HomeMy WebLinkAbout1316 Dutch Dr - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000194 Date 3/08/12
Application pin number 474620
Property Address 1316 DUTCH DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-8-0- 0010 -0000-
Application type description RES NEW SFR on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation.. 156172
Application desc
2379sq ft SFR
Owner Contractor
GLEN AND AMANDA JOY C ANDERSON HOMES DEV INC
431 BENSON RD 1400 W. WASHINGTON ST.
PORT ANGELES WA 98363 STE. 104 -178
SEQUIM WA 98382
(425) 770 -1477
Permit BUILDING PERMIT RESIDENTIAL
Additional desc 1666SQ FT SFR W/ 484SQ FT GARA
Permit Fee 1339.45 Plan Check Fee 870.64
Issue Date 3/08/12 Valuation 156172
Expiration Date 9/04/12
Qty Unit Charge Per Extension
BASE FEE 1020.25
57.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 319.20
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 93.80 Plan Check Fee .00
Issue Date 3/08/12 Valuation 0
Expiration Date 9/04/12
Qty Unit Charge Per Extension
BASE FEE 50.00
4.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 29.00
1.00 14.8000 EA ME- HEATER(SUSP /WALL /FLOOR -MTD) 14.80
Permit PLUMBING PERMIT
Additional desc
Permit Fee 163.00 Plan Check Fee .00-
Issue Date 3/08/12 Valuation 0
Expiration Date 9/04/12
Qty Unit Charge Per Extension
BASE FEE 50.00 final 5 4112/
8.00 7.0000 EA PL-PLUMBING LUMBING TRAP 56.00
1.00 7.0000 EA PL -WATER LINE 7.00
4.00 7.0000 EA PL -DRAIN VENT PIPING 28.00
1.00 15.0000 EA PL -SEWER LINE 15.00
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.
3 8- %Z 3; lr titer elt9 4,40 cc
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
'i
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 Backfiow 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 j
Foundation Drainage Downspouts
Piers j
Post Holes (Pole Bldgs.)
PLUMBING:
Under Flood/ Slab
Rough -In I
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 r Ceiling
MECHANICAL:
Heat Pump/ Furnace FAU Ducts
Rough -In
Gas Line I
Wood Stove Pellet Chimney
Commercial! Hood Ducts J FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting 1
PLANNING DEPT. Separate Permit #s SEPA:
Parkin -Li 'hting ESA:
Landscapincj _SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Constriction R.W. PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
i 1
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
\IMO./ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 12- 00000194 Date 3/08/12
Application pin number 474620 REPORT SALES TAX
Qty Unit Charge Per Extension on your state excise tax form
1.00 7.0000 EA PL WATER HEATER 7.00 to the City of Port Angeles
Special Notes and Comments (Location Code 0502)
March 1, 2012 7:35:59 AM rbecker.
Are you installing a lawn sprinkler system? If you are you
need to install a double check valve assembly.
If you are install a closed fire system, you will need t•
install double check valve assembly.If you are installing an
open fire system, you do not need to install a backflow.
If you have any questions call Ron Becker at 360 417 -4886,
E- mail:rbecker @cityofpa.us Fax:360- 452 -4972.
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
March 6, 2012 4:38:28 PM sroberds.
The proposal will result in the construction of a new sfr in
the RS -11 for lot coverage of 22% and site coverage of 28
No land use issues anticipated.
Electrical load calculations and electrical permits are
required.
February 29, 2012 4:53:25 PM banders.
Temporary and permanent electrical connections will come
from northeast corner of property.
Construct driveway to City standards. No culvert required
for this driveway. Work within the City right of way
requires a separate Right of Way Construction application to
be completed by the contractor and approved by Public Works
Engineering prior to the start of work.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417 -4831
Other Fees RES UNDERGRND SERVICE FEE 770.00
MILW DRIVE ASSESSMENT 240.00
SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 2260.00
Fee summary Charged Paid Credited Due
Permit Fee Total 1596.25 1596.25 .00 .00
Plan Check Total 870.64 870.64 .00 .00
Other Fee Total 5534.50 5534.50 .00 .00
Grand Total 8001.39 8001.39 .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.
