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HomeMy WebLinkAbout2435 Samara Dr - Building "'^^'c CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 32) EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 08- 00001044 Date 9/04/08 Application pin number 806512 Property Address 2435 SAMARA DR ASSESSOR PARCEL NUMBER: 06-30-01-5-9- 0230 -0000- Tenant nbr, name ECO -GREEN BUILDERS, INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 170412 Application desc 1,788 SF SFR, 344 SF GAR, 356 SF PORCH, 128 EQ RM Owner Contractor WERNER J NANCY D BEIER NORTHWEST TIMBERLAND HOMES 145 VIEWCREST AVE P.O. BOX 3028 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417 -0626 (360) 417 -0626 Structure Information 000 000 1,788 SF SFR, 344 ATT /GAR, 356 SF PORCH Other struct info TOTAL LOT COVERAGE 15.00 NUMBER OF STORIES 2.00 LOT SIZE 9803.00 PROPOSED LOT COVERAGE 1473.00 TOTAL LOT COVERAGE 1473.00 NUMBER OF UNITS 1.00 Permit BUILDING PERMIT RESIDENTIAL Additional desc NEW SFR Permit pin number 132829 Permit Fee 1417.85 Plan Check Fee 283.57 Issue Date 9/04/08 Valuation 170412 Expiration Date 3/03/09 Qty Unit Charge Per Extension BASE FEE 1020.25 71.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 397.60 Permit MECHANICAL PERMIT Additional desc Permit pin number 132837 Permit Fee 100.30 Plan Check Fee .00 Issue Date 9/04/08 Valuation 0 Expiration Date 3/03/09 Qty Unit Charge Per Extension BASE FEE 50.00 4.00 7.2500 ECH ME -VENT FAN 29.00 2.00 10.6500 ECH ME -OTHER APPL. N/R 21.30 Permit PLUMBING PERMIT Additional desc Permit pin number 132852 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 provisi ns of any tate r local law regulating construction or the performance of construction. 047 E I g .7 86 C: Date Print Name Signatur o Contract or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit (05 /13 /08).wpd BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT Il's SEPA: PARKING /LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 08- 00001044 Date 9/04/08 Application pin number 806512 Permit Fee 142 00 Plan Check Fee .00 Issue Date 9/04/08 Valuation 0 Expiration Date 3/03/09 Qty Unit Charge Per Extension BASE FEE 50.00 9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 63.00 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1.00 7.0000 ECH PL- EA.WATER HEATER 7.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" August 28, 2008 5:53:02 PM sroberds. The proposal will result in a new sfr in the RS -9 w /attached garage, porch, deck,and equipment room for a total of 15% lot coverage. Side setbacks are a minimum of 8' in the RS -9 zone. When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. EROSION SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway to City Standards. Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. August 26, 2008 10:47:56 AM rbecker. Backflow assemblies are required on closed fire system but no on open fire system. If you have any questions call Ron Becker at 417 -4886 or e -mail at 452 -4972. Other Fees RES UNDERGRND SERVICE FEE 713.00 SEWER SYSTEM DELV CHARGE 1125.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1265.00 Fee summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit (05 /13 /08).wpd BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW WATER AIR SEAL WALLS I I CEILING ll FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT il's SEPA: PARKING /LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING u..:.._ _r _._m..- u:._._ n____:. inch mu� a CITY OF PORT ANGELES /'Vs. DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 3 Application Number 08- 00001044 Date 9/04/08 Application pin number 806512 Permit Fee Total 1660.15 1660.15 .00 .00 Plan Check'Total 283.57 283.57 .00 .00 Other Fee Total 3107.50 3107.50 .00 .00 Grand Total 5051.22 5051.22 .00 .00 4R Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit (05 /13 /08).wpd BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES. CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS. C> PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE 19 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS Cj YES I NO FOUNDATION: 1-2--)_ q �L1.� Reb p ar l -tg-o p L 31-c- FOOTINGS I'LL- UV*<6,42r5I&,1 Q� g'd�I ZLL SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR /SLAB j_Za_o q L-Le" ROUGH -IN 9 10 -37 WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW WATER\ AIRSEAL -5_ to L-L- WALLS CEILING k/ >t FRAMING I 10 !r(- u erf l D Tu— JOISTS GIRDERS (1") refrilhln j v ick.It 12--2-&-0 "�t�L SHEAR WALL/HOLD DOWNS L� WALLS ROOF CEILING min U 2 5-' O 3 DRYWALL (INTERIOR BRACED PANEL ONLY) J T -BAR INSULATION Z- 16--10 r (ro covve CicJpT so f4 H s SLAB I .1 Cth Z -23-10 (-1.- WALL FLOOR CEILING I 75- MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD DUCTS I 1 MANUFACTURED HOMES Q� FOOTING SLAB s -do" J� BLOCKING HOLD DOWNS SKIRTING 7 PLANNING DEPT. SEPARATE PERMIT Il's SEPA: PARKING /LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSI'ECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT. 417 -4735 ELECTRICAL LIGHT DEPT (n CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4807 1211, CONSTRUCTION /ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING O F pORT,k 9 CITY OF PORT ANGELES If PUBLIC WORKS UTILITIES DIVISION 1 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 08- 00001044 Date 9/04/08 Application pin number 806512 Property Address 2435 SAMARA DR ASSESSOR PARCEL NUMBER: 06-30-01-5-9- 0230 -0000- Tenant nbr, name ECO -GREEN BUILDERS, INC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9.RESDNTL SINGLE FAMILY Application valuation 170412 Application desc 1,788 SF