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HomeMy WebLinkAbout3225 Regent St - Building "z CITY OF PORT ANGELES ii DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION N N W 321 EAST 5TH STREET, PORT ANGELES, WA 98362 t Application Number 11- 00000475 Date 5/25/11 Application pin number 910575 Property Address 3225 REGENT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-15-1-3- 0700 -0000- Tenant nbr, name LARRY DEBRA TIEMERSMA on your state excise tax form Application type description RES NEW SFR Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 264922 Application desc 2,674 SF HOME, 784 SF ATT GARAGE, 96 SF CVRD PRCH Owner Contractor LARRY D DEBRA J TIEMERSMA COZI HOMES CONSTRUCTION INC PO BOX 3027 324 E 9TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -0703 (360) 452 -9906 Structure Information 000 000 2,674 SF SFR /784 SF ATT GARAGE ETC Other struct info TOTAL LOT COVERAGE 6.30 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1.00 LOT OIED 62322.00 lJ PROPOSED LOT COVERAGE 3986.00 Cl� TOTAL LOT COVERAGE 3986.00 NUMBER OF UNITS 1.00 t■ Permit BUILDING PERMIT RESIDENTIAL S`' \X 1Zi01 AJe, Additional desc QC' "U CJ Per pin number 185835 <j5 t Permit Fee 1944.25 Plan Check Fee 1263.76 Issue Date 5/25/11 Valuation 264922 Expiration Date 11/21/11 r Qty Unit Charge Per Extension BASE FEE 1020.25 165.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 924.00 Permit MECHANICAL PERMIT Additional desc Permit pin number 185843 Permit Fee 107.85 Plan Check Fee .00 Issue Date 5/25/11 Valuation 0 Expiration Date 11/21/11 1 I eLC I I kp s 1 t Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 3.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 21.75 1.00 10.6500 EA ME- HOOD /DUCT -MECH. EXHAUST 10.65 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 construction. K 0 -E- ----.&;1k 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 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 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 111111/ Page 2 Application Number 11- 00000475 Date 5/25/11 Application pin number 910575 REPORT SALES TAX Permit PLUMBING PERMIT on your state excise tax form Additional desc to the City of Port Angeles Permit pin number 185850 Permit Fee 177.00 Plan Check Fee .00 (Location Code 0502) Issue Date 5/25/11 Valuation 0 Expiration Date 11/21/11 Qty Unit Charge Per Extension BASE FEE 50.00 14.00 7.0000 EA PL- PLUMBING TRAP 98.00 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 May 17, 2011 12:49:47 PM rbecker. Does the heat pump use a water sourse to run it or a power sourse only If it is supplied with water, then you will need to install a backflow assembly. If you have any questions contact Ron Becker at 417 -4886, E -mail: rbecker @cityofpa.us or Fax: 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. May 24, 2011 12:41:29 PM sroberds. The proposal will result in construction of a new sfr in the RS -7 zone for total lot coverage of 6.3% and site coverage of 7.1%. No land use issues are anticipated. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. "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. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees RES UNDERGRND SERVICE FEE 770.00 SEWER SYSTEM DELV CHARGE 2260.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 2260.00 Fee summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 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 PLANNING DEPT. Separate Permit #s SERA: 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 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOIVEIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 11111111%/ Page 3 Application Number 11- 00000475 Date 5/25/11 Application pin number 910575 REPORT SALES TAX Permit Fee Total 2229.10 2229.10 .00 .00 on your state excise tax form Plan Check Total 1263.76 1263.76 .00 .00 to the City Port Angeles Other Fee Total 5294.50 5294.50 .00 .00 Ang Grand Total 8787.36 8787.36 .00 .00 (Location Code 0502) 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 1 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 4 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: (nfa\k mbar. fou hdutioel 1 6 t4 -1\ Footings 6-s' It L 5 MoilpStab r--` 6 -3o foundation Drainage Downspouts 6 -so-11 Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor /Slab 5ho Pang -23-it Su- Rough-In gZ .z- IA, Water Line (Meter to Bldg) -(Z- I 30-- Gas Line 7 Back Flow Water FINAL Date!