HomeMy WebLinkAbout1820 Melody Ln - Building ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735 4
Application Number 11- 00001428 Date 12/22/11
Application pin number 436252
Property Address 1820 MELODY LN REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 14 -1 -1- 9030 -0000- your excise tax form
Application type description ELECTRICAL ONLY on Y
Subdivision Name to the City of Port Angeles
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Application desc
mobile home service
Owner 0 Contractor
MEREDITH PARKER KIRSCH ELECTRIC INC.
.P0 BOX 619 P. 0. BOX 3396
NEAH BAY WA 98357 SEQUIM WA 98382
(360) 640 -4852 (360) 683 -6819
Permit ELECTRICAL NEW RESIDENTIAL g Additional desc Permit Fee 119.90 Plan Check Fee .00
Issue Date 12/22/11 Valuation 0
Expiration Date 6/19/12
Qty Unit Charge Per Extension
1.00 119.9000 ECH EL -MANF HOME SERVICE FEEDER 119.90
Special Notes and Comments 3
Public works electrical engineering has no requirements for
this plan review.
Fee summary Charged Paid Credited Due
Permit Fee Total 119.90 119.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 119.90 119.90 .00 .00
1::A.
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH 1 Z/ 4' io
SERVICE i9'
4 -N ickSP
ROUGH -IN
FINAL 11' Z
411? P 0)
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G: \EXCHANGE \BUILDING
.PORT N N ELECTRICAL INSPECTION
WIRING REPORT
G Prv oR 417 -4735
DATE i PERMIT INSPECTO
OWNS /CONTRA 1 TOR
ADDRESS y
APPROVED NOT APPROVED
.5?1 DITCH
ROUGH IN /COVER
SERVICE
FINAL
CORRECTIONS NEEDED:
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
DO NOT REMOVE
OLYMPIC PRINTERS, INC. (360) 452 -1381
L LJL L B -J
r:r 2 1 M .0 NMI' .I
CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL
Building Division /Electrical Inspections INSPECTIONS
321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 7 j
Ph: (360) 417-4735 Fax: (360) 417 -4711
Date: C
tr1' Singe Family Dwelling Multi- Family or Commercial` Commercial Addition 1 Alteration Remodel 1 Repair*
Plan Review M Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address: i e 0 ill If...) 719t? l4=t g
j Building Square Footage:
Description of above
1 I I Owner Information Contractor tnf rmation L
Name: Mt In r y GTh S Name: 1 I' S CAP j C. rr1 i-..
Mailing Address: Mailing Address:
City: State: Zip: City: State: Zip:
Phone. Fax: Phone: Fax:
License Exp. License Exp.
Item Unit Charge Qyt 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/0 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
Temp. Service/Feeder 601 -1000 Amp 167.90
Portal 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
Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 CA, 0,
Manufactured Home Connection 119.90 i i f 9
Renewable Electrical Energy 5KVA System or Less 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft. 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
JJ( 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 -468, 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: Cash Check
Credit Card
S
joiiie Dated: /O A V 01101/2010
,oyS l' CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
,7) 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001257 Date 12/08/11
Application pin number 852125
Property Address 1820 MELODY LN REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06-30-14-1-1- 9030 -0000-
Tenant nbr, name MEREDITH PARKER On your state excise tax form
Application type description RES MANUFACTURED HOME to the City of Port Angeles
Subdivision Name
Property Use (Location Code 0502)
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 20000
Application desc
24X48FT MANUFACTURED HOME
Owner Contractor
MEREDITH PARKER MABRY CONSTRUCTION
PO BOX 619 PO BOX 558
NEAR BAY WA 98357 PORT ORCHARD WA 98366
(360) 640 -4852 (360) 876 -0509
Permit BL MANUFACTURED HOME
Additional desc 24'X48 MANUFACTURED HOME
Permit Fee 230.00 Plan Check Fee .00
Issue Date 12/08/11 Valuation 20000
Expiration Date 6/05/12
Qty Unit Charge Per Extension
BASE FEE 230.00
Permit PLUMBING PERMIT
Additional desc WATER SUPPLY METER TO HOUSE
Permit Fee 57.00 Plan Check Fee .00
Issue Date 12/08/11 Valuation 0
Expiration Date 6/05/12
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 7.0000 EA PL -WATER LINE 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. n
The alarm bell will be painted red in color and identified 1�nf/1W1V`+
as "Fire alarm"
November 8, 2011 3:58:26 PM sroberds.