t oy Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
x;)
`i�ormssBuilding Division /Building Permit
t
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886
IT IS UNLAWFUL.TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings j W
Stemwall U
Foundation)Drainage Downspouts 3. I Q l air
Piers
Post Holes ;(Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In j
Water Line ((Meter to Bldg)
Gas Line
Back Flow W G ater FINAL Date 12 Accepted by Ta---
AIR SEAL':
Walls
Ceiling 1
FRAMING
Joists Girders Under Floor
Shear Wall/ Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Onl
T -Bar
INSULATION:
Slab
Wall Floori/ Ceiling O'
MECHANICAL:
Heat Pumpl/ Furnace FAU Ducts
Rough -In 1 1,1111171
Gas Line I
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting 1
PLANNING DEPT. Separate Permit #s SEPA:
Parkin. Li' htin• ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construct a R.W. PW Engineering 417 -4831
Fire 1 417 -4653
Planning 417-4750
Building 417 -4815 5. 3' 1 a'
T:Forms /Buildini3 Division /Building Permit
ti F I N
CITY OF PORT ANGELES
et �•iI PUBLIC WORKS UTILITIES
Gam 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000194 Date 3/08/12
Application pin number 474620
Property Address 1316 DUTCH DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-8-0- 0010 -0000
Application type description RES NEW SFR on your state excise tax form
Propert perty Use i U Name
Property to the City of Port Angeles
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 156172
Application desc
2379sq ft SFR
Owner 'Contractor
GLEN AND AMANDA JOY C ANDERSON HOMES DEV INC
431 BENSON RD 1400 W. WASHINGTON ST.
PORT'ANGELES WA 98363 STE. 104 -178
SEQUIM WA 98382
(425) 770 -1477
Permit DRIVEWAY INSTALLATION
Additional desc NO CULVERT REQUIRED
Permit Fee 180.00 Plan Check Fee .00
Issue Date 3/08/12 Valuation 0
Expiration Date 9/04/12
Qty Unit Charge Per Extension
BASE FEE 180.00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 3/4" DROP IN METER
Permit Fee 420.00 Plan Check Fee .00
Issue Date 3/08/12 Valuation 156172
Expiration Date 9/04/12
Qty Unit Charge Per Extension
1.00 420.0000 EA PW WATER METER DROP IN 420.00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee 150.00. Plan Check Fee .00
Issue Date 3/08/12 Valuation 156172
Expiration Date 9/04/12
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
Special Notes and Comments
March 1, 2012 7:35:59 AM rbecker.
Are you installing a lawn sprinkler system? If you are you
need to install a double check valve assembly.
If you are install a closed fire system, you will need to
install double check valve assembly.If you are installing an
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:Forms /Building Division /Public Works Permit
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 I NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER 1
DRIVEWAY APPROACH
BACK -FLOW DEVICE
4
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 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 4'17- BUILDING
4815
T:Forms /Building Divisiim /Public Works Permit
CITY OF PORT ANGELES
F N
•1� PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 12- 00000194 Date 3/08/12
Application pin number 474620 REPORT SALES TAX
Special Notes and Comments on your state excise tax form
open fire system, you do not need to install a backflow.
If you have any questions call Ron Becker at 360 417 -4886, to the City of Port Angeles
E mail:rbecker @cityofpa.us Fax:360- 452 -4972. (Location Code 0502)
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
March 6, 2012 4:38:28 PM sroberds.
The proposal' will result in the construction of a new sfr in
the RS -11 for lot coverage of 22% and site coverage of 28%.
No land use issues anticipated.
Electrical load calculations and electrical permits are
required.
February 29, 2012 4:53:25 PM banders.
Temporary and permanent electrical connections will come
from northeast corner of property.
Construct driveway to City standards. No culvert required
for this driveway. Work within the City right of way
requires a separate Right of Way Construction application to
be completed by the contractor and approved by Public Works
Engineering prior to the start of work.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Public Works Inspection request line
417 -4831
Other Fees RES UNDERGRND SERVICE FEE 770.00
MILW DRIVE ASSESSMENT 240.00
SEWER SYSTEM DELV CHARGE 2260.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 2260.00
Fee summary Charged Paid Credited Due
Permit Fee Total 750.00 750.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 5534.50 5534.50 .00 .00
Grand Total 6284.50 6284.50 .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:Forms /Building Division /Public Works Permit
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.V. PW/ CONSTRUCTION R.W.