/ Accepted by 1 AIR SEAL: a--1( -(-L Walls Ceiling FRAMING: c‘ S 1 1 ILL' c..1" Joists Girders Under Floor v She ar WaIl)Hold Downs 1-2i -t "01-L Wa Is Roof Ceiling '-7�� Drywall (Interior Braced Panel Only) g,7) —U -3- °J T -Bar INSULATION: (2 1 TL-I---- Slab E Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts n Rough V i 1 Gas Line -7-- Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date ii f l Accepted bye /ljX.--- MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: Q FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE 6 3 J' 1 Inspection Type Date Accepted By 9'2( Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 �L, C4 7 Building 417 -4815 l�` i g T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000475 Date 5/26/11 Application pin number 910575 Property Address 3225 REGENT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-15-1-3-0700-0000- Tenant nbr, name LARRY DEBRA TIEMERSMA on your state excise tax form Application type description RES NEW SFR Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 288682 Application desc 2,674 SF HOME, 784 SF ATT GARAGE, 96 SF CVRD PRCH Owner Contractor LARRY D DEBRA J TIEMERSMA COZI HOMES CONSTRUCTION INC PO BOX 3027 324 E 9TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -0703 (360) 452 -9906 Structure Information 000 000 2,674 SF SFR /784 SF ATT GARAGE ETC Other struct info TOTAL LOT COVERAGE 6.30 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1.00 LOT SIZE 62322.00 PROPOSED LOT COVERAGE 3986.00 TOTAL LOT COVERAGE 3986.00 NUMBER OF UNITS 1.00 Permit MECHANICAL PERMIT U \CV�'�� 4 1" (�Q 1� Additional desc WOOD STOVE IN GAME ROOM D J I 7 Permit pin number 186437 Permit Fee 20.65 Plan Check Fee .00 Issue Date 5/26/11 Valuation 0 Expiration Date 11/22/11 Qty Unit Charge Per Extension 1.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 10.65 1.00 10.0000 EA ME- SUPPLEMENTAL PERMIT 10.00 Special Notes and Comments May 17, 2011 12:49:47 PM rbecker. Does the heat pump use a water sourse to run it or a power sourse only If it is supplied with water, then you will need to install a backflow assembly. If you have any questions contact Ron Becker at 417 -4886, E -mail: rbecker @cityofpa.us or Fax: 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. May 24, 2011 12:41:29 PM sroberds. The proposal will result in construction of a new sfr in the RS -7 zone for total lot coverage of 6.3$ and site coverage 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 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 Building 417 -4815 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES t DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION v /T w../ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00000475 Date 5/26/11 Application pin number 910575 REPORT SALES TAX Special Notes and Comments on your state excise tax form of 7.1 No land use issues are anticipated. to the City Of Port Angeles Electrical load calculations and electrical permits are required. (Location Code 0502) Any modifications to the City's electrical facilities will be at the customer's expense. "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. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees RES UNDERGRND SERVICE FEE 770.00 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 20.65 20.65 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 5315.15 5315.15 .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 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 Building 417 -4815 T:Forms /Building Division /Building Permit 4 CITY OF PORT ANGELES F N PUBLIC WORKS UTILITIES w 321 EAST 5TH STREET, PORT ANGELES, WA 98362 y Application Number 11- 00000475 Date 5/25/11 Application pin number 910575 REPORT SALES TAX Property Address 3225 REGENT ST ASSESSOR PARCEL NUMBER: 06- 30- 15 -1 -3 -0700 -0000- on your state excise tax form Tenant nbr, name LARRY DEBRA TIEMERSMA to the City of Port Angeles Application type description RES NEW SFR y 9 Subdivision Name (Location Code 0502) Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 264922 