONTO NEXT PAGE PAGE 1 DATE 2/08/10 PREPARED 1/28/10 11 09 41 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/28/10 ADDRESS 1916 VILLAGE CIR TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO OWNER HABITAT FOR HUMANITY CL COUNTY PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 681 6780 PHONE (360) 681 6780 PL1 01 10/14/09 JLL PLUMBING UNDER SLAB 10/14/09 AP October 14 2009 8 49 51 AM 1pangrle VINCENT 461 9635 UNDERSLAB PLUMBING October 14 2009 4 16 14 PM jlierly PL1 02 10/27/09 JLL PLUMBING UNDER SLAB 10/27/09 AP October 27 2009 8 18 09 AM 1pangrle HARRY 808 0049 UNDERSLAB FOAM RADIANT TUBING October 27 2009 3 50 26 PM jlierly PL6 01 1/28/10 J L PLUMBING WATER SUPPLY January 28 2010 9 07 47 AM pbarthol HARRY 808 0049 t 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 home Owner HABITAT FOR HUMANITY CL COUNTY PO BOX 1479 PORT ANGELES WA 98362 (360) 681 6780 Permit Additional desc Permit pin number 159186 Permit Fee 110 30 Issue Date 1/06/10 Expiration Date 7/11/10 Qty Unit Charge 1 00 110 3000 Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 10 00000015 412250 1916 VILLAGE CIR 06 30 13 5 7 0200 0000 ELECTRICAL ONLY PLANNED RESDNTL DEVLPMENT 0 Contractor ELECTRICAL NEW RESIDENTIAL Per ECH Charged ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 KIRSCH ELECTRIC INC P 0 BOX 3396 SEQUIM (360) 683 6819 Plan Check Fee Valuation Date 1/13/10 WA 98382 Extension 110 30 Paid Credited Due EL R SQFT FIRST 1300 110 30 110 30 00 00 00 00 00 00 110 30 110 30 00 00 DATE RESULTS 00 0 Signature of owner or Electrical Contractor X Date INSPECTOR. JAN -5 -2010 03 55P FROM KIRSCH ELECTRIC 3606830869 TO 4174711 P 1 J City of Part Angeles Permit Application Building Division/Electrical Inspections 321 East Filth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (160) 417 -4715 Fax: (160) 417.4711 Date: 8 2 Single Fatuity Dwelling Multi- Family or Commercial' Commercial Addition Alteration Remodel Repair' Plan Review May Be Requi d Please Cgigiplete tri�'Qla ev Info lion h Job Address: l U� lam+ r,►'� Building Square Footage: Description of above Unit Charge 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 S 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Owner Information Name: i4p, i-r Mailing Address: geg 1tl `T 1 City 12.6 State: LOA Zip: 9f 3L?_ Phone: License Exp. RECEIVE JAN 6 2009 ELECTRICAL INSPECTIONS Contractor Informs 'on Name: fa i a Mailing A. Kiii1111 f i City .ii tat Zip: *WW2 Phone: iU r License 01 Exp. Ward V. 1.. Total (fir Mulliglied brLU SertlicelFeeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401 -600 Amp. Service/Feeder 601 -1000 Amp. ServicelFeeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Tarry. Service! Feeder 200 Amp. Temp. Servlcelfeeder 201 -400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. ServicelFeeder 601 -1000 Amp. Portal to Portal Hourly SignlOutline Lighting Signal CircuiU Limited Energy Commercial Signal Circuit/ United Energy 1 2 Family Dwelling Signal Circuit/ limited Energy Multi-Family Dwelling Manufactured Home Connection i Renewable Electrical Energy 5KVA System or Less $_Fast 1300 Square Ft Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total 1, O w n e r as definer/by R C N 1 9 1 2 6 1 Wilmer will occupy the struc ureforruo years alter this electrical permit is finalized (1 )Owner isrequired to hire an electrical contm r.f or if aba ye said property Is /or 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 contractori am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 1929, WAC. Chapter 296-168. The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Date: I, \itt--) 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 A FIRE SPRINKLER SYSTEM Owner HABITAT FOR HUMANITY CL COUNTY PO BOX 1479 PORT ANGELES WA 98362 (360) 681 6780 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 09 00001373 Date 1/04/10 975025 1916 VILLAGE CIR 06 30 13 5 7 0200 0000 HABITAT FOR HUMANITY CL C FIRE SPRINKLER SYSTEM PLANNED RESDNTL DEVLPMENT 1800 Contractor INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES (360) 452 7583 INSTALL A FIRE SPRINKLER SYSTEM FIRE SPRINKLER RESIDENTIAL FIRE SPRINKLER SYSTEM 159004 00 Plan Check Fee 1/04/10 Valuation 7/03/10 Special Notes and Comments A full acceptance test will be required for the fire sprinkler system Charged Paid Credited 00 00 00 00 00 00 00 00 00 WA 98362 Due 00 00 00 00 1800 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 examines this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. LAS 1 /s /ia Signature of Contractor or AuPhorized Age z Date Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360 417 -4655 for fire inspections Please provide a minimum 24 -hour notice It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type I Date Passed I Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested I Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final 5-1i-lo le-kb I FIRE ALARM Rough -in inspection Alarm final LP -GAS Completed by Contractor- Underground piping inspection /pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test psi Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test psi Time initiated LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS 2/15/00 6 F N V) LC PV) Heat System o Other BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent v �C z 4 Z-pc. f'� Owner F�� I Fc, H Owner's Address 2-E) F N v ci L., I Contractor /Engineer A /A /vVJ i l- J2 Contractor /Engineer's Address 6/ /VeL U License )A/A/0 UF_(' U LP PROJECT ADDRESS 1 Ick C `v c I Parcel Number l q b Lot Protect TWO Brief Description. Residential o Commercial Check all that apply New Construction o Addition Remodel Repair Re -roof o Demolition Sign .i_ h.. Tts_ It wall- mounted projecting freestanding a awning other Total sign area so ft. Maximum allowed sign area so. ft. o Heat pump wood burning stove a gas fireplace pellet stove a other Floor Areas Existing (sq. ft.) Proposed g. ft.) Basement per sq. ft. 161 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures 1 mac— (3 0 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 APPLICATION Print in ink Expires For City Use Only Date Received 12- 2 0-65 Permit (3'1 Date Approved Phone Li S 7Scam.3 Phone Pr R,ox PA ,u3A- 13362- Phone L S2- S 6 8// z fio Zoning Multi family a Industrial TOTAL VALUATION btiQ, D sq ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this application and know it 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, and to obtain permits prior to working on Print Name v� Dat e projects. 1 k g s A I3 f Date ��1 30\ 0`� C e Q v^ Signature !t. T:Forms /Building Division /Bldg Permit Appl. -2006 Code doc PREPARED 12/01/09 8 04 05 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/01/09 ADDRESS 1916. VILLAGE CIR SUBDIV TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO PHONE (360) 681 6780 OWNER HABITAT OF HUMANITY OF PHONE (360) 681 6780 PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/22/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 9/22/09 AP September 22 2009 8 35 34 AM 1pangrle TOMMY 477 0778 FOOTING MORNING September 22 2009 4 15 24 PM jlierly BL2 01 9/24/09 PB BLDG FOUNDATION STEM WALL TIME 09 00 9/25/09 AP September 24 2009 8 19 07 AM 1pangrle DANNY 477 7315 STEMWALL MORNING September 25 2009 9 19 51 AM pbarthol BLED 01 10/01/09 JLL BLDG FOUNDATION DRAINAGE 10 /01/09 AP September 30 2009 3 07 49 PM pbarthol HARRY 808 0049 October 1 2009 4 23 13 PM jlierly BLIS 01 10/01/09 JLL BLDG INSULATION /SLAB 10/01/09 AP September 30 2009 3 08 28 PM pbarthol HARRY 808 0049 October 1 2009 4 23 13 PM jlierly DSD 01 10/01/09 JLL BLDG DOWN SPOUT DRAINS 10/01/09 AP September 30 2009 3 07 12 PM pbarthol HARRY 808 0049 October 1 2009 4 23 13 PM jlierly BLDG INSULATION TIME 01 00 November 30 2009 10 21 38 AM 1pangrle HARRY 681 6780 INSULATION BEHIND THE TUB /SHOWER AFTERNOON BL9 01 12/01/09 BLDG SHEARWALL TIME 01 00 BLI 01 12/01/09 L t November 30 2009 10 20 41 AM 1pangrle HARRY 681 6780 EXTERIOR WALL OSB NAILING AFTERNOON COMMENTS AND NOTES PREPARED 10/27/09 8 23 29 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/27/09 ADDRESS 1916 VILLAGE CIR SUBDIV TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO PHONE (360) 681 6780 OWNER HABITAT OF HUMANITY OF PHONE (360) 681 6780 PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 10/14/09 JLL PLUMBING UNDER SLAB 10/14/09 AP October 14 2009 8 49 51 AM 1pangrle VINCENT 461 9635 UNDERSLAB PLUMBING October 14 2009 4 16 14 PM jlierly PL1 02 10/27/09 JLL PLUMBING