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT.
BUILDING 41-7- BUILDING
4815
T:Forms /Building Division/Public Works Permit
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,,r 'PZr rY BUILDING PERMIT APPLICATION Print in ink
CITY O F PORT ANGELES
a For City Use Only:
Attn: Building Permit Technician
�s^-- _.��r g Date Received 'Z3 +2
i.._ 321 E. Fifth St., Port Angeles, WA 98362
'L c;
(360) 417 -4815 fax (360) 417-4711 Date Permit Approv l; ed �,J OL
Applicant C /nO et ,)n Mm 0C,11 Ph n HdS 770 -/y77
Property Owner G l e r\ fl Ain &int)ci Tod_ Phone
Property Owner's Address 4 '1t Qen S teoaa Pori- yeles I A q 3C3
Contractor C A, r er /o n s f� ev. 1 Phone t ),3-- 7
Contractor's Address j 90 w u) Q51-) r��� Iv^ 5 f-- S I-e Ip t1- j l kJ
seo 1 t,.4 g8
License Expires E -mail chris t C4nAerson Neon es C,om
PROJECT ADDRESS 3 1 by 4 J brik,e
Parcel Number 3 O0 1 50001 Lot 1 Zoning
Project Type Brief Description: )(Residential Multi- family Commercial o Industrial
Check all that apply
[flew Construction S r\c, if 3 Tae) 1 b6/4 i
Addition
Remodel
0 Repair
Demolition
Re -roof House garage other o tear off re -roof lay over one layer
Heat System Heat pump wood- burning stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
t Basement per sq, ft. 1141. S (.e7 1 Floor f (66-Sn _4U K c.o
?.2 Floor
e 'Floor i Atszegraak
L{ S,,,,)(-) Garage 9 C ite f 3b c
}Car ort •P:
Covered Porch x
l'
i Deck
.Shed
.0ther rmo 0111%,
TOTAL VALUATION
Total footprint of structures a I s -71 -SO sq. ft. Lot size 1 1 1 Q 1 I s q ft, Lot coverageal C7
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
Max, height of proposed structures ft. Occupancy group of bedrooms
Willa lawn sprinkler system be installed'? Occupant load of full baths a
Will -a fire sprinkler system be installed? Construction type of half baths
1 have lead and completed this application and know it to be Prue and correct. t am authorized to a•.ly f.r this permit and understand
that it is my responsibility to:defermino what permits are re uired, and to obtain permits prior to w. ki '.ro' -cts,
Dat d Print t Name \(i' AQ/ /'Mkr5t.) Signature a
r
T:Fotms /Building Division /Building permit application
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Contractors or Tradespeople Printer Friendly Page Page 1 of 2
General /Specialty Contractor
A business registered as a construction contractor with LEtI to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
Business and Licensing Information
Name C ANDERSON HOMES Et DEV INC UBI No. 602580913
Phone 4257701477 Status Active
Address Ste 104 -178 License No. CANDEAH943DG
Suite /Apt. 1400 W WASHINGTON ST License Type Construction Contractor
City Sequim Effective Date 3/7/2006
State WA Expiration Date 3/7/2014
Zip 98382 Suspend Date
County Clallam Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name Role Effective Date Expiration Date
ANDERSON, CHRISTOPHER L President 03/07/2006
ANDERSON, KATHLEEN S Secretary 03/07/2006
Bond Information
Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received
Name Number Date Date Date Date Amount Date
3 Lexon Ins Co 9812443 01/31/2012 Until $12,000.00 02/01/2012
Cancelled
COLONIAL Until
2 AMERICAN CAS LPM4075053 01/31/2008 Cancelled 02/01/2012 $12,000.00 01/15/2008
Et STY CO
1 PLATTE RIVER 41063738 01/31/2006 Until 03/11/2008 $12,000.0003/07 /2006
INS CO Cancelled
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Policy Number Effective Expiration Cancel Impaired Amount Received
Name Date Date Date Date Date
Navigators SF1OCGL015754-
4 Specialty 02 01/31/2012 01/31/2013 $1,000,000.00 01/30/2012
Insurance
3 NAVIGATORS 0C10CGL01575401 01/31/2011 01/31/2012 $1,000,000.00 01/31/2011
SPECIALTY
https: fortress .wa.gov /lni/bbip /Print.aspx 2/23/2012
Contractors or Tradespeople Printer Friendly Page Page 2 of 2
INS CO
2 NAVIGATORS 0C10CGL01575400 01/31/2010 01/31/2011 $1,000,000.00 02/01/2010
SPEC INS CO
NATIONAL
FIRE
1 72LPE707456 01/31/2006 01/31/2008 $1,000,000.00 01/26/2007
MARINE INS
CO
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https: fortress .wa.gov /lni /bbip /Print.aspx 2/23/2012
FROM :ADVANTAGE ESCROW FAX NO. :3604579222 Feb. 23 2012 11:11AM P1 /1
p �IN� a
Qt o OMB Approval No. 2602 -0266
li ib 111 f-
p A. Settlement Statement (HUD -1)
