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Home My WebLink About114 Valley Creek Dr - Building CITY OF PORT ANGELES 1 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION rt '4P 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 09- 00000569 Date 8/11/09 Application pin number 413842 Property Address 114 VALLEY CREEK DR ASSESSOR PARCEL NUMBER: 06-30-16-5-5- 0430 -0000- Tenant nbr, name PORT ANGELES PLAT (SA)LLC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning PLANNED RESDNTL DEVLPMENT Application valuation 139642 Application desc 1,480 SF SFR, 429 SF ATT. GAR., 81 SF CVRD PORCH Owner Contractor PORT ANGELES PLAT (SHERRON DEVELOPMENT CONST GROUP INC ASSOCIATES) LLC 12301 NE 10TH PL, STE. 303 12301 NE 10TH PL, STE. 303 BELLEVUE WA 98005 BELLEVUE WA 98005 (360) 454 -8900 (425) 454 -8900 Structure Information 000 000 1480 SF SFR, 429 ATT GAR, 81 CVRD PORCH Other struct info TOTAL LOT COVERAGE 33.44 CONSTRUCTION TYPE VB NUMBER OF STORIES 1.00 LOT SIZE 5951.00 PROPOSED LOT COVERAGE 1990.00 TOTAL LOT COVERAGE 1990.00 NUMBER OF UNITS 1.00 Permit BUILDING PERMIT RESIDENTIAL Additional desc 1480 SF SFR, 429 SF GARAGE Permit pin number 148197 Permit Fee 1244.25 Plan Check Fee 808.76 Issue Date 8/11/09 Valuation 139642 Expiration Date 2/07/10 Qty Unit Charge Per Extension BASE FEE 1020.25 40.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 224.00 Permit MECHANICAL PERMIT Additional desc Permit pin number .148205 Permit Fee 104.45 Plan Check Fee .00 Issue Date 8/11/09 Valuation 0 Expiration Date 2/07/10 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME FURN /HP /FAU OR 5 TON 14.80 `J L• 4.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 29.00 1.00 10.6500 EA ME -STOVE /FIREPLACE /MISC. APP. 10.65 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 co ction. Date Print Name Signature of Contractor or Authorized Agen Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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. 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 FINAL Date Accepted by 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 j Building 417 -4815 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION t 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 09- 00000569 Date 8/11/09 Application pin number 413842 Permit PLUMBING PERMIT Additional desc Permit pin number 148213 Permit Fee 149.00 Plan Check Fee .00 Issue Date 8/11/09 Valuation 0 Expiration Date 2/07/10 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 1.00 7.0000 EA PL -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. June 26, 2009 1:33:57 PM sroberds. The proposal will result in a new sfr w /atta'ched garage in the RS -7 zone for total lot coverage of 33% and site coverage of 44 No land use issues anticipted. June 17, 2009 8:42:35 AM Brian 417 -4708. Connection Fee and electrical permits required Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. June 18, 2009 7:24:00 AM rbecker. If you install a lawn sprinkler system, you will need to install a double check backflow assembly. If you have any questions contact Ron Becker at 417 -4886, or E -mail me at rbecker @cityofpa.us Other Fees RES UNDERGRND SERVICE FEE 713:00 SEWER SYSTEM DELV CHARGE 1510.00 STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 1497.70 1497.70 .00 .00 Plan Check Total 808.76 808.76 .00 .00 Other Fee Total 2227.50 2227.50 .00 .00 Grand Total 4533.96 4533.96 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD p ,-o PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 1 Building Inspections 417 4815 Electrical Inspections 417 4735 Q1 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 _o 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 FOUNDATION: Footings ",Z —2_7-0 7 L.C. Stemwall g 8 -0 q Ti-L- Foundation Drainage Downspouts 9 1 o- n q T LZ- Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In I —22 —Oct S _L Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date 9• Ill Accepted by Zf AIR SEAL: 10 -1.51 0 q r Walls ....2 Ceiling aezei Q.tl FRAMING: 10 -23• -01. 