The proposal will result-in placement of a mfg•home in- -the•
RS-9 zone for total lot /site coverage of 13
November 8, 2011 2:26:02 PM tamiot.
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 clays 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 o e performance of
construction. j
liMje 411..
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
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
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_... I
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
Building 417 -4815
;i CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number 11- 00001257 Date 12/08/11
Application pin number 852125 REPORT SALES TAX
Special Notes and Comments on your state excise tax fora?
Electrical service from existing utility pole at the south to the City f Port Angeles
west of lot. trenching shall be done is utility easement y g
along west edge of lot. (Location Code 0502)
separate electrical permit will be required.
All connections to City storm drain facilities require an
inspection by Public Works and Utilities Engineering prior
cover. Notice will be given 24 hours in advance of
commencing work. Public Works inspection request #(360)
417 -4831
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
(360)417 -4831
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. Public Works inspection
request line (360)417 -4831
"Any and all contractor(s) and subcontractor(s) doing work
under this permit in the City Right of Way is required to
provide written documentation that. the City has been named
as an additional insured"
All construction 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. A pedestrian or
traffic control plan is to be submitted for approval with
the application as necessary.
Other Fees RES OVERHEAD SERVICE FEE 440.00
SEWER SYSTEM DELV CHARGE 2260.00
PW WATER SYSTEM USE FEE 2260.00
Fee summary Charged Paid Credited Due
Permit Fee Total 287.00 287.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4960.00 4960.00 .00 .00
Grand Total: 5247.00 5247.00 .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 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
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 -4815 Electrical Inspections 417 -4735
Public Works Utilities 4174831 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) r •e -tom c f 7�-
Gas Line
Back Flow Water FINAL Date /7- 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 -ln
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting Z:7 W:
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
Building 417 -4815
w �F� CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 11- 00001257 Date 12/08/11
Application pin number 852125
Property Address 1820 MELODY LN REPORT SALES TAX
ASSESSOR PARCEL NUMBER: 06- 30- 14 -1 -1- 9030 -0000- on your state excise tax form
Tenant nbr, name MEREDITH PARKER
Application type description RES MANUFACTURED HOME to the City of Port Angeles
Subdivision Name (Location Code 0502)
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 20000
Application desc
24X48FT MANUFACTURED HOME
Owner Contractor
MEREDITH PARKER MABRY CONSTRUCTION
PO BOX 619 PO BOX 558
NEAH BAY WA 98357 PORT ORCHARD WA 98366
(360) 640 -4852 (360) 876 -0509
Permit PUBLIC WORKS RES WATER SERV
Additional desc BORE WATER SERVICE INCLUDED
Permit Fee 2335.00 Plan Check Fee .00
Issue Date 12/08/11 Valuation 20000
Expiration Date 6/05/12
Qty Unit Charge Per Extension
BASE FEE 1175.00
1.00 1160.0000 EA PW W/M 1" SERV 5/8" METER 1160.00
Permit SANITARY SEWER HOOK UP
Additional desc INCLUDES DOWN SPOUTS TO STORM
Permit Fee 285.00 Plan Check Fee .00
Issue Date 12/08/11 Valuation 20000
Expiration Date 6/05/12
Qty Unit Charge Per Extension
1.00 150.0000 EA SAN SEWER HOOKUP 150.00
1.00 135.0000 EA SAN SEW STM CON OTHER 135.00
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"
November 8, 2011 3:58:26 PM sroberds.
The proposal will result in'placement of a mfg home in the
RS -9 zone for total lot /site coverage of 130.
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 thi type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authori ate or can e provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized ent 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 R GUTTER a.z
DRIVEWAY APPROACH
BACK FLOW DEVICE
c
t, rye
S.YK
,FINAL INSPECTIONS,REQUIRED PRIOR TO OCCUPANCYIUSE
'e RESIDENTIAL:, DATE IES NO COMMERCIAL A DATE ACCEPTED
S ES NO
CONSTRUCTION R W PW/ CONS TRU C TION 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 Div s+on /PubLc Works Perrrut
CITY OF PORT ANGELES
F�� PUBLIC WORKS UTILITIES
321 EAST 5TH STREET, PORT ANGELES WA 98362
Page 2
Application Number 11- 00001257 Date 12/08/11
Application pin number 852125 REPORT SALES TAX
Special Notes and Comments on your state excise tax form
November 8, 2011 2 :26:02 PM tamiot. to the City of Port Angeles
Electrical service from existing utility pole at the south (Location Code 0502)
west of lot. trenching shall be done is utility easement
along west edge of lot.
separate electrical permit will be required.