SFR, 344 SF GAR, 356 SF PORCH, 128 EQ RM Owner Contractor WERNER J NANCY D BEIER NORTHWEST TIMBERLAND HOMES 145 VIEWCREST AVE P.O. BOX 3028 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 417 -0626 (360) 417 -0626 Structure Information 000 000 1,788 SF SFR, 344 ATT /GAR, 356 SF PORCH Other struct info TOTAL 6 LOT COVERAGE 15.00 NUMBER OF STORIES 2.00 LOT SIZE 9803.00 PROPOSED LOT COVERAGE 1473.00 TOTAL LOT COVERAGE 1473.00 NUMBER OF UNITS 1.00 Permit DRIVEWAY INSTALLATION Additional desc Permit pin number 133413 Permit Fee 170.00 Plan Check Fee .00 Issue Date 9/04/08 Valuation 0 Expiration Date 3/03/09 Qty Unit Charge Per Extension BASE FEE 170.00 Permit PUBLIC WORKS RES WATER SERV Additional desc 5/8" DROP IN WATER METER Permit pin number 133439 Permit Fee 200.00 Plan Check Fee .00 Issue Date 9/04/08 Valuation 170412 Expiration Date 3/03/09 Qty Unit Charge Per Extension BASE FEE 200.00 Permit RIGHT OF WAY Additional desc Permit pin number 133447 Permit Fee 50.00 Plan Check Fee .00 Issue Date 9/04/08 Valuation 170412 Expiration Date 3/03/09 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. at/1‘2e 4 -4e Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies \1102.15R 1 /05] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO- COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE r INSPECTION TYPE DATE ACCEPTED NO COMMENTS I YES PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB 84 GUTTER' DRIVEWAY APPROACH BACK -FLOW DEVICE to FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL rt DATE ACCEPTED CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4807 PW /ENGINEERING EIRE 417 -4653 FIRE DEPT: PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T:\Policies \I102.15R [1 /05] Op pORT,V,,Q CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 08- 00001044 Date 9/04/08 Application pin number 806512 Qty Unit Charge Per Extension 1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 133454 Permit Fee 120.00 Plan Check Fee .00 Issue Date 9/04/08 Valuation 170412 Expiration Date 3/03/09 Qty Unit Charge Per Extension 1.00 120.0000 EA SAN SEWER HOOKUP 120.00 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. A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" August 28, 2008 5:53:02 PM sroberds. The proposal will result in a new sfr in the RS -9 w /attached garage, porch, deck,and equipment room for a total of 150 lot coverage. Side setbacks are a minimum of 8' in the RS -9 zone. When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. EROSION SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway to City Standards. Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way. Broom finish only. An inspection by Public Works Engineering is required prior to pouring concrete. August 26, 2008 10:47:56 AM rbecker. Backflow assemblies are required on closed fire system but no on open fire system. If you have any questions call Ron Becker at 417 -4886 or e -mail at 452 -4972. Other Fees RES UNDERGRND SERVICE FEE 713.00 SEWER SYSTEM DELV CHARGE 1125.00 STATE SURCHARGE 4.50 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 T:\Policies \1102.15R [1/05] PERMVIIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS., PLEASE PROVIDE A MINIMUM 24 HOUR■IOTICE..IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK.BEFORE 7NSPECTED'AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM': SITE DRAINAGE SITE EROSION CONTROL PARKING S IDEWALK CURB GUTTER`. DRIVEWAY APPROACH BACK FLOW. DEVICE 1 I S FINAL INSPECTIONSREQUIRED PRIOR TOOCCUPANCY[USE RESIDENTIAL DATE 'YES` NO DATE w. q.i .`S� .n .MIF l CONSTRUCTION R W CONSTRUCTION R W ENGINEERING 4174807 PW ENGINEERING 417 -4653 FIRE: PLANNING. DEPT' 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING 6 T \Policies M„ OF pORT,k,C/ CITY OF PORT ANGELES 1i T. F F N PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 3 Application Number 08- 00001044 Date 9/04/08 Application pin number 806512 Other Fees PW WATER SYSTEM USE FEE 1265.00 Fee summary Charged Paid Credited Due Permit Fee Total 540.00 540.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 3107.50 3107.50 .00 .00 Grand Total 3647.50 3647.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies \1102.15R [1/05] PERMIT INSPECTION RECORD may CALL 417 -4807 FOR UTILITY INSPECTIONS,, PLEASE P ,N ROVIDE A MINIMUM 24 HOUROTICE. IT IS UNLAWFUL TO COr'ER;' INSULATE OR CONCEAL ANY WORK BEFORE INSPI CTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION:' KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE r INSPECTION TYPE DATE ACCEPTED YE I COMMENTS S NO PW UTILITIES (Engineering Division) WATERLINE /.METER E WER S CON SANITARY STORM SITE:DRAINAGE SITE EROSION :CONTROL PARKING SIDEWALK 1 CURB GUTTER DRIVEWAY•APPROACH BACK -FLOW DEVICE }i r l k F S. FINAL INSPECTIONS REQUIRED PRIOR OCCUPANCY/USE t 1 R ESI 1 DENTIAL� DATE YES NO COMMERCIAL DATE= '.ACCEPTED 1 G CONSTRUCTION R W PW t, CONSTRUCTION R W ENGINEERING 417 -4807 PW ENGINEERING FI i -°,y'-''''.'.:-.,4:,•1-:,` 417-4653: FIRE PLANNING DEPT 417 -4750 PLANNING DEPT. BUILDING' 417 -4815 BUILDING T \Policies\1102,15R [1 /05J NOTES 6.rg-l° T� v1r �-1 Q6 1°L1 J ob. 9 e� c ,,,t ctfr Permit# did w0crf:4 stnoulc.n-t- haw. 