7a, U _/s�,'-L 2 Joists /Girders /Older Floor X' J `�rr�25 N OD qi— ILI--oct "Su dated 3j3ojlo it "bill Shear Wall Hold Downs I Walls Roof Ceiling 11.. Drywall (Interior Braced Panel Only) T -Bar INSULATION: 1 1_ (D 0 1. ILA- 1 —�q Slab Wall Floor Ceiling l MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney 4-15 Commercial Hood Ducts FINAL Date Accepted by S &L-- MANUFACTURED HOMES: Footing Slab �Q� Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE V Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW. Engineering 417-4831 ,5 °2- 0 PNV Fire 417 -4653 Planning 417 -4750 Building 417 -4815 +2-0 rtA/ I V) T:Forms/Building Division /Building Permit �wF. CITY OF PORT ANGELES Y w�� PUBLIC WORKS UTILITIES s 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 09- 00000569 Date 8/11/09 Application pin number 413842 Property Address 114 VALLEY CREEK DR ASSESSOR PARCEL NUMBER: 06 0430 -0000- Tenant nbr, name PORT ANGELES.PLAT (SA)LLC Application type description RES NEW SFR Subdivision Name Property Use Property Zoning PLANNED RESDNTL DEVLPMENT Application valuation 139642 Application desc 1,480 SF SFR, 429 SF ATT. GAR., 81 SF CVRD PORCH Owner Contractor PORT ANGELES PLAT (SHERRON DEVELOPMENT CONST GROUP INC ASSOCIATES) LLC 12301 NE 10TH PL, STE. 303 12301 NE 10TH PL, STE. 303 BELLEVUE WA 98005 BELLEVUE WA 98005 (360) 454 -8900 (425) 454 -8900 Structure Information 000 000 1480 SF SFR, 429 ATT GAR, 81 CVRD PORCH Other struct info TOTAL LOT COVERAGE 33.44 CONSTRUCTION TYPE VB NUMBER OF STORIES 1.00 LOT SIZE 5951.00 PROPOSED LOT COVERAGE 1990.00 TOTAL LOT COVERAGE 1990.00 NUMBER OF UNITS 1.00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 149203 Permit Fee 135.00 Plan Check Fee .00 Issue Date 8/11/09 Valuation 139642 Expiration Date 2/07/10 Qty Unit Charge Per Extension 1.00 135.0000 EA SAN SEWER HOOKUP 135.00 CM 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. June 26, 2009 1:33:57 PM sroberds. The proposal will result in a new sfr w /attached garage in the RS -7 zone for total lot coverage of 33% and site coverage of 44 No land use issues anticipted. June 17, 2009 8:42:35 AM Brian 417 -4708. Connection Fee and electrical permits required Sanitary sewer connection inspection.is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. June 18, 2009 7:24:00 AM rbecker. 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 c ion. on L• 0) 69 Signature of Contractor or Authorize Agent Date Signature of Owner (if owner is builder) Date T: \Policies \1102.15 [10/08] PERMIT INSPECTION RECORD 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 YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT, 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T: \Policies \1102.15 [10/08] °ar, CITY OF PORT ANGELES 7�� PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 09- 00000569 Date 8/11/09 Application pin number 413842 Special Notes and Comments If you install a lawn sprinkler system, you will need to install a double check backflow assembly. If you'have any questions contact Ron Becker at 417 -4886, or E -mail me at rbecker @cityofpa.us Other Fees RES UNDERGRND SERVICE FEE 713.00 SEWER SYSTEM DELV CHARGE 1510.00 STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 135.00 135.