e iN MOO
B. Type of Loan
6. File Number 7. Loan Number: 8, Mortgage Insurance Case Number:
1.0 FHA 2. DX RHS 3, D Conv, Unlns. 3363A 39564671
4.0 VA 5.0 Conv. Ins.
C. N is ry d to give y. u a statement of actual settlement costs. Amounts "paid to and by the settlement agent are shown.
Items marked "(p.o,c, re pal. utside the closing; they are shown here for informational purposes and ere not included In the totals,
D. Name and Address of Borrower: E. Name and Address of Seller: F. Name and Address of Lender:
Amanda Joy C Anderson Homes Development USDA Rural Development
Glen Dale Joy, Jr, Inc., a Washington corporation 1601 East Front SI.
431 Benson Road 1400 West Washington St., Suite 104 -178 Port Angeles, WA 98362
Port Angel: Sequim, WA 98382
Property Location: H. Settlement Agent: 27- 0126397 I. Settlement Date:
1316 Dutch Drive Advantage Escrow Company
Port Angeles, WA 98363 802 East First SI., Suite 1 February 17, 2012
Clallam County, Washington Port Angeles, WA 98362 Ph. (360)457-3001 r•-.4.-
Place of Settlement:
802 East First St„ Suite 1 F IM9 L-
r Port Angeles, WA 98362
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Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1
Project Information Contact Information
1316 Dutch Drive, Port Angeles WAS ChrisAnderson y
Lot 1 425 770 -1477'
This set of forms has been developed to assist permit applicants documenting compliance with the
Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located
in Climate Zone 1.
The following forms provide much of the required documentation for plan review. The details noted here
must also be shown on the drawings (WSEC 104.2).
This form is not a substitute for the energy code itself. To obtain a copy of the energy code,
go to the following web address. http: /www.energy.wsu.edu /code
Glazing Wall i2 Wail int Wall ext 4 6
lo Glazing U- Factor Door 9 Vaulted Slab
Option Area C g Above Below Below Floor on
U- Factor Ceiling'
/o of Floor Vertical Overhead Grade Grade Grade Grade
R-49 or R -21 R -21 R -10
I 13% 0.34 0.50 0.20 R -38 R -38 R-10 R -30 2
Adv.
R-49 R -21 R -21 R -10
O II 25% 0.32 0.50 0.20 R -38 R -38 R -10 R -30
Int TB 2
Adv.
R-49 or R -21 R -21 R -10
Q III Unlimited 0.30 0.50 0.20 R -38 R -38 R -10 R -30
Int TB 2'
Adv.
See WSEC table 6 -1 for footnotes
Glazing Schedule Attached to. Document
Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option III. All glazing
and doors meet maximum U- factor: Alternate heating size method submitted.