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JUL 1 7 2009 q OTY OF sULING PORT ISIO 1 0 l 1\ vA\ d1 -01'(')"") „,c Fr, BUILDING PERMIT APPLICATION Print in ink s gc,,,,' CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received 321 E. Fifth St., Port Angeles, WA 98362 Permit 3 3 o (360) 417 -4815 fax (360) 417 -4711 Date Approved IWO/ i Applicant or Agent CO q a)va RS 1 oo Phon•', 1 r vi'a Property Owner 11 Phone s v"F 5 Property Owner's Address t'�,O,' .02A e, A t,c.r,#� c[g3cZ s t Contractor /Engineer 61,13 'T'i M.gt3D f-fcrk Phone 4417- Z.lo Contractor /Engineer's Address 6AI+ Pk /FAG License Noll-[( -1 ©3313t -1 Expires 20 (b PROJECT ADDRESS -4 s •P•sPiN t \J Parcel Number 063 0 011 0130 Lot 2-3 Zoning Project Type Brief Description: Residential Commercial Multi- family Industrial Check all that apply „Aew Construction 1��� (Gr /S t PS 001.3 4TAG (13 SF Addition $1 21J0$ Remodel P Torn 1-This e 1r has -We, scLme u r ctet+ o n a.s }he p I Repair -,r For mlf 4K 0 8,_ 2,395 that wa,s F reti kA s i3 Planned--4-o be, 6u Z H- iye.p. Re -roof Demolition o 1 h1_ k d< co Li\ c,han,3e_x 0 gip 4he. 5 .9P wa etx s 4v;11 ID Heat System Heat pump wood- burning stove gas fireplace pellet stove4her �4 -7 4. ,2-Other (Z 1-cJ L 7 T�j Cr Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement .7 2i5 g per sq. ft. ,..71 1 Floor 60 OS 10 100 2nd Floor 3 Floor Garage 16 3 z 57,4) ax- t-ex►ds 344 3® 10, 3z-0 p Carport Ve ovnd k. Covered Porch 56 12 621Z, Deck 3 O0 12- 3,‘,04:9 Shed 0-1 Other COCOtd' So 3 10(0+3 -56 51 C�'-9�' 1 �1�3 k�' Q��g oT�tL�ALUATION 1 l� C Total footprint of structures sq. ft. -Lot size s sq. ft. Lot coveraglo A 6 1 g03 15.0 3 Max. height of proposed structures 2— ft. Occupancy group of bedrooms 34 IA Will a lawn sprinkler system be installed? Occupant load of full baths 2.- Will a fire sprinkler system be installed? -'.Pb Construction type 1L,0 S IP5 of half baths 1- 1 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 ont -r) projects. p A t j� r 6 Date 12 +00 Print Name �6�7/��41! Signature z C T Forms /Building Division /Bldg Permit Appl. -2006 Code.doc T VN (2 V% C 3' t g v_. 1 PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information: Building Department Use Only: Lot: "Z3 Permit og f�y Address: 435 1 —A D Notes: City: P State: f c>A Zip: g4,2— Contact: `gAe.)J' TA Phone: 4& -33 t3 Phone 2: A 1 r) FAX: t, l Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Wall Wall Wall Glazing Glazing U- Factor Door Vaulted Interior Exterior Stab on, Option Area /o of Vertical Overhead F ctor Ce�hng Ceiling Grade Below `Below. Floor Con'c`rete F Unlimited III Group R -3 0.40 0.58 0.20 R -38 R -30 R -21 R -21 R -10 R -30 R -10 Occupancy Only This Project complies with the following: I/ The project is a single family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed in Table 6 -1, Option II1. The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 1. One door, that is 24 ft. or less, that does not meet the standards allowed. Location of the door taking this exception: 602.6 Exception 2. Doors with a U- Factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking exception: Type of Heat Source: RAD f w 2 411.0e,/, S ab 121 'viz' a d Vi a" 120 A Iry Y J J :.''''''''''Nr.,-,,,s,,,,,,,,,, 44 1 9 1 40424 A 243 "fir "T''as a aw r eeee c y 40 De, bui 10 74 2A i eyr P erel bm► i P 1u 5 y y s �S VWA Ja .r,+ vAF�'7 4 '4� N i n R e a Prop s� �'A® lac t r��� ...11-: '''t qt01 N*' b�;,M N G e ::1`1:'‘ a:‘:;, 1 0;2,1 1 A w ,',',4,1274:.:44. ,t.,,,,,,6.1._,,, i w, s. Mm .a'�.a,. a e 4 k k 7 A ice' ,�y tr --..„.4,'N). A.: r lu H1'JON 1 2i73f0d O I I Imo I sLr> �niva -1 341S .9-d I m 1Jf�ITfl 1 o N _.°g w g- N3! OD I I j. b �MJ vi P j 3 Pi Q I o j O ii 1i W I 3OIS.9; CU :iii: O I m I CO (IS Z al Ct CU ell O L V- M V (NI 0 1 a..+ N 0 w cU ce N z Electrical Service Information Form Public Works Engineering Department (360) 417-4700 Please complete and return to Public Works Engineering Department ApplicantinforMation Permanent service: Name: 6V--J GO i L.--te---G t- 1 1 Name and address of party Street: O. R oic •goz.- responsible for permanent City State ZIP: e (.9....Y\ RO) service billing? Daytime Phone: 3e) Home Phone: Contact .Information (if othertharrabove) Name: ----r-rivo3f\---om,‘-,Thet_. Title: '9011-1)1-A- Site contact: Daytime Phone: 4 &,c) 3 3 Name: 11 Company: 1-3 -U 1 --4-•- er- 4- Contractor: Daytime Phone: Name: ..1/.4. Company: Electrician: .5-- Daytime Phone: A c.) Lo Namei-A-S •bk-3 eg- R;) Company: AT 1) 3e, 0_, Excavator: Daytime Phone: f3e Project Type 2 Single-family residence EjMulti-family residence; of units 0 Commercial 0Subdivision; of lots 0 Overhead service 71-E t-7. r OGeneral service ):216nderground service tki.C1. Arti C-L-P-,202.. Li Other: PrOject Information Street address lot number: L-07 2,3 -5po L CF-A 5 Dg--) Nearest cross street: ii6 d 4_, 1 3"rAl Desired connection date: Electrical transformer serving property is: Hon a pole r eron the ground Electrical Load Total square footage: 17-33 sq. ft. Main disconnect size: 00 0 amps v oltage: Z120/240 1ph E1120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph El Other Prgtandard residential loads (Lighting, refrigerator, dishwasher, washer) D A/C FLA) ZRange/Oven 0 Hot Tub Check all that apply: „Zolothes Dryer ,Heating 21 1 Hp) ,121 Heater 0 Elevator Hp) E Other Supporting Documentation- 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 50hp. l Applicent s Signature: ''''T.