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2227.50 2227.50 .00 .00 Grand Total 2362.50 2362.50 .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\ 1 102.15 10108] PERMIT INSPECTION RECORD 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 YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 41.7 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. 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H m N 0000 V) 0 J U z 000 000 41 CO w H 0 0 0 H 0 0 z a s 0 H N m N H N m 41 k (f) Z z 0 a a 0 Z 7. 0� t w° o H 00) E, 0 0 o0000 U a E- 0 0 z Z z 0 0) U a 0 H 0 z a 001(0 t0a u) 0 0 to 003 000 a W uU U 00 0(.5 0(f)0) 041041 NU) 000000)0tnaw yJ a U Z 0 V) 41 41 0 0 0 0 0 0 a O H H 0) cna COa 0 3m o V v o v w 0 E E ZE H 0 a 0 a r, CO u 0 00) H Ili O (0 0041 raga M 0 w a a 0) p u m n 0m a a o raza�no Z hg h am RI 41 w w N H m (C0 (0(700 5 V) az aZ 00 �-7 4 00 0W mm m m Co H E rno M100 o0 0 0(7 00)0 tnw N.� -sz 0041Ou m o w a 0t) m J m a H a 0 a 0 0 0 a <N0 N N 0X CO 124 aa0 mm m 0 0 0) 41 a Pa z 0 w ro P40 w w H 0 0 0 (1) 0r 0) r< E♦wua X a CO E C ZZZ a a H N au 4 E- a E ms f a 0 M fA 0 CO r N i w w as q 0 0 0 0 0 0 m m 0 0 sr'0, 0 m (1 o o LI) N rn M N C M N td a w a a H ti w H H H H w w w c/a 0 o 0 a 0 x w 5 H 0 In a s H M 0 H H H O a Z Z o z H O l w� a H O V] u 0 Z 0 0 N H w 0 1 w H 0 0 z a a i 0 f N W w H H i z Z H O Z 0 N 0 Z al a0 0 ((10 a H U 0 H H E w O Z z z 1- 1 0 C 0 UI O H H .]Oa a W Uo (7 (1OF .-.a w o w moo 0 0-100 a(7xom ww a (0 cn 0 o 0 a ro a s w E cn 41 g F Z F 0 Z H x a0a M o wa waa a 0, a 000 U V7 0 rfl Z 0) N N a Z a o o Z H a 0 'r ww H m .-10E0 Z7, Z 0 a a 0 a o o D q w q w 0 mw F Frio ME E o o 0 >a Pa Pa 2, 1000000 00 t- Ha0aoo 000 Na N 0 0 H w 0 o ma 1 a a raau 0 0 a w a a Z w 0) O H a0 v 0 i z H< az F a o H a r 0 r�H 0 Ua a aH g r U a F U 0 a a a F+ W Dirk t2. -3b •"b Ciielf rep" h, Tcz• ArnA 4 2. 5 9 59 —$1 a0 lC (Z'{ am A rmStror3 President of controxbr Co (I) eu elq .nf itCb lst-Wc-fioh oc.pow BUILDING PERMIT APPLICATION Print in ink L e rr P U f ,r *s CITY OF PORT ANGELES 4 Q s b �sr Y 4 For City Use Only: Attn: Building Permit Technician eft nc5 y1 °m Date Received (r^ I I 0 Iiiimoor NSW 321 E. Fifth St., Port Angeles, WA 98362 Permit (360) 417 -4815 fax (360) 417 -4711 Ce,t� I Date Approved i Applicant CL /WT, $E1:Z.& Avt 014+ Phon 360-4,81 -L-! 139 Property Owner po R-r ANiGaLles pt 4i -Cc)J anon/ moat) Phone Las- Lis q- 'goo X 12.1 Property Owner's Address 0 301 0,E. jo -pi,, 50,TE 303 LLC f3e11evne_ 4BooS Contractor DV£LoPM eiur .1- Coos-rave-now) Gam) P, IA/C. Phone 4„25- ysy B9oox iV Contractor's Address p3ot -Ai. io3 CL, so tr= 303 /3eLi- .Evde, wR. ei Soo License •;EV ELe G. 974) Rq Expires h2.29.0ei E -mail .E- ,,64..roa, G 5 L ervo.0 PROJECT ADDRESS I L/ Vfl• -L-1 'r' Citea e Piz 11v E Parcel Number a G 30 1 5 5 O Lf 3O Lot 3 Zoning PRO Project Type Brief Description: lQ Residential Multi- family Commercial Industrial Check all that apply gNew Construction NI k) S P g 4. a Ch4 Addition Remodel Repair Demolition Re -roof House o'garage d other *r; tear off re -roof lay over one layer Heat System Heat pump wobd burning `stove .gas fireplace pellet stove gotherF, A /,E.L gC.. Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement p 0 per sq. ft. l Floor O 4 190 RS, e 0 /07, $0sa: 2nd Floor 0 o 3r Floor o Garage O y 9 41 30.00 /2, 07.0 ...94 Carport 0 Covered Porch Q R 1 I /2. o o 9'7; 0 0 Deck 0 Shed a Other 0 TOTAL VALUATION 3i,4.y2 1 Total footprint of structures egci 0 sq. ft. Lot size S 15/ sq. ft.. Lot coverage 33,.51'] Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage h/%38 Max. height of proposed structures i 4 {o ft. Occupancy group of bedrooms 3 Will a lawn sprinkler system be installed? Too Occupant load of full baths Will a fire sprin system be installed? No Construction type of half baths p. t have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine y at permits are required, and to obtain permits prior to o 'rig on projec Dateee- -L0' Print Name /J /,t) j, 23,X 2. Signature t e T:Forms /Building Division /Bldg Permit.doc y Hog d 4 w„ f i e t# 1,,, 4 i t J v d f j t VI); t G t i t 1 r.. Tts 8 j 9 p 'I i e r j j i i 4._ w t li 1 f t flil d= i i${ c N el- O D UTILITIES. CONVEYED 0 1232306. o 10 m O 342. 78' 0 615.00' 25' \I C:) 55.00' 55.00' "n 1 N N o 55.0 o) :3 I N I� O a r _11, 1 L 4.1 O ..ci,' I I I I Z v o d I I (f) 0 1 Fo) I I---: IW I Z:f r� o Al F. 1 •a Q I`O o� I� 1- F� o ...1* 1° I� 25' 25' 10 i� i J� h I O r\ I 1 (0 N 1\14 1 I L ��o cz N. M F O 4 J I 55.00 5 0� w O cr. t\ 3 PA Z .:I Q w v i *i Sp4.28 „E 't: W Ce o 39.19 Zn' W STREET M o_ a u_ p F cn D� o w o W N y 0 91.52' E"' ii c)‹ in G 1 L1-1 0 55.00'` ceLuL I 1 o ld OS £119 1 0 v o X6107 1 w) I p o I 1 Z 0 o-Q J N 02 47 36 E -I al w 1 �z _10881 1-.(f) z o N :w z 15 p >-4-t o 15OS 1 565 1 i co �4,�� :y E6107 I 1 to W y I W0QS- .fS a 14 Z 2 a I` N..D 4 J 5500' W wQp 07. c°o 1 64 c I �o °=�Q o I (1) J a F Z O N: o, w owz v l_'OS L885 I Zo 'o wi =Q C\1 `1 I z N 10 115' d o w Q Ln 02 47 35 J 1LJ 0) 106.46 2 —i W O, 0 O Li I 3 0 01 :25 25 l� ._ZZ9S ...C.3".oc. N N •0 1 I._ 00 i '1 i 5.\ i f N .t 1 .447,1 4 i i 1 1 LEVEL 'R. E S. i '1 13 Li SO I i N i I I I 1 s t I i 1 3 .1 q f. i I A 2 GA 12.. r, A i "p0 scvl i 1-•‘, 8.00* i -Par 13$0\ i-l• C aA3 C. D 21 4 1..__________ cr-:', '4111 I N c V NC. 'S.VV. 0 0 N), C6, •..a.c.t.t...7.0 ec•A3c.. cua.13 LOT 443 izE QV c/ //ie V.C. •otz..)v-E i it ii .S 1 7 E P.-..4._1■4...___._ ?CAT 4 4 PRESCRIPTIVE APPROACH SIMPLE FORM *.in For the Washington State Energy Code (2006 Edition) Climate Zone 1 CITY OOVERNKENT Site Information: Building Department Use Only: Lot: a il 3 E5erwe ¥ALLEK Ci2 K Permit 0 c 1 5 6 Address: 19- VRLL 4' CitEEK- D12, Notes: City: PO LING State: VI/ A-. Zip: 9834A Contact: rC L.1 E.e,60 Phone':' C" 73/,„ O 73 8 4 3 Phone 2 :1. Y— /v g 1- 1 -1119' FAX: oLY PB1J Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing U Factor Doo`r Wall Wall Wall ;Vaulted Interi E xter.►or Slab o n Option Area o of Vertical Overhead' Factor Ce►I►ng Grade Floor Floor •Ce►ling Below Below Concrete" 'G rade 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: 1 The project is a single family residence or duplex. 'V 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 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- facior listed above. Location of the doors) taking exception: Type of heat Source: FO2CV A l R f::-,LEc, 1`U 120 =1`C T Forms/Building Division /Pescriptive Approach Simple Form 1 m m r <r l ec t r i ca i information Form a 'V P ublic Works Utilities Department (360) 417 -4700 m 5 City Electrical Inspector (360) 417 -4735 .g Please complete and return to Public Works Utilities Department ApplicantInformaton Permanent service: Name:DEVELOP/I ehrr 4- COUSTtVUCTIOM G(OCJ` I INIC. LL.G Name and address of party Street: /230 N E, /5r 1i.-ACS 4 S ITE 30 3 responsible for permanent City State ZIP: `13r..Li..