UNDER SLAB October 27 2009 8 18 09 AM 1pangrle HARRY 808 0049 'UNDERSLAB FOAM RADIANT TUBING COMMENTS AND NOTES PREPARED 10/26/09 9 32 48 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/26/09 ADDRESS 1916 VILLAGE CIR TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO OWNER HABITAT OF HUMANITY OF PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 10/26/09 3.:!kir- SUBDIV COMMENTS AND NOTES PHONE (360) 681 6780 PHONE (360) 681 6780 MECHANICAL ROUGH IN October 23 2009 4 11 19 PM 1pangrle HARRY 360 808 0049 RADIANT HEAT TUBING FOAM UNDERSLAB ON CA tut-Q)6A th.) PREPARED 10/14/09 8 51 38 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/14/09 ADDRESS 1916 VILLAGE CIR TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO OWNER HABITAT OF HUMANITY OF PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 10/14/09 j, PLUMBING UNDER SLAB October 14 2009 8 49 51 AM 1pangrle VINCENT 461 9635 UNDERSLAB PLUMBING SUBDIV COMMENTS AND NOTES PHONE (360) 681 6780 PHONE (360) 681 6780 PREPARED 10/01/09 8 10 09 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1916 VILLAGE CIR TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO OWNER HABITAT OF HUMANITY OF PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/22/09 JLL 9/22/09 AP BL2 01 9/24/09 PB 9/25/09 AP BLFD 01 BLIS 01 DSD 01 10/01/09 10/01/09 10/01/09 SUBDIV PHONE PHONE BLDG FOUNDATION FOOTING September 22 2009 8 35 34 TOMMY 477 0778 FOOTING MORNING September 22 2009 4 15 24 BLDG FOUNDATION STEM WALL September 24 2009 8 19 07 DANNY 477 7315 STEMWALL MORNING September 25 2009 9 19 51 BLDG FOUNDATION DRAINAGE September 30 2009 3 07 49 HARRY 808 0049 BLDG INSULATION /SLAB September 30 2009 3 08 28 HARRY 808 0049 BLDG DOWN SPOUT DRAINS September 30 2009 3 07 12 HARRY 808 0049 COMMENTS AND NOTES (360) 681 6780 (360) 681 6780 TIME 09 00 AM 1pangrle PM jlierly TIME 09 00 AM 1pangrle AM pbarthol PM pbarthol PM pbarthol PM pbarthol PAGE 5 DATE 10/01/09 PREPARED 9/24/09 8 20 20 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/24/09 ADDRESS 1916 VILLAGE CIR TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO OWNER HABITAT OF HUMANITY OF PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 681 6780 PHONE (360) 681 6780 BL1 01 9/22/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 9/22/09 AP September 22 2009 8 35 34 AM 1pangrle TOMMY 477 0778 FOOTING MORNING September 22 2009 4 15 24 PM jlierly BL2 01 9/ 4/09 JL BLDG FOUNDATION STEM WALL TIME 09 00 l September 24 2009 8 19 07 AM 1pangrle ci DANNY 477 7315 STEMWALL MORNING COMMENTS AND NOTES rr I r PREPARED 9/22/09 8 46 00 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/22/09 ADDRESS 1916 VILLAGE CIR TENANT NBR HABITAT FOR HUMANITY CONTRACTOR HABITAT FOR HUMANITY OF CL CO OWNER HABITAT OF HUMANITY OF PARCEL 06 30 13 5 7 0200 0000 APPL NUMBER 09 00000885 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/22/09 SUBDIV COMMENTS AND NOTES PHONE (360) 681 6780 PHONE (360) 681 6780 BLDG FOUNDATION FOOTING TIME 09 00 September 22 2009 8 35 34 AM 1pangrle TOMMY 477 0778 FOOTING MORNING 2` 0-r?- :-L-1.6k. 1� 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 1 306 SF SFR 42 SF COVERED PORCH Owner HABITAT OF HUMANITY OF CLALLAM COUNTY PO BOX 1479 PORT ANGELES (360) 681 6780 Structure Information Other struct info Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 DROP IN METER Permit pin number 153536 Permit Fee 355 00 Plan Check Fee 00 Issue Date 9/16/09 Valuation 111514 Expiration Date 3/15/10 Qty Unit Charge Per 1 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 1 00 Permit Additional desc Permit pin number 153486 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. T \Policies \1102,15 [10/08] Qty Unit Charge 135 0000 355 0000 EA PW WATER METER DROP IN WA 98362 Signature o'oKractor or Authorized Agent CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000885 842090 1916 VILLAGE CIR 06 30 13 5 7 0200 0000 HABITAT FOR HUMANITY RES NEW SFR PLANNED RESDNTL DEVLPMENT 111514 Contractor HABITAT FOR HUMANITY 728 E FRONT ST PORT ANGELES (360) 681 6780 000 000 1 306 SF SFR 42 SF COVERED TOTAL LOT COVERAGE CONSTRUCTION TYPE FIRE SPRINKLERS REQUIRED NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS PUBLIC WORKS STORMWATER 153494 135 00 Plan Check Fee 9/16/09 Valuation 3/15/10 Per EA SAN SEW STM CON OTHER SANITARY SEWER HOOK UP 0 Date' Date VB YES 9/16/09 OF CL CO WA 98362 PORCH 20 10 1 00 6682 00 1348 00 1348 00 1 00 Extension 355 00 00 111514 Extension 135 00 Signature of Owner (if owner is builder) Date CALL 417 -4831 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 SANITAR Y STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE PLANNING DEPT BUILDING T \Policies \1102.15 [10/08] 417 -4653 417 -4750 417 -4815 PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING Application Number Application pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 135 0000 EA SAN SEWER HOOKUP 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) September 1 2009 3 18 41 PM sroberds The proposal will result in a single sfr in the RHD /PRD for lot coverage of 20% and site coverage of 25% No land use issues anticipated September 3 2009 4 50 18 PM Bob Larson 360 417 4706 City Electrical Department will need to do additional underground work at no cost to the customer to make underground power available at this lot Electrical load calculations and electrical permits are required All connections to storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover Notice will be given 48 hours in advance of commencing work Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required September 1 2009 8 29 01 AM rbecker If the fire sprinkler system is a closed system you will need to install a double check backflow assembly If it is an open system you will not need to install a backflow assembly Other Fees Fee summary T \Policies \1102 15 [10/08] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000885 842090 135 00 Plan Check Fee 9/16/09 Valuation 3/15/10 Page 2 Date 9/16/09 RES UNDERGRND SERVICE FEE 713 00 SEWER SYSTEM DELV CHARGE 1510 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1510 00 Charged Paid Credited Due Permit Fee Total 625 00 625 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 3737 50 3737 50 00 00 Grand Total 4362 50 4362 50 00 00 0 0 111514 Extension 135 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4831 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 INSPECTION TYPE DATE ACCEPTED PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T ,Policies \1102 1 [10/08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES I NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING rt 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 1 306 SF SFR 42 SF COVERED PORCH Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 1oR HABITAT X HUMANITY PY CLALLAM COUNTY r PO BOX 1479 PORT ANGELES (360) 681 6780 Structure Information Other struct info Qty Unit Charge Per 12 00 5 6000 7 2500 EA 10 6500 EA 14 8000 EA 5 00 1 00 1 00 T:Forms/Building Division/Building Permit WA 98362 THOU Qty Unit Charge Per 09 00000885 842090 1916 VILLAGE CIR 06 30 13 5 7 0200 0000 HABITAT FOR HUMANITY RES NEW SFR PLANNED RESDNTL DEVLPMENT 111514 000 000 1 306 SF SFR 42 SF COVERED PORCH TOTAL LOT COVERAGE CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED YES NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 1 306 SF SFR 42 SF COV PRCH 152603 1087 45 9/16/09 Valuation 3/15/10 BASE FEE BL -100 001 500K (5 60 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 152728 Permit Fee 111 70 Plan Check Fee 00 Issue Date 9/16/09 Valuation 0 Expiration Date 3/15/10 BASE FEE ME VENT FAN (SINGLE DUCT) ME STOVE /FIREPLACE /MISC APP ME HEATER(SUSP /WALL /FLOOR MTD) 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. Contractor Plan Check Fee Date 9/16/09 HABITAT FOR HUMANITY OF CL CO 728 E FRONT ST PORT ANGELES WA 98362 (360) 681 6780 20 10 1 00 6682 00 1348 00 1348 00 1 00 9 IL-o4' 1-Ira an_ 1 G2✓l v►:irct -rX 'U re" Date Print Name Signature of Contractor or Authorized Agent 706 84 111514 Extension 1020 25 67 20 Extension 50 00 36 25 10 65 14 80 Signature of Owner (if owner is builder) Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I I ESA. Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit Accepted By Comments FINAL Date FINAL Date Accepted by Accepted by Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Other Fees T:Forms/Building Division/Building Permit 09 00000885 842090 Page 2 Date 9/16/09 Permit PLUMBING PERMIT Additional desc Permit pin number 152736 Permit Fee 156 00 Plan Check Fee 00 Issue Date 9/16/09 Valuation 0 Expiration Date 3/15/10 Qty Unit Charge Per Extension BASE FEE 50 00 10 00 7 0000 EA PL PLUMBING TRAP 70 00 1 00 7 0000 EA PL WATER LINE 7 00 1 00 15 0000 EA PL -SEWER LINE 15 00 2 00 7 0000 EA PL -WATER HEATER 14 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) September 1 2009 3 18 41 PM sroberds The proposal will result in a single sfr in the RHD /PRD for lot coverage of 20% and site coverage of 25% No land use issues anticipated September 3 2009 4 50 18 PM Bob Larson 360 417 4706 City Electrical Department will need to do additional underground work at no cost to the customer to make underground power available at this lot Electrical load calculations and electrical permits are required All connections to storm drain facilities require an inspection by Public Works and Utilities Engineering prior cover Notice will be given 48 hours in advance of commencing work Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required September 1 2009 8 29 01 AM rbecker If the fire sprinkler system is a closed system you will need to install a double check backflow assembly If it is an open system you will not need to install a backflow assembly RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Fee summary Charged Paid Credited Due 713 00 1510 00 4 50 1510 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) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE. BUILDING PERMIT INSPECTION RECORD Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by Date Accepted By Application Number Application pin number Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 3 09 00000885 Date 9/16/09 842090 1355 15 1355 15 00 00 706 84 706 84 00 00 3737 50 3737 50 00 00 5799 49 5799 49 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:FormsBuilding DivisionBuilding Permit FOUNDATION Footings Stemwall MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD c3 —0 PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 CD Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 OD IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments 0 Fe- N.Wiatlee9 1 —act (99 I Tt.L Foundation Drainage Downspouts) Piers I Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab in -I 4 -129_ l Rough -In z- a 10 I 7LL— Water Line (Meter to Bldg) Gas Line I Back Flow Water I FINAL Date 5 -2 Accepted by AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor (Shear Wally Hold Downs Walls Roof Ceiling D (Interior Braced Panel Only? T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney d Commercial Hood Ducts FINAL Date 5 --I Accepted by SLt_— Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 (O=2-7-o4 uhdl.a -s1 aJ F 0 Eeeaktnq 2-s- to -scLA_- a -g -10 I I I Z (9 f T �I I=_X.Ee4o°r, tw ass ►ail: ni I I 2q 1Z- I UQ. JLI i hS u (a'I7Sri belokut Tub /S t, o uses` I -r) I E2 :nsu %o2flonAlill1oTLa PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By RESIDENTIAL PLAN REVIEW GUIDELINES City of Port Angeles Building Division 321 E 5 St Port Angeles, WA 98362 PLAN REVIEW Items described here are only a guide to common questibrns and missed items during plan review and construction All codes must be complied with (Please read and follow each item) SPECIAL NOTE. Check item #59 first to see if engineering will be needed because of lateral design issues. GENERAL. 1 Final grading of the property must be done prior to final inspection even if owner is doing required retaining walls Occupancy of the home will not be allowed until there are no slopes steeper than 2 units horizontal to 1 unit vertical or retaining walls are in place or an accepted soils report is submitted to the City If a soils report was required initially all requirements of the soils report rriust be accomplished prior to final inspection including submittal of all field reports 2. Acrylic stucco products have special requirements Verify such with the manufacturer Requirements may include tongue and groove foam board under finish control joints special backing boards (sometimes OSB is NOT allowed) self- furring or furred -out wire or fabric lath and sometimes installation by a certified installer (certified by the manufacturer) Verify any and all requirements of stucco siding or acrylic stucco products. NO INSPECTION OF LATH OR STUCCO IS REQUIRED, BUT WRITTEN CERTIFICATION fir. BY A MANUFACTURER'S CERTIFIED INSTALLER MUST BE LEFT AT THE JOB SITE UNTIL FINAL INSPECTION BY THE CITY 3. Inspection of shear wall nailing roof sheathing to blocking nailing and hold downs must be requested in addition to standard inspections and before such items are covered up Please specify shear nail roof nail or hold -down inspection when you request these they may be done simultaneously if ready 4 This plan is approved for OSB or plywood exterior wall sheathing only unless the approved plans at .the time of permit issuance reflect other materials being used Any change to wall sheathing material after permit issuance must be submitted to the city for review prior to installation An additional plan review fee will be assessed 5 "Tyvek' or equal approved weather resistive barrier (15# felt is. OK) required on the exterior side of all walls regardless of the type of siding used This includes garage walls gable portion of end walls and cripple walls (at stepped foundation conditions) Apply over exterior sheathing or over studs in single -wall construction T 1 11 or similar panel siding must have "Tyvek' or equal over the studs. 6 Exterior windows and doors shall be flashed with approved materials and caulking Caulked trim material over the window or door flange is not an acceptable method 7 Overall dimensions of house plan must match site plan dimensions Verify any special requirements for buildings located close to property lines R302 T Buildi'1g /Handouts /Residential Plan Revie\� Guidelin I 18 09) Page 1 of 8 LIFE SAFETY MISC ITEMS 8. Sleeping rooms must have an egress window with 5 7 s f net clear opening 24" min height, 20' min width 44 maximum from floor to window sill Windows must meet all 4 dimensions R310 '1 9 Safety or tempered glass shall be used in windows that are (R308 4) Adjace h t to a door (24 arc of either edge of the door in a closed position) That are closer than 18' to floor (AND individual pane is more than 9 s f top edge more than 36" a.f f and walking surface within 36' horizontally of the window in question) Walls enclosing a tub or shower (AND within 60" of the drain or within 60' of walking surface) R308 4 Adjace t to stairways landings and ramps within 36' horizontally of a walking surface (AND less than 60" a f f. of the walking surface) Adjacent to stairways within 60" of the bottom tread of the stair in any direction (AND less than 60' aff) 10 Under -stair areas that are enclosed and accessible must be sheetrocked 1/2' GWB on walls and underside of the stairway R311 2 2 11 Stairways shall have 10' min tread and 7 3/4 max rise R311 5 12. Provide 361' high guards (with 4" max. spacing on rails) at porches; balconies and raised floor surfaces more than 30" above adjacent ground or floor R312 1 13 Smoke detectors required at all bedrooms hallway or room adjacent to bedrooms and at any ceilings that are more than 24 above adjacent ceiling All smoke detectors interconnected and hardwired with battery back -up' R313 1 14 Garage /house separation wall is 1/2" GWB door must be 20 min rated or 1 3/8" solid -core If living space above use 5/8" GWB Type "X" at the ceiling AND 1/2" GWB at walls that support the floor above Ducts in garage must be 26 -gage sheet steel and have no openings in the garage R309 15 Exterior stairways must have a light located near the top landing of the stairway switched from inside (or have motion activation device) R303 6 16 Minimum room areas must be provided (120 s f min in at least one room 70 s f min all other habitable rooms 7 foot min dimension in all habitable rooms) R304 1 17 Minimum ceiling heights must be provided (7 foot min with some exceptions) R305 1 FOOTINGS, FOUNDATIONS, AND CRAWL SPACES 18 All footings including exterior isolated pad footings must have a 24" (min) depth from the bottom of the footing to fi fished grade R403 1 4 1 19 All footings shall be supported on undisturbed natural soils or engineered fill Any placement of fill material that will support a structure will require a geotechnical investigation and report submitted to the City prior to