Application desc 2,674 SF HOME, 784 SF ATT GARAGE, 96 SF CVRD PRCH Owner Contractor LARRY D DEBRA J TIEMERSMA COZI HOMES CONSTRUCTION INC PO BOX 3027 324 E 9TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -0703 (360) 452 -9906 Structure Information 000 000 2,674 SF SFR /784 SF ATT GARAGE ETC Other struct info TOTAL W LOT COVERAGE 6.30 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1.00 LOT SIZE 62322.00 PROPOSED LOT COVERAGE 3986.00 TOTAL LOT COVERAGE 3986.00 NUMBER OF UNITS 1.00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 186197 Permit Fee 1160.00 Plan Check Fee .00 Issue Date 5/25/11 Valuation 264922 Expiration Date 11/21/11 Qty Unit Charge Per Extension 1.00 1160.0000 EA PW W/M 1" SERV 5/8" METER 1160.00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 186205 Permit Fee 150.00 Plan Check Fee .00 Issue Date 5/25/11 Valuation 264922 Expiration Date 11/21/11 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 Special Notes and Comments May 17, 2011 12:49:47 PM rbecker. Does the heat pump use a water sourse to run it or a power- sourse only If it is supplied with water, then you will 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. VY v, C 1 .e4 %„9.„�� S 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. l 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 �y It .n a FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE IES iNO COMMERCIAL DATE' ACCEPTED YES NO CONSTRUCTION R W 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` U °F CITY OF PORT ANGELES F N PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES WA 98362 Page 2 Application Number 11- 00000475 Date 5/25/11 Application pin number 910575 REPORT SALES TAX on your state excise tax form Special Notes and Comments need to install a backflow assembly. to the City of Port Angeles If you have any questions contact Ron Becker at 417 -4886, (Location Code 0502) E mail: rbecker @cityofpa.us or Fax: 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. May 24, 2011 12:41:29 PM sroberds. The proposal will result in construction of a new sfr in the RS -7 zone for total lot coverage of 6.3% and site coverage of 7.1 No land use issues are anticipated. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. "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. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees RES UNDERGRND SERVICE FEE 770.00 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 1310.00 1310.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5294.50 5294.50 .00 .00 Grand Total 6604.50 6604.50 .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. I 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 .a- V' FINAL INSPECTIONS. REQUIRED PRIOR TO OCCUPANCY /USE i RESIDENTIAL DATE YES NO COMMERCIAL DATE' ACCEPTED ..YES NO CONSTRUCTION R W J PW/ ENGINEERING 417- 4807 PW ENGINEERING FIRE 417 -4653 FIRE DEPT.. PLANNING DEPT. 417-4750 PLANNING DEPT. 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Application 11 00000 I property Inf ormeti t Application Information Bands t Contractor escrow I' Address: 3225 REGENT ST I Application desc: 2,674 -SF HOME,'784 SF ATT Gil I Fees PORT ANGELES, WA 98362 Application status PERMIT ISSUED CO Global balance du�.l Location ID'. 106102 Status Date; 5i26t2011 m inspection history Owner name LARRY 0 DEBRA 3 EME Appli ty. ES NEW S I Eid MiscellamocuslnLl ASSESSOR PARCEL NUMBER 0630 15 1 3 0700 00 A pplication cation dot pe R 5/16/ 011 FR I 1 Names ALTERNATE ID 063015130700 Tenant name /number LARRY DEBRA TIEMERSMA 1 1 53 Perrnits I, r -T 0 Plan tracking Receipts Contractor Information Outstanding Inapeofione j Square footage cal P f f Structures I,! Cl. Contractor Name: COZI HOMES CONSTRUCTION INC 7 Insp Schedule Confirmation I LI Valuation calculatlo,. Contractor Number: 2534 Type ID Date Number I i Type: GENERAL h Status; ACTIVE No outstanding inspections exist I Contractor Requirements Doc Number IA 1 �i T� r ti 1 IA 'Recei :t date: Recei4tirne Nurnberg Rs ei Paidw 00 ithrr Ra rna h 5/16/11._. 0047339 PERMITS OP 12b3,76 y ...5/25/11 0050427 PERMITS OP 3933.60 .UU 5 /26 /11 0050698 PERMITS 37.36 IfirAIMIIIIEMNMEINIIIIIIIIII 1I III 7 5/26/11 0050698 PERMITS 134.40- p 1 00 iiiiimine 5/26/11 0050698 :PERMITS ',31 20.65 .00 F Print w Total. 