Option I or II, Glazing to floor area limit (WSEC 602.7.2)
Area weighted window, skylight or door U- factor (WSEC 602.7.2)
As part of the heating system sizing calculation (IRC M1401.3 WSEC 503.2.2)
Radiant slab:
R -10 foam insulation, continuous with thermal break (WSEC 502.1.4.9)
Chapter 9 Options Total of 1 Credit Required
Opt. Opt. Description
la High Efficiency HVAC Equipment 1
1 b High Efficiency HVAC Equipment 2
lc High Efficiency HVAC Equipment 3
2 High Efficiency HVAC Distribution System
3a Efficient Building Envelope 1 0.5
3b Efficient Building Envelope 2
3c Super- Efficient Building Envelope 3
4a Air Leakage Control and Efficient Ventilation
4b Additional Air Leakage Control and Efficient Ventilation
5a Efficient Water Heating 0.5 p
5b High Effieciency Water Heating
6 Small Dwelling Unit
7 Large Dwelling Unit
8 Renewable Electric Energy *1200 kwh
Total Credits 1.00
WSEC Prescriptive Worksheet (2010 edition) Zone 1 WSUEEP10 -010 Copyright 2010
Gla Schedule
Projec In format i o n Contact Information
1316 Dutch Dr Port Angeles WA Chris Anders
425 770 -1477
Conditioned F Ar ea 1.666' Sum of UA fo Heating System Sizing)
Inform on
Sum of All Glazing Areas From Belo
Glazing to Floor Area Ratio 602.7. Exception U
Ratio (not to exceed 1
Exterior Doors
Plan Comp o n ent Door Percent Width Height Glazing Door Door
ID Descript Ref. U-factor Glazed Qt. Feet Inch Feet Inc Area Area A
Entry D oor.: 0.160 3 6 8
On Ex emp t Swinging Door 24 Squ are Feet -`K,: m
Sum of Glazing Area, Door Area, a nd UA (do not include exemp door) 1
Area Weighted U U
Sum of Are and U for H system size only (include e xempt door I
Vert Glazing (W indow s, Glaz doo us Except 6 1
Plan Com ponent Glazin Wid H e i ght Glazing
ID Description Re U- f actor Qt. Feet Inch Feet Inch
Area UA
Great Room 0.310 :w, 5 M 5
G r e at Roo m 0 310. 5 ''-t
5 ,k
Dining Room 310: W 5 6
Kitchen 0.310; 3 3 6
Bedroom, #1' 0.3.10; 4 "4.
Bedroom, #2 .5. 0.31,Q., 4 4_
Master Bedroom„ 0.310 4 4
v� Sri.,
ter, s
p Ate(..
Sum of Area an UA
Area We i g h t ed U UA/Area
WSEC Prescriptive Worksheet (2010 Edition)
WSUEEP10 010 Copyright 2010
Oyerhead Glazing
Plan Component Glazing Width Height
ID Description Ref. U Qt. Feet Inch Feet Inch Area UA
'fi i
Sum of Area and UA
Area Weighted U UA/Area
Doube Glazed Garden Windows Section 602.7.2 Exception
Plan Component Width Height
ID Description Qt. Feet Inch Feet Inch Area UA
Sum of Area
Sum of Area X 3 (This total is automatically included in the glazing area total.)
Glazing UA for Heating System Size Only Area X 0.63
WSEC Prescriptive Worksheet (2010 Edition)
WSUEEP10 -010 Copyright 2010
y pORTg1•C
CITY OF PORT ANGELES
FIRS PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000254 Date 4/24/12
Application pin number 158962
Property Address 1316 DUTCH DR, REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-01-8-0-0010-0000-
Application type description PUBLIC WORKS UTILITES on your state excise tax form
Subdivision Name
Property Use to the City of Port Angeles
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
Construct driveway RCP #12 -07
Owner Contractor
GLEN AND AMANDA JOY EDEN EXCAVATING INC.
431 BENSON RD 4065 EDEN VALLEY RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 461-1275
Permit RIGHT OF WAY
Additional desc CONSTRUCT DRIVEWAY RCP #12 -07
Permit Fee 150.00 Plan Check Fee .00
Issue Date 4/24/12 Valuation 0
Expiration Date 10/21/12
Qty Unit Charge Per Extension
1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER 150.00
Special Notes and Comments
Notify Public Works Engineering 24 hours in advance of start
work. Public Works inspection request line (360)417 -4831
Fee summary Charged Paid Credited Due
Permit Fee Total 150.00 150.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 150.00 150.00 .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 Authorized Agent Date Signature of Owner (if owner is builder) Date
T:Forms /Building Division /Public Works Permit
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 I 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 A
YES NO
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- BUILDING
4815
T:Forms /Building Division /Public Works Permit
CITY OF PORT ANGELES
vow
FIRE DEPARTMENT PERMIT
321 East 5 Street, Port Angeles, WA 98362
Application Number 12- 00000343 Date 4/02/12
Application pin number 458865
Property Address 1316 DUTCH DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 01- 8- 0- 0010-0000- on our state excise tax form
Application type description FIRE SPRINKLER SYSTEM Y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 2650
Application desc
RESIDENTIAL FIRE SPRINKLER SYSTEM
Owner Contractor
GLEN AND AMANDA JOY INNOVATED FIRE SPRINKLERS
431 BENSON RD 81 NEW HAVEN LANE
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) 452 -7583
Permit FIRE SPRINKLER RESIDENTIAL
Additional desc FIRE SPRINKLER SYSTEM
Permit Fee .00 Plan Check Fee .00
Issue Date 4/02/12 Valuation 2650
Expiration Date 9/29/12
Qty Unit Charge Per Extension
1.00 .0000 ECH FIRE INSPECTION RES SPRINKLER .00
Special Notes and Comments
A full acceptance test,will be required for the fire
sprinkler system.