placement of footings R401 2 R403 1 20 Lots shall be graded to drain surface water away from foundations The grade shall fall 6" in the first TEN feet around the perimeter of the structure R401 3 21 Top surface of footings shall be level Bottom surface of footings shall not have a slope that exceeds (1) unit vertica in (10) units horizontal Any necessary stepping of the foundation must be approved during plan review or prior to installation of the foundation R403 1 5 T Building /Handouts /Residential Plan Review Guidelines (Rev 03- 18 -09) Page 2 of 8 0 22. Wood sill plates of all exterior walls interior bearing walls (slab -on- grade) and interior shear walls (slab -on- grade) must be anchored to foundation or slab with 1 /2 X 10' J -bolts with a 2' X 2' X 3/16" plate washer Anchor bolts to be placed a maximum of 12' and no closer than 3'/2" from the ends of the sill plate Each piece of sill plate must have a minimum of (2) anchor bolts Anchor bolts shall be spaced no further than 6 feet apart. (Special spacing and sizing conditions may apply at alternate braced wall panels) R403 1 6 23 6" clearance required from finish grade to foundation mudsill plate R319 24 3 1/2' (min thickness for all concrete slabs -on -grade .R506 1 25 Footing and foundation wall SIZES for two pour system (Foundation walls NOT over 5- feet:in height) Footing supporting single story- 12' wide X 6" thick. Foundation wall supporting, single story- 6' thick Footing supporting two stories- 15" wide X 7" thick. Foundation wall supporting two. stories- 8" thick. Foundations that support more than two stories require an engineered design 26 Footing andfnd. REINFORCEMENT for two pour system (fnd walls NOT over 5 feet in. height) (Footings supporting single or two stories) One continuous #4 horizontal rebar placed at center of footing with 3' -(min) clearance from dirt. (Foundation walls not over 5 feet in height) One continuous #4 horizontal rebar placed within the top 12" of the wall #4 vertical rebar placed at 48 inches o c max (wet set ok) with a 6 -inch "90- degree" "hook. A minimum of (2) vertical bars to be placed at front garage wall returns 27 Monolithically poured foundation systems Bottom of footing shall be 12' wide (min and extend to 24" below finished grade minimum Footing shall have either one #5 continuous horizontal rebar placed at center and 8" above bottom of footing or (2) #4 continuous horizontal rebar placed at center and in the middle third of the footing measuring vertically 3 1/2' minimum slab thickness When a monolithic system is used to support heated. spaces an R 10 insulation board must be installed on the outside of the foundation extending from bottom of footing to top of slab Exposed foam insulation above grade must be protected, from damage and sun with approved materials The material used must extend a minimum of 12" below grade 28 Basement Walls (up to 9 feet) or Stem Walls (over 5 feet) or STEPPED FOUNDATIONS There are special restrictions for this type of foundation wall under the new code In plan view the length of this type of wall cannot exceed 35 feet. For stepped foundations this wall cannot exceed 7 feet high otherwise the floor joists must connect DIRECTLY to the wall (for bracing the foundation wall) WET- SETTING IS NOT allowed for the alternating hooks into the footing There are special blocking requirements if any of these conditions cannot be met (note on the plans!) See R404 1 29 Under -floor pier pads supporting uniform load of wood framed floors shall be 18 "x 18" x 8" (min) Point loads from other than floor girders will require larger footings sized according to the concentrated load R403 1 1 30 Beams and /or girders in crawl space must meet span requirements for the loads imposed (from floor joists and from any point loads) R501 2 T Building /Handouts /Residential P Ian Review Guidelines (Rev 03- 18 -09) Page 3 of 8 47 Sawn lumber floor joists shall have 11/2 (min) bearing and shall lap 3 min at intermediate girders Engineered I-joists shall have 1 3/4 (min) bearing (or per manufacturer's specifications) 48. Floor joists that are parallel to bearing partitions shall be doubled Some heavier load cases will require girder beams or pony walls Bearing partitions perpendicular to floor joists shall not be offset from the supporting girder more than the depth of the joists unless the floor joists are of sufficient size to carry the load R502 4 49 Floor cantilever spans shall not exceed the depth of the nominal floor joists Floor cantilevers constructed in accordance with Table R502 3 3 (1) shall be permitted when supporting a light framed bearing wall and roof only R502 3 3 50 Block in between floor joists beneath all interior braced walls. (for walls perpendicular to joists) or align floor joist with interior braced wall (see item #63 -T) WALL FRAMING 51 Wall studs taller than 10 feet shall have a stud height analysis by a professional engineer or architect. Table R602.3 5 •52: Non -load bearing stud heights shall be in accordance with Table R602.3 (5) 53. Studs shall be a minimum #3 grade standard grade or stud grade lumber R602 2 54 Where joists trusses or rafters are spaced more than 16" o c and the bearing studs below are spaced at 24 o c such members shall bear within 5" of the studs below unless the top plates are double 2x6 or a third plate is added R602 3 3 55. Headers over windows and doors must meet minimum requirements for spans and imposed loads verify point loads over openings (from trusses or other conditions) and size headers accordingly Headers must be noted with size type and grade of lumber being used GENERAL NOTE STATING ALL HEADERS SHALL BE is acceptable 56 Interior bearing walls must have headers over openings and must be supported to a foundation 57 Top plate splices shall be offset a minimum of 24 inches R602 3 2 58. Fire blocking required at dropped ceilings soffits coved- ceiling areas and every ten feet horizontally and vertically at framed walls R602 8 59 Port Angeles is in Seismic Zone D1 Wind zone of 100 MPH Category C (within 1500 ft from shore line is Category D) per the 2006 IRC When a house is considered IRREGULAR by any ONE the definitions below the code will NOT allow prescriptive bracing for Seismic Zone C and the entire house must have a lateral analysis and design by a licensed engineer (R301 2 2 2 2) Per that section of the code. NO MIXING OF PRESCRIPTIVE AND ENGINEERED LATERAL SYSTEMS IS ALLOWED UNDER THIS NEW 2006 IRC. The following are items that constitute an IRREGULAR BUILDING per the 2006 IRC A. Exterior braced wall lines must be in one plane vertically from foundation to the uppermost story (basically the upper floor must match the lower floor footprint) The most common area where problems like this occur is in a garage with a second floor over it. To qualify for prescriptive bracing the second floor joists must extend to the exterior walls of the garage If this does NOT occur then your proposed house is IRREGULAR If the joists do extend to the exterior walls of the garage then the setback of the second floor walls cannot be more than four (4) feet setback from the garage walls T Building /Handouts /Resi,lential Plan Review Guidelines (Rev 03- 18 -09) Page 5of8 (see p. 44 of the 2006 IRC) Rooms created by roof trusses are OK under this provision (such as bonus rooms over garages formed by the trusses /rafters) B The pe imeter of all floor diaphragms and all roof diaphragms must be supported on WALLS below If you ha %e beams holding up any part of the perimeter of a floor or a roof then your proposed house is IRREGULAR The most common place you will find this problem is at large covered porches and patios where the roof is supported only by post and beams Such covered porches and patios also make the building IRREGULAR Related to this are areas of discontinuous diaphragms especially changes in plate line heights which also are considered as separate 'roofs and therefore make the building IRREGULAR. C In any elevation of the exterior the braced walls from an upper level wall must NOT occur over .a window or door In general this means that 'the windows of the upper story .must align with the windows of the lower story There are some exceptions based on up-sizing the header in the window below (ee 2006 IRC p 44 for details) D When an opening in a floor or roof (such as a balcony- overlook area or a courtyard area). exceeds the lesser of 12 feet or 50% of the least dimension then your proposed