10339.77 1� Ez K A 0 R efresh Land Inquiry Documents u 4 a k, 2 +ou 7`vn L 4 m +o rho 0. wo ve -bu r-vi i S4�o� t.° 1 (I be- ‘1' n s4,Rte-A. y 0 *E, c5arne. n s s n ce_ i- 15 cz 1 iviv� -i (4 n of j ust- S Tw Corr -1‘eel` s ©ul d c2--dt 35/sf o /sf. X 0? 4e VaVuth On «r 6_, wood. sq- sup? k-e-mee ,1 rhez: ant c P m See e l�tNr�eS c �e o ,,ORr Avg BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: r Attn: Building Permit Technician Date Received 5—j(0 —I) 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant (-70 gryynes Pho I e a -6563 Property Owner ,..s rr Phone ‘1 1 airs Property Owner's Address g-enpAiefr Contractor Coo., O s- Phone C 23 Contractor's Address y 1 -)-A- f cm r4- License t- Le Expires E- mail PROJECT ADDRESS 3 2 2 5 2 o -t s� r Parcel Number 06 30 13 0 Lot Zoning R 3 -9 Project Type Brief Description: Residential Multi family Commercial Industrial Check all that apply New Construction 1Qj) SFR 4 c U may. Addition J Remodel Repair 1 Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump 'wood- burning stove gas fireplace pellet stove other Other .4- \AI ne 4 5-1-Ave_; i v live, e Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement dt.r1q� per sq. ft. i Floor ke 2 7 tryl II �L/ X 55 00 >22-1 MO 2 Floor 3rd Floor ko e, 55 ST Garage K S .tom 4 36, p 23 7 52.0 Carport Covered Porch t2 is) O 17. 0 n 1 or i Deck orx t-tounad 4 6 zi'1�'•..5.- Shed °5. 3 6 '`l LO Other Carrie_ -elm- e ca$ b� 5 FF ,r- Div -r oo r TOTAL VALUATION a 6 4 'A ZZ Total footprint of structures 3 sq. ft. T Lot size 2- 1 32... 2- :sq. ft. Lot coverage:_ (p P 3_ Site Coverage the amount of impervious surface on a parcel, including gtructures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 7,1 5r& e ari ye- 2, parki v.13 Pad L il $--h it 3' 6 j Max. height of proposed structures ig ft. Occupancy group of bedrooms 4 Will a lawn sprinkler system be installed? l) Occupant load of full baths Will a fire sprinkler system be installed? �,1p} 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 that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. l Date e Print Name K.< �et�� Signature J d T:Forms /Building Division /Building permit application f __t I. 1 Fir 1 14 11123; j p i Etr:ttri 1 144 i 1 .,,,,,,,,,,,,t, i.-'. 4,i'tt 1 -Pttz-vt,. 1 i i 0 t t a ,,,,t it t, 4 ••--------,--;,-F,---------'-'------------4-- 1. i t t. 4., i 1 zilitt,--, _i__:„„..„_,,,,,d1._,,,,....„4,,sti,..,.______.,,„ No. ....mm- i PRESCRIPTIVE APPROACH- SIMPLE FORM For the Washington State Energy Code (WSEC) 2009 Edition li'67;;MNIIMMW Climate Zone 1 CITY GOVERNMENT Site Information: Building Department Use Only: Lot: (j J v t J r 0 Permit 1 I 91 5 Address: ikeq 'UYI+ S Notes: City: (7 State: C Zip: 9 Ab Contact: K,e ✓'r� Phone: ci U e:49_2 Phone 2: FAX: c` 9c WSEC Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE FAMILY RESIDENTIAL OR DUPLEX CLIMATE ZONE 1 (Unlimited Glazing Option Only) Wall Wall Wall Glazing Glaz�ng U Factor Door Vaulted Interior; Exterior Slab; on Option a Area of U Ceiling Above Floor Floor sVertical Overhead Factor Ce Grade el de Below cling B Concrete Grades :Grad R -49 III Unlimited 0.30 0.50 0.20 or R -38 R -21 R -21 R -10 R-30 R -10 R -38 int TB U =0.029 2' adv This Project complies with the following: The project is a single- family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. I All building components meet the requirements listed above. The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U- factor listed above. Location of the door(s) taking exception: Type of Heat Source: T:Forms /Building Division /Prescriptive Approach Simple Form m m Alec ricao information Form v P ublic Works Utilities Department (360) 417 -4700 o Inspector (360) 417 -4735 City Electrical Insp ,rll� lai Ste' Please complete and return to Public Works Utilities Department Applicant Information Permanent service: Name: 7_, 1 s Name and address of party Street: R.e- Q vo responsible for permanent City State ZfP: a4- C_g_ )-11 �.S6 service billing? Daytime Phone: `1 U 0 COs Home Phone: Contact 'Information (if other than above) Name: Title: Site contact: Daytime Phone: Name: Z- T H i_e ,Company: Contractor: Daytime Phone: 6 0 C L Name: C;,.e f u c< Company: Electrician: Daytime Phone: LI-6() .76 C Y Name: if-k".' /z Excavator: Daytime Phone: Pro�ectType Lt Existing r ew Ingle- family residence Multi- family residence; of units Commercial Subdivision; of lots Overhead service General service l-Underground service El Other: ;Project.lnformation i'Description of work: rr •i Street address lot number: /moo 6(.3 Did 0 Nearest cross street: (Jr.e IA) C -c-QS Desired connection date: Electrical transformer serving property is: on a pole Klan the ground Electrical J_oad..: Total square footage: sq. ft. Main disconnect size: amps ❑12, /240 1ph 0120/208 3ph 0277/480 3ph Voltage: ■120/240 3ph ❑480 3W 3ph Other "A Standard residential loads (Lighting, refrigerator, dishwasher, washer) .Check all that apply: A/C ton) Range /Oven Hot Tub Clothes Dryer Heating Pumps Hp) No Load Change L Water Heater Elevator (_Hp) Other Sup po r ting Docum Please provide a copy of the following: "Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one -line drawing showing the service entrance panel and location. `Connected load data. `Size and locked rotor amps of all motors over 50hp. n 4 r Applicant's Signature: /(.,e x.> J Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360- 417 -4711 WS WF Information form.xls +r Revised 1 -15 -09 N�.` RV' JKS'+ i_ 1C; HTIEP• 1t�P- >Jri�inals�.ir�fc7rmation fon�n Clallam County Assessor Treasurer Property Details 67602 LARRY D AND DEBR... Page 1 of 2 Clailam County Assessor Treasurer Property Search Results 67602 LARRY D AND DEBRA J TIEMERSMA for Year 2011 2012 j Property Account Property ID: 67602 Legal Description: TAX #132 EXC .25A IN NW COR EXC TAX #S EXC M/R SWNE Geographic ID: 0630151307000000 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 1 Multi Family Redevelopment: N Township: Section: pi Range: R.Q.3 S+ A n Location 1 Address: VIEWCREST AVE Mapsco: ly PORT ANGELES, WA 98362 e Neighborhood: Cycle 4 Res (City) Map ID: 2 Neighborhood CD: 10953130 Owner Name: LARRY D AND DEBRA J TIEMERSMA Owner ID: 208165 Mailing Address:' PO BOX 3027 Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 05/16/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second i Half Half I Base IBase i Year Statement ID Taxing Jurisdiction Amt Amt Penalty Interest Base Paid Amount Duel 2011 161136 ST SCH STATE SCHOOL $62.41 $62.40 ,$0.00 $0.00 $124.81 $0.00' 2011 161136 CC -GEN COUNTY CLALLAM $34.46 $34.43 $0.00 $0.00 $68.89 $0.00 2011 161136 SD #121 SCHOOL DISTRICT #121 $81.57 $81.57 $0.00 $0.00 $163.14 $0.00 F 2011 161136 CITY PORT ANG CITY OF PORT ANGELES $79.53 $79.53 $0.00 $0.00 $159.06 $0.00 i 2011 161136 PORT PORT OF PORT ANGELES $4.85 $4.85 $0.00 $0.00 $9.70 $0.00' 2011 161136 NTH OLY LIB NORTH OLYMPIC LIBRARY $14.45 $14.44 $0.00 $0.00 $28.89 $0.00 2011 161136 HOSP #2 HOSPITAL #2 $14.14 $14.14 $0.00 $0.00 $28.28 $0.00 2011 161136 WSMET PK DIST WILLIAM SHORE MET PARK DIST $4.30 $4.30 $0.00 $0.00 $8.60 $0.00 i 2011 161136 WEED CONTROL WEED CONTROL $0.88 $0.88 $0.00 $0.00 $1.76 $0.00 2011 161136 TOTAL: $296.59 $296.54 $0.00 $0.00 $593.13 $0.00 2010 0 FORE FORECLOSURE FEE $175.00 $0.00 $0.00 $0.00 $175.00 $0.00 2010 0 FORE TITLE TITLE REPORT FEE $350.00 $0.00 $0.00 $0.00 $350.00 $0.00 2010 0 TOTAL: $525.00 $0.00 $0.00 $0.00 $525.00 $0.00 2010 58730 ST SCH STATE SCHOOL $61.78 $61.78 $0.00 $0.00 $123.56 $0.00 2010 58730 CC -GEN COUNTY CLALLAM $32.88 $32.87 $0.00 $0.00 $65.75 $0.00 i 2010 58730 SD #121 SCHOOL DISTRICT #121 $80.02 $80.02 $0.00 $0.00 $160.04 $0.00 2010 58730 CITY PORT ANG CITY OF PORT ANGELES $76.12 $76.11 $0.00 $0.00 $152.23 $0.00 2010 58730 PORT PORT OF PORT ANGELES $4.62 $4.62 $0.00 $0.00 $9.24 $0.00 2010 58730 NTH OLY LIB NORTH OLYMPIC LIBRARY $9.56 $9.55 $0.00 $0.00 $19.11 $0.00 2010 58730 HOSP #2 HOSPITAL #2 $13.48 $13.4 9, $0.00 $0.00 $26.97 $000; http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =67602 5/16/2011 I I ,e. T t" YS` u.