Fee summary Charged Paid Credited Due
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examinal this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be complied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
L..--2 �/Z
S of Contractor or Autho 'zed Agent at e Signature of Owner (if Owner is builder) Date
FIRE PERMIT INSPECTION RECORD
Call 360- 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice. It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Type Date Passed Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough -in inspection
Alann final
LP -GAS Completed by Contractor:
Underground piping inspection /pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test psi
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP -gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable /combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
GENERAL COMMENTS:
2/15/00
n,�kI.,, BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
re A ttn: Building Permit Technician For City Use Only:
t rs.: Date Received 3 1
321 E. Fifth St., Port Angeles, WA 98362
(360) 417 -4815 fax (360) 417 -4711 Permit t �j 3
Date Approved 1,t/9-1 I
1>it-e/
Applicant or Agent V) r1 c Q_ 8 e Q v Phone e--/S a- ?SD 3
Owner C A ds n r s o v, o vv. Z /3-e tl Phone So L-,/ 1 i 8
Owner's Address L—/ S Lit-i Sp v L- .3 1 S(n,, -4e
Contractor /Engineer //f/A /U 1/.} j p, E Phone u /S” 2 7�S'
Contractor /Engineer's Address E,/ /)/.P�- /4c (.14 L-, L PG ,r 1 4 �,5t -PL, r
License /AJA/d 11,GS G 4/ yD Expires By) 2_/1
PROJECT ADDRESS 131 D i_r‘_ L 0 v-1' I e,
Parcel Number Lot Zoning
Project Type Brief Description: ,esidential Commercial Multi- family Industrial
Check all that apply
New Construction L` j S- l L 1/ v--e (1 (1 J k )-e 1 t 4- -w,
Addition J
Remodel
Repair
Re -roof
Demolition
Sign o wall- mounted projecting freestanding awning other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
Heat System Heat pump wood burning stove gas fireplace o pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq. ft.
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch cc r^1
Deck R E C E' V
Shed
Other MAR 2 3 201'
TOTAL VALUATION r7 6 SO
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Max. height of proposed structures ft. Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths
Will a fire sprinkler system be installed? Construction type of half baths
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to detennine what permits are required, an to obtain permits prior to working on
projects. t 1 I
c
Date Print Name 1/...c .e Z Q Signature c j_.----
T:Fonns /Building Division /Bldg Permit Appl. -2006 Code.cloc
ELECTRICAL PERMIT
CITY OF PORT ANGELES a
360 -417 -4735
Application Number 12- 00000290 Date 3/27/12 d
Application pin number 042830
Property Address 1316 DUTCH DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 01 -8 -0- 0010 -0000- on your excise tax form
Application type description ELECTRICAL ONLY
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
2144 sqft house
Owner Contractor
GLEN AND AMANDA JOY NORTH PENINSULA ELECTRIC
431 BENSON RD 761 FRESHWATER PARK RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363 c�-
(360) 477 -1764
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit Fee 200.00 Plan Check Fee .00
Issue Date 3/15/12 Valuation 0
Expiration Date 9/11/12
Qty Unit Charge Per Extension
1.00 120.0000 ECH EL -R -SQFT FIRST 1300 120.00
2.00 40.0000 ECH EL -R -SQFT ADDITIONAL 500 80.00 �J
G
Fee summary Charged Paid Credited Due
r<
Permit Fee Total 200.00 200.00, .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 200.00 200.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH 3 /15( 1DZ-
SERVICE 3)Z`7 Z 4 V41'1
ROUGH -IN 3G Z�
FINAL
I I 21 l/ 2
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G:AEXCHANGE \BUILDING
2012-03-14 08:48 NORTH PENINSULA ELEC 3609289409 360 417 4711 P 1/1
fTh F. r- 1-3
A h i j :,.:I I
u
0
I A n N
..L L z:- ..-P
City of Port Angeles Permit ApplICation
Building DivnlElectrical Inspection. ELECT:M
t+.