house is IRREGULAR E. When portions of a floor level are vertically offset (such as a sunken room) then your proposed house is IRREGULAR This 'does not apply to a slab- on- gradefloor F When braced wall lines do not occur in 'two perpendicular directions (such as 'portions of the house or garage at an angle to the rest of the building) then your proposed house is IRREGULAR. G If you have any portion of the above -grade walls that use masonry or concrete construction then your proposed house is IRREGULAR Stepped foundations that create a daylight basement situation are OK under this provision and do not make an irregular structure 60 THIS APPLIES TO ALL LATERAL BRACING (ITEMS 61 THRU 65). Add up all lengths of braced panels (4 foot brac panels 2 -8' alt. braced panels and 24 or 16' portal frames COUNT as 48' of length each portal frame counts as a total of 48' of bracing length —not 2 times 48 along .the wall in question The total length of braced walls must be at least 16% of the entire wall length AND the panels must occur at least every 25 feet along the wall For 1 story of 2 -story house 30% of the entire wall length must be braced walls Check this for all braced wall lines including INTERIOR WALLS and including the front wall of a garage if it is not part of another braced wall line .(i e the garage sticks out in front of the house more than 4 feet)- See also #65 T below for areas where MORE than 35 feet between wall lines is needed 61 Garage lateral bracing systems with no 2 floor above H Portal Frame for Garages (16" side panels 8 foot max. high walls 20" side panels 10'foot max. high walls) I Alternate Braced Walls— single -story condition (2' -8' min width X 10 foot max. height) sheathed on one side (interior or exterior OK) with Min 3/8" OSB or plywood and nailed with 8d common or galv box nails and blocked at all edges Two (2) anchor bolts in sill plate two (2) hold -down devices furthest S tuds (1800 pound capacity hold- downs) J Alternate Braced Walls —first floor of two -story condition (2' -8" min width X 10 foot max. height) sheathed on BOTH interior and exterior sides of wall' with min 3/8" OSB or plywood and nailed with 8d common or ,galv box' nails and blocked at all edges Two (2) anchor bolts in sill plate. two (2) hold down devices furthest studs (3000 pound capacity .hold-downs) There are some provisions for plate lines up to 12 feet high see Table R602 10 6 (basically a wider wall 3 -6' .min length for 12 feet high) K. Front Garage Panels —no hold -downs required L. The exterior braced wall lines in a detached or attached garage cannot be more than 35 feet apart in either direction or interior braced walls must be provided 62. 1 Floor Conditions Four (4) foot solid walls at all corners and at every 25 feet along any braced wall line OR use one of the methods below M Portal Fame for a House (slab -on -grade floors ONLY) 16" min width for one -story structures 24 min width foi first floor of 2 -story T Building /Handouts /Residential Pian Review Guidelines (Rev 0J 18 -09) Page 6 of 8 1 N Alternate Braced Walls— single -story condition (2' -8" min width X 10 foot max. height) sheathed on one side (interior or exterior OK) with min 3/8' OSB or plywood and nailed with 8d common or galv box nails and blocked at all edges Two (2) anchor bolts in sill plate two (2) hold -down devices furthest studs (1800 pound capacity hold- downs) O Alternate Braced Walls —first floor of two -story condition (2' -8" min width X 10 foot max. height) sheathed on BOTH interior and exterior sides of wall with min 3/8" OSB or plywood and nailed with 8d. common or galv box nails and blocked at all edges Two (2) anchor bolts in sill plate two (2) hold down devices furthest studs (3000 pound capacity hold- downs) There are some provisions for plate lines up to 12 feet high, see Table R602 10 6 (basically a wider wall 3 -6' min length for 12 feet high) P Simpson" Brand StrongWalls —this method is still available following all the manufacturer's. specifications for connections Q. Entire House Sheathed with OSB or Plywood —this method allows smaller side panels than 4 feet in accordance with Table R602 10 5 CHECK THE OPENING HEIGHTS ADJACENT TO THESE PANELS! 63 1 Floor Conditions Braced wall (any of the methods listed above) must start at no more than 1:2'5 feet away from the corner of the braced wall lines and then at every 25 feet (min) along the wall line 64 2 Floor Conditions Braced walls (either of the methods listed below) must be within 12 5 feet of the corner of the wall line in question R. Standard four (4) foot panels on 2 levels can start at no more than 12 5 feet away from the corner S Entire House Sheathed with OSB or Plywood —this method allows smaller side panels than 4 feet in accordance with Table R602 10 5 CHECK THE OPENING HEIGHTS ADJACENT TO THESE PANELS! 65. Exterior braced wall lines (or together with some interior wall lines) cannot be more than 35 feet apart. T Certain areas can be up to 50 feet apart between wall lines IF there is additional bracing along the exterior wall in question (50/35 1 43 more bracing than normally required or in other words 23% of the total wall in bracing for 1 -story wall 43% of the total wall in bracing for 1 story of a 2 -story house) R602 10 1 1 Exception 1 and 2 U Interior Braced Walls can be used when exterior) walls are more than 25 feet apart. Interior Braced Walls are minimum 1/2" GWB both sides of wall for a minimum length of 48 use 5d nails or screws at 7" o c Sole plate of wall must be attached to thickened slab footing (see item #22 above) with 1/2" anchor bolt 6' -0" o c or solid blocking (walls perpendicular to joists) or LINE UP JOIST with braced wall (walls parallel to joists) 66 The roof sheathing MUST nail into SOLID blocking and the block must connect to the double top plate either with clips or toe nailed (for blocks that are top beveled) with 8d 6' o c For ventilation use not more than two (2) 2' diameter holes BLOCKING MUST OCCUR AROUND ENTIRE PERIMETER OF ALL ROOFS Table R602 3 (1) This applies to all houses both engineered AND prescriptive bracing ROOF ATTIC 67 Truss drawings must show reactions of all girder trusses point loads onto headers must have headers sized accordingly point loads over 5000 lbs onto double -top plates must be checked for bearing capacity Use Simpson brand TBE4 or TBE6 as needed to spread the load 68 Truss bottom chord live load must be minimum of 10PSF (see Table R301 5) Trusses must .be sized for the roof coverings specified on the plans (concrete tile etc) and roof structure must be able to hold up the roof (beams headers etc sized for roof loads) R802 10 2 69 Ice Shield is required for roofs up to 6 12 (6 12 and over DO NOT require ice shield) R905 2 7 1 T Building /Handouts /Residential Plan Re yew Guide' ,es (Rev 03- 18 -09) Page 7 of 8 70 Attic ventilation must be provided at 1 /150 of the attic area or 1 /300 of the attic area if 50% of the venting can be 3 feet above the eave venting (roof jack vents are 49 sq in. /vent ridge vents at 12 sq in. /foot) R806 1 71 Attic mechanical equipment need light and switch near opening and electric outlet. Access opening to such mechanical equipment must be no further than 20 feet from equipment with 22" wide (min) walkway from access opening to the equipment. 72. Attic access required X 30" min and shall be in hallway or other readily accessible location. R807 1 MECHANICAL. 73. Appliances located in a garage or carport shall be protected from damage' from vehicles M1307 3 1 74 Gas appliances located in a garage shall be raised 18' min above finish. floor G2408 2 (305 3) 75 Ductwork that extends below grade (such as in the garage floor) shall be encased in 2" min concrete on all sides and bottom in addition .to the R -10 insulation foam board 603 8 IMC 76. Dryer exhaust ducts shall not exceed 25 feet in length The maximum length of the duct shall be reduced 2 5 feet for each 45- degree bend and 5 feet for each 90- degree bend Longer lengths in accordance with the manufacturer's listing will be allowed Screws shall not be, used to connect any dryer duct materials M1501 3 77 Flex duct connections to sheet metal transition ducts shall have the inner sleeve taped with approved materials p to securing the flex duct with a zip tie or similar fastener 304 IMC 78 Flex duct shall be supported every 4 feet and have no sag that exceeds 'h per foot. 79 All exhaust fan ducts shall be connected to the fan housing and termination fittings with a minimum of 3 sheet metal screws and be sealed with approved tape or mastic. 