- Date: 7 14 MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 93362 FAX TO: 360-417-4709 EMAIL rlarsoncityofpa.us WS Inform,nnn form nv 1 :-M1 f IF,;( `1.:';1 '1- Parcel Lookup Page 1 of 1 Parcel Number 0630015902300000 Site Address: Print Quit 1 Back Taxpayer: BEIER WERNER J /NANCYD 145 VIEWCREST AVE PORT ANGELES, WA 98362 -6950 Title Owner: BEIER WERNER J /NANCYD 145 VIEWCREST AVE PORT ANGELES, WA 98362 -6950 Description: SAMARA WOODS #2 LOT 23 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior /Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 74,000 Improvements Value: 0 Total Assessed Value: 74,000 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 9100 UNDEVEL LAND Land Size (acreage): .00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bldg. for more details.) Bldg. Type Bldg. Style Total S.F. BD_ BA Tax History Sales History Print Quit Back 1,816,068 http: apps. clallam.net /website /sitis_p.pgm ?parcel= 0630015902300000 8/22/2008 0 ELECTRICAL PERMIT CITY OF PORT ANGELES 6- 360- 417 -4735 Application Number 10- 00000624 Date 6/17/10 Application pin number 190192 Property Address 2435 SAMARA DR REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 01 -5 -9 -0230 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc New home trim after contractor stopped work. 2132 Owner Contractor WERNER J /NANCY D BEIER JEFF NELSON ELECTRIC 145 VIEWCREST AVE 7062 OLD OLYMPIC HWY. PORT ANGELES WA 983626950 PORT ANGELES WA 98362 (0 (369) 460 -4291 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 167809 1 Permit Fee 180.70 Plan Check Fee .00 Issue Date 6/17/10 Valuation 0 Expiration Date 12/14/10 Qty Unit Charge Per Extension BASE FEE .00 1.00 110.3000 ECH EL -R -SQFT FIRST 1300 110.30 2.00 35.2000 ECH EL -R -SQFT ADDITIONAL 500 70.40 Fee summary Charged Paid Credited Due Permit Fee Total 180.70 180.70 .00 .00 7 Plan Check Total .00 .00 .00 .00 Grand Total 180.70 180.70 .00 .00 1� a l v 5 /t 1 /1) V,cc`6 t3Lfz_r) 72) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: FROM FAX NO. :6814254 Jun. 16 2010 08:34AM P1 1 dF YARrq/y e c? CITY OF PORT ANGELES PERMIT APPLICATION 0 Building Division/Electrical Inspections 1L__ (r- 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417-4711 Date: 7 1 S ingle 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: r2 y3J 5i? R2A D R. Building Square footage: 4600 2 1'3', Description of above i alLor 1 %.�XL" sue/ 0E, :744 i Owner Information Contractor Information Name: R/El- Name: J +a Fl !'t E LAM ELEC. Mailing Address: Maili Address ZS e 414.5m1067 t0..c City: State: hip: City: �&U)- State: Zip: Phone: Fax: Pone: Wet "fZ`t'l Fax: �I `'l License Exp. License Exp. --IC- FFNE f 94 P Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145,50 Service /Feeder 401-600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp. 110,30 Temp. Service/Feeder 401.600 Amp. 148,70 5 Temp. Service/Feeder 601 -1000 Amp 167.90 Ponal to Portal Hourly 95.90 Sign/Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf 10 Signal Circuit/ Limited Energy 1 2 Family Dwelling .63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 k Manufactured Home Connection 119.90 Renewable Electrical Energy SKVA System or Less 5102.30 Qi Thermostat 56.00 NEW CONSTRUCTION ONLY: l First 1300 Square FL 110.30 //d 74 w 4 Each Additional 500 Square Ft. or Portion of 35.20 7j 20 Each Outbuilding or Detached Garage 5 73.50 Each Swimming Pool or Hot Tub 110.30 ign.fi Total rr� Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is fin I. (2n)wrier is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC..Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of. owner, electrical contractor or electrical administrator: 0 Cash 0 Check X Credit caw it x Dated: 6/14//e 0110112010 /2b-4.0,1 A4 /4 G 7 /a4 s Application Number Application pin number PtOpetty Address ASSESSOR,PARCEL_NUMBER ApplicatiOn type description Subdivision Name Property Use Property-Zoning Application valuation Application desc New home 200 amp service _Owner WERNER j/NANCY D BEIER 145 VIEWCREST AVE PORT ANGELES .Permit Additional Permit pin Permit Fee Issue Date Expiration Date -Special Notes and Comments. December 23 2009 8 20 47 AM -Brian_417-47.08 Fee -summary Charged Permit Fee Total 43 75_ Plan Check Total 00 Grand Total 43 75 Qty Unit Charge Per desc number ,INSPECTION _TYPE DITCH SERVICE ROUGH IN U FINAL COMMENTS Signature of owner or Electrical_ Contra:et& X' WA 983626950 ELECTRICAL T STAT 159038 43 75 1/05/10 7/04/1a _BAS 09 0000-1-346- 371 2435 SAMARA 06 30 01 5 9 0230 0000 ELECTRICAL ONLY _RS9 RESDNTL SINGLE FAMILY 0 FEE .ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Contractor. JEDI ELECTRIC 331 FORS RD PORT ANGELES (360) 460 0556 NEW RESIDENTIAL Plan Check Fee Valuation OK Date 1/05/10 WA Paid Credited 'Due 41 7-5. oo bo 00 43 75 00 Extension 43 75 00 00 00 DATE. RESULTS 00 0 INSPECTOR. ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DAT PERMIT INSPECTOR l/Li II0 09. i. 3 `fL -71-1_,..- OVYNER(CONTRACTOR 3p 1 ?fir.. i _tc ADDRESS 2 GA- 2f- Vf2 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: 1! P `re) l; `F L t t F_PL p N'L C 1.4 r■1 D 4% NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE 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 200 amp service Owner WERNER J /NANCY D BEIER 145 VIEWCREST AVE PORT ANGELES WA 983626950 Permit Additional desc Permit pin number 158709 Permit Fee 141 25 Issue Date 12/28/09 Expiration Date 6/26/10 ELECTRICAL NEW RESIDENTIAL Qty Unit Charge Per 1 00 86 2500 ECH EL R SQFT FIRST 1300 2 00 27 5000 ECH EL R SQFT ADDITIONAL 500 Special Notes and Comments December 23 2009 8 20 47 AM Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 141 25 00 141 25 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 09 00001346 371510 2435 SAMARA DR 06 30 01 5 9 0230 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 141 25 00 141 25 Contractor JEDI ELECTRIC 331 FORS RD PORT ANGELES (360) 460 0556 Brian 417 4708 OK Paid Credited Due 3*.t7 1 r6UT a DATE RESULTS 1 RI 10 1 fro •111,0 L/l bI to GA.xcel11b dzi Signature of owner or Electrical Contractor X Date Plan Check Fee Valuation 00 00 00 Date 12/28/09 WA 96362 00 00 00 00 0 Extension 86 25 55 00 INSPECTOR. City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417-4711 Date to) '�a_O 9 1 2 Single Family Dwelling Mtilti- Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Com fete Electrical Plan Review Information Sheet Job Address: c 4 135 c�.