� .Y fah 5 i .GRANT OP RIGHT OF WAY THIS /NDEP4Y made this 31 day of December 19 79 by and I Between HAROLD L:�,�iBBOTT and ROTH G. ABBOT his wife, and DONALD NEWMAN and BETTY NEWHAN g his wife, as Grantor /s, and the 'CITY OF PORT ANGELES, as Grantee. For and in consideratio\pf one dollar (51.00) in hand paid and other benefits accruing to the Grantor /s he undersigned Grantor /s hereby grant to the QTY OF PORT ANGELES a right of way~f utility purposes over and across 3 the following described real property: L I 143E NORTH 16.9 FEET OF TAX #8052 "AND THE NORTH 16.9 FEET OF TAX #2163 BOTH IN SECTION 15 TOWNSHIP 30 N RANGE 6W W. H. ptlES1 fkE➢ RILE D' jUf' ti GE2 1NF gpC f rra. 1980 FE 1 I PN IZ CIaLLi 43 �!c epE` OM DA et. C. 5 t1 U' WA o SH- CL SK Ur .0 v. a:•u nrns .e day 6 and year first above written. )".4 n s STATE OF WASHINGTON ss COUNTY OF CLALLAH Before me, a Notary Public, this list daY of December 19 79, personally appeared Harold L. Abbott and Ruth G. Abbott his wife, and Don G. Newman and Betty Newman to me known to be the individuals named in and who executed the foregoing Grant of Right of way, and they acknowledged to me that they executed the same as their free and voluntary act and deed, for the uses and purposes therein mentioned. 1 IN WITNESS WHEREOF, I have hereunto set my hand and official seal the� y i t and year first in this certificate above written. :i:' Public in and for"the at of Washington, residing at p r tin�l v a i FILED FOR RECORD n 1 THE REQUEST :JF I Kt V 'ECORDED :.1L.•... MD. X16 2005 JAN —6 AM 10:49 COUNTY TRANSACTION EXCISE TAX 111111111 DATE PAID JAN 6 2005 2005 1148513 G"'�^ AMOUNT SJO count COU TREASU-ER REASURER'S TAX DEED Corrective Deed issued 1/6/2005) STATE OF WASHINGTON SS NO. 3536 COUNTY OF CLALLAM THIS INDENTURE made this 15th day of December, A.D. 2004 between Ruth M. Gerdon, then Clallam County Treasurer, State of Washington, party of the first part, and Scott Anthony Mandolfo, 1217 Palmares Court, Las Vegas, NV 89134, party of the second part: WITNESSETH, that whereas at a public sale of real estate held on the 3rd day of December, 2004, pursuant to a real estate tax judgment entered in the Superior Court of the County of Clallam as No. 04 2 00792 -8 on the. 19 day of November, A.D. 2004 in proceedings to foreclose tax liens upon real estate and an order of the sale duly issued by said Court, Scott Anthony Mandolfo, duly purchased in compliance with the laws of the State of Washington, the following described parcel, to -wit: Parcel No. 06 30 15 130850 1000 That portion of the Southwest quarter of the Northeast Quarter of Section 15, Township 30 North, Range 6 West, W.M., Clallam County, described as follows: Beginning a s point 429 feet South of the Northwest Corner of said Southwest Quarter of the Northeast Quarter, thence East 100 feet; thence South 253.04 feet; Thence West 49 feet; thence North 210.58 feet; thence West 51 feet; thence North 42,46 feet to the point of beginning. Situate in Clallam County, State of Washington. And that the said Ruth M. Gerdon, Clallam County Treasurer had complied with the laws of the State of Washington, necessary to entitle Scott Anthony Mandolfo to a deed for said real estate. Now THEREFORE, know ye, that 1. Judith Scott, now County Treasurer of said County of Clallam, State of Washington, in consideration of the premises and by virtue of the State of Washington, in such cases provided, do hereby grant and convey unto Scott Anthony Mandolfo, heirs and assigns, forever, the said real estate hereinhelixe described in this corrective deed to correct the spelling of' Mandollb. Given under my hand and seal of office this 6th of January, A.D. 2005. Ju t Cott, Clallam County Treasurer .s o' 1/1/2005, f. olution No 117, 2004 f� °�l State of Washington t 1 FL 1 O ___._._.........__.....___,..._____J ...,____„:4....... N O r- 2B -0'BS. .L i r o. 1 j rf 1 b 4 T 215.-0- -0� !n -0� 12 -7 q' Y/ 1 M f,) Q m T.' 4 a, N O 0 000800 a) O ZC D O 0 71 n� 0 z A A D 0 z 8 rp `P P (gyp z 8 o L 29 -0' g z CD 00 g Ao B J m 1.3 117 Q G 0 i i g Al co to 03 rn ELECTRICAL PERMIT L CITY OF PORT ANGELES 360 -417 -4735 Application Number 11- 00000800 Date 8/01/11 Application pin number 349600 REPORT SALES TAX Property Address 3225 REGENT ST on our excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 15 -1 -3- 0700 -0000- y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Heat Pump Owner Contractor LARRY D DEBRA J TIEMERSMA DAVE'S HTG COOLING SRVC INC PO BOX 3027 PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -0703 (360) 452 -0939 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 190132 1 Permit Fee 56.00 Plan Check Fee .00 I v Issue Date 8/01/11 Valuation 0 Expiration Date 1/28/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN Z f 1) r ,C1 FINAL b ff`l COMMENTS: PERMIT WILL EXPIRE SIX (G) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G.'