80 Exhaust fans required 50 cfm in bathrooms 100 cfm in kitchen 50 cfm min in laundry room and one fan sized for whole -house ventilation 302 2 2 WSVIAQ 81 Fuel- burning equipment shall not be installed in a closet, bathroom or a room readily usable as a bedroom 82. Water heaters must be secured to structure with straps around tank at 1/3 points to resist lateral displacement. M1307 2 PLUMBING 83 Cleanouts shall be installed on all sinks and at the upper end of all building drains including any horizontal drain branches greater than 5 feet in length from the main line A cleanout shall also be installed on the exterior of the house within 24 inches of the foundation Wall level with final grade and shall have a threaded type cap installed 84 30' min width for toilet and 24" clear space in front of toilet (UPC) 85. Water heaters pressure relief and the required drain pan shall have a drain that is 1/4 ID copper or cpvc material NO coil material shall be allowed per code and no reduction in the pipe shall reduce the ID of the material less than 3 Pex type is a coil material and is not allowed for this application 7 Build ng /Handouts /Residential Plan Review Guidelines (Rev 03- 18 -09) Page 8of8 Applicant Property Property Contractor Contractor's License PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply mew Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 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 Owner Owner's Address ,r-/7v L >s 7.711 icrt .44 4-.4.,/ o--1 Address -5 NABr7,t1-192f.ca 0630 135/ 0200 ra*Iouse garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove mother Q4_J, Existing (sq. ft.) Posed (sq. ft.) C //4t� 4J Expires G /2�,, V L.-Residential Multi family Commercial 5 G.. P2.0 5��.�, I 4 2C s G ra ?Ac, t- V C.nit p n,w C' (2 c c Phone Phone Phone a E -mail jZ_ Lot 2d For City Use Only Date Received Oq ermit# 35 1, ate Approved 36.6 -6 .4/ -4 c, s r 4 3[, 2 ci .I,4 i,,- -/d ...s ore? RNA/ Zoning ?(Z Industrial (Jo r c per sq ft. .CsIC� TOTAL VALUATION A I t 5 19 Total footprint of structures /a qg sq ft. T Lot size _6GB 2 sq ft. Lot coverage Z Cs ..1% Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage -2 `I, 8 \3x20 ParA∎n Pct. 7 1 vOSfside,wAlK 3105c 13 1 G53 662;7-- Max. height of proposed structures Es ft. Occupancy group of bedrooms S Will a lawn sprinkler system be installed? ,IJ Occupant load of full baths 2 Will a fire sprinkler system be installed? y Construction type of half baths I have read and completed this application and know it 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, and to obtain permits prior to working onprojects. D atecs-2. 4, Print Name ��-harzn Z". 4,. ,h, r Signature ;<1s T Forms /Building Division /Bldg Permit.doc �j(L— c 4,)i2�'z7 -s1 1 j A so09 1912, L i n dberg Rd VIII SIDE SETBACK 14 1" Lot Area 6632 Structure Footprint 1305 5F Living Area 1203 5F Lot Coverage 20% Roof Footbrint 150b 5F M1 —A 60.91' NT 350 5IDE SETBACK 6 1 SPECIAL BUILDING REQUIREMENTS HOUSE TO BE ENERGY STAR CERTIFIED 1^1HOLE HOUSE SPRINKLERS DRYINELL CAPACITY 196 CF BUILDING CONTINUOUSLY SHEATHED 5HEAR PANELS FOR NORTH AND SOUTH WALLS PRESCRIPTIVE PER 2006 IRG TABLE b 10.5 EAST INALL ENGINEERED TO ACCOMODATE PORCH FRONT DOOR AND FUTURE REMOVAL OF EAST UTILITY WALL TO ATTACH GARAGE SEE SCHEDULE 51 AND ATTACHED ENGINEERING CALCULATIONS TEMPERED GLASS REQUIRED IN BATHROOM WINDOW ATTIC VENTILLATION THROUGH CONTINUOUS RIDGE VENT AND VENTED SOFFIT ALL EXHAUSTS VENTED TO EXTERIOR OF BUILDING HEAT RECOVERY VENTILLATION REQUIRED 110 CFM INTAKE MIN 10' SEPARATION FROM ALL EXHAUSTS BATHROOM FANS 50 CFM VENTED THROUGH ROOF RANGE HOOD VENT FAN 15 1 10CFM r 0 CITY GOVERNMENT Site Information. Building Department Use Only Lot: ...?C) su4 U, f/S-4 .Address sib U, f/4 4 p n ,1, City' '7 ti AG S J State L.() A Zip 9 S 6 z Contact. /4, Phone 3 G f, a e —C3o de 9 Phone2 a 6 c) -6 f FAX ;3 Go es( 2&0 Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) y >C laiinnrla FaOttir nn,ir.�v 'W II Vtorior':: Exterior :Option,; r t Ar:ewP /Olo fin �oo r :p 3t Ceiling, Below: rBelow° r n oor� Vertical r Ov&het Q.Factor ,w .i's'. Grade:, Unlimited Group R 3 IV and R -4 0 35 0 58 0.20 R 38 R -30 R 21 R 21 R 10 R 30 R 10 Occupancies Only This Project complies with the following: 11 The project is a single family residence or duplex. 11 The project is a wood frame OR all of the insulation is interior or exterior of the framing. 1I All building components meet the requirements listed above 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 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes Location of the door taking this exception 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U- factor listed above Location of the door(s) taking exception Type of Heat Source n/ T:FormsiBuilding Division /Prescriptive Approach Simple Form PRESCRIPTIVE APPROACH- SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Permit Notes `Slab ora: w Please complete and return to Public Works Utilities Department Applicant Information Permanent service. Name and address of party responsible for permanent service billing? Contact Information Site contact: Contractor Electrician Excavator Project Type Ingle- family residence Commercial Overhead service underground service Project Information Street address lot number I Nearest cross street: Desired connection date Electrical Load Voltage Check all that apply No Load Change Name: //4 Street: 2 F a F es A 77 City State ZIP J,uCJ s Da time Phone (if other than above) Name cla2n C'`i'4,L,/icnr Title Lrxc c4 t Daytime Phone L a f_ c' 9Ao I Name /./ann, �n��t/7 Company' ///Td I Daytime Phone 1 7G� �a� cc�Y Name .77:7 ,r Company Daytime Phone Name Daytime Phone Existing Description of work: /44 Re-4 eC G D .0 /A, T,A n I 1JEC c3 Electrical transformer serving property is on a pole on the ground A/C ton) ajtlothes Dryer El Heater Supporting Documentation G42 Electrical Information Form Public Works Utilities Department (360) 417 -4700 City Electrical Inspector (360) 417 -4735 Home Phone :e,c).— 6 6/ _e p C 12 ci. ,4(.`..4 Z4 Company ,4" 'I Multi-family residence of units ❑Subdivision of lots ❑General service Other Total square footage /3o G sq ft. Main disconnect size 2 oo amps P120/240 1ph 0120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph Other Standard residential loads (Lighting refrigerator dishwasher washer) EI i ange /Oven Hot Tub P=leating g:I Pumps eAlp) Elevator Hp) Other 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 all motors over 5 hp Applicant's Signature Date MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360- 417 -4711 Information fo, n xls WS WF N ,PWVS\i..IG. ;ENGI= -•1tt ri als,infor on for 1 15 924 El 6 19P I C-271 0 100A c/o F 4UK 0 2P ft0 7 •2 ::-J 3F SECT CAB I 6 W/3-LBC4 J-35 2\ 6, 23 1009 1013 1912 z re'T' l \e i 19 4"PVC (Future 350 TPX PS 1-4 3"e_v_c i 16 U g rl 1/0 ALCN 17 J-2 Clallam County Assessor Treasurer Property Details 66752 HABITAT FOR HUMA Page 1 of 3 Clallam County Assessor Treasurer Property Search Results 66752 HABITAT FOR HUMANITY CL COUNTY for Year 2009 2010 Property Account Property ID Geographic ID Type Tax Area. Open Space: Historic Property' Multi- Family Redevelopment: N Location Address Neighborhood: Neighborhood CD• Owner Name Mailing Address. Taxes and Assessments Due 66752 1916 VILLAGE CIR PORT ANGELES WA 98362 Cycle 5 Res 10955130 Property Tax Information as of 12/10/2009 Amount Due if Paid on. Year 2009 2009 2009 2009 2009 2009 2009 2009 2009 2009 Statement ID 667522008 667522008 667522008 667522008 667522008 667522008 667522008 667522008 667522008 667522008 0630135702000000 Real 0010 PA 121 PORT ST CNTY H2 L N N 2009 667522008 TOTAL. $259.39 2008 667522007 ST SCH STATE SCHOOL $70 39 2008 667522007 CC -GEN COUNTY $34 06 2008 667522007 PORT PORT $4 98 2008 667522007 PORT ANG PORT ANGELES $73.35 2008 667522007 SD #121 SCHOOL DISTRICT #121 $82 10 2008 667522007 NTH OLY LIB NORTH OLYMPIC LIBRARY $9 90 2008 667522007 HOSP #2 HOSPITAL #2 $3 38 2008 667522007 FIRE_PATROL FIRE PATROL $8 95 Legal Description Agent Code Land Use Code DFL Remodel Property' Mapsco. Map ID HABITAT FOR HUMANITY CL COUNTY Owner ID' P 0 BOX 1479 Ownership PORT ANGELES WA 98362 Exemptions: First Second Half Half Base Base Taxing Jurisdiction Due Due ST SCH STATE SCHOOL $58 33 $58 32 CC -GEN COUNTY $29 53 $29 50 PORT PORT $4 18 $4 18 PORT ANG PORT ANGELES $64 76 $64 73 SD #121 SCHOOL DISTRICT #121 $72.13 $72.13 NTH OLY LIB NORTH OLYMPIC LIBRARY $8 58 $8 57 HOSP #2 HOSPITAL #2 $12.11 $12.10 FIRE_PATROL FIRE PATROL $8 70 $8 70 WEED CONTROL WEED CONTROL $0 82 $0 81 Admin Administrative Fee $0.25 $0.25 $259.29 $70 38 $34 05 $4 97 $73 33 $82.09 $9 89 $i 38 $8 95 Penalty $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 PENINSULA VILLAGE V15 P6 LOT 20 15A 28285 100 0000000000% Interest $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 Base Paid $116 65 $59 03 $8 36 $129 49 $144.26 $17 15 $24.2.1 $17 40 $1 63 $0 50 $0.00 $518.68 $0 00 $140 77 $0 00 $68.11 $0 00 $9 95 $0 00 $146 68 $0 00 $164 19 $0'00 $1.9 79 $000 $676 $0 00 $17 90 Amount Due $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 ht p. /vp• ail un net 8084 /prop�rtyaccess, P )perty aspx =0&0, ear 2009& ~oh td =6 12/1 U'2009 if 6.110, Arthitect 8.Q -Full Version [Penninsula Vilbge2.PLi Plan], 1.