0
321 East Fifth Street P.O. Box 1150
Port Angolan Washington, 98382 MSPECTIoir.
Ph: (380) 417.4735 Fax; (360)417
Date
-L.,-a 1'
i':!:
1 2 Single Panty Dwelling
fvluill-Family dr Commercial'
COMmercial Addition 1 Alteration I Remodel I Repair'
Plan Review May Be Naquirid PI aSe Comple Elects i 1 lakorTratkor §ties!
Job Address: .A. C_ 1.--t....)c_i....
Building Square Footage' thlk
Desc
ription o f above L
1•*kr -4 17&71 1. .i ...C. EP) d G i1L....u 4
Owner !nformakin Lic211:j..) s:ontract Ififormat)?.!
Name :injii!i) t Name 1 j_ Li jz E.
maiiin?..6d.sit r
ZiP
c_4
r Ci .).....e 11/tailing Add
Pho re*. .7(.41— L re-• ...clii ef I ti l'-
CitY.' .1.±.....fi L '...LC "..-2_ L-- 0'4.y 6tare i
Phone Fax: t ne -I 1 Ta T i Fa' _a.... `:_j4
License 0.' EXP.. License d ".:XP 1.-L--/aLi '-:=-1-2:-.. ---1-
Y nit Chaeqe QV Total (Qty Multiplied t..;ni: Charge)
S 119 90
S____ Service); seder 200 AmP•
5 45 50 5_ Service/Feeder 201-400 .1171p
204.62 S_ Service/Feeder 1 01 600 Amp
5 262 20 5 Service!Feeder ao!-1,:02 Amp
5 172 50 5 ServicefFeeder over 1000 amo
5 2 50 5 Branch CircJit W SerAce Feeder
5 7 3 50 5 Branch Circuit VG Service Feeder
5
2.50 Each Addecnat Branch circx..t
92 70 5, _Temp. Service! Feeder 200 Amp.
5110.30 5__, Temp Service;weeder 231.400 Amu
5 148 70 S._ Temp. Service/Feeder 401-600 Ain.
S 157 90 S. Te-np. ServiceiFeeciel 601.1000 Amp
5 9590
5 Ponal to Portal Hourly
5 83 20 SigniCulfinet_
S 95 90 S__ Sign& Circuit: Llmited Energy Commercial. Additional 1500 55.30
5 63 90 Strai Circuit/Limited Energy 1 2 Family Dwelling
S 63.90 Siena Ciro0 ‘..irnited Energy tluitimry Dwelfing
119 90 manufactured Home Connection
510230 S Renewable Electrical Energy 5KVA System or Less
S 110 30 S 1300 Square Ft
S 35 20 --,-..1 S c -Each Additionai 500 Square F!. or Portion of
5 73 50 5.___ Each Outbuildng or Detached Garage
5 110 30 5__, Each Swimming Pool or -tot Tub
5 55.00
200
Owneras defined by RCW.19.21.261: (1) Owner trill occupy the structure for two years after Mrs electrical permit is finalized (2) Owner Is required to hire NI electrical contractor 11
above told property Is for alit rent or Imre. Pennit expires after six months of lest 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 em making the electrical installation or
alteration In compliance with the electrical laws, N.E.C. RCW. Chapter 1928, WAC, Chapter 296.46B, The City of Poet Angeles Municipal Code, end Utility Specifications.