-EYU E. W A, 9 80 0.5 service billing? Daytime Phone:WS"- 41S 8900 Home Phone: Contact lnfornation (if other than above) Site contact: Name: CL /iJT, Seac, Title: AGEAJT Daytime Phone: 34,0- -73/ -84./3 366-443/- Contractor: Name:1 t/�In5Tiva,o6 Company:'�V, d- e.oubr- GetOUP .�G -1-e- Daytime Phone:: 4.75' y r3e /e✓o'-. lu4 JM Name: /f S n i li Company: Ser4 w. of /#'j. '-Lc Electrician: Daytime Phone: 360 69 1 li Excavator: Name: Company: Daytime Phone: Project Type Existing New X Single family residence El Multi-family residence; of units Commercial El Subdivision; of lots Overhead service General service Underground service Other: Pro•ect. Infor Description of work: 5 1u6LE FAM /L'( 2F 5/ Ds t1JE Street address lot number: I /AL.I.EY C /Z. E K D2. 1--e)-7- gt 3 ?2 $tIZ.UE. (2-V Nearest cross street: r -c E ST Desired connection date: W #F) J 2,PeCTEo A-OJD ,Q- PvIzev Electrical transformer serving property is: on a pole tg, on the ground Electrical: Load Total square footage: /'fob sq. ft. Main disconnect size: amps 120/240 1 ph 0120/208 3ph 277/480 3ph Voltage: ❑120/240 3ph ❑480 3W 3ph Other f g Standard residential loads (Lighting, refrigerator, dishwasher, washer) Check all that apply: A/C ton) 7K Range /Oven Hot Tub Clothes Dryer Heating Pumps Hp) No Load Change gl Water Heater Elevator Hp) Other Su ortin Doc p pp 9 �umentatl ®n Please provide ,a copy of the following: -tailed 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 am s of.all motors over 50hp. Applicant's Signature: am (1-------1 Date: C� -I 9 pP MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360 -417 -4711 WS WF Information form.xls 1 PWKS! l_ IG{- I r\ i7rsh'i:iR \#kor!gi: fort r, Revise: -15. 00 ELECTRICAL .PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 09- 00000944 Date 4/20/11 Application pin number 063680 Property Address 114 VALLEY CREEK DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 16 -5 -5- 0430 -0000- your excise tax form Application type description ELECTRICAL ONLY on y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning PLANNED RESDNTL DEVLPMENT Application valuation 0 Application desc New home 1909 sqft Owner Contractor SHERRON ASSOCIATES, L.L.C. SEQUIM ELECTRIC 325 E WASHINGTON ST. #111 BELLEVIEW SEQUIM WA 98382 BELLEVUE WA 98005 (360) 681 -3794 Permit ELECTRICAL NEW RESIDENTIAL 1 Additional desc Permit pin number 153452 Permit Fee 141.25 Plan Check Fee .00 Issue Date 9/14/09 Valuation 0 -y- Expiration Date •5/01/10 y Qty Unit Charge Per Extension 1.00 86.2500 ECH EL -R -SQFT FIRST 1300 86.25 -p 2.00 27.5000 ECH EL -R -SQFT ADDITIONAL 500 55.00 1 V Fee summary Charged Paid Credited Due K Permit Fee Total 141.25 141.25 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 141.25 141.25 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN /Z—C) FINAL t� 'C' COMMENTS: 111 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE■BUILDING bF PORT' ,A04,. ELECTRICAL INSPECTION WIRING REPORT \R �y�W 417 -4735 DATE PERMIT a INSPECT R D OWNER/CO TRACTOR ,s ill ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: NOTIFY. INSPECTOR WHEN CORRECTIONS F; ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE 5 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 09- 00001064 Date 4/20/11 Application pin number 409480 Property Address 114 VALLEY CREEK DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 16 -5 -5 -0430 -0000- your excise tax form Application type description ELECTRICAL ONLY on Y Subdivision Name to the City of Port Angeles Property Use Property