( ,ons 5T A-3 T�ls Wui goo6/").Egil...g. 0 L L- 1 it-kg 7 S1 :M.e 1.a. CAMP fl L 1 i' i CA13 ,Det Aaii V L E_J ,r,:. i 3068) T rL-g:-,„3"3 HOU Li tF 0 nc-1 k 4,A13, ss-r&I.L.f.tb DJ L 11Y-0 A I nvjo 4 1-1 Pairis Jj vv.5 6 co Co "'Mg ViLuli 4 IX uz_cpc eLAN)) fA-(-)°10g sr-Mow-0 rft-uss FL..)Tuvr-S &gift A 6g dikicti fyLoS ro Tc-{, 040-A. A40\kg toalt A55 ci-lec a'1°'c--' AVM D l iii MN VA ROI agairgie at 111111 OM": 01111 VORA' 41111 _.,ri. iir1t�11 a x($'1 sigiumm rp INWANN r,��rrr MUM 111•111111111111. 1rl�ri�i1 V m ain r IN rrrr 1 MI I 1 I VW ,f MOM H 11 OM 44.. f i/i 1 11111 ■rr as rrr rrrr _i►e ES I N. iIII 1 r�w 91113rr 7 f I Li el I 111111 rrrrr UMW 11 NaNNI r_, NOM i!iia "ram I CI 1 I i NM= 1 II�II I V /Lii y V eT I Li I I -I 1 itrei i! lr�i rrYM� ri!%!ai L�1 ass mar 1 111111 1 f a 1 rr��,��r�..� rrrrr rr rr_ "all" II r err I I r r �r rrrir>• ,111511 CM ill rrrr.!�. J r!1/riti� MR rrrr• r 1 r rr ®err Y rr►arrrrrrr 1�!►i� I Irlr r�r 1 I rrr _I J i I I I{ I I I I I I 11 I i l I I (I P If r7 1! i l I II11111I4iillll ■NFAI NNINEN /1G7/rlrrrrrrri' rrlli�i/J I I -III1 I I I 1 1p 1 111 1 11 1 1 1 1111 11 1 i 11 W4A 11111 1 I lit 1' 1 I I 11 111 III 1 11 II 1 III I I 1 II Ill 11 III II 1 111 II II II 111 111 1 1 1 11 11 11 Il 1111 1 II 11 1 1 I 11 11 I 1 1 1 11 it II 1 1 I I I Date Company Name Address City State File Location Basic Wind Speed(V) Structural Category Natural Frequency Importance Factor Alpha At Am Cc Epsilon Slope of Roof Ht Mean Roof Ht RHt Ridge Ht OH Roof Overhang at Eave= 2 Bldg Length Along Ridge Leeward Walls -0 48 Side Walls -0 70 Elev Kz ft 16 33 15 00 10 00 5 00 Note MECAWind Version 2 0 2 2 per ASCE 7 -05 Developed by MECA Enterprises Inc Copyright 2009 www.mecaenterprises com Wall 8/10/2009 Project No 09178 ZENOVIC ASSOCIATES Designed By SRH 301 EAST 6TH STREET SUITE1 Description SFR PORT ANGELES Customer Name HABITAT FOR HUMANITY WA Proj Location LOT 20 PENINSULA VILLAGE, PORT \Zen server \data \Active Projects \09178 HABITAT \ENGR \Structual \WIND LOADING wnd 0 86 0 85 0 85 0 85 Roof Location Kzt qz psf Windward Min Cp Windward Max Cp Leeward Perp to Ridge Overhang Top (Windward) Overhang Top (Leeward) Overhang (Windward only) 1 00 18 81 1 00 18 47 1 00 18 47 1 00 18 47 User Input 100 00 mph II N/A 1 00 9 50 0 11 0 15 0 20 0 20 5 12 12 17 ft 16 33 ft 00 ft 9 46 9 24 9 24 9 24 Cp +GCpi(pef) 0 27 0 22 0 60 0 27 0 60 0 80 MWFRS -Wall Pressures Parallel to Ridge 10 83 -4 18 14 32 -7 67 Data Structure Type Exposure Category Flexible Structure Kd Directional Factor Zg Bt Bm 1 Zmin Slope of Roof(Theta) Type of Roof Eht Eave Height Roof Area Cp +GCpi(paf) GCpi(psf) Figure 6 -6 External Pressure Coefficients Cp Loads on Main Wind -Force Resisting Systems(Method 2) MWFRS Wall Pressures Perpendicular to Ridge 36 00 ft Bldg Width Across Ridge= 40 00 ft Main Wind Force Resisting System(MEOW) Figure 6 -5 Internal Pressure for Buildings, GCpi Enclosed Bldg +GCpi 0 18 Enclosed Bldg -GCpi -0 18 Windward Wall Total Shear Moment +GCpi -GCpi -GCpi Kip K -ft 16 11 15 89 15 89 15 89 7 56 0 13 -12 75 24 9 42 12 56 20 29 20 06 20 06 20 06 1) Total Leeward GCPi Windward GCPi 2) Shear and Moment are sum of forces (Leeward +Windard) GCpi(psf) 0 91 6 78 6 10 4 24 9 42 12 56 0 97 0 65 4 58 10 32 8 19 30 80 11 81 60 32 acting on bldg Building C No 0 85 900 00 ft 1 00 0 65 500 00 ft 15 00 ft 22 61 Deg Gabled 8 00 ft 780 00 ft^ Wall Cp +GCpi(psf) GCpi(psf) Leeward Walls -0 50 Side Walls -0 70 16 33 0 86 1 00 18 81 9 46 15 00 0 85 1 00 18 47 9 24 10 00 0 85 1 00 18 47 9 24 5 00 0 85 1 00 18 47 9 24 Roof Dist from Windward Edge 0 0 ft to 6 1 ft 6 1 ft to 12 2 ft 12 2 ft to 24 3 ft 24 3 ft to 36 0 ft -11 18 -4 53 -14 32 -7 67 Elev Kz Kzt qz Windward Wall Total Shear Moment ft pef +GCpi -GCpi -GCpi Kip K -ft 16 11 15 89 15 89 15 89 0 90 -17 46 0 90 -17 46 -0 50 -11 18 0 30 -8 04 20 64 20 41 20 41 20 41 10 81 10 81 4 53 1 39 1 10 5 18 9 26 13 34 0 73 11 67 34 82 68 18 Note 1) Total Leeward GCPi Windward GCPi 2) Shear and Moment are sum of forces (Leeward +Windard) acting on bldg Cp +GCpi(paf) GCpi(psf) A U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT I B TYPE OF LOAN 4• 1 FHA 2 ]FMHA 3 ]CONV UNINS 4 ]VA 5 ]CONV INS [X]Cash (6) 6 FILE NUMBER 7 LOAN NUMBER Final 01093256 18 MTG INS CASE NO C NOTE This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "p.o.c.') were paid outside the closing: they are shown here for information purposes and are not included in the totals. D NAME OF BORROWER HABITAT FOR HUMANITY ADDRESS 728 E FRONT ST PORT ANGELES, WA 98362 E NAME OF SELLER OLYMPIC VIEW PARTNERS LLC ADDRESS 2815 TOWNSGATE RD STE 330, WESTLAKE VILLAGE, CA 9 SELLER TIN F NAME OF LENDER ADDRESS G PROPERTY LOCATION 06- 30 -13- 570200 LT 20 PENINSULA VILLAGE LOT 20, PENINSULA VILLAGE H SETTLEMENT AGENT OLYMPIC PENINSULA TITLE CO ADDRESS CLOSER KAREN WAHLSTEN PHONE NUMBER SETTLEMENT AGENT TIN 91 1167753 PLACE OF SETTLEMENT OLYMPIC PENINSULA TITLE CO PHONE NUMBER I SETTLEMENT DATE ADDRESS 319 -A S PEABODY Closing date 06/22/09 PORT ANGELES, WA 98362 Proration date 06/22/09 J SUMMARY OF BORROWER S TRANSACTION K SUMMARY OF SELLER S TRANSACTION 100 GROSS AMOUNT DUE FROM BORROWER. 1 400 GROSS AMOUNT DUE TO SELLER. 101 Contract sales price I 44,000 00 1 401 Contract sales price 44,000 00 102. Personal property 402. Personal property 103 Settlement charges to borrower(line 1400) I 214 09 1 403 104 I 1 404 105 11 405 Adjustments for items paid by seller in advance: Adjustments for items paid for seller in advance: 106 City /town taxes to 107 County taxes 06/22/09 to 07/01/09 108. Assessments to 109 110 111 112. 303 CASH f FROM/ f TOI BORROWER. Seller I 406 City /town taxes to 12 79 1 407 County taxes 06/22/09 to 07/01/09 I 408. Assessments to I 409 410 411 I 412. 120. GROSS AMOUNT DUE FROM BORROWER. 420. GROSS AMOUNT DUE TO SELLER 44,226 88 200 AMOUNTS PAID BY OR IN BEHALF OF BORROWER. 500. REDUCTIONS IN AMOUNT DUE TO SELLER. 201 Deposit or earnest money 1,000 00 501 Excess deposit(see instructions) 202. Principal amount of new loan(s) I 502. Settlement charges to seller(line 1400) 203 Existing loan(s) taken subject to 1 503 Existing loan(s) taken subject to 204 ADD'L DEPOSIT TO ESCROW FUNDS TO CLOSE 43,226 88 1504 Payoff of first mortgage loan WESTSOUND BANK 205 1 505 Payoff of second mortgage loan 206 506. 207 507 PROPERTY TAXES 1ST 1/2 2009 PEN /INT 208. 508. 209 509 Adjustments for items unpaid by seller Adjustments for items unpaid by seller: 210. City/town taxes to 510. City/town taxes to 211 County taxes to 511 County taxes to 212. Assessments to 512. Assessments to 213 513 214 514 215 515 216 516. 217 517 218. 518. 219 519 220. TOTAL PAID BY /FOR BORROWER. 520. TOTAL REDUCTION IN AMOUNT 44,226 88 300. CASH AT SETTLEMENT FROM /TO BORROWER. 1 600 CASH AT SETTLEMENT TO /FROM SELLER. 301 Gross amount due from borrower(line 120) 44,226 88 1 601 Gross amount due to seller(line 420) 302. Less amounts paid by /for borrower(line 220) I 44,226 88 1 602. Less total reductions in amount due seller(line 520) 603 CASH f TO] f FROMI SELLER. 0 00 12 79 44,012 79 4,347 99 39,379 53 285 27 44,012 79 44,012 79 44,012 79 0 00 SUBSTITUTE FORM 1099 SELLER STATEMENT The information contained in Blocks E,G,H and I and on line 401 (or, if line 401 is asterisked, lines 403 and 404) is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. SELLER INSTRUCTION -If this real estate was your principal residence, file Form 2119 Sale or Exchange of Principal Residence, for any gain, with your income tax return; for other transactions, complete the applicable parts of Form 4797 Form 6252 and /or Schedule D (Form 1040). You are required by law to provide Olympic Peninsula Title Company with your correct taxpayer identification number If you do not provide Olympic Peninsula Title Company with your correct taxpayer identification number, you will be subject to civil or criminal penalties. Under penalties of perjury I certify that the number shown on this statement is my correct taxpayer identification number. 