►Ma to... UN, Building Square Footage. a 000 Description of above n G0 (Ze,Stde KCe. c 00 G vv1 vv.,. o e on &T Owner Infor i (412 -KLt:2 Name. t�t c )Clefs Mailing Address: Jt 4 UI tom) c egl" City PA- State 2 Phone. Fax: License /Exp Unit Charae 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 50.00 93.75 80.00 86.25 27.50 57,50 86.25 43.75 Qty RCEfl DEC 2 2 2009 ELECTRICAL INSPECTIONS Total (Qty Multiplied by Unit Charge) 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. Arty, reading the above statement,1 hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration rt compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296•46B The City of Port Angeles Municipal Code. and Utility Specifications. Sid nature of owe :r electrical contractor or electriL administrate- D Cash Ci k Contractor Information Name: s E /ecTC L Mailin Address: 'P. o Bo City' P A State 1 CA, Zip' e 'e 3 G a Phone. 6'0 -o. 6 Fax: 4 1 I i" I R 7 License Exp "EDS' E f `7S7 G Z d 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/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to 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 Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total 0 W DATE 8 a9 OWNER/ ON RACTOR ��b t �f:l Till L ADDRESS ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT M 2 9) U::-- ►D ,'7 DO NOT REMOVE INSPECT APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0. SERVICE FINAL CORRECTIONS NEEDED: 1lst,STF}I L T Teri P erns-gU C LGg._ °To G'T`f VPg G O Z CL 2g6=L16z,-DSO "OwUt`t7� 9�i2dP Z. L- k12.K)VaL Carit F?9EALCS" Ago OW? S rzV►c i. BO. 2 t %ST f-L1 c`rz(G 7 C :7 /Z-.)\1 Oat -5o, +ma(_ 29G— =CIO) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS 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 HUSTON JOHN D 2438 W 12TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983631416 09 00000803 786562 2435 SAMARA DR 06 30 01 5 9 0230 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor JEDI ELECTRIC 331 FORS RD PORT ANGELES (360) 460 0556 ELECTRICAL TEMPORARY SERVICE 151449 72 50 8/11/09 2/07/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Plan Check Fee Valuation Qty Unit Charge Per 1 00 72 5000 ECH EL TEMP SRV 0 200 SRV FDR Charged Paid Credited 72 50 72 50 00 00 00 00 72 50 72 50 00 glig /64 I '3' to D 'S. Date 8/11/09 WA 98362 DATE. RESULTS 00 0 Extension 72 50 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. RECE VED AUG 10 2009 ELECTRICAL INSPECTIONS City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 4174735 Fax: (360) 417.4711 Date. 2 -0 C 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: 214 7,� S vv,a t' a O r t J t Building Square Footage. Description of above 1 C a Te w? Power' T A F V IMO vir Owner Information Contractor Information Name. e.O GS'eerN hc.., k e rS Name. SecS�i Ier_7T C- Mailin Address: Mailing ddrjess: 'P O, 3 o X 3 52' Cit c A State hJ. Zip Git3 6 City' V ii. State. I—J`. Zip: C Phone. Fax: Phone. 4 a -0SS6 Fax: t-((7- 1107 License Exp. License Exp Su= �i 1 1 5 7 G 2 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 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 t Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby cert.fy that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation Or alteration in compliance with the electrical laws N.E.0 RCW Chapter 19.28, WAC Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications S gnature of owner electrical contractor or electrical administrator r 8' Io —01 Total. (Qty Multiplied bV Unit Charnel 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/O Service Feeder Each Additional Branch Circuit 72. SO Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to 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 Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total Cash 'Creek ,rndir ('aid 8 0 -r Application Inquiry SUNCIARCI P.T.LIC SECTOR OrE Na Application 06-00000E'! ED Bonds ED Contractor escrow J Fees ED Global balance du E0 Inspection history 1 Miscellaneous info ED Names ED Pe milts BO Plan tracking 00 Receipts Ed Square footage cal EU Structures DO Valuation calculalk 11 Print Camel '1( Exit Refresh Lend Inquiry Documents Property information Address UNASSIGNED PORT ANGELES, WA Location ID 102518 Owner name HUSTON JOHN ASSESSOR PARCEL NUMBER: 06-30-01 5-9-3230-0030- ALTERNATE ID 063001590230 Contract or Information 4, Contractor Name NORTHWEST TiMBERLAND .HOMES Contractor Numbei' 2630 Type GENERAL Status ACTIVE Contractor Requirements Inc Number Lic'T K PLAN CRACK FEES iPERMIT FEES itTATE SURCHARGE .1Totals P PS A .1 ST 98362 I I 4 Class Ty Devon lion Tran;a.lionamount Amount due Amount hilled St 560 42 4.50 1965.97 Application Information I 1 Application desc 1 33 SF SFR, 555 SF 'GARAGE,... Application status PLAN REVIEW Statue Date 7/14/2008 Application type RES NSA SFR Application date 7/14/2000' Tenant name/number WERNER J NANCY D I E Outstanding Inspections Insp Type ID NO outstanding inspections exist Schedule Confirmation I Date Number .00 1401.05 I 4 50 I 1405.55 I BEIER 01 1 00 000001 CO 100000 \16( 00 I 00 I e 6 4,c, ,e)f. ■f\ ee' 'A 4 61 -H t 415 'R-ct 1)1- cri-d p'cxe.0( eQksT7 pfat6 pc_bp eJ (7/23/2008) Linda Pangrle Plans withdrawn 'for #6 on the July 15 2008 routing Page 1;) From Linda Pangrle To Bill Hale, Brian Anders, Ernie Klimek, Ken Dubuc; Robert Larson, Ro Date: 7/23/2008 9 56 AM Subject: Plans withdrawn for #6 on the July 15, 2008 routing Hi Everyone, Today