All connections to City storm drain facilities require an
inspection by Public Works and Utilities Engineering prior
cover. Notice will be given 24 hours in advance of
commencing work. Public Works inspection request #(360)
417 -4831
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
(360)417 -4831
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. Public Works inspection
request line (360)417 -4831
"Any and all contractor(s) and subcontractor(s) doing work
under this permit in the City Right of Way is required to
provide written documentation that the City has been named
as an additional insured"
All construction 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. A pedestrian or
traffic control plan is to be submitted for approval with
the application as necessary.
Other Fees RES OVERHEAD SERVICE FEE 440.00
SEWER SYSTEM DELV CHARGE 2260.00
PW WATER SYSTEM USE FEE 2260.00
Fee summary Charged Paid Credited Due
Permit Fee Total 2620.00 2620.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4960.00 4960.00 .00 .00
Grand Total 7580.00 7580.00 .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
M1
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
CURB 8.'GUTTER s
DRIVEWAY APPROACH
BACK FLOW_DEVICE.
i
•.�y ..v ..'s'x c,� dt. .u# w w,.m.,� :1 ease .,k, aM »,ter
FINAL IN REQUIRED PRIOR; TO OCCUPANCY /USE"
RESIDENTIAL_, DATE IES NO COMMERCIAL DATE ACCEPTED
CONSTRUCTION R W /•PIN/ CONSTRUCTION, R'.W
ENGINEERING; 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT..
PLANNING DEPT. 417 -4750 PLANNING. DEPT.
B'UILDING,. 417 BUILDING
'4815
T Forms /Buildm Dtvtston/Publtc Works Perrmt
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i
BUILDING PLUMBING MECHANICAL PERMIT APPLICATION LONG FORM
(To be used for projects that require plan review
Date Received 1/-' CI
Permit S
City of Port Angeles Please print in ink. ate Approved i/ E_• f li
Attn: Building Permit Technician Approved by
321 E. 5 St., Port Angeles, WA 98362
360- 417 -4815 fax: 360- 417 -4711 Credit card payments accepted Mon- ri 8 -5 pm (no American Express)
Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm
Contact person: e e d 4,65/9G1 Phone: 3 60 -676 S0
Property owner:
�t ∎eEdi Y'/Z/ A,e e6 Phone: 360 G (10 -4/95" 2
Property owner's ailing address:
p. A /6/9 /(J&7/7 ZAY )A 98357
Contractor's business name: n1A/3Ry Sr /&7 Phone:
(or property owner's name if he /she is doing /overseeing the work) 3(00 7_4/- 9033
Contractor's mailing address:
PO SOX 558 7e).er,�C/ d ii) 983
Contractor's L &I license number: Expiration date:
Project Address: /82D /y7(ELe d y !✓J /&er 7 Lim 98 56 z.
Project Type: XResidential o Commercial o Industrial D Multi- family
Project Business Name: Zoning: p
(for commercial, industrial, or multi family projects) A1/4 i(S 9
Parcel 0650 /S/ 9050 OCcO Lot A
Complete only the portions of this permit that are relevant to your project.
/WA Pay the plan check fee (based on the valuation of the project) at the time of submittal
Residential P rojects submit:
(1) Two sets of plans* (including gineering calcs, geotech reports, etc. if applicable)
Prescriptive Approach 'mple Form (confirming conformance to the Energy Code)
Commercial Projects submit:
(1) Three s of plans* (including engineering calcs, geotech reports, etc. if applicable)
Pa.-- ork confirming conformance to the Energy Code
or large projects, a pre- construction meeting with various City department
personnel is highly recommended. To schedule a pre- construction meeting, contact
I A the at 417 -4750.
r` Additional Planning information Manager may (360) need to be submitted including:
landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities
(existing proposed), curbs, sidewalks, storm water plan, etc.