Signature 01 owner. electrical contractor or electrical administrator L Cash
r 0 Check
i
--N__ 0,_,,,, 1._ /c1" Card If __21 R
1
ELECTRICAL PERMIT 1\-)
CITY OF PORT ANGELES a
360 -47 7 -4735
Application Number 12- 00000236 Date 3/05/12
Application pin number 175944
Property Address 1316 DUTCH DR REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06= 30- 01 -8 -0- 0010 -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
Temp power
Owner Contractor
GLEN AND AMANDA JOY NORTH PENINSULA ELECTRIC
431 BENSON RD 761 FRESHWATER PARK RD
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 477 -1764
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc
Permit Fee 93.00 Plan Check Fee .00
Issue Date 3/05/12 Valuation 0
Expiration Date 9/01/12
Qty Unit Charge Per Extension
1.00 93.0000 ECH EL -TEMP SRV 0 -200 SRV FDR 93.00
Fee summary Charged Paid Credited Due
Permit Fee Total 93.00 93.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 93.00 93.00 .00 .00
lif
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE I� „P f I I
ROUGH -IN I
FINAL *112_,
��JY
COMMENTS:
O
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
2012 -03 -04 21 :36 NORTH PENINSULA ELEC 3609289409 360 417 4711 P 1/1
J
IRC
C>
MAR 20'1 N
ELECTRICAL 6
City or Port Angeles Permit A INSPECTIONS
Building DivisionIElectrlcal Inspections
321 East Fifth Street P,O. Box 1150
Port Angeles Washington, 98382
Ph: (380) 417.4735 Fax: (36r 7.171
Dale �,..,:tiT::-:,
2 Single Family D welling
Multi-Family or Commercial'
commercial Addition 1 Alteration! Remodel Repair'
Plan Review May Be eitwted P. ase Complete GIBc'riCal P1 n Revi l1 tt lnlorma(i�Fh
Job Address. 1 .,1- JJ
Building Square Footage:
b 1=i1y D
escription of above L r L- 1..�t L
Owner !nfonn Gon 1 �l Comm or r rm9 0 I 7 �j L____, Name: J S L F V� I y y^ Name I �,�.�1 l-/ —g A dress: t�talina Addie 5' hl0i n -q l
city: —Y' l State: ZIP 7 C`ty. Sla'e a��'-G
Phone Fax: P1or:e._ ..!_1\ `i x e t
nit Cnaroe U1Yl Total i0tyMultiplied by» .I _Charge)
!19 90 S___ Servrce 200 Amp
5 145 50 5__._ ServiceiFeeder 201.400 Arno
5 204.;0 5 Servrce!Feeder 401 -600 Amp.
S 262 20 S_____- Service'Feeaer 631 1000 Amp.
372 50 S___ Service Feeder over 1000 Amp
3 2 50 S_ 8rancn cull w' Se: vice =eeder
5 73.50 S_. cJ
8 ch Clrlt WC Service =eeder
2.60 5 Addltona: Brancr. Caa t
S 92 70 S S. 1 Temp Service: Feeder 200 Amp
5 110.30
Temp Servicerceeder 231 -4c^, Arno
5 148 70 S._ Temp 5ervrcei =eeder 401 -600 Amp
5 16190 5 Terrp. Sehoco■Feede' 501. Amp
5 95 90 5___..... Portal to Portal Hourly
8 88 20 S Signi0ulline t_ighPrq
S 95 90 S Sgpa, Crain Lim ted Energy Commercial. Additional 1500 55 00
S 63 90 S__ Signal Circuit' Limited Energy 1 d 2 Family Dwelling
63.90 S_... Sigma; Cucuit•:reined Energy Multi -Fam :y Dwelling
5 119 90 S. Manufactured Hone Connection
S102.30 5 Renewable EJecincal Energy SKVA System Or Less
S 110 30 S First 1300 Square Fl
S 35 20 S Each A nal 500 Sguare r or l of
S 73.50 S__,,... E a utbud0mq or Detached Garage
5 110.30 S_,_ h Swimming Pool Or HOt Tub
S 56 00 S -T mx
easUt �O
Total l3
Owner as defined by PCW,19,21 -281: (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
show sold properly is for sale, rent or WIC Permit expires alter sir months of tact Inspection.
alteration i compliance s
o the plia ceawith the electrical laws, N E C`!RCW. Chapter of
9,28, WAC. Chaptep298 6. The City of Installation
Port Angeles Municipal Code, and Utility H Spec fication*. or
C_• Cash
Signature of crony, electrical contractor or electrical administrator
P 1
Chock 1 1 t.
l- 0-86: 1- Crod ltCardl—