Zoning PLANNED RESDNTL DEVLPMENT (Location Code 0502) Application valuation 0 Application desc New home furnace T -stat Owner Contractor SHERRON ASSOCIATES, L.L.C. AIR FLO HEATING CO INC 221 W. CEDAR BELLEVIEW SEQUIM WA 98382 BELLEVUE WA 98005 (360) 683 -3901 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 155135 ti+ Permit Fee 43.75 Plan Check Fee .00 Issue Date 10/15/09 Valuation 0 Expiration Date 10/17/11 Qty Unit Charge Per Extension I 1.00 43.7500 ECH EL- LVT- THERMOSTAT 43.75 Fee summary Charged Paid Credited Due Permit Fee Total 43.75 43.75 .00 .00 C2F Plan Check Total .00 .00 .00 .00 Grand Total 43.75 43.75 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN l FINAL 1 JZ01 co COMMENTS: l PERMIT .WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING oFpORr,4,, ELECTRICAL INSPECTION Az, WIRING REPORT °'MIMI/ S 417 -4735 RKS 6 DA PERMIT INSP C i f I 7 OW ER/CO T ACT ACTOR ADDRESS I A 4 APPROVED NOT APPROVED I DITCH ROUGH IN /COVER SERVICE' FINAL CORRECTIONS NEEDED: 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 furnace T stat Owner SHERRON ASSOCIATES L L C BELLEVIEW BELLEVUE Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98005 155135 43 75 10/15/09 4/13/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00001064 409480 114 VALLEY CREEK DR 06 30 16 5 5 0430 0000 ELECTRICAL ONLY PLANNED RESDNTL DEVLPMENT 0 DATE Contractor ELECTRICAL NEW RESIDENTIAL Qty Unit Charge Per 1 00 43 7500 ECH EL LVT THERMOSTAT AIR FLO HEATING CO INC 221 W CEDAR SEQUIM (360) 683 3901 Plan Check Fee Valuation Charged Paid Credited Permit Fee Total 43 75 43 75 00 Plan Check Total 00 00 00 Grand Total 43 75 43 75 00 113 ,1 Date 10/15/09 WA 98382 Extension 43 75 Due 00 00 00 RESULTS 00 0 Pk? ii)/it pcF, Si gnature of owner or Electrical Contractor X Date INSPECTOR. DATE l!2IC) OW1■ER/C"ONTRACTOR ADDRESS APPROVED 0 CORRECTIONS NEEDED ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT C i r_C TIZ-t DITCH ROUGH IN /COVER SERVICE FINAL INSPECTOR 20 1)'AC Y GIZ.g.C.14 D _iko l S1 -I1 Q �nl LLg_L7 aF' CSa9t /Z. r3 C Vin a.l lac c_DM gc-rt NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE NOT APPROVED 0 0 0 10/14/2009 WED 9 52 FAX 360 683 3971 Owner 1 formation 6 i rn,lr) Name: l leilL 5 P zakf re f; Mailin Address: 12 4M i 1 t 1 Pi.- '30.5 City .1C3)v" State: WA- Zip:aQ fr) Phon� t Fax: E�f T‹ )751# 541 4', License 1 rp. 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 Signatyre of owner electrical contractor or electrical administrator Air ftECE OCT 14 2009 ELECTRICAL INSPECTIONS City of Port Angeles Permit Application Building DivislonlElectrical Inspections 321 East Fifth Street P.D. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417.4711 Date: 10- i L4_09 2 ,L 1 2 Single Family Dwelling Multi -Family or Commercial* Commercial Addition I Alteration I Remodel Repair' Plan Review May Be Required, Please C mplete Electrical Plan Review Information Sheet Job Address: 111.4 va,1 i C� t t 1 CJ rep-P t v eaK: r Llt C p Building Square Footage; Description of above 9 -{-"P IA, o N T y J r n 1. v YV) U.0L- 1 to 12 Qty Total (Qtv Multiplied by Unit Charael Contractor Information Name: A i r i, 0 4-1 CA f(�_ Mailing ,Qddress: i N N. [1�.