For Additions New Structures also submit:
A Site plan (8 1/2" x 11 showing all structures (existing proposed), setbacks, new driveways
If an architect or engineer drew the plans or calculations, include at least one "wet- stamped" set of plans
and /or calculations.
T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Long Form (Revised 2011)
Page 1 of 4
Repair Solar Panels Miscellaneous: (explain the protect)
NfA
Project Valuation
Rernodel:;(explain the project,'includinq how the building space is currently being used and what the new,
remodeled use will be)
/V/i4
Project Valuation
If the space will change from commercial to residential, submit:
"Checklist Converting Commercial Space into Residential Space"
Addition: (explain the project and complete submit page 3)
/r
Maximum height of the new addition feet Project Valuation
New Structure: (explain the project and complete submit page 3)
r�57W/b Ali Aiu tIcruLica 7oy1E le/TAI B /off Sieber/Ai,
Maximum height,of the new structure feet Project Valuation ZO. CO 0
PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered)
Checkpne:
No V Yes If yes, complete submit page 4 "Plumbing Changes"
MECHANICAL PERMIT: Will there be ANY mechanical changes (items moved, added, replaced, or altered)
Check pf e:
No Yes if yes, complete &submit page 4 "Mechanical Changes"
c /t" g Occupancy group of bedrooms
Will a lawn sprinkler system be installed? Occupant load of full baths Z
Will a fire sprinkler system be installed? Construction type of half baths
*Homeowner: If you will be doing /overseeing the work, then the project valuation will be determined by doubling the
cost of materials, to reflect the value the repair adds to your property.
,Cost of materials x 2 Project Valuation
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 etermine .what permits are re• uired, and to obtain permits prior to
working on projects.
Date Signatur Ir
or
Print Name /i .�,q,�_
Page 2 of 4
Floor Areas Existing square New square Price per new
footage footage square foot
Basement x
1 Floor //52-
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
30" high)*
Deck
(s 30" high)*
Shed
Other
Other
Remodel project valuation
TOTAL VALUATION IZC,DDU
Walking surface of the deck above ground
For residential building projects the minimum square foot valuation we accept is:
Dwelling $85.00 per sq. ft. garage /utility /misc.structure $30.00 per sq. ft. porch /deck /carport $12.00 per sq. ft.
LOT COVERAGE SITE COVERAGE
Lot coverage is the amount or percent of ground area on which buildings are located.
It includes: houses, garages, carports, covered patios, cantilevered portions of buildings, roof overhangs that are longer
than 30- inches, uncovered decks or porches having walking surfaces higher than 30- inches off the ground, etc.
Total footprint of structures /152, sq. ft. lot size 9, q0 sq.ft. Lot coverage /z 5
Site Coverage is the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks,
patios, and other impervious surfaces. (see Port Angeles Municipal Code 17.94.135 for exemptions)
Does the project include a new driveway? Ayes p no
If yes, what will the driveway be made of? o cement o asphalt Xgravel o other
(NOTE: 18 feet is the recommended minimum driveway length for residential projects)
Does this project include a new parking pad? a yes p no
If yes, what will the parking pad be made of? o cement o asphalt o gravel m other
a) Total footprint of structures 5 sq. ft. (existing new)
b) Total concrete, asphalt, other impervious surfaces 0 sq. ft. (existing new)
c) Add lines "a" "b" above to get the total impervious //62, sq. ft. (existing new)
Total impervious /5 sq. ft. T lot size Q) gO sq. ft. Site coverage /2 S
Page 3of4
J
PLUMBING CHANGES
Check "No or "Yes" (and enter quantities) for each line item.
Type Plumbing Changes (Moved, Added; Replaced,
or Altered)
Sink (hand, mop, floor etc.) No Yes Quantity
Toilet No Ye Quantity
Bathtub No es Quantity
Shower No Yes Quantity
Washing Machine No Yes Quantity
Hot Water Heater N• Yes Quantity
Water Line (meter to structure) o Yes Quantity
Re -plumb the structure No Yes Quantity
Sewer Line No Yes Quantity
Backflow Prevention Device Typ
Beverage Machine No Yes Quantity
Landscape Watering System No Yes Quantity
Fire Sprinkler System s 2 ch fine No Yes Quantity
Fire Sprinkler System inch line No Yes Quantity
Please list all of -r planned plumbing changes or additions that aren't listed above.