the plans were withdrawn for permit #08 -838 for the new home at 2435 Samara Drive. (The driveway would have been too steep, so they bailed out of the project.) Three departments have already entered their comments in HTE. The rest of you don't have to continue the plan review process since the plans were withdrawn. Thanks, Linda CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Werner, Beier Co(Ww) Applicant or Agent -4 1 06 Property Owner (I Property Owner's Address P, o, BoX '14(020 PA. 6 1 367 Contractor /Engineer t Mgt- t� y�s Phone 4R- Contractor /Engineer's Address pis es(oki License N -11 -1033 G Expires I 10 PROJECT ADDRESS 2-43 fl Parcel Number 04,300/6 230 c Project Type Brief Description. "'Residential Commercial Multi- family Industrial Check all that apply ,New Construction 2 S` D1 (cr/, tr. c,0-0 Tt?o� i' ik- c i )1Ji>t Addition 0-0 Y Remodel 4 Repair Re -roof ut Demolition Heat System e -Other u_ Floor Areas LL r Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink Heat pump wood burning stove gas fireplace pellet stove, Ether CAr So`-A2 ALIT- (VAT -0/2- E -tter1 Existing (sq. ft.) Proposed (sq. ft.) ski t\@ 8s t_i s� l 12, Phone Phone For City Use Only Date Received =7 )1.1-08 Permit# 63 R3S Date Approved /4(7- -U.:04 Lot Z3 Zoning per sq ft. 30S 114 Y 4 ©t 23-16 -00:04t TOTAL VALUATION 1 Total footprint of structures sq ft. Lot size sq ft. Lot coverage IA 98© m rlc e 1 I4,, 5 Max height of proposed structures 2-.1 ft. Occupancy group of bedrooms 3 Will a lawn sprinkler system be installed? Occupant load of full baths .__V-- Will a fire sprinkler system be installed? Construction type IC /StE. of half baths I have read and completed this application and know it to be true and correct. I am author, to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 14 G Print Name A M`'` e_k Signature k' W T Forms /Building Division/Bldg Perriit pl 2006 Code doc III PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information Lot: 3 Address: 3-435 5 A-NA-RA D v1 City P State (Y1 Zip 6 10342 Contact T ,e34•CtRA -cM tt Phone 460 --33 e) �i Phone 2 A 1 —66.24 F� FAX L l Glazong Glazing W- Factor Option Area' of ''Vertical;: Overhead= Floor Unlimited Group R -3 Occupancy Only :6601: U Factor._ Permit (Y Jg Notes. Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Vaulted': Wall` ;;Interior`= Ceiling; Ceilingv E' ,Grade Below 4,..__. G rade... Building Department Use Only 0 40 0 58 0.20 R 38 R 30 R 21 R -21 R 10 Exterior 'Slab =on; Floor Bel,`ow �Concrete `Grade...!z, r This Project complies with the following: 1 The project is a single family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed in Table 6 -1 Option III 1 The project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards allowed. Location of the door taking this exception R 30 R -10 602.6 Exception 2. Doors with a U- Factor of 0 40 allowed without calculations, Option III only Location of the door(s) taking exception Type of Heat Source: tom) CUT ON DASHED ONE FOR 11 x 17 SITE PLAN SITEENLTAOF COMMUNITY DEVELOPMENT and ROAD PERMIT APPLI S DEPARTMENT Date PtL 74 955' I I I I Applica Permit tAN I I I I I 20 -0' DRAWING PREPARATION by MICHAEL HALL Designs, Building Designer MICHAEL HALL 2204 HAPPY VALLEY ROAD SEQUIM, WA 98382 7722 TEL 360 504 -0189 or 360 504 683 -6565 (Tel fax), mhall @hvalley.net M ichaelHallDesigns.com STRUCTURAL ENGINEERING ZENOVIC ASSOCIATES Scott Headrick, PE, Senior Design Engineer 301 East 6th Street, Suite 1 Port Angeles, WA 98362 360.417.0501 FAX 360.417.0514 Staff lnitiats Property Owner Project Address Current Address City Zip Tel. WERNER BEIER Tel. TOM BAUMSTARK email Job Name Tax Number Legal Description 25' SETBACK LINE ECO -GREEN BUILDERS, INC SAMARA DRIVE 145 VIEWCREST AVE PORT ANGELES, WA 98362 360 457 -8366, CELL 360 -460 -7487 BANK 360 -457 2961 360 417 -0626, CELL 360 -460 -3387 wemer @ecogbi.com, tom @ecogbi.com SAMARA LOT 23, SAMARA WOODS 44 -0' T x 44' PERVIOUS CONCRETE PATIO BELOW DEC CONNECT TO DRIVEWAY 9 6' X 40' DECK 25' SETBACK LINE --t_ TURN 10' WIDE AROUND DRIVE XIST UTILITY PAP\N PROPOSED SF RESIDENCE P1L 75 808' tads Please complete and return to Public Works Engineering Department Applicant Information Contact Information (if other than above) Permanent service. Name and address of party responsible for permanent service billing? Site contact: Contractor' Electrician •Excavator Single- family residence Street address lot number Nearest cross street: Desired connection date Total square footage Voltage Check all that apply Applicant's Signature Name 'Street: 'City I State I ZIP QA- 13t 0036;z__ Daytime Phone O Home Phone. Name °'r-,.,- sfrL #k'?mex- Title Daytime Phone I Name I Company' I Daytime Phone Name 7 A\ i i4- j Company' Daytime Phone A6 S I Name An uJR Company' Daytime Phone Electrical Service Information Form GL tmss; OC„ t o g ax "goZ-S '4Coo--33e'? 