4/S LDI File .01091256 L. SETTLEMENT CHARGES Final 700. TOTAL SALES /BROKER'S COMMISSION Based on 44, 000 00 Division of Commission (line 700) as follows: 701 $3,080 00 702. to 703 Commission paid at settlement 704 800. ITEMS PAYABLE IN CONNECTION WITH LOAN 801 Loan Origination fee 802. Loan Discount 803 Appraisal fee 804 Credit Report 805 Lender's inspection fee 806 Mortgage Insurance application fee 807 Assumption Fee 808. 809 810 811 812. to 900. ITEMS REQUIRED BY LENDER TO BE PAID IN ADVANCE. 901 Interest from to O$ 902. Mortgage insurance premium for 903 Hazard insurance premium for 904 905 1000 RESERVES DEPOSITED WITH LENDER 1001 Hazard Insurance 1002. Mortgage insurance 1003 City property taxes 1004 County property taxes 1005 Annual assessments (Maint.) 1006 1007 1008. 1009 Aggregate Reserve for Hazard Flood Ins, City County Prop Taxes, Mortgage Ins. Annual Assessments 1100 TITLE CHARGES 1101 Settlement or closing fee to OLYMPIC PENINSULA TITLE CO 1102. Abstract or title search to 1103 Title examination to 1104 Title insurance binder to 1105 Document preparation to 1106 Notary fee to 1107 Attorney's fee to to (includes above items No. 1108. Title insurance to OLYMPIC PENINSULA TITLE CO (includes above items No. 1109 Lender's coverage 1110. Owner's coverage 44,000 00 175 00 1111 ESCROW FEE SLS TAX to OLYMPIC PENINSULA TITLE CO 1112. to 1113 OWNER'S PLCY SLS TAX to OLYMPIC PENINSULA TITLE CO to 1114 1200. GOVERNMENT RECORDING AND TRANSFER CHARGES 1201 Recording fees: Deed 44 00 Mrtg Rel. 1202. City/county tax /stamps: Deed Mrtg 1203 State tax /stamps: Deed Mrtg 1204 EXCISE TAX CLALLAM COUNTY TREASURER 1205 1206 RECONVEYANCE /PROCESSING FEE 1300. ADDITIONAL SETTLEMENT CHARGES 1301 Survey 1302. Pest inspection 1303 FEDERAL EXPRESS HANDLING FEE 1304 1305 to to to to to to to to to mo. to yrs. to yrs. to to COLDWELL BANKER UPTOWN REALTY mo. mo.@$ mo.@$ mo.@$ mo.@$ mo.@$ mo.@$ mo.@$ to to to WESTSOUND BANK 7 00 /day per mo. per mo per mo. per mo. per mo. per mo. per mo. per mo. to to to OLYMPIC PENINSULA TITLE CO to to 1400 TOTAL SETTLEMENT CHARGES (entered on lines 103, Section J and 502, Section K) CERTIFICATION I have carefully reviewed the HUD -1 Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction. I further certify that I have received a copy of HUD -1 Settlement Statement. Borrowers Sellers The H D -1 Settlement Statement which I have prepared is a true and accurate account of this transaction. accor nce with this stater 1/'/ I 1 Settlement Agent I 1 Date PAGE PAID FROM BORROWER'S FUNDS 3,080 00I AT SETTLEMENT 197 50 16 59 214 09 2 OF OMB No 2502 0265 PAID FROM SELLER'S FUNDS AT SETTLEMENT I have caused or will cause the funds to be disbursed in WARNING• It is a rime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18: U.S Code Section 1001 and Section 1010. 3,080 00 197 50 175 00 16 59 14 70 44 00 788 20 7 00 25 00 4,347 99 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Temp pole Owner Habitat for humanity clallam P 0 Box 1479 PORT ANGELES (360) 681 6780 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 150680 72 50 7/29/09 1/25/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000738 Date 7/29/09 213410 1 11 3 U_.A4rc-- —4' 06 30 13 5 7 0310 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor OWNER ELECTRICAL TEMPORARY SERVICE DATE Plan Check Fee Valuation Qty Unit Charge Per 1 00 72 5000 ECH EL -TEMP SRV 0 200 SRV FDR Charged Paid Credited Permit Fee Total 72 50 72 50 00 Plan Check Total 00 00 00 Grand Total 72 50 72 50 00 Due 00 00 00 RESULTS 8/7)/09 AV S (oc7 00 0 Extension 72 50 Signature of owner or Electrical Contractor X Date INSPECTOR. JUL /21 /2009 /TUE 07 42 AM DEPT OF COMM DEV Owner Information Name' iIAIDTAT FoP..NUww tv (4.1A u. Mailing Address: _Po 13ox M City �'A State. wx Zip. 9R7 bZ- Phone: GK I 6,71+1) Fax: 60 47 O License Exp Lc) Unit Charge 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 60.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Signature of owner electrical contractor of electrical administrator Date: P 3 L>CLC 'IVrrze..- RECEIVED JUL 28 2009 City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East FiRh Street- P.O. Box 1150 Port Angeles Washington, 98382 Ph: (360) 417-4735 Fax: (360) 4174711 Date: 7 Z Z- 09 S.1 2 Single Family Dwelling Multi- Family or Commercial`' Commercial Addition f Alteration I Remodel !Repair* Plan Review May Required, Please Complete Electrical Plan Review Information Sheet Job Address: FU LtLL-A4. l2 Building Square Footage: al 50 Description of above S itJC FAwn r.SY Dw t= LL. ELECTRICAL INSPECTIONS Contractor Information Name Mailing Address: City Phone: License Exp. Cash Check Credit Card State. Zip: Fax: Total (Qtv Multiplied by Unit Charge) Service /Feeder 200 Amp. Service /Feeder 201.400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit S 'SU Temp. Service/ Feeder 200.Amp, Temp. Service/Feeder 201400 Amp. Temp. ServicelFeeder 401-600 Amp 5 Temp. Service/Feeder 601 1000 Amp. Portal tor Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuii/ Limited Energy Multi-Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub' Thermostat 72_5 Total P 001 /004 Owner as defined by RCW 19.28,251 (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 !ease. After reading the above statement, 1 hereby certify that 1 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 296.4613, The City-of Port Angeles Municipal Code, and Utility Specifications. c c0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Temp pole Owner Hbitat for Humanity Clallam Co P 0 Box 1479 PORT ANGELES WA 98362 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 09 00000669 542232 1916 VILLAGE CIR 06 30 13 5 7 0200 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor KIRSCH ELECTRIC INC P 0 BOX 3396 SEQUIM (360) 683 6819 ELECTRICAL TEMPORARY SERVICE 149674 72 50 7/07/09 1/03/10 Qty Unit Charge Per 1 00 72 5000 ECH EL TEMP SRV 0 200 SRV FDR Charged 72 50 00 72 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Paid Credited 72 50 00 72 50 Plan Check Fee Valuation 00 00 00 Date 7/07/09 WA 98382 DATE RESULTS 0 0 0 Extension 72 50 Due 00 00 00 GRA /-111-l_K_p 1 4 4P Signature of owner or Electrical Contractor X Date 1 Div NIT 1 INSPECTOR. City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street –P.O. Box 115D Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (3 417 -4711 Dale: 7 i. 0'1 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Lo -r 4 2 P. Ertwt,.;u Viu rat- •V tt..raG` Alva thi-L-p Building Square Footage: It'll) ea Description of above Ow s SlA►L r- ra...��y a /INA V ILL/al- \N✓% -I Owner Information Mailing Address: Po cSoyc 14 City, PA, State: `era Zip: a l trf (.2.. Phone: b rs l C. k a Fax: 4--- fa......z License Exp. 9 z Lc Name: NA ststa r Fon_ Unit. Charoe 93.75 $113.75 $160.00 $205.00 $291.25 2.00 $5'.50 2.00 7Z50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 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, hereby certify that 1 am the owner of the above named property or a licensed electrical contractor I am making the electrical Installation or alteration in compliance wit: the electrical laws N.E.C. RCW Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical ct ninistrator X Date. P 7 d 1.29919909£1. RECE VED JUL 6 2009 ELECTRICAL INSPECTIONS Total (Qty Multiplied by Unit Charge) Contractor Information Name. KrtR t ELk:c.1 t/AC,. Mailing Address: 'S S. "Satz. ffs City 5..4T1/4).m•. State: Zip: '\X Ilk Phone: tea 4 Fax: a G`l License Exp Ktasc.v. 1 o3z a v.l Service/Feeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp. Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit 7 2.--50 Temp. Service/ Feeoer 200 Amp. Temp. Service/Feeder 201 -400 Amp, Temp. Service/Feeder 401 -600 Amp. Temp. Service/Feeder 601 1000 Amp. Portal td Portal Hourly Sign /Outline lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy. Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Fl. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hol Tub Thermostat Total Cash Check O Credit Card G i1ueu.go8 eoAoN 0 d60:1.0 60 90 Inf