Ai /A
MECHANICAL CHANGES
Check "No" or "Yes" (and enter quantities) for each line item.
Type Mechanical Changes (Moved, Added, Replaced,
Furnace, heat pump, or or Altered)
forced air unit 5 tons No Ye Quantity
Furnace, heat pump, or
forced air unit 5 tons No Yes Quantity
Ductless heat pump No Yes Quantity
Wall (recessed) heater No Yes Quantity
Baseboard heater No Yes Quantity
Steffes room heater Yes Quantity
Wood- burning stove o Yes Quantity
Pellet stove No Yes Quantity
Radiant floor heat No Yes Quantity
Gas fireplace or freestanding stove No Yes Quantity
Gas cooking stove No Yes Quantity
Propane tank set No Yes Quantity
Gas line No Yes Quantity.
Boiler No Yes Quantity
Clothes Dryer No Yes Quantity
Ventilation fan (single d t) No Yes Quantity
Hood.& duct mechani. -I exhaust No Yes Quantity
Ventilation system of part of a heating or air
conditioning system) No Yes Quantity
Air handler No Yes Quantity
Evaporativ: cooler (non portable) No Yes Quantity
Please list all other planned mechanical changes or additions that aren't listed above.
I t i /fi
Page 4of4
NOTES
Permit 11-12_51
jecl ek.AU-ewq 2‘42- 143,-tri) 7
A t 00 o u ptivvai
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Contractors or Tradespeople Printer Friendly Page Page 1 of 1
Business and Licensing Information
Name MABRY, SHANE UBI No.
Phone Status Active
Address License No. MABRYS *964PK
Suite /Apt. License Type Manufactured Home Installer
City Port Orchard Effective Date 10/12/2004
State WA Expiration Date 10/31 /2013
Zip 98366 Suspend Date
County Kitsap Specialty 1 Unused
Specialty 2 Unused
Education No continuing education credits have been reported for
Information the next /current renewal
https: fortress .wa.gov /lni /bbip/Print.aspx 11/2/2011
Clallam County Assessor Treasurer Property Details 66784 MEREDITH PARKER Page 1 of 1
Menem County Assessor Treasurer
Property Search Results 66784 MEREDITH PARKER for Year 2010 2011
Property
Account
Property ID: 66784 Legal Description: HENDRICKSON SP
LOT A V32 P29
Geographic ID: 0630141190300000 Agent Code:
Type: Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 91
Open Space: N DFL N
Historic Property: N Remodel Property: N
Multi- Family Redevelopment: N
Township: Section:
Range: i
Location
Address: MELODY LN Mapsco:
PORT ANGELES, WA 98362 tsM-'
Neighborhood: Cycle 5 Res Map ID: 2
Neighborhood CD: 10955130
Owner
Name: MEREDITH PARKER Owner ID: 210528
Mailing Address: PO BOX 619 Ownership: 100.0000000000%
NEAH BAY, WA 98357
Exemptions:
Taxes and Assessment Details
Values I
Taxing Jurisdiction
1 Improvement Building
Sketch
Property Image
Land
Roll Value History
Deed and Sales History
Payout Agreement
Website version: 9.0.32.2200 Database last updated on: 11/4/2011 3:45 2011 True Automation, Inc. All Rights
AM Reserved. Privacy Notice
http: /websrv8.clallam. net /propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =66784 11/4/2011
di Power
1
pole
approx. I
80' to
76.67'
25' Rea101-------Th Need Underground
i
power line 110.56'
129.44'
46.11'
1 North
1
1
1
1 8
8'
side
side I set
set I back
back
Proposed Manufactured
1' Home 24x48 i r J TR A
CITY OF PORT ANGELES Conatruct *on Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
20' Utility from thereafter requiring the correction of errors in said
Easemen plans, specifications and other data, or from preventing
60.00' building operations being carried on thereunder when in
'ropose. 40.45' violation of all codes and ordinances of this jurisdiction.