0 Public Works Engineering Department (360) 417 -4700 (3v t L Z- Project Type ID Multi-family residence, of units CI Subdivision of lots Commercial Overhead service tom; General service nderground service t2 AT Other Project Information Lc 23 3 /t A- Wool>S (2-43 S 5 5 1t46 u i 3 ST k\.4 Ck4 r 5 f C!i'riv.C�f, Electrical Load Electrical transformer serving property is on a pole on the ground 13 sq ft. 20/240 1 ph ❑120/240 3ph ,ZStandard residential loads (Lighting A/C FLA) ,`Range /Oven Clothes Dryer ,.Heating Water Heater Elevator Main disconnect size 0120/208 3ph 0480 3W 3ph ZOO amps 277/480 3ph Other refrigerator dishwasher washer) Hot Tub .kriSumps I Hp) Hp) Other Supporting Documentation 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 50hp Date 7', i4 MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360- 417 -4709 EMAIL. rlarson @cityofpa us Information form N ,PV I/S\1_,GHTE IGRWOrigin 91 Inrormation fcrm WS Revised 4 -1 -08 Parcel Lookup Page 1 of 1 Parcel Number 0630015902300000 Site Address Print I Quit I I Back Taxpayer* BEIER WERNER J /NANCYD 145 VIEWCREST AVE PORT ANGELES WA 98362 -6950 Title Owner BEIER WERNER J /NANCYD 145 VIEWCREST AVE PORT ANGELES WA 98362 -6950 Description SAMARA WOODS #2 LOT 23 Value Summary* Note: Listed values do not reflect adjustments made for exemption programs such as Senior /Disabled or Current Use programs (except Commercial Forestland properties) Land Value 74 000 Improvements Value 0 Total Assessed Value 74 000 Property Characteristics Note: Use Code is for Assessor's purposes only Contact the appropriate planning or building departments for Zoning and allowable usage of property Use Code 9100 UNDEVEL LAND Land Size (acreage) 00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status Taxable Tax Code Area. 0010 Note: Zoning and zoning codes change constantly Verify all zoning with the appropriate planning or building department. Building Characteristics. (Click on Bldg. for more details.) Bldq. Type Blda. Style Total S.F. BD BA Tax History Sales History Print I Quit I Back 111,778 6671 http.//apps.clallam.net/website/silis_p pgm ?parcel 0630015902300000 7/14/2008 FROM : FAX NO. :6814254 CITY OF PORT ANGELES PERMIT AITLICAT10N Building Division /Electrical Tnspections 321 East )Fifth Street — P.O. Dos 1150 / Part Angeles Washington, 98362 Pb- (360) 417 -4735 Fax: (360) 417 -4711 Date: 711ZI L 1 & 2 Single Family ])welling Plan Review May Be Adtlr Job ,i Job e55: Building Square footage: _ Dewription -V ebove Owner Infortnrtion , �= 124 pP� /r S Name: Mailing Address: dY� ' License 01 EV. item U it e S"ce /Feeder 200 Amp, $ 120,00 SeMoe/Feeder 201.400 Amp. $146.00 Service/Feeder 401600 Amp $ 285.00 Sw*elFeeder 601.1000 Amp. $ 262.00 Service/Feeder ovar 1000 Amp, $ 373100 Branch Circuit WI Sarvice Feeder $ 5.00 Branch Circull WIO Servioe Feeder $ 63.00 Each Additional Branch Ckoult $ 5.00 Dranch Circuits 1.4 $ 75.00 Tamp. ServiW Feeder 200 Amp, $ 83,00 Temp. Garvl lF ,r'201 -400 Amp. $110.00 Temp. Sa>vloe/FeWar 401-WO Amp. $ 149.00 Tamp. i l 501 -1000 Amp . Hourly Parisi to Hourly o Portal $ gs,pp Signal CircuW United Energy -1 & 2 Family Durelfing Manulaotured Home Gonnoctiott $120.00 Renewable Etechtoel Energy -5KVA System or leas $101])0 Thermoefat $ 56.00 Note: $5.00 for each additional T Stat t+ lF.lhMNSTRUCTION ONLY: First 1300 Square Ft. $120.00 Fact► Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74,00 Each Swlmming Pool or Hot Tub $110.00 Aug. 27 2014 10:20AM P1 RECEN"r A Us '9 - D , � 014 . Wm' .,. Plan Review Infolmalion Sheet Contractor Information Nmne: Ala-1-SON G6~ c- K aT ])dress: A City. .= slate: z ►: Phame, Fax: License#IExp, iby Total Multiplied by Unit ChskMaj $ $ $ 9 /SOU Total Owner as deffned by RCW, 9928.261: (1) Owner will occupy the structure for two years after this eleatrloal permit is finalized. (2) Owner ie required to hire an eleotrlcal contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby cartiiy 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. 5.C., RCW. Chapter 18.28, WAG, Chapter 29&466, The City of Port Angeles Municipal Code, and Utility SpacifiCations and PANIC 14.05,050 regarding Electfloal Permit Applications_ Signature of owner, electrtcal.coMractor or electrical administrator, ❑ Cuh ❑ ChW* !. l 0 ELECTRICAL PERMIT CITY OE PORT ANGELES 360-417-4735 Application Number 14- 00091030 Date 8/28/14 Application pin number . . . 495470 Property Address . . . , , . 2435 SAMARA DR ASSESSOR PARCEL NUMBER: 06-30-01-5-9 -0230 -0000- Application type,deseription ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . , . , . , . RS9 RESDNTL SINGLE FAMILY Application valuation , . . 0 -------------------- --------- ----------------- -- --------- ------------- - -- - -- Application desc Final for expired permit 10 -624 Owner Contractor UNION BANK NA JEFF NELSON ELECTRIC 232 SW EVERETT MALL WY 7062 OLD OLYMPIC HWY, RVE'RETT WA 98204 PORT ANGELES WA 98362 (369) 460 - 42.91 - -� T --------------------------------------------------------- _ Permit . . , , . , ELECTRICAL NEW RESIDENTIAL Additional desc , Permit Fee 96.00 Plan Check Fee 00 Issue Date 6/28/14 Valuation . , . , D Expiration Date 2/24/15 Qty Unit Charge Per Extension 1.00 96,OOD0 E.CH EL -TRIP FEE- INSPECT EX. INSTAL 96.00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96,00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 OD REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 520 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Data: G:IEXCHANORBUILDING t INSPECTION TYPE DATE: r INSPECTOR: ELECTRICAL PERMIT CITY OF PORT ANGELES SERVICE TS 360- 417 -4735 ROUGH -IN Application Number 14- 00601242 Date 10/13/14 Application pin number . . , 824406 Property Address , , . . . , 2435 SAMARA DR REPORT SALES T" ASSESSOR PARCEL NUMBER: 06- 30- 01 -5 -9 Application type type description ELECTRICAL ONLY on your excise fax form Subdivision Name to the City of Port Angeles Property Use Property Zoning . . . . . . , RS9 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation . . . . 0 Application desc Complete house wiring for final Owner Contractor JONATHAN P FESTE ANGELES ELECTRIC 1616 E FOURTH STREET 524 E, 1ST ST. PORT ANGELES WA 38362 PART ANGELES WA 98362^ )� (360) 452 -9264 (� Permit . . , , . .. ELECTRICAL NEW RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee 00 Issue Date 10/13/14 Valuation , . , .. 