\EXCHANGE \BUILDING Jul 29 11 08:32a Dave's Heating Cooling 3604520939 p.1 RECEIVED City of Port Angeles Permit Application I JUL 2 9 20 ``y 0 pc11t1 -1 f, d Building DivisionfElectrical ktspections 2011 i s 321 East Fifth Street P.O. Box 1150 g Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417.4711 INSPECTIONS Date: 7 I (1t 1 2 Singly Family Dwelling Multi Family or.Commeraal' Commercial Addition /Alteration 1 Remodel f Repair" 'Plan Review May Be Required, Please Co plete Electrical Plan Review Intorrration Sheet Job Address: 39 �e_ rt 6 Building Square Footage: f,,DX: t 5 00 Description of above O 0 uo ki-ok. i f' Q s 0-E eL IQj-t o c s4'✓'rwc.•tr oti) Owner Igfanration Contractor Information Name: a rvv4 *i- 1�b6i e- 7 e vn•e-- cM L. Name: I h i-1 ejNa -u {stb Maifin ddres !D. 46 C)e e:'. Mailing Address: City: 0 State: r,A Zip: `i .'A.a City: State: Zip: Phone: 0.3 Fax: Phone: Fax: License f#! Exp. License Exp. Unit Charge ON Total (oly Multiplied by Unit Charge) 119.90 6 Service /Feeder 200 Amp. 5 145.50 i Service /Feeder 201.400 Amp. 204.60 5 ServicelFeeder 401.600 Amp. 262.20 Service/Feeder 601.1000 Amp. 5 372.50 ServicefFeede' over 1000 Amp. 5 2.60 Branch Circuit WI Service Feeder 73.50 5 Branch Circuit Wi0 Service Feeder 2.60 Each Additional Branch Circuit 5 92.70 Temp. Service' Feeder 200 Amp. 5110.30 Temp. Service!'Feeder 201 -400 Amp. 5148.70 5 Temp, ServicePeeder 401 -600 Amp. 5167.90 Temp. Service :Feeder 601 -1000 Amp. 95.90 Portal to Portal Hourly 5 68.20 Sign/Outline Lighting 5 95.90 S Signal Circuit/ Limited Energy Commercial. Additional 1500 55.00 63.90 5 Signal Circuit/ Limited Energy -1 2 Family Dwelling 5 63.90 Signal Circuit/ Limited Energy Multi-Family Dwelling 5119.90 5 Manufactured Home Connection 5102.30 5 Renewable Electrical Energy 5KVA System or Less 5110.30 First 1300 Square Ft. 35.20 Each Additional 500 Square Ft. or Portion of 6 73.50 S Each Outbuilding or Detached Garage 5110.30 5 Each Swimming Pool or Hot Tub 5 56.00 5 .000Thennostat S r (o. CX Total i Owner as defined by RCW.19.28.261: (f) Owner will occupy the structure for two years after this electrical permit is finalised. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires alter six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property ora 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. Signature of owner, electrical contractor or electrical administrator G Cash )1261/11C-*Ylk...r Check �7 X Date: 7c 7/i f X Credit Card 8 ELECTRICAL PERMIT i CITY OF PORT ANGELES s 360- 417 -4735 0 Application Number 11- 00000551 Date 6/06/11 REPORT SALES TAX v Application pin number 675210 Property Address 3225 REGENT ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-15-1-3-0700-0000- to the City of Port Angeles Application type description ELECTRICAL ONLY y g Subdivision Name (Location Code 0502) Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc New home Owner Contractor LARRY D DEBRA J TIEMERSMA ELECTRIC SERVICE W PO BOX 3027 82 DRAPER RD N PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -0703 (360) 452- -6424 Permit ELECTRICAL NEW RESIDENTIAL 1 Additional desc Permit pin number 186940 Permit Fee 286.30 Plan Check Fee .00 Issue Date 6/06/11 Valuation 0 Expiration Date 12/03/11 Qty Unit Charge Per Extension l rusk 1.00 110.3000 ECH EL -R -SQFT FIRST. 1300 110.30 5.00 35.2000 ECH EL-R -SQFT ADDITIONAL 500 176.00 Fee summary Charged Paid Credited Due Permit Fee Total 286.30 286.30 .00 .00 Plan Check Total .00 .00 .00 .00 oi Grand Total 286.30 286.30 .00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE e g� �v 1)3 it ROUGH -1N 1 (iq /ij 7 I. VI, FINAL he J d4 C COMMENTS: 11141 1 4 61AV -7V F1 04 G1'i ''-'10 kV_-- 1 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X c.