•rivew� 40.00' r 900 Cjs'
r i 1
Approva Da 11 By it
_li I t,.11 k\ 25' Fr. nt Set Back Y as S
0
N e, LQ vPe—
1,_ See City diagram
Proposed for sewer connect 12.-
Concrete stub out 5' deep V 1
apron L M�-�
Melody Lane
l P
1 b01-0,4_ c i; iC112,4-
Water Line ba.0
see City diagram
C o f
-4(
Parker, Meredith scale 1 =20' i- a Jl-40 L., 44'
1820 Melody Ln Port Angeles as of 10/31/11 p t 1 4 p6
Parcel 0630 1411 9030 0000
oce.t, L
c g4w( pt
eco
Aft.v
N
d Required perimeter e d—,ti
support (see note 4 below); jti__,,lx A dd,
existing patio door or addition of
patio door
Frame support Main beam Front (hitch) 1 7
I
—-------1----- Ali 111 1 -'-111-
e,„/\ li
Exterior door of home
Required perimeter
Exterior wall
support (see note 4) line of home
Figure 4 -2 Typical blocking diagram for single- section home when manufacturer's
instructions are not available
Note (applies to both figures 4 -2 and 4 -3)
1. See table 4.1 for required pier capacity and spacing.
2. See table 4.3 and section 4.2 for footing requirements.
3. Piers shall be. located at a maximum of 2 feet from both ends.
4. Place piers on both sides of entry doors and at any other openings
greater than 4 feet in width, such as patio or atrium doors; under
porch posts, fireplaces, and wood stoves; and under those places
where heavy pieces of furniture such as pianos, organs, waterbeds,
etc., may be placed.
Required perimeter Piers /supports shall be sized
support (see note 4) according to table 4.2 or calcu-
fated by a design professional and
located under the bearing points of
Patio door clear -span openings in center
mating walls
I 1 I I 1 1 I I I I I I I
I I I i I I i 1
11 I
I--- Ni- -I i I -I-- Et I---
I I I 1 1 1 r�
I I I I I 1 I I
I I I I I I I I 1 I I I 1 I I
I I I I I 1 I 1 I I I I I I
Slide -out fireplace Exterior door of home
Required perimeter Exterior wall-
support (see note 4) line of home
Figure 4 -3 Typical blocking diagram for multisection home when manufacturer's installation
instructions are not available
A>lchor -Min a 2= ,444 Maxi umA:tr hor Spacing
Strap Method Ultim�t Loa�
Capacit on c� r I done i�
k.. 4 "`zrFS<''
Single Strap 4725 lbs. 11' 0" 6' 0" 4' 6"
Double Strap 4725 lbs.' 11' 0 6' 0" 2 4' 6
F:4 ..�:Lr 'u....r; ,r Y„.., ,51. `J i>.Zr t''..X:; r.,. 3r, .l. qu 'a,„ w..:t3,A' P k r /.r.;:;. lzrzlie.� ,,.rry„ '•kroir•, ;v✓ 1 4:s.
Note
1 Unless listed /labeled for a higher capacity by the anchor manufacturer
2 Unless a greater spacing is specified by the anchor manufacturer
`3 All homes located in Wind Zones II and III shall have a vertical tie
installed at each diagonal tie location.
2 -foot see chart 2 -foot
maximum maximum
_1�
C 0 c> O
Frame I beam
Anchor
0 O O 0 O
Figure 5 -2 Number and location of straps and ground anchors
i
Diagonal and vertical ties
1 1
Home
Main beam Vertical tie
40° 50° strapping
Anchor aligned
with resultant of
combined forces
Note
AI
1. All anchoring parts must be certified to a 4,725 -pound capacity.
2. The ground anchors must be sized in accordance with the direction of the load
and the type of soil.
3. The ground anchors' augers must be installed below the frost line.
4. Ground anchors may be installed vertically if either a 10 -inch x 18 -inch (at a minimum)
concrete collar or an approved metal stabilizing device is installed.
Figure 5 -4 Proper alignment of straps and anchors
P .H..
Diagonal ties
Home
Main beam
40° to 50°
Diagonal frame
Anchor and strap
in straight line tie straying
Install anchor to full depth
Straps to be installed O (i.e., completely to head)
within an angle of
40 to 50 ✓j
Note
1. All anchoring parts must be certified to a 4,725 -pound capacity.
2. The ground anchors must be sized in accordance with the direction of the load
and the type of soil.
3. The ground anchors' augers must be installed below the frost line.
4. Ground anchors may be installed vertically if either a 10 -inch x 18 -inch (at a minimum)
concrete collar or an approved metal stabilizing device is installed.
Figure 5 -3 Proper alignment of straps and anchors
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