0 Expiration Date 4/11/15 Qty unit Charge Per Extension BASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75,00 75.00 ,00 .00 Plan Check Total .00 ,00 00 00 Grand Total 75,00 75.00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN Z � FINAL COMMENTS: PERMIT WILL EXPIRE SIX {6} MONTHS FROM LAST INSPEC'T'ION Signatr7re of owner or Electrical Contractor X Date: G:IEXCIiANGEIB[JILDING 10/13/2014 07:47 FAX 360 452 9265 Angeles Electric CITY OF PORT ANGELES PERMIT Ap>pmcATION Building. Division/Etectrical Inspections 321 East Fifth Street — P.O. Box 11541 Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date; I & 2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Buckling Square Footage: Description of above Owner Info n Na.— -FIE'S Mailing A ress: , City; State:kl Zip: Phone: _ Fax: License # ! Exp. Item '04) — %j�'i� ; 7 r S"2 d ha e Unit Servlcefeeder 200 Amp. $120.00 Service/Feeder 201.400 Amp. $146.00 Service /Feeder 401.600 Amp $ 205.00 Service/Feeder 601 -1000 Amp. $ 262,00 ServicelFeeder over 1000 Amp. $ 373.00 Branch Circuit Wl Service Feeder $ 5.00 Branch Circuit W10 Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1.4 $ 75.00 Temp. Service! Feeder 200 Amp. $ 93.00 Temp. ServioelFeader201-400Amp. $110.00 Temp. ServlcelFeader 401 -600 Amp. $149.00 Temp. Service/Feeder 601 -1000 Amp . $168.00 Portal to Portal Hourly $ 96.00 Signal Circuit! Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy- 5KVA System or Less $102.00 Thermostat $ 56.00 Note: $5.00 for saoh additional T•Stat $ NEW CONSTRUCTION ONLY: First 1300 Square Ft $120.00 Each Additional 500 Square Ff. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 W, 160001/0001 t N deffigiW "VW L,4-AJW— Name: Malting Address: City: te, Zlp: 3C2 Phone, ax: License 41 Up. 21Y Total Mu $ S $ $ $ g T S S $ $ $ $ $ Total Owner as defined by RCW.19,28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the dectricai installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specificaficns and PAMC 14.05.050 regarding Electrical Permit Applications., Slgnature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Chm* radRCaid9 Osl/ DEW: f3 % 01101/2012 .pVQRT4* A ELECTRICAL INSPECTION a - WIRING REPORT 417-4735 JOT APPROVE ' El . . .................. DITCH ......... I. . ....... 0 0 ................ ROUGH IN/COVER .............. 0 0 .................... SERVICE ........... ....... [3 ®...e .. .............. F1'NAL .......... 1) CORRECTIONS NEEDED: CY-Ll ygaogc-�- A�l-nk, 1�,QeT -#,I.*-e- -2 Ir).A vev:f izxz�A—)t.rzv- mo �,x 122 & 9 E2 L 17-5- P V W- rl w-,-- qQ, . !7 br 4) qt� 19 E 116 3:� C NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — 04 Vollr 441.- ELECTRICAL INSPECTION WIRING REPORT z............................ 7 --- OWNER CONTRACTOR ADDRESS p APPROVED l O . . . . . . . . . . . . . . . . . . . .DOT�H . . . . . . . . [] ................ R(}UGH\N/COVER . . . . .. [].................... SERVICE. . . . . . . . . . . . . . . . . ' . O � [] ............... . .... .FlNAL .................. RECTIONSNEEDED: C4-0612c NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE~_ ELECTRICAL I CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . 14- 00001382 Date 11/13/14 Application pin number 371878 Property Address 2435 SAMARA DR ASSESSOR PARCEL NUMBER: 06-30-01-5-9- 0230 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . Property Use . . . . . . Property Zoning . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Low voltage controller Owner Contractor JONATHAN P FESTE PENINSULA HEAT INC 1616 E FOURTH STREET 782 KITCHEN -DICK RD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 681 3333 .ELM �0� m Permit . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc Permit Fee 56.00 Plan Check Fee w ,.00 Issue Date . . . 1 11/13/14 Valuation . . . . 0 Expiration Date , 5/12/15 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL -LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 X00 00 Plan Check Total .00 .00 100 100 Grand Total 56.00 56.00 00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor GAEXCHANGEWILDING Date:.. C78 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: . 1w & 2 Single Family Dwelling I * Plan Review May Be R ulre 1, n Review Information Sheet Plea e Complete Electrical Plan Job Address: n. " Building Square Foolage. - 11 fQ .......... Description of above - 'I'A�_ 6A) V ° w y Owner Information Name: - G. h_ Contractor Inform tion ��p d�G J. Mailing Address: _ ...' i� City State. _ Zip. ��� " -- Ma➢tin; ,Add e i 13�_ m City. �lss: State. W Zip. Phone: -G Fax: Phone: Fax: b a 1- � r License # I Exp. License # I Exp,__Pe v «t t pit ra b Item Unit Charge Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. $120.00 $� Service /Feeder 201 -400 Amp. $146.00 $ Service /Feeder 401 -600 Amp $ 205.00 $_ Service /Feeder 601 -1000 Amp. $ 262.00 $ Service /Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service /Feeder 201400 Amp. $110.00 $ Temp. Service /Feeder 401 -600 Amp. $149.00 $ Temp. Service /Feeder 601 -1000 Amp . $168.00 Portal to Portal Hourly $ 96.00 Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 ..... $� Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat / comb - ll r $ 56.00 $ Mote: $5.00 for each additionat T -Stat _� NEW CONSTRUCTICIN ONLY: First 1300 Square Ft. $120.00 $_ Each Additional 500 Square Ft. or Portion of $ 40.00 _ $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 _ $ Total Owner as defined by RCW.19.28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatu of own electrical contractor or electrical administrator: ❑ cash ❑ Check s % m . Dateii...... aa...! ❑ Credit Card # ww_�mmITITITITIT 0110112012