•,_. Date: G: \EXCHANGE \BUILDING JUN -2 -2011 11:47A FROM:ELECTRIC SERVICE 4526424 TO:417471.1 P.1'1 LV1V /nv./ lit uu.. 1i ✓a G F pOR7q�, CITY OF PORT ANGELES PERNIIT APPLICATION t/ Building Division/Electrical Iaiapectioue I sr.. IIG••_J► 321 East Fifth Street P.O. Box 1150 /Port Angeles Washin 98362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS TIONS Data: (rr 11.:1- 2.Single Family Dwelling,.. MuIli- Family or Commercial' Commercial Addition Alteration Remodel 1 Repair* Plan Review May A squired, Pie; Com. to le trical Plan Revie ,formation Sheet 2� s Job Minix I Building Square Footage: C! Description of above 1.,) 11 a t 1r owner Info atrrt) I n Contractorintor`• y -T7 4f'► .vux Name: Name t S r City: r tate: Zip: Mailing ,revs staling leas; City: 4. State: t Zip: �i a IN P y4,+y Phone; co esa a Fa,c L P Fax: License k 1 Exp. Item Unit Charge Total (OW Multiplied by Unit Chanel Service/Feeder 200 Amp. $119.90 Serylce&Feeder 201 -400 Amp. 5145.50 Service/Feeder 401-600 Amp 204.60 Service/Feeder 601 -1000 Amp. 262.20 .ServicelFeeder over 1000 Amp. 372.60 Braricdt Circuit. W/ Service Feeder 5 2.60 6ianc h Circuit W/0 Service Feeder 5 73.50 Each Additional Branch Circuit .260 Tamp. Service/ Feeder 200 Amp. 92.70 I Temp, Service!Feeder 201 -400 Amp. 110.30 Temp. ServicelFeeder401 -600 Amp. 148.70 Temp. Service/Feeder 601 -1000 Amp $167.90 Portal to Portal Hourly 95,90 SignlDuttme Ughling $8.20 Signal Circuit/ Limited Energy) First 1500 ai- Ccmmertial 95.90 Note: $5.00 for each additional 1500 ar Signal Circuit/ limned Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family D elltng 63.90 Manufactured Home Connection 5119.90 Renewable Electrical Energy 51(1/A System or Less 102.30 Thermostat 66.00 NEW COMSTRUCUION ONLY: S lb •1D First 1300 Square FL 5110.30 I \7t. m a Each Additional 500 Square FL or Portion of 5 35.20 5 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30 2� 63DTotal Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for S c'years after this electrical permit is finalized. (2) Owner is required to hire an electrical oantrac t0r If above sald property is for sale, rent or lease. yrnit expires after stx months of last inspection, Afte reading the above statement, I hereby certify that I am the owner of the e, cite named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical taws, N. RCW. Chapter 19.28, WAG. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 reg. iit�g Electrical Permit Applications. Signetur owner, electrical contractor or electrical administrator: 0 gash cneek c' C.Q 2 CreddcaMN X r Mad: t' A.- 0110113010 f I I JUN -9 -2011 11:58A FROM:ELECTRIC SERVICE 4526424 TO:4174711 P.1 /4 BID PROPOSAL ELECTRIC SERVICE, INC. 82 DRAPER VALLEY ROAD PORT ANGELES,WA 98362 LOAD CALCULATIONS TIEMERSMA REDIDENC:'' 4000 SQ FT 3 WATTS PER SQ FOOT 40 3 12,000 WASHER 1500 KITCHEN RECT. 15 2 3000 3000 100% 3000 1.3,500 35% 13 5 I 0 ?35 4725 RANGE 8000 WATER HEATER 4500 DISHWASHER 1500 DRYER 5000 FURNACE 10000 MICROWAVE 1000 DISPOSAL 700 TOTAL 38425 38,425 DIVWED BY 240 160 AMPS ART RUUD r Oar. •r vv-N. JUN- 9 -2 011 11:58A FROM:ELECTRIC SERVICE 4526424 TO:4174711 P.2/4 Voltage Drop Calculator Page 1 of 3 Search Ads bySa2gte i Voltage Drop Calculator i s This requires the use of en t and capable browsers. This is designed to factors in a or including type of ci ,alit, (or length of circ for or Enter the required data I nd click on Calculate. The results are returned a (the amount of voltage Toss from original i iiut in a conductor of given size and length), dro most distant point in the and the conducto If you need to calculate the size of the wit using our We strongly sugg that you use the results here as they are inters electronic and electrical tests in both commercial a v residential, AC and DC applications, our calct percent of the MEASURED voltage drop in every i tance we have had the opportunity to check the better than the national code for acceptable deviati As of 11/20/2006/ we have had two notes the and practices, and our method for calculation were II ery different and yielded substantial difference: say that they had MEASURED the voltage drop ar0 that our calculations were incorrect, the implicE of prudence and in order to comply with national Ai local code, secure the services of a qualified F engineer for CSG, I have verified the calculations rid formulae as correct, yielding good results. 1 h factor that takes ambient climate into effect. 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