( 1'/_ City S L I State: Zip: Phone:jnk Fax: S License I Exp. fL) r P 1 .l-I- 0 0 0 4 /0 ServicelFeeder 200 Amp. Service/Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp. ServicelFeeder 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 Pedal 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 Y Thermostat Total I�J 001 /001 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure /or two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor If above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical 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. Cash Check Date: 1 0 11.4 .iOoti NI Credit Card KI t I i t; 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 1909 sqft Owner SHERRON ASSOCIATES L L C BELLEVIEW BELLEVUE Permit Additional desc Permit pin number 153452 Permit Fee 141 25 Issue Date 9/14/09 Expiration Date 3/13/10 Qty 1 00 2 00 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98005 Unit Charge Per 86 2500 ECH 27 5000 ECH 141 25 00 141 25 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Date 9/14/09 09 00000944 063680 114 VALLEY CREEK DR 06 30 16 5 5 0430 0000 ELECTRICAL ONLY PLANNED RESDNTL DEVLPMENT 0 Contractor ELECTRICAL NEW RESIDENTIAL SEQUIM ELECTRIC 325 E WASHINGTON ST #111 SEQUIN WA 98382 (360) 681 3794 EL R SQFT FIRST 1300 EL -R SQFT ADDITIONAL 500 Plan Check Fee 00 Valuation Paid Credited 141 25 00 00 00 141 25 00 DATE RESULTS 0 Extension 86 25 55 00 Due 00 00 00 INSPECTOR. 4$4. *9) 4.P vc?' 6 KF ize I mature of owner or Electrical Contractor X Date 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: 9" ff of 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Owner Information C_-t jr �c2L Name. rte S1- berzR?)gl Mailin Address: City 1 0e_ State. !f1 P Zip 7D 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 gly Signature of owner electrical cont r or electrical administrator Date: 2s RECEIVED SEP 1 4 zoos ELECTRICAL INSPECTIONS Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1144 thatu Cre..t.Jr fr 1....e t 4 co Building Square Footage. t doo 4' et>r LlZ.5 110 4e) 5 Description of above A.jec c.) k 1 4_ ct-beih.2. acid it_Ss w P -0 Contractor Information Name. Sa 9 w ?i. T Terri, ii C Mailing Address: e ,z4Y o/f ca3410 hicCY City coq State. wit Zip: Aga Phone. tax: 4 i 4 License /Exp q uLE 5 q 5'3 L2. Total (Qty 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 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 $G L- First 1300 Square Ft. or> Each Additional 500 Square Ft. or Portion of 59 Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat 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. 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. Cash //Check Credit Card 66Y-.37q1 OAT g Zsld9 OIANER/CONTRACTOR ADDRESS ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT U 0 086 DO NOT REMOVE INSPECTOR A- ssfx_i ATE S LL--C 11 y 1)f APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED �nrc °'-a %JJ l�S won-pm iz, Cw_Sts rit∎l r WY �?r 54c„F, uip t-r�� IzU!r 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 SHERRON ASSOCIATES L L C BELLEVIEW BELLEVUE Permit Additional desc Permit pin number 152348 Permit Fee 72 50 Issue Date 8/25/09 Expiration Date 2/21/10 Qty Unit Charge Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98005 ELECTRICAL TEMPORARY SERVICE Per ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000865 202895 114 VALLEY CREEK DR 06 30 16 5 5 0430 0000 ELECTRICAL ONLY PLANNED RESDNTL DEVLPMENT 0 Contractor OWNER Plan Check Fee Valuation 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 fal 11120-1 94e? Date 8/25/09 Due DATE. RESULTS 00 00 00 0 0 0 Extension 72 50 Signature of owner or Electrical Contractor X Date 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. 8 -1 o 9 l'1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition Alteration I Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Ii? V62.l>_ C.ZZEE DrL 1VE Building Square Footage. f c3 jr3L. Description of above Owner Information Name: D £V -F- C 4 �S i co f2 at)9. Mailing Address: I .2 3 o I it) I D'" Pt SUP-3v City c11 r v u State t) A- Zip 00.3 c-/21 4-54 O D Fax: hfaS 4 44 3 License I 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 Cy Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chaptv19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical administrator X I Date: g" -X 04 RECE-VED AUG 2 5 2009 ELECTRICAL INSPECTIONS Total (Qtv Multiplied by Unit Charae) 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 6ash Check Credit Card Contractor Information Name. -560V )111 E L. c, Mailing Address. City -5 State:-Zip: 4 ,s? PhonekYb 3 991- Fax: License Exp 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Water meter Owner SHERRON ASSOCIATES L L C BELLEVIEW BELLEVUE Qty Unit Charge Per 1 00 7 0000 EA Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T SPoiicieT 02 15 [10/08) WA 98005 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000567 415336 114 VALLEY CREEK DR 06 30 16 5 5 0430 0000 PUBLIC WORKS UTILITES' PLANNEb RESDNTL DEVLPMENT 0 Contractor Permit PLUMBING PERMIT Additional desc DOUBLECHECK VALVE FOR HOSE BIB Permit pin number 148163 Permit Fee 57 00 Issue Date 6/17/09 Valuation Expiration Date 12/14/09 BILL S PLUMBING HEATING INC P 0 BOX 282 SEQUIM WA 98382 (360) 683' 7996 Plan Check Fee BASE FEE PL- BACKFLOW PROTECTION <OR =2 Charged Paid Credited 412 00 412 00 00 00 00 00 1510 00 1510 00 00 1922 00 1922 00 00 Date 6/17/09 PW WATER SYSTEM USE FEE 1510 00 Due 00 00 00 00 00 0 Extension 50 00 7 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 148155 Permit Fee 355 00 Plan Check Fee 00 Issue Date 6/17/09 Valuation 0 Expiration Date 12/14/09 Qty Unit Charge Per Extension 1 00 355 0000 EA PW WATER METER DROP IN 355 00 ci v\ o %t-k(2A C7 to Ron Becker c reck affia5V4 d (1-4 Revin +v GrJ Pv 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 iIt owner is builder) Date Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Water meter Owner SHERRON ASSOCIATES L L C BELLEVIEW BELLEVUE Permit PLUMBING PERMIT Additional desc DOUBLECHECK VALVE FOR HOSE BIB Permit pin number 148163 Permit Fee 57 00 Issue Date 6/17/09 Valuation Expiration Date 12/14/09 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 148155 Permit Fee 355 00 Plan Check Fee 00 Issue Date 6/17/09 Valuation 0 Expiration Date 12/14/09 1 00 Other Fees Fee summary Charged Permit Fee Total 412 00 Plan Check Total 00 Other Fee Total 1510 00 Grand Total 1922 00 T \Policies \1102 15 (10/08] 1 00 7 0000 EA Qty Unit Charge Per Qty Unit Charge Per WA 98005 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000567 415336 114 VALLEY CREEK DR 06 30 16 5 5 0430 0000 PUBLIC WORKS UTILITES PLANNED RESDNTL DEVLPMENT 0 BASE FEE PL- BACKFLOW PROTECTION <OR =2 355 0000 EA PW WATER METER DROP IN PW WATER SYSTEM USE FEE 1510 00 Paid Credited Due 412 00 00 1510 00 1922 00 Contractor Date 6/17/09 BILL S PLUMBING HEATING INC P 0 BOX 282 SEQUIN WA 98382 (360) 683 7996 Plan Check Fee 00 00 00 00 00 0 Extension 50 00 7 00 Extension 355 00 00 00 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 Authori Agent Date Signature of Owner (if owner is builder) Date C 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 4CCEPTED POST PERMIT IN A CONSPICUOUS LOCATION 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 iPolicies